|
Evasc rpr a-unilac ndgft rpt
|
$13,686.20 |
$13,686.20 |
$22,379.46 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$10,156.30 |
$10,156.30 |
$21,231.80 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$16,784.60 |
$16,784.60 |
$16,784.60 |
$7,922.00
|
|
Event monitor
|
$437.60 |
$437.60 |
$437.60 |
$231.00
|
|
Evoked auditory tst complete
|
$306.40 |
$306.40 |
$306.40 |
$357.41
|
|
Evoked oa emissions ltd
|
$275.20 |
$275.20 |
$275.20 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$340.45 |
$340.45 |
$349.60 |
$261.30
|
|
Evoked potentials upper limbs
|
$608.85 |
$608.85 |
$977.78 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$917.20 |
$917.20 |
$917.20 |
$814.61
|
|
Evok oa screening qual
|
$74.40 |
$74.40 |
$74.40 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$616.80 |
$616.80 |
$616.80 |
$486.03
|
|
Exam pelvic add-on
|
$83.20 |
$83.20 |
$83.20 |
$46.85
|
|
Exam plvc w/anes othr thn lcl
|
$2,908.95 |
$2,908.95 |
$2,908.95 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$4,270.40 |
$4,270.40 |
$4,270.40 |
$3,386.84
|
|
Exc 1st&/crv rib w/sympth
|
$5,223.20 |
$5,223.20 |
$5,223.20 |
$7,413.38
|
|
Exc abd les sc 3 cm/>
|
$2,396.80 |
$2,396.80 |
$2,396.80 |
$3,994.09
|
|
Exc abdl tum deep < 5 cm
|
$2,643.20 |
$2,643.20 |
$2,643.20 |
$3,786.00
|
|
Exc abdl tum deep 5 cm/>
|
$3,113.60 |
$3,113.60 |
$3,113.60 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$3,316.00 |
$3,316.00 |
$3,316.00 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$3,104.80 |
$3,104.80 |
$3,104.80 |
$2,532.80
|
|
Exc aurl glomus tum extended
|
$12,743.20 |
$12,743.20 |
$12,743.20 |
$3,202.99
|
|
Exc aurl glomus tum trnscanl
|
$6,632.00 |
$6,632.00 |
$6,632.00 |
$7,000.36
|
|
Exc aurl glomus tum trnsmstd
|
$9,946.40 |
$9,946.40 |
$9,946.40 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
$2,711.00
|
|
Exc back tum deep 5 cm/>
|
$4,064.80 |
$4,064.80 |
$4,064.80 |
$3,994.09
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$2,969.60 |
$2,969.60 |
$2,969.60 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$1,969.34 |
$1,969.34 |
$1,969.34 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$566.40 |
$566.40 |
$566.40 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$5,073.45 |
$5,073.45 |
$5,073.45 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,859.20 |
$1,859.20 |
$1,859.20 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,611.20 |
$2,611.20 |
$2,611.20 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$566.40 |
$566.40 |
$645.70 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$1,314.67
|
|
Exc carotid body tumor without exc art 60600
|
$3,965.60 |
$3,965.60 |
$3,965.60 |
$3,356.80
|
|
Exc chest wall tumor w/ribs 21601
|
$8,569.89 |
$8,569.89 |
$8,569.89 |
$3,386.84
|
|
Exc coa rpr l subcl art/prst
|
$17,853.60 |
$17,853.60 |
$17,853.60 |
$1,832.76
|
|
Exc coa w/direct anastomosis
|
$11,364.00 |
$11,364.00 |
$11,364.00 |
$1,785.98
|
|
Exc coccygl pr ulc flap clsr
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$2,682.40
|
|
Exc/crtg b1 cst/b9 tum rds
|
$4,270.40 |
$4,270.40 |
$4,270.40 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$5,080.00 |
$5,080.00 |
$5,080.00 |
$7,907.11
|
|
Exc/crtg b1 cst/tum hum algr
|
$6,176.00 |
$6,176.00 |
$6,176.00 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds agrf
|
$4,505.60 |
$4,505.60 |
$4,505.60 |
$3,986.00
|
|
Exc/crtg b1 cst/tum rds algr
|
$4,618.40 |
$4,618.40 |
$4,618.40 |
$7,907.11
|
|
Exc/curtg b1 cst/b9 tum hum
|
$4,444.00 |
$4,444.00 |
$4,444.00 |
$3,839.54
|
|
Exc excessive skin buttock
|
$3,350.40 |
$3,350.40 |
$3,350.40 |
$3,386.84
|
|
Exc excessive skin hip
|
$5,025.60 |
$5,025.60 |
$5,025.60 |
$4,350.00
|
|
Exc excessive skin leg
|
$5,025.60 |
$5,025.60 |
$5,025.60 |
$4,321.60
|
|
Exc excessive skin thigh
|
$5,025.60 |
$5,025.60 |
$5,025.60 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$3,350.40 |
