Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS <=250G PP	58541	Prof	$2133.58
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS <=250G,RMV TUBES/OVARY(S) PP	58542	Prof	$2383.96
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS >250G PP	58543	Prof	$2357.21
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS >250G,RMV TUBES/OVARY(S) PP	58544	Prof	$2628.99
LAPAROSCOPY,SURGICAL,TRANSHEPATIC CHOLANGIOGRAPY,WO BIOPSY PP	47579	Prof	$612.04
LAPAROSCOPY,SURGICAL,W/FIMBRIOPLASTY PP	58672	Prof	$1136.34
LAPAROSCOPY,SURGICAL,W/FULGURATION,OVIDUCTS PP	58670	Prof	$905.22
LAPAROSCOPY,SURGICAL,W/LYSIS ADHESIONS PP	58660	Prof	$1660.64
LAPAROSCOPY,SURGICAL,W/OCCULSION OVIDUCTS,BY DEVICE PP	58671	Prof	$849.58
LAPAROSCOPY,SURGICAL,W/REMOVAL,ADNEXAL STRUCTURES PP	58661	Prof	$1593.23
LAPAROSCOPY,SURGICAL,W/SALPINGOSTOMY PP	58673	Prof	$1863.94
LAPAROSCOPY,SURGICAL;URETHRAL SUSPENSION,STRESS INCONTINENCE PP	51990	Prof	$1980.57
LAPAROSCOPY,SX,ABLATION UTERINE FIBROID,INTRAOP US GUID,RADIOFREQUENCY PP	58674	Prof	$1863.94
LAPAROSCOPY,SX,ADRENALECTOMY,PART/COMPLETE,TRANSABD,LUMBAR/DORSAL PP	60650	Prof	$2869.74
LAPAROSCOPY,SX,ESOPHAGEAL SPHINCTER AUGM,PLC SPHINCTER AUGM DEV PP	43284	Prof	$1507.63
LAPAROSCOPY,SX,JEJUNOSTOMY PP	44186	Prof	$1518.33
LAPAROSCOPY,SX,REMOVAL ADJUST GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY PP	43772	Prof	$2180.66
LAPAROSCOPY,SX,W/OMENTOPEXY PP	49326	Prof	$442.98
LAPAROSCOPY,W ASPIRATION CAVITY/CYST PP	49322	Prof	$869.91
LAPAROSCOPY,W REVISION PREVIOUSLY PLACED INTRAPERITONEAL CATH PP	49325	Prof	$979.05