|
Excise parotid gland/lesion
|
$871.50 |
$871.50 |
$871.50 |
$6,839.00
|
|
Excise pharynx lesion
|
$175.50 |
$175.50 |
$175.50 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$296.40 |
$296.40 |
$296.40 |
$1,903.93
|
|
Excise sublingual gland
|
$387.00 |
$387.00 |
$387.00 |
$5,678.40
|
|
Excise submaxillary gland
|
$436.50 |
$436.50 |
$436.50 |
$6,547.81
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$729.00 |
$729.00 |
$729.00 |
$2,701.00
|
|
Excise tendon forearm/wrist
|
$574.50 |
$574.50 |
$574.50 |
$3,821.05
|
|
Excise wrist tendon sheath
|
$415.80 |
$415.80 |
$415.80 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$156.60 |
$156.60 |
$156.60 |
$546.17
|
|
Excision aural polyp
|
$138.60 |
$138.60 |
$138.60 |
$1,981.50
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$255.00 |
$255.00 |
$255.00 |
$861.70
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$510.00 |
$510.00 |
$510.00 |
$2,019.16
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$284.70 |
$284.70 |
$284.70 |
$1,074.00
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$510.00 |
$510.00 |
$510.00 |
$2,865.00
|
|
Excision breast lesion
|
$475.20 |
$475.20 |
$475.20 |
$3,986.00
|
|
Excision floor mouth lesion 41116
|
$231.30 |
$231.30 |
$231.30 |
$3,892.91
|
|
Excision graft extremity
|
$548.40 |
$548.40 |
$548.40 |
$4,706.99
|
|
Excision hand/finger tendon
|
$900.60 |
$900.60 |
$900.60 |
$3,839.54
|
|
Excision lesion mouth roof
|
$270.90 |
$270.90 |
$270.90 |
$3,837.72
|
|
Excision lesion mouth roof
|
$345.60 |
$345.60 |
$345.60 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$265.80 |
$265.80 |
$265.80 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$958.80 |
$958.80 |
$958.80 |
$3,816.64
|
|
Excision of gum lesion 41825
|
$130.80 |
$130.80 |
$130.80 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$857.40 |
$857.40 |
$857.40 |
$1,621.80
|
|
Excision of lingual tonsil
|
$627.90 |
$627.90 |
$627.90 |
$5,855.00
|
|
Excision of meckels diverticulum 44800
|
$787.50 |
$787.50 |
$787.50 |
$1,373.40
|
|
Excision of mouth lesion complex 40816
|
$323.70 |
$323.70 |
$323.70 |
$3,986.00
|
|
Excision of neck cyst
|
$564.90 |
$564.90 |
$564.90 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$302.10 |
$302.10 |
$302.10 |
$4,350.00
|
|
Excision of penis lesion(s) 54060
|
$209.70 |
$209.70 |
$209.70 |
$2,479.33
|
|
Excision of rectal stricture
|
$437.40 |
$437.40 |
$437.40 |
$1,521.00
|
|
Excision of salivary cyst
|
$372.90 |
$372.90 |
$372.90 |
$4,558.89
|
|
Excision of stomach lesion
|
$977.70 |
$977.70 |
$977.70 |
$1,494.24
|
|
Excision of stomach lesion
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$3,000.80
|
|
Excision of tongue lesion
|
$363.30 |
$363.30 |
$363.30 |
$3,819.23
|
|
Excision of tongue lesion
|
$649.20 |
$649.20 |
$649.20 |
$3,986.00
|
|
Excision of tongue lesion w/closure 41113
|
$387.30 |
$387.30 |
$387.30 |
$3,837.72
|
|
Excision of tonsil tags
|
$208.80 |
$208.80 |
$208.80 |
$4,558.89
|
|
Excision of umbilicus 49250
|
$611.40 |
$611.40 |
$611.40 |
$3,906.18
|
|
Excision of uvula
|
$332.70 |
$332.70 |
$332.70 |
$3,811.00
|
|
Excision of vaginal septum 57130
|
$180.00 |
$180.00 |
$180.00 |
$3,762.53
|
|
Excision olecranon bursa
|
$393.30 |
$393.30 |
$393.30 |
$2,889.60
|
|
Excision radial head
|
$549.60 |
$549.60 |
$549.60 |
$3,839.54
|
|
Excision tongue lesion without closure 41110
|
$244.80 |
$244.80 |
$244.80 |
$3,811.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$741.00 |
$741.00 |
$741.00 |
$3,650.40
|
|
Excis partial tal calc
|
$524.40 |
$524.40 |
$524.40 |
$3,591.33
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$695.10 |
$695.10 |
$695.10 |
$3,386.84
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$489.60 |
$489.60 |
$489.60 |
$2,296.00
|
|
Exc les conjunctiva <1 cm
|
$251.10 |
$251.10 |
$251.10 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$350.70 |
$350.70 |
$350.70 |
$2,760.73
|
|
Exc les conjunctiva adj scl
|
$435.60 |
$435.60 |
$435.60 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$1,459.50 |
