|
Excision of gum lesion 41825
|
$75.02 |
$3,837.72 |
$7,267.74 |
|
|
Excision of lesion of mesentery 44820
|
$528.22 |
$528.22 |
$528.22 |
|
|
Excision of lingual tonsil
|
$357.50 |
$7,000.36 |
$7,000.36 |
|
|
Excision of meckels diverticulum 44800
|
$480.26 |
$480.26 |
$480.26 |
|
|
Excision of mouth lesion complex 40816
|
$187.66 |
$3,837.72 |
$7,267.74 |
|
|
Excision of neck cyst
|
$331.76 |
$7,000.36 |
$7,000.36 |
|
|
Excision of neck cyst confined 42810
|
$175.12 |
$3,837.72 |
$7,267.74 |
|
|
Excision of penis lesion(s) 54060
|
$81.84 |
$2,164.64 |
$2,164.64 |
|
|
Excision of rectal lesion
|
$636.46 |
$3,245.23 |
$3,245.23 |
|
|
Excision of rectal prolapse
|
$797.28 |
$797.28 |
$797.28 |
|
|
Excision of rectal stricture
|
$263.56 |
$1,395.28 |
$1,395.28 |
|
|
Excision of salivary cyst
|
$216.26 |
$3,837.72 |
$3,837.72 |
|
|
Excision of skull/sutures
|
$1,175.46 |
$1,175.46 |
$1,175.46 |
|
|
Excision of skull/sutures
|
$1,496.88 |
$1,496.88 |
$1,496.88 |
|
|
Excision of skull tumor
|
$1,236.40 |
$1,236.40 |
$1,236.40 |
|
|
Excision of skull tumor
|
$1,500.18 |
$1,500.18 |
$1,500.18 |
|
|
Excision of stomach lesion
|
$603.90 |
$603.90 |
$603.90 |
|
|
Excision of stomach lesion
|
$759.66 |
$759.66 |
$759.66 |
|
|
Excision of tongue lesion
|
$149.82 |
$3,837.72 |
$6,352.40 |
|
|
Excision of tongue lesion
|
$382.58 |
$3,837.72 |
$3,837.72 |
|
|
Excision of tongue lesion w/closure 41113
|
$162.80 |
$3,837.72 |
$6,419.65 |
|
|
Excision of tonsil tags
|
$121.00 |
$3,837.72 |
$3,837.72 |
|
|
Excision of umbilicus 49250
|
$370.26 |
$4,176.15 |
$4,176.15 |
|
|
Excision of uvula
|
$100.76 |
$3,837.72 |
$3,837.72 |
|
|
Excision of vaginal septum 57130
|
$106.70 |
$3,762.53 |
$3,762.53 |
|
|
Excision olecranon bursa
|
$227.04 |
$3,839.54 |
$3,839.54 |
|
|
Excision perinephric cyst
|
$554.84 |
$554.84 |
$554.84 |
|
|
Excision radial head
|
$322.52 |
$3,839.54 |
$3,839.54 |
|
|
Excision tongue lesion without closure 41110
|
$79.64 |
$3,837.72 |
$4,858.50 |
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$293.26 |
$1,917.33 |
$6,253.08 |
|
|
Excis partial tal calc
|
$308.22 |
$3,839.54 |
$3,839.54 |
|
|
Excis uppr jaw cyst w/repair
|
$712.80 |
$7,000.36 |
$7,000.36 |
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$417.12 |
$3,386.84 |
$3,386.84 |
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$291.06 |
$3,386.84 |
$3,386.84 |
|
|
Exc les conjunctiva <1 cm
|
$90.20 |
$2,760.73 |
$4,633.74 |
|
|
Exc les conjunctiva >1 cm
|
$110.88 |
$2,760.73 |
$4,817.73 |
|
|
Exc les conjunctiva adj scl
|
$250.14 |
$2,760.73 |
$2,760.73 |
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$75.24 |
$3,837.72 |
$7,267.74 |
|
|
Excl laa open any method 33267
|
$636.90 |
$636.90 |
$636.90 |
|
|
Excl laa opn oth px any meth 33268
|
$78.54 |
$78.54 |
$78.54 |
|
|
Excl laa thrscp any method
|
$506.88 |
$506.88 |
$506.88 |
|
|
Exc malig feenl <0.5cm 11640
|
$77.88 |
$832.60 |
$2,141.10 |
|
|
Exc malig feenl 1.1-2 11642
|
$322.39 |
$832.60 |
$2,141.10 |
|
|
Exc malig feenl 3.1-4.0 11644
|
$173.36 |
$1,917.33 |
$4,919.31 |
|
|
Exc malig feenl >4cm 11646
|
$239.14 |
$3,386.84 |
$7,746.22 |
|
|
Exc malig snhfg 0.5cm or less 11620
|
$75.68 |
$1,917.33 |
$5,173.82 |
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$92.18 |
$832.60 |
$1,892.22 |
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$128.70 |
$1,917.33 |
$4,919.31 |
|
|
Exc malig tal <0.5cm 11600
|
$75.24 |
$832.60 |
$2,141.10 |
|
|
Exc malig tal 0.6-1.0cm 11601
|
$91.30 |
$832.60 |
$2,487.00 |
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$99.22 |
$472.79 |
$1,188.79 |
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$118.80 |
$832.60 |
