|
Evasc rpr a-unilac ndgft 34703
|
$5,230.40 |
$5,230.40 |
$5,230.40 |
$5,608.35
|
|
Evasc rpr a-unilac ndgft rpt
|
$5,902.40 |
$5,902.40 |
$5,902.40 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$4,765.60 |
$4,765.60 |
$4,765.60 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$4,670.40 |
$4,670.40 |
$4,670.40 |
$8,996.13
|
|
Event monitor
|
$313.60 |
$313.60 |
$313.60 |
$237.60
|
|
Evoked auditory tst complete
|
$868.00 |
$868.00 |
$868.00 |
$344.98
|
|
Evoked oa emissions ltd
|
$1,002.40 |
$1,002.40 |
$1,002.40 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$259.20
|
|
Evoked potentials upper limbs
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$845.60 |
$845.60 |
$845.60 |
$812.40
|
|
Evok oa screening qual
|
$78.40 |
$78.40 |
$78.40 |
$109.13
|
|
Ewhfo w/joint(s) cf
|
$1,363.60 |
$1,363.60 |
$1,363.60 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$830.70
|
|
Exam of vagina w/scope 57420
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$486.03
|
|
Exam pelvic add-on
|
$63.28 |
$63.28 |
$63.28 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$7,022.40 |
$7,022.40 |
$7,022.40 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$8,366.40 |
$8,366.40 |
$8,366.40 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,786.00
|
|
Exc abdl tum deep < 5 cm
|
$9,626.40 |
$9,626.40 |
$9,626.40 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$6,932.80 |
$6,932.80 |
$6,932.80 |
$2,532.80
|
|
Exc aurl glomus tum trnscanl
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$7,000.36
|
|
Exc aurl glomus tum trnsmstd
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$6,316.80 |
$6,316.80 |
$6,316.80 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,986.00
|
|
Exc bartholins gland/cyst
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,781.65
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$5,303.20 |
$5,303.20 |
$5,303.20 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$4,916.80 |
$4,916.80 |
$4,916.80 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$6,316.80 |
$6,316.80 |
$6,316.80 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$2,732.80 |
$2,732.80 |
$2,732.80 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$2,699.20 |
$2,699.20 |
$2,699.20 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$3,416.00 |
$3,416.00 |
$3,416.00 |
$1,051.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$5,320.00 |
$5,320.00 |
$5,320.00 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$5,118.40 |
$5,118.40 |
$5,118.40 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$6,932.80 |
$6,932.80 |
$6,932.80 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$7,453.60 |
$7,453.60 |
$7,453.60 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,979.20 |
$2,979.20 |
$2,979.20 |
$1,244.03
|
|
Exc breast duct fistula 19112
|
$8,114.40 |
$8,114.40 |
$8,114.40 |
$4,238.48
|
|
Exc cervix repair bowel 57556
|
$11,183.20 |
$11,183.20 |
$11,183.20 |
$5,841.60
|
|
Exc cervix/repair vagina 57555
|
$13,311.20 |
$13,311.20 |
$13,311.20 |
$5,468.70
|
|
Exc chest wall tumor w/ribs 21601
|
$3,684.80 |
$3,684.80 |
$3,684.80 |
$3,386.84
|
|
Exc ch wal tum without lymphadec
|
$3,169.60 |
$3,169.60 |
$3,169.60 |
$3,872.00
|
|
Exc ch wal tum w/lymphadec
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
$4,279.20
|
|
Exc coccygl pr ulc flap clsr
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$2,682.40 |
$2,682.40 |
$2,682.40 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$7,537.60 |
$7,537.60 |
$7,537.60 |
$3,594.44
|
|
Exc/crtg b1 cst/b9 tum rds
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Exc/crtg b1 cst/tum hum algr
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds agrf
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,986.00
|
|
Exc/crtg b1 cst/tum rds algr
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$10,091.20 |
$10,091.20 |
$10,091.20 |
$7,907.11
|
|
Exc/curtg b1 cst/b9 tum hum
|
$7,588.00 |
$7,588.00 |
$7,588.00 |
$3,839.54
|
|
Exc excessive skin buttock
|
$6,876.80 |
$6,876.80 |
$6,876.80 |
$3,386.84
|
|
Exc excessive skin hip
|
$5,734.40 |
$5,734.40 |
$5,734.40 |
$4,350.00
|
|
Exc excessive skin leg
|
$5,734.40 |
$5,734.40 |
$5,734.40 |
$4,321.60
|
|
Exc excessive skin thigh
|
$6,876.80 |
$6,876.80 |
$6,876.80 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$5,124.00 |
$5,124.00 |
$5,124.00 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$5,124.00 |
$5,124.00 |
$5,124.00 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$3,170.00
|
|
Exc face tum deep < 2 cm
|
$4,149.60 |
$4,149.60 |
$4,149.60 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$5,320.00 |
$5,320.00 |
$5,320.00 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,592.00 |
$4,592.00 |
$4,592.00 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$6,210.40 |
$6,210.40 |
$6,210.40 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$7,072.80 |
$7,072.80 |
$7,072.80 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$6,188.00 |
$6,188.00 |
$6,188.00 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$4,110.40 |
$4,110.40 |
$4,110.40 |
$2,271.01
|
|
Exchange biliary drg cath
|
$6,277.60 |
$6,277.60 |
$6,277.60 |
$3,797.76
|
|
Exchange blood transfusion newborn 36450
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$566.55
|
|
Exchange drainage catheter
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$2,191.20
|
|
Exchange lens prosthesis
|
$10,208.80 |
$10,208.80 |
$10,208.80 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$4,508.00 |
$4,508.00 |
$4,508.00 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$565.60 |
$565.60 |
$565.60 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$588.00 |
$588.00 |
$588.00 |
$347.88
|
|
Excimer lsr psriasis>500sqcm
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$3,486.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$5,504.80 |
$5,504.80 |
$5,504.80 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$7,162.40 |
$7,162.40 |
$7,162.40 |
$3,994.09
|
|
Exc isch pr ulc skn flp clsr
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Exc isch pr ulc skn flp ostc
|
$5,504.80 |
$5,504.80 |
$5,504.80 |
$4,144.66
|
|
Excise anal ext tag/papilla
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$2,172.09
|
|
Excise epiphyseal bar
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,947.20
|
|
Excise foot tendon sheath
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,821.05
|
|
Excise foot tendon sheath
|
$6,137.60 |
$6,137.60 |
$6,137.60 |
$3,839.54
|
