Service Description CPT Code Charge Type Speciality Practice Price
CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE PP 52240 Prof $1019.71
CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA PP 52265 Prof $376.37
CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS PP 52320 Prof $572.18
CYSTOURETHROSCOPY,UNLISTED PP 58999 Prof $1225.15
CYSTOURETHROSCOPY,W FULGURATION,RESECTION,MEDIUM BLADDER TUMOR (2-5 CM) PP 52235 Prof $752.21
CYSTOURETHROSCOPY,W INTERNAL URETHROTOMY,MALE PP 52275 Prof $567.10
CYSTOURETHROSCOPY,W REMOVAL FOREIGN BODY/CALCULUS/URETERAL STENT,URETHRA/BLADDER,COMPLICATED PP 52315 Prof $714.76
CYSTOURETHROSCOPY,W REMOVAL FOREIGN BODY/CALCULUS/URETERAL STENT,URETHRA/BLADDER,SIMPLE PP 52310 Prof $399.11
CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,REMOVAL CALCULUS PP 52352 Prof $923.41
CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,W LITHOTRIPSY PP 52353 Prof $1019.71
CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,W LITHOTRIPSY,INSERT URET STENT PP 52356 Prof $1081.77
CYSTOURETHROSCOPY,W/BIOPSY PP 52204 Prof $372.36
CYSTOURETHROSCOPY,W/INJECTION FOR CHEMODENERVATION,BLADDER PP 52287 Prof $444.05
DACRYOCSTORHINOSTOMY PP 68720 Prof $1730.99
DAVIN URETERECTOMY URETERAL REIMPLANT LAP LYSIS OF ADHES 45 MIN PP 50949 Prof $3237.29
DAVINCI LEFT DISTAL URETERECTOMY PP 50949 Prof $2407.50
DAVINCI PARTIAL CYSTECTOMY PP 51999 Prof $2251.82
DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI PP 27057 Prof $2366.84
DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV PP 27893 Prof $1414.01
DEBRIDEMENT,BONE,1ST 20SQ CM OR LESS PP 11044 Prof $646.28
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