|
Exc excessive skin hip
|
$3,164.20 |
$3,164.20 |
$3,164.20 |
$4,350.00
|
|
Exc excessive skin thigh
|
$3,675.10 |
$3,675.10 |
$3,675.10 |
$4,540.80
|
|
Exc excsv submental fat pad
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$917.80 |
$917.80 |
$917.80 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$889.20 |
$889.20 |
$889.20 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,908.09
|
|
Exc hand tum deep 1.5 cm/>
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$2,391.84
|
|
Exc hand tum deep < 1.5 cm 26116
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$2,391.84
|
|
Exchange biliary drg cath
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$3,856.84
|
|
Exchange drainage catheter
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$2,410.85 |
$2,410.85 |
$2,410.85 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$9,997.00 |
$9,997.00 |
$9,997.00 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$6,271.20 |
$6,271.20 |
$6,271.20 |
$4,017.60
|
|
Exc isch pr ulc prm sut ostc
|
$3,226.60 |
$3,226.60 |
$3,226.60 |
$3,994.09
|
|
Exc isch pr ulc skn flp ostc
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$4,144.66
|
|
Excise anal ext tag/papilla
|
$418.60 |
$418.60 |
$418.60 |
$2,272.02
|
|
Excise foot tendon sheath
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$3,821.05
|
|
Excise inferior turbinate
|
$992.55 |
$992.55 |
$992.55 |
$3,819.23
|
|
Excise intestine lesion(s) 44110
|
$3,650.40 |
$3,650.40 |
$3,650.40 |
$1,600.80
|
|
Excise intraspinl lesion crv
|
$6,193.20 |
$6,193.20 |
$6,193.20 |
$5,741.00
|
|
Excise intrspinl lesion crvl
|
$7,748.00 |
$7,748.00 |
$7,748.00 |
$4,875.20
|
|
Excise intrspinl lesion lmbr
|
$5,057.00 |
$5,057.00 |
$5,057.00 |
$6,311.00
|
|
Excise intrspinl lesion lmbr
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$4,479.20
|
|
Excise intrspinl lesion thrc
|
$7,779.20 |
$7,779.20 |
$7,779.20 |
$4,874.40
|
|
Excise lesion testis
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$4,081.37
|
|
Excise lip or cheek fold
|
$652.60 |
$652.60 |
$652.60 |
$1,855.10
|
|
Excise mandible lesion
|
$1,276.60 |
$1,276.60 |
$1,276.60 |
$3,592.74
|
|
Excise parotid gland/lesion
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$5,077.80 |
$5,077.80 |
$5,077.80 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$5,891.60 |
$5,891.60 |
$5,891.60 |
$5,891.60
|
|
Excise pharynx lesion
|
$611.00 |
$611.00 |
$611.00 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$616.20 |
$616.20 |
$616.20 |
$1,915.20
|
|
Excise sacral spine tumor
|
$8,847.80 |
$8,847.80 |
$8,847.80 |
$5,464.80
|
|
Excise submaxillary gland
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,322.80
|
|
Excise tendon forearm/wrist
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
$3,839.54
|
|
Excise wrist tendon sheath
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$761.80 |
$761.80 |
$761.80 |
$761.80
|
|
Excision aural polyp
|
$325.00 |
$325.00 |
$325.00 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,865.00
|
|
Excision breast lesion
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$655.20 |
$655.20 |
$655.20 |
$3,892.91
|
|
Excision graft abdomen
|
$9,690.20 |
$9,690.20 |
$9,690.20 |
$4,638.40
|
|
Excision graft extremity
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,881.00
|
|
Excision lesion mouth roof
|
$559.00 |
$559.00 |
$559.00 |
$3,837.72
|
|
Excision of anal lesion(s)
|
$496.60 |
$496.60 |
$496.60 |
$3,823.00
|
|
Excision of bile duct cyst
|
$5,603.00 |
$5,603.00 |
$5,603.00 |
$3,263.20
|
|
Excision of bile duct tumor
|
$6,734.00 |
$6,734.00 |
$6,734.00 |
$3,825.60
|
|
Excision of bowel lesion(s)
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$2,420.80
|
|
Excision of esophagus lesion
|
$2,511.60 |
$2,511.60 |
$2,511.60 |
$2,511.60
|
|
Excision of esophagus lesion
|
$4,438.20 |
$4,438.20 |
$4,438.20 |
$3,908.80
|
|
Excision of gum lesion
|
$980.20 |
$980.20 |
$980.20 |
$7,000.36
|
|
Excision of gum lesion
|
$1,095.25 |
$1,095.25 |
$1,095.25 |
$6,547.81
|
|
Excision of gum lesion
|
$816.40 |
$816.40 |
$816.40 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$366.60 |
$366.60 |
$366.60 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$3,569.80 |
$3,569.80 |
$3,569.80 |
$1,621.80
|
|
Excision of lingual tonsil
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$6,465.11
|
|
Excision of meckels diverticulum 44800
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$1,373.40
|
|
Excision of mouth lesion complex 40816
|
$980.20 |
$980.20 |
$980.20 |
$4,627.00
|
|
Excision of neck cyst
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$878.80 |
$878.80 |
$878.80 |
$4,560.40
|
|
Excision of penis lesion(s) 54060
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$2,837.09
|
|
Excision of rectal prolapse
|
$5,813.60 |
$5,813.60 |
$5,813.60 |
$3,254.40
|
|
Excision of stomach lesion
|
$4,248.40 |
$4,248.40 |
$4,248.40 |
$1,494.24
|
|
Excision of stomach lesion
|
$5,298.80 |
$5,298.80 |
$5,298.80 |
$3,000.80
|
|
Excision of tongue lesion
|
$735.80 |
$735.80 |
$735.80 |
$3,837.72
|
|
Excision of tongue lesion w/closure 41113
|
$855.40 |
$855.40 |
$855.40 |
$3,837.72
|
|
Excision of umbilicus 49250
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
$3,986.00
|
|
Excision of uvula
|
$442.00 |
$442.00 |
$442.00 |
$3,837.72
|
|
Excision of vaginal septum 57130
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,762.53
|
|
Excision olecranon bursa
|
$982.80 |
$982.80 |
$982.80 |
$3,591.33
|
|
Excision radial head
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$3,986.00
|
|
Excision tongue lesion without closure 41110
|
$405.60 |
$405.60 |
$405.60 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$4,420.32
|
|
Excis partial tal calc
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$3,594.44
|
|
Excis uppr jaw cyst w/repair
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$6,839.00
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$3,531.45
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$1,796.60 |
$1,796.60 |
$1,796.60 |
$3,127.88
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$353.60 |
$353.60 |
$353.60 |
$3,104.42
|
