Service Description CPT Code Charge Type PrimaryCare Practice Price
MASTECTOMY,PARTIAL BIL PP 19301 Prof $3496.00
MASTECTOMY,PARTIAL PP 19301 Prof $1748.00
MASTECTOMY,PARTIAL,W AXILLARY LYMPHADENECTOMY BIL PP 19302 Prof $4800.00
MASTECTOMY,PARTIAL,W AXILLARY LYMPHADENECTOMY PP 19302 Prof $2400.00
MASTECTOMY,RADICAL INCL PECTORAL MUS/AX LYMPH NODES PP 19305 Prof $2401.00
MASTECTOMY,RADICAL,INCL PECTORAL MUSC/INT LYMPH NODES PP 19306 Prof $2594.00
MASTECTOMY,SIMPLE,COMPLETE BIL PP 19303 Prof $5100.00
MASTECTOMY,SIMPLE,COMPLETE PP 19303 Prof $2550.00
MASTECTOMY,SUBCUTANEOUS BIL PP 19304 Prof $2422.00
MASTECTOMY,SUBCUTANEOUS PP 19304 Prof $1211.00
MASTOPEXY PP 19316 Prof $2051.00
MASTOTOMY,W EXPLORATION/DRAINAGE,ABSCESS,DEEP PP 19020 Prof $823.00
maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth) PP D5213 Prof $1907.90
maxillary partial denture - flexible base (including any clasps, rests and teeth) PP D5225 Prof $1586.26
maxillary partial denture - resin base (including, retentive/clasping materials, rests, and teeth) PP D5211 Prof $1423.54
MAXILLECTOMY W/O ORBITAL EXENTERATION PP 31225 Prof $4109.00
MECH REMOV TUNNELED CV CATH PP 36596 Prof $98.00
MECH REMOVAL,PERICATH OBSTRUCTIVE MATERIAL,CVD,RAD S&I PP 75901 Prof $57.00
MECH THROMB,TL,NCOR,ART/BYP GR,INIT BIL PP 37184 Prof $2186.00
MECH THROMBECTOMY,PERC TRANSLUM,INFUS,DIALYSIS,IMG/RS&I,DX ANGI,INJ PP 36904 Prof $741.00
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