Primary Care Practices

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Service Description	CPT Code	Charge Type	PrimaryCare Practice Price
RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX PP	26502	Prof	$1512.00
RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE GRAFT PP	21138	Prof	$2685.00
RE-AMPUTATION,LEG,THROUGH TIBIA/FIBULA PP	27886	Prof	$1536.00
re-cement or re-bond crown PP	D2920	Prof	$141.45
re-cement or re-bond fixed partial denture PP	D6930	Prof	$189.20
re-cement or re-bond inlay, onlay, veneer or partial coverage restoration PP	D2910	Prof	$141.45
re-evaluation - limited, problem focused (established patient; not post-operative visit) PP	D0170	Prof	$65.00
REAMPUTATION,ARM THROUGH HUMERUS PP	24930	Prof	$1676.00
RECONSTRUCT LIP WITH FLAP; FULL THICKNESS	40527	Prof	$1350.00
RECONSTRUCTION OF URETHA PP	53410	Prof	$2084.00
RECONSTRUCTION,BREAST,IMMED/DELAY,TISS EXPANDER,INCL SUBSEQ EXPANSION PP	19357	Prof	$3986.00
RECONSTRUCTION,BREAST,LATISSIMUS DORSI FLAP,WO PROS IMPLANT PP	19361	Prof	$4162.00
RECONSTRUCTION,BREAST,W OTHER TECHNIQUE PP	19366	Prof	$3034.00
RECONSTRUCTION,BREAST,W TRAM,W CLOSURE DONOR PP	19369	Prof	$4444.00
RECONSTRUCTION,GASTROJEJUNAL ANASTOMOSIS,WO VAGOTOMY PP	43860	Prof	$3497.00
RECONSTRUCTION,GI,PREV ESOPHAGECTOMY,OBSTRUCT ESOPH LESION,W STOMACH PP	43361	Prof	$5474.00
RECONSTRUCTION,MAJOR,CHEST WALL PP	32820	Prof	$2886.00
RECONSTRUCTION,MANDIBLE OR MAXILLA,ENDOSTEAL IMPLANT,PARTIAL PP	21248	Prof	$2106.00
RECONSTRUCTION,MANDIBLE,EXTRAORAL,W TRANSOSTEAL BONE PLATE PP	21244	Prof	$2305.00
RECONSTRUCTION,MANDIBULAR RAMI,SAGITTAL SPLIT,W INTERNAL RIGID FIXATION PP	21196	Prof	$3453.00