Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
AMPUTATION PENIS PARTIAL	54120	Prof	$1639.24
AMPUTATION, FOOT PP	27888	Prof	$1555.25
AMPUTATION, TOE PP	28825	Prof	$936.25
AMPUTATION,ARM-HUMERUS,OPEN,CIRCULAR PP	24920	Prof	$1672.41
AMPUTATION,ARM-HUMERUS,SECONDARY CLOSURE/SCAR REVISION PP	24925	Prof	$1289.35
AMPUTATION,ARM-HUMERUS,W PRIMARY CLOSURE PP	24900	Prof	$1813.65
AMPUTATION,FINGER/THUMB,PRIMARY/SECONDARY,ANY JT/PHALANX,SINGLE,W DIR CLOSURE PP	26951	Prof	$1462.69
AMPUTATION,FOOT,MIDTARSAL PP	28800	Prof	$1259.39
AMPUTATION,FOOT,TRANSMETATARSAL PP	28805	Prof	$1852.17
AMPUTATION,FOREARM,THROUGH RADIUS/ULNA PP	25900	Prof	$1615.70
AMPUTATION,FOREARM,THROUGH RADIUS/ULNA,OPEN,CIRCULAR PP	25905	Prof	$1591.09
AMPUTATION,FOREARM,THROUGH RADIUS/ULNA,SECONDARY CLOSEURE/SCAR REVISION PP	25907	Prof	$1396.35
AMPUTATION,INTERPELVIABDOMINAL PP	27290	Prof	$4009.29
AMPUTATION,INTERTHORACOSCAPULAR(FOREQUARTER) PP	23900	Prof	$3183.25
AMPUTATION,LEG,THROUGH TIBIA/FIBULA PP	27880	Prof	$2287.66
AMPUTATION,LEG,THROUGH TIBIA/FIBULA,OPEN,CIRCULAR PP	27882	Prof	$1507.63
AMPUTATION,LEG,THROUGH TIBIA/FIBULA,SECONDARY CLOSURE/SCAR REVISION PP	27884	Prof	$1334.29
AMPUTATION,METACARPAL,W FINGER/THUMB,SINGLE,W/WO INTEROSSEOUS TRANSF PP	26910	Prof	$1610.35
AMPUTATION,METATARSAL,W TOE,SINGLE PP	28810	Prof	$1088.19
AMPUTATION,THIGH,THROUGH FEMUR,ANY LEVEL PP	27590	Prof	$2006.25