Service Description CPT Code Charge Type Surgical Practice Price
US,OPHTHALMIC,B-SCAN PPG 76512 Prof $132.24
US,OPHTHALMIC,B-SCAN TP 76512 Tech $94.62
US,OPHTHALMIC,CORNEAL PACHYMETRY,UNI/BIL PPG 76514 Prof $30.78
US,OPHTHALMIC,CORNEAL PACHYMETRY,UNI/BIL TP 76514 Tech $14.82
US,PELVIC,W IMAGE DOCUM,COMPLETE,NON-OB PG 76856 Prof $83.22
US,PELVIC,W IMAGE DOCUM,LIMITED/FOLLOW UP,NON-OB PG 76857 Prof $46.74
US,POST-VOID RESIDUAL/BLADDER CAPACITY,URINE,NON-IMAGING PP 51798 Tech $58.14
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,1ST TRIMESTER,1ST GESTATION PG 76801 Prof $118.56
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,1ST TRIMESTER,EA ADL GESTATION PP 76802 Prof $101.46
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,AFTER 1ST TRIMESTER,1ST GESTATION PG 76805 Prof $119.70
US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,AFTER 1ST TRIMESTER,ADTL GESTATION PG 76810 Prof $118.56
US,PREGNANT UTERUS,W IMAGE DOCUM,LIMITED,1 OR > FETUSES PG 76815 Prof $231.42
US,PREGNANT UTERUS,W IMAGE DOCUM,LIMITED,1 OR > FETUSES TP 76815 Tech $124.26
US,PREGNANT UTERUS,W IMAGE DOCUM,TRANSVAGINAL PG 76817 Prof $91.20
US,PREGNANT UTERUS,W IMAGE DOCUM,TRANSVAGINAL TP 76817 Tech $141.36
US,PREGNANT,W IMAGE,FOLLOW-UP,TRANSABDOMINAL APP,PER FETUS PP 76816 Prof $103.74
US,RETROPERITONEAL,W IMAGE DOCUM,COMPLETE PG 76770 Prof $339.72
US,RETROPERITONEAL,W IMAGE DOCUM,LIMITED PG 76775 Prof $279.30
US,SALINE INFUSION SONOHYSTEROGRAPHY,W/WO COLOR FLOW DOPPLER PPG 76831 Prof $95.76
US,SALINE INFUSION SONOHYSTEROGRAPHY,W/WO COLOR FLOW DOPPLER TP 76831 Tech $234.84
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