|
Exc ch wal tum without lymphadec
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
$3,872.00
|
|
Exc ch wal tum w/lymphadec
|
$4,279.20 |
$4,279.20 |
$4,279.20 |
$4,279.20
|
|
Exc coccygl pr ulc flap clsr
|
$1,952.00 |
$1,952.00 |
$1,952.00 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$3,839.54
|
|
Exc/crtg b1 cst/b9 tum rds
|
$2,617.60 |
$2,617.60 |
$2,617.60 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$3,625.60 |
$3,625.60 |
$3,625.60 |
$7,907.11
|
|
Exc/crtg b1 cst/tum hum algr
|
$4,235.20 |
$4,235.20 |
$4,235.20 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds agrf
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$3,986.00
|
|
Exc/crtg b1 cst/tum rds algr
|
$3,190.40 |
$3,190.40 |
$3,190.40 |
$7,907.11
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$2,886.40 |
$2,886.40 |
$2,886.40 |
$3,839.54
|
|
Exc excessive skin buttock
|
$2,309.60 |
$2,309.60 |
$2,309.60 |
$3,386.84
|
|
Exc excessive skin hip
|
$4,404.80 |
$4,404.80 |
$4,404.80 |
$4,350.00
|
|
Exc excessive skin leg
|
$4,321.60 |
$4,321.60 |
$4,321.60 |
$4,321.60
|
|
Exc excessive skin thigh
|
$4,540.80 |
$4,540.80 |
$4,540.80 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$2,130.40 |
$2,130.40 |
$2,130.40 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$2,259.20 |
$2,259.20 |
$2,259.20 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$584.80 |
$584.80 |
$584.80 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$782.40 |
$782.40 |
$782.40 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$1,968.00 |
$1,968.00 |
$1,968.00 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$2,078.40 |
$2,078.40 |
$2,078.40 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$2,547.20 |
$2,547.20 |
$2,547.20 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$2,628.80 |
$2,628.80 |
$2,628.80 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
$1,908.09
|
|
Exc hand tum deep 1.5 cm/>
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$2,391.84
|
|
Exc hand tum deep < 1.5 cm 26116
|
$1,294.40 |
$1,294.40 |
$1,294.40 |
$2,391.84
|
|
Exchange biliary drg cath
|
$4,289.35 |
$4,289.35 |
$5,186.80 |
$3,856.84
|
|
Exchange blood transfusion newborn 36450
|
$440.80 |
$440.80 |
$440.80 |
$566.55
|
|
Exchange drainage catheter
|
$1,455.20 |
$1,455.20 |
$1,455.20 |
$2,220.54
|
|
Exchange lens prosthesis
|
$4,504.00 |
$4,504.00 |
$4,504.00 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$3,507.06 |
$3,507.06 |
$3,694.55 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$1,932.80 |
$1,932.80 |
$1,932.80 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$1,287.20 |
$1,287.20 |
$1,287.20 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$1,055.20 |
$1,055.20 |
$1,055.20 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$2,987.20 |
$2,987.20 |
$2,987.20 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$3,630.40 |
$3,630.40 |
$3,630.40 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$388.00 |
$388.00 |
$388.00 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$353.60 |
$353.60 |
$353.60 |
$347.88
|
|
Excimer lsr psriasis>500sqcm
|
$530.40 |
$530.40 |
$530.40 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$2,444.80 |
$2,444.80 |
$2,444.80 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$5,114.40 |
$5,114.40 |
$5,114.40 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$4,017.60 |
$4,017.60 |
$4,017.60 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$2,252.80 |
$2,252.80 |
$2,252.80 |
$3,994.09
|
|
Exc isch pr ulc skn flp clsr
|
$2,241.60 |
$2,241.60 |
$2,241.60 |
$4,332.25
|
|
Exc isch pr ulc skn flp ostc
|
$2,508.80 |
$2,508.80 |
$2,508.80 |
$4,144.66
|
|
Excise anal ext tag/papilla
|
