|
Excision nasal polyp(s) simple 30110
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$716.80 |
$716.80 |
$716.80 |
$3,823.00
|
|
Excision of bile duct cyst
|
$3,263.20 |
$3,263.20 |
$3,263.20 |
$3,263.20
|
|
Excision of bile duct tumor
|
$3,825.60 |
$3,825.60 |
$3,825.60 |
$3,825.60
|
|
Excision of bowel lesion(s)
|
$2,420.80 |
$2,420.80 |
$2,420.80 |
$2,420.80
|
|
Excision of esophagus lesion
|
$2,453.60 |
$2,453.60 |
$2,453.60 |
$3,908.80
|
|
Excision of gum lesion
|
$844.00 |
$844.00 |
$844.00 |
$1,944.80
|
|
Excision of gum lesion
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$7,000.36
|
|
Excision of gum lesion
|
$773.60 |
$773.60 |
$773.60 |
$4,560.40
|
|
Excision of gum lesion
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$6,547.81
|
|
Excision of gum lesion
|
$851.20 |
$851.20 |
$851.20 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$534.40 |
$534.40 |
$534.40 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$2,053.60 |
$2,053.60 |
$2,053.60 |
$1,621.80
|
|
Excision of lingual tonsil
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$6,465.11
|
|
Excision of meckels diverticulum 44800
|
$1,888.80 |
$1,888.80 |
$1,888.80 |
$1,373.40
|
|
Excision of mouth lesion complex 40816
|
$989.60 |
$989.60 |
$989.60 |
$4,627.00
|
|
Excision of neck cyst
|
$2,697.60 |
$2,697.60 |
$2,697.60 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$4,560.40
|
|
Excision of penis lesion(s) 54060
|
$464.80 |
$464.80 |
$464.80 |
$2,837.09
|
|
Excision of rectal lesion
|
$2,506.40 |
$2,506.40 |
$2,506.40 |
$3,816.64
|
|
Excision of rectal prolapse
|
$3,254.40 |
$3,254.40 |
$3,254.40 |
$3,254.40
|
|
Excision of rectal stricture
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$1,521.00
|
|
Excision of salivary cyst
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
$4,558.89
|
|
Excision of stomach lesion
|
$2,407.20 |
$2,407.20 |
$2,407.20 |
$1,494.24
|
|
Excision of stomach lesion
|
$3,000.80 |
$3,000.80 |
$3,000.80 |
$3,000.80
|
|
Excision of tongue lesion
|
$826.40 |
$826.40 |
$20,960.06 |
$3,837.72
|
|
Excision of tongue lesion
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$4,558.89
|
|
Excision of tongue lesion w/closure 41113
|
$899.20 |
$899.20 |
$899.20 |
$3,837.72
|
|
Excision of tonsil tags
|
$466.40 |
$466.40 |
$466.40 |
$4,350.00
|
|
Excision of umbilicus 49250
|
$1,445.60 |
$1,445.60 |
$1,445.60 |
$3,986.00
|
|
Excision of uvula
|
$689.60 |
$689.60 |
$689.60 |
$3,837.72
|
|
Excision of vaginal septum 57130
|
$509.60 |
$509.60 |
$509.60 |
$3,762.53
|
|
Excision olecranon bursa
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$3,591.33
|
|
Excision radial head
|
$2,507.20 |
$2,507.20 |
$2,507.20 |
$3,986.00
|
|
Excision tongue lesion without closure 41110
|
$540.80 |
$540.80 |
$540.80 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$1,150.40 |
$1,150.40 |
$18,018.03 |
$4,420.32
|
|
Excis partial tal calc
|
$3,372.80 |
$3,372.80 |
$3,372.80 |
$3,594.44
|
|
Excis uppr jaw cyst w/repair
|
$3,006.40 |
$3,006.40 |
$3,006.40 |
$6,839.00
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$3,361.60 |
$3,361.60 |
$3,361.60 |
$3,531.45
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$3,127.88
|
|
Exc les conjunctiva <1 cm
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$1,593.60 |
$1,593.60 |
$1,593.60 |
$2,760.73
|
|
Exc les conjunctiva adj scl
|
$2,699.20 |
$2,699.20 |
$2,699.20 |
$3,269.14
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$517.60 |
$517.60 |
$517.60 |
$3,104.42
|
|
Excl laa open any method 33267
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$2,592.00
|
|
Excl laa opn oth px any meth 33268
|
$324.00 |
$324.00 |
$324.00 |
$324.00
|
|
Excl laa thrscp any method
|
$2,050.40 |
$2,050.40 |
$2,050.40 |
$3,720.60
|
|
Exc malig feenl <0.5cm 11640
|
$497.60 |
$497.60 |
$497.60 |
$1,186.00
|
|
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 |
$19,518.33 |
$3,253.05
|
|
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 |
$736.00 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$483.20 |
$483.20 |
$12,832.95 |
$973.71
|
|
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
|
$607.20 |
$607.20 |
$12,293.79 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$692.80 |
$692.80 |
$21,313.56 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$770.40 |
$770.40 |
$770.40 |
$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 |
$3,813.50
|
|
Exc neck tum deep 5 cm/>
|
$1,793.60 |
$1,793.60 |
$1,793.60 |
$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 |
$2,701.60 |
$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 |
$5,419.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$758.40 |
$758.40 |
$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 |
$2,019.20 |
$4,119.00
|
|
Exc rect tum transanal part
|
$1,494.40 |
$1,494.40 |
$1,494.40 |
$3,786.00
|
|
Exc sac pr ulc prim str ostc
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
$3,994.09
|
|
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 |
$3,494.40
|
|
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 |
$12,364.23 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,000.80 |
$1,000.80 |
$20,229.20 |
$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
|
$1,091.20 |
$1,091.20 |
$18,058.62 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$4,160.80
|
|
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
|
$2,028.80 |
$2,028.80 |
$2,028.80 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$1,917.33
|
|
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 |
$2,797.08
|
|
Exc thigh/knee les sc<3cm 27327
|
$2,369.60 |
$2,369.60 |
$2,369.60 |
$3,229.48
|
|
Exc thigh/knee tum deep <5cm
|
$3,059.20 |
$3,059.20 |
$3,059.20 |
$3,306.79
|
|
Exc thigh/knee tum dep 5cm/>
|
$3,700.80 |
$3,700.80 |
$3,700.80 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$2,777.08 |
$2,777.08 |
$2,777.08 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$3,059.15
|
|
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 |
$3,425.00
|
|
Exc trchntr pr ulc flp clsr
|
$2,252.00 |
$2,252.00 |
$2,252.00 |
$2,837.09
|
