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Dermatology Price Lists

Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/Dermatology.csv


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
DERMATOLOGY4500010004HC FNA BX W/O IMG GDN EA ADDL $ 135.00
3
DERMATOLOGY7610010004HC FNA BX W/O IMG GDN EA ADDL $ 135.00
4
DERMATOLOGY7610110004HC FNA BX W/O IMG GDN EA ADDL-UC $ 135.00
5
DERMATOLOGY7610010005HC FNA BX W/US GDN 1ST LESION $ 1,710.00
6
DERMATOLOGY7610010006HC FNA BX W/US GDN EA ADDL $ 180.00
7
DERMATOLOGY7610010007HC FNA BX W/FLUOR GDN 1ST LESION $ 1,170.00
8
DERMATOLOGY7610010008HC FNA BX W/FLUOR GDN EA ADDL $ 232.00
9
DERMATOLOGY7610010009HC FNA BX W/CT GDN 1ST LES $ 2,070.00
10
DERMATOLOGY7610010010HC FNA BX W/CT GDN EA ADDL $ 261.00
11
DERMATOLOGY7610010011HC FNA BX W/MR GDN 1ST LESION $ 2,430.00
12
DERMATOLOGY7610010012HC FNA BX W/MR GDN EA ADDL $ 203.00
13
DERMATOLOGY3610010021FNA BX W/O IMG GDN 1ST LESION $ 451.00
14
DERMATOLOGY7610010021FNA BX W/O IMG GDN 1ST LESION $ 451.00
15
DERMATOLOGY3610010030HC SOFT TISSUE CATHETER DRAINAGE WITH GUIDANCE $ 1,012.00
16
DERMATOLOGY3610010035HC PLACE S.T. LOCALIZATION DEVICE WITH GUIDANCE 1ST LESION $ 2,364.00
17
DERMATOLOGY7610010040HC ACNE SURG $ 485.00
18
DERMATOLOGY3610010060HC I&D SOFT TISSUE SIMPLE/SINGLE $ 588.00
19
DERMATOLOGY4500210060HC I&D ABSCESS SIMPLE/SINGLE $ 588.00
20
DERMATOLOGY7610010060HC I&D ABSCESS SIMPLE/SINGLE $ 588.00
21
DERMATOLOGY3610010061HC I&D SOFT TISSUE COMPLICATED/MULTIPLE $ 1,030.00
22
DERMATOLOGY4500210061HC I&D ABSCESS COMPLIC/MU $ 1,030.00
23
DERMATOLOGY7610010061HC I&D ABSCESS COMPLIC/MU $ 1,030.00
24
DERMATOLOGY4500210080HC I&D PILONIDAL CYST SIMPLE $ 661.00
25
DERMATOLOGY7610110080HC I&D PILONIDAL CYST SIMPLE $ 661.00
26
DERMATOLOGY7610010081HC I&D PILONIDAL CYST COMP $ 2,424.00
27
DERMATOLOGY4500210120HC REMOVAL FB SUBCUTANEOUS $ 661.00
28
DERMATOLOGY7610010120HC REMOVAL FB SUBCUTANEOUS $ 661.00
29
DERMATOLOGY7610110120HC REMOVAL FB SUBCUTANEOUS $ 661.00
30
DERMATOLOGY4500010121HC FB REMOVAL COMPLEX $ 3,274.00
31
DERMATOLOGY4500210121HC FB REMOVAL COMPLEX $ 3,274.00
32
DERMATOLOGY7610010121HC FB REMOVAL COMPLEX $ 3,274.00
33
DERMATOLOGY4500210140HC I&D HEMATOMA $ 2,090.00
34
DERMATOLOGY7610010140HC I&D HEMATOMA $ 2,424.00
35
DERMATOLOGY7610110140HC I&D HEMATOMA $ 2,424.00
36
DERMATOLOGY3610010160HC ASPIRATE ABSCESS/HEMATOMA/CYST $ 727.00
37
DERMATOLOGY4500210160HC ASPIRATION CYST/HEMATOMA $ 727.00
38
DERMATOLOGY7610010160HC ASPIRATION CYST/HEMATOMA $ 727.00
39
