|
Excision of gum flap
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$2,000.80
|
|
Excision of gum lesion
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$1,944.80
|
|
Excision of gum lesion
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$7,000.36
|
|
Excision of gum lesion
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$4,560.40
|
|
Excision of gum lesion 41825
|
$3,894.80 |
$3,894.80 |
$3,894.80 |
$4,007.22
|
|
Excision of neck cyst confined 42810
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$4,558.89
|
|
Excision of penis lesion(s) 54060
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$2,479.33
|
|
Excision of rectal lesion
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$3,816.64
|
|
Excision of rectal stricture
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$1,521.00
|
|
Excision of salivary cyst
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$4,558.89
|
|
Excision of tongue lesion
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$3,837.72
|
|
Excision of tongue lesion
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$3,986.00
|
|
Excision of tongue lesion w/closure 41113
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$3,837.72
|
|
Excision of vaginal septum 57130
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,762.53
|
|
Excision olecranon bursa
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,520.67
|
|
Excision tongue lesion without closure 41110
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$3,650.40 |
$3,650.40 |
$3,650.40 |
$3,986.00
|
|
Excis partial tal calc
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,591.33
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$2,591.37
|
|
Excl laa opn oth px any meth 33268
|
$577.20 |
$577.20 |
$577.20 |
$324.00
|
|
Exc malig feenl >4cm 11646
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$733.20 |
$733.20 |
$733.20 |
$1,377.57
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$889.20 |
$889.20 |
$889.20 |
$889.20
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,294.80
|
|
Exc neck tum deep 5 cm/>
|
$5,319.60 |
$5,319.60 |
$5,319.60 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,795.42
|
|
Exc rect tum transanal full
|
$5,205.20 |
$5,205.20 |
$5,205.20 |
$3,816.64
|
|
Exc rect tum transanal part
|
$4,555.20 |
$4,555.20 |
$4,555.20 |
$3,245.23
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$2,171.00
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$2,877.00
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,994.09
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$2,852.63
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$4,425.20 |
$4,425.20 |
$4,425.20 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$4,014.40 |
$4,014.40 |
$4,014.40 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$4,019.60 |
$4,019.60 |
$4,019.60 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$733.20 |
$733.20 |
$733.20 |
$1,898.50
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$728.00 |
$728.00 |
$728.00 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$3,188.10
|
|
Exc thigh/knee tum deep <5cm
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$3,167.89
|
|
Exc thigh/knee tum dep 5cm/>
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$3,520.00
|
|
Exc thrombosed hemorrhoid 46320
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$2,106.15
|
|
Exc tmr sft tiss shldr subq <3cm
|
$3,832.40 |
$3,832.40 |
$3,832.40 |
$2,776.16
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,440.40 |
$1,440.40 |
$1,440.40 |
$1,949.90
|
|
Exc vagina lesion 57135
|
$4,232.80 |
$4,232.80 |
$4,232.80 |
$4,232.80
|
|
Exercise tst brncspsm wo ecg
|
$114.40 |
$114.40 |
$114.40 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$577.20 |
$577.20 |
$577.20 |
$901.60
|
|
Exhaled breath condensate
|
$47.32 |
$47.32 |
$47.32 |
$24.80
|
|
Ex palate/uvula lesion without closure 42104
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$3,837.72
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,275.00 |
$2,275.00 |
$2,275.00 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$4,136.83
|
|
Exploration maxillary sinus
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$4,362.99
|
|
Exploration of knee joint
|
$5,475.60 |
$5,475.60 |
$5,475.60 |
$3,981.50
|
|
Exploration of middle ear
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,837.72
|
|
Exploration of toe joint
|
$2,454.40 |
$2,454.40 |
$2,454.40 |
$1,893.86
|
|
Explore/biopsy eye socket
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$4,870.40
|
|
Explore deep node(s) neck
|
$7,243.60 |
$7,243.60 |
$7,243.60 |
$6,376.26
|
|
Explore/irrigate tear ducts
|
$878.80 |
$878.80 |
$878.80 |
$545.30
|
|
Explore limb vessels 35860
|
$4,726.80 |
$4,726.80 |
$4,726.80 |
$4,341.66
|
|
Explore penetrating wnd/extremity 20103
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$1,788.80
|
|
Explore scrotum
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$3,863.60
|
|
Explore/treat eye socket
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$3,269.14
|
|
Explore/treat finger joint
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,594.44
|
|
Explore/treat finger joint
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$2,211.05
|
|
Explore/treat wrist joint
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,986.00
|
|
Explore wound abdomen 20102
|
$3,577.60 |
$3,577.60 |
$3,577.60 |
$2,699.50
|
|
Explore woundchest 20101
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$2,195.00
|
|
Explore wound neck 20100
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,185.00
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$2,896.40 |
$2,896.40 |
$2,896.40 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$135.20 |
$135.20 |
$135.20 |
$241.92
|
|
Ext ecg>7d<15d rec scan a/r
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$789.60
|
|
Ext ecg>7d<15d scan a/r
|
$275.60 |
$275.60 |
$275.60 |
$345.60
|
|
Extended visual field xm
|
$276.64 |
$276.64 |
$276.64 |
$162.75
|
|
Extensive ear canal surgery 69150
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$5,395.75
|
|
External cannula declotting
|
$2,126.80 |
$2,126.80 |
$2,126.80 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$617.24 |
$617.24 |
$617.24 |
$403.00
|
|
External ocular photography
|
$148.20 |
$148.20 |
$148.20 |
$86.03
|
|
External recharg sys extern
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$1,383.20
|
|
External recharg sys intern
|
$3,326.51 |
$3,326.51 |
$3,326.51 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$519.48 |
$519.48 |
$519.48 |
$445.60
|
|
Extnd color vision xm
|
$154.44 |
$154.44 |
$154.44 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$28.08 |
$28.08 |
$28.08 |
$109.00
|
|
Extraction of lens
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$4,452.74
|
|
Extraction of lens
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$2,685.92
|
|
Extrnl counterpulse, per tx
|
$431.60 |
$431.60 |
$431.60 |
$431.60
|
|
Eye allergy tests
|
$329.16 |
$329.16 |
$329.16 |
$142.80
|
|
Eye implant band 40
|
$8,849.10 |
$8,849.10 |
$8,849.10 |
$6,152.93
|
|
Eye photodynamic ther add-on
|
$821.60 |
$821.60 |
$821.60 |
$821.60
|
|
Eye suture during surgery
|
$322.40 |
$322.40 |
$322.40 |
$817.53
|
|
F-18 fdg pet diag
|
$551.72 |
$551.72 |
$551.72 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,659.25 |
$4,659.25 |
$4,659.25 |
$5,145.00
|
|
F-18 fluciclovine per mci
|
$8,932.00 |
$8,932.00 |
$8,932.00 |
$1,042.30
|
|
F-18 sodium fluoride
|
$2,943.72 |
$2,943.72 |
$2,943.72 |
$492.56
|
|
Facial bones <3
|
$322.40 |
$322.40 |
$322.40 |
$252.60
|
