|
Excise inferior turbinate
|
$9,872.80 |
$9,872.80 |
$9,872.80 |
$3,589.62
|
|
Excise lesion testis
|
$7,336.00 |
$7,336.00 |
$7,336.00 |
$4,081.37
|
|
Excise lip or cheek fold
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$16,038.40 |
$16,038.40 |
$16,038.40 |
$6,219.35
|
|
Excise mandible lesion
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$10,634.40 |
$10,634.40 |
$10,634.40 |
$6,547.81
|
|
Excise max/zygoma mal tumor
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Excise oral mucosa for graft 40818
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$904.80
|
|
Excise parotid gland/lesion
|
$16,357.60 |
$16,357.60 |
$16,357.60 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$16,038.40 |
$16,038.40 |
$16,038.40 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,839.00
|
|
Excise pharynx lesion
|
$6,081.60 |
$6,081.60 |
$6,081.60 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
$1,903.93
|
|
Excise sublingual gland
|
$5,678.40 |
$5,678.40 |
$5,678.40 |
$5,678.40
|
|
Excise submaxillary gland
|
$16,357.60 |
$16,357.60 |
$16,357.60 |
$6,553.49
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$6,932.80 |
$6,932.80 |
$6,932.80 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$6,496.00 |
$6,496.00 |
$6,496.00 |
$3,821.05
|
|
Excise wrist tendon sheath
|
$6,456.80 |
$6,456.80 |
$6,456.80 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$3,847.20 |
$3,847.20 |
$3,847.20 |
$546.17
|
|
Excision aural polyp
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,217.60 |
$2,217.60 |
$2,217.60 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$4,793.60 |
$4,793.60 |
$4,793.60 |
$2,641.65
|
|
Excision breast lesion
|
$9,184.00 |
$9,184.00 |
$9,184.00 |
$4,042.99
|
|
Excision floor mouth lesion 41116
|
$6,669.60 |
$6,669.60 |
$6,669.60 |
$3,892.91
|
|
Excision graft extremity
|
$9,346.40 |
$9,346.40 |
$9,346.40 |
$4,881.00
|
|
Excision gum each quadrant
|
$8,282.40 |
$8,282.40 |
$8,282.40 |
$4,560.40
|
|
Excision hand/finger tendon
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$3,839.54
|
|
Excision lesion mouth roof
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
$3,837.72
|
|
Excision lesion mouth roof
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$3,757.60 |
$3,757.60 |
$3,757.60 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$8,836.80 |
$8,836.80 |
$8,836.80 |
$3,823.00
|
|
Excision of esophagus lesion
|
$3,908.80 |
$3,908.80 |
$3,908.80 |
$3,908.80
|
|
Excision of gum flap
|
$4,788.00 |
$4,788.00 |
$4,788.00 |
$2,000.80
|
|
Excision of gum lesion
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$1,944.80
|
|
Excision of gum lesion
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Excision of gum lesion
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$4,560.40
|
|
Excision of gum lesion
|
$9,828.00 |
$9,828.00 |
$9,828.00 |
$6,547.81
|
|
Excision of gum lesion
|
$7,352.80 |
$7,352.80 |
$7,352.80 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$5,527.20 |
$5,527.20 |
$5,527.20 |
$4,007.22
|
|
Excision of lingual tonsil
|
$7,756.00 |
$7,756.00 |
$7,756.00 |
$6,465.11
|
|
Excision of mouth lesion complex 40816
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,986.00
|
|
Excision of neck cyst
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$8,999.20 |
$8,999.20 |
$8,999.20 |
$4,558.89
|
|
Excision of penis lesion(s) 54060
|
$6,725.60 |
$6,725.60 |
$6,725.60 |
$2,479.33
|
|
Excision of rectal lesion
|
$8,909.60 |
$8,909.60 |
$8,909.60 |
$3,816.64
|
|
Excision of rectal stricture
|
$5,745.60 |
$5,745.60 |
$5,745.60 |
$1,521.00
|
|
Excision of salivary cyst
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$4,558.89
|
|
Excision of tongue lesion
|
$8,170.40 |
$8,170.40 |
$8,170.40 |
$3,837.72
|
|
Excision of tongue lesion
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,986.00
|
|
Excision of tongue lesion w/closure 41113
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
$3,837.72
|
|
Excision of tonsil tags
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$4,350.00
|
|
Excision of umbilicus 49250
|
$12,174.40 |
$12,174.40 |
$12,174.40 |
$3,906.18
|
|
Excision of uvula
|
$4,603.20 |
$4,603.20 |
$4,603.20 |
$3,811.00
|
|
Excision of vaginal septum 57130
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$3,762.53
|
|
Excision olecranon bursa
|
$6,507.20 |
$6,507.20 |
$6,507.20 |
$3,520.67
|
|
Excision radial head
|
$9,279.20 |
$9,279.20 |
$9,279.20 |
$3,839.54
|
|
Excision tongue lesion without closure 41110
|
$4,737.60 |
$4,737.60 |
$4,737.60 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$6,546.40 |
$6,546.40 |
$6,546.40 |
$3,986.00
|
|
Excis partial tal calc
|
$9,217.60 |
$9,217.60 |
$9,217.60 |
$3,591.33
|
|
Excis uppr jaw cyst w/repair
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,839.00
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,386.84
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$2,296.00
|
|
Exc les conjunctiva <1 cm
|
$5,712.00 |
$5,712.00 |
$5,712.00 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$2,760.73
|
|
Exc les conjunctiva adj scl
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
$2,591.37
|
|
Excl laa open any method 33267
|
$2,279.20 |
$2,279.20 |
$2,279.20 |
$2,592.00
|
|
Excl laa opn oth px any meth 33268
|
$277.76 |
$277.76 |
$277.76 |
$324.00
|
|
Exc malig feenl <0.5cm 11640
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$4,222.40 |
$4,222.40 |
$4,222.40 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$5,622.40 |
$5,622.40 |
$5,622.40 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,808.80 |
$1,808.80 |
$1,808.80 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$2,206.40 |
$2,206.40 |
$2,206.40 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$2,357.60 |
$2,357.60 |
$2,357.60 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$3,522.40 |
$3,522.40 |
$3,522.40 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$4,715.20 |
$4,715.20 |
$4,715.20 |
$1,294.80
|
|
Exc mandible 21025
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,465.11
|
|
Exc neck tum deep < 5 cm
|
$7,565.60 |
$7,565.60 |
$7,565.60 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$9,626.40 |
$9,626.40 |
$9,626.40 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$9,497.60 |
$9,497.60 |
$9,497.60 |
$6,465.11
|
|
Exc of residual cervix via aginal approach 57550
|
$6,776.00 |
$6,776.00 |
$6,776.00 |
$5,419.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$8,646.40 |
$8,646.40 |
$8,646.40 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$5,191.20 |
$5,191.20 |
$5,191.20 |
$3,795.42
|
|
Exc rect tum transanal full
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,816.64
|
|
Exc rect tum transanal part
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,245.23
|
|
Exc sac pr ulc prim str ostc
|
$7,162.40 |
$7,162.40 |
$7,162.40 |
$3,994.09
|
|
Exc sac pr ulc skn flp ostc
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Exc sacral pr ulc prim sutr
|
$6,188.00 |
$6,188.00 |
$6,188.00 |
$3,386.84
|
|
Exc sacral pr ulc skn flap
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Exc shoulder tum deep < 5 cm
|
$4,138.40 |
$4,138.40 |
$4,138.40 |
$3,495.54
|
|
Exc skn hdrdnt ax complex
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$9,822.40 |
$9,822.40 |
$9,822.40 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,986.00
|
