Medicaid Fee Schedule without Mods 200801

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PROC-CODE DESC MAC BEG END 11200 EXCISION (INCLUDING SIMPLE CLOSURE OR LIGATURE STRANGULATION), $37.52 20060701 99999999 11201 EXCISION (INCLUDING SIMPLE CLOSURE OR LIGATURE STRANGULATION), $11.56 20060701 99999999 11300 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESIO $22.28 20060701 99999999 11301 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESIO $35.53 20060701 99999999 11302 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESIO $44.16 20060701 99999999 11303 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESIO $54.40 20060701 99999999 11305 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $27.37 20060701 99999999 11306 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $40.09 20060701 99999999 11307 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $47.15 20060701 99999999 11308 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $60.37 20060701 99999999 11310 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, $31.44 20060701 99999999 11311 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, $44.16 20060701 99999999 11312 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, $51.54 20060701 99999999 11313 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, $69.27 20060701 99999999 11400 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $42.74 20060701 99999999 11401 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $56.58 20060701 99999999 11402 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $67.58 20060701 99999999 11403 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $81.11 20060701 99999999 11404 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $92.35 20060701 99999999 11406 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $132.54 20060701 99999999 11420 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $47.53 20060701 99999999 11421 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $64.22 20060701 99999999 11422 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $73.76 20060701 99999999 11423 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $91.62 20060701 99999999 11424 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $107.64 20060701 99999999 11426 EXCISION, BENIGN LESION, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), $167.69 20060701 99999999 11440 EXCISION, OTHER BENIGN LESION (UNLESS LISTED ELSEWHERE), FACE, $58.77 20060701 99999999 11441 EXCISION, OTHER BENIGN LESION (UNLESS LISTED ELSEWHERE), FACE, $73.83 20060701 99999999 11442 EXCISION, OTHER BENIGN LESION (UNLESS LISTED ELSEWHERE), FACE, $81.88 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 94
PROC-CODE DESC MAC BEG END 11443 EXCISION, OTHER BENIGN LESION (UNLESS LISTED ELSEWHERE), FACE, $106.21 20060701 99999999 11444 EXCISION, OTHER BENIGN LESION (UNLESS LISTED ELSEWHERE), FACE, $138.99 20060701 99999999 11446 EXCISION, OTHER BENIGN LESION (UNLESS LISTED ELSEWHERE), FACE, $180.43 20060701 99999999 11450 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, $140.23 20060701 99999999 11451 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, $186.83 20060701 99999999 11462 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, $128.58 20060701 99999999 11463 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, $172.98 20060701 99999999 11470 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, $160.66 20060701 99999999 11471 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, $196.44 20060701 99999999 11600 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS $63.99 20060701 99999999 11601 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS $82.23 20060701 99999999 11602 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS $93.25 20060701 99999999 11603 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS $105.83 20060701 99999999 11604 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS $116.69 20060701 99999999 11606 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS $177.12 20060701 99999999 11620 EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA $64.34 20060701 99999999 11621 EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA $88.59 20060701 99999999 11622 EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA $106.25 20060701 99999999 11623 EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA $130.14 20060701 99999999 11624 EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA $153.29 20060701 99999999 11626 EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA $215.24 20060701 99999999 11640 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS $74.58 20060701 99999999 11641 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS $110.13 20060701 99999999 11642 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS $131.51 20060701 99999999 11643 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS $156.43 20060701 99999999 11644 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS $198.24 20060701 99999999 11646 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS $293.16 20060701 99999999 11719 TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER $6.02 20060701 99999999 11720 DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S) ONE TO FIVE $13.91 20060701 99999999 11721 DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S) SIX OR MORE $23.32 20060701 99999999 11730 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE $42.41 20060701 99999999 11732 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE $21.92 20060701 99999999 11740 EVACUATION OF SUBUNGUAL HEMATOMA $18.02 20060701 99999999 11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN $90.97 20060701 99999999 11752 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN $143.17 20060701 99999999 11755 BIOPSY OF NAIL UNIT, ANY METHOD (EG, PLATE, BED, MATRIX, HYPONYCHIUM, PROXIMAL A $62.05 20060701 99999999 11760 RECONSTRUCTION OF NAIL BED $85.15 20060701 99999999 11762 RECONSTRUCTION OF NAIL BED $131.96 20060701 99999999 11765 WEDGE EXCISION OF SKIN OF NAIL FOLD (EG, FOR INGROWN TOENAIL) $36.42 20060701 99999999 11770 EXCISION OF PILONIDAL CYST OR SINUS $139.88 20060701 99999999 11771 EXCISION OF PILONIDAL CYST OR SINUS $303.93 20060701 99999999 11772 EXCISION OF PILONIDAL CYST OR SINUS $352.81 20060701 99999999 11900 INJECTION, INTRALESIONAL $19.80 20060701 99999999 11901 INJECTION, INTRALESIONAL $30.84 20060701 99999999 11920 TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE $78.75 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 95
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