$559.20 |
$559.20 |
$559.20 |
$2,272.02
|
|
Excise epiphyseal bar
|
$4,947.20 |
$4,947.20 |
$4,947.20 |
$4,947.20
|
|
Excise foot tendon sheath
|
$2,667.20 |
$2,667.20 |
$2,667.20 |
$3,821.05
|
|
Excise foot tendon sheath
|
$2,161.60 |
$2,161.60 |
$2,161.60 |
$3,839.54
|
|
Excise ileoanal reservior
|
$4,510.40 |
$4,510.40 |
$4,510.40 |
$4,510.40
|
|
Excise inferior turbinate
|
$1,942.40 |
$1,942.40 |
$1,942.40 |
$3,819.23
|
|
Excise intestine lesion(s) 44110
|
$2,086.40 |
$2,086.40 |
$2,086.40 |
$1,600.80
|
|
Excise intraspinl lesion crv
|
$3,952.00 |
$3,952.00 |
$3,952.00 |
$5,741.00
|
|
Excise intrspinl lesion crvl
|
$4,875.20 |
$4,875.20 |
$4,875.20 |
$4,875.20
|
|
Excise intrspinl lesion lmbr
|
$3,273.60 |
$3,273.60 |
$3,273.60 |
$6,311.00
|
|
Excise intrspinl lesion lmbr
|
$4,479.20 |
$4,479.20 |
$4,479.20 |
$4,479.20
|
|
Excise intrspinl lesion scrl
|
$3,365.60 |
$3,365.60 |
$3,365.60 |
$6,311.00
|
|
Excise intrspinl lesion scrl
|
$4,381.60 |
$4,381.60 |
$4,381.60 |
$4,381.60
|
|
Excise intrspinl lesion thrc
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
$4,874.40
|
|
Excise lesion testis
|
$2,715.20 |
$2,715.20 |
$2,715.20 |
$4,081.37
|
|
Excise lip or cheek fold
|
$699.20 |
$699.20 |
$699.20 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$3,208.00 |
$3,208.00 |
$3,208.00 |
$6,219.35
|
|
Excise mandible lesion
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$3,592.74
|
|
Excise max/zygoma b9 tumor
|
$2,443.20 |
$2,443.20 |
$2,443.20 |
$6,588.00
|
|
Excise max/zygoma mal tumor
|
$3,219.20 |
$3,219.20 |
$3,219.20 |
$6,547.81
|
|
Excise oral mucosa for graft 40818
|
$904.80 |
$904.80 |
$904.80 |
$904.80
|
|
Excise parotid gland/lesion
|
$3,091.20 |
$3,091.20 |
$23,471.77 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$5,240.00 |
$5,240.00 |
$28,895.92 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$5,888.00 |
$5,888.00 |
$5,888.00 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$4,150.40 |
$4,150.40 |
$4,150.40 |
$6,839.00
|
|
Excise pharynx lesion
|
$563.20 |
$563.20 |
$563.20 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$707.20 |
$707.20 |
$707.20 |
$1,915.20
|
|
Excise sacral spine tumor
|
$5,464.80 |
$5,464.80 |
$5,464.80 |
$5,464.80
|
|
Excise sublingual gland
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$5,678.40
|
|
Excise submaxillary gland
|
$2,043.20 |
$2,043.20 |
$2,043.20 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$1,116.80 |
$1,116.80 |
$1,116.80 |
$3,322.80
|
|
Excise tendon forearm/wrist
|
$2,648.00 |
$2,648.00 |
$2,648.00 |
$3,839.54
|
|
Excise wrist tendon sheath
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$394.40 |
$394.40 |
$394.40 |
$761.80
|
|
Excision aural polyp
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$420.80 |
$420.80 |
$14,485.61 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$440.00 |
$440.00 |
$440.00 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$416.00 |
$416.00 |
$416.00 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$775.20 |
$775.20 |
$775.20 |
$2,865.00
|
|
Excision breast lesion
|
$2,707.20 |
$2,707.20 |
$23,399.10 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$818.40 |
$818.40 |
$818.40 |
$3,892.91
|
|
Excision graft abdomen
|
$4,638.40 |
$4,638.40 |
$4,638.40 |
$4,638.40
|
|
Excision graft extremity
|
$1,379.20 |
$1,379.20 |
$1,379.20 |
$4,881.00
|
|
Excision graft neck
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$1,148.00
|
|
Excision hand/finger tendon
|
$2,024.80 |
$2,024.80 |
$2,024.80 |
$3,839.54
|
|
Excision lesion mouth roof
|
$658.40 |
$658.40 |
$658.40 |
$3,837.72
|
|
Excision lesion mouth roof
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$6,465.11
|
