Service Description CPT Code Charge Type PrimaryCare Practice Price
DILATION,BALLOON,INTRACRANIAL VASOSPASM,EA ADTL VESSEL,DIFFERENT FAMILY PP 61642 Prof $942.00
DILATION,BALLOON,INTRACRANIAL VASOSPASM,EA ADTL VESSEL,SAME FAMILY PP 61641 Prof $472.00
DILATION,BALLOON,INTRACRANIAL VASOSPASM,INIT,PERC PP 61640 Prof $1341.00
DILATION,ESOPHAGUS,OVER GUIDE WIRE PP 43453 Prof $215.00
DILATION,ESOPHAGUS,SINGLE/MULTIPLE PASSES PP 43450 Prof $199.00
DILATION,EXIST TRACT,PERC,ENDOUROLOGIC PROC,IMG,RS&I,W POST PROC TUBE PLACE PP 50436 Prof $328.00
DILATION,EXIST TRACT,PERC,ENDOUROLOGIC PROC,IMG,RS&I,W POST PROC TUBE PLACE,NEW ACC RENAL SYS PP 50437 Prof $547.00
DILATION,FEMALE URETHRA INCL SUPPOSITORY/INSTILLATION,INIT PP 53660 Prof $89.00
DILATION,FEMALE URETHRA INCL SUPPOSITORY/INSTILLATION,SUBSE PP 53661 Prof $86.00
DILATION,FEMALE URETHRA PP 53665 Prof $99.00
DILATION,INTRALUMINAL,STRICTURE/OBSTRUCTION,RS&I PP 74360 Prof $66.00
DILATION,NEPHROSTOMY/URETERS/URETHRA,RS&I PP 74485 Prof $56.00
DILATION,RECTAL STRICTURE,ANES PP 45910 Prof $419.00
DILATION,URETER PP 53899 Prof $390.00
DILATION,URETHRAL STRICTURE,SOUND/DILATOR,MALE, INITIAL PP 53600 Prof $138.75
DIODE LASER TREATMENT PP 67228 Prof $2093.00
DIPHT-PERT,ACEL-TETANUS,>7YRS MAU PP 90715 Prof $65.00
DIPHT-PERT,ACEL-TETANUS,>7YRS,W/COUNSELING PKG MAU PPK 90715 Prof $65.00
DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY PP 35152 Prof $3069.75
DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY PP 35045 Prof $2768.00
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