Service Description CPT Code Charge Type PrimaryCare Practice Price
REVISION,COLOSTOMY,SIMPLE PP 44340 Prof $1367.00
REVISION,ILEOSTOMY,COMPLICATED PP 44314 Prof $2204.00
REVISION,ILEOSTOMY,SIMPLE PP 44312 Prof $1291.00
REVISION,LOWER EXTREMITY ARTERIAL BYPASS,WO THROMBECTOMY,OPEN,W SEGMENTAL VEIN INTERPOSITION PP 35881 Prof $2275.00
REVISION,OPEN,ARTERIOVENOUS FISTULA,DIAL GRAFT PP 36832 Prof $1811.00
REVISION,OPEN,ARTERIOVENOUS FISTULA,THROMBECTOMY,DIAL GRAFT PP 36833 Prof $1941.00
REVISION,PERITONEAL-VENOUS SHUNT PP 49426 Prof $1322.00
REVISION,PROSTHETIC VAGINAL GRAFT,LAPAROSCOPIC PP 57426 Prof $1800.75
REVISION,RECONSTRUCTED BREAST BIL PP 19380 Prof $4122.00
REVISION,RECONSTRUCTED BREAST PP 19380 Prof $2061.00
REVISION,TOTAL HIP ARTHROPLASTY PP 27134 Prof $4437.00
REVISION,TOTAL HIP ARTHROPLASTY,FEMORAL COMP PP 27138 Prof $3544.00
REVISION,TOTAL KNEE ARTHROPLASTY,1 COMPONENT PP 27486 Prof $3258.00
REVISION,TOTAL KNEEE ARTHROPLASTY,FEMORAL/TIBIAL COMPONENT PP 27487 Prof $4073.00
REVISION,TRACHEOSTOMA,COMPLEX,W FLAP ROTATION PP 31614 Prof $1626.00
REVISION,TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT PP 37183 Prof $957.00
REVISION/REINSERTION,TRANSHEPATIC TUBE PP 47530 Prof $758.00
REVISION/REMOVAL PROSTHETIC VAGINAL GRAFT, ABD APPROACH PP 57296 Prof $2069.00
REVISION/REMOVAL PROSTHETIC VAGINAL GRAFT, VAG APPROACH PP 57295 Prof $1102.00
REVISION/REMOVAL,PERIPHERAL/GASTRIC NEUROSTIMULATOR GEN/REC PP 64595 Prof $302.00
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