|
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
|
|
Excision of mouth lesion complex 40816
|
$5,238.98 |
$5,238.98 |
$5,238.98 |
$4,627.00
|
|
Excision of neck cyst
|
$5,591.74 |
$5,591.74 |
$5,591.74 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$3,497.38 |
$3,497.38 |
$3,497.38 |
$4,560.40
|
|
Excision of penis lesion(s) 54060
|
$2,479.33 |
$2,479.33 |
$2,479.33 |
$2,837.09
|
|
Excision of rectal lesion
|
$2,526.60 |
$2,526.60 |
$2,526.60 |
$3,816.64
|
|
Excision of rectal stricture
|
$3,349.38 |
$3,349.38 |
$3,349.38 |
$1,521.00
|
|
Excision of salivary cyst
|
$5,004.18 |
$5,004.18 |
$5,004.18 |
$4,558.89
|
|
Excision of tongue lesion
|
$2,583.98 |
$2,583.98 |
$2,583.98 |
$3,837.72
|
|
Excision of tongue lesion w/closure 41113
|
$3,936.75 |
$3,936.75 |
$3,936.75 |
$3,837.72
|
|
Excision of tonsil tags
|
$5,171.20 |
$5,171.20 |
$5,171.20 |
$4,350.00
|
|
Excision of umbilicus 49250
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$3,986.00
|
|
Excision of uvula
|
$2,638.87 |
$2,638.87 |
$2,638.87 |
$3,837.72
|
|
Excision of vaginal septum 57130
|
$3,887.27 |
$3,887.27 |
$3,887.27 |
$3,762.53
|
|
Excision olecranon bursa
|
$2,868.65 |
$2,868.65 |
$2,868.65 |
$3,591.33
|
|
Excision radial head
|
$4,990.68 |
$4,990.68 |
$4,990.68 |
$3,986.00
|
|
Excision tongue lesion without closure 41110
|
$2,094.14 |
$2,094.14 |
$2,094.14 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$4,522.97 |
$4,522.97 |
$4,522.97 |
$4,420.32
|
|
Excis partial tal calc
|
$2,627.55 |
$2,627.55 |
$2,627.55 |
$3,594.44
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$3,531.45 |
$3,531.45 |
$3,531.45 |
$3,531.45
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$3,849.30 |
$3,849.30 |
$3,849.30 |
$3,127.88
|
|
Exc les conjunctiva <1 cm
|
$2,676.37 |
$2,676.37 |
$2,676.37 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$3,241.60 |
$3,241.60 |
$3,241.60 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$2,591.37 |
$2,591.37 |
$2,591.37 |
$3,104.42
|
|
Exc malig feenl <0.5cm 11640
|
$1,260.97 |
$1,260.97 |
$1,260.97 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$1,712.59 |
$1,712.59 |
$1,712.59 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$2,106.86 |
$2,106.86 |
$2,106.86 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$3,083.21 |
$3,083.21 |
$3,083.21 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,325.11 |
$1,325.11 |
$1,325.11 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,341.76 |
$2,341.76 |
$2,341.76 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$1,218.88 |
$1,218.88 |
$1,218.88 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,092.37 |
$1,092.37 |
$1,092.37 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,030.42 |
$1,030.42 |
$1,030.42 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,867.36 |
$1,867.36 |
$1,867.36 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$2,140.67 |
$2,140.67 |
$2,140.67 |
$1,294.80
|
|
Exc mandible 21025
|
$6,289.53 |
$6,289.53 |
$6,289.53 |
$6,289.53
|
|
Exc neck tum deep < 5 cm
|
$4,710.69 |
$4,710.69 |
$4,710.69 |
$3,813.50
|
|
Exc neck tum deep 5 cm/>
|
$5,841.85 |
$5,841.85 |
$5,841.85 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$5,753.00
|
|
Exc of residual cervix via aginal approach 57550
|
$4,913.60 |
$4,913.60 |
$4,913.60 |
$5,419.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,588.30 |
$3,588.30 |
$3,588.30 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$3,552.01 |
$3,552.01 |
$3,552.01 |
$3,839.54
|
|
Exc rect tum transanal full
|
$5,595.41 |
$5,595.41 |
$5,595.41 |
$4,119.00
|
|
Exc rect tum transanal part
|
$2,594.40 |
$2,594.40 |
$2,594.40 |
$3,786.00
|
|
Exc sac pr ulc prim str ostc
|
$4,460.78 |
$4,460.78 |
$4,460.78 |
$3,994.09
|
|
Exc sac pr ulc skn flp ostc
|
$2,846.00 |
$2,846.00 |
$2,846.00 |
$4,332.25
|
|
Exc sacral pr ulc prim sutr
|
$4,140.86 |
$4,140.86 |
$4,140.86 |
$3,386.84
|