$3,350.40 |
$3,350.40 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$3,350.40 |
$3,350.40 |
$3,350.40 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$2,983.20 |
$2,983.20 |
$2,983.20 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$2,344.00 |
$2,344.00 |
$2,344.00 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$2,672.80 |
$2,672.80 |
$2,672.80 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$631.20 |
$631.20 |
$631.20 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$3,295.20 |
$3,295.20 |
$3,295.20 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$2,999.20 |
$2,999.20 |
$2,999.20 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$4,632.00 |
$4,632.00 |
$4,632.00 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$4,591.20 |
$4,591.20 |
$4,591.20 |
$2,271.01
|
|
Exc hand les sc < 1.5 cm
|
$2,082.40 |
$2,082.40 |
$2,082.40 |
$1,908.09
|
|
Exc hand tum deep < 1.5 cm 26116
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$2,391.84
|
|
Exchange biliary drg cath
|
$3,396.25 |
$3,396.25 |
$5,541.88 |
$3,856.84
|
|
Exchange drainage catheter
|
$1,674.75 |
$1,674.75 |
$3,727.24 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$4,003.40 |
$4,003.40 |
$4,763.00 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$3,854.40 |
$3,854.40 |
$3,854.40 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$2,700.80 |
$2,700.80 |
$2,700.80 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$2,619.20 |
$2,619.20 |
$2,619.20 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$4,500.80 |
$4,500.80 |
$4,500.80 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$5,480.00 |
$5,480.00 |
$5,480.00 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$3,100.00 |
$3,100.00 |
$3,100.00 |
$3,398.50
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$4,884.00 |
$4,884.00 |
$4,884.00 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$19,186.40 |
$19,186.40 |
$19,186.40 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$4,017.60
|
|
Exc ischial pr ulc prim sutr
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$3,386.84
|
|
Exc isch pr ulc prm sut ostc
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$3,994.09
|
|
Exc isch pr ulc skn flp clsr
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$4,332.25
|
|
Exc isch pr ulc skn flp ostc
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$4,144.66
|
|
Excise anal ext tag/papilla
|
$1,595.20 |
$1,595.20 |
$1,595.20 |
$2,272.02
|
|
Excise foot tendon sheath
|
$4,018.40 |
$4,018.40 |
$4,018.40 |
$3,821.05
|
|
Excise inferior turbinate
|
$2,908.00 |
$2,908.00 |
$2,908.00 |
$3,819.23
|
|
Excise intestine lesion(s) 44110
|
$2,967.20 |
$2,967.20 |
$2,967.20 |
$1,600.80
|
|
Excise intrspinl lesion lmbr
|
$4,869.60 |
$4,869.60 |
$4,869.60 |
$6,311.00
|
|
Excise lip or cheek fold
|
$938.40 |
$938.40 |
$938.40 |
$1,855.10
|
|
Excise mandible lesion
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
$3,592.74
|
|
Excise max/zygoma b9 tumor
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
$6,588.00
|
|
Excise oral mucosa for graft 40818
|
$1,002.40 |
$1,002.40 |
$1,002.40 |
$904.80
|
|
Excise parotid gland/lesion
|
$2,893.60 |
$2,893.60 |
$2,893.60 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$5,348.80 |
$5,348.80 |
$5,348.80 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$6,268.00 |
$6,268.00 |
$6,268.00 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$4,691.20 |
$4,691.20 |
$4,691.20 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$4,691.20 |
$4,691.20 |
$4,691.20 |
$5,891.60
|
|
Excise pharynx lesion
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$1,781.60 |
$1,781.60 |
$1,781.60 |
$1,915.20
|
|
Excise sublingual gland
|
$2,406.40 |
$2,406.40 |
$2,406.40 |
$5,678.40
|
|
Excise submaxillary gland
|
$4,519.20 |
$4,519.20 |
$4,519.20 |
$6,465.11
|
