|
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 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
$1,898.50
|
|
Exc hand tum deep 1.5 cm/>
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$1,294.40 |
$1,294.40 |
$1,294.40 |
$2,391.84
|
|
Exchange biliary drg cath
|
$1,704.80 |
$1,704.80 |
$1,704.80 |
$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 |
$2,234.01
|
|
Exchange lens prosthesis
|
$4,504.00 |
$4,504.00 |
$4,504.00 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,752.00 |
$2,752.00 |
$2,752.00 |
$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 |
$4,311.38
|
|
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 |
$3,993.00
|
|
Excise inferior turbinate
|
$1,942.40 |
$1,942.40 |
$1,942.40 |
$3,786.00
|
|
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 |
$5,419.00
|
|
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 |
$5,855.00
|
|
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 |
$5,855.00
|
|
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 |
$899.64
|
|
Excise parotid gland/lesion
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$5,240.00 |
$5,240.00 |
$5,240.00 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$5,888.00 |
$5,888.00 |
$5,888.00 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$4,150.40 |
$4,150.40 |
$4,150.40 |
$6,560.64
|
|
Excise pharynx lesion
|
$563.20 |
$563.20 |
$563.20 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$707.20 |
$707.20 |
$707.20 |
$1,903.93
|
|
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 |
$420.80 |
$895.20
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,213.84 |
$1,213.84 |
$1,213.84 |
$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 |
$2,707.20 |
$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 |
$4,706.99
|
|
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 |
$3,821.05
|
|
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
|
|
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 |
$1,517.60
|
|
Excision of lingual tonsil
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$6,311.00
|
|
Excision of meckels diverticulum 44800
|
$1,888.80 |
$1,888.80 |
$1,888.80 |
$1,371.20
|
|
Excision of mouth lesion complex 40816
|
$989.60 |
$989.60 |
$989.60 |
$4,558.89
|
|
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 |
$1,395.28
|
|
Excision of salivary cyst
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
$4,350.00
|
