|
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
|
$780.00 |
$780.00 |
$780.00 |
$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
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$3,386.84
|
|
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 ulcer w/ostc musc/myoq flap/skin 15946
|
$6,271.20 |
$6,271.20 |
$6,271.20 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$3,386.84
|
|
Exc isch pr ulc skn flp clsr
|
$3,234.40 |
$3,234.40 |
$3,234.40 |
$4,332.25
|
|
Excise anal ext tag/papilla
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,272.02
|
|
Excise foot tendon sheath
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$3,821.05
|
|
Excise foot tendon sheath
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$3,839.54
|
|
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 crvl
|
$7,748.00 |
$7,748.00 |
$7,748.00 |
$4,875.20
|
|
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 scrl
|
$6,882.20 |
$6,882.20 |
$6,882.20 |
$4,381.60
|
|
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 lwr jaw cyst w/repair
|
$5,218.20 |
$5,218.20 |
$5,218.20 |
$6,219.35
|
|
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 max/zygoma mal tumor
|
$4,970.55 |
$4,970.55 |
$4,970.55 |
$6,547.81
|
|
Excise oral mucosa for graft 40818
|
$735.80 |
$735.80 |
$735.80 |
$904.80
|
|
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 parotid gland/lesion
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$5,891.60 |
$5,891.60 |
$5,891.60 |
$5,891.60
|
|
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 sacral spine tumor
|
$9,830.60 |
$9,830.60 |
$9,830.60 |
$5,464.80
|
|
Excise sublingual gland
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$5,678.40
|
|
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 aural polyp
|
$325.00 |
$325.00 |
$325.00 |
$2,133.48
|
|
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 coa w/graft
|
$5,961.80 |
$5,961.80 |
$5,961.80 |
$1,923.76
|
|
Excision floor mouth lesion 41116
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$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 neck
|
$2,178.80 |
$2,178.80 |
$2,178.80 |
$1,148.00
|
|
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 lesion mouth roof
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,823.00
|
|
Excision of bile duct cyst
|
$5,603.00 |
$5,603.00 |
$5,603.00 |
$3,263.20
|
|
Excision of bile duct tumor
|
$6,734.00 |
$6,734.00 |
$6,734.00 |
$3,825.60
|
|
Excision of bile duct tumor
|
$8,767.20 |
$8,767.20 |
$8,767.20 |
$2,813.24
|
|
Excision of bowel lesion(s)
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$2,420.80
|
|
Excision of brain tumor
|
$12,071.80 |
$12,071.80 |
$12,071.80 |
$4,794.16
|
|
Excision of esophagus lesion
|
$2,511.60 |
$2,511.60 |
$2,511.60 |
$2,511.60
|
|
Excision of esophagus lesion
|
$4,438.20 |
$4,438.20 |
$4,438.20 |
$3,908.80
|
|
Excision of gum flap
|
$183.30 |
$183.30 |
$183.30 |
$2,000.80
|
|
Excision of gum lesion
|
$980.20 |
$980.20 |
$980.20 |
$7,000.36
|
|
Excision of gum lesion
|
$689.00 |
$689.00 |
$689.00 |
$4,560.40
|
|
Excision of gum lesion
|
$1,095.25 |
$1,095.25 |
$1,095.25 |
$6,547.81
|
|
Excision of gum lesion 41825
|
$366.60 |
$366.60 |
$366.60 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$3,569.80 |
$3,569.80 |
$3,569.80 |
$1,621.80
|
|
Excision of lingual tonsil
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$6,465.11
|
|
Excision of meckels diverticulum 44800
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$1,373.40
|
|
Excision of mouth lesion complex 40816
|
$980.20 |
$980.20 |
$980.20 |
$4,627.00
|
|
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
|
$514.80 |
$514.80 |
$514.80 |
$2,837.09
|
|
Excision of rectal lesion
|
$4,245.80 |
$4,245.80 |
$4,245.80 |
$3,816.64
|
|
Excision of rectal prolapse
|
$5,813.60 |
$5,813.60 |
$5,813.60 |
$3,254.40
|
|
Excision of rectal stricture
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$1,521.00
|
|
Excision of salivary cyst
|
$1,211.60 |
$1,211.60 |
$1,211.60 |
$4,558.89
|
|
Excision of skull/sutures
|
$6,890.00 |
$6,890.00 |
$6,890.00 |
$2,867.45
|
|
Excision of skull/sutures
|
$8,845.20 |
$8,845.20 |
$8,845.20 |
$3,639.94
|
