Service Description CPT Code Charge Type Surgical Practice Price
TREATMENT,CLOSED,KNEE DISLOCATION,WO ANESTH PP 27550 Prof $1143.42
TREATMENT,CLOSED,MANDIBULAR FRACTURE,W INTERDENTAL FIXATION PP 21453 Prof $2103.30
TREATMENT,CLOSED,MANDIBULAR FRACTURE,W MANIPULATION PP 21451 Prof $1572.06
TREATMENT,CLOSED,MANDIBULAR FRACTURE,WO MANIPULATION PP 21450 Prof $1203.84
TREATMENT,CLOSED,MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FRACTURE PP 21440 Prof $1163.94
TREATMENT,CLOSED,MEDIAL MALLEOLUS FRACTURE PP 27760 Prof $741.00
TREATMENT,CLOSED,MEDIAL MALLEOLUS FRACTURE,WO MANIPULATION PP 27762 Prof $1062.48
TREATMENT,CLOSED,METACARPAL FRACTURE,SINGLE,W MANIP,EA BONE PP 26605 Prof $707.94
TREATMENT,CLOSED,METACARPAL FRACTURE,SINGLE,WO MANIP,EA BONE PP 26600 Prof $669.18
TREATMENT,CLOSED,METACARPOPHALANGEAL DISLOCATION,SINGLE,W MANIPULATION,WO ANES PP 26700 Prof $741.00
TREATMENT,CLOSED,METATARSAL FRACTURE,EACH PP 28470 Prof $501.60
TREATMENT,CLOSED,METATARSOPHALANGEAL JOINT DISLOCATION,W ANESTH PP 28635 Prof $323.76
TREATMENT,CLOSED,NASAL BONE FRACTURE,W STABLIZATION PP 21320 Prof $364.80
TREATMENT,CLOSED,NASAL SEPTAL FRACTURE PP 21337 Prof $792.30
TREATMENT,CLOSED,ORBIT FRACTURE(EXCEPT BLOWOUT) WO MANIP PP 21400 Prof $381.90
TREATMENT,CLOSED,PALATAL/MAXILLARY FRACTURE,W FIXATION PP 21421 Prof $1589.16
TREATMENT,CLOSED,PATELLAR DISLOCATION PP 27560 Prof $810.54
TREATMENT,CLOSED,PATELLAR FRACTURE PP 27520 Prof $714.78
TREATMENT,CLOSED,PHALANGEAL SHAFT FRACTURE,PROXIMAL/MIDDLE PHALANX/FING/THUMB W MANIP,EA PP 26725 Prof $747.84
TREATMENT,CLOSED,PHALANGEAL SHAFT FRACTURE,PROXIMAL/MIDDLE PHALANX/FING/THUMB WO MANIP,EA PP 26720 Prof $446.88
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