Service Description CPT Code Charge Type Speciality Practice Price
PROVISIONAL RETAINER CROWN PP D6793 Prof $522.16
provisional splinting - extracoronal PP D4321 Prof $510.15
provisional splinting - intracoronal PP D4320 Prof $575.76
PROVOCATIVE TESTS,GLAUCOMA,INTERP/RPRT,WO TONOGRAPHY PP 92140 Prof $62.06
PRQ CARD ANGIO/ATHRECT 1 ART PP 92924 Prof $1512.71
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL PP 63650 Prof $1056.09
PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY </2 CM PP 50080 Prof $2254.49
PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE PP 27756 Prof $1332.95
PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE PP 25651 Prof $1109.06
PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ PP 28406 Prof $1198.13
PRQ SKELETAL FIXJ FEMORAL FX DISTAL END PP 27509 Prof $1477.67
PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS PP 28122 Prof $1102.10
PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV PP 22100 Prof $1996.62
PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR PP 22102 Prof $1958.90
PSA,SCREEN G0103 Tech $152.48
PSA,TOTAL PP 84153 Tech $90.95
PSOAS HITCH LYSIS OF ADHESIONS 45 MIN PP 50949 Prof $2835.23
PSYCH TEST BY PSYCHOLOGIST,PER HOUR PP 96101 Prof $178.69
PSYCHIATRIC DIAGNOSTIC EVALUATION PP 90791 Prof $362.73
PSYCHIATRIC DIAGNOSTIC EVALUATION SBWC PP 90791 Prof $362.73
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