Service Description CPT Code Charge Type PrimaryCare Practice Price
AMPUTATION PENIS PARTIAL 54120 Prof $1532.00
AMPUTATION, FOOT PP 27888 Prof $1453.50
AMPUTATION, TOE PP 28825 Prof $875.00
AMPUTATION,ARM-HUMERUS,OPEN,CIRCULAR PP 24920 Prof $1563.00
AMPUTATION,ARM-HUMERUS,SECONDARY CLOSURE/SCAR REVISION PP 24925 Prof $1205.00
AMPUTATION,ARM-HUMERUS,W PRIMARY CLOSURE PP 24900 Prof $1695.00
AMPUTATION,FINGER/THUMB,PRIMARY/SECONDARY,ANY JT/PHALANX,SINGLE,W DIR CLOSURE PP 26951 Prof $1367.00
AMPUTATION,FOOT,MIDTARSAL PP 28800 Prof $1177.00
AMPUTATION,FOOT,TRANSMETATARSAL PP 28805 Prof $1731.00
AMPUTATION,FOREARM,THROUGH RADIUS/ULNA PP 25900 Prof $1510.00
AMPUTATION,FOREARM,THROUGH RADIUS/ULNA,OPEN,CIRCULAR PP 25905 Prof $1487.00
AMPUTATION,FOREARM,THROUGH RADIUS/ULNA,SECONDARY CLOSEURE/SCAR REVISION PP 25907 Prof $1305.00
AMPUTATION,INTERPELVIABDOMINAL PP 27290 Prof $3747.00
AMPUTATION,INTERTHORACOSCAPULAR(FOREQUARTER) PP 23900 Prof $2975.00
AMPUTATION,LEG,THROUGH TIBIA/FIBULA PP 27880 Prof $2138.00
AMPUTATION,LEG,THROUGH TIBIA/FIBULA,OPEN,CIRCULAR PP 27882 Prof $1409.00
AMPUTATION,LEG,THROUGH TIBIA/FIBULA,SECONDARY CLOSURE/SCAR REVISION PP 27884 Prof $1247.00
AMPUTATION,METACARPAL,W FINGER/THUMB,SINGLE,W/WO INTEROSSEOUS TRANSF PP 26910 Prof $1505.00
AMPUTATION,METATARSAL,W TOE,SINGLE PP 28810 Prof $1017.00
AMPUTATION,THIGH,THROUGH FEMUR,ANY LEVEL PP 27590 Prof $1875.00
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