|
Exc ext ear/partial/simple repair 69110
|
$200.20 |
$200.20 |
$200.20 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$249.04 |
$249.04 |
$249.04 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$323.62 |
$323.62 |
$323.62 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$95.92 |
$95.92 |
$95.92 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$140.14 |
$140.14 |
$140.14 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$280.28 |
$280.28 |
$280.28 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$162.58 |
$162.58 |
$162.58 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$265.32 |
$265.32 |
$265.32 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$325.60 |
$325.60 |
$325.60 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$335.94 |
$335.94 |
$335.94 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$209.66 |
$209.66 |
$209.66 |
$1,898.50
|
|
Exc hand tum deep 1.5 cm/>
|
$343.86 |
$343.86 |
$343.86 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$330.22 |
$330.22 |
$330.22 |
$2,391.84
|
|
Exchange biliary drg cath
|
$8,257.86 |
$8,257.86 |
$8,257.86 |
$3,896.20
|
|
Exchange blood transfusion newborn 36450
|
$103.40 |
$103.40 |
$103.40 |
$566.55
|
|
Exchange drainage catheter
|
$4,438.98 |
$4,438.98 |
$4,438.98 |
$2,244.82
|
|
Exchange lens prosthesis
|
$544.72 |
$544.72 |
$544.72 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$4,793.88 |
$4,793.88 |
$4,793.88 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$155.98 |
$155.98 |
$155.98 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$217.80 |
$217.80 |
$217.80 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$178.20 |
$178.20 |
$178.20 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$382.80 |
$382.80 |
$382.80 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$456.72 |
$456.72 |
$456.72 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$35.42 |
$35.42 |
$35.42 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$31.24 |
$31.24 |
$31.24 |
$341.00
|
|
Excimer lsr psriasis>500sqcm
|
$56.54 |
$56.54 |
$56.54 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$413.82 |
$413.82 |
$413.82 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$217.80 |
$217.80 |
$217.80 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$434.06 |
$434.06 |
$434.06 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$989.12 |
$989.12 |
$989.12 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$440.22 |
$440.22 |
$440.22 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$585.20 |
$585.20 |
$585.20 |
$3,986.00
|
|
Exc isch pr ulc skn flp clsr
|
$577.50 |
$577.50 |
$577.50 |
$4,311.38
|
|
Exc isch pr ulc skn flp ostc
|
$630.30 |
$630.30 |
$630.30 |
$4,118.00
|
|
Excise anal ext tag/papilla
|
$75.24 |
$75.24 |
$75.24 |
$2,172.09
|
|
Excise epiphyseal bar
|
$623.48 |
$623.48 |
$623.48 |
$4,947.20
|
|
Excise foot tendon sheath
|
$216.48 |
$216.48 |
$216.48 |
$3,786.00
|
|
Excise foot tendon sheath
|
$183.92 |
$183.92 |
$183.92 |
$3,839.54
|
|
Excise ileoanal reservior
|
$1,091.64 |
$1,091.64 |
$1,091.64 |
$2,369.34
|
|
Excise inferior turbinate
|
$252.34 |
$252.34 |
$252.34 |
$3,592.74
|
|
Excise intestine lesion(s) 44110
|
$525.14 |
$525.14 |
$525.14 |
$1,600.80
|
|
Excise intraspinl lesion crv
|
$1,037.96 |
$1,037.96 |
$1,037.96 |
$5,419.00
|
|
Excise intrspinl lesion crvl
|
$1,296.46 |
$1,296.46 |
$1,296.46 |
$4,875.20
|
|
Excise intrspinl lesion lmbr
|
$855.80 |
$855.80 |
$855.80 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$1,175.90 |
$1,175.90 |
$1,175.90 |
$2,888.61
|
|
Excise intrspinl lesion scrl
|
$915.64 |
$915.64 |
$915.64 |
$5,741.00
|
|
Excise intrspinl lesion scrl
|
$1,166.88 |
$1,166.88 |
$1,166.88 |
$4,381.60
|
|
Excise intrspinl lesion thrc
|
$1,294.92 |
$1,294.92 |
$1,294.92 |
$4,874.40
|
|
Excise lesion testis
|
