|
Evasc rpr ilio-iliac ndgft
|
$997.38 |
$997.38 |
$997.38 |
$7,150.44
|
|
Event monitor
|
$25.65 |
$25.65 |
$25.65 |
$242.12
|
|
Evoked auditory tst complete
|
$26.19 |
$26.19 |
$26.19 |
$344.98
|
|
Evoked oa emissions ltd
|
$21.06 |
$21.06 |
$21.06 |
$244.00
|
|
Exam of vagina w/scope 57420
|
$125.82 |
$125.82 |
$125.82 |
$419.01
|
|
Exam pelvic add-on
|
$15.39 |
$15.39 |
$15.39 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$97.74 |
$97.74 |
$97.74 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$518.40 |
$518.40 |
$518.40 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$646.65 |
$646.65 |
$646.65 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$409.05 |
$409.05 |
$409.05 |
$3,646.94
|
|
Exc abdl tum deep < 5 cm
|
$526.77 |
$526.77 |
$526.77 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$615.06 |
$615.06 |
$615.06 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$380.43 |
$380.43 |
$380.43 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$506.25 |
$506.25 |
$506.25 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$477.90 |
$477.90 |
$477.90 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$680.67 |
$680.67 |
$680.67 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$291.33 |
$291.33 |
$291.33 |
$3,769.92
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$270.81 |
$270.81 |
$270.81 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$366.12 |
$366.12 |
$366.12 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$228.15 |
$228.15 |
$228.15 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$123.93 |
$123.93 |
$123.93 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$138.24 |
$138.24 |
$138.24 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$186.03 |
$186.03 |
$186.03 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$218.70 |
$218.70 |
$218.70 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$153.63 |
$153.63 |
$153.63 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$197.91 |
$197.91 |
$197.91 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$312.12 |
$312.12 |
$312.12 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$150.39 |
$150.39 |
$150.39 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$190.35 |
$190.35 |
$190.35 |
$1,244.03
|
|
Exc breast duct fistula 19112
|
$306.18 |
$306.18 |
$306.18 |
$4,238.48
|
|
Exc chest wall tumor w/ribs 21601
|
$1,037.61 |
$1,037.61 |
$1,037.61 |
$3,386.84
|
|
Exc coccygl pr ulc flap clsr
|
$753.84 |
$753.84 |
$753.84 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$591.84 |
$591.84 |
$591.84 |
$2,682.40
|
|
Exc/crtg b1 cst/b9 tum rds
|
$513.27 |
$513.27 |
$513.27 |
$2,617.60
|
|
Exc/curtg b1 cst/b9 tum hum
|
$565.92 |
$565.92 |
$565.92 |
$3,839.54
|
|
Exc ext ear/partial/simple repair 69110
|
$450.63 |
$450.63 |
$450.63 |
$3,167.89
|
|
Exc face tum deep < 2 cm
|
$508.68 |
$508.68 |
$508.68 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$491.94 |
$491.94 |
$491.94 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$227.88 |
$227.88 |
$227.88 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$301.05 |
$301.05 |
$301.05 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$427.14 |
$427.14 |
$427.14 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$365.04 |
$365.04 |
$365.04 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$400.14 |
$400.14 |
$400.14 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$497.34 |
$497.34 |
$497.34 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$510.30 |
$510.30 |
$510.30 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$531.36 |
$531.36 |
$531.36 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$525.96 |
$525.96 |
$525.96 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$505.98 |
$505.98 |
$505.98 |
$2,271.01
|
|
Exchange biliary drg cath
|
$118.80 |
$118.80 |
$118.80 |
$3,808.27
|
|
Exchange drainage catheter
|
$62.91 |
$62.91 |
$62.91 |
$2,205.50
