Service Description CPT Code Charge Type Surgical Practice Price
GRAFT,ASCENDING AORTA GRAFT,W BYPASS,VALVE SUSPENSION,CORONARY RECONSTRUCTION PP 33864 Prof $10395.66
GRAFT,ASCENDING AORTA,W BYPASS,INCL VALVE SUSPENSION PP 33860 Prof $8022.18
GRAFT,ASCENDING AORTA,W BYPASS,W AORTIC ROOT REPLACEMENT,CORONARY RECONSTRUCTION PP 33863 Prof $10159.68
GRAFT,BONE,ANY AREA,MAJOR/LARGE PP 20902 Prof $703.38
GRAFT,BONE,ANY AREA,MINOR/SMALL PP 20900 Prof $469.68
GRAFT,BONE,MANDIBLE PP 21215 Prof $2447.58
GRAFT,BONE,NASAL/MAXILLARY OR MALAR AREAS PP 21210 Prof $2292.54
GRAFT,COMPOSITE,PRIMARY CLOSURE,DERMA-FAT-FASCIA PP 15770 Prof $1659.84
GRAFT,DESCENDING THORACIC AORTA,W/WO BYPASS PP 33875 Prof $6873.06
GRAFT,FASCIA LATA,BY INCISION,COMPLEX PP 20922 Prof $1220.94
GRAFT,FASCIA LATA,BY STRIPPER PP 20920 Prof $966.72
GRAFT,TRANSVERSE ARCH,W BYPASS PP 33871 Prof $6288.24
GRAFTING,AUTOLOGOUS SOFT TISSUE,OTHER,HARVESTED DIRECT EXCISION PP 15769 Prof $1451.22
GRAFTING,AUTOLOGOUS,FAT HARVESTED BIPOSUCTION,TRUNK/BREASTS/SCALP/ARMS/LEGS EA ADTL 50CC INJECTATE PP 15772 Prof $429.78
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,FACE/EYELIDS/MOUTH/NECK/EARS/ORBITS/GEN/HANDS/FEET,<=25CC PP 15773 Prof $1189.31
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,FACE/EYELIDS/MOUTH/NECK/EARS/ORBITS/GEN/HANDS/FEET,EA ADTL 25CC PP 15774 Prof $334.31
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,TRUNK/BREASTS/SCALP/ARMS/LEGS <=50CC INJECTATE PP 15771 Prof $1440.96
GROUP ADAPTIVE BEHAVIOR TX,PROTOCOL MODIFICATION,EA 15MIN PP 97158 Prof $192.66
GROUP ADAPTIVE BEHAVIOR TX,PROTOCOL,EA 15MIN PP 97154 Prof $192.66
GROUP COUNSELING,SUBSTANCE ABUSE,UNLICENSED PROV PP H0005 Prof $17.10
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