Service Description CPT Code Charge Type Surgical Practice Price
DESTRUCTION,MALIGNANT LESION,SCALP/HANDS/FEET,>4.0CM PP 17276 Prof $615.60
DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,0.6-1.0CM PP 17261 Prof $265.62
DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,1.1-2.0CM PP 17262 Prof $338.58
DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,2.1-3.0CM PP 17263 Prof $376.20
DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,3.1-4.0CM PP 17264 Prof $400.14
DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,<= 0.5CM PP 17260 Prof $214.32
DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,>4.0CM PP 17266 Prof $392.16
DESTRUCTION,NEUROFIBROMA,EXTENSIVE,FACE/HEAD/NECK,>50 NEUROFIBROMAS PP 0419T Prof $980.40
DESTRUCTION,NEUROFIBROMA,EXTENSIVE,TRUNK/EXTREM,>100 NEUROFIBROMAS PP 0420T Prof $980.40
DESTRUCTION,NEUROLYTIC AGENT,CELIAC PLEXUS PP 64680 Prof $458.28
DESTRUCTION,NEUROLYTIC AGENT,PUDENADAL NERVE PP 64630 Prof $462.84
DESTRUCTION,PARAVERTEBRAL FACET JOINT NERVE,NEUROLYTIC AG,SINGLE,W IMG,CERV/THOR PP 64633 Prof $623.58
DESTRUCTION,PARAVERTEBRAL FACET JOINT NERVE,NEUROLYTIC AG,W IMG,CERV/THOR,EA ADTL PP 64634 Prof $191.52
DESTRUCTION,PREMALIGNANT LESIONS,15 OR MORE LESIONS PP 17004 Prof $296.40
DESTRUCTION,PREMALIGNANT LESIONS,1ST LESION PP 17000 Prof $165.30
DESTRUCTION,PREMALIGNANT LESIONS,SECOND THRU FOURTEEN LESIONS,EACH PP 17003 Prof $13.68
detailed and extensive oral evaluation - problem focused, by report PP D0160 Prof $164.88
DETERMINATION,REFRACTIVE STATE PP 92015 Prof $55.86
DEVELOPMENTAL SCREENING,SCOR/DOC,INSTRUM PP 96110 Prof $31.92
DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR PP 96112 Prof $308.66
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