|
Excl laa opn oth px any meth 33268
|
$324.00 |
$324.00 |
$423.00 |
$277.76
|
|
Excl laa thrscp any method
|
$2,050.40 |
$2,050.40 |
$2,682.00 |
$3,720.60
|
|
Exc malig feenl <0.5cm 11640
|
$497.60 |
$497.60 |
$497.60 |
$1,168.92
|
|
Exc malig feenl 1.1-2 11642
|
$664.00 |
$664.00 |
$664.00 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$964.00 |
$964.00 |
$964.00 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$3,170.64
|
|
Exc malig snhfg 0.5cm or less 11620
|
$485.60 |
$485.60 |
$485.60 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$564.80 |
$564.80 |
$564.80 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$736.00 |
$736.00 |
$3,110.90 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$483.20 |
$483.20 |
$483.20 |
$924.50
|
|
Exc malig tal 0.6-1.0cm 11601
|
$563.20 |
$563.20 |
$563.20 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$534.00 |
$534.00 |
$607.20 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$692.80 |
$692.80 |
$1,004.25 |
$1,186.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,675.05 |
$1,675.05 |
$1,675.05 |
$1,294.80
|
|
Exc mandible 21025
|
$2,060.80 |
$2,060.80 |
$2,060.80 |
$6,289.53
|
|
Exc neck tum deep < 5 cm
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$3,677.10
|
|
Exc neck tum deep 5 cm/>
|
$1,793.60 |
$1,793.60 |
$2,501.00 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$5,753.00
|
|
Exc of rectal prlpse 45130
|
$2,701.60 |
$2,701.60 |
$3,936.00 |
$1,659.60
|
|
Exc of residual cervix 57540
|
$1,968.80 |
$1,968.80 |
$1,968.80 |
$1,517.40
|
|
Exc of residual cervix via aginal approach 57550
|
$1,049.60 |
$1,049.60 |
$1,049.60 |
$5,394.95
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$602.00 |
$602.00 |
$758.40 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$2,401.60 |
$2,401.60 |
$2,401.60 |
$3,839.54
|
|
Exc rect tum transanal full
|
$2,019.20 |
$2,019.20 |
$18,379.90 |
$3,816.64
|
|
Exc rect tum transanal part
|
$1,494.40 |
$1,494.40 |
$2,249.00 |
$3,245.23
|
|
Exc sac pr ulc prim str ostc
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
$3,786.00
|
|
Exc sac pr ulc skn flp ostc
|
$2,844.00 |
$2,844.00 |
$2,844.00 |
$4,332.25
|
|
Exc sacral pr ulc prim sutr
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$3,386.84
|
|
Exc sacral pr ulc skn flap
|
$2,322.40 |
$2,322.40 |
$2,322.40 |
$4,332.25
|
|
Exc shoulder tum deep < 5 cm
|
$2,652.80 |
$2,652.80 |
$2,652.80 |
$3,849.30
|
|
Exc skn hdrdnt ax complex
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$3,386.84
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$3,994.09
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$627.20 |
$627.20 |
$627.20 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$832.00 |
$832.00 |
$832.00 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$558.00 |
$558.00 |
$1,000.80 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$2,310.40 |
$2,310.40 |
$2,310.40 |
$2,937.55
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$4,198.32 |
$4,198.32 |
$17,890.00 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$1,057.00 |
$1,057.00 |
$3,140.96 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$3,994.09
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,473.60 |
$2,473.60 |
$2,473.60 |
$2,924.22
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$1,858.00 |
$1,858.00 |
$2,071.53 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$1,436.00 |
$1,436.00 |
$2,056.00 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$2,071.53 |
$2,071.53 |
$29,327.00 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$2,052.93 |
$2,052.93 |
$2,052.93 |
$1,908.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$2,292.80 |
$2,292.80 |
$2,292.80 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$2,688.50
|
|
Exc thigh/knee les sc<3cm 27327
|
$2,369.60 |
$2,369.60 |
$3,744.00 |
$3,207.00
|
|
Exc thigh/knee tum deep <5cm
|
$3,059.20 |
$3,059.20 |
$3,059.20 |
$3,170.64
|
|
Exc thigh/knee tum dep 5cm/>
|
$3,700.80 |
$3,700.80 |
$3,700.80 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$2,004.00 |
$2,004.00 |
