|
Excl laa open any method 33267
|
$4,810.00 |
$4,810.00 |
$4,810.00 |
$2,592.00
|
|
Excl laa opn oth px any meth 33268
|
$650.00 |
$650.00 |
$650.00 |
$324.00
|
|
Excl laa thrscp any method
|
$3,720.60 |
$3,720.60 |
$3,720.60 |
$3,720.60
|
|
Exc malig feenl <0.5cm 11640
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$1,627.60 |
$1,627.60 |
$1,627.60 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$426.40 |
$426.40 |
$426.40 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$808.60 |
$808.60 |
$808.60 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$779.35 |
$779.35 |
$779.35 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,294.80
|
|
Exc mandible 21025
|
$2,607.80 |
$2,607.80 |
$2,607.80 |
$6,289.53
|
|
Exc neck tum deep < 5 cm
|
$1,991.60 |
$1,991.60 |
$1,991.60 |
$3,813.50
|
|
Exc neck tum deep 5 cm/>
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$5,753.00
|
|
Exc of rectal prlpse 45130
|
$4,810.00 |
$4,810.00 |
$4,810.00 |
$1,659.60
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$3,839.54
|
|
Exc rect tum transanal full
|
$3,153.80 |
$3,153.80 |
$3,153.80 |
$4,119.00
|
|
Exc rect tum transanal part
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$3,786.00
|
|
Exc sac pr ulc prim str ostc
|
$3,060.20 |
$3,060.20 |
$3,060.20 |
$3,994.09
|
|
Exc sacral pr ulc prim sutr
|
$2,618.20 |
$2,618.20 |
$2,618.20 |
$3,386.84
|
|
Exc shoulder tum deep < 5 cm
|
$1,926.60 |
$1,926.60 |
$1,926.60 |
$3,849.30
|
|
Exc skn hdrdnt ax complex
|
$1,151.80 |
$1,151.80 |
$1,151.80 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$837.20 |
$837.20 |
$837.20 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$2,410.85 |
$2,410.85 |
$2,410.85 |
$3,994.09
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$941.20 |
$941.20 |
$941.20 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,198.60 |
$1,198.60 |
$1,198.60 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$2,937.55
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,687.40 |
$1,687.40 |
$1,687.40 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$4,160.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$2,924.22
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$1,917.33
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,797.08
|
|
Exc thigh/knee les sc<3cm 27327
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$3,229.48
|
|
Exc thigh/knee tum deep <5cm
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$3,306.79
|
|
Exc thigh/knee tum dep 5cm/>
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$3,059.15
|
|
Exc torus mandibularis 21031
|
$858.00 |
$858.00 |
$858.00 |
$3,837.72
|
|
Exc trchntr pr ulc prep ostc
|
$4,355.00 |
$4,355.00 |
$4,355.00 |
$4,332.25
|
|
Exc trchntr pr ulc prim sutr
|
$2,087.80 |
$2,087.80 |
$2,087.80 |
$2,087.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,435.85 |
$1,435.85 |
$1,435.85 |
$2,054.40
|
|
Exc/unroofing cyst kidney
|
$4,443.40 |
$4,443.40 |
$4,443.40 |
$4,817.60
|
|
Exc vagina lesion 57135
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,292.17
|
|
Exercise tst brncspsm w/ecg
|
$585.65 |
$585.65 |
$585.65 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$304.85 |
$304.85 |
$304.85 |
$129.92
|
|
Exome sequence analysis
|
$7,767.50 |
$7,767.50 |
$7,767.50 |
$5,258.00
|
|
Ex palate/uvula lesion without closure 42104
|
$439.40 |
$439.40 |
$439.40 |
$3,837.72
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$976.30 |
$976.30 |
$976.30 |
$2,421.09
|
|
Expl lap celiotomy w/wo bx 49000
|
$3,260.40 |
$3,260.40 |
$3,260.40 |
$2,357.35
|
|
Exploration carotid artery 35701
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$1,580.60
|
|
Exploration maxillary sinus
|
$889.20 |
$889.20 |
$889.20 |
$4,362.99
|
|
Exploration of ankle joint
|
$2,119.00 |
$2,119.00 |
$2,119.00 |
$3,931.12
|
|
Exploration of bile ducts
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$2,589.60
|
|
Exploration of chest 39010
|
$3,429.40 |
$3,429.40 |
$3,429.40 |
$1,920.00
|
|
Exploration of foot joint
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$3,832.27
|
|
Exploration of foot joint
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$3,786.00
|
|
Exploration of frontal sinus
|
$2,472.60 |
$2,472.60 |
$2,472.60 |
$6,553.49
|
|
Exploration of knee joint
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$4,192.86
|
|
Exploration of spinal fusion
|
$3,209.05 |
$3,209.05 |
$3,209.05 |
$1,975.20
|
|
Exploration of toe joint
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$2,211.05
|
|
Exploration/repair of rectum
|
$4,674.80 |
$4,674.80 |
$4,674.80 |
$2,780.00
|
|
Exploration/repair of rectum 45563
|
$6,858.80 |
$6,858.80 |
$6,858.80 |
$3,086.40
|
|
Exploration retroperitoneal area 49010
|
$4,175.60 |
$4,175.60 |
$4,175.60 |
$1,786.20
|
|
Exploratory heart surgery 33310
|
$5,288.40 |
$5,288.40 |
$5,288.40 |
$2,852.00
|
|
Exploratory heart surgery 33315
|
$9,100.00 |
$9,100.00 |
$9,100.00 |
$4,671.20
|
|
Explore adrenal gland w or without biopsy 60540
|
$5,153.85 |
$5,153.85 |
$5,153.85 |
$2,228.80
|
|
Explore chest vessels 35820
|
$9,591.40 |
$9,591.40 |
$9,591.40 |
$3,891.00
|
|
Explore deep node(s) neck
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$6,376.26
|
|
Explore epididymis
|
$1,650.35 |
$1,650.35 |
$1,650.35 |
$4,081.37
|
|
Explore limb vessels 35860
|
$3,965.00 |
$3,965.00 |
$3,965.00 |
$4,341.66
|
|
Explore neck vessels 35800
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$1,772.80
|
|
Explore parathyroid glands
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
$1,788.80
|
|
Explore/repair chest 32110
|
$6,830.20 |
$6,830.20 |
$6,830.20 |
$3,698.00
|
|
Explore scrotum
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$3,863.60
|
|
Explore small intestine 44020
|
$4,217.20 |
$4,217.20 |
$4,217.20 |
$1,548.00
|
|
Explore/treat ankle joint
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$3,839.54
|
|
Explore/treat eye socket
|
$2,678.00 |
$2,678.00 |
$2,678.00 |
$3,320.43
|
|
Explore/treat finger joint
|
$1,016.60 |
$1,016.60 |
$1,016.60 |
$3,839.54
|
|
Explore/treat finger joint
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,480.83
|
|
Explore/treat knee joint
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$4,386.51
|
|
Explore/treat wrist joint
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$4,499.12
|
|
Explore wound abdomen 20102
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$2,784.80
|
|
Explore woundchest 20101
|
$839.80 |
$839.80 |
$839.80 |
$2,227.68
|
|
Explore wound neck 20100
|
$2,698.80 |
$2,698.80 |
$2,698.80 |
$1,185.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$999.89
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$1,122.00
|
|
Expose endoprosth brachial 34834
|
$12,860.90 |
$12,860.90 |
$12,860.90 |
$1,888.20
|
