Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN PP	96113	Prof	$132.41
DIAGNOSTIC CASTS PP	D0470	Prof	$207.58
DIAGNOSTIC IMAGING,SCANNING COMPUT OPHTH,POST SEGMENT,INTERP/RPRT PPG	92133	Prof	$73.83
DIAGNOSTIC IMAGING,SCANNING COMPUT OPHTH,POST SEGMENT,INTERP/RPRT TP	92133	Tech	$40.66
DIAGNOSTIC IMAGING,SCANNING COMPUT OPHTH,RETINA,INTERP/RPRT PP	92134	Prof	$75.97
DIAGNOSTIC IMAGING,SCANNING COMPUT OPHTH,RETINA,INTERP/RPRT PPG	92134	Prof	$75.97
DIAGNOSTIC IMAGING,SCANNING COMPUT OPHTH,RETINA,INTERP/RPRT TP	92134	Tech	$40.66
Diagnostic Sialendoscopy PP	42699	Prof	$146.06
DIALYSIS PROCEDURE OTHER THAN HEMODIALYSIS PP	90945	Prof	$200.09
DIAPHRAGM/CERV CAP FITTING/INSTRUCTION PP	57170	Prof	$112.35
DIGOXIN PP	80162	Tech	$49.22
DILANTIN,TOTAL PP	80185	Tech	$49.22
DILATION & CATHETERIZATION,SALIVARY DUCT,W/WO INJ PP	42660	Prof	$193.67
DILATION & CURETTAGE OF CERVICAL STUMP PP	57558	Prof	$258.94
DILATION & CURETTAGE,DIAGNOSTIC AND/OR THERAPEUTIC PP	58120	Prof	$542.49
DILATION OF CERVICAL CANAL, INSTRUMENTAL PP	57800	Prof	$125.19
DILATION OF SALIVARY DUCT PP	42650	Prof	$137.23
DILATION OF VAGINA UNDER ANESTHESIA PP	57400	Prof	$311.37
DILATION,ANAL SPHINCTER,ANES PP	45905	Prof	$387.34
DILATION,BALL,URETERAL STRICTURE,IMG/RS&I PP	50706	Prof	$505.04