|
Evasc rpr a-ao ndgft 34701
|
$2,340.00 |
$2,340.00 |
$2,457.00 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,678.40 |
$2,678.40 |
$2,812.20 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$3,469.80 |
$3,469.80 |
$3,469.80 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$644.40 |
$644.40 |
$676.80 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,996.20 |
$1,996.20 |
$2,095.80 |
$5,741.00
|
|
Event monitor
|
$195.00 |
$195.00 |
$217.80 |
$231.00
|
|
Evoked oa emissions ltd
|
$90.60 |
$90.60 |
$95.40 |
$244.00
|
|
Evoked potentials upper limbs
|
$392.40 |
$392.40 |
$436.80 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$310.20 |
$310.20 |
$345.60 |
$814.61
|
|
Evok oa screening qual
|
$38.40 |
$38.40 |
$43.20 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$167.40 |
$167.40 |
$175.80 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$225.60 |
$225.60 |
$237.00 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$972.00 |
$972.00 |
$1,020.60 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,258.80 |
$1,258.80 |
$1,321.80 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$686.40 |
$686.40 |
$720.60 |
$3,994.09
|
|
Exc abdl tum deep < 5 cm
|
$988.80 |
$988.80 |
$1,038.00 |
$3,786.00
|
|
Exc abdl tum deep 5 cm/>
|
$1,207.20 |
$1,207.20 |
$1,267.80 |
$3,386.84
|
|
Exc abd tum 5 cm or less 49203
|
$2,154.60 |
$2,154.60 |
$2,262.60 |
$8,134.51
|
|
Exc abd tum over 10 cm 49205
|
$786.00 |
$786.00 |
$825.60 |
$825.60
|
|
Exc arm/elbo les sc >=3cm 24071
|
$738.00 |
$738.00 |
$775.20 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$882.00 |
$882.00 |
$926.40 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$849.00 |
$849.00 |
$891.60 |
$2,711.00
|
|
Exc back tum deep 5 cm/>
|
$1,339.80 |
$1,339.80 |
$4,315.80 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$552.00 |
$552.00 |
$579.60 |
$3,902.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$507.60 |
$507.60 |
$2,443.20 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$698.40 |
$698.40 |
$4,314.60 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$418.20 |
$418.20 |
$2,329.80 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$358.80 |
$358.80 |
$414.60 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$240.60 |
$240.60 |
$972.00 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$339.00 |
$339.00 |
$1,011.60 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$405.00 |
$405.00 |
$2,443.20 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$283.20 |
$283.20 |
$1,011.60 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$363.00 |
$363.00 |
$381.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$595.80 |
$595.80 |
$4,315.80 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$387.60 |
$387.60 |
$448.20 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$342.00 |
$342.00 |
$972.00 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$862.20 |
$862.20 |
$905.40 |
$4,238.48
|
|
Exc carotid body tumor without exc art 60600
|
$2,608.80 |
$2,608.80 |
$2,739.00 |
$3,356.80
|
|
Exc cervix repair bowel 57556
|
$1,249.20 |
$1,249.20 |
$1,311.60 |
$5,841.60
|
|
Exc cervix/repair pelvis 57545
|
$1,525.80 |
$1,525.80 |
$1,602.00 |
$1,525.80
|
|
Exc cervix/repair vagina 57555
|
$1,346.40 |
$1,346.40 |
$1,413.60 |
$5,468.70
|
|
Exc chest wall tumor w/ribs 21601
|
$1,692.60 |
$1,692.60 |
$1,777.20 |
$3,386.84
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$1,345.80 |
$1,345.80 |
$1,413.00 |
$3,839.54
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$920.40 |
$920.40 |
$966.60 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$915.00 |
$915.00 |
$915.00 |
$3,839.54
|
|
Exc/destruct open intra-abd tumors cysts or endometriomas
|
$2,790.60 |
$2,790.60 |
$2,930.40 |
$2,930.40
|
|
Exc excessive skin thigh
|
$1,342.20 |
$1,342.20 |
$1,342.20 |
$4,540.80
|
|
Exc ext ear/partial/simple repair 69110
|
$845.40 |
$845.40 |
$887.40 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$962.40 |
$962.40 |
$2,443.20 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$960.60 |
