Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
IMPLANTATION,NEUROSTIMULATOR ELECTRODE ARRAY,PERIPHERAL NERVE,PERCUTANEOUS PP	64555	Prof	$3340.54
IMPLANTATION,NEUROSTIMULATOR ELECTRODE ARRAY,SACRAL NERVE PP	64581	Prof	$1677.76
IMPLANTATION,NEUROSTIMULATOR ELECTRODE ARRAY,SACRAL NERVE,W/WO IMG,PERCUTANEOUS PP	64561	Prof	$1004.73
IMPLANTATION,NEUROSTIMULATOR ELECTRODE ARRAY,SACRAL NERVE,W/WO IMG,PERCUTANEOUS PPG	64561	Prof	$1004.73
IMPLANTATION,NEUROSTIMULATOR ELECTRODE ARRAY,SACRAL NERVE,W/WO IMG,PERCUTANEOUS TP	64561	Tech	$10683.78
IMPLANTATION,NON-BIOLOGIC/SYNTHETIC IMPLANT,FASCIAL REINFORCE,ABD WALL PP	0437T	Prof	$499.69
IMPLANTATION,PATIENT-ACTIVATED CARDIAC EVENT RECORDER,DISC PP	33282	Prof	$544.63
IMPLANTATION,TOTAL REPLACEMENT HEART SYS,RECIP CARDIECTOMY PP	33927	Prof	$5924.59
IMPLANTATION,TRANSCATH PULMONARY VALVE,PERC,INCL PRE-STENT VALAVE SITE PP	33477	Prof	$3016.33
IMPLANTATION,TRANSCATH,WIRELESS PULM ART PRESS SENSOR,RS&I PP	33289	Prof	$762.91
IMPLNT/ABUT SUPRTD FIXD DENT PP	D6078	Prof	$7276.00
IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP PP	62362	Prof	$912.44
IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR PP	62360	Prof	$347.48
IMPRESSION & PREPARATION INTERIM OBTURATOR PROST PP	21079	Prof	$3123.33
IMPRESSION FOR FIVE OR SIX DENTURE PP	D6078	Prof	$3638.00
IMPRESSION FOR FOUR IMPLANTS PP	D6053	Prof	$2033.00
IMPRESSION FOR TWO DENTURE PP	D6053	Prof	$1712.00
IMPRESSION/CUSTOM PREPARATION,ORAL SUGICAL SPLINT PP	21085	Prof	$1477.67
IMPRESSION/PREP,PALATAL AUGMENTATION PROSTHESIS PP	21082	Prof	$3104.07
IN-SITU VEIN BYPASS,FEMORAL-ANTERIOR TIBIAL/POST TIBIAL/PERONEAL ART PP	35585	Prof	$5054.68