Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
REVISION,COLOSTOMY,SIMPLE PP	44340	Prof	$1462.69
REVISION,ILEOSTOMY,COMPLICATED PP	44314	Prof	$2358.28
REVISION,ILEOSTOMY,SIMPLE PP	44312	Prof	$1381.37
REVISION,LOWER EXTREMITY ARTERIAL BYPASS,WO THROMBECTOMY,OPEN,W SEGMENTAL VEIN INTERPOSITION PP	35881	Prof	$2434.25
REVISION,OPEN,ARTERIOVENOUS FISTULA,DIAL GRAFT PP	36832	Prof	$1937.77
REVISION,OPEN,ARTERIOVENOUS FISTULA,THROMBECTOMY,DIAL GRAFT PP	36833	Prof	$2076.87
REVISION,PERITONEAL-VENOUS SHUNT PP	49426	Prof	$1414.54
REVISION,PROSTHETIC VAGINAL GRAFT,LAPAROSCOPIC PP	57426	Prof	$1926.80
REVISION,RECONSTRUCTED BREAST BIL PP	19380	Prof	$4410.54
REVISION,RECONSTRUCTED BREAST PP	19380	Prof	$2205.27
REVISION,TOTAL HIP ARTHROPLASTY PP	27134	Prof	$4747.59
REVISION,TOTAL HIP ARTHROPLASTY,FEMORAL COMP PP	27138	Prof	$3792.08
REVISION,TOTAL KNEE ARTHROPLASTY,1 COMPONENT PP	27486	Prof	$3486.06
REVISION,TOTAL KNEEE ARTHROPLASTY,FEMORAL/TIBIAL COMPONENT PP	27487	Prof	$4358.11
REVISION,TRACHEOSTOMA,COMPLEX,W FLAP ROTATION PP	31614	Prof	$1739.82
REVISION,TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT PP	37183	Prof	$1023.99
REVISION/REINSERTION,TRANSHEPATIC TUBE PP	47530	Prof	$811.06
REVISION/REMOVAL PROSTHETIC VAGINAL GRAFT, ABD APPROACH PP	57296	Prof	$2213.83
REVISION/REMOVAL PROSTHETIC VAGINAL GRAFT, VAG APPROACH PP	57295	Prof	$1179.14
REVISION/REMOVAL,PERIPHERAL/GASTRIC NEUROSTIMULATOR GEN/REC PP	64595	Prof	$323.14