DERMATOLOGY4500210180HC I&D CMPLX,POSTOP WOUND INFECT $ 3,274.00
40
DERMATOLOGY7610010180HC I&D CMPLX,POSTOP WOUND INFECT $ 3,274.00
41
DERMATOLOGY4500211000HC DEBRIDE EXTENSV INFECTED SKIN UPTO 10% BODY SURFC $ 909.00
42
DERMATOLOGY7610111000HC DEBRID EXTEN INFEC SKIN; TO 10% SUR $ 909.00
43
DERMATOLOGY4500011010HC DEBRIDE W/RMVL FOREIGN MATERIAL $ 1,668.00
44
DERMATOLOGY7610011010HC DEBRIDE W/RMVL FOREIGN MATERIAL $ 1,568.00
45
DERMATOLOGY7610111010HC DEBRIDE W/RMVL FOREIGN MATERIAL $ 1,819.00
46
DERMATOLOGY3610011042HC DEB SUBQ TISSUE 20 SQCM/< $ 1,455.00
47
DERMATOLOGY4500211042HC DEBRIDE SUBCUT TISSUE 1ST 20 SQCM/LESS $ 1,455.00
48
DERMATOLOGY7610011042HC DEBRIDE SUBCUT TISSUE 1ST 20 SQCM/LESS $ 1,455.00
49
DERMATOLOGY3610011043HC DEB MUSC/FASCIA 20 SQCM/< $ 1,740.00
50
DERMATOLOGY4500011043HC DEB MUSC/FASCIA 20 SQCM/< $ 1,500.00
51
DERMATOLOGY3610011044HC DEB BONE/MUSC/FASCIA 20 SQCM/< $ 2,642.00
52
DERMATOLOGY3610011045HC DEBRIDE SUBCUT TISSUE EA ADDL 20 SQCM $ 858.00
53
DERMATOLOGY7610011045HC DEBRIDE SUBCUT TISS EA ADDL 20 SQCM $ 858.00
54
DERMATOLOGY3610011046HC DEBRIDE MUSCLE/FASCIA EA ADDL 20 SQCM ADD ON TO 11043 $ 899.00
55
DERMATOLOGY3610011047HC DEBRIDEMENT, BONE ADD ON TO 11044 $ 1,508.00
56
DERMATOLOGY3610011055HC PARING BENIGN LESION $ 205.00
57
DERMATOLOGY7610011055HC PARING BENIGN LESION $ 205.00
58
DERMATOLOGY3610011056HC PARE LESION 2-4 $ 205.00
59
DERMATOLOGY3610011101HC BX SKN/SUBQ TIS/MUCO MEM EA ADDL $ 166.00
60
DERMATOLOGY7610011102HC TANGNTL BX SKIN SINGLE LES $ 296.00
61
DERMATOLOGY7610011103HC TANGNTL BX SKIN EA SEP/ADDL $ 129.00
62
DERMATOLOGY7610011104HC PUNCH BX SKIN SINGLE LESION $ 296.00
63
DERMATOLOGY7610011105HC PUNCH BX SKIN EA SEP/ADDL $ 129.00
64
DERMATOLOGY7610011106HC INCAL BX SKN SINGLE LES $ 405.00
65
DERMATOLOGY7610011107HC INCISIONAL BX SKN EA SEP/ADDL $ 180.00
66
DERMATOLOGY3610011200HC RMVL SKIN TAGS LESS THAN 16 $ 469.00
67
DERMATOLOGY7610011200HC REMOVAL SKIN TAGS LESS THAN 16 $ 469.00
68
DERMATOLOGY7610011201HC RMVL SKIN TAGS ANY AREA EA ADDL 10 $ 137.00
69
DERMATOLOGY7610011300HC SHV SKN LSN TRK/AM/LG 0.5CM/LESS $ 226.00
70
DERMATOLOGY7610011301HC SHV LSN,TRK/ARM/LG.6-1CM $ 262.00
71
DERMATOLOGY7610011302HC SHV LSN,TRK/ARM/LG1.1-2CM $ 325.00
72
DERMATOLOGY7610011303HC SHV LSN,TRK/ARM/LG>2CM $ 793.00
73
DERMATOLOGY3610011305HC SHV LSN SCLP/NK/HD/FT/GNTL 0.5CM/LESS $ 212.00
74
DERMATOLOGY7610011305HC SHV LSN SCLP/NK/HD/FT/GNTL 0.5 CM/LESS $ 212.00
75
DERMATOLOGY7610011306HC SHV LSN,SCLP/NK/HND/FT.6-1CM $ 290.00
76
DERMATOLOGY3610011307HC SHV LSN,SCLP/NK/HND1.1-2CM $ 371.00
