|
Exc cervix repair bowel 57556
|
$5,468.70 |
$5,468.70 |
$5,468.70 |
$2,676.70
|
|
Exc cervix/repair vagina 57555
|
$5,468.70 |
$5,468.70 |
$5,468.70 |
$3,317.67
|
|
Exc chest wall tumor w/ribs 21601
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,127.88
|
|
Exc coccygl pr ulc flap clsr
|
$4,055.70 |
$4,055.70 |
$4,055.70 |
$3,113.11
|
|
Exc coccygl pr ulc prim sutr
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$2,441.11
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$2,207.29
|
|
Exc/crtg b1 cst/b9 tum rds
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,142.72
|
|
Exc/crtg b1 cst/tum hum agrf
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,886.74
|
|
Exc/crtg b1 cst/tum hum algr
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,886.74
|
|
Exc/crtg b1 cst/tum rds agrf
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Exc/crtg b1 cst/tum rds algr
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,886.74
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$4,430.94
|
|
Exc/curtg b1 cst/b9 tum hum
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Exc excessive skin buttock
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,127.88
|
|
Exc excessive skin hip
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,285.96
|
|
Exc excessive skin leg
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$4,321.60
|
|
Exc excessive skin thigh
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,994.09
|
|
Exc excsv skin forearm/hand
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$2,441.11
|
|
Exc excsv submental fat pad
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$2,610.83
|
|
Exc ext ear/partial/simple repair 69110
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,167.89
|
|
Exc face tum deep < 2 cm
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$1,855.89
|
|
Exc face tum deep 2cm/> 21014
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,167.89
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$779.45 |
$779.45 |
$779.45 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$1,874.89
|
|
Exc foot/toe tum dep 1.5cm/>
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,285.96
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$2,855.10
|
|
Exc forearm les sc 3 cm/>
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$2,078.40
|
|
Exc forearm tum deep < 3 cm
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,298.21
|
|
Exc hand les sc < 1.5 cm
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$1,770.73
|
|
Exc hand tum deep 1.5 cm/>
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$1,853.80
|
|
Exc hand tum deep < 1.5 cm 26116
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$1,794.93
|
|
Exchange biliary drg cath
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$4,143.00
|
|
Exchange blood transfusion newborn 36450
|
$484.32 |
$484.32 |
$484.32 |
$485.65
|
|
Exchange drainage catheter
|
$2,101.52 |
$2,101.52 |
$2,101.52 |
$2,178.16
|
|
Exchange lens prosthesis
|
$2,526.64 |
$2,526.64 |
$2,526.64 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,269.38 |
$2,269.38 |
$2,269.38 |
$2,752.00
|
|
Exc hidradenitis ing simpl 11462
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$2,738.93
|
|
Exc hidradenitis peri/umb comp 11471
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$2,700.80
|
|
Exc hidradenitis peri/umb int 11470
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,252.66
|
|
Exc hip/pelv tum deep < 5 cm
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,167.89
|
|
Exc hip/pelv tum deep 5 cm/>
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$220.12 |
$220.12 |
$220.12 |
$262.65
|
|
Excimer lsr psriasis<250sqcm
|
$220.12 |
$220.12 |
$220.12 |
$242.13
|
|
Excimer lsr psriasis>500sqcm
|
$442.61 |
$442.61 |
$442.61 |
$461.12
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,285.96
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,155.77
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,411.20
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$2,026.46 |
$2,026.46 |
$2,026.46 |
$3,696.64
|
|
Exc ischial pr ulc prim sutr
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,170.64
|
|
Exc isch pr ulc prm sut ostc
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,226.60
|
|
Exc isch pr ulc skn flp clsr
|
$4,055.70 |
$4,055.70 |
$4,055.70 |
$3,220.00
|
|
Exc isch pr ulc skn flp ostc
|
$2,026.46 |
$2,026.46 |
$2,026.46 |
$2,508.80
|
|
Excise anal ext tag/papilla
|
$1,306.21 |
$1,306.21 |
$1,306.21 |
$1,388.56
|
|
Excise epiphyseal bar
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$4,947.20
|
|
Excise foot tendon sheath
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,317.38
|
|
Excise foot tendon sheath
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$2,613.37
|
|
Excise inferior turbinate
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$2,258.30
|
|
Excise intraspinl lesion crv
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,193.20
|
|
Excise intrspinl lesion lmbr
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,057.00
|
|
Excise intrspinl lesion scrl
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,807.24
|
|
Excise lesion testis
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$2,715.20
|
|
Excise lip or cheek fold
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,640.99
|
|
Excise lwr jaw cyst w/repair
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,219.35
|
|
Excise mandible lesion
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,578.38
|
|
Excise max/zygoma b9 tumor
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$4,832.78
|
|
Excise max/zygoma mal tumor
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,517.80
|
|
Excise oral mucosa for graft 40818
|
$564.16 |
$564.16 |
$564.16 |
$741.60
|
|
Excise parotid gland/lesion
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,465.11
|
|
Excise parotid gland/lesion
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,465.11
|
|
Excise parotid gland/lesion
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,465.11
|
|
Excise parotid gland/lesion
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Excise pharynx lesion
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,544.29
|
|
Excise/repair mouth lesion
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,903.93
|
|
Excise sublingual gland
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,885.66
|
|
Excise submaxillary gland
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,244.99
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$2,271.01
|
|
Excise tendon forearm/wrist
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$2,778.48
|
|
Excise wrist tendon sheath
|
$1,772.97 |
$1,772.97 |
$1,772.97 |
$1,876.80
|
|
Excision aural polyp
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,639.57
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$779.45 |
$779.45 |
$779.45 |
$765.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$1,855.89
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$779.45 |
$779.45 |
$779.45 |
$973.71
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$2,925.00
|
|
Excision breast lesion
|
$4,242.15 |
$4,242.15 |
$4,242.15 |
$3,694.96
|
|
Excision floor mouth lesion 41116
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,589.62
|
|
Excision graft extremity
|
$3,486.86 |
$3,486.86 |
$3,486.86 |
$3,706.68
|
|
Excision gum each quadrant
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,544.29
|
|
Excision hand/finger tendon
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,217.69
|
|
Excision lesion mouth roof
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,276.00
|
|
Excision lesion mouth roof
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,413.19
|
|
Excision nasal polyp(s) simple 30110
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,191.85
|
|
Excision of anal lesion(s)
|
$3,038.07 |
$3,038.07 |
$3,038.07 |
$3,190.50
|
|
Excision of gum flap
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,639.57
|
|
Excision of gum lesion
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,672.80
|
|
Excision of gum lesion
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,204.98
|
|
Excision of gum lesion
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,592.74
|
|
Excision of gum lesion
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,148.70
|
|
Excision of gum lesion
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,672.80
|
|
Excision of gum lesion 41825
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,589.62
|