$334.18 |
$334.18 |
$334.18 |
$4,081.37
|
|
Excise lip or cheek fold
|
$124.52 |
$124.52 |
$124.52 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$750.64 |
$750.64 |
$750.64 |
$6,219.35
|
|
Excise mandible lesion
|
$225.28 |
$225.28 |
$225.28 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$224.40 |
$224.40 |
$224.40 |
$6,588.00
|
|
Excise max/zygoma mal tumor
|
$693.66 |
$693.66 |
$693.66 |
$6,517.80
|
|
Excise oral mucosa for graft 40818
|
$161.92 |
$161.92 |
$161.92 |
$899.64
|
|
Excise parotid gland/lesion
|
$389.84 |
$389.84 |
$389.84 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$655.38 |
$655.38 |
$655.38 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$733.70 |
$733.70 |
$733.70 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$520.30 |
$520.30 |
$520.30 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$834.90 |
$834.90 |
$834.90 |
$1,704.08
|
|
Excise pharynx lesion
|
$103.40 |
$103.40 |
$103.40 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$112.20 |
$112.20 |
$112.20 |
$1,903.93
|
|
Excise sacral spine tumor
|
$1,362.68 |
$1,362.68 |
$1,362.68 |
$5,464.80
|
|
Excise sublingual gland
|
$225.72 |
$225.72 |
$225.72 |
$5,678.40
|
|
Excise submaxillary gland
|
$257.84 |
$257.84 |
$257.84 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$208.34 |
$208.34 |
$208.34 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$337.48 |
$337.48 |
$337.48 |
$3,839.54
|
|
Excise wrist tendon sheath
|
$242.00 |
$242.00 |
$242.00 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$98.34 |
$98.34 |
$98.34 |
$761.80
|
|
Excision aural polyp
|
$78.98 |
$78.98 |
$78.98 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$81.84 |
$81.84 |
$81.84 |
$923.06
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,791.58 |
$3,791.58 |
$3,791.58 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$71.28 |
$71.28 |
$71.28 |
$1,083.55
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$154.00 |
$154.00 |
$154.00 |
$2,865.00
|
|
Excision breast lesion
|
$287.98 |
$287.98 |
$287.98 |
$4,064.45
|
|
Excision coa w/graft
|
$816.20 |
$816.20 |
$816.20 |
$1,923.76
|
|
Excision floor mouth lesion 41116
|
$133.54 |
$133.54 |
$133.54 |
$3,892.91
|
|
Excision graft abdomen
|
$1,157.64 |
$1,157.64 |
$1,157.64 |
$4,638.40
|
|
Excision graft extremity
|
$340.78 |
$340.78 |
$340.78 |
$4,706.99
|
|
Excision graft neck
|
$290.40 |
$290.40 |
$290.40 |
$1,148.00
|
|
Excision graft thorax 35905
|
$1,018.82 |
$1,018.82 |
$1,018.82 |
$2,362.96
|
|
Excision hand/finger tendon
|
$520.08 |
$520.08 |
$520.08 |
$3,821.05
|
|
Excision lesion mouth roof
|
$99.66 |
$99.66 |
$99.66 |
$3,837.72
|
|
Excision lesion mouth roof
|
$201.74 |
$201.74 |
$201.74 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$82.28 |
$82.28 |
$82.28 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$85.58 |
$85.58 |
$85.58 |
$3,823.00
|
|
Excision of bile duct cyst
|
$822.36 |
$822.36 |
$822.36 |
$3,263.20
|
|
Excision of bile duct tumor
|
$958.54 |
$958.54 |
$958.54 |
$3,825.60
|
|
Excision of bile duct tumor
|
$1,230.68 |
$1,230.68 |
$1,230.68 |
$2,813.24
|
|
Excision of bowel lesion(s)
|
$604.78 |
$604.78 |
$604.78 |
$2,420.80
|
|
Excision of brain tumor
|
$1,983.52 |
$1,983.52 |
$1,983.52 |
$4,794.16
|
|
Excision of esophagus lesion
|
$394.02 |
$394.02 |
$394.02 |
$803.66
|
|
Excision of esophagus lesion
|
$616.66 |
$616.66 |
$616.66 |
$3,908.80
|
|
Excision of gum lesion
|
$125.62 |
$125.62 |
$125.62 |
$1,944.80
|
|
Excision of gum lesion
|
$227.48 |
$227.48 |
$227.48 |
$7,000.36
|
|
Excision of gum lesion
|
$120.78 |
$120.78 |
$120.78 |
$4,560.40
|
|
Excision of gum lesion
|
$180.18 |
$180.18 |
$180.18 |
$6,547.81
|
|
Excision of gum lesion
|
$137.94 |
$137.94 |
$137.94 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$75.02 |
$75.02 |
$75.02 |
$4,007.22
|