|
|
Exchange lens prosthesis
|
$847.80 |
$847.80 |
$847.80 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$136.35 |
$136.35 |
$136.35 |
$2,955.48
|
|
Exc hidradenitis ing simpl 11462
|
$238.95 |
$238.95 |
$238.95 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$330.48 |
$330.48 |
$330.48 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$433.35 |
$433.35 |
$433.35 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$574.02 |
$574.02 |
$574.02 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$680.94 |
$680.94 |
$680.94 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$616.95 |
$616.95 |
$616.95 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$333.99 |
$333.99 |
$333.99 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$649.62 |
$649.62 |
$649.62 |
$3,486.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$1,481.49 |
$1,481.49 |
$1,481.49 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$660.42 |
$660.42 |
$660.42 |
$3,386.84
|
|
Excise anal ext tag/papilla
|
$240.84 |
$240.84 |
$240.84 |
$1,710.00
|
|
Excise foot tendon sheath
|
$332.64 |
$332.64 |
$332.64 |
$3,821.05
|
|
Excise ileoanal reservior
|
$1,633.50 |
$1,633.50 |
$1,633.50 |
$4,510.40
|
|
Excise inferior turbinate
|
$401.76 |
$401.76 |
$401.76 |
$3,589.62
|
|
Excise intestine lesion(s) 44110
|
$772.47 |
$772.47 |
$772.47 |
$1,524.60
|
|
Excise intraspinl lesion crv
|
$1,498.50 |
$1,498.50 |
$1,498.50 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$1,246.59 |
$1,246.59 |
$1,246.59 |
$5,339.00
|
|
Excise intrspinl lesion lmbr
|
$271.35 |
$271.35 |
$271.35 |
$4,479.20
|
|
Excise lesion testis
|
$502.20 |
$502.20 |
$502.20 |
$4,081.37
|
|
Excise lip or cheek fold
|
$264.06 |
$264.06 |
$264.06 |
$1,843.82
|
|
Excise mandible lesion
|
$349.65 |
$349.65 |
$349.65 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$348.30 |
$348.30 |
$348.30 |
$6,547.81
|
|
Excise parotid gland/lesion
|
$589.95 |
$589.95 |
$589.95 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$986.04 |
$986.04 |
$986.04 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$1,102.14 |
$1,102.14 |
$1,102.14 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$784.35 |
$784.35 |
$784.35 |
$6,839.00
|
|
Excise pharynx lesion
|
$157.95 |
$157.95 |
$157.95 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$266.76 |
$266.76 |
$266.76 |
$1,903.93
|
|
Excise sublingual gland
|
$348.30 |
$348.30 |
$348.30 |
$5,678.40
|
|
Excise submaxillary gland
|
$392.85 |
$392.85 |
$392.85 |
$6,547.81
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$447.93 |
$447.93 |
$447.93 |
$2,623.00
|
|
Excise tendon forearm/wrist
|
$517.05 |
$517.05 |
$517.05 |
$3,821.05
|
|
Excise wrist tendon sheath
|
$374.22 |
$374.22 |
$374.22 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$140.94 |
$140.94 |
$140.94 |
$394.40
|
|
Excision aural polyp
|
$124.74 |
$124.74 |
$124.74 |
$1,981.50
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$167.13 |
$167.13 |
$167.13 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$172.53 |
$172.53 |
$172.53 |
$1,995.00
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$166.05 |
$166.05 |
$166.05 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$303.21 |
$303.21 |
$303.21 |
$2,760.60
|
|
Excision breast lesion
|
$427.68 |
$427.68 |
$427.68 |
$3,749.85
|
|
Excision floor mouth lesion 41116
|
$208.17 |
$208.17 |
$208.17 |
$3,892.91
|
|
Excision graft extremity
|
$493.56 |
$493.56 |
$493.56 |
$4,706.99
|
|
Excision hand/finger tendon
|
$810.54 |
$810.54 |
$810.54 |
$3,839.54
|
|
Excision lesion mouth roof
|
$243.81 |
$243.81 |
$243.81 |
$3,837.72
|
|
Excision lesion mouth roof
|
$311.04 |
$311.04 |
$311.04 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$239.22 |
$239.22 |
$239.22 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$300.24 |
$300.24 |
$300.24 |
$3,816.64
|
|
Excision of gum lesion 41825
|
$117.72 |
$117.72 |
$117.72 |
$4,007.22
|
