|
Evasc rpr a-ao ndgft 34701
|
$19,887.00 |
$19,887.00 |
$19,887.00 |
$5,340.06
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$19,887.00 |
$19,887.00 |
$19,887.00 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$19,887.00 |
$19,887.00 |
$19,887.00 |
$8,133.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$19,887.00 |
$19,887.00 |
$19,887.00 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$19,887.00 |
$19,887.00 |
$19,887.00 |
$5,689.05
|
|
Evasc rpr a-unilac ndgft rpt
|
$19,887.00 |
$19,887.00 |
$19,887.00 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$16,207.20 |
$16,207.20 |
$16,207.20 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$16,207.20 |
$16,207.20 |
$16,207.20 |
$8,996.13
|
|
Ewhfo w/joint(s) cf
|
$3,364.57 |
$3,364.57 |
$3,364.57 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,940.60 |
$1,940.60 |
$1,940.60 |
$1,079.00
|
|
Exam of vagina w/scope 57420
|
$28,136.58 |
$28,136.58 |
$28,136.58 |
$470.00
|
|
Exam plvc w/anes othr thn lcl
|
$28,027.92 |
$28,027.92 |
$28,027.92 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$13,706.46 |
$13,706.46 |
$13,706.46 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$18,321.90 |
$18,321.90 |
$18,321.90 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$21,080.37 |
$21,080.37 |
$21,080.37 |
$3,646.94
|
|
Exc arm/elbo les sc >=3cm 24071
|
$18,126.72 |
$18,126.72 |
$18,126.72 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$70,238.46 |
$70,238.46 |
$70,238.46 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$19,688.28 |
$19,688.28 |
$19,688.28 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$36,806.70 |
$36,806.70 |
$36,806.70 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$29,055.43 |
$29,055.43 |
$29,055.43 |
$3,769.92
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$20,644.56 |
$20,644.56 |
$20,644.56 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$20,541.24 |
$20,541.24 |
$20,541.24 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$13,074.78 |
$13,074.78 |
$13,074.78 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$26,283.90 |
$26,283.90 |
$26,283.90 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$17,036.94 |
$17,036.94 |
$17,036.94 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$24,684.24 |
$24,684.24 |
$24,684.24 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$12,125.10 |
$12,125.10 |
$12,125.10 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$18,022.98 |
$18,022.98 |
$18,022.98 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$24,753.00 |
$24,753.00 |
$24,753.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$24,109.74 |
$24,109.74 |
$24,109.74 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$21,635.16 |
$21,635.16 |
$21,635.16 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$24,281.94 |
$24,281.94 |
$24,281.94 |
$1,228.50
|
|
Exc excessive skin leg
|
$70,034.10 |
$70,034.10 |
$70,034.10 |
$4,321.60
|
|
Exc excessive skin thigh
|
$49,350.87 |
$49,350.87 |
$49,350.87 |
$4,540.80
|
|
Exc face tum deep 2cm/> 21014
|
$17,406.12 |
$17,406.12 |
$17,406.12 |
$3,386.84
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$16,416.42 |
$16,416.42 |
$16,416.42 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$12,529.92 |
$12,529.92 |
$12,529.92 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$18,648.42 |
$18,648.42 |
$18,648.42 |
$3,230.00
|
|
Exc hand les sc < 1.5 cm
|
$8,865.54 |
$8,865.54 |
$8,865.54 |
$1,897.50
|
|
Exchange biliary drg cath
|
$3,701.40 |
$3,701.40 |
$3,701.40 |
$3,854.69
|
|
Exchange drainage catheter
|
$3,450.60 |
$3,450.60 |
$3,450.60 |
$2,219.76
|
|
Exchange nephrostomy cath
|
$2,991.60 |
$2,991.60 |
$2,991.60 |
$2,955.48
|
|
Exc hip/pelv tum deep 5 cm/>
|
$28,948.56 |
$28,948.56 |
$28,948.56 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$43,285.12 |
$43,285.12 |
$43,285.12 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$49,872.67 |
$49,872.67 |
$49,872.67 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$22,699.32 |
$22,699.32 |
$22,699.32 |
$3,486.52
|
|
Excise inferior turbinate
|
$51,304.64 |
$51,304.64 |
$51,304.64 |
$3,589.62
|
|
Excise intrspinl lesion lmbr
|
$130,698.87 |
$130,698.87 |
$130,698.87 |
$5,339.00
|
|
Excise lip or cheek fold
|
$21,586.08 |
$21,586.08 |
$21,586.08 |
$1,843.82
|
|
Excise parotid gland/lesion
|
$48,619.15 |
$48,619.15 |
$48,619.15 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$63,339.79 |
$63,339.79 |
