Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
DILATION,BALLOON,INTRACRANIAL VASOSPASM,EA ADTL VESSEL,DIFFERENT FAMILY PP	61642	Prof	$1007.94
DILATION,BALLOON,INTRACRANIAL VASOSPASM,EA ADTL VESSEL,SAME FAMILY PP	61641	Prof	$505.04
DILATION,BALLOON,INTRACRANIAL VASOSPASM,INIT,PERC PP	61640	Prof	$1434.87
DILATION,ESOPHAGUS,OVER GUIDE WIRE PP	43453	Prof	$230.05
DILATION,ESOPHAGUS,SINGLE/MULTIPLE PASSES PP	43450	Prof	$212.93
DILATION,EXIST TRACT,PERC,ENDOUROLOGIC PROC,IMG,RS&I,W POST PROC TUBE PLACE PP	50436	Prof	$350.96
DILATION,EXIST TRACT,PERC,ENDOUROLOGIC PROC,IMG,RS&I,W POST PROC TUBE PLACE,NEW ACC RENAL SYS PP	50437	Prof	$585.29
DILATION,FEMALE URETHRA INCL SUPPOSITORY/INSTILLATION,INIT PP	53660	Prof	$95.23
DILATION,FEMALE URETHRA INCL SUPPOSITORY/INSTILLATION,SUBSE PP	53661	Prof	$92.02
DILATION,FEMALE URETHRA PP	53665	Prof	$105.93
DILATION,INTRALUMINAL,STRICTURE/OBSTRUCTION,RS&I PP	74360	Prof	$70.62
DILATION,NEPHROSTOMY/URETERS/URETHRA,RS&I PP	74485	Prof	$59.92
DILATION,RECTAL STRICTURE,ANES PP	45910	Prof	$448.33
DILATION,URETER PP	53899	Prof	$417.30
DILATION,URETHRAL STRICTURE,SOUND/DILATOR,MALE, INITIAL PP	53600	Prof	$148.46
DIODE LASER TREATMENT PP	67228	Prof	$2239.51
DIPHT-PERT,ACEL-TETANUS,>7YRS MAU PP	90715	Prof	$69.55
DIPHT-PERT,ACEL-TETANUS,>7YRS,W/COUNSELING PKG MAU PPK	90715	Prof	$69.55
DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY PP	35152	Prof	$3284.63
DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY PP	35045	Prof	$2961.76