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Department of Surgery

As of August 31, 2022

PROCEDURE AMOUNT
Excision Biopsy
Breast; Needle Core 3,640.00
Breast; Incisional 5,560.00
Soft tissue of neck/thorax 5,680.00
Soft tissue; back or flank 3,504.00
Soft tissue; upper arm/ elbow area 3,504.00
Soft tissue; forearm/ wrist 3,504.00
Soft tissue; pelvis/ hip area 3,504.00
Soft tissue; thigh & knee area 3,504.00
Soft tissue; leg/ ankle area 3,504.00
Excision of cyst, fibro adenoma 8,020.00
Excision of lymph node, superficial 5,680.00
Nails
Avulsion of nail plate, complete or partial 3,640.00
Excision of nail & nail matrix, partial or complete 3,640.00
Wedge excision of skin of nail fold (for ingrown toenail) 3,640.00
Simple Repair of Superficial Wounds Scalp Neck, Exillae, Trunk & Extremities Hand & Feet
2.5cm or less 3,640.00
2.6cm - 7.5cm 5,560.00
7.6cm or beyond 5,680.00
Dressing/ Debridement
Dressings and/or debridement initial or subsequent 8,260.00
Debridement; skin, partial thickness 3,640.00
Debridement; skin, full thickness 3,640.00
Debridement; skin & subcutaneous 5,680.00
Incision & Drainage
I&D of abscess (carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia) 3,640.00
I&D ofhematoma, seroma & fluid colision 3,640.00
I&D, complex, postoperative wound infection 5,560.00
I&D infected bursa foot 5,680.00
Drainage of finger abscess simple 3,504.00
Drainage of finger abscess complicated (felon) 4,108.00
Drainage of llymph node abscess or lymphadenitis 8,260.00
Puncture aspiration of abscess, hematoma bulla or cyst 3,640.00
Layer Closure of Wounds
Scalp. Axillae, Trunk & Extremities
2.5cm or less 3,640.00
2.6cm to 7.5cm 5,560.00
7.6cm to 12.5cm 5,680.00
20.1cm to 30.0cm 8,020.00
Neck, Hand & Feet
2.5cm or less 5,680.00
2.6cm to 7.5cm 9,300.00
7.6cm to 12.5cm 8,020.00
Circumcision, using clamp or other device (PHIMOSIS) 1,260.00
Circumcision, surgical excision other than clamp 1,260.00
Circumcision 500.00
Incision & removal of foreign body subcutaneous tissue 3,640.00
Removal of sutures 100.00