Service Description CPT Code Charge Type Surgical Practice Price
TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR PP 24359 Prof $1622.79
TOMOGRAPHY,INTRAVASCULAR,OPTICAL COHERENCE,INITIAL PP 92978 Prof $216.32
TOMOSYNTHESIS,DIGITAL,BIL PP 77062 Prof $74.10
TOMOSYNTHESIS,DIGITAL,BIL,SCREENING PP 77063 Prof $74.10
TOMOSYNTHESIS,DIGITAL,UNIL PP 77061 Prof $74.10
TONSILLECTOMY & ADENOIDECTOMY AGE 12/> 42821 Prof $742.14
TONSILLECTOMY,PRIMARY/SECONDARY,=> 12YO PP 42826 Prof $612.18
tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth PP D7270 Prof $678.13
topical application of fluoride - excluding varnish PP D1208 Prof $41.67
topical application of fluoride varnish PP D1206 Prof $44.75
TOT ABD HYSTERECT & RAD DISSECT,DEBULK,W/PELVIC LYMPHADENECT PP 58954 Prof $5598.54
TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL PP 22858 Prof $1277.37
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV PP 22856 Prof $4336.56
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR PP 22857 Prof $4808.52
TOTAL ABDOMINAL HYSTERECTOMY PP 58150 Prof $2635.68
TOTAL HYSTERECTOMY/CERVICECTOMY PP 58240 Prof $7441.92
TOTAL THYROID LOBECTOMY,UNILATERAL PP 60220 Prof $1839.96
TOTAL THYROID LOBECTOMY,W CONTRALATERAL LOBECTOMY,UNILATERAL PP 60225 Prof $2280.00
TOXOID ADMIN,1 VACCINE 90471 Tech $28.50
TOXOID ADMIN,1 VACCINE MAU PP 90471 Prof $28.50
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