Service Description CPT Code Charge Type PrimaryCare Practice Price
CYSTECTOMY, PARTIAL, URETERONEOCYSTOSTOMY PP 51565 Prof $2753.00
CYSTO FOR TX FEMALE URETHRAL SYN PP 52285 Prof $419.00
CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL PP 52442 Prof $155.00
CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE PP 52441 Prof $567.00
CYSTO MANJ W/O RMVL URETERAL STONE PP 52330 Prof $575.25
CYSTO W DILATION URETHRAL STRICTURE PP 52281 Prof $375.00
CYSTO W/ BIOPSY PP 52204 Prof $348.00
CYSTO W/ DILATION OF BLADDER/INTERST CYSTITIS PP 52260 Prof $515.00
CYSTO W/ DIR VISION INT URETHROTOMY PP 52276 Prof $646.00
CYSTO W/ FULG MINOR LESIONS PP 52224 Prof $499.00
CYSTO W/ FULG SM BLADR TUMORS PP 52234 Prof $599.00
CYSTO W/ FULGURATION PP 52214 Prof $431.00
CYSTO W/ INSERT INDWELLING URETERAL STENT PP 52332 Prof $382.00
CYSTO W/ INSERT PERM URETHRAL STENT PP 52282 Prof $820.00
CYSTO W/ IRRIG & EVAC CLOTS PP 52001 Prof $700.00
CYSTO W/ URETER CATH PP 52005 Prof $328.00
CYSTO W/ URETEROSCOPY &/OR PYLELOSCOPY, DX PP 52351 Prof $737.00
CYSTO W/ URETEROSCOPY &/OR PYLELOSCOPY, W/ BX &/OR FULG URETERAL OR RENAL PELV LESION PP 52354 Prof $1014.00
CYSTO W/TX URETERAL STRICTURE PP 52341 Prof $692.00
CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE PP 52344 Prof $801.75
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