|
Excision nasal polyp(s) simple 30110
|
$424.80 |
$1,171.20 |
$1,171.20 |
|
|
Excision of anal lesion(s)
|
$429.60 |
$716.80 |
$42,215.55 |
|
|
Excision of bile duct cyst
|
$3,263.20 |
$3,263.20 |
$3,263.20 |
|
|
Excision of bile duct tumor
|
$3,825.60 |
$3,825.60 |
$3,825.60 |
|
|
Excision of bowel lesion(s)
|
$2,420.80 |
$2,420.80 |
$2,420.80 |
|
|
Excision of esophagus lesion
|
$2,453.60 |
$2,453.60 |
$2,453.60 |
|
|
Excision of gum lesion
|
$844.00 |
$844.00 |
$844.00 |
|
|
Excision of gum lesion
|
$1,244.00 |
$1,244.00 |
$45,136.60 |
|
|
Excision of gum lesion
|
$451.20 |
$773.60 |
$773.60 |
|
|
Excision of gum lesion
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
|
|
Excision of gum lesion
|
$851.20 |
$851.20 |
$851.20 |
|
|
Excision of gum lesion 41825
|
$384.60 |
$534.40 |
$5,655.14 |
|
|
Excision of lesion of mesentery 44820
|
$1,621.80 |
$2,053.60 |
$2,053.60 |
|
|
Excision of lingual tonsil
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
|
|
Excision of meckels diverticulum 44800
|
$1,373.40 |
$1,888.80 |
$1,888.80 |
|
|
Excision of mouth lesion complex 40816
|
$742.20 |
$989.60 |
$1,118.00 |
|
|
Excision of neck cyst
|
$1,048.80 |
$2,697.60 |
$36,218.93 |
|
|
Excision of neck cyst confined 42810
|
$729.60 |
$1,892.80 |
$26,928.52 |
|
|
Excision of penis lesion(s) 54060
|
$287.40 |
$464.80 |
$464.80 |
|
|
Excision of rectal lesion
|
$2,506.40 |
$2,506.40 |
$2,506.40 |
|
|
Excision of rectal prolapse
|
$3,254.40 |
$3,254.40 |
$3,254.40 |
|
|
Excision of rectal stricture
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
|
|
Excision of salivary cyst
|
$850.20 |
$1,302.40 |
$1,302.40 |
|
|
Excision of stomach lesion
|
$1,176.60 |
$2,407.20 |
$2,407.20 |
|
|
Excision of stomach lesion
|
$3,000.80 |
$3,000.80 |
$3,000.80 |
|
|
Excision of tongue lesion
|
$615.60 |
$826.40 |
$20,960.06 |
|
|
Excision of tongue lesion
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
|
|
Excision of tongue lesion w/closure 41113
|
$672.00 |
$899.20 |
$899.20 |
|
|
Excision of tonsil tags
|
$466.40 |
$466.40 |
$466.40 |
|
|
Excision of umbilicus 49250
|
$1,047.00 |
$1,445.60 |
$16,052.60 |
|
|
Excision of uvula
|
$475.20 |
$689.60 |
$689.60 |
|
|
Excision of vaginal septum 57130
|
$367.80 |
$509.60 |
$43,378.65 |
|
|
Excision olecranon bursa
|
$624.00 |
$1,736.00 |
$28,683.35 |
|
|
Excision radial head
|
$2,507.20 |
$2,507.20 |
$2,507.20 |
|
|
Excision tongue lesion without closure 41110
|
$396.00 |
$540.80 |
$5,460.00 |
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$852.00 |
$1,150.40 |
$29,702.68 |
|
|
Excis partial tal calc
|
$1,254.00 |
$3,372.80 |
$56,235.55 |
|
|
Excis uppr jaw cyst w/repair
|
$3,006.40 |
$3,006.40 |
$3,006.40 |
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$993.00 |
$3,361.60 |
$3,361.60 |
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$1,065.00 |
$2,296.00 |
$2,296.00 |
|
|
Exc les conjunctiva <1 cm
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
|
|
Exc les conjunctiva >1 cm
|
$1,593.60 |
$1,593.60 |
$1,593.60 |
|
|
Exc les conjunctiva adj scl
|
$2,699.20 |
$2,699.20 |
$2,699.20 |
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$378.60 |
$517.60 |
$1,038.66 |
|
|
Excl laa open any method 33267
|
$1,522.20 |
$2,592.00 |
$3,391.00 |
|
|
Excl laa opn oth px any meth 33268
|
$190.20 |
$324.00 |
$423.00 |
|
|
Excl laa thrscp any method
|
$2,050.40 |
$2,050.40 |
$2,682.00 |
|
|
Exc malig feenl <0.5cm 11640
|
$323.52 |
$497.60 |
$1,608.01 |
|
|
Exc malig feenl 1.1-2 11642
|
$492.00 |
$664.00 |
$1,090.40 |
|
|
Exc malig feenl 3.1-4.0 11644
|
$716.40 |
$964.00 |
$34,083.00 |
|
|
Exc malig feenl >4cm 11646
|
$935.40 |
$1,256.00 |
$19,518.33 |
|
|
Exc malig snhfg 0.5cm or less 11620
|
$347.40 |
$485.60 |
