|
Exc hand tum deep 1.5 cm/>
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,391.84
|
|
Exchange biliary drg cath
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$3,872.60
|
|
Exchange blood transfusion newborn 36450
|
$606.63 |
$606.63 |
$606.63 |
$566.55
|
|
Exchange drainage catheter
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,234.01
|
|
Exchange lens prosthesis
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$275.88 |
$275.88 |
$275.88 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$275.88 |
$275.88 |
$275.88 |
$341.00
|
|
Excimer lsr psriasis>500sqcm
|
$558.97 |
$558.97 |
$558.97 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$2,966.52 |
$2,966.52 |
$2,966.52 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,986.00
|
|
Exc isch pr ulc skn flp clsr
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,311.38
|
|
Exc isch pr ulc skn flp ostc
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$4,118.00
|
|
Excise anal ext tag/papilla
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,272.02
|
|
Excise epiphyseal bar
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,947.20
|
|
Excise foot tendon sheath
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,786.00
|
|
Excise foot tendon sheath
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Excise ileoanal reservior
|
$2,369.34 |
$2,369.34 |
$2,369.34 |
$2,369.34
|
|
Excise inferior turbinate
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,592.74
|
|
Excise intestine lesion(s) 44110
|
$1,189.50 |
$1,189.50 |
$1,189.50 |
$1,600.80
|
|
Excise intraspinl lesion crv
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,419.00
|
|
Excise intrspinl lesion crvl
|
$3,149.13 |
$3,149.13 |
$3,149.13 |
$4,875.20
|
|
Excise intrspinl lesion lmbr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$2,829.70 |
$2,829.70 |
$2,829.70 |
$2,888.61
|
|
Excise intrspinl lesion scrl
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,741.00
|
|
Excise intrspinl lesion scrl
|
$2,841.38 |
$2,841.38 |
$2,841.38 |
$4,381.60
|
|
Excise intrspinl lesion thrc
|
$3,127.44 |
$3,127.44 |
$3,127.44 |
$4,874.40
|
|
Excise lesion testis
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Excise lip or cheek fold
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,219.35
|
|
Excise mandible lesion
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,588.00
|
|
Excise max/zygoma mal tumor
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,517.80
|
|
Excise oral mucosa for graft 40818
|
$741.60 |
$741.60 |
$741.60 |
$899.64
|
|
Excise parotid gland/lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$1,704.08 |
$1,704.08 |
$1,704.08 |
$1,704.08
|
|
Excise pharynx lesion
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,903.93
|
|
Excise sacral spine tumor
|
$2,995.90 |
$2,995.90 |
$2,995.90 |
$5,464.80
|
|
Excise sublingual gland
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$5,678.40
|
|
Excise submaxillary gland
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Excise wrist tendon sheath
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$220.58 |
$220.58 |
$220.58 |
$761.80
|
|
Excision aural polyp
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$973.71 |
$973.71 |
$973.71 |
$895.20
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$973.71 |
$973.71 |
$973.71 |
$1,074.00
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,865.00
|
|
Excision breast lesion
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,064.45
|
|
Excision coa w/graft
|
$1,923.76 |
$1,923.76 |
$1,923.76 |
$1,923.76
|
|
Excision floor mouth lesion 41116
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,892.91
|
|
Excision graft abdomen
|
$2,660.42 |
$2,660.42 |
$2,660.42 |
$4,638.40
|
|
Excision graft extremity
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,706.99
|
|
Excision graft neck
|
$666.77 |
$666.77 |
$666.77 |
$1,148.00
|
|
Excision graft thorax 35905
|
$2,362.96 |
$2,362.96 |
$2,362.96 |
$2,362.96
|
|
Excision gum each quadrant
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,560.40
|
|
Excision hand/finger tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Excision lesion mouth roof
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Excision lesion mouth roof
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,823.00
|
|
Excision of bile duct cyst
|
$1,890.12 |
$1,890.12 |
$1,890.12 |
$3,263.20
|
|
Excision of bile duct tumor
|
$2,178.41 |
$2,178.41 |
$2,178.41 |
$3,825.60
|
|
Excision of bile duct tumor
|
$2,813.24 |
$2,813.24 |
$2,813.24 |
$2,813.24
|
|
Excision of bowel lesion(s)
|
$1,345.83 |
$1,345.83 |
$1,345.83 |
$2,420.80
|
|
Excision of brain tumor
|
$4,794.16 |
$4,794.16 |
$4,794.16 |
$4,794.16
|
|
Excision of esophagus lesion
|
$803.66 |
$803.66 |
$803.66 |
$803.66
|
|
Excision of esophagus lesion
|
$1,456.01 |
$1,456.01 |
$1,456.01 |
$3,908.80
|
|
Excision of gum flap
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$2,000.80
|
|
Excision of gum lesion
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,944.80
|
|
Excision of gum lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Excision of gum lesion
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,560.40
|
|
Excision of gum lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Excision of gum lesion
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$1,216.99 |
$1,216.99 |
$1,216.99 |
$1,517.60
|
|
Excision of lingual tonsil
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$5,855.00
|
|
Excision of meckels diverticulum 44800
|
$1,100.90 |
$1,100.90 |
$1,100.90 |
$1,361.16
|
|
Excision of mouth lesion complex 40816
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,558.89
|
|
Excision of neck cyst
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,560.40
|
|
Excision of penis lesion(s) 54060
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,837.09
|
|
Excision of rectal lesion
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,816.64
|
|
Excision of rectal prolapse
|
$1,732.01 |
$1,732.01 |
$1,732.01 |
$3,254.40
|
