MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC· MOORESVILLE, NC
ProviderCMS 2/5
171 FAIRVIEW RD, MOORESVILLE, NC 28117
Procedures offered
948 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $47 | $287 | $723 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $59 | $316 | $723 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $71 | $865 | $2,329 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $321 | $723 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $303 | $723 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $315 | $723 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $343 | $723 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $989 | $2,329 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $342 | $723 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $874 | $2,329 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $999 | $2,329 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $880 | $2,329 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $1,056 | $2,329 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $529 | $755 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $1,061 | $2,329 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $305 | $723 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $283 | $723 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $8 | $242 | $723 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $103 | $332 | $723 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $300 | $723 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $339 | $723 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $126 | $243 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $76 | $133 | $195 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $20 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $5 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $10 | $53 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $8 | $39 | $77 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $143 | $602 | $974 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $29 | $68 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $20 | $63 | $102 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $122 | $363 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,304 | $3,697 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $39 | $133 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $402 | $2,353 | $3,615 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $287 | $365 | $441 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $989 | $1,098 | $1,290 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $514 | $605 | $799 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $182 | $285 | $385 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $181 | $2,962 | $8,409 |
| Septoplasty CPT 30520 • ENT | $478 | $3,361 | $8,409 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $156 | $2,224 | $6,280 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $389 | $723 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $182 | $2,300 | $6,280 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $3,479 | $8,409 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $459 | $5,058 | $11,943 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $219 | $3,448 | $8,409 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $160 | $3,030 | $8,409 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $456 | $4,304 | $11,943 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $189 | $444 | $723 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $337 | $3,039 | $8,409 |