Service Description CPT Code Charge Type PrimaryCare Practice Price
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ PP 24620 Prof $1248.75
CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION PP 23525 Prof $774.00
CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES PP 28605 Prof $636.75
CLOSURE OF CYSTOSTOMY PP 51880 Prof $1004.00
CLOSURE OF RECTOVAGINAL FISTULA, ABDOMINAL APPROACH PP 57305 Prof $2008.00
CLOSURE OF RECTOVAGINAL FISTULA, TRANSPERINEAL APPROACH PP 57308 Prof $1442.00
CLOSURE OF RECTOVAGINAL FISTULA, VAG OR TRANSANAL APPROACH PP 57300 Prof $1208.00
CLOSURE OF URETHROVAGINAL FISTULA PP 57310 Prof $977.00
CLOSURE OF URETHROVAGINAL FISTULA W/ BULBOCAVERONOSUS TRANSPLANT PP 57311 Prof $1189.00
CLOSURE OF VESICOVAGINAL FISTULA, VAG APPROACH PP 57320 Prof $1137.00
CLOSURE ULCER OF MUCOUS FISTULA PP 45399 Prof $2301.00
CLOSURE,ANAL FISTULA,W RECTAL ADVANCEMENT FLAP PP 46288 Prof $1178.00
CLOSURE,CHEST WALL,FOLLOW OPEN FLAP DRAIN,EMPYEMA PP 32810 Prof $1955.00
CLOSURE,DIRECT/PATCH,SINUS VENOSUS PP 33645 Prof $3788.00
CLOSURE,ENTEROENTERIC/ENTEROCOLIC FISTULA PP 44650 Prof $3159.00
CLOSURE,ENTEROSTOMY,LG/SM PP 44620 Prof $1897.00
CLOSURE,ENTEROSTOMY,W RESECTION PP 44625 Prof $2231.00
CLOSURE,ENTEROSTOMY,W RESECTION/COLORECTAL ANASTOMOSIS PP 44626 Prof $3493.00
CLOSURE,ENTEROVESICAL FISTULA,W RESECTION PP 44661 Prof $3387.00
CLOSURE,ENTEROVESICAL FISTULA,WO RESECTION PP 44660 Prof $2858.00
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