|
Exc hip/pelv tum deep 5 cm/>
|
$15,448.50 |
$15,448.50 |
$15,448.50 |
$3,630.40
|
|
Excimer lsr psriasis<250sqcm
|
$254.50 |
$254.50 |
$254.50 |
$347.88
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$3,526.00 |
$3,526.00 |
$3,526.00 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$6,208.50 |
$6,208.50 |
$6,208.50 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$11,543.50 |
$11,543.50 |
$11,543.50 |
$3,486.52
|
|
Excise anal ext tag/papilla
|
$5,537.50 |
$5,537.50 |
$5,537.50 |
$2,172.09
|
|
Excise foot tendon sheath
|
$2,391.75 |
$2,391.75 |
$2,391.75 |
$3,821.05
|
|
Excise inferior turbinate
|
$13,717.50 |
$13,717.50 |
$13,717.50 |
$3,589.62
|
|
Excise intrspinl lesion lmbr
|
$6,900.00 |
$6,900.00 |
$6,900.00 |
$6,311.00
|
|
Excise intrspinl lesion thrc
|
$61,684.50 |
$61,684.50 |
$61,684.50 |
$4,874.40
|
|
Excise lesion testis
|
$5,999.50 |
$5,999.50 |
$5,999.50 |
$4,081.37
|
|
Excise lip or cheek fold
|
$2,457.50 |
$2,457.50 |
$2,457.50 |
$1,855.10
|
|
Excise mandible lesion
|
$5,383.50 |
$5,383.50 |
$5,383.50 |
$3,589.62
|
|
Excise max/zygoma b9 tumor
|
$6,230.50 |
$6,230.50 |
$6,230.50 |
$6,547.81
|
|
Excise oral mucosa for graft 40818
|
$5,195.88 |
$5,195.88 |
$5,195.88 |
$904.80
|
|
Excise parotid gland/lesion
|
$20,207.50 |
$20,207.50 |
$20,207.50 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$41,858.67 |
$41,858.67 |
$41,858.67 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$30,752.00 |
$30,752.00 |
$30,752.00 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$40,783.75 |
$40,783.75 |
$40,783.75 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$26,255.00 |
$26,255.00 |
$26,255.00 |
$5,891.60
|
|
Excise pharynx lesion
|
$4,358.50 |
$4,358.50 |
$4,358.50 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$7,770.50 |
$7,770.50 |
$7,770.50 |
$1,903.93
|
|
Excise submaxillary gland
|
$12,759.00 |
$12,759.00 |
$12,759.00 |
$6,553.49
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$2,890.00 |
$2,890.00 |
$2,890.00 |
$3,307.66
|
|
Excise wrist tendon sheath
|
$6,922.00 |
$6,922.00 |
$6,922.00 |
$1,893.86
|
|
Excision addl breast lesion 19126
|
$2,872.50 |
$2,872.50 |
$2,872.50 |
$546.17
|
|
Excision aural polyp
|
$1,981.50 |
$1,981.50 |
$1,981.50 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$4,305.50 |
$4,305.50 |
$4,305.50 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$4,095.67 |
$4,095.67 |
$4,095.67 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$4,074.50 |
$4,074.50 |
$4,074.50 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$5,441.25 |
$5,441.25 |
$5,441.25 |
$2,641.65
|
|
Excision breast lesion
|
$11,543.50 |
$11,543.50 |
$11,543.50 |
$4,042.99
|
|
Excision floor mouth lesion 41116
|
$5,383.50 |
$5,383.50 |
$5,383.50 |
$3,892.91
|
|
Excision lesion mouth roof
|
$3,307.00 |
$3,307.00 |
$3,307.00 |
$3,837.72
|
|
Excision lesion mouth roof
|
$14,061.00 |
$14,061.00 |
$14,061.00 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$1,981.50 |
$1,981.50 |
$1,981.50 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$11,514.00 |
$11,514.00 |
$11,514.00 |
$3,823.00
|
|
Excision of gum lesion
|
$11,500.50 |
$11,500.50 |
$11,500.50 |
$4,560.40
|
|
Excision of gum lesion
|
$7,273.25 |
$7,273.25 |
$7,273.25 |
$6,547.81
|
|
Excision of gum lesion 41825
|
$4,821.00 |
$4,821.00 |
$4,821.00 |
$4,007.22
|
|
Excision of lingual tonsil
|
$5,155.75 |
$5,155.75 |
$5,155.75 |
$6,465.11
|
|
Excision of mouth lesion complex 40816
|
$5,863.13 |
$5,863.13 |
$5,863.13 |
$3,986.00
|
|
Excision of neck cyst
|
$8,386.50 |
$8,386.50 |
$8,386.50 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$7,231.50 |
$7,231.50 |
$7,231.50 |
$4,558.89
|
|
Excision of penis lesion(s) 54060
|
$3,458.50 |
$3,458.50 |
$3,458.50 |
$2,479.33
|
|
Excision of tongue lesion
|
$11,128.00 |
$11,128.00 |
$11,128.00 |
$3,837.72
|
|
Excision of umbilicus 49250
|
$8,112.50 |
$8,112.50 |
$8,112.50 |
$3,906.18
|
|
Excision of uvula
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$3,811.00
|
|
Excision of vaginal septum 57130
|
$7,620.83 |
$7,620.83 |
$7,620.83 |
$3,762.53
|
|
Excision olecranon bursa
|
$8,231.00 |
$8,231.00 |
$8,231.00 |
$3,520.67
|
|
Excision tongue lesion without closure 41110
|
$17,552.50 |
$17,552.50 |
