|
Exc benign tal 0.5 < cm 11400
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$972.00
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,068.80
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$779.35 |
$779.35 |
$779.35 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$990.60 |
$990.60 |
$990.60 |
$4,238.48
|
|
Exc carotid body tumor without exc art 60600
|
$6,523.40 |
$6,523.40 |
$6,523.40 |
$3,356.80
|
|
Exc cervix/repair vagina 57555
|
$2,584.40 |
$2,584.40 |
$2,584.40 |
$5,463.96
|
|
Exc chest wall tumor w/ribs 21601
|
$4,622.80 |
$4,622.80 |
$4,622.80 |
$3,386.84
|
|
Exc ch wal tum without lymphadec
|
$5,769.40 |
$5,769.40 |
$5,769.40 |
$3,872.00
|
|
Exc ch wal tum w/lymphadec
|
$6,544.20 |
$6,544.20 |
$6,544.20 |
$4,279.20
|
|
Exc coa rpr l subcl art/prst
|
$5,714.80 |
$5,714.80 |
$5,714.80 |
$1,832.76
|
|
Exc coa w/direct anastomosis
|
$5,548.40 |
$5,548.40 |
$5,548.40 |
$1,785.98
|
|
Exc coccygl pr ulc flap clsr
|
$2,698.80 |
$2,698.80 |
$2,698.80 |
$4,311.38
|
|
Exc coccygl pr ulc prim sutr
|
$2,155.40 |
$2,155.40 |
$2,155.40 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$2,376.40 |
$2,376.40 |
$2,376.40 |
$3,821.05
|
|
Exc/crtg b1 cst/b9 tum rds
|
$1,773.20 |
$1,773.20 |
$1,773.20 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$7,807.24
|
|
Exc/crtg b1 cst/tum hum algr
|
$3,179.80 |
$3,179.80 |
$3,179.80 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds algr
|
$2,241.20 |
$2,241.20 |
$2,241.20 |
$7,807.24
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$1,970.80 |
$1,970.80 |
$1,970.80 |
$3,839.54
|
|
Exc excessive skin buttock
|
$3,377.40 |
$3,377.40 |
$3,377.40 |
$3,386.84
|
|
Exc excessive skin hip
|
$3,164.20 |
$3,164.20 |
$3,164.20 |
$3,994.09
|
|
Exc excessive skin leg
|
$3,403.40 |
$3,403.40 |
$3,403.40 |
$4,321.60
|
|
Exc excessive skin thigh
|
$4,225.00 |
$4,225.00 |
$4,225.00 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$7,441.20 |
$7,441.20 |
$7,441.20 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,201.16
|
|
Exc face tum deep 2cm/> 21014
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$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/>
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$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 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,898.50
|
|
Exc hand tum deep 1.5 cm/>
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,391.84
|
|
Exchange biliary drg cath
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$3,872.60
|
|
Exchange blood transfusion newborn 36450
|
$910.00 |
$910.00 |
$910.00 |
$566.55
|
|
Exchange drainage catheter
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,234.01
|
|
Exchange lens prosthesis
|
$3,187.60 |
$3,187.60 |
$3,187.60 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$1,271.40 |
$1,271.40 |
$1,271.40 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$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
|
|
Excimer lsr psriasis 250-500
|
$387.40 |
$387.40 |
$387.40 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$387.40 |
$387.40 |
$387.40 |
$341.00
|
|
Excimer lsr psriasis>500sqcm
|
$779.35 |
$779.35 |
$779.35 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$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
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$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 ischial pr ulc prim sutr
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$3,226.60 |
$3,226.60 |
$3,226.60 |
$3,986.00
|
|
Exc isch pr ulc skn flp clsr
|
$3,234.40 |
$3,234.40 |
$3,234.40 |
$4,311.38
|
|
Exc isch pr ulc skn flp ostc
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$4,118.00
|
|
Excise anal ext tag/papilla
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,272.02
|
|
Excise epiphyseal bar
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$4,947.20
|
|
Excise foot tendon sheath
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$3,786.00
|
|
Excise foot tendon sheath
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$3,839.54
|
|
Excise ileoanal reservior
|
$8,013.20 |
$8,013.20 |
$8,013.20 |
$2,369.34
|
|
Excise inferior turbinate
|
$992.55 |
$992.55 |
$992.55 |
$3,592.74
|
|
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 |
$5,419.00
|
|
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 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$2,888.61
|
|
Excise intrspinl lesion scrl
|
$5,205.20 |
$5,205.20 |
$5,205.20 |
$5,741.00
|
|
Excise intrspinl lesion scrl
|
$6,882.20 |
$6,882.20 |
$6,882.20 |
$4,381.60
|
|
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
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$5,218.20 |
$5,218.20 |
$5,218.20 |
$6,219.35
|
|
Excise mandible lesion
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$6,588.00
|
|
Excise max/zygoma mal tumor
|
$4,970.55 |
$4,970.55 |
$4,970.55 |
$6,517.80
|
|
Excise oral mucosa for graft 40818
|
$735.80 |
$735.80 |
$735.80 |
$899.64
|
|
Excise parotid gland/lesion
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$6,583.24
|
|
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 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$5,891.60 |
$5,891.60 |
$5,891.60 |
$1,704.08
|
|
Excise pharynx lesion
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,903.93
|
|
Excise sacral spine tumor
|
$9,830.60 |
$9,830.60 |
$9,830.60 |
$5,464.80
|
|
Excise sublingual gland
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$5,678.40
|
|
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 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
$3,839.54
|
