|
Exc benign tal 0.5 < cm 11400
|
$57.38 |
$57.38 |
$57.38 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$73.53 |
$73.53 |
$73.53 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$99.37 |
$99.37 |
$99.37 |
$1,051.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$120.46 |
$120.46 |
$120.46 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$73.53 |
$73.53 |
$73.53 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$106.40 |
$106.40 |
$106.40 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$177.84 |
$177.84 |
$177.84 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$71.44 |
$71.44 |
$71.44 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$101.08 |
$101.08 |
$101.08 |
$1,244.03
|
|
Exc breast duct fistula 19112
|
$215.46 |
$215.46 |
$215.46 |
$4,238.48
|
|
Exc chest wall tumor w/ribs 21601
|
$730.17 |
$730.17 |
$730.17 |
$3,386.84
|
|
Exc coccygl pr ulc flap clsr
|
$530.48 |
$530.48 |
$530.48 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$416.48 |
$416.48 |
$416.48 |
$2,682.40
|
|
Exc/crtg b1 cst/b9 tum rds
|
$361.19 |
$361.19 |
$361.19 |
$2,617.60
|
|
Exc/curtg b1 cst/b9 tum hum
|
$398.24 |
$398.24 |
$398.24 |
$3,839.54
|
|
Exc ext ear/partial/simple repair 69110
|
$220.40 |
$220.40 |
$220.40 |
$3,170.00
|
|
Exc face tum deep < 2 cm
|
$267.52 |
$267.52 |
$267.52 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$346.18 |
$346.18 |
$346.18 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$103.55 |
$103.55 |
$103.55 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$149.91 |
$149.91 |
$149.91 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$300.58 |
$300.58 |
$300.58 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$175.75 |
$175.75 |
$175.75 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$281.58 |
$281.58 |
$281.58 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$349.98 |
$349.98 |
$349.98 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$359.10 |
$359.10 |
$359.10 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$227.62 |
$227.62 |
$227.62 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$370.12 |
$370.12 |
$370.12 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$356.06 |
$356.06 |
$356.06 |
$2,271.01
|
|
Exchange biliary drg cath
|
$2,243.33 |
$2,243.33 |
$2,243.33 |
$3,797.76
|
|
Exchange drainage catheter
|
$1,088.70 |
$1,088.70 |
$1,088.70 |
$2,191.20
|
|
Exchange lens prosthesis
|
$596.60 |
$596.60 |
$596.60 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,648.03 |
$2,648.03 |
$2,648.03 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$168.15 |
$168.15 |
$168.15 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$232.56 |
$232.56 |
$232.56 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$190.76 |
$190.76 |
$190.76 |
$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
|
$80.94 |
$80.94 |
$80.94 |
$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
|
$137.18 |
$137.18 |
$137.18 |
$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
|
$122.74 |
$122.74 |
$122.74 |
$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
|
$221.35 |
$221.35 |
$221.35 |
$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
|
$90.25 |
$90.25 |
$90.25 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$92.34 |
$92.34 |
$92.34 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$78.09 |
$78.09 |
$78.09 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$164.16 |
$164.16 |
$164.16 |
$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
|
$108.49 |
$108.49 |
$108.49 |
$3,837.72
|
|
Excision lesion mouth roof
|
$218.88 |
$218.88 |
$218.88 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$89.68 |
$89.68 |
$89.68 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$91.39 |
$91.39 |
$91.39 |
$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
|
$88.16 |
$88.16 |
$88.16 |
$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
|
$164.73 |
$164.73 |
$164.73 |
$3,837.72
|
|
Excision of tongue lesion
|
$411.16 |
$411.16 |
$411.16 |
$3,986.00
|
|
Excision of tongue lesion w/closure 41113
|
$178.22 |
$178.22 |
$178.22 |
$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
|
$111.53 |
$111.53 |
$111.53 |
$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
|