|
Excise wrist tendon sheath
|
$540.00 |
$540.00 |
$540.00 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$303.60 |
$303.60 |
$303.60 |
$761.80
|
|
Excision aural polyp
|
$411.60 |
$411.60 |
$411.60 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$316.80 |
$316.80 |
$316.80 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$329.40 |
$329.40 |
$329.40 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$310.80 |
$310.80 |
$310.80 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$580.80 |
$580.80 |
$580.80 |
$2,865.00
|
|
Excision breast lesion
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$641.40 |
$641.40 |
$641.40 |
$3,892.91
|
|
Excision graft extremity
|
$1,131.60 |
$1,131.60 |
$1,131.60 |
$4,881.00
|
|
Excision graft thorax 35905
|
$3,390.60 |
$3,390.60 |
$3,390.60 |
$2,362.96
|
|
Excision nasal polyp(s) simple 30110
|
$445.80 |
$445.80 |
$445.80 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$496.20 |
$496.20 |
$496.20 |
$3,823.00
|
|
Excision of gum lesion
|
$474.00 |
$474.00 |
$474.00 |
$4,560.40
|
|
Excision of gum lesion 41825
|
$403.80 |
$403.80 |
$403.80 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$1,621.80
|
|
Excision of meckels diverticulum 44800
|
$1,441.80 |
$1,441.80 |
$1,441.80 |
$1,373.40
|
|
Excision of mouth lesion complex 40816
|
$779.40 |
$779.40 |
$779.40 |
$4,627.00
|
|
Excision of neck cyst
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$766.20 |
$766.20 |
$766.20 |
$4,560.40
|
|
Excision of penis lesion(s) 54060
|
$301.80 |
$301.80 |
$301.80 |
$2,837.09
|
|
Excision of salivary cyst
|
$892.80 |
$892.80 |
$892.80 |
$4,558.89
|
|
Excision of stomach lesion
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$1,494.24
|
|
Excision of tongue lesion
|
$646.20 |
$646.20 |
$646.20 |
$3,837.72
|
|
Excision of tongue lesion w/closure 41113
|
$705.60 |
$705.60 |
$705.60 |
$3,837.72
|
|
Excision of umbilicus 49250
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$3,986.00
|
|
Excision of uvula
|
$499.20 |
$499.20 |
$499.20 |
$3,837.72
|
|
Excision of vaginal septum 57130
|
$386.40 |
$386.40 |
$386.40 |
$3,762.53
|
|
Excision olecranon bursa
|
$655.20 |
$655.20 |
$655.20 |
$3,591.33
|
|
Excision tongue lesion without closure 41110
|
$415.80 |
$415.80 |
$415.80 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$894.60 |
$894.60 |
$894.60 |
$4,420.32
|
|
Excis partial tal calc
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$3,594.44
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$3,531.45
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$3,127.88
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$397.80 |
$397.80 |
$397.80 |
$3,104.42
|
|
Excl laa open any method 33267
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
$2,592.00
|
|
Excl laa opn oth px any meth 33268
|
$199.80 |
$199.80 |
$199.80 |
$324.00
|
|
Exc malig feenl <0.5cm 11640
|
$376.20 |
$376.20 |
$376.20 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$516.60 |
$516.60 |
$516.60 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$752.40 |
$752.40 |
$752.40 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$982.20 |
$982.20 |
$982.20 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$364.80 |
$364.80 |
$364.80 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$436.20 |
$436.20 |
$436.20 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$570.00 |
$570.00 |
$570.00 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$359.40 |
$359.40 |
$359.40 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$431.40 |
$431.40 |
$431.40 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$469.80 |
$469.80 |
$469.80 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$535.80 |
$535.80 |
$535.80 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$593.40 |
$593.40 |
$593.40 |
$1,294.80
|
|
Exc mandible 21025
|
$1,697.40 |
$1,697.40 |
$1,697.40 |
$6,289.53
|
|
Exc neck tum deep < 5 cm
|
$1,006.20 |
$1,006.20 |
$1,006.20 |
$3,813.50
|
|
