|
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
|
$155.70 |
$155.70 |
$7,453.60 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$63.75 |
$63.75 |
$2,128.00 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$175.20 |
$175.20 |
$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
|
$163.20 |
$163.20 |
$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/>
|
$247.35 |
$247.35 |
$4,200.00 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$309.90 |
$309.90 |
$1,680.00 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$317.10 |
$317.10 |
$6,210.40 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$202.95 |
$202.95 |
$7,072.80 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$327.75 |
$327.75 |
$6,188.00 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$315.75 |
$315.75 |
$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
|
$1,201.80 |
$1,201.80 |
$3,068.80 |
$2,191.20
|
|
Exchange lens prosthesis
|
$10,208.80 |
$10,208.80 |
$10,208.80 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$1,423.80 |
$1,423.80 |
$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
|
$204.60 |
$204.60 |
$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
|
$353.55 |
$353.55 |
$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
|
$378.90 |
$378.90 |
$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
|
$399.75 |
$399.75 |
$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
|
$293.55 |
$293.55 |
$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
|
|
Excise inferior turbinate
|
$9,872.80 |
$9,872.80 |
$9,872.80 |
$3,589.62
|
|
Excise intrspinl lesion lmbr
|
$761.10 |
$761.10 |
$761.10 |
$6,311.00
|
|
Excise lesion testis
|
$7,336.00 |
$7,336.00 |
$7,336.00 |
$4,081.37
|
|
Excise lip or cheek fold
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$16,038.40 |
$16,038.40 |
$16,038.40 |
$6,219.35
|
|
Excise mandible lesion
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$10,634.40 |
$10,634.40 |
$10,634.40 |
$6,547.81
|
|
Excise max/zygoma mal tumor
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Excise oral mucosa for graft 40818
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$904.80
|
|
Excise parotid gland/lesion
|
$16,357.60 |
$16,357.60 |
$16,357.60 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$604.35 |
$604.35 |
$16,038.40 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,839.00
|
|
Excise pharynx lesion
|
$6,081.60 |
$6,081.60 |
$6,081.60 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
$1,903.93
|
|
Excise sublingual gland
|
$5,678.40 |
$5,678.40 |
$5,678.40 |
$5,678.40
|
|
Excise submaxillary gland
|
$242.85 |
$242.85 |
$16,357.60 |
$6,553.49
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$195.15 |
$195.15 |
$6,932.80 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$6,496.00 |
$6,496.00 |
$6,496.00 |
$3,821.05
|
|
Excise wrist tendon sheath
|
$6,456.80 |
$6,456.80 |
$6,456.80 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$84.15 |
$84.15 |
$3,847.20 |
$546.17
|
|
Excision aural polyp
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,217.60 |
$2,217.60 |
$2,217.60 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$403.50 |
$403.50 |
$3,914.40 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$69.45 |
$69.45 |
$2,385.60 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$144.30 |
$144.30 |
$4,793.60 |
$2,641.65
|
|
Excision breast lesion
|
$262.65 |
$262.65 |
$9,184.00 |
$4,042.99
|
|
Excision floor mouth lesion 41116
|
$6,669.60 |
$6,669.60 |
$6,669.60 |
$3,892.91
|
|
Excision graft extremity
|
$9,346.40 |
$9,346.40 |
$9,346.40 |
$4,881.00
|
|
Excision gum each quadrant
|
$8,282.40 |
$8,282.40 |
$8,282.40 |
$4,560.40
|
|
Excision hand/finger tendon
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$3,839.54
|
|
Excision lesion mouth roof
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
$3,837.72
|
|
Excision lesion mouth roof
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$3,757.60 |
$3,757.60 |
$3,757.60 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$8,836.80 |
$8,836.80 |
$8,836.80 |
$3,823.00
|