$6,323.00 |
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$130.90 |
$832.60 |
$4,025.00 |
|
|
Exc mandible 21025
|
$414.26 |
$7,000.36 |
$11,613.41 |
|
|
Exc neck tum deep < 5 cm
|
$329.12 |
$3,386.84 |
$7,746.22 |
|
|
Exc neck tum deep 5 cm/>
|
$454.52 |
$3,386.84 |
$7,746.22 |
|
|
Exc of facial bones/osteomy/abcess 21026
|
$270.82 |
$7,000.36 |
$7,000.36 |
|
|
Exc of rectal prlpse 45130
|
$667.26 |
$667.26 |
$667.26 |
|
|
Exc of residual cervix 57540
|
$488.84 |
$488.84 |
$488.84 |
|
|
Exc of residual cervix via aginal approach 57550
|
$265.76 |
$5,841.60 |
$5,841.60 |
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$114.18 |
$3,386.84 |
$8,316.18 |
|
|
Exc prtl bn phlnx toe
|
$209.44 |
$3,839.54 |
$3,839.54 |
|
|
Exc rect tum transanal full
|
$507.98 |
$3,245.23 |
$7,499.82 |
|
|
Exc rect tum transanal part
|
$380.82 |
$3,245.23 |
$7,499.82 |
|
|
Exc sac pr ulc prim str ostc
|
$539.00 |
$3,386.84 |
$3,386.84 |
|
|
Exc sac pr ulc skn flp ostc
|
$713.90 |
$4,332.25 |
$4,332.25 |
|
|
Exc sacral pr ulc prim sutr
|
$436.92 |
$3,386.84 |
$3,386.84 |
|
|
Exc sacral pr ulc skn flap
|
$608.74 |
$4,332.25 |
$4,332.25 |
|
|
Exc shoulder tum deep < 5 cm
|
$340.56 |
$3,386.84 |
$3,386.84 |
|
|
Exc skn hdrdnt ax complex
|
$206.36 |
$3,386.84 |
$3,386.84 |
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$162.80 |
$3,386.84 |
$3,386.84 |
|
|
Exc skn hdrdnt ing complex
|
$205.26 |
$3,386.84 |
$3,386.84 |
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$104.06 |
$832.60 |
$2,141.10 |
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$146.30 |
$1,917.33 |
$4,919.31 |
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$179.08 |
$3,386.84 |
$7,746.22 |
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$190.74 |
$1,917.33 |
$1,917.33 |
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$278.74 |
$3,386.84 |
$7,746.22 |
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$191.62 |
$1,917.33 |
$1,917.33 |
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$209.44 |
$3,386.84 |
$7,746.22 |
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$198.00 |
$1,917.33 |
$1,917.33 |
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$255.42 |
$3,386.84 |
$7,746.22 |
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$262.46 |
$1,917.33 |
$1,917.33 |
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$262.24 |
$3,386.84 |
$3,386.84 |
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$261.36 |
$1,917.33 |
$1,917.33 |
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$292.60 |
$3,386.84 |
$3,386.84 |
|
|
Exc tendon sheath or cap lesion 26160
|
$199.32 |
$1,893.86 |
$4,572.13 |
|
|
Exc thigh/knee les sc<3cm 27327
|
$196.46 |
$1,917.33 |
$4,582.16 |
|
|
Exc thigh/knee tum deep <5cm
|
$388.52 |
$3,386.84 |
$3,386.84 |
|
|
Exc thigh/knee tum dep 5cm/>
|
$469.92 |
$3,386.84 |
$3,386.84 |
|
|
Exc thrombosed hemorrhoid 46320
|
$1,395.28 |
$1,395.28 |
$10,400.00 |
|
|
Exc tmr sft tiss shldr subq <3cm
|
$205.48 |
$1,917.33 |
$1,917.33 |
|
|
Exc torus mandibularis 21031
|
$167.86 |
$3,837.72 |
$3,837.72 |
|
|
Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951
|
$554.84 |
$3,386.84 |
$3,386.84 |
|
|
Exc trchntr pr ulc flp clsr
|
$566.72 |
$2,164.64 |
$2,164.64 |
|
|
Exc trchntr pr ulc flp ostc
|
$623.70 |
$4,332.25 |
$4,332.25 |
|
|
Exc trchntr pr ulc prep flap
|
$719.18 |
$2,164.64 |
$2,164.64 |
|
|
Exc trchntr pr ulc prep ostc
|
$718.30 |
$4,332.25 |
$4,332.25 |
|
|
Exc trchntr pr ulc prim sutr
|
$393.80 |
$1,917.33 |
$1,917.33 |
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$194.48 |
$1,917.33 |
$4,919.31 |
|
|
Exc/unroofing cyst kidney
|
$583.88 |
$583.88 |
$583.88 |
|