Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
INITIAL PRENATAL PP	59899	Prof	$435.49
INITIAL SET-UP/PROGRAMMING,WEARABLE ICD PROF PPG	93745	Prof	$89.88
INITIAL SET-UP/PROGRAMMING,WEARABLE ICD TECH PP	93745	Tech	$38.52
INITIAL VISIT PER DAY,NORMAL NEWBORN INFANT PP	99460	Prof	$268.57
INITIAL VISIT PER DAY,NORMAL NEWBORN,SAME DAY ADMIT/DISCHARGE PP	99463	Prof	$310.30
INJ METHYLPRED, 20MG MAU PP	J1020	Prof	$18.19
INJ METHYLPREDNISOLONE, 40MG MAU PP	J1030	Prof	$18.19
INJ METHYLPREDNISOLONE, 80MG MAU PP	J1040	Prof	$32.10
INJ TX,PROP,DX EA IVP NEW SUBS	96375	Tech	$129.00
INJ TX,PROP,DX EA IVP NEW SUBS PP	96375	Tech	$138.03
INJ, CERTRIAXONE SODIUM 250MG MAU PP	J0696	Prof	$10.70
INJ, HYDROMORPHONE, 4 MG MAU PP	J1170	Prof	$10.70
INJ,ADRENAL EPINEPHRINE,0.1MG MAU PP	J0171	Prof	$1.07
INJ,DEXAMETHASONE,1MG MAU PP	J1100	Prof	$3.21
INJ,DIPHENHYDRAMINE 50MG IV MAU PP	J1200	Prof	$17.12
INJ,DX/TX,PARAV JT,IMG,2ND,LUMB/SAC BIL PP	64494	Prof	$240.75
INJ,DX/TX,PARAV JT,IMG,=>3RD,LUMB/SAC BIL PP	64495	Prof	$243.96
INJ,DX/TX,PARAV JT,IMG,SING,LUMB/SAC BIL PP	64493	Prof	$423.72
INJ,INSULIN MAU PP	J1815	Prof	$10.70
INJ,MORPHINE 10MG MAU PP	J2270	Prof	$10.70