77
DERMATOLOGY3610011308HC SHV LSN,SCLP/NK/HND/FT>2.0CM $ 403.00
78
DERMATOLOGY7610011310HC SHV LSN FC/EAR/EYE/NS 0.5CM/LESS $ 273.00
79
DERMATOLOGY7610011311HC SHV LSN,FC/EAR/EYE/NS.6-1CM $ 322.00
80
DERMATOLOGY7610011400HC EXC SKN LSN B9+MARG.5CM/< $ 1,102.00
81
DERMATOLOGY7610011401HC EXC TR-EXT B9+MARG 0.6-1CM $ 1,131.00
82
DERMATOLOGY7610011402HC EXC TR-EXT B9+MARG 1.1-2CM $ 1,276.00
83
DERMATOLOGY7610011403HC EXC BEN LES TRUNK; 2.1 TO 3.0 CM $ 1,624.00
84
DERMATOLOGY7610011404HC EXC TR-EXT B9+MARG 3.1-4CM $ 2,182.00
85
DERMATOLOGY4500011406HC EXT TR-EXT B9+MARG >4.0CM $ 2,424.00
86
DERMATOLOGY7610011420HC EXC SCLP,NCK,HD,EXT 0.5CM< $ 1,455.00
87
DERMATOLOGY7610111420HC EXC SCLP NCK HD EXT 0.5 CM/LESS $ 1,455.00
88
DERMATOLOGY7610011421HC EXC H-F-NK-SP B9+MARG 0.6-1.0CM $ 1,576.00
89
DERMATOLOGY7610011422HC EXC H-F-NK-SP B9+MARG 1.1-2CM $ 1,576.00
90
DERMATOLOGY4500011423HC EXC H-F-NK-SP B9+MARG; 2.1-3 CM $ 2,424.00
91
DERMATOLOGY7610011423EXC H-F-NK-SP B9+MARG; 2.1-3 CM $ 2,424.00
92
DERMATOLOGY7610011440HC EXC FC/EAR/EYELD/NS/LIP 0.5CM< $ 1,152.00
93
DERMATOLOGY7610011441HC EXC FACE-MM B9+MARG 0.6-1CM $ 1,212.00
94
DERMATOLOGY7610011442HC EXC BEN LES FACE; 1.1 TO 2.0 CM $ 1,624.00
95
DERMATOLOGY7610011443HC EXC BEN LES FACE; 2.1 TO 3 CM $ 1,972.00
96
DERMATOLOGY7610011444HC EXC BEN LES FACE; 3.1 TO 4 CM $ 1,900.00
97
DERMATOLOGY7610011600HC EXC MALIG LES TRUNK; 0.5 CM/LESS $ 1,060.00
98
DERMATOLOGY7610011601HC EXC MALIG LES TRUNK; 0.6 TO 1.0 CM $ 1,160.00
99
DERMATOLOGY7610011602HC EXC TR-EXT MLG+MARG 1.1-2CM $ 1,276.00
100
DERMATOLOGY7610011603HC EXC MALIG LES TRUNK; 2.1 TO 3.0 CM $ 1,740.00
101
DERMATOLOGY7610011604HC EXC MALIG LES TRUNK; 3.1 TO 4.0 CM $ 1,856.00
102
DERMATOLOGY7610011606HC EXC MALIG LES TRUNK; > 4.0 CM $ 2,900.00
103
DERMATOLOGY7610011620HC EXC MALIG LES SCLP; 0.5 CM/LESS $ 1,392.00
104
DERMATOLOGY7610011622HC EXC MALIG LES SCLP; 1.1 TO 2.0 CM $ 1,740.00
105
DERMATOLOGY7610011623HC EXC MALIG LES SCLP; 2.1 TO 3 CM $ 2,320.00
106
DERMATOLOGY7610011624HC EXC MALIG LES SCLP; 3.1 TO 4 CM $ 2,500.00
107
DERMATOLOGY7610011626HC EXC MALIG LES SCLP; > 4.0 CM $ 3,480.00
108
DERMATOLOGY7610011640HC EXC FACE-MM MALIG+MARG 0.5< $ 1,200.00
109
DERMATOLOGY7610011641HC EXC MALIG LES FACE; 0.6 TO 1.0 CM $ 1,392.00
110
DERMATOLOGY7610011642HC EXC MALIG LES FACE; 1.1 TO 2.0 CM $ 1,740.00
111
DERMATOLOGY7610011643HC EXC MALIG LES FACE; 2.1 TO 3 CM $ 1,700.00
112
DERMATOLOGY3610011719HC TRIMMING OF NONDYSTROPHIC NAILS $ 100.00
113
DERMATOLOGY7610011719HC TRIM NAILS $ 100.00
