|
Exc hidradenitis peri/umb int 11470
|
$304.95 |
$304.95 |
$304.95 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$403.94 |
$403.94 |
$403.94 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$479.18 |
$479.18 |
$479.18 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$434.15 |
$434.15 |
$434.15 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$235.03 |
$235.03 |
$235.03 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$457.14 |
$457.14 |
$457.14 |
$3,486.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$1,042.53 |
$1,042.53 |
$1,042.53 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$464.74 |
$464.74 |
$464.74 |
$3,386.84
|
|
Excise anal ext tag/papilla
|
$169.48 |
$169.48 |
$169.48 |
$2,172.09
|
|
Excise foot tendon sheath
|
$234.08 |
$234.08 |
$234.08 |
$3,821.05
|
|
Excise ileoanal reservior
|
$1,149.50 |
$1,149.50 |
$1,149.50 |
$4,510.40
|
|
Excise inferior turbinate
|
$282.72 |
$282.72 |
$282.72 |
$3,589.62
|
|
Excise intestine lesion(s) 44110
|
$543.59 |
$543.59 |
$543.59 |
$1,524.60
|
|
Excise intraspinl lesion crv
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$877.23 |
$877.23 |
$877.23 |
$6,311.00
|
|
Excise intrspinl lesion lmbr
|
$190.95 |
$190.95 |
$190.95 |
$4,479.20
|
|
Excise lesion testis
|
$353.40 |
$353.40 |
$353.40 |
$4,081.37
|
|
Excise lip or cheek fold
|
$185.82 |
$185.82 |
$185.82 |
$1,855.10
|
|
Excise mandible lesion
|
$246.05 |
$246.05 |
$246.05 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$245.10 |
$245.10 |
$245.10 |
$6,547.81
|
|
Excise parotid gland/lesion
|
$415.15 |
$415.15 |
$415.15 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$693.88 |
$693.88 |
$693.88 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$775.58 |
$775.58 |
$775.58 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$551.95 |
$551.95 |
$551.95 |
$6,839.00
|
|
Excise pharynx lesion
|
$111.15 |
$111.15 |
$111.15 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$187.72 |
$187.72 |
$187.72 |
$1,903.93
|
|
Excise sublingual gland
|
$245.10 |
$245.10 |
$245.10 |
$5,678.40
|
|
Excise submaxillary gland
|
$276.45 |
$276.45 |
$276.45 |
$6,553.49
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$315.21 |
$315.21 |
$315.21 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$363.85 |
$363.85 |
$363.85 |
$3,821.05
|
|
Excise wrist tendon sheath
|
$263.34 |
$263.34 |
$263.34 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$99.18 |
$99.18 |
$99.18 |
$546.17
|
|
Excision aural polyp
|
$87.78 |
$87.78 |
$87.78 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$117.61 |
$117.61 |
$117.61 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$121.41 |
$121.41 |
$121.41 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$116.85 |
$116.85 |
$116.85 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$213.37 |
$213.37 |
$213.37 |
$2,641.65
|
|
Excision breast lesion
|
$300.96 |
$300.96 |
$300.96 |
$4,042.99
|
|
Excision floor mouth lesion 41116
|
$146.49 |
$146.49 |
$146.49 |
$3,892.91
|
|
Excision graft extremity
|
$347.32 |
$347.32 |
$347.32 |
$4,881.00
|
|
Excision hand/finger tendon
|
$570.38 |
$570.38 |
$570.38 |
$3,839.54
|
|
Excision lesion mouth roof
|
$171.57 |
$171.57 |
$171.57 |
$3,837.72
|
|
Excision lesion mouth roof
|
$218.88 |
$218.88 |
$218.88 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$168.34 |
$168.34 |
$168.34 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$211.28 |
$211.28 |
$211.28 |
$3,823.00
|
|
Excision of gum lesion 41825
|
$82.84 |
$82.84 |
$82.84 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$543.02 |
$543.02 |
$543.02 |
$1,621.80
|
|
Excision of lingual tonsil
|
$397.67 |
$397.67 |
$397.67 |
$6,465.11
|
|
Excision of meckels diverticulum 44800
|
$498.75 |
$498.75 |
$498.75 |
$1,373.40
|
|
Excision of mouth lesion complex 40816
|
$205.01 |
$205.01 |
$205.01 |
$3,986.00
|
|
Excision of neck cyst
