Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ PP	24620	Prof	$1336.16
CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION PP	23525	Prof	$828.18
CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES PP	28605	Prof	$681.32
CLOSURE OF CYSTOSTOMY PP	51880	Prof	$1074.28
CLOSURE OF RECTOVAGINAL FISTULA, ABDOMINAL APPROACH PP	57305	Prof	$2148.56
CLOSURE OF RECTOVAGINAL FISTULA, TRANSPERINEAL APPROACH PP	57308	Prof	$1542.94
CLOSURE OF RECTOVAGINAL FISTULA, VAG OR TRANSANAL APPROACH PP	57300	Prof	$1292.56
CLOSURE OF URETHROVAGINAL FISTULA PP	57310	Prof	$1045.39
CLOSURE OF URETHROVAGINAL FISTULA W/ BULBOCAVERONOSUS TRANSPLANT PP	57311	Prof	$1272.23
CLOSURE OF VESICOVAGINAL FISTULA, VAG APPROACH PP	57320	Prof	$1216.59
CLOSURE ULCER OF MUCOUS FISTULA PP	45399	Prof	$2462.07
CLOSURE,ANAL FISTULA,W RECTAL ADVANCEMENT FLAP PP	46288	Prof	$1260.46
CLOSURE,CHEST WALL,FOLLOW OPEN FLAP DRAIN,EMPYEMA PP	32810	Prof	$2091.85
CLOSURE,DIRECT/PATCH,SINUS VENOSUS PP	33645	Prof	$4053.16
CLOSURE,ENTEROENTERIC/ENTEROCOLIC FISTULA PP	44650	Prof	$3380.13
CLOSURE,ENTEROSTOMY,LG/SM PP	44620	Prof	$2029.79
CLOSURE,ENTEROSTOMY,W RESECTION PP	44625	Prof	$2387.17
CLOSURE,ENTEROSTOMY,W RESECTION/COLORECTAL ANASTOMOSIS PP	44626	Prof	$3737.51
CLOSURE,ENTEROVESICAL FISTULA,W RESECTION PP	44661	Prof	$3624.09
CLOSURE,ENTEROVESICAL FISTULA,WO RESECTION PP	44660	Prof	$3058.06