$960.60 |
$4,315.80 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$430.20 |
$430.20 |
$1,061.40 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$580.20 |
$580.20 |
$2,329.80 |
$2,101.45
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$711.60 |
$711.60 |
$747.00 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$774.00 |
$774.00 |
$813.00 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$936.00 |
$936.00 |
$982.80 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$968.40 |
$968.40 |
$1,017.00 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$957.00 |
$957.00 |
$1,005.00 |
$1,908.09
|
|
Exc hand tum deep < 1.5 cm 26116
|
$736.80 |
$736.80 |
$773.40 |
$2,391.84
|
|
Exchange blood transfusion newborn 36450
|
$283.80 |
$283.80 |
$298.20 |
$566.55
|
|
Exchange drainage catheter
|
$1,440.00 |
$1,440.00 |
$1,663.20 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$3,212.40 |
$3,212.40 |
$3,710.40 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$660.60 |
$660.60 |
$693.60 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$808.80 |
$808.80 |
$849.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$728.40 |
$728.40 |
$765.00 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$1,545.00 |
$1,545.00 |
$1,622.40 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$1,943.40 |
$1,943.40 |
$2,040.60 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,197.00 |
$1,197.00 |
$4,315.80 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$918.00 |
$918.00 |
$964.20 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$1,390.80 |
$1,390.80 |
$1,460.40 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$3,838.20 |
$3,838.20 |
$4,030.20 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$2,995.20 |
$2,995.20 |
$3,145.20 |
$4,017.60
|
|
Excise anal ext tag/papilla
|
$365.40 |
$365.40 |
$383.40 |
$2,272.02
|
|
Excise inferior turbinate
|
$702.60 |
$702.60 |
$738.00 |
$3,819.23
|
|
Excise intestine lesion(s) 44110
|
$1,524.60 |
$1,524.60 |
$1,600.80 |
$1,600.80
|
|
Excise intrspinl lesion lmbr
|
$2,791.80 |
$2,791.80 |
$2,931.60 |
$6,311.00
|
|
Excise lip or cheek fold
|
$563.40 |
$563.40 |
$591.60 |
$1,855.10
|
|
Excise oral mucosa for graft 40818
|
$655.80 |
$655.80 |
$688.80 |
$904.80
|
|
Excise parotid gland/lesion
|
$1,162.80 |
$1,162.80 |
$1,221.00 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$1,995.60 |
$1,995.60 |
$2,095.20 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$2,245.80 |
$2,245.80 |
$2,358.00 |
$6,839.00
|
|
Excise pharynx lesion
|
$427.20 |
$427.20 |
$448.80 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$525.60 |
$525.60 |
$552.00 |
$1,915.20
|
|
Excise sublingual gland
|
$846.00 |
$846.00 |
$888.60 |
$5,678.40
|
|
Excise submaxillary gland
|
$1,027.80 |
$1,027.80 |
$1,079.40 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$789.00 |
$789.00 |
$828.60 |
$3,322.80
|
|
Excise wrist tendon sheath
|
$540.00 |
$540.00 |
$540.00 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$289.20 |
$289.20 |
$303.60 |
$761.80
|
|
Excision aural polyp
|
$391.80 |
$391.80 |
$411.60 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$301.80 |
$301.80 |
$316.80 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$313.80 |
$313.80 |
$2,329.80 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$397.80 |
$397.80 |
$459.60 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$553.20 |
$553.20 |
$2,329.80 |
$2,865.00
|
|
Excision breast lesion
|
$964.20 |
$964.20 |
$1,012.20 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$610.80 |
$610.80 |
$641.40 |
$3,892.91
|
|
Excision graft extremity
|
$1,077.60 |
$1,077.60 |
$1,131.60 |
$4,881.00
|
|
Excision graft thorax 35905
|
$3,229.20 |
$3,229.20 |
$3,390.60 |
$2,362.96
|
|
Excision nasal polyp(s) simple 30110
|
$424.80 |
$424.80 |
$445.80 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$472.80 |
$472.80 |
$496.20 |
$3,823.00
|
|
Excision of gum lesion
|
$451.20 |
$451.20 |
$474.00 |
$4,560.40
|
|
Excision of gum lesion 41825
|
$384.60 |
$384.60 |
$403.80 |
$4,007.22
|
