Service Description CPT Code Charge Type Surgical Practice Price
PROVISIONAL RETAINER CROWN PP D6793 Prof $556.32
provisional splinting - extracoronal PP D4321 Prof $543.53
provisional splinting - intracoronal PP D4320 Prof $613.42
PROVOCATIVE TESTS,GLAUCOMA,INTERP/RPRT,WO TONOGRAPHY PP 92140 Prof $66.12
PRQ CARD ANGIO/ATHRECT 1 ART PP 92924 Prof $1611.68
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL PP 63650 Prof $1125.18
PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY </2 CM PP 50080 Prof $2401.98
PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE PP 27756 Prof $1420.16
PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE PP 25651 Prof $1181.61
PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ PP 28406 Prof $1276.52
PRQ SKELETAL FIXJ FEMORAL FX DISTAL END PP 27509 Prof $1574.34
PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS PP 28122 Prof $1174.20
PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV PP 22100 Prof $2127.24
PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR PP 22102 Prof $2087.06
PSA,SCREEN G0103 Tech $162.45
PSA,TOTAL PP 84153 Tech $96.90
PSOAS HITCH LYSIS OF ADHESIONS 45 MIN PP 50949 Prof $3020.72
PSYCH TEST BY PSYCHOLOGIST,PER HOUR PP 96101 Prof $190.38
PSYCHIATRIC DIAGNOSTIC EVALUATION PP 90791 Prof $386.46
PSYCHIATRIC DIAGNOSTIC EVALUATION SBWC PP 90791 Prof $386.46
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