114
DERMATOLOGY3610011720HC DEBRIDEMENT OF NAILS $ 62.00
115
DERMATOLOGY7610011721HC DEBRIDE NAIL, 6 OR MORE $ 62.00
116
DERMATOLOGY3610011730HC REMOVAL OF NAIL PLATE $ 350.00
117
DERMATOLOGY4500211730HC NAILPLATE AVULDSION $ 350.00
118
DERMATOLOGY7610011730HC NAIL PLATE AVULSION PART/COMPL SMPL SNGL $ 350.00
119
DERMATOLOGY4500011740HC SUBUNGUAL HEMATOMA EVAC $ 205.00
120
DERMATOLOGY4500211740HC SUBUNGUAL HEMATOMA EVAC $ 205.00
121
DERMATOLOGY7610011740HC SUBUNGUAL HEMATOMA EVAC $ 205.00
122
DERMATOLOGY3610011750HC REMOVAL OF NAIL BED $ 1,152.00
123
DERMATOLOGY4500211750HC EXC NAIL MATRIX PART/COMP PERM RMVL $ 1,152.00
124
DERMATOLOGY7610011750HC EXC NAIL & MATRIX PART/COMPL PERM RMVL $ 1,152.00
125
DERMATOLOGY4500211760HC RECONSTRUCT NAIL BED $ 746.00
126
DERMATOLOGY7610111760HC RECONSTRUCT NAIL BED $ 746.00
127
DERMATOLOGY4500211765HC WEDGE EXCISION:SKN OF NAIL FOLD $ 529.00
128
DERMATOLOGY7610011765HC WEDGE EXCISION SKIN OF NAIL FOLD TOE $ 529.00
129
DERMATOLOGY4900011900HC INJ INTRALES; UP TO & INCL 7 LES $ 217.00
130
DERMATOLOGY4500212001HC 2.5CM SCALP,NECK,TRNK,EXT SM $ 440.00
131
DERMATOLOGY7610012001HC SMPL REPR SCALP NECK TRNK EXT 2.5 CM/LESS $ 440.00
132
DERMATOLOGY7610112001HC SMPL REPR SCALP NECK TRNK EXT 2.5 CM/LESS $ 440.00
133
DERMATOLOGY3610012002HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5 SCM $ 480.00
134
DERMATOLOGY4500212002HC SIM-2.6-7.5CMSCL,NK,TRUNK,EX $ 557.00
135
DERMATOLOGY7610012002HC SMPL REPR SCALP NECK TRNK EXT 2.6 - 7.5 CM $ 557.00
136
DERMATOLOGY3610012004HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5SCM $ 626.00
137
DERMATOLOGY4500212004HC SIM-7.6-12.5CM SC,NK,TRK,EXT $ 626.00
138
DERMATOLOGY7610012004HC SMPL REPR SCALP NECK TRNK EXT 7.6 - 12.5 CM $ 626.00
139
DERMATOLOGY3610012005HC CAUTERIZATION WOUND, TRUNK 12.6-20 CM $ 792.00
140
DERMATOLOGY4500212005HC SIM-OV 12.6CM SCL,NK,TRNK,EX $ 792.00
141
DERMATOLOGY7610112005HC SMPL REPR SCALP NECK TRNK EXT 12.6 - 20.0 CM $ 792.00
142
DERMATOLOGY4500012006HC SPL REP SUPERFCL WNDS 20.1-30CM $ 784.00
143
DERMATOLOGY7610012006HC SMPL REPR SCALP NECK TRNK EXT 20.1 - 30.0 CM $ 909.00
144
DERMATOLOGY4500212007HC SMPL REP SUPERFCL WNDS >30.0CM $ 1,060.00
145
DERMATOLOGY7610012007HC SMPL REPR SCALP NECK TRNK EXT > 30.0 CM $ 1,060.00
146
DERMATOLOGY4500212011HC SIM-O-2.5CM FACE,EAR,NSE,LIP $ 487.00
147
DERMATOLOGY7610112011HC SMPL REPR FACE EAR EYELID NOSE LIP MCS MEMBR 2.5 CM/LESS $ 487.00
148
DERMATOLOGY4500212013HC SIM-2.6-5CM EYELID,NOSE,LIP $ 557.00
149
