|
Evaluation heart device
|
$120.40 |
$120.40 |
$120.40 |
$2,416.20
|
|
Evaluation of speech fluency 92521
|
$115.00 |
$115.00 |
$115.00 |
$310.20
|
|
Evaluation psychiatric diagnostic
|
$85.40 |
$85.40 |
$85.40 |
$313.30
|
|
Evasc rpr a-unilac ndgft 34703
|
$869.00 |
$869.00 |
$869.00 |
$5,689.05
|
|
Evasc rpr ilio-iliac ndgft
|
$738.80 |
$738.80 |
$738.80 |
$7,150.44
|
|
Event monitor
|
$98.20 |
$98.20 |
$98.20 |
$242.12
|
|
Evoked auditory tst complete
|
$19.40 |
$19.40 |
$19.40 |
$344.98
|
|
Evoked oa emissions ltd
|
$210.00 |
$210.00 |
$210.00 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$210.00 |
$210.00 |
$210.00 |
$259.60
|
|
Evok oa screening qual
|
$47.80 |
$47.80 |
$47.80 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$93.20 |
$93.20 |
$93.20 |
$419.01
|
|
Exam pelvic add-on
|
$11.40 |
$11.40 |
$11.40 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$72.40 |
$72.40 |
$72.40 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$908.60 |
$908.60 |
$908.60 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$783.20 |
$783.20 |
$783.20 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$856.80 |
$856.80 |
$856.80 |
$3,646.94
|
|
Exc abdl tum deep < 5 cm
|
$2,556.20 |
$2,556.20 |
$2,556.20 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$455.60 |
$455.60 |
$455.60 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$1,902.80 |
$1,902.80 |
$1,902.80 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$518.60 |
$518.60 |
$518.60 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$485.00 |
$485.00 |
$485.00 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$908.60 |
$908.60 |
$908.60 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$215.80 |
$215.80 |
$215.80 |
$3,769.92
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$200.60 |
$200.60 |
$200.60 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$271.20 |
$271.20 |
$271.20 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$400.00 |
$400.00 |
$400.00 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$194.00 |
$194.00 |
$194.00 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$102.40 |
$102.40 |
$102.40 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$137.80 |
$137.80 |
$137.80 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$162.00 |
$162.00 |
$162.00 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$150.00 |
$150.00 |
$150.00 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$310.00 |
$310.00 |
$310.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$231.20 |
$231.20 |
$231.20 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$350.00 |
$350.00 |
$350.00 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$205.00 |
$205.00 |
$205.00 |
$1,244.03
|
|
Exc breast duct fistula 19112
|
$226.80 |
$226.80 |
$226.80 |
$4,238.48
|
|
Exc chest wall tumor w/ribs 21601
|
$768.60 |
$768.60 |
$768.60 |
$3,386.84
|
|
Exc coccygl pr ulc flap clsr
|
$1,808.80 |
$1,808.80 |
$1,808.80 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$438.40 |
$438.40 |
$438.40 |
$2,682.40
|
|
Exc/crtg b1 cst/b9 tum rds
|
$380.20 |
$380.20 |
$380.20 |
$2,617.60
|
|
Exc/curtg b1 cst/b9 tum hum
|
$419.20 |
$419.20 |
$419.20 |
$3,839.54
|
|
Exc ext ear/partial/simple repair 69110
|
$333.80 |
$333.80 |
$333.80 |
$3,167.89
|
|
Exc face tum deep < 2 cm
|
$376.80 |
$376.80 |
$376.80 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$908.60 |
$908.60 |
$908.60 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$194.00 |
$194.00 |
$194.00 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$300.00 |
$300.00 |
$300.00 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$316.40 |
$316.40 |
$316.40 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$270.40 |
$270.40 |
$270.40 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$518.60 |
$518.60 |
$518.60 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$870.00 |
