|
Evasc rpr ilio-iliac rpt
|
$6,577.20 |
$10,782.10 |
$13,252.80 |
|
|
Evasc st rpr thrc/aa acrs br
|
$5,510.00 |
$37,692.60 |
$37,703.40 |
|
|
Evasc st rpr thrc/aa x crsg
|
$4,380.00 |
$17,607.10 |
$32,048.40 |
|
|
Event monitor
|
$87.78 |
$368.90 |
$1,080.00 |
|
|
Evoked auditory tst complete
|
$107.58 |
$336.24 |
$636.60 |
|
|
Evoked oa emissions ltd
|
$95.40 |
$264.00 |
$672.48 |
|
|
Evoked potentials auditory screening automated analysis
|
$102.60 |
$379.20 |
$560.00 |
|
|
Evoked potentials upper limbs
|
$228.00 |
$987.00 |
$2,845.80 |
|
|
Evoked potential visual not glaucoma
|
$207.24 |
$1,025.76 |
$1,915.20 |
|
|
Evok oa screening qual
|
$43.20 |
$137.50 |
$220.29 |
|
|
Ewho w/joint(s) cf
|
$775.00 |
$775.00 |
$775.00 |
|
|
Exam of vagina w/scope 57420
|
$175.80 |
$393.40 |
$23,738.95 |
|
|
Exam pelvic add-on
|
$41.60 |
$50.00 |
$50.00 |
|
|
Exam plvc w/anes othr thn lcl
|
$237.00 |
$9,156.00 |
$17,192.27 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,020.60 |
$1,020.60 |
$2,668.80 |
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,321.80 |
$1,321.80 |
$3,412.80 |
|
|
Exc abd les sc 3 cm/>
|
$720.60 |
$7,265.30 |
$7,265.30 |
|
|
Exc abdl tum deep < 5 cm
|
$1,038.00 |
$1,038.00 |
$1,378.40 |
|
|
Exc abdl tum deep 5 cm/>
|
$1,267.80 |
$1,267.80 |
$6,181.92 |
|
|
Exc abd tum 5 cm or less 49203
|
$2,262.60 |
$2,262.60 |
$72,664.02 |
|
|
Exc abd tum over 10 cm 49205
|
$825.60 |
$825.60 |
$825.60 |
|
|
Exc arm/elbo les sc >=3cm 24071
|
$775.20 |
$5,856.90 |
$6,427.44 |
|
|
Exc arm/elbo les sc <3cm 24075
|
$926.40 |
$5,827.50 |
$5,827.50 |
|
|
Exc aurl glomus tum trnscanl
|
$5,099.20 |
$5,099.20 |
$39,292.40 |
|
|
Exc aurl glomus tum trnsmstd
|
$7,710.40 |
$7,710.40 |
$79,529.44 |
|
|
Exc back les sbq <3 cm 21930
|
$891.60 |
$6,570.20 |
$6,570.20 |
|
|
Exc back tum deep 5 cm/>
|
$1,407.00 |
$5,334.70 |
$5,334.70 |
|
|
Exc bartholins gland/cyst
|
$579.60 |
$18,897.76 |
$58,944.52 |
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$532.80 |
$696.80 |
$1,114.20 |
|
|
Exc benign feenlm >4.0cm 11446
|
$733.20 |
$960.80 |
$1,803.00 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$439.20 |
$5,852.00 |
$5,852.00 |
|
|
Exc benign tal 0.5 < cm 11400
|
$231.00 |
$591.20 |
$2,388.40 |
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$149.40 |
$577.80 |
$1,659.60 |
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$355.80 |
$468.00 |
$1,207.80 |
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$425.40 |
$556.00 |
$1,223.40 |
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$297.60 |
$1,521.30 |
$3,463.60 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$364.20 |
$1,114.20 |
$5,030.20 |
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$625.80 |
$6,308.40 |
$6,308.40 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$280.20 |
$855.00 |
$2,552.20 |
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$359.40 |
$1,519.92 |
$3,920.00 |
|
|
Exc breast duct fistula 19112
|
$905.40 |
$905.40 |
$2,235.20 |
|
|
Exc carotid body tumor without exc art 60600
|
$2,739.00 |
$2,739.00 |
$115,792.05 |
|
|
Exc cervix repair bowel 57556
|
$1,311.60 |
$1,311.60 |
$1,448.80 |
|
|
Exc cervix/repair pelvis 57545
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
|
|
Exc cervix/repair vagina 57555
|
$1,413.60 |
$1,413.60 |
$1,528.80 |
|
|
Exc chest wall tumor w/ribs 21601
|
$1,777.20 |
$1,777.20 |
$2,880.00 |
|
|
Exc ch wal tum without lymphadec
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
|
|
Exc ch wal tum w/lymphadec
|
$4,279.20 |
$4,279.20 |
$4,279.20 |
|
|
Exc coa rpr l subcl art/prst
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
|
|
Exc coa w/direct anastomosis
|
$1,761.60 |
