|
Exc im tumor/back/flank/ < 5 cm 21932
|
$432.63 |
$432.63 |
$432.63 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$227.70 |
$227.70 |
$227.70 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$453.79 |
$453.79 |
$453.79 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$1,328.25 |
$1,328.25 |
$1,328.25 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$1,034.08 |
$1,034.08 |
$1,034.08 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$460.23 |
$460.23 |
$460.23 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$611.80 |
$611.80 |
$611.80 |
$3,986.00
|
|
Exc isch pr ulc skn flp clsr
|
$603.75 |
$603.75 |
$603.75 |
$4,311.38
|
|
Exc isch pr ulc skn flp ostc
|
$658.95 |
$658.95 |
$658.95 |
$4,118.00
|
|
Excise anal ext tag/papilla
|
$78.66 |
$78.66 |
$78.66 |
$2,172.09
|
|
Excise epiphyseal bar
|
$651.82 |
$651.82 |
$651.82 |
$4,947.20
|
|
Excise foot tendon sheath
|
$226.32 |
$226.32 |
$226.32 |
$3,786.00
|
|
Excise foot tendon sheath
|
$192.28 |
$192.28 |
$192.28 |
$3,839.54
|
|
Excise ileoanal reservior
|
$1,141.26 |
$1,141.26 |
$1,141.26 |
$2,369.34
|
|
Excise inferior turbinate
|
$263.81 |
$263.81 |
$263.81 |
$3,592.74
|
|
Excise intestine lesion(s) 44110
|
$549.01 |
$549.01 |
$549.01 |
$1,600.80
|
|
Excise intraspinl lesion crv
|
$1,085.14 |
$1,085.14 |
$1,085.14 |
$5,419.00
|
|
Excise intrspinl lesion crvl
|
$1,355.39 |
$1,355.39 |
$1,355.39 |
$4,875.20
|
|
Excise intrspinl lesion lmbr
|
$894.70 |
$894.70 |
$894.70 |
$5,741.00
|
|
Excise intrspinl lesion lmbr
|
$1,229.35 |
$1,229.35 |
$1,229.35 |
$2,888.61
|
|
Excise intrspinl lesion scrl
|
$957.26 |
$957.26 |
$957.26 |
$5,741.00
|
|
Excise intrspinl lesion scrl
|
$1,219.92 |
$1,219.92 |
$1,219.92 |
$4,381.60
|
|
Excise intrspinl lesion thrc
|
$1,353.78 |
$1,353.78 |
$1,353.78 |
$4,874.40
|
|
Excise lesion testis
|
$349.37 |
$349.37 |
$349.37 |
$4,081.37
|
|
Excise lip or cheek fold
|
$130.18 |
$130.18 |
$130.18 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$784.76 |
$784.76 |
$784.76 |
$6,219.35
|
|
Excise mandible lesion
|
$235.52 |
$235.52 |
$235.52 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$234.60 |
$234.60 |
$234.60 |
$6,588.00
|
|
Excise max/zygoma mal tumor
|
$725.19 |
$725.19 |
$725.19 |
$6,517.80
|
|
Excise oral mucosa for graft 40818
|
$169.28 |
$169.28 |
$169.28 |
$899.64
|
|
Excise parotid gland/lesion
|
$407.56 |
$407.56 |
$407.56 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$685.17 |
$685.17 |
$685.17 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$767.05 |
$767.05 |
$767.05 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$543.95 |
$543.95 |
$543.95 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$872.85 |
$872.85 |
$872.85 |
$1,704.08
|
|
Excise pharynx lesion
|
$108.10 |
$108.10 |
$108.10 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$117.30 |
$117.30 |
$117.30 |
$1,903.93
|
|
Excise sacral spine tumor
|
$1,424.62 |
$1,424.62 |
$1,424.62 |
$5,464.80
|
|
Excise sublingual gland
|
$235.98 |
$235.98 |
$235.98 |
$5,678.40
|
|
Excise submaxillary gland
|
$269.56 |
$269.56 |
$269.56 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$217.81 |
$217.81 |
$217.81 |
$3,307.66
|
|
Excise tendon forearm/wrist
|
$352.82 |
$352.82 |
$352.82 |
$3,839.54
|
|
Excise wrist tendon sheath
|
$253.00 |
$253.00 |
$253.00 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$102.81 |
$102.81 |
$102.81 |
$761.80
|
|
Excision aural polyp
|
$82.57 |
$82.57 |
$82.57 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$85.56 |
$85.56 |
$85.56 |
$923.06
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$4,740.89 |
$4,740.89 |
$4,740.89 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,058.21 |
$2,058.21 |
$2,058.21 |
$1,083.55
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$161.00 |
$161.00 |
$161.00 |
