Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
CHANGE OF CYSTOSTOMY TUBE, SIMPLE PP	51705	Prof	$140.17
CHANGE,BILIARY DRAINAGE CATH,PERC PP	47525	Prof	$195.81
CHANGE,NEPHROSTOMY/PYELOSTOMY TUBE PP	50398	Prof	$169.06
CHANGE,PERC TUBE/DRAINAGE CATH,RS&I PP	75984	Prof	$87.74
CHANGE,URETEROSTOMY TUBE/EXTERNALLY ACCESSIBLE URETERAL STENT BIL PP	50688	Prof	$430.14
CHANGE,URETEROSTOMY TUBE/EXTERNALLY ACCESSIBLE URETERAL STENT PP	50688	Prof	$215.07
CHEM ADMIN IVP INITIAL SUB RHOPA	96409	Tech	$512.53
CHEM IV INF EA ADD SEQ INF 1H RHOPA	96417	Tech	$947.49
CHEMICAL CAUTERIZATION,GRANULATION TISSUE PP	17250	Prof	$110.21
CHEMO ADMIN IV 1ST HR INIT SUB RHOPA	96413	Tech	$808.92
CHEMO ADMIN IV ADD HR RHOPA	96415	Tech	$389.48
CHEMO ADMIN IV INFUSION,PROLONGED >8H,PORTABLE PUMP RHOPA	96416	Tech	$856.00
CHEMO ADMIN,PLEURAL CAVITY,INDWELLING PORT/CATHETER PP	96446	Prof	$345.61
CHEMO ADMIN,SQ/IM,HORMONAL,ANTI-NEOPLASTIC	96402	Tech	$332.77
CHEMO ADMIN,SQ/IM,HORMONAL,ANTI-NEOPLASTIC RHOPA	96402	Tech	$69.02
CHEMO ADMIN,SQ/IM,NON-HORMONAL,ANTI-NEOPLASTIC PP	96401	Tech	$158.36
CHEMO ADMIN,SQ/IM,NON-HORMONAL,ANTI-NEOPLASTIC RHOPA	96401	Tech	$69.02
CHEMO IVP,EA ADDTL SUBS/DRUG RHOPA	96411	Tech	$132.68
CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY PP	64653	Prof	$125.19
CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY PPG	64653	Prof	$125.19