DERMATOLOGY7610112013HC SMPL REPR FACE EAR EYELID NOSE LIP MCS MEMBR 2.6-5.0 CM $ 557.00
150
DERMATOLOGY4500212014HC 5.1-7.5CMFACE,EAR,EYELID,NOSE $ 661.00
151
DERMATOLOGY7610112014HC SMPL REPR FACE EAR EYELID NOSE LIP MCS MEMBR 5.1-7.5 CM $ 661.00
152
DERMATOLOGY4500212015HC SIM-7.6-12.5CMEYELID,NOSE,LIP $ 760.00
153
DERMATOLOGY7610012015HC SMPL REPR FACE EAR EYELID NOSE LIP MCS MEMBR 7.6-12.5 CM $ 760.00
154
DERMATOLOGY4500212016HC SIM-12.6-20.0CM FC,EAR,LIP,NOS $ 858.00
155
DERMATOLOGY7610112016HC SMPL REPR FACE EAR EYELID NOSE LIP MCS MEMBR 12.6-20.0 CM $ 858.00
156
DERMATOLOGY7610112018HC SMPL REPR FACE EAR EYELID NOSE LIP MCS MEMBR > 30.0 CM $ 1,334.00
157
DERMATOLOGY7610112020HC TX SPRFCL WND DEHISCENCE SMPL CLOSURE $ 1,212.00
158
DERMATOLOGY7610012021HC TX SPRFCL WND DEHISCENCE W/PACKING $ 879.00
159
DERMATOLOGY4500212031HC REPR INTERM WOUND < 2.5CM SCL TRK EXT $ 727.00
160
DERMATOLOGY7610012031HC REPR INTERM WND SCLP TRNK EXT 2.5 CM/LESS $ 727.00
161
DERMATOLOGY7610112031HC REPR INTERM WND SCLP TRNK EXT 2.5 CM/LESS $ 727.00
162
DERMATOLOGY4500012032HC REPR INTERM WND SCLP TRNK EXT 2.6 - 7.5 CM $ 980.00
163
DERMATOLOGY4500212032HC REPR INTERM WOUND 2.6-7.5 CM SCL TRK EXT $ 980.00
164
DERMATOLOGY7610012032HC REPR INTERM WND SCLP TRNK EXT 2.6 - 7.5 CM $ 980.00
165
DERMATOLOGY4500012034HC REPR INTERM WND SCLP TRNK EXT 7.6 - 12.5 CM $ 1,334.00
166
DERMATOLOGY4500212034HC REPR INTERM WOUND 7.6-12.5 CM SCL TRK EXT $ 1,334.00
167
DERMATOLOGY7610012034HC REPR INTERM WND SCLP TRNK EXT 7.6 - 12.5 CM $ 1,334.00
168
DERMATOLOGY4500212035HC REPR INTERM WOUND 12.6-20 CM SCL TRK EXT $ 1,586.00
169
DERMATOLOGY7610012035HC REPR INTERM WND SCLP TRNK EXT 12.6 - 20.0 CM $ 1,586.00
170
DERMATOLOGY4500212036HC REPR INTERM WOUND 20.1-30 CM SCL TRK EXT $ 1,850.00
171
DERMATOLOGY7610012036HC REPR INTERM WND SCLP TRNK EXT 20.1 - 30.0 CM $ 1,850.00
172
DERMATOLOGY7610012037HC REPR INTERM WND SCLP TRNK EXT > 30.0 CM $ 2,061.00
173
DERMATOLOGY4500212041HC REPR INTERM < 2.5 CM NK HND FT EXT GEN $ 958.00
174
DERMATOLOGY7610012041HC REPR INTERM < 2.5 CM NK HND FT EXT GEN $ 958.00
175
DERMATOLOGY7610112041HC REPR INTERM WND NECK HND FT EXT GEN 2.5 CM/LESS $ 958.00
176
DERMATOLOGY4500212042HC REPR INTERM 2.6-7.5 CM NK HND FT EXT GEN $ 1,090.00
177
DERMATOLOGY7610012042HC REPR INTERM 2.6-7.5 CM NK HND FT EXT GEN $ 1,090.00
178
DERMATOLOGY7610112042HC REPR INTERM WND NECK HND FT EXT GEN 2.6 - 7.5 CM $ 1,090.00
179
DERMATOLOGY4500212044HC REPR INTERM 7.6-12.5 CM NK HND FT EXT GEN $ 1,334.00
180
