|
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 |
$6,517.80
|
|
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 |
$6,583.24
|
|
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 |
$6,553.49
|
|
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 |
$3,307.66
|
|
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
|
$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 |
$1,074.00
|
|
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 |
$5,855.00
|
|
Excision of meckels diverticulum 44800
|
$1,888.80 |
$1,888.80 |
$1,888.80 |
$1,361.16
|
|
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 |
$3,986.00
|
|
Excision of stomach lesion
|
$2,407.20 |
$2,407.20 |
$2,407.20 |
$1,385.93
|
|
Excision of stomach lesion
|
$3,000.80 |
$3,000.80 |
$3,000.80 |
$2,708.64
|
|
Excision of tongue lesion
|
$826.40 |
$826.40 |
$826.40 |
$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 |
$3,909.56
|
|
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 |
$3,545.97
|
|
Excision radial head
|
$2,507.20 |
$2,507.20 |
$2,507.20 |
$3,839.54
|
|
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 |
$1,150.40 |
$4,350.00
|
|
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 |
$6,553.49
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$3,361.60 |
$3,361.60 |
$3,361.60 |
$3,386.84
|
|
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 |
$2,760.73
|
|
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 |
$277.76
|
|
Excl laa thrscp any method
|
$2,050.40 |
$2,050.40 |
$2,050.40 |
$3,720.60
|
|
Exc malig feenl <0.5cm 11640
|
$1,608.01 |
$1,608.01 |
$1,608.01 |
$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 |
$736.00 |
$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
|
$607.20 |
$607.20 |
$607.20 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$692.80 |
$692.80 |
$692.80 |
$1,186.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,348.67 |
$1,348.67 |
$1,348.67 |
$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 |
$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 |
$5,394.95
|
|
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 |
$3,816.64
|
|
Exc rect tum transanal part
|
$1,494.40 |
$1,494.40 |
$1,494.40 |
$3,245.23
|
|
Exc sac pr ulc prim str ostc
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
$3,786.00
|
