Service Description CPT Code Charge Type PrimaryCare Practice Price
REPAIR,EPIGASTRIC HERNIA,REDUCIBLE PP 49570 Prof $909.00
REPAIR,EXTENSOR TENDON,LEG,PRIMARY,WO GRAFT,EACH TENDON PP 27664 Prof $774.00
REPAIR,FASCIAL DEFECT,LEG PP 27656 Prof $842.00
REPAIR,FISTULA,OROMAXILLARY PP 30580 Prof $1117.00
REPAIR,FLEXOR TENDON,LEG,PRIMARY,WO GRAFT,EA TENDON PP 27658 Prof $871.00
REPAIR,INGUINAL HERNIA,SLIDING PP 49525 Prof $1220.00
REPAIR,INITIAL FEMORAL HERNIA,INCARCERATED/STRANGULATED PP 49553 Prof $1371.00
REPAIR,INITIAL FEMORAL HERNIA,REDUICBLE PP 49550 Prof $1224.00
REPAIR,INITIAL INCISIONAL/VENTRAL HERNIA,INCARCERATED/STRANGULATED PP 49561 Prof $2017.00
REPAIR,INITIAL INCISIONAL/VENTRAL HERNIA,REDUCIBLE PP 49560 Prof $1600.00
REPAIR,INITIAL INGUINAL HERNIA,=>5 YRS,REDUCIBLE PP 49505 Prof $1132.00
REPAIR,INITIAL INGUINAL HERNIA,INCARCERATED/STRANULATED,=>5 YRS PP 49507 Prof $1273.00
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,12.6-20.0CM PP 12055 Prof $650.00
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,2.5 OR LESS PP 12051 Prof $449.00
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,2.6-5.0CM PP 12052 Prof $530.00
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,20.1-30.0CM PP 12056 Prof $808.00
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,5.1-7.5CM PP 12053 Prof $572.00
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,7.6-12.5CM PP 12054 Prof $585.00
REPAIR,INTERMEDIATE WOUND,NECK/HANDS/FEET/EXTERNAL GENITALIA,12.6-20.0CM PP 12045 Prof $715.00
REPAIR,INTERMEDIATE WOUND,NECK/HANDS/FEET/EXTERNAL GENITALIA,2.5CM OR LESS PP 12041 Prof $391.00
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