|
Evasc rpr ilio-iliac ndgft
|
$627.98 |
$627.98 |
$627.98 |
$7,150.44
|
|
Event monitor
|
$89.76 |
$89.76 |
$89.76 |
$237.60
|
|
Evoked auditory tst complete
|
$16.49 |
$16.49 |
$16.49 |
$344.98
|
|
Evoked oa emissions ltd
|
$161.67 |
$161.67 |
$161.67 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$78.88 |
$78.88 |
$78.88 |
$259.20
|
|
Evok oa screening qual
|
$20.06 |
$20.06 |
$20.06 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$115.77 |
$115.77 |
$115.77 |
$486.03
|
|
Exam pelvic add-on
|
$9.69 |
$9.69 |
$9.69 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$61.54 |
$61.54 |
$61.54 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,854.70 |
$1,854.70 |
$1,854.70 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$3,786.00
|
|
Exc abdl tum deep < 5 cm
|
$1,153.45 |
$1,153.45 |
$1,153.45 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$1,046.01 |
$1,046.01 |
$1,046.01 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$954.04 |
$954.04 |
$954.04 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$706.69 |
$706.69 |
$706.69 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$872.61 |
$872.61 |
$872.61 |
$3,986.00
|
|
Exc bartholins gland/cyst
|
$1,236.75 |
$1,236.75 |
$1,236.75 |
$3,781.65
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$425.00 |
$425.00 |
$425.00 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$1,046.01 |
$1,046.01 |
$1,046.01 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$954.04 |
$954.04 |
$954.04 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$286.45 |
$286.45 |
$286.45 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$286.45 |
$286.45 |
$286.45 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$367.71 |
$367.71 |
$367.71 |
$1,051.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$387.94 |
$387.94 |
$387.94 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$287.30 |
$287.30 |
$287.30 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$745.45 |
$745.45 |
$745.45 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$286.45 |
$286.45 |
$286.45 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$496.40 |
$496.40 |
$496.40 |
$1,244.03
|
|
Exc breast duct fistula 19112
|
$192.78 |
$192.78 |
$192.78 |
$4,238.48
|
|
Exc chest wall tumor w/ribs 21601
|
$653.31 |
$653.31 |
$653.31 |
$3,386.84
|
|
Exc coccygl pr ulc flap clsr
|
$474.64 |
$474.64 |
$474.64 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$372.64 |
$372.64 |
$372.64 |
$2,682.40
|
|
Exc/crtg b1 cst/b9 tum rds
|
$323.17 |
$323.17 |
$323.17 |
$2,617.60
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$4,629.10 |
$4,629.10 |
$4,629.10 |
$7,907.11
|
|
Exc/curtg b1 cst/b9 tum hum
|
$356.32 |
$356.32 |
$356.32 |
$3,839.54
|
|
Exc ext ear/partial/simple repair 69110
|
$948.60 |
$948.60 |
$948.60 |
$3,170.00
|
|
Exc face tum deep < 2 cm
|
$320.28 |
$320.28 |
$320.28 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$872.61 |
$872.61 |
$872.61 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$286.45 |
$286.45 |
$286.45 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$391.00 |
$391.00 |
$391.00 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$958.63 |
$958.63 |
$958.63 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$738.82 |
$738.82 |
$738.82 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$1,117.41 |
$1,117.41 |
$1,117.41 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$706.69 |
$706.69 |
$706.69 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$817.19 |
$817.19 |
$817.19 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$498.10 |
$498.10 |
$498.10 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$481.10 |
$481.10 |
$481.10 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$649.57 |
$649.57 |
$649.57 |
$2,271.01
|
|
Exchange biliary drg cath
|
$1,619.08 |
$1,619.08 |
$1,619.08 |
$3,797.76
|
|
Exchange drainage catheter
|
$584.29 |
$584.29 |
$584.29 |
$2,191.20
|
|
Exchange lens prosthesis
|
$533.80 |
$533.80 |
$533.80 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$1,176.91 |
$1,176.91 |
$1,176.91 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$702.61 |
$702.61 |
$702.61 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$817.19 |
$817.19 |
$817.19 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$361.42 |
$361.42 |
$361.42 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$754.46 |
$754.46 |
$754.46 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$872.61 |
$872.61 |
$872.61 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$552.16 |
$552.16 |
$552.16 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$3,486.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$932.79 |
$932.79 |
$932.79 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$415.82 |
$415.82 |
$415.82 |
$3,386.84
|
|
Excise anal ext tag/papilla
|
$805.63 |
$805.63 |
$805.63 |
$2,172.09
|
|
Excise foot tendon sheath
|
$209.44 |
$209.44 |
$209.44 |
$3,821.05
|
|
Excise ileoanal reservior
|
$1,028.50 |
$1,028.50 |
$1,028.50 |
$4,510.40
|
|
Excise inferior turbinate
|
$885.36 |
$885.36 |
$885.36 |
$3,589.62
|
|
Excise intestine lesion(s) 44110
|
$486.37 |
$486.37 |
$486.37 |
$1,524.60
|
|
Excise intraspinl lesion crv
|
$943.50 |
$943.50 |
$943.50 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$784.89 |
$784.89 |
$784.89 |
$6,311.00
|
|
Excise intrspinl lesion lmbr
|
$170.85 |
$170.85 |
$170.85 |
$4,479.20
|
|
Excise lesion testis
|
$316.20 |
$316.20 |
$316.20 |
$4,081.37
|
|
Excise lip or cheek fold
|
$564.74 |
$564.74 |
$564.74 |
$1,855.10
|
|
Excise mandible lesion
|
$220.15 |
$220.15 |
$220.15 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$219.30 |
$219.30 |
$219.30 |
$6,547.81
|
|
Excise parotid gland/lesion
|
$1,361.70 |
$1,361.70 |
$1,361.70 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$620.84 |
$620.84 |
$620.84 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$693.94 |
$693.94 |
$693.94 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$493.85 |
$493.85 |
$493.85 |
$6,839.00
|
|
Excise pharynx lesion
|
$885.36 |
$885.36 |
$885.36 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$762.45 |
$762.45 |
$762.45 |
$1,903.93
|
|
Excise sublingual gland
|
$1,307.13 |
$1,307.13 |
$1,307.13 |
$5,678.40
|
|
Excise submaxillary gland
|
$247.35 |
$247.35 |
$247.35 |
$6,553.49
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$706.69 |
$706.69 |
$706.69 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$325.55 |
$325.55 |
$325.55 |
$3,821.05
|
|
Excise wrist tendon sheath
|
$235.62 |
$235.62 |
$235.62 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$88.74 |
$88.74 |
$88.74 |
$546.17
|
|
Excision aural polyp
|
$564.74 |
$564.74 |
$564.74 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$286.45 |
$286.45 |
$286.45 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$649.57 |
$649.57 |
$649.57 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$286.45 |
$286.45 |
$286.45 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$954.04 |
$954.04 |
$954.04 |
$2,641.65
|
|
Excision breast lesion
|
$269.28 |
$269.28 |
$269.28 |
$4,042.99
|
|
Excision floor mouth lesion 41116
|
$1,133.22 |
$1,133.22 |
$1,133.22 |
$3,892.91
|
|
Excision graft extremity
|
$310.76 |
$310.76 |
$310.76 |
$4,881.00
|
|
Excision hand/finger tendon
|
$510.34 |
$510.34 |
$510.34 |
$3,839.54
|
|
Excision lesion mouth roof
|
$564.74 |
$564.74 |
$564.74 |
$3,837.72
|
|
Excision lesion mouth roof
|
$195.84 |
$195.84 |
$195.84 |
$6,465.11
|
