|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$4,076.22 |
$4,076.22 |
$4,076.22 |
$2,865.00
|
|
Excision breast lesion
|
$4,064.45 |
$4,064.45 |
$4,064.45 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$3,892.91 |
$3,892.91 |
$3,892.91 |
$3,892.91
|
|
Excision graft extremity
|
$4,706.99 |
$4,706.99 |
$4,706.99 |
$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
|
$1,191.85 |
$1,191.85 |
$1,191.85 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$3,878.86 |
$3,878.86 |
$3,878.86 |
$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
|
$4,656.92 |
$4,656.92 |
$4,656.92 |
$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
|
$2,539.92 |
$2,539.92 |
$2,539.92 |
$4,007.22
|
|
Excision of lingual tonsil
|
$4,244.33 |
$4,244.33 |
$4,244.33 |
$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
|
$6,150.92 |
$6,150.92 |
$6,150.92 |
$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
|
$2,268.26 |
$2,268.26 |
$2,268.26 |
$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
|
$3,171.96 |
$3,171.96 |
$3,171.96 |
$3,986.00
|
|
Excision of uvula
|
$2,372.46 |
$2,372.46 |
$2,372.46 |
$3,837.72
|
|
Excision of vaginal septum 57130
|
$4,276.00 |
$4,276.00 |
$4,276.00 |
$3,762.53
|
|
Excision olecranon bursa
|
$4,263.01 |
$4,263.01 |
$4,263.01 |
$3,591.33
|
|
Excision radial head
|
$6,080.91 |
$6,080.91 |
$6,080.91 |
$3,986.00
|
|
Excision tongue lesion without closure 41110
|
$2,153.98 |
$2,153.98 |
$2,153.98 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$5,067.76 |
$5,067.76 |
$5,067.76 |
$4,420.32
|
|
Excis partial tal calc
|
$2,876.95 |
$2,876.95 |
$2,876.95 |
$3,594.44
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$5,098.03 |
$5,098.03 |
$5,098.03 |
$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
|
$3,269.05 |
$3,269.05 |
$3,269.05 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$2,858.49 |
$2,858.49 |
$2,858.49 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$3,104.42 |
$3,104.42 |
$3,104.42 |
$3,104.42
|
|
Exc malig feenl <0.5cm 11640
|
$1,424.62 |
$1,424.62 |
$1,424.62 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$2,054.89 |
$2,054.89 |
$2,054.89 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$4,835.54 |
$4,835.54 |
$4,835.54 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,377.57 |
$1,377.57 |
$1,377.57 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,500.50 |
$1,500.50 |
$1,500.50 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,582.94 |
$2,582.94 |
$2,582.94 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$1,674.91 |
$1,674.91 |
$1,674.91 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,236.94 |
$1,236.94 |
$1,236.94 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,327.15 |
$1,327.15 |
$1,327.15 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$2,109.70 |
$2,109.70 |
$2,109.70 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$2,515.22 |
$2,515.22 |
$2,515.22 |
$1,294.80
|
|
Exc mandible 21025
|
$5,876.98 |
$5,876.98 |
$5,876.98 |
$6,289.53
|
|
Exc neck tum deep < 5 cm
|
$6,569.81 |
$6,569.81 |
$6,569.81 |
$3,813.50
|
|
Exc neck tum deep 5 cm/>
|
$6,244.17 |
$6,244.17 |
$6,244.17 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$4,520.88 |
$4,520.88 |
$4,520.88 |
$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
|
$4,185.40 |
$4,185.40 |
$4,185.40 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$3,884.96 |
$3,884.96 |
$3,884.96 |
$3,839.54
|
|
Exc rect tum transanal full
|
$6,394.75 |
$6,394.75 |
$6,394.75 |
$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
|
$2,811.16 |
$2,811.16 |
$2,811.16 |
$4,332.25
|
|
Exc sacral pr ulc prim sutr
|
$4,140.86 |
$4,140.86 |
$4,140.86 |
$3,386.84
|
|
Exc sacral pr ulc skn flap
|
$4,054.55 |
$4,054.55 |
$4,054.55 |
$4,332.25
|
|
Exc shoulder tum deep < 5 cm
|
$3,849.30 |
$3,849.30 |
$3,849.30 |
$3,849.30
|
|
Exc skn hdrdnt ax complex
|
$4,586.40 |
$4,586.40 |
$4,586.40 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$3,726.30 |
$3,726.30 |
$3,726.30 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$4,362.32 |
$4,362.32 |
$4,362.32 |
$3,994.09
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,718.65 |
$1,718.65 |
$1,718.65 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$3,345.83 |
$3,345.83 |
$3,345.83 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$4,733.36 |
$4,733.36 |
$4,733.36 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$2,937.55 |
$2,937.55 |
$2,937.55 |
$2,937.55
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$6,683.14 |
$6,683.14 |
$6,683.14 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$4,602.28 |
$4,602.28 |
$4,602.28 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$3,480.43 |
$3,480.43 |
$3,480.43 |
$4,160.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$3,048.24 |
$3,048.24 |
$3,048.24 |
$2,924.22
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$4,514.45 |
$4,514.45 |
$4,514.45 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$5,274.50 |
$5,274.50 |
$5,274.50 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$4,309.48 |
$4,309.48 |
$4,309.48 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$3,817.04 |
$3,817.04 |
$3,817.04 |
$1,917.33
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$4,842.13 |
$4,842.13 |
$4,842.13 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$3,256.58 |
$3,256.58 |
$3,256.58 |
$2,797.08
|
|
Exc thigh/knee les sc<3cm 27327
|
$4,220.29 |
$4,220.29 |
$4,220.29 |
$3,229.48
|
|
Exc thigh/knee tum deep <5cm
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$3,306.79
|
|
Exc thigh/knee tum dep 5cm/>
|
$4,008.58 |
$4,008.58 |
$4,008.58 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$735.84 |
$735.84 |
$2,633.15 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$3,059.15 |
$3,059.15 |
$3,059.15 |
$3,059.15
|
|
Exc torus mandibularis 21031
|
$5,132.35 |
$5,132.35 |
$5,132.35 |
$3,837.72
|
|
Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951
|
$3,425.00 |
$3,425.00 |
$3,425.00 |
$3,425.00
|
|
Exc trchntr pr ulc flp clsr
|
$1,842.45 |
$1,842.45 |
$1,842.45 |
$2,837.09
|
|
Exc trchntr pr ulc flp ostc
|
$4,129.78 |
$4,129.78 |
$4,129.78 |
$4,332.25
|
|
Exc trchntr pr ulc prep flap
|
$3,768.41 |
$3,768.41 |
$3,768.41 |
$2,872.80
|
|
Exc trchntr pr ulc prep ostc
|
$3,051.23 |
$3,051.23 |
$3,051.23 |
$4,332.25
|
|
Exc trchntr pr ulc prim sutr
|
$2,678.75 |
$2,678.75 |
$2,678.75 |
$2,087.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$3,773.05 |
$3,773.05 |
$3,773.05 |
$2,054.40
|
|
Exc vagina lesion 57135
|
$3,783.19 |
$3,783.19 |
$3,783.19 |
$4,292.17
|
|
Exercise tst brncspsm w/ecg
|
$112.32 |
$112.32 |
$191.38 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$64.42 |
$64.42 |
$64.42 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$538.92 |
$538.92 |
$1,481.20 |
$901.60
|