Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
REPAIR,EPIGASTRIC HERNIA,REDUCIBLE PP	49570	Prof	$972.63
REPAIR,EXTENSOR TENDON,LEG,PRIMARY,WO GRAFT,EACH TENDON PP	27664	Prof	$828.18
REPAIR,FASCIAL DEFECT,LEG PP	27656	Prof	$900.94
REPAIR,FISTULA,OROMAXILLARY PP	30580	Prof	$1195.19
REPAIR,FLEXOR TENDON,LEG,PRIMARY,WO GRAFT,EA TENDON PP	27658	Prof	$931.97
REPAIR,INGUINAL HERNIA,SLIDING PP	49525	Prof	$1305.40
REPAIR,INITIAL FEMORAL HERNIA,INCARCERATED/STRANGULATED PP	49553	Prof	$1466.97
REPAIR,INITIAL FEMORAL HERNIA,REDUICBLE PP	49550	Prof	$1309.68
REPAIR,INITIAL INCISIONAL/VENTRAL HERNIA,INCARCERATED/STRANGULATED PP	49561	Prof	$2158.19
REPAIR,INITIAL INCISIONAL/VENTRAL HERNIA,REDUCIBLE PP	49560	Prof	$1712.00
REPAIR,INITIAL INGUINAL HERNIA,=>5 YRS,REDUCIBLE PP	49505	Prof	$1211.24
REPAIR,INITIAL INGUINAL HERNIA,INCARCERATED/STRANULATED,=>5 YRS PP	49507	Prof	$1362.11
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,12.6-20.0CM PP	12055	Prof	$695.50
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,2.5 OR LESS PP	12051	Prof	$480.43
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,2.6-5.0CM PP	12052	Prof	$567.10
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,20.1-30.0CM PP	12056	Prof	$864.56
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,5.1-7.5CM PP	12053	Prof	$612.04
REPAIR,INTERMEDIATE WOUND,FACE/EAR/EYELID/NOSE/LIPS/MUCOUS MEMBRANE,7.6-12.5CM PP	12054	Prof	$625.95
REPAIR,INTERMEDIATE WOUND,NECK/HANDS/FEET/EXTERNAL GENITALIA,12.6-20.0CM PP	12045	Prof	$765.05
REPAIR,INTERMEDIATE WOUND,NECK/HANDS/FEET/EXTERNAL GENITALIA,2.5CM OR LESS PP	12041	Prof	$418.37