Service Description CPT Code Charge Type PrimaryCare Practice Price
TREATMENT,CLOSED,DISTAL PHALANGEAL FRACTURE,W MANIP,EA PP 26755 Prof $582.00
TREATMENT,CLOSED,DISTAL PHALANGEAL FRACTURE,WO MANIP,EA PP 26750 Prof $392.00
TREATMENT,CLOSED,DISTAL RADIAL FRACTURE/EPIPHYSEAL SEPARATION,W MANIP PP 25605 Prof $1097.00
TREATMENT,CLOSED,FEMORAL FRACTURE,DISTAL END,MEDIAL/LATERAL CONDYLE PP 27508 Prof $1056.00
TREATMENT,CLOSED,FEMORAL FRACTURE,DISTAL END/MEDIAL/LATERAL CONDYLE,W MANIPULATION PP 27510 Prof $1466.00
TREATMENT,CLOSED,FEMORAL FRACTURE,PROXIMAL END,NECK PP 27230 Prof $1005.00
TREATMENT,CLOSED,FEMORAL SHAFT FRACTURE,W MANIPULATION PP 27502 Prof $1651.00
TREATMENT,CLOSED,FRACTURE GREAT TOE/PHALANX/PHALANGES PP 28490 Prof $266.00
TREATMENT,CLOSED,FRACTURE WEIGHT BEARING ARTICULAR PORTION DISTAL TIBIA PP 27824 Prof $650.00
TREATMENT,CLOSED,FRACTURE,PHALANX/PHALANGES,EXC GREAT TOE,EACH PP 28510 Prof $256.00
TREATMENT,CLOSED,FRACTURE,PHALANX/PHALANGES,EXC GREAT TOE,W MANIP,EA PP 28515 Prof $303.00
TREATMENT,CLOSED,HIP DISLOCATION,TRAUMATIC,W ANES PP 27252 Prof $1753.00
TREATMENT,CLOSED,HIP DISLOCATION,TRAUMATIC,WO ANES PP 27250 Prof $395.00
TREATMENT,CLOSED,HUMERAL CONDYLAR FRACTURE,MEDIAL/LATERAL PP 24576 Prof $647.00
TREATMENT,CLOSED,HUMERAL EPICONDYLAR FRACTURE,MEDIAL/LATERAL,WO MANIP PP 24560 Prof $612.00
TREATMENT,CLOSED,HUMERAL SHAFT FRACTURE,WO MANIPULATION PP 24500 Prof $690.00
TREATMENT,CLOSED,INTERPHALANGEAL JOINT DISLOCATION PP 28660 Prof $191.00
TREATMENT,CLOSED,INTERPHALANGEAL JOINT DISLOCATION,SINGLE,W MANIP,WO ANES PP 26770 Prof $545.00
TREATMENT,CLOSED,INTERTROCHANTERIC/PERITROCHANTERIC/SUBTROCHANTERIC FEMORAL FRACTURE PP 27238 Prof $980.00
TREATMENT,CLOSED,INTERTROCHANTERIC/PERITROCHANTERIC/SUBTROCHANTERIC FEMORAL FX,W MANIP PP 27240 Prof $2048.00
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