$1,459.50 |
$1,459.50 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$217.80 |
$217.80 |
$217.80 |
$1,063.30
|
|
Exc malig feenl 1.1-2 11642
|
$285.90 |
$285.90 |
$285.90 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$411.00 |
$411.00 |
$411.00 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$900.00 |
$900.00 |
$900.00 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$525.00 |
$525.00 |
$525.00 |
$1,320.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$245.40 |
$245.40 |
$245.40 |
$1,012.86
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$314.40 |
$314.40 |
$314.40 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$211.20 |
$211.20 |
$211.20 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$249.00 |
$249.00 |
$249.00 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$311.70 |
$311.70 |
$311.70 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$297.30 |
$297.30 |
$297.30 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$339.60 |
$339.60 |
$339.60 |
$1,294.80
|
|
Exc mandible 21025
|
$706.50 |
$706.50 |
$706.50 |
$6,465.11
|
|
Exc neck tum deep < 5 cm
|
$1,287.90 |
$1,287.90 |
$1,287.90 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$752.70 |
$752.70 |
$752.70 |
$3,386.84
|
|
Exc of rectal prlpse 45130
|
$1,100.40 |
$1,100.40 |
$1,100.40 |
$1,659.60
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$189.90 |
$189.90 |
$189.90 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$509.40 |
$509.40 |
$509.40 |
$3,752.25
|
|
Exc rect tum transanal full
|
$852.00 |
$852.00 |
$852.00 |
$3,245.23
|
|
Exc rect tum transanal part
|
$645.00 |
$645.00 |
$645.00 |
$3,245.23
|
|
Exc sac pr ulc skn flp ostc
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$4,332.25
|
|
Exc sacral pr ulc prim sutr
|
$725.10 |
$725.10 |
$725.10 |
$3,386.84
|
|
Exc shoulder tum deep < 5 cm
|
$571.80 |
$571.80 |
$571.80 |
$3,786.00
|
|
Exc skn hdrdnt ax complex
|
$347.40 |
$347.40 |
$347.40 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$276.00 |
$276.00 |
$276.00 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$346.50 |
$346.50 |
$346.50 |
$3,986.00
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$321.30 |
$321.30 |
$321.30 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$356.70 |
$356.70 |
$356.70 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$426.90 |
$426.90 |
$426.90 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$514.80 |
$514.80 |
$514.80 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,287.90 |
$1,287.90 |
$1,287.90 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$729.00 |
$729.00 |
$729.00 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$499.20 |
$499.20 |
$499.20 |
$3,994.09
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$550.80 |
$550.80 |
$550.80 |
$2,557.92
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$426.60 |
$426.60 |
$426.60 |
$3,998.00
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$729.00 |
$729.00 |
$729.00 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$437.10 |
$437.10 |
$437.10 |
$3,994.09
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$443.70 |
$443.70 |
$443.70 |
$1,898.50
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$1,287.90 |
$1,287.90 |
$1,287.90 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$661.50 |
$661.50 |
$661.50 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$528.90 |
$528.90 |
$528.90 |
$3,188.10
|
|
Exc thigh/knee tum deep <5cm
|
$647.70 |
$647.70 |
$647.70 |
$3,167.89
|
|
Exc thigh/knee tum dep 5cm/>
|
$779.70 |
$779.70 |
$779.70 |
$3,520.00
|
|
Exc thrombosed hemorrhoid 46320
|
$226.50 |
$226.50 |
$226.50 |
$2,163.20
|
|
Exc tmr sft tiss shldr subq <3cm
|
$546.00 |
$546.00 |
$546.00 |
$2,448.00
|
|
Exc torus mandibularis 21031
|
$411.30 |
$411.30 |
$411.30 |
$3,837.72
|
|
Exc trchntr pr ulc prim sutr
|
$670.80 |
$670.80 |
$670.80 |
$2,087.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$533.10 |
$533.10 |
$533.10 |
$1,954.00
|