DERMATOLOGY7610012044HC REPR INTERM WND NECK HND FT EXT GEN 7.6 - 12.5 CM $ 1,334.00
181
DERMATOLOGY7610012045HC REPR INTERM WND NECK HND FT EXT GEN 12.6 - 20.0 CM $ 1,576.00
182
DERMATOLOGY7610012046HC REPR INTERM WND NECK HND FT EXT GEN 20.1 - 30.0 CM $ 1,819.00
183
DERMATOLOGY7610012047HC REPR INTERM WND NECK HND FT EXT GEN > 30.0 CM $ 2,061.00
184
DERMATOLOGY4500012051HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 2.5CM/LESS $ 1,321.00
185
DERMATOLOGY4500212051HC REPR INTERM < 2.5CM FACE EAR EYLD NSE LIP MCS M $ 1,321.00
186
DERMATOLOGY7610012051HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 2.5CM/LESS $ 1,321.00
187
DERMATOLOGY4500012052HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 2.6 - 5.0 CM $ 1,586.00
188
DERMATOLOGY4500212052HC REPR INTERM 2.5-5.0CM FACE EAR EYLD NSE LIP MCS M $ 1,586.00
189
DERMATOLOGY7610012052HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 2.6 - 5.0 CM $ 1,586.00
190
DERMATOLOGY4500212053HC REPR INTERM 5.1-7.5CM FACE EAR EYLD NSE LIP MCS M $ 1,455.00
191
DERMATOLOGY7610012053HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 5.1 - 7.5 CM $ 1,455.00
192
DERMATOLOGY7610112053HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 5.1 - 7.5 CM $ 1,254.00
193
DERMATOLOGY4500212054HC REPR INTERM 7.6-12.5CM FACE EAR EYLD NSE LIP MCS M $ 1,321.00
194
DERMATOLOGY7610012054HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 7.6 - 12.5 CM $ 1,321.00
195
DERMATOLOGY7610112054HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 7.6 - 12.5 CM $ 1,367.00
196
DERMATOLOGY4500012055HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 12.6 - 20.0 CM $ 1,359.00
197
DERMATOLOGY7610012055HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 12.6 - 20.0 CM $ 1,819.00
198
DERMATOLOGY7610012056HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR 20.1 - 30.0 CM $ 2,304.00
199
DERMATOLOGY7610012057HC REPR INTERM FACE EAR EYELID NOSE LIP MCS MEMBR > 30.0 CM $ 2,424.00
200
DERMATOLOGY1240000001HC SEMI PRIVATE GPU/PATHWAYS $ 1,370.00
201
DERMATOLOGY7610013100HC REPR TRUNK COMPLEX 1.1 - 2.5 CM $ 1,576.00
202
DERMATOLOGY7610013101HC REPR TRUNK COMPLEX 2.6 - 7.5 CM $ 2,061.00
203
DERMATOLOGY7610113101HC REPR TRUNK COMPLEX 2.6 - 7.5 CM $ 1,777.00
204
DERMATOLOGY7610013102HC REPR TRUNK COMPLEX EA ADDL 5.0 CM/LESS $ 667.00
205
DERMATOLOGY7610113102HC REPR TRUNK COMPLEX EA ADDL 5.0 CM/LESS $ 575.00
206
DERMATOLOGY7610013120HC REPR COMPL SCALP/ARM/LEG 1.1 - 2.5 CM $ 1,819.00
207
DERMATOLOGY4500013121HC SCLP,ARM,LEGS 2.6-7.5CM $ 2,182.00
208
