Service Description CPT Code Charge Type Speciality Practice Price
REPAIR,DIRECT,ANEURYSM,GRAFT INSERT,RUPTURED ANEURYSM,ABD AORTA/VISCERAL VESSELS PP 35092 Prof $6211.35
REPAIR,DIRECT,ANEURYSM,GRAFT INSERT,RUPTURED ANEURYSM,ILIAC ARTERY PP 35131 Prof $3295.60
REPAIR,DIRECT,ANEURYSM,GRAFT INSERT,RUPTURED ANEURYSM,POPLITEAL ART PP 35151 Prof $2956.41
REPAIR,DIRECT,ANEURYSM,ILIAC ARTERY PP 35141 Prof $3326.63
REPAIR,DIRECT,ANEURYSM,SPLENIC ARTERY PP 35111 Prof $3541.70
REPAIR,DIRECT,ANEURYSM/PSEUDOAN,W/WO GRAFT,AXILLARY-BRACHIAL ART,ARM INCISION PP 35011 Prof $3069.83
REPAIR,ENDOVASC,ILIAC ARTERY,W ILIOILIAC ENDOPROSTHESIS PP 34900 Prof $2107.90
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,AORTO-UNIILIAC/AORTO-UNIFEMORAL PROSTHESIS PP 34805 Prof $2825.87
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,UNIBODY BIFURCATED PROSTHESIS PP 34804 Prof $2651.46
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,W MODULAR BIFURCATED PROS(1 DOCK LIMB) PP 34802 Prof $2943.57
REPAIR,ENDOVASCULAR,INFRARENAL ABD AORTIC ANEURYSM,W MODULAR BIFURCATED PROS(2 DOCK LIMB) PP 34803 Prof $3046.29
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 1 VISC ART PP 34841 Prof $4922.00
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 2 VISC ART PP 34842 Prof $1154.53
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 3 VISC ART PP 34843 Prof $1154.53
REPAIR,ENDOVASCULAR,VISCERAL AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL =>4 VISC ART PP 34844 Prof $1154.53
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 1 VISC ART PP 34845 Prof $1154.53
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 2 VISC ART PP 34846 Prof $1154.53
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,INCL 3 VISC ART PP 34847 Prof $1154.53
REPAIR,ENDOVASCULAR,VISCERAL/INFRARENAL ABD AORTA,FENEST VISC AORTIC ENDOGR,RS&I,W =>4 VISC ART PP 34848 Prof $1154.53
REPAIR,EPIGASTRIC HERNIA,INCARCERATED/STRANGULATED PP 49572 Prof $1200.54
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