|
Exc abdl tum deep < 5 cm
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,696.00
|
|
Exc abdl tum deep 5 cm/>
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,350.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,532.80
|
|
Exc aurl glomus tum trnscanl
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Exc aurl glomus tum trnsmstd
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,790.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,315.50
|
|
Exc benign feenlm >4.0cm 11446
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$832.60 |
$832.60 |
$832.60 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$832.60 |
$832.60 |
$832.60 |
$972.00
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$832.60 |
$832.60 |
$832.60 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,068.80
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$832.60 |
$832.60 |
$832.60 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$472.79 |
$472.79 |
$472.79 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$832.60 |
$832.60 |
$832.60 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$4,531.42 |
$4,531.42 |
$4,531.42 |
$4,238.48
|
|
Exc cervix repair bowel 57556
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
$5,813.46
|
|
Exc cervix/repair vagina 57555
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
$5,463.96
|
|
Exc chest wall tumor w/ribs 21601
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc ch wal tum without lymphadec
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$3,872.00
|
|
Exc ch wal tum w/lymphadec
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$4,279.20
|
|
Exc coccygl pr ulc flap clsr
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,311.38
|
|
Exc coccygl pr ulc prim sutr
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,821.05
|
|
Exc/crtg b1 cst/b9 tum rds
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Exc/crtg b1 cst/tum hum algr
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds agrf
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Exc/crtg b1 cst/tum rds algr
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Exc excessive skin buttock
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc excessive skin hip
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,994.09
|
|
Exc excessive skin leg
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,321.60
|
|
Exc excessive skin thigh
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,201.16
|
|
Exc face tum deep 2cm/> 21014
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$832.60 |
$832.60 |
$832.60 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$1,898.50
|
|
Exc hand tum deep 1.5 cm/>
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,391.84
|
|
Exchange biliary drg cath
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$3,872.60
|
|
Exchange blood transfusion newborn 36450
|
$517.34 |
$517.34 |
$517.34 |
$566.55
|
|
Exchange drainage catheter
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
$2,234.01
|
|
Exchange lens prosthesis
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$235.13 |
$235.13 |
$235.13 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$235.13 |
$235.13 |
$235.13 |
$341.00
|
|
Excimer lsr psriasis>500sqcm
|
$472.79 |
$472.79 |
$472.79 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,486.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,986.00
|
|
Exc isch pr ulc skn flp clsr
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,311.38
|
|
Exc isch pr ulc skn flp ostc
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$4,118.00
|
|
Excise anal ext tag/papilla
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,272.02
|
|
Excise epiphyseal bar
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,947.20
|
|
Excise foot tendon sheath
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,786.00
|
|
Excise foot tendon sheath
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Excise inferior turbinate
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,592.74
|
|
Excise intraspinl lesion crv
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,419.00
|
|
Excise intrspinl lesion lmbr
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,741.00
|
|
Excise intrspinl lesion scrl
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,741.00
|
|
Excise lesion testis
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Excise lip or cheek fold
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,219.35
|
|
Excise mandible lesion
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,588.00
|
|
Excise max/zygoma mal tumor
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,517.80
|
|
Excise oral mucosa for graft 40818
|
$602.63 |
$602.63 |
$602.63 |
$899.64
|
|
Excise parotid gland/lesion
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Excise pharynx lesion
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,903.93
|
|
Excise sublingual gland
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$5,678.40
|
|
Excise submaxillary gland
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,465.11
|