|
Eval/fit voice prosthesis iii, st
|
$440.00 |
$440.00 |
$440.00 |
$359.50
|
|
Evaluation of speech fluency 92521
|
$370.40 |
$370.40 |
$370.40 |
$302.50
|
|
Evasc rpr a-ao ndgft 34701
|
$14,881.60 |
$14,881.60 |
$14,881.60 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$19,524.80 |
$19,524.80 |
$19,524.80 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$25,252.00 |
$25,252.00 |
$25,252.00 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$25,625.60 |
$25,625.60 |
$25,625.60 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$17,829.60 |
$17,829.60 |
$17,829.60 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$22,957.60 |
$22,957.60 |
$22,957.60 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$16,714.40 |
$16,714.40 |
$16,714.40 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$22,156.80 |
$22,156.80 |
$22,156.80 |
$7,922.00
|
|
Event monitor
|
$197.60 |
$197.60 |
$197.60 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$362.40 |
$362.40 |
$362.40 |
$261.30
|
|
Evoked potentials upper limbs
|
$1,141.60 |
$1,141.60 |
$1,141.60 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$964.80 |
$964.80 |
$964.80 |
$814.61
|
|
Ewhfo w/joint(s) cf
|
$1,261.12 |
$1,261.12 |
$1,261.12 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,261.12 |
$1,261.12 |
$1,261.12 |
$830.70
|
|
Exam of vagina w/scope 57420
|
$889.60 |
$889.60 |
$889.60 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$4,426.40 |
$4,426.40 |
$4,426.40 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$5,580.80 |
$5,580.80 |
$5,580.80 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$4,389.60 |
$4,389.60 |
$4,389.60 |
$3,994.09
|
|
Exc abdl tum deep < 5 cm
|
$4,772.00 |
$4,772.00 |
$4,772.00 |
$3,786.00
|
|
Exc abdl tum deep 5 cm/>
|
$5,405.60 |
$5,405.60 |
$5,405.60 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$4,114.40 |
$4,114.40 |
$4,114.40 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$2,904.80 |
$2,904.80 |
$2,904.80 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$3,024.80 |
$3,024.80 |
$3,024.80 |
$2,711.00
|
|
Exc back tum deep 5 cm/>
|
$5,614.40 |
$5,614.40 |
$5,614.40 |
$3,994.09
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,151.20 |
$2,151.20 |
$2,151.20 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$2,932.00 |
$2,932.00 |
$2,932.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$969.60 |
$969.60 |
$969.60 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$4,057.60 |
$4,057.60 |
$4,057.60 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$728.80 |
$728.80 |
$728.80 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,613.60 |
$2,613.60 |
$2,613.60 |
$1,314.67
|
|
Exc face tum deep < 2 cm
|
$3,996.80 |
$3,996.80 |
$3,996.80 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$4,869.60 |
$4,869.60 |
$4,869.60 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$4,504.00 |
$4,504.00 |
$4,504.00 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$2,541.60 |
$2,541.60 |
$2,541.60 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$3,652.80 |
$3,652.80 |
$3,652.80 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$4,247.20 |
$4,247.20 |
$4,247.20 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$2,467.20 |
$2,467.20 |
$2,467.20 |
$1,908.09
|
|
Exc hand tum deep 1.5 cm/>
|
$4,386.40 |
$4,386.40 |
$4,386.40 |
$2,391.84
|
|
Exc hand tum deep < 1.5 cm 26116
|
$2,628.80 |
$2,628.80 |
$2,628.80 |
$2,391.84
|
|
Exchange biliary drg cath
|
$6,001.60 |
$6,001.60 |
$6,001.60 |
$3,856.84
|
|
Exchange drainage catheter
|
$3,181.60 |
$3,181.60 |
$3,181.60 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$3,607.20 |
$3,607.20 |
$3,607.20 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$5,704.80 |
$5,704.80 |
$5,704.80 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$5,309.60 |
$5,309.60 |
$5,309.60 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$4,240.80 |
$4,240.80 |
$4,240.80 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$6,683.20 |
$6,683.20 |
$6,683.20 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$6,526.40 |
$6,526.40 |
$6,526.40 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$4,487.20 |
$4,487.20 |
$4,487.20 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$3,967.20 |
$3,967.20 |
$3,967.20 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$5,392.80 |
$5,392.80 |
$5,392.80 |
$3,486.52
|
|
Excise anal ext tag/papilla
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$2,272.02
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$3,435.20 |
$3,435.20 |
$3,435.20 |
$3,322.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,905.60 |
$1,905.60 |
$1,905.60 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$4,271.20 |
$4,271.20 |
$4,271.20 |
$2,865.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$4,501.60 |
$4,501.60 |
$4,501.60 |
$4,420.32
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$5,800.00 |
$5,800.00 |
$5,800.00 |
$3,531.45
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$4,788.80 |
$4,788.80 |
$4,788.80 |
$3,127.88
|
|
Exc malig feenl <0.5cm 11640
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$2,686.40 |
$2,686.40 |
$2,686.40 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$3,704.80 |
$3,704.80 |
$3,704.80 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$3,644.00 |
$3,644.00 |
$3,644.00 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,765.60 |
$1,765.60 |
$1,765.60 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,300.80 |
$2,300.80 |
$2,300.80 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$1,477.60 |
$1,477.60 |
$1,477.60 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$975.20 |
$975.20 |
$975.20 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,732.00 |
$1,732.00 |
$1,732.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$1,294.80
|
|
Exc neck tum deep < 5 cm
|
$5,557.60 |
$5,557.60 |
$5,557.60 |
$3,813.50
|
|
Exc neck tum deep 5 cm/>
|
$6,116.00 |
$6,116.00 |
$6,116.00 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$6,805.60 |
$6,805.60 |
$6,805.60 |
$3,386.84
|
|
Exc shoulder tum deep < 5 cm
|
$4,671.20 |
$4,671.20 |
$4,671.20 |
$3,849.30
|
|
Exc skn hdrdnt ax complex
|
$3,494.40 |
$3,494.40 |
$3,494.40 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$5,397.60 |
$5,397.60 |
$5,397.60 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$5,340.80 |
$5,340.80 |
$5,340.80 |
$3,994.09
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$2,723.20 |
$2,723.20 |
$2,723.20 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$3,680.00 |
$3,680.00 |
$3,680.00 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$3,816.00 |
$3,816.00 |
$3,816.00 |
$2,937.55
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$5,072.80 |
$5,072.80 |
$5,072.80 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$3,885.60 |
$3,885.60 |
$3,885.60 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$4,246.40 |
$4,246.40 |
$4,246.40 |
$4,160.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$2,924.22
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$4,296.00 |
$4,296.00 |
$4,296.00 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$4,425.60 |
$4,425.60 |
$4,425.60 |
$4,014.40
|