$2,091.28 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$1,129.00 |
$1,129.00 |
$2,448.00 |
$2,776.16
|
|
Exc torus mandibularis 21031
|
$1,926.40 |
$1,926.40 |
$1,926.40 |
$3,837.72
|
|
Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
$3,386.84
|
|
Exc trchntr pr ulc flp clsr
|
$2,252.00 |
$2,252.00 |
$2,252.00 |
$2,837.09
|
|
Exc trchntr pr ulc flp ostc
|
$2,480.00 |
$2,480.00 |
$2,480.00 |
$4,332.25
|
|
Exc trchntr pr ulc prep flap
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$2,872.80
|
|
Exc trchntr pr ulc prep ostc
|
$2,911.20 |
$2,911.20 |
$3,858.00 |
$4,332.25
|
|
Exc trchntr pr ulc prim sutr
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$2,087.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,033.00 |
$1,033.00 |
$1,100.80 |
$2,049.60
|
|
Exc/unroofing cyst kidney
|
$4,817.60 |
$4,817.60 |
$4,817.60 |
$4,443.40
|
|
Exc vagina lesion 57135
|
$3,990.96 |
$3,990.96 |
$3,990.96 |
$4,292.17
|
|
Exercise tst brncspsm w/ecg
|
$198.40 |
$198.40 |
$198.40 |
$324.00
|
|
Exercise tst brncspsm wo ecg
|
$120.16 |
$120.16 |
$120.16 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$528.00 |
$528.00 |
$528.00 |
$901.60
|
|
Exhaled breath condensate
|
$24.80 |
$24.80 |
$24.80 |
$24.80
|
|
Exome re-evaluation
|
$640.00 |
$640.00 |
$640.00 |
$441.60
|
|
Exome sequence analysis
|
$9,560.00 |
$9,560.00 |
$9,560.00 |
$5,258.00
|
|
Exome sequence analysis
|
$24,000.00 |
$24,000.00 |
$24,000.00 |
$12,000.00
|
|
Ex palate/uvula lesion without closure 42104
|
$533.60 |
$533.60 |
$533.60 |
$3,837.72
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$5,257.76 |
$5,257.76 |
$49,715.25 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,952.42 |
$2,952.42 |
$5,419.34 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,889.60 |
$1,889.60 |
$2,755.00 |
$2,232.75
|
|
Exploration carotid artery 35701
|
$2,177.60 |
$2,177.60 |
$2,177.60 |
$1,119.00
|
|
Exploration for testis
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$4,156.03
|
|
Exploration for testis
|
$3,468.80 |
$3,468.80 |
$3,468.80 |
$3,468.80
|
|
Exploration maxillary sinus
|
$3,195.20 |
$3,195.20 |
$3,195.20 |
$5,741.00
|
|
Exploration maxillary sinus
|
$897.60 |
$897.60 |
$30,794.80 |
$4,362.99
|
|
Exploration of ankle joint
|
$2,780.80 |
$2,780.80 |
$2,780.80 |
$3,931.12
|
|
Exploration of bile ducts
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$2,589.60
|
|
Exploration of chest 39000
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$963.00
|
|
Exploration of chest 39010
|
$1,920.00 |
$1,920.00 |
$2,327.00 |
$1,920.00
|
|
Exploration of foot joint
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$3,832.27
|
|
Exploration of foot joint
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$3,594.44
|
|
Exploration of frontal sinus
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$4,555.73
|
|
Exploration of frontal sinus
|
$3,944.00 |
$3,944.00 |
$3,944.00 |
$6,553.49
|
|
Exploration of knee joint
|
$3,596.80 |
$3,596.80 |
$3,596.80 |
$4,192.86
|
|
Exploration of middle ear
|
$3,366.40 |
$3,366.40 |
$3,366.40 |
$3,837.72
|
|
Exploration of sinuses
|
$5,233.60 |
$5,233.60 |
$5,233.60 |
$5,233.60
|
|
Exploration of spinal fusion
|
$1,975.20 |
$1,975.20 |
$1,975.20 |
$1,975.20
|
|
Exploration of toe joint
|
$1,143.20 |
$1,143.20 |
$1,143.20 |
$2,211.05
|
|
Exploration/repair of rectum
|
$2,780.00 |
$2,780.00 |
$2,780.00 |
$2,601.06
|
|
Exploration retroperitoneal area 49010
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,701.00
|
|
Exploratory heart surgery 33310
|
$2,852.00 |
$2,852.00 |
$2,852.00 |
$2,852.00
|
|
Exploratory heart surgery 33315
|
$4,671.20 |
$4,671.20 |
$4,671.20 |
$4,671.20
|
|
Explore adrenal gland w or without biopsy 60540
|
$5,286.40 |
$5,286.40 |
$5,286.40 |
$2,228.80
|
|
Explore/biopsy eye socket
|
$4,870.40 |
$4,870.40 |
$4,870.40 |
$4,870.40
|
|
Explore/biopsy eye socket
|
$6,563.20 |
$6,563.20 |
$6,563.20 |
$5,855.00
|
|
Explore chest vessels 35820
|
$4,912.80 |
$4,912.80 |
$6,515.00 |
$3,705.60
|
|
Explore deep node(s) neck
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$6,224.40
|