$63,339.79 |
$6,839.00
|
|
Excise sublingual gland
|
$44,978.03 |
$44,978.03 |
$44,978.03 |
$5,678.40
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$61,919.89 |
$61,919.89 |
$61,919.89 |
$2,623.00
|
|
Excise wrist tendon sheath
|
$46,347.90 |
$46,347.90 |
$46,347.90 |
$1,893.86
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$11,179.74 |
$11,179.74 |
$11,179.74 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$24,753.00 |
$24,753.00 |
$24,753.00 |
$1,995.00
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$27,617.28 |
$27,617.28 |
$27,617.28 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$117,352.36 |
$117,352.36 |
$117,352.36 |
$2,760.60
|
|
Excision breast lesion
|
$25,462.06 |
$25,462.06 |
$25,462.06 |
$3,749.85
|
|
Excision of anal lesion(s)
|
$21,924.74 |
$21,924.74 |
$21,924.74 |
$3,816.64
|
|
Excision of lingual tonsil
|
$18,633.89 |
$18,633.89 |
$18,633.89 |
$5,855.00
|
|
Excision of salivary cyst
|
$44,978.03 |
$44,978.03 |
$44,978.03 |
$4,558.89
|
|
Excision olecranon bursa
|
$18,106.92 |
$18,106.92 |
$18,106.92 |
$2,889.60
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$20,670.06 |
$20,670.06 |
$20,670.06 |
$3,650.40
|
|
Excis partial tal calc
|
$129,187.04 |
$129,187.04 |
$129,187.04 |
$3,591.33
|
|
Exc malig feenl 1.1-2 11642
|
$30,026.76 |
$30,026.76 |
$30,026.76 |
$1,082.00
|
|
Exc malig feenl >4cm 11646
|
$29,494.49 |
$29,494.49 |
$29,494.49 |
$3,083.21
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$28,774.80 |
$28,774.80 |
$28,774.80 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$15,333.42 |
$15,333.42 |
$15,333.42 |
$973.20
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$15,381.00 |
$15,381.00 |
$15,381.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$15,894.48 |
$15,894.48 |
$15,894.48 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$20,541.24 |
$20,541.24 |
$20,541.24 |
$1,294.80
|
|
Exc neck tum deep 5 cm/>
|
$19,311.12 |
$19,311.12 |
$19,311.12 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$15,135.24 |
$15,135.24 |
$15,135.24 |
$6,311.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$25,480.86 |
$25,480.86 |
$25,480.86 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$30,893.68 |
$30,893.68 |
$30,893.68 |
$3,752.25
|
|
Exc rect tum transanal part
|
$13,128.02 |
$13,128.02 |
$13,128.02 |
$3,245.23
|
|
Exc shoulder tum deep < 5 cm
|
$14,498.58 |
$14,498.58 |
$14,498.58 |
$3,786.00
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$21,118.08 |
$21,118.08 |
$21,118.08 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$25,200.60 |
$25,200.60 |
$25,200.60 |
$1,274.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$7,320.66 |
$7,320.66 |
$7,320.66 |
$3,370.52
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$18,499.32 |
$18,499.32 |
$18,499.32 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$35,079.78 |
$35,079.78 |
$35,079.78 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$9,233.58 |
$9,233.58 |
$9,233.58 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$25,509.15 |
$25,509.15 |
$25,509.15 |
$3,986.00
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$25,211.04 |
$25,211.04 |
$25,211.04 |
$2,557.92
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$17,384.70 |
$17,384.70 |
$17,384.70 |
$3,994.09
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$20,306.76 |
$20,306.76 |
$20,306.76 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$17,473.62 |
$17,473.62 |
$17,473.62 |
$3,994.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$24,521.70 |
$24,521.70 |
$24,521.70 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$33,957.42 |
$33,957.42 |
$33,957.42 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$14,776.86 |
$14,776.86 |
$14,776.86 |
$2,106.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$24,647.32 |
$24,647.32 |
$24,647.32 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$21,228.48 |
$21,228.48 |
$21,228.48 |
$4,232.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,583.03 |
$6,583.03 |
$6,583.03 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$6,903.60 |
$6,903.60 |
$6,903.60 |
$1,944.80
|
|
Exploration maxillary sinus
|
$35,287.77 |
$35,287.77 |
$35,287.77 |
$4,341.97
|
|
Exploration of foot joint
|
$9,631.38 |
$9,631.38 |
$9,631.38 |
$3,591.33
|
|
Exploration of knee joint
|
$40,524.72 |
$40,524.72 |
$40,524.72 |
$3,981.06
|
|
Exploration of toe joint
|
$2,640.60 |
$2,640.60 |
$2,640.60 |
$1,893.86
|