DERMATOLOGY7610013121HC REPR COMPL SCALP/ARM/LEG 2.6 - 7.5 CM $ 2,182.00
209
DERMATOLOGY7610113121HC REPR COMPL SCALP/ARM/LEG 2.6 .5 CM $ 2,182.00
210
DERMATOLOGY4500013122HC REPR COMPL SCALP/ARM/LEG EA ADDL 5.0 CM/LESS $ 496.00
211
DERMATOLOGY7610013122HC REPR COMPL SCALP/ARM/LEG EA ADDL 5.0 CM/LESS $ 575.00
212
DERMATOLOGY7610113122HC REPR COMPL SCALP/ARM/LEG EA ADDL 5.0 CM/LESS $ 496.00
213
DERMATOLOGY4500013131HC REPR COMPL CHEEK/CHIN/MOUTH/NECK 1.1 - 2.5 CM $ 1,954.00
214
DERMATOLOGY7610013131HC REPR COMPL CHEEK/CHIN/MOUTH/NECK 1.1 - 2.5 CM $ 1,819.00
215
DERMATOLOGY7610113131HC REPR COMPL CHEEK/CHIN/MOUTH/NECK 1.1-2.5CM $ 1,819.00
216
DERMATOLOGY7610013132HC REPR COMPL CHEEK/CHIN/MOUTH/NECK 2.6- 7.5 CM $ 2,424.00
217
DERMATOLOGY7610113132HC REPR COMPL CHEEK/CHIN/MOUTH/NECK 2.6-7.5CM $ 2,424.00
218
DERMATOLOGY7610013133HC REPR COMPL CHEEK/CHIN/MOUTH/NECK ADDL 5 CM/LESS $ 694.00
219
DERMATOLOGY4500013151HC REPR COMPL EYELID NOSE EAR LIP 1.1-2.5C $ 2,247.00
220
DERMATOLOGY7610013151HC REPR COMPL EYELID NOSE EAR LIP 1.1 - 2.5 CM $ 2,247.00
221
DERMATOLOGY4500013152HC REPR COMPL EYELID NOSE EAR LIP 2.6 - 7.5 CM $ 2,613.00
222
DERMATOLOGY7610013152HC REPR COMPL EYELID NOSE EAR LIP 2.6 - 7.5 CM $ 3,031.00
223
DERMATOLOGY7610113152REPR COMPL EYELID NOSE EAR LIP 2.6 - 7.5 CM $ 3,031.00
224
DERMATOLOGY7610013153HC REPR COMPL EYELID NOSE EAR LIP EA ADDL 5 CM/LESS $ 970.00
225
DERMATOLOGY7610013160HC 2ND CLX SURG WND/DEHISCENCE COMPLICATED $ 5,946.00
226
DERMATOLOGY7610113160HC 2ND CLX SURG WND/DEHISCENCE COMPLICATED $ 5,946.00
227
DERMATOLOGY4500214020HC TIS TRNFR S/A/L 10 SQ CM/< $ 1,290.00
228
DERMATOLOGY7610014041HC TIS TRNFR REARAGMT 10.1-30.0SQCM $ 4,872.00
229
DERMATOLOGY3610015050HC PINCH GRAFT SINGLE/MULTI 2CM OR LESS $ 1,517.00
230
DERMATOLOGY7610015240HC SKIN FULL GRFT FACE/GENIT/HF $ 3,616.00
231
DERMATOLOGY3610015271HC APPL SKIN SUBST GFT TRN,ARM,LEG UP TO 100SQCM $ 986.00
232
DERMATOLOGY3610015272HC APPL SKIN SUBST GRFT TRNK,ARM,LEG ADDL UP TO/PART OF $ 342.00
233
DERMATOLOGY3610015273HC APPL SKIN SUBST GRFT TRNK,ARM,LEG >/= $ 1,990.00
234
DERMATOLOGY3610015274HC APPL SKIN SUBST GRFT TRNK,ARM,LEG ADDL >/= PART THEREOF $ 759.00
235
DERMATOLOGY3610015275HC APPL SKIN SUBST GFT FACE/NK/HF/G $ 986.00
236
DERMATOLOGY3610015276HC APPL SKIN SUBST GFT FACE/NK/HF/G ADD'L 25 SQ CM $ 243.00
237
DERMATOLOGY7610015576HC FRMJ DIRECT/TUBED PEDICAL E/N/E/L/NTRORAL $ 1,661.00
238
DERMATOLOGY7610015630HC DELAY FLAP EYE/NOSE/EAR/LIP $ 3,923.00
239
DERMATOLOGY7610015781HC DERMABRASION SEGMENTAL FACE $ 4,508.00
240