Exc neck tum deep 5 cm/>
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$5,753.00
|
|
Exc of rectal prlpse 45130
|
$1,659.60 |
$1,659.60 |
$1,659.60 |
$1,659.60
|
|
Exc of residual cervix 57540
|
$1,517.40 |
$1,517.40 |
$1,517.40 |
$1,517.40
|
|
Exc of residual cervix via aginal approach 57550
|
$882.60 |
$882.60 |
$882.60 |
$5,419.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$512.40 |
$512.40 |
$512.40 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$909.60 |
$909.60 |
$909.60 |
$3,839.54
|
|
Exc rect tum transanal full
|
$1,563.60 |
$1,563.60 |
$1,563.60 |
$4,119.00
|
|
Exc rect tum transanal part
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$3,786.00
|
|
Exc shoulder tum deep < 5 cm
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$3,849.30
|
|
Exc skn hdrdnt ax complex
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$702.00 |
$702.00 |
$702.00 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$487.20 |
$487.20 |
$487.20 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$641.40 |
$641.40 |
$641.40 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$775.20 |
$775.20 |
$775.20 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$868.20 |
$868.20 |
$868.20 |
$2,937.55
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$851.40 |
$851.40 |
$851.40 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$789.00 |
$789.00 |
$789.00 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$684.60 |
$684.60 |
$684.60 |
$4,160.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$916.80 |
$916.80 |
$916.80 |
$2,924.22
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$798.60 |
$798.60 |
$798.60 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$796.20 |
$796.20 |
$796.20 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$890.40 |
$890.40 |
$890.40 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$802.20 |
$802.20 |
$802.20 |
$1,917.33
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$882.00 |
$882.00 |
$882.00 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$2,797.08
|
|
Exc thigh/knee les sc<3cm 27327
|
$851.40 |
$851.40 |
$851.40 |
$3,229.48
|
|
Exc thigh/knee tum deep <5cm
|
$1,150.80 |
$1,150.80 |
$1,150.80 |
$3,306.79
|
|
Exc thigh/knee tum dep 5cm/>
|
$1,386.60 |
$1,386.60 |
$1,386.60 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$342.60 |
$342.60 |
$342.60 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$828.60 |
$828.60 |
$828.60 |
$3,059.15
|
|
Exc torus mandibularis 21031
|
$738.00 |
$738.00 |
$738.00 |
$3,837.72
|
|
Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$3,425.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$844.20 |
$844.20 |
$844.20 |
$2,054.40
|
|
Exc vagina lesion 57135
|
$372.00 |
$372.00 |
$372.00 |
$4,292.17
|
|
Ex palate/uvula lesion without closure 42104
|
$417.00 |
$417.00 |
$417.00 |
$3,837.72
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,968.60 |
$1,968.60 |
$1,968.60 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$9,319.80 |
$9,319.80 |
$9,319.80 |
$4,101.67
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$2,357.35
|
|
Exploration carotid artery 35701
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$1,580.60
|
|
Exploration maxillary sinus
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$5,855.00
|
|
Exploration maxillary sinus
|
$517.80 |
$517.80 |
$517.80 |
$4,362.99
|
|
Exploration of chest 39000
|
$963.00 |
$963.00 |
$963.00 |
$963.00
|
|
Exploration of chest 39010
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$1,920.00
|
|
Exploration of foot joint
|
$764.40 |
$764.40 |
$764.40 |
$3,832.27
|
|
Exploration of foot joint
|
$915.60 |
$915.60 |
$915.60 |
$3,786.00
|
|
Exploration of middle ear
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$3,837.72
|
|
Exploration of spinal fusion
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$1,975.20
|
|
Exploration/repair of rectum 45563
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$3,086.40
|