|
Exc forearm tum deep < 3 cm
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,908.09
|
|
Exc hand tum deep 1.5 cm/>
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$2,391.84
|
|
Exc hand tum deep < 1.5 cm 26116
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$2,391.84
|
|
Exchange biliary drg cath
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$3,856.84
|
|
Exchange drainage catheter
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,220.54
|
|
Exchange lens prosthesis
|
$3,187.60 |
$3,187.60 |
$3,187.60 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$6,976.45 |
$6,976.45 |
$6,976.45 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$1,271.40 |
$1,271.40 |
$1,271.40 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$972.40 |
$972.40 |
$972.40 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$234.00 |
$234.00 |
$234.00 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$215.80 |
$215.80 |
$215.80 |
$347.88
|
|
Excimer lsr psriasis>500sqcm
|
$299.00 |
$299.00 |
$299.00 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$3,398.50
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$9,997.00 |
$9,997.00 |
$9,997.00 |
$5,114.40
|
|
Exc ischial pr ulc prim sutr
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$3,226.60 |
$3,226.60 |
$3,226.60 |
$3,994.09
|
|
Exc isch pr ulc skn flp clsr
|
$3,234.40 |
$3,234.40 |
$3,234.40 |
$4,332.25
|
|
Exc isch pr ulc skn flp ostc
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$4,144.66
|
|
Excise anal ext tag/papilla
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,272.02
|
|
Excise ileoanal reservior
|
$8,013.20 |
$8,013.20 |
$8,013.20 |
$4,510.40
|
|
Excise inferior turbinate
|
$992.55 |
$992.55 |
$992.55 |
$3,819.23
|
|
Excise intestine lesion(s) 44110
|
$3,650.40 |
$3,650.40 |
$3,650.40 |
$1,600.80
|
|
Excise intraspinl lesion crv
|
$6,193.20 |
$6,193.20 |
$6,193.20 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$5,057.00 |
$5,057.00 |
$5,057.00 |
$6,311.00
|
|
Excise intrspinl lesion lmbr
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$4,479.20
|
|
Excise intrspinl lesion scrl
|
$5,205.20 |
$5,205.20 |
$5,205.20 |
$6,311.00
|
|
Excise intrspinl lesion thrc
|
$7,779.20 |
$7,779.20 |
$7,779.20 |
$4,874.40
|
|
Excise lesion testis
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$4,081.37
|
|
Excise lip or cheek fold
|
$652.60 |
$652.60 |
$652.60 |
$1,855.10
|
|
Excise mandible lesion
|
$1,276.60 |
$1,276.60 |
$1,276.60 |
$3,592.74
|
|
Excise max/zygoma b9 tumor
|
$1,276.60 |
$1,276.60 |
$1,276.60 |
$6,588.00
|
|
Excise parotid gland/lesion
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$5,077.80 |
$5,077.80 |
$5,077.80 |
$6,839.00
|
|
Excise pharynx lesion
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$1,915.20
|
|
Excise submaxillary gland
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$3,322.80
|
|
Excise tendon forearm/wrist
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
$3,839.54
|
|
Excise wrist tendon sheath
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$761.80 |
$761.80 |
$761.80 |
$761.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,865.00
|
|
Excision breast lesion
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$655.20 |
$655.20 |
$655.20 |
$3,892.91
|
|
Excision graft abdomen
|
$9,690.20 |
$9,690.20 |
$9,690.20 |
$4,638.40
|
|
Excision graft extremity
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,881.00
|
|
Excision graft thorax 35905
|
$8,715.20 |
$8,715.20 |
$8,715.20 |
$2,362.96
|
|
Excision hand/finger tendon
|
$2,212.60 |
$2,212.60 |
$2,212.60 |
$3,839.54
|
|
Excision lesion mouth roof
|
$559.00 |
$559.00 |
$559.00 |
$3,837.72
|
|
Excision of anal lesion(s)
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,823.00
|
|
Excision of bowel lesion(s)
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$2,420.80
|
|
Excision of esophagus lesion
|
$4,438.20 |
$4,438.20 |
$4,438.20 |
$3,908.80
|
|
Excision of lesion of mesentery 44820
|
$3,569.80 |
$3,569.80 |
$3,569.80 |
$1,621.80
|
|
Excision of meckels diverticulum 44800
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$1,373.40
|
|
Excision of neck cyst
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$878.80 |
$878.80 |
$878.80 |
$4,560.40
|
|
Excision of penis lesion(s) 54060
|
$6,836.70 |
$6,836.70 |
$6,836.70 |
$2,837.09
|
|
Excision of rectal lesion
|
$4,245.80 |
$4,245.80 |
$4,245.80 |
$3,816.64
|
|
Excision of skull tumor
|
$7,394.40 |
$7,394.40 |
$7,394.40 |
$3,003.39
|
|
Excision of stomach lesion
|
$4,248.40 |
$4,248.40 |
$4,248.40 |
$1,494.24
|
|
Excision of stomach lesion
|
$5,298.80 |
$5,298.80 |
$5,298.80 |
$3,000.80
|
|
Excision of tongue lesion
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,837.72
|
|
Excision of umbilicus 49250
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
$3,986.00
|
|
Excision of uvula
|
$442.00 |
$442.00 |
$442.00 |
$3,837.72
|
|
Excision olecranon bursa
|
$982.80 |
$982.80 |
$982.80 |
$3,591.33
|
|
Excision perinephric cyst
|
$4,199.00 |
$4,199.00 |
$4,199.00 |
$1,171.18
|
|
Excision tongue lesion without closure 41110
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$4,420.32
|
|
Excis partial tal calc
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$3,594.44
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$3,531.45
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$1,796.60 |
$1,796.60 |
$1,796.60 |
$3,127.88
|
|
Exc les conjunctiva <1 cm
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,104.42
|
|
Excl laa open any method 33267
|
$10,315.50 |
$10,315.50 |
$10,315.50 |
$2,592.00
|
|
Excl laa opn oth px any meth 33268
|
$3,511.95 |
$3,511.95 |
$3,511.95 |
$324.00
|
|
Excl laa thrscp any method
|
$10,315.50 |
$10,315.50 |
$10,315.50 |
$3,720.60
|
|
Exc malig feenl <0.5cm 11640
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$6,976.45 |
$6,976.45 |
$6,976.45 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$974.35 |
$974.35 |
$974.35 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,294.80
|
|
Exc mandible 21025
|
$2,607.80 |
$2,607.80 |
$2,607.80 |
$6,289.53
|
|
Exc neck tum deep < 5 cm
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$3,813.50
|
