|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$4,045.48 |
$4,045.48 |
$4,045.48 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$924.82 |
$924.82 |
$924.82 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,691.11 |
$1,691.11 |
$1,691.11 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$3,847.45 |
$3,847.45 |
$3,847.45 |
$4,238.48
|
|
Exc cervix/repair vagina 57555
|
$4,317.40 |
$4,317.40 |
$4,317.40 |
$5,468.70
|
|
Exc chest wall tumor w/ribs 21601
|
$2,441.11 |
$2,441.11 |
$2,441.11 |
$3,386.84
|
|
Exc coccygl pr ulc flap clsr
|
$3,113.11 |
$3,113.11 |
$3,113.11 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$2,441.11 |
$2,441.11 |
$2,441.11 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Exc/crtg b1 cst/b9 tum rds
|
$3,142.72 |
$3,142.72 |
$3,142.72 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Exc/crtg b1 cst/tum hum algr
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds algr
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$3,968.54 |
$3,968.54 |
$3,968.54 |
$3,839.54
|
|
Exc excessive skin buttock
|
$2,680.44 |
$2,680.44 |
$2,680.44 |
$3,386.84
|
|
Exc excessive skin hip
|
$2,448.48 |
$2,448.48 |
$2,448.48 |
$4,350.00
|
|
Exc excessive skin leg
|
$4,460.78 |
$4,460.78 |
$4,460.78 |
$4,321.60
|
|
Exc excessive skin thigh
|
$4,074.75 |
$4,074.75 |
$4,074.75 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$2,441.11 |
$2,441.11 |
$2,441.11 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$2,610.83 |
$2,610.83 |
$2,610.83 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$2,789.84 |
$2,789.84 |
$2,789.84 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$2,206.43 |
$2,206.43 |
$2,206.43 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$2,847.31 |
$2,847.31 |
$2,847.31 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,250.83 |
$1,250.83 |
$1,250.83 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$2,458.53 |
$2,458.53 |
$2,458.53 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$4,864.76 |
$4,864.76 |
$4,864.76 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$2,855.10 |
$2,855.10 |
$2,855.10 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$4,115.09 |
$4,115.09 |
$4,115.09 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$4,328.90 |
$4,328.90 |
$4,328.90 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$2,640.04 |
$2,640.04 |
$2,640.04 |
$1,908.09
|
|
Exc hand tum deep 1.5 cm/>
|
$4,130.83 |
$4,130.83 |
$4,130.83 |
$2,391.84
|
|
Exc hand tum deep < 1.5 cm 26116
|
$2,889.77 |
$2,889.77 |
$2,889.77 |
$2,391.84
|
|
Exchange biliary drg cath
|
$3,631.78 |
$3,631.78 |
$3,631.78 |
$3,856.84
|
|
Exchange blood transfusion newborn 36450
|
$627.91 |
$627.91 |
$627.91 |
$566.55
|
|
Exchange drainage catheter
|
$1,946.91 |
$1,946.91 |
$1,946.91 |
$2,220.54
|
|
Exchange lens prosthesis
|
$5,092.44 |
$5,092.44 |
$5,092.44 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$3,909.32 |
$3,909.32 |
$3,909.32 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$2,738.93 |
$2,738.93 |
$2,738.93 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$4,410.80 |
$4,410.80 |
$4,410.80 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$3,996.19 |
$3,996.19 |
$3,996.19 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$3,849.30 |
$3,849.30 |
$3,849.30 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$5,984.89 |
$5,984.89 |
$5,984.89 |
$3,630.40
|
|
Excimer lsr psriasis 250-500
|
$262.65 |
$262.65 |
$262.65 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$242.13 |
$242.13 |
$242.13 |
$347.88
|
|
Excimer lsr psriasis>500sqcm
|
$326.34 |
$326.34 |
$326.34 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$3,383.79 |
$3,383.79 |
$3,383.79 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$3,155.77 |
$3,155.77 |
$3,155.77 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$4,460.78 |
$4,460.78 |
$4,460.78 |
$3,486.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$3,696.64 |
$3,696.64 |