|
$357.77 |
$357.77 |
$357.77 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$191.33 |
$191.33 |
$191.33 |
$4,558.89
|
|
Excision of penis lesion(s) 54060
|
$132.81 |
$132.81 |
$132.81 |
$2,479.33
|
|
Excision of rectal stricture
|
$277.02 |
$277.02 |
$277.02 |
$1,521.00
|
|
Excision of salivary cyst
|
$236.17 |
$236.17 |
$236.17 |
$4,558.89
|
|
Excision of stomach lesion
|
$619.21 |
$619.21 |
$619.21 |
$1,494.24
|
|
Excision of stomach lesion
|
$779.76 |
$779.76 |
$779.76 |
$3,000.80
|
|
Excision of tongue lesion
|
$230.09 |
$230.09 |
$230.09 |
$3,837.72
|
|
Excision of tongue lesion
|
$411.16 |
$411.16 |
$411.16 |
$3,986.00
|
|
Excision of tongue lesion w/closure 41113
|
$245.29 |
$245.29 |
$245.29 |
$3,837.72
|
|
Excision of tonsil tags
|
$132.24 |
$132.24 |
$132.24 |
$4,350.00
|
|
Excision of umbilicus 49250
|
$387.22 |
$387.22 |
$387.22 |
$3,906.18
|
|
Excision of uvula
|
$210.71 |
$210.71 |
$210.71 |
$3,811.00
|
|
Excision of vaginal septum 57130
|
$114.00 |
$114.00 |
$114.00 |
$3,762.53
|
|
Excision olecranon bursa
|
$249.09 |
$249.09 |
$249.09 |
$3,520.67
|
|
Excision radial head
|
$348.08 |
$348.08 |
$348.08 |
$3,839.54
|
|
Excision tongue lesion without closure 41110
|
$155.04 |
$155.04 |
$155.04 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$307.42 |
$307.42 |
$307.42 |
$3,986.00
|
|
Excis partial tal calc
|
$332.12 |
$332.12 |
$332.12 |
$3,591.33
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$440.23 |
$440.23 |
$440.23 |
$3,386.84
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$310.08 |
$310.08 |
$310.08 |
$2,296.00
|
|
Exc les conjunctiva <1 cm
|
$159.03 |
$159.03 |
$159.03 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$222.11 |
$222.11 |
$222.11 |
$2,760.73
|
|
Exc les conjunctiva adj scl
|
$275.88 |
$275.88 |
$275.88 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$147.25 |
$147.25 |
$147.25 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$137.94 |
$137.94 |
$137.94 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$181.07 |
$181.07 |
$181.07 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$260.30 |
$260.30 |
$260.30 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$334.97 |
$334.97 |
$334.97 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$134.14 |
$134.14 |
$134.14 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$155.42 |
$155.42 |
$155.42 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$199.12 |
$199.12 |
$199.12 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$133.76 |
$133.76 |
$133.76 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$154.66 |
$154.66 |
$154.66 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$166.06 |
$166.06 |
$166.06 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$188.29 |
$188.29 |
$188.29 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$209.57 |
$209.57 |
$209.57 |
$1,294.80
|
|
Exc mandible 21025
|
$447.45 |
$447.45 |
$447.45 |
$6,465.11
|
|
Exc neck tum deep < 5 cm
|
$349.41 |
$349.41 |
$349.41 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$476.71 |
$476.71 |
$476.71 |
$3,386.84
|
|
Exc of rectal prlpse 45130
|
$696.92 |
$696.92 |
$696.92 |
$1,659.60
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$120.27 |
$120.27 |
$120.27 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$2,533.46 |
$2,533.46 |
$2,533.46 |
$3,795.42
|
|
Exc rect tum transanal full
|
$539.60 |
$539.60 |
$539.60 |
$3,816.64
|
|
Exc rect tum transanal part
|
$408.50 |
$408.50 |
$408.50 |
$3,245.23
|
|
Exc sac pr ulc skn flp ostc
|
$763.80 |
$763.80 |
$763.80 |
$4,332.25
|
|
Exc sacral pr ulc prim sutr
|
$459.23 |
$459.23 |
$459.23 |
$3,386.84
|
|
Exc shoulder tum deep < 5 cm
|
$362.14 |
$362.14 |
$362.14 |
$3,495.54
|
|
Exc skn hdrdnt ax complex
|
$220.02 |
$220.02 |
$220.02 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$174.80 |
$174.80 |
$174.80 |
$3,386.84
|