$870.00 |
$870.00 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$378.00 |
$378.00 |
$378.00 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$393.60 |
$393.60 |
$393.60 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$389.60 |
$389.60 |
$389.60 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$374.80 |
$374.80 |
$374.80 |
$2,271.01
|
|
Exchange biliary drg cath
|
$3,872.60 |
$3,872.60 |
$3,872.60 |
$3,808.27
|
|
Exchange drainage catheter
|
$1,434.80 |
$1,434.80 |
$1,434.80 |
$2,205.50
|
|
Exchange lens prosthesis
|
$628.00 |
$628.00 |
$628.00 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,559.40 |
$2,559.40 |
$2,559.40 |
$2,955.48
|
|
Exc hidradenitis ing simpl 11462
|
$177.00 |
$177.00 |
$177.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$244.80 |
$244.80 |
$244.80 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$783.20 |
$783.20 |
$783.20 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$425.20 |
$425.20 |
$425.20 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$1,261.80 |
$1,261.80 |
$1,261.80 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$856.80 |
$856.80 |
$856.80 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$247.40 |
$247.40 |
$247.40 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$481.20 |
$481.20 |
$481.20 |
$3,486.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$489.20 |
$489.20 |
$489.20 |
$3,386.84
|
|
Excise anal ext tag/papilla
|
$377.20 |
$377.20 |
$377.20 |
$1,710.00
|
|
Excise foot tendon sheath
|
$246.40 |
$246.40 |
$246.40 |
$3,821.05
|
|
Excise ileoanal reservior
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$4,510.40
|
|
Excise inferior turbinate
|
$297.60 |
$297.60 |
$297.60 |
$3,589.62
|
|
Excise intestine lesion(s) 44110
|
$572.20 |
$572.20 |
$572.20 |
$1,524.60
|
|
Excise intraspinl lesion crv
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$923.40 |
$923.40 |
$923.40 |
$5,339.00
|
|
Excise intrspinl lesion lmbr
|
$201.00 |
$201.00 |
$201.00 |
$4,479.20
|
|
Excise lesion testis
|
$372.00 |
$372.00 |
$372.00 |
$4,081.37
|
|
Excise lip or cheek fold
|
$443.40 |
$443.40 |
$443.40 |
$1,843.82
|
|
Excise mandible lesion
|
$259.00 |
$259.00 |
$259.00 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$258.00 |
$258.00 |
$258.00 |
$6,547.81
|
|
Excise parotid gland/lesion
|
$437.00 |
$437.00 |
$437.00 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$730.40 |
$730.40 |
$730.40 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$816.40 |
$816.40 |
$816.40 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$581.00 |
$581.00 |
$581.00 |
$6,839.00
|
|
Excise pharynx lesion
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$443.40 |
$443.40 |
$443.40 |
$1,903.93
|
|
Excise sublingual gland
|
$258.00 |
$258.00 |
$258.00 |
$5,678.40
|
|
Excise submaxillary gland
|
$291.00 |
$291.00 |
$291.00 |
$6,547.81
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$485.00 |
$485.00 |
$485.00 |
$2,623.00
|
|
Excise tendon forearm/wrist
|
$383.00 |
$383.00 |
$383.00 |
$3,821.05
|
|
Excise wrist tendon sheath
|
$277.20 |
$277.20 |
$277.20 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$104.40 |
$104.40 |
$104.40 |
$394.40
|
|
Excision aural polyp
|
$92.40 |
$92.40 |
$92.40 |
$1,981.50
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$123.80 |
$123.80 |
$123.80 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$220.00 |
$220.00 |
$220.00 |
$1,995.00
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,317.80 |
$1,317.80 |
$1,317.80 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$447.00 |
$447.00 |
$447.00 |
$2,760.60
|
|
Excision breast lesion
|
$316.80 |
$316.80 |
$316.80 |
$3,749.85
|
|
Excision floor mouth lesion 41116
|
$971.00 |
$971.00 |
$971.00 |
$3,892.91
|
|
Excision graft extremity
|
$365.60 |
$365.60 |
$365.60 |
$4,706.99
|