$3,696.64 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$4,305.32 |
$4,305.32 |
$4,305.32 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$5,699.89 |
$5,699.89 |
$5,699.89 |
$3,994.09
|
|
Exc isch pr ulc skn flp clsr
|
$3,220.00 |
$3,220.00 |
$3,220.00 |
$4,332.25
|
|
Exc isch pr ulc skn flp ostc
|
$4,144.66 |
$4,144.66 |
$4,144.66 |
$4,144.66
|
|
Excise anal ext tag/papilla
|
$2,272.02 |
$2,272.02 |
$2,272.02 |
$2,272.02
|
|
Excise epiphyseal bar
|
$5,823.24 |
$5,823.24 |
$5,823.24 |
$4,947.20
|
|
Excise foot tendon sheath
|
$3,317.38 |
$3,317.38 |
$3,317.38 |
$3,821.05
|
|
Excise foot tendon sheath
|
$2,613.37 |
$2,613.37 |
$2,613.37 |
$3,839.54
|
|
Excise inferior turbinate
|
$2,822.87 |
$2,822.87 |
$2,822.87 |
$3,819.23
|
|
Excise lesion testis
|
$4,137.59 |
$4,137.59 |
$4,137.59 |
$4,081.37
|
|
Excise lip or cheek fold
|
$1,475.16 |
$1,475.16 |
$1,475.16 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$6,219.35 |
$6,219.35 |
$6,219.35 |
$6,219.35
|
|
Excise mandible lesion
|
$3,578.38 |
$3,578.38 |
$3,578.38 |
$3,592.74
|
|
Excise max/zygoma b9 tumor
|
$4,832.78 |
$4,832.78 |
$4,832.78 |
$6,588.00
|
|
Excise max/zygoma mal tumor
|
$6,517.80 |
$6,517.80 |
$6,517.80 |
$6,547.81
|
|
Excise oral mucosa for graft 40818
|
$788.48 |
$788.48 |
$788.48 |
$904.80
|
|
Excise parotid gland/lesion
|
$6,831.82 |
$6,831.82 |
$6,831.82 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$9,040.60 |
$9,040.60 |
$9,040.60 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$7,479.05 |
$7,479.05 |
$7,479.05 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$8,803.45 |
$8,803.45 |
$8,803.45 |
$6,839.00
|
|
Excise pharynx lesion
|
$2,588.41 |
$2,588.41 |
$2,588.41 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$3,362.44 |
$3,362.44 |
$3,362.44 |
$1,915.20
|
|
Excise sublingual gland
|
$6,663.23 |
$6,663.23 |
$6,663.23 |
$5,678.40
|
|
Excise submaxillary gland
|
$5,314.01 |
$5,314.01 |
$5,314.01 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$4,199.17 |
$4,199.17 |
$4,199.17 |
$3,322.80
|
|
Excise tendon forearm/wrist
|
$2,778.48 |
$2,778.48 |
$2,778.48 |
$3,839.54
|
|
Excise wrist tendon sheath
|
$3,264.16 |
$3,264.16 |
$3,264.16 |
$2,211.05
|
|
Excision addl breast lesion 19126
|
$3,502.78 |
$3,502.78 |
$3,502.78 |
$761.80
|
|
Excision aural polyp
|
$2,164.33 |
$2,164.33 |
$2,164.33 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,020.35 |
$1,020.35 |
$1,020.35 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,981.25 |
$1,981.25 |
$1,981.25 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,064.30 |
$1,064.30 |
$1,064.30 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,858.66 |
$3,858.66 |
$3,858.66 |
$2,865.00
|
|
Excision breast lesion
|
$3,525.37 |
$3,525.37 |
$3,525.37 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$3,789.36 |
$3,789.36 |
$3,789.36 |
$3,892.91
|
|
Excision graft extremity
|
$5,616.29 |
$5,616.29 |
$5,616.29 |
$4,881.00
|
|
Excision gum each quadrant
|
$3,242.00 |
$3,242.00 |
$3,242.00 |
$4,560.40
|
|
Excision hand/finger tendon
|
$3,217.69 |
$3,217.69 |
$3,217.69 |
$3,839.54
|
|
Excision lesion mouth roof
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$3,837.72
|
|
Excision lesion mouth roof
|
$5,413.19 |
$5,413.19 |
$5,413.19 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$1,533.63 |
$1,533.63 |
$1,533.63 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$3,292.47 |
$3,292.47 |
$3,292.47 |
$3,823.00
|
|
Excision of gum lesion
|
$2,729.48 |
$2,729.48 |
$2,729.48 |
$1,944.80
|
|
Excision of gum lesion
|
$5,204.98 |
$5,204.98 |
$5,204.98 |
$7,000.36
|
|
Excision of gum lesion
|
$5,061.26 |
$5,061.26 |
$5,061.26 |
$4,560.40
|
|
Excision of gum lesion
|
$5,148.70 |
$5,148.70 |
$5,148.70 |
$6,547.81
|
|
Excision of gum lesion
|
$3,710.62 |
$3,710.62 |
$3,710.62 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$2,309.02 |
$2,309.02 |
$2,309.02 |
$4,007.22
|
|
Excision of lingual tonsil
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$6,465.11
|
