|
Exam plvc w/anes othr thn lcl
|
$111.00 |
$111.00 |
$111.00 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$587.50 |
$587.50 |
$587.50 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$3,344.00 |
$3,344.00 |
$3,344.00 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$491.50 |
$491.50 |
$491.50 |
$3,646.94
|
|
Exc abdl tum deep < 5 cm
|
$628.00 |
$628.00 |
$628.00 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$741.00 |
$741.00 |
$741.00 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$4,619.50 |
$4,619.50 |
$4,619.50 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$2,881.00 |
$2,881.00 |
$2,881.00 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$397.00 |
$397.00 |
$397.00 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$7,098.00 |
$7,098.00 |
$7,098.00 |
$3,902.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,596.50 |
$1,596.50 |
$1,596.50 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$319.00 |
$319.00 |
$319.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$693.00 |
$693.00 |
$693.00 |
$828.59
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$693.00 |
$693.00 |
$693.00 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$968.00 |
$968.00 |
$968.00 |
$1,136.64
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,596.50 |
$1,596.50 |
$1,596.50 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,816.00 |
$2,816.00 |
$2,816.00 |
$1,499.16
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,266.00
|
|
Exc/crtg b1 cst/b9 tum rds
|
$567.00 |
$567.00 |
$567.00 |
$2,617.60
|
|
Exc excessive skin leg
|
$898.50 |
$898.50 |
$898.50 |
$4,321.60
|
|
Exc ext ear/partial/simple repair 69110
|
$347.50 |
$347.50 |
$347.50 |
$3,170.64
|
|
Exc face tum deep < 2 cm
|
$417.50 |
$417.50 |
$417.50 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$541.50 |
$541.50 |
$541.50 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,796.50 |
$1,796.50 |
$1,796.50 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$792.00 |
$792.00 |
$792.00 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$549.50 |
$549.50 |
$549.50 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$572.00 |
$572.00 |
$572.00 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$355.00 |
$355.00 |
$355.00 |
$1,897.50
|
|
Exchange drainage catheter
|
$71.00 |
$71.00 |
$71.00 |
$2,220.54
|
|
Exchange lens prosthesis
|
$840.00 |
$840.00 |
$840.00 |
$4,504.00
|
|
Exc hidradenitis ing simpl 11462
|
$270.00 |
$270.00 |
$270.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$315.00 |
$315.00 |
$315.00 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$670.50 |
$670.50 |
$670.50 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$795.00 |
$795.00 |
$795.00 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$366.00 |
$366.00 |
$366.00 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$753.50 |
$753.50 |
$753.50 |
$3,486.52
|
|
Excise anal ext tag/papilla
|
$133.00 |
$133.00 |
$133.00 |
$2,119.50
|
|
Excise/repair mouth lesion
|
$185.50 |
$185.50 |
$185.50 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$1,980.50 |
$1,980.50 |
$1,980.50 |
$2,890.00
|
|
Excise wrist tendon sheath
|
$408.00 |
$408.00 |
$408.00 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$173.50 |
$173.50 |
$173.50 |
$546.17
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$709.50 |
$709.50 |
$709.50 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,039.05
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$968.00 |
$968.00 |
$968.00 |
$1,074.00
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,672.00 |
$1,672.00 |
$1,672.00 |
$2,865.00
|
|
Excision breast lesion
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,986.00
|
|
Excision graft abdomen
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$4,638.40
|
|
Excision graft extremity
|
$613.00 |
$613.00 |
$613.00 |
$4,706.99
|
|
Excision graft thorax 35905
|
$1,862.50 |
$1,862.50 |
$1,862.50 |
$2,362.96
|
|
Excision nasal polyp(s) simple 30110
|
$132.50 |
$132.50 |
$132.50 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$1,466.67 |
$1,466.67 |
$1,466.67 |
$3,823.00
|
|
Excision of gum lesion
|
$196.50 |
$196.50 |
$196.50 |
$4,560.40
|
|
Excision of gum lesion 41825
|
$3,824.00 |
$3,824.00 |
$3,824.00 |
$4,007.22
|
|
Excision of lesion of mesentery 44820
|
$948.50 |
$948.50 |
$948.50 |
$1,621.80
|
|
Excision of meckels diverticulum 44800
|
$857.00 |
$857.00 |
$857.00 |
$1,373.40
|
|
Excision of stomach lesion
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$1,494.24
|
|
Excision of umbilicus 49250
|
$654.50 |
$654.50 |
$654.50 |
$3,906.18
|
|
Excision of vaginal septum 57130
|
$174.50 |
$174.50 |
$174.50 |
$3,762.53
|
|
Excision olecranon bursa
|
$391.00 |
$391.00 |
$391.00 |
$2,889.60
|
|
Excision tongue lesion without closure 41110
|
$130.50 |
$130.50 |
$130.50 |
$3,811.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$3,786.00
|
|
Excis partial tal calc
|
$539.00 |
$539.00 |
$539.00 |
$3,591.33
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$711.00 |
$711.00 |
$711.00 |
$3,386.84
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$492.00 |
$492.00 |
$492.00 |
$2,296.00
|
|
Exc les conjunctiva <1 cm
|
$2,781.50 |
$2,781.50 |
$2,781.50 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$3,036.50 |
$3,036.50 |
$3,036.50 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$125.00 |
$125.00 |
$125.00 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$798.50 |
$798.50 |
$798.50 |
$1,063.30
|
|
Exc malig feenl 1.1-2 11642
|
$692.50 |
$692.50 |
$692.50 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$382.00 |
$382.00 |
$382.00 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$1,320.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,249.00 |
$1,249.00 |
$1,249.00 |
$1,013.50
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$131.00 |
$131.00 |
$131.00 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$693.00 |
$693.00 |
$693.00 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,109.44 |
$1,109.44 |
$1,109.44 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$998.00 |
$998.00 |
$998.00 |
$1,294.80
|
|
Exc neck tum deep < 5 cm
|
$558.00 |
$558.00 |
$558.00 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$813.00 |
$813.00 |
$813.00 |
$3,386.84
|
|
Exc of rectal prlpse 45130
|
$1,159.50 |
$1,159.50 |
$1,159.50 |
$1,659.60
|
|
Exc of residual cervix 57540
|
$810.00 |
$810.00 |
$810.00 |
$1,517.40
|
|
Exc of residual cervix via aginal approach 57550
|
$438.50 |
$438.50 |
$438.50 |
$5,463.96
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,632.00 |
$5,632.00 |
$5,632.00 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$3,773.00
|
|
Exc rect tum transanal full
|
$896.50 |
$896.50 |
$896.50 |
$3,245.23
|
|
Exc rect tum transanal part
|
$682.00 |
$682.00 |
$682.00 |
$3,245.23
|
|
Exc sacral pr ulc prim sutr
|
$771.50 |
$771.50 |
$771.50 |
$3,386.84
|
|
Exc shoulder tum deep < 5 cm
|
$591.50 |
$591.50 |
$591.50 |
$3,786.00
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$3,386.84
|