DERMATOLOGY4500216000HC 1ST DGE BRN LOC RX ONLY $ 317.00
241
DERMATOLOGY7610016000HC INIT TX 1ST DEGR BRN MORE THAN LOCAL TX REQ $ 317.00
242
DERMATOLOGY3610016020HC DRESS/DEBRID P THICK BURN SBSQ SMALL $ 397.00
243
DERMATOLOGY4500216020HC DRS/DEBRDMNT INIT/SUB SMALL $ 397.00
244
DERMATOLOGY7610016020HC DRS/DEBRIDE BURN INIT/SUBSEQ SMALL $ 397.00
245
DERMATOLOGY3610016025HC DRS/DEBRIDE BURN INIT/SUBSEQ MEDIUM $ 792.00
246
DERMATOLOGY7610016025HC DRS/DEBRIDE BURN INIT/SUBSEQ MEDIUM $ 792.00
247
DERMATOLOGY7610016030HC DRS/DEBRIDE BURN INIT/SUBSEQ LARGE $ 849.00
248
DERMATOLOGY7610017000HC DSTRCT BEN/PREM LESION $ 364.00
249
DERMATOLOGY7610017003HC DSTCRT BEN LESIONS 2-14 EA $ 64.00
250
DERMATOLOGY7610017004HC DESTR LESIONS, 15 OR MORE $ 667.00
251
DERMATOLOGY4500017110HC DEST BEN LSN NOT SKIN TAGS/CUT VASC PROLIF UPTO 14 $ 274.00
252
DERMATOLOGY7610017110HC DEST BEN LSN CUT VASC PROLIF LES 1-14 $ 274.00
253
DERMATOLOGY7610017111HC DEST BEN LSN CUT VASC PROLIF LES 15+ $ 321.00
254
DERMATOLOGY3610017250HC CHEM CAUTERY,GRAN TISSUE $ 363.00
255
DERMATOLOGY7610017250HC CAUT CHEM GRANULATION TISS $ 363.00
256
DERMATOLOGY7610017262HC DESTRCT MALIG LES TRUNK; 1.1-2.0 CM $ 400.00
257
DERMATOLOGY7610017263HC DESTRCT MALIG LES TRUNK; 2.1-3.0CM $ 536.00
258
DERMATOLOGY7610017264HC DSTR SKN LSN TRK/ARS/LG 3.1-4.0CM $ 637.00
259
DERMATOLOGY7610017266HC DESTRCT MALIG LES TRUNK; OVER 4.0CM $ 719.00
260
DERMATOLOGY7610017271HC DESTRCT MALIG LES SCLP; 0.6-1.0 CM $ 450.00
261
DERMATOLOGY7610017272HC DESTR MALIG SCAL,NCK,HAND 1.1-2 CM $ 650.00
262
DERMATOLOGY7610017281HC DESTRCT MALIG LES FACE; 0.6-1.0 CM $ 429.00
263
DERMATOLOGY7610017282HC DESTR MALIG FACE,NOSE,LIP 1.1-2 CM $ 500.00
264
DERMATOLOGY7610017283HC DESTR MALIG FACE,NOSE,LIP 2.1-3 CM $ 850.00
265
DERMATOLOGY3610117999HC PINCH GRAFT PROC, MULT BY NEEDLE $ 809.00
266
DERMATOLOGY7610021552HC BIOPSY SOFT TISSUE OF NECK OR THORAX >3CM $ 4,060.00
267
DERMATOLOGY7610021555HC EXCISE LESN NECK/CHEST,SUBCUTAN $ 3,248.00
268
DERMATOLOGY7610021933HC EXC BACK TUM DEEP <5CM $ 2,800.00
269
DERMATOLOGY7610025071HC EXC FOREARM LES SC 3CM/> $ 3,712.00
270
DERMATOLOGY7610095044HC ALLERGY PATCH TESTS $ 89.00
271
DERMATOLOGY7610096567HC PHOTODYNAMIC TX SKIN $ 417.00
272
DERMATOLOGY7610096900HC PHOTO THERAPY $ 142.00
273
DERMATOLOGY7610096920HC LASER TX SKIN <250 SQCM $ 318.00
274
DERMATOLOGY7610096921HC LASER TX SKIN 250-500 SQCM $ 440.00
275
DERMATOLOGY36100C5271HC APPL LOW COST SKIN SUBST GFT T/A/L, 1ST 25 SQCM $ 986.00
276
DERMATOLOGY76100G0127HC TRIM NAIL(S) $ 62.00