$17,552.50 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$7,468.50 |
$7,468.50 |
$7,468.50 |
$3,986.00
|
|
Excis partial tal calc
|
$11,289.00 |
$11,289.00 |
$11,289.00 |
$3,591.33
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$5,809.00 |
$5,809.00 |
$5,809.00 |
$3,386.84
|
|
Exc les conjunctiva <1 cm
|
$8,197.00 |
$8,197.00 |
$8,197.00 |
$2,760.73
|
|
Exc les conjunctiva >1 cm
|
$3,537.67 |
$3,537.67 |
$3,537.67 |
$2,760.73
|
|
Exc les conjunctiva adj scl
|
$4,718.34 |
$4,718.34 |
$4,718.34 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$9,387.50 |
$9,387.50 |
$9,387.50 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$5,833.00 |
$5,833.00 |
$5,833.00 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$4,769.17 |
$4,769.17 |
$4,769.17 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$7,264.38 |
$7,264.38 |
$7,264.38 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$8,311.67 |
$8,311.67 |
$8,311.67 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$2,294.00 |
$2,294.00 |
$2,294.00 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$18,437.50 |
$18,437.50 |
$18,437.50 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$5,123.00 |
$5,123.00 |
$5,123.00 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$1,148.50 |
$1,148.50 |
$1,148.50 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,543.50 |
$1,543.50 |
$1,543.50 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$10,620.00 |
$10,620.00 |
$10,620.00 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$7,178.34 |
$7,178.34 |
$7,178.34 |
$1,294.80
|
|
Exc mandible 21025
|
$7,560.50 |
$7,560.50 |
$7,560.50 |
$6,465.11
|
|
Exc neck tum deep < 5 cm
|
$7,616.50 |
$7,616.50 |
$7,616.50 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$6,888.25 |
$6,888.25 |
$6,888.25 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$7,560.50 |
$7,560.50 |
$7,560.50 |
$6,465.11
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$6,515.00 |
$6,515.00 |
$6,515.00 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$6,313.00 |
$6,313.00 |
$6,313.00 |
$3,795.42
|
|
Exc rect tum transanal part
|
$6,434.50 |
$6,434.50 |
$6,434.50 |
$3,245.23
|
|
Exc shoulder tum deep < 5 cm
|
$7,231.50 |
$7,231.50 |
$7,231.50 |
$3,495.54
|
|
Exc skn hdrdnt ax complex
|
$10,718.34 |
$10,718.34 |
$10,718.34 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$49,412.50 |
$49,412.50 |
$49,412.50 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$6,874.34 |
$6,874.34 |
$6,874.34 |
$3,986.00
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$6,053.00 |
$6,053.00 |
$6,053.00 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$9,165.00 |
$9,165.00 |
$9,165.00 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$7,781.26 |
$7,781.26 |
$7,781.26 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$2,109.50 |
$2,109.50 |
$2,109.50 |
$2,877.00
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$8,848.50 |
$8,848.50 |
$8,848.50 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$6,692.50 |
$6,692.50 |
$6,692.50 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$4,864.50 |
$4,864.50 |
$4,864.50 |
$3,994.09
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$5,229.50 |
$5,229.50 |
$5,229.50 |
$2,852.63
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$11,905.00 |
$11,905.00 |
$11,905.00 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$5,283.00 |
$5,283.00 |
$5,283.00 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$7,000.50 |
$7,000.50 |
$7,000.50 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$7,571.67 |
$7,571.67 |
$7,571.67 |
$1,898.50
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$10,358.00 |
$10,358.00 |
$10,358.00 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$7,539.50 |
$7,539.50 |
$7,539.50 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$7,132.50 |
$7,132.50 |
$7,132.50 |
$3,188.10
|
|
Exc thigh/knee tum dep 5cm/>
|
$12,665.00 |
$12,665.00 |
$12,665.00 |
$3,520.00
|
|
Exc thrombosed hemorrhoid 46320
|
$2,996.50 |
$2,996.50 |
$2,996.50 |
$2,106.15
|
|
Exc tmr sft tiss shldr subq <3cm
|
$4,921.50 |
$4,921.50 |
$4,921.50 |
$2,776.16
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$4,916.67 |
$4,916.67 |
$4,916.67 |
$1,949.90
|