$2,865.00
|
|
Excision breast lesion
|
$301.07 |
$301.07 |
$301.07 |
$4,064.45
|
|
Excision coa w/graft
|
$853.30 |
$853.30 |
$853.30 |
$1,923.76
|
|
Excision floor mouth lesion 41116
|
$139.61 |
$139.61 |
$139.61 |
$3,892.91
|
|
Excision graft abdomen
|
$1,210.26 |
$1,210.26 |
$1,210.26 |
$4,638.40
|
|
Excision graft extremity
|
$356.27 |
$356.27 |
$356.27 |
$4,706.99
|
|
Excision graft neck
|
$303.60 |
$303.60 |
$303.60 |
$1,148.00
|
|
Excision graft thorax 35905
|
$1,065.13 |
$1,065.13 |
$1,065.13 |
$2,362.96
|
|
Excision hand/finger tendon
|
$543.72 |
$543.72 |
$543.72 |
$3,821.05
|
|
Excision lesion mouth roof
|
$104.19 |
$104.19 |
$104.19 |
$3,837.72
|
|
Excision lesion mouth roof
|
$210.91 |
$210.91 |
$210.91 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$86.02 |
$86.02 |
$86.02 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$89.47 |
$89.47 |
$89.47 |
$3,823.00
|
|
Excision of bile duct cyst
|
$859.74 |
$859.74 |
$859.74 |
$3,263.20
|
|
Excision of bile duct tumor
|
$1,002.11 |
$1,002.11 |
$1,002.11 |
$3,825.60
|
|
Excision of bile duct tumor
|
$1,286.62 |
$1,286.62 |
$1,286.62 |
$2,813.24
|
|
Excision of bowel lesion(s)
|
$632.27 |
$632.27 |
$632.27 |
$2,420.80
|
|
Excision of brain tumor
|
$2,073.68 |
$2,073.68 |
$2,073.68 |
$4,794.16
|
|
Excision of esophagus lesion
|
$411.93 |
$411.93 |
$411.93 |
$803.66
|
|
Excision of esophagus lesion
|
$644.69 |
$644.69 |
$644.69 |
$3,908.80
|
|
Excision of gum lesion
|
$131.33 |
$131.33 |
$131.33 |
$1,944.80
|
|
Excision of gum lesion
|
$237.82 |
$237.82 |
$237.82 |
$7,000.36
|
|
Excision of gum lesion
|
$126.27 |
$126.27 |
$126.27 |
$4,560.40
|
|
Excision of gum lesion
|
$188.37 |
$188.37 |
$188.37 |
$6,547.81
|
|
Excision of gum lesion
|
$144.21 |
$144.21 |
$144.21 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$78.43 |
$78.43 |
$78.43 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$552.23 |
$552.23 |
$552.23 |
$1,517.60
|
|
Excision of lingual tonsil
|
$373.75 |
$373.75 |
$373.75 |
$5,855.00
|
|
Excision of meckels diverticulum 44800
|
$502.09 |
$502.09 |
$502.09 |
$1,361.16
|
|
Excision of mouth lesion complex 40816
|
$196.19 |
$196.19 |
$196.19 |
$4,558.89
|
|
Excision of neck cyst
|
$346.84 |
$346.84 |
$346.84 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$183.08 |
$183.08 |
$183.08 |
$4,560.40
|
|
Excision of penis lesion(s) 54060
|
$85.56 |
$85.56 |
$85.56 |
$2,837.09
|
|
Excision of rectal lesion
|
$665.39 |
$665.39 |
$665.39 |
$3,816.64
|
|
Excision of rectal prolapse
|
$833.52 |
$833.52 |
$833.52 |
$3,254.40
|
|
Excision of rectal stricture
|
$275.54 |
$275.54 |
$275.54 |
$1,395.28
|
|
Excision of salivary cyst
|
$226.09 |
$226.09 |
$226.09 |
$3,986.00
|
|
Excision of skull/sutures
|
$1,228.89 |
$1,228.89 |
$1,228.89 |
$2,867.45
|
|
Excision of skull/sutures
|
$1,564.92 |
$1,564.92 |
$1,564.92 |
$3,639.94
|
|
Excision of skull tumor
|
$1,292.60 |
$1,292.60 |
$1,292.60 |
$3,003.39
|
|
Excision of skull tumor
|
$1,568.37 |
$1,568.37 |
$1,568.37 |
$3,636.80
|
|
Excision of stomach lesion
|
$631.35 |
$631.35 |
$631.35 |
$1,385.93
|
|
Excision of stomach lesion
|
$794.19 |
$794.19 |
$794.19 |
$2,708.64
|
|
Excision of tongue lesion
|
$156.63 |
$156.63 |
$156.63 |
$3,837.72
|
|
Excision of tongue lesion
|
$399.97 |
$399.97 |
$399.97 |
$4,558.89
|
|
Excision of tongue lesion w/closure 41113
|
$170.20 |
$170.20 |
$170.20 |
$3,837.72
|
|
Excision of tonsil tags
|
$126.50 |
$126.50 |
$126.50 |
$4,350.00
|
|
Excision of umbilicus 49250
|
$387.09 |
$387.09 |
$387.09 |
$3,909.56
|
|
Excision of uvula
|
$105.34 |
$105.34 |
$105.34 |
$3,837.72
|
|
Excision of vaginal septum 57130
|
$111.55 |
$111.55 |
$111.55 |
$3,762.53
|
|
Excision olecranon bursa
|
$237.36 |
$237.36 |
$237.36 |
$3,545.97
|
|
Excision perinephric cyst
|
$580.06 |
$580.06 |
$580.06 |
$1,171.18
|