Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
US,OPHTHALMIC,B-SCAN PPG	76512	Prof	$124.12
US,OPHTHALMIC,B-SCAN TP	76512	Tech	$88.81
US,OPHTHALMIC,CORNEAL PACHYMETRY,UNI/BIL PPG	76514	Prof	$28.89
US,OPHTHALMIC,CORNEAL PACHYMETRY,UNI/BIL TP	76514	Tech	$13.91
US,PELVIC,W IMAGE DOCUM,COMPLETE,NON-OB PG	76856	Prof	$78.11
US,PELVIC,W IMAGE DOCUM,LIMITED/FOLLOW UP,NON-OB PG	76857	Prof	$43.87
US,POST-VOID RESIDUAL/BLADDER CAPACITY,URINE,NON-IMAGING PP	51798	Tech	$54.57
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,1ST TRIMESTER,1ST GESTATION PG	76801	Prof	$111.28
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,1ST TRIMESTER,EA ADL GESTATION PP	76802	Prof	$95.23
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,AFTER 1ST TRIMESTER,1ST GESTATION PG	76805	Prof	$112.35
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,AFTER 1ST TRIMESTER,ADTL GESTATION PG	76810	Prof	$111.28
US,PREGNANT UTERUS,W IMAGE DOCUM,LIMITED,1 OR > FETUSES PG	76815	Prof	$217.21
US,PREGNANT UTERUS,W IMAGE DOCUM,LIMITED,1 OR > FETUSES TP	76815	Tech	$116.63
US,PREGNANT UTERUS,W IMAGE DOCUM,TRANSVAGINAL PG	76817	Prof	$85.60
US,PREGNANT UTERUS,W IMAGE DOCUM,TRANSVAGINAL TP	76817	Tech	$132.68
US,PREGNANT,W IMAGE,FOLLOW-UP,TRANSABDOMINAL APP,PER FETUS PP	76816	Prof	$97.37
US,RETROPERITONEAL,W IMAGE DOCUM,COMPLETE PG	76770	Prof	$318.86
US,RETROPERITONEAL,W IMAGE DOCUM,LIMITED PG	76775	Prof	$262.15
US,SALINE INFUSION SONOHYSTEROGRAPHY,W/WO COLOR FLOW DOPPLER PPG	76831	Prof	$89.88
US,SALINE INFUSION SONOHYSTEROGRAPHY,W/WO COLOR FLOW DOPPLER TP	76831	Tech	$220.42