Service Description CPT Code Charge Type Surgical Practice Price
INSTRUMENTATION,ANTERIOR,4-7 VERTBRAL SEGMENTS PP 22846 Prof $2001.84
INSTRUMENTATION,POSTERIOR NON-SEGMENTAL PP 22840 Prof $2001.84
INSTRUMENTATION,POSTERIOR SEGMENTAL,3-6 VERTEBRAL SEGMENTS PP 22842 Prof $2004.12
INSTRUMENTATION,POSTERIOR SEGMENTAL,7-12 VERTEBRAL SEGMENTS PP 22843 Prof $1997.28
INSTRUMENTATION,POSTERIOR SEGMENTAL,=>13 VERTEBRAL SEGMENTS PP 22844 Prof $2404.26
INSULIN PUMP INITIATION,MCARE PP G0109 Tech $237.69
INSULIN PUMP INITIATION,NON-MC PP 60699 Tech $1893.54
INT REPAIR,DURING DELIVERY, VAGINA PP 59899 Prof $379.62
INTENSIVE CARE,LOW BIRTH WEIGHT INFANT,WEIGHT 1500-2500 GRAMS,SUBSEQUENT DAY PP 99479 Prof $371.64
INTENSIVE CARE,LOW BIRTH WEIGHT INFANT,WEIGHT 2501-5000 GRAMS,SUBSEQUENT DAY PP 99480 Prof $356.82
INTENSIVE CARE,LOW BIRTH WEIGHT INFANT,WEIGHT <1500 GRAMS,SUBSEQUENT DAY PP 99478 Prof $409.26
INTENSIVE CARE,NEONATE(<=28 DAYS),PER DAY,INITIAL PP 99477 Prof $1031.70
INTENSIVE OP,SUBSTANCE ABUSE PROG,LICENSED PROV GROUP HR PP H0015 Prof $159.60
INTENSIVE OP,SUBSTANCE ABUSE PROG,UNLICENSED PROV GROUP PP H0015 Prof $159.60
INTERACTIVE COMPLEXITY PP 90785 Prof $46.74
INTERACTIVE INDIV PSYCHOTHERAPY W/EM,30 (16-31) MIN PP 90833 Prof $198.36
INTERACTIVE INDIV PSYCHOTHERAPY W/EM,30 (16-31) MIN SBWC PP 90833 Prof $198.36
INTERACTIVE INDIV PSYCHOTHERAPY W/EM,45 (38-52) MINS PP 90836 Prof $249.66
INTERACTIVE INDIV PSYCHOTHERAPY W/EM,45 (38-52) MINS SBWC PP 90836 Prof $249.66
INTERACTIVE INDIV PSYCHOTHERAPY W/EM,60 MIN PP 90838 Prof $263.34
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