Service Description CPT Code Charge Type PrimaryCare Practice Price
REPAIR,DIRECT,ANEURYSM,GRAFT INSERT,RUPTURED ANEURYSM,ABD AORTA/VISCERAL VESSELS PP 35092 Prof $5805.00
REPAIR,DIRECT,ANEURYSM,GRAFT INSERT,RUPTURED ANEURYSM,ILIAC ARTERY PP 35131 Prof $3080.00
REPAIR,DIRECT,ANEURYSM,GRAFT INSERT,RUPTURED ANEURYSM,POPLITEAL ART PP 35151 Prof $2763.00
REPAIR,DIRECT,ANEURYSM,ILIAC ARTERY PP 35141 Prof $3109.00
REPAIR,DIRECT,ANEURYSM,SPLENIC ARTERY PP 35111 Prof $3310.00
REPAIR,DIRECT,ANEURYSM/PSEUDOAN,W/WO GRAFT,AXILLARY-BRACHIAL ART,ARM INCISION PP 35011 Prof $2869.00
REPAIR,ENDOVASC,ILIAC ARTERY,W ILIOILIAC ENDOPROSTHESIS PP 34900 Prof $1970.00
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,AORTO-UNIILIAC/AORTO-UNIFEMORAL PROSTHESIS PP 34805 Prof $2641.00
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,UNIBODY BIFURCATED PROSTHESIS PP 34804 Prof $2478.00
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,W MODULAR BIFURCATED PROS(1 DOCK LIMB) PP 34802 Prof $2751.00
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,W MODULAR BIFURCATED PROS(2 DOCK LIMB) PP 34803 Prof $2847.00
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 1 VISC ART PP 34841 Prof $4600.00
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 2 VISC ART PP 34842 Prof $1079.00
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 3 VISC ART PP 34843 Prof $1079.00
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL =>4 VISC ART PP 34844 Prof $1079.00
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 1 VISC ART PP 34845 Prof $1079.00
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 2 VISC ART PP 34846 Prof $1079.00
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 3 VISC ART PP 34847 Prof $1079.00
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,W =>4 VISC ART PP 34848 Prof $1079.00
REPAIR,EPIGASTRIC HERNIA,INCARCERATED/STRANGULATED PP 49572 Prof $1122.00
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