Service Description CPT Code Charge Type Surgical Practice Price
TREATMENT,OPEN,MANDIBULAR FRACTURE,W INTERDENTAL FIXATION PP 21462 Prof $2790.72
TREATMENT,OPEN,MANDIBULAR FRACTURE,WO INTERDENTAL FIXATION PP 21461 Prof $2321.04
TREATMENT,OPEN,MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FRACTURE PP 21445 Prof $1537.86
TREATMENT,OPEN,METACARPOPHALANGEAL DISLOCATION,SING,INCL INT FIX PP 26715 Prof $1398.78
TREATMENT,OPEN,NASAL FRACTURE,COMPLICATED PP 21330 Prof $1373.70
TREATMENT,OPEN,NASAL FRACTURE,UNCOMPLICATED PP 21325 Prof $1150.26
TREATMENT,OPEN,NASOETHMOID FRACTURE,W EXT FIX PP 21339 Prof $1896.96
TREATMENT,OPEN,NASOETHMOID FRACTURE,WO EXT FIX PP 21338 Prof $1912.92
TREATMENT,OPEN,ORBIT FRACTURE(EXCEPT BLOWOUT),W IMPLANT PP 21407 Prof $1744.20
TREATMENT,OPEN,ORBIT FRACTURE(EXCEPT BLOWOUT),WO IMPLANT PP 21406 Prof $1260.84
TREATMENT,OPEN,ORBITAL FLOOR BLOWOUT FRACTURE,PERIORBITAL APPROACH,W IMPLANT PP 21390 Prof $2146.62
TREATMENT,OPEN,ORBITAL FLOOR BLOWOUT FRACTURE,TRANSANTRAL APPROACH PP 21385 Prof $1678.08
TREATMENT,OPEN,PALATAL/MAXILLARY FRACTURE PP 21422 Prof $1779.54
TREATMENT,OPEN,PALATAL/MAXILLARY FRACTURE,COMPLICATED PP 21423 Prof $2037.18
TREATMENT,OPEN,PROXIMAL HUMERAL FRACTURE,INCL INTERNAL FIXATION,W PROXIMAL HUMERAL PROSTHETIC REPLACEMENT PP 23616 Prof $3035.82
TREATMENT,OPEN,PROXIMAL HUMERAL FX,INCL INT FIX PP 23615 Prof $2173.98
TREATMENT,OPEN,RIB FRACTURE,INT FIXATION,1-3 RIBS PP 21811 Prof $1637.04
TREATMENT,OPEN,RIB FRACTURE,INT FIXATION,4-6 RIBS PP 21812 Prof $1961.94
TREATMENT,OPEN,RIB FRACTURE,INT FIXATION,7 OR MORE RIBS PP 21813 Prof $2667.60
TREATMENT,OPEN,STERNOCLAVICULAR DISLOCATION,ACUTE/CHRONIC PP 23530 Prof $1390.80
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