Service Description CPT Code Charge Type Surgical Practice Price
REVISION,COLOSTOMY,SIMPLE PP 44340 Prof $1558.38
REVISION,ILEOSTOMY,COMPLICATED PP 44314 Prof $2512.56
REVISION,ILEOSTOMY,SIMPLE PP 44312 Prof $1471.74
REVISION,LOWER EXTREMITY ARTERIAL BYPASS,WO THROMBECTOMY,OPEN,W SEGMENTAL VEIN INTERPOSITION PP 35881 Prof $2593.50
REVISION,OPEN,ARTERIOVENOUS FISTULA,DIAL GRAFT PP 36832 Prof $2064.54
REVISION,OPEN,ARTERIOVENOUS FISTULA,THROMBECTOMY,DIAL GRAFT PP 36833 Prof $2212.74
REVISION,PERITONEAL-VENOUS SHUNT PP 49426 Prof $1507.08
REVISION,PROSTHETIC VAGINAL GRAFT,LAPAROSCOPIC PP 57426 Prof $2052.86
REVISION,RECONSTRUCTED BREAST BIL PP 19380 Prof $4699.08
REVISION,RECONSTRUCTED BREAST PP 19380 Prof $2349.54
REVISION,TOTAL HIP ARTHROPLASTY PP 27134 Prof $5058.18
REVISION,TOTAL HIP ARTHROPLASTY,FEMORAL COMP PP 27138 Prof $4040.16
REVISION,TOTAL KNEE ARTHROPLASTY,1 COMPONENT PP 27486 Prof $3714.12
REVISION,TOTAL KNEEE ARTHROPLASTY,FEMORAL/TIBIAL COMPONENT PP 27487 Prof $4643.22
REVISION,TRACHEOSTOMA,COMPLEX,W FLAP ROTATION PP 31614 Prof $1853.64
REVISION,TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT PP 37183 Prof $1090.98
REVISION/REINSERTION,TRANSHEPATIC TUBE PP 47530 Prof $864.12
REVISION/REMOVAL PROSTHETIC VAGINAL GRAFT, ABD APPROACH PP 57296 Prof $2358.66
REVISION/REMOVAL PROSTHETIC VAGINAL GRAFT, VAG APPROACH PP 57295 Prof $1256.28
REVISION/REMOVAL,PERIPHERAL/GASTRIC NEUROSTIMULATOR GEN/REC PP 64595 Prof $344.28
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