Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
INJECTION,ANESTHETIC AGENT,TRIGEMINAL NERVE BIL TP	64400	Tech	$884.87
INJECTION,ANESTHETIC AGENT,TRIGEMINAL NERVE PP	64400	Prof	$178.69
INJECTION,ANESTHETIC AGENT,TRIGEMINAL NERVE PPG	64400	Prof	$178.69
INJECTION,ANESTHETIC AGENT,TRIGEMINAL NERVE TP	64400	Tech	$442.43
INJECTION,ANESTHETIC/STEROID,TRANSFOR EPID W/IMG,SING LVL,LUMBAR/SACRAL PP	64483	Prof	$292.11
INJECTION,ANTEGRADE NEPHROSTOGRAM/URETEROGRAM,COMPLETE DX,EXIST ACC BIL PP	50431	Prof	$363.80
INJECTION,ANTEGRADE NEPHROSTOGRAM/URETEROGRAM,COMPLETE DX,EXIST ACC PP	50431	Prof	$181.90
INJECTION,ANTEGRADE NEPHROSTOGRAM/URETEROGRAM,COMPLETE DX,NEW ACC PP	50430	Prof	$387.34
INJECTION,ARTHROGRAPHY,ANKLE PP	27648	Prof	$120.91
INJECTION,ARTHROGRAPHY,ELBOW PP	24220	Prof	$175.48
INJECTION,ARTHROGRAPHY,HIP,WO ANES PP	27093	Prof	$179.76
INJECTION,ARTHROGRAPHY,KNEE,CONTRAST CT/MRI PP	27369	Prof	$108.07
INJECTION,ARTHROGRAPHY,SHOULDER PP	23350	Prof	$132.68
INJECTION,ARTHROGRAPHY,WRIST PP	25246	Prof	$191.53
INJECTION,ASSESSMENT ABSCESS/CYST VIA PREV PLACED CATH/TUBE PP	49424	Prof	$97.37
INJECTION,BOTOX,BLADDER PP	53899	Prof	$2059.75
INJECTION,CARD CATH,PULMONARY ANGIO,INCL IMG/S&I PP	93568	Prof	$149.80
INJECTION,CARD CATH,SUPRAVALVULAR AORTOGRAPHY,INCL IMG/S&I PP	93567	Prof	$163.71
INJECTION,CHOLANGIOGRAPHY,EXISTING CATH PP	47505	Prof	$87.74
INJECTION,CHOLANGIOGRAPHY,PERC,DX,INCL IMAGING,EXIST ACCESS PP	47531	Prof	$235.40