$1,761.60 |
$1,761.60 |
|
|
Exc coccygl pr ulc flap clsr
|
$1,952.00 |
$1,952.00 |
$1,952.00 |
|
|
Exc coccygl pr ulc prim sutr
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$1,413.00 |
$1,413.00 |
$1,916.00 |
|
|
Exc/crtg b1 cst/b9 tum rds
|
$1,732.80 |
$1,732.80 |
$2,617.60 |
|
|
Exc/crtg b1 cst/tum hum agrf
|
$3,625.60 |
$3,625.60 |
$3,625.60 |
|
|
Exc/crtg b1 cst/tum hum algr
|
$4,235.20 |
$4,235.20 |
$4,235.20 |
|
|
Exc/crtg b1 cst/tum rds agrf
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
|
|
Exc/crtg b1 cst/tum rds algr
|
$3,190.40 |
$3,190.40 |
$3,190.40 |
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$966.60 |
$966.60 |
$1,091.20 |
|
|
Exc/curtg b1 cst/b9 tum hum
|
$915.00 |
$915.00 |
$2,886.40 |
|
|
Exc/destruct open intra-abd tumors cysts or endometriomas
|
$2,930.40 |
$2,930.40 |
$2,930.40 |
|
|
Exc excessive skin buttock
|
$2,309.60 |
$2,309.60 |
$2,309.60 |
|
|
Exc excessive skin hip
|
$4,404.80 |
$4,404.80 |
$4,404.80 |
|
|
Exc excessive skin leg
|
$4,321.60 |
$4,321.60 |
$4,321.60 |
|
|
Exc excessive skin thigh
|
$1,342.20 |
$1,342.20 |
$4,540.80 |
|
|
Exc excsv skin forearm/hand
|
$2,130.40 |
$2,130.40 |
$2,130.40 |
|
|
Exc excsv submental fat pad
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
|
|
Exc ext ear/partial/simple repair 69110
|
$887.40 |
$2,627.90 |
$22,768.44 |
|
|
Exc face tum deep < 2 cm
|
$1,010.40 |
$1,010.40 |
$1,300.80 |
|
|
Exc face tum deep 2cm/> 21014
|
$1,008.60 |
$1,008.60 |
$1,283.20 |
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$163.20 |
$452.40 |
$950.00 |
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$609.00 |
$1,041.00 |
$2,787.08 |
|
|
Exc foot/toe tum dep 1.5cm/>
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$558.00 |
$747.00 |
$4,985.12 |
|
|
Exc forearm les sc 3 cm/>
|
$813.00 |
$7,167.30 |
$7,167.30 |
|
|
Exc forearm tum deep < 3 cm
|
$982.80 |
$982.80 |
$2,547.20 |
|
|
Exc forearm tum deep 3 cm/>
|
$1,017.00 |
$1,017.00 |
$2,628.80 |
|
|
Exc hand les sc < 1.5 cm
|
$537.60 |
$1,005.00 |
$1,302.40 |
|
|
Exc hand tum deep 1.5 cm/>
|
$891.60 |
$891.60 |
$1,348.80 |
|
|
Exc hand tum deep < 1.5 cm 26116
|
$773.40 |
$773.40 |
$1,294.40 |
|
|
Exchange biliary drg cath
|
$1,451.10 |
$3,125.00 |
$11,136.10 |
|
|
Exchange blood transfusion newborn 36450
|
$250.80 |
$298.20 |
$1,114.56 |
|
|
Exchange drainage catheter
|
$1,070.00 |
$2,219.76 |
$10,575.21 |
|
|
Exchange lens prosthesis
|
$4,504.00 |
$23,581.93 |
$60,373.47 |
|
|
Exchange nephrostomy cath
|
$1,150.00 |
$1,990.00 |
$18,640.20 |
|
|
Exc hidradenitis ing simpl 11462
|
$693.60 |
$693.60 |
$1,932.80 |
|
|
Exc hidradenitis peri/umb comp 11471
|
$849.00 |
$849.00 |
$1,287.20 |
|
|
Exc hidradenitis peri/umb int 11470
|
$765.00 |
$765.00 |
$1,055.20 |
|
|
Exc hip/pelv tum deep < 5 cm
|
$1,622.40 |
$1,622.40 |
$2,987.20 |
|
|
Exc hip/pelv tum deep 5 cm/>
|
$2,040.60 |
$2,040.60 |
$3,630.40 |
|
|
Excimer lsr psriasis 250-500
|
$388.00 |
$388.00 |
$388.00 |
|
|
Excimer lsr psriasis<250sqcm
|
$353.60 |
$353.60 |
$353.60 |
|
|
Excimer lsr psriasis>500sqcm
|
$530.40 |
$530.40 |
$530.40 |
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,257.00 |
$1,257.00 |
$1,622.40 |
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$964.20 |
$964.20 |
$2,444.80 |
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$1,460.40 |
$1,460.40 |
$3,411.20 |
|
|
Exc intracard tumor/resect/bypass 33120
|
$4,030.20 |
$4,030.20 |
$53,358.68 |
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$3,145.20 |
$3,145.20 |
$4,017.60 |
|
|
Exc ischial pr ulc prim sutr
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
|
|
Exc isch pr ulc prm sut ostc
|
$2,252.80 |
$2,252.80 |
$2,252.80 |
|