$607.60 |
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$294.24 |
$564.80 |
$34,894.70 |
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$543.00 |
$736.00 |
$3,110.90 |
|
|
Exc malig tal <0.5cm 11600
|
$294.24 |
$483.20 |
$12,832.95 |
|
|
Exc malig tal 0.6-1.0cm 11601
|
$295.68 |
$563.20 |
$758.00 |
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$294.24 |
$607.20 |
$12,293.79 |
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$510.00 |
$692.80 |
$21,313.56 |
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$565.20 |
$770.40 |
$8,460.30 |
|
|
Exc mandible 21025
|
$1,616.40 |
$2,060.80 |
$2,060.80 |
|
|
Exc neck tum deep < 5 cm
|
$697.44 |
$1,300.00 |
$17,331.90 |
|
|
Exc neck tum deep 5 cm/>
|
$860.16 |
$1,793.60 |
$4,315.80 |
|
|
Exc of facial bones/osteomy/abcess 21026
|
$1,114.80 |
$1,396.80 |
$1,396.80 |
|
|
Exc of rectal prlpse 45130
|
$1,580.40 |
$2,701.60 |
$3,936.00 |
|
|
Exc of residual cervix 57540
|
$1,445.40 |
$1,968.80 |
$1,968.80 |
|
|
Exc of residual cervix via aginal approach 57550
|
$840.60 |
$1,049.60 |
$1,049.60 |
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$486.24 |
$758.40 |
$30,668.93 |
|
|
Exc prtl bn phlnx toe
|
$866.40 |
$2,401.60 |
$40,972.40 |
|
|
Exc rect tum transanal full
|
$1,489.20 |
$2,019.20 |
$18,379.90 |
|
|
Exc rect tum transanal part
|
$821.76 |
$1,494.40 |
$8,227.00 |
|
|
Exc sac pr ulc prim str ostc
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
|
|
Exc sac pr ulc skn flp ostc
|
$2,844.00 |
$2,844.00 |
$2,844.00 |
|
|
Exc sacral pr ulc prim sutr
|
$913.44 |
$1,705.60 |
$1,705.60 |
|
|
Exc sacral pr ulc skn flap
|
$1,242.72 |
$2,322.40 |
$2,322.40 |
|
|
Exc shoulder tum deep < 5 cm
|
$976.80 |
$2,652.80 |
$2,652.80 |
|
|
Exc skn hdrdnt ax complex
|
$1,569.00 |
$2,475.20 |
$2,475.20 |
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$668.40 |
$1,982.40 |
$1,982.40 |
|
|
Exc skn hdrdnt ing complex
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$463.80 |
$627.20 |
$11,561.00 |
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$610.80 |
$832.00 |
$12,364.23 |
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$558.00 |
$1,000.80 |
$51,571.11 |
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$826.80 |
$2,310.40 |
$2,310.40 |
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$583.20 |
$1,091.20 |
$56,040.00 |
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$751.20 |
$1,044.80 |
$28,837.38 |
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$652.20 |
$2,475.20 |
$22,234.88 |
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$873.00 |
$2,473.60 |
$25,909.90 |
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$760.80 |
$2,028.80 |
$40,229.56 |
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$549.12 |
$2,056.00 |
$28,316.05 |
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$847.80 |
$2,049.60 |
$29,327.00 |
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$763.80 |
$1,024.80 |
$2,052.93 |
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$840.00 |
$2,292.80 |
$10,627.75 |
|
|
Exc tendon sheath or cap lesion 26160
|
$1,008.48 |
$1,396.00 |
$22,540.18 |
|
|
Exc thigh/knee les sc<3cm 27327
|
$810.60 |
$2,369.60 |
$5,760.00 |
|
|
Exc thigh/knee tum deep <5cm
|
$1,096.20 |
$3,059.20 |
$17,754.90 |
|
|
Exc thigh/knee tum dep 5cm/>
|
$1,320.60 |
$3,700.80 |
$3,700.80 |
|
|
Exc thrombosed hemorrhoid 46320
|
$326.40 |
$1,611.54 |
$3,846.79 |
|
|
Exc tmr sft tiss shldr subq <3cm
|
$789.00 |
$2,448.00 |
$2,448.00 |
|
|
Exc torus mandibularis 21031
|
$702.60 |
$1,926.40 |
$1,926.40 |
|
|
Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951
|
$1,590.60 |
$2,200.80 |
$2,200.80 |
|
|
Exc trchntr pr ulc flp clsr
|
$2,252.00 |
$2,252.00 |
$2,252.00 |
|