DLP FRYE REGIONAL MEDICAL CENTER LLC· HICKORY, NC

HospitalCMS 2/5

420 N CENTER ST, STE 20, HICKORY, NC 28601

Procedures offered

938 total

ProcedureMinAvgMax
Paring or cutting benign hyperkeratotic lesions 2-4
CPT 11056 • Dermatology
$108$521$1,320
Tangential biopsy of skin single lesion
CPT 11102 • Dermatology
$143$541$1,320
Punch biopsy of skin single lesion
CPT 11104 • Dermatology
$178$566$1,320
Incisional biopsy of skin single lesion
CPT 11106 • Dermatology
$221$1,058$2,712
Shaving skin lesion trunk/arms/legs 0.5cm or less
CPT 11300 • Dermatology
$145$541$1,320
Shaving skin lesion trunk/arms/legs 0.6-1.0cm
CPT 11301 • Dermatology
$179$564$1,320
Shaving skin lesion scalp/neck/hands/feet 0.5cm or less
CPT 11305 • Dermatology
$148$544$1,320
Shaving skin lesion face 0.5cm or less
CPT 11310 • Dermatology
$169$558$1,320
Excision benign lesion trunk/arms/legs 0.5cm or less
CPT 11400 • Dermatology
$185$1,033$2,712
Excision benign lesion trunk/arms/legs 0.6-1.0cm
CPT 11401 • Dermatology
$226$597$1,320
Excision benign lesion trunk/arms/legs 1.1-2.0cm
CPT 11402 • Dermatology
$249$1,078$2,712
Excision benign lesion face 0.5cm or less
CPT 11440 • Dermatology
$154$1,030$2,712
Excision malignant lesion trunk/arms/legs 0.5cm or less
CPT 11600 • Dermatology
$286$1,104$2,712
Excision malignant lesion trunk/arms/legs 0.6-1.0cm
CPT 11601 • Dermatology
$332$1,138$2,712
Excision malignant lesion trunk/arms/legs 1.1-2.0cm
CPT 11602 • Dermatology
$264$662$1,320
Excision malignant lesion face 0.5cm or less
CPT 11640 • Dermatology
$298$1,112$2,712
Avulsion of nail plate partial or complete
CPT 11730 • Dermatology
$176$596$1,320
Destruction premalignant lesion first lesion
CPT 17000 • Dermatology
$99$508$1,320
Destruction premalignant lesion 2-14 each additional
CPT 17003 • Dermatology
$9$446$1,320
Destruction premalignant lesion 15 or more
CPT 17004 • Dermatology
$245$641$1,320
Destruction benign lesions up to 14
CPT 17110 • Dermatology
$164$554$1,320
Destruction benign lesions 15 or more
CPT 17111 • Dermatology
$142$558$1,320
Photochemotherapy tar and UV-B
CPT 96910 • Dermatology
$112$148$184
Laser treatment dermatologic up to 250 sq cm
CPT 96920 • Dermatology
$264$940$1,615
Blood glucose test strip
HCPCS A4253 • Durable Medical Equipment
$8$28$46
Calibration solution glucose monitor
HCPCS A4256 • Durable Medical Equipment
$3$10$16
Crutches forearm each
HCPCS E0110 • Durable Medical Equipment
$29$77$104
Walker folding wheeled adjustable height
HCPCS E0143 • Durable Medical Equipment
$8$30$53
Hospital bed semi-electric
HCPCS E0260 • Durable Medical Equipment
$45$71$98
Portable gaseous oxygen system
HCPCS E0431 • Durable Medical Equipment
$26$102$178
Nebulizer compressor
HCPCS E0570 • Durable Medical Equipment
$9$43$76
Oxygen concentrator portable
HCPCS E1390 • Durable Medical Equipment
$117$373$927
Negative pressure wound therapy electric pump
HCPCS E2402 • Durable Medical Equipment
$1,102$3,303$8,071
Standard wheelchair
HCPCS K0001 • Durable Medical Equipment
$39$109$270
Power wheelchair group 2 standard
HCPCS K0823 • Durable Medical Equipment
$438$1,225$3,041
Cervical collar nonadjustable
HCPCS L0180 • Durable Medical Equipment
$368$439$566
Lumbar support corset
HCPCS L0650 • Durable Medical Equipment
$1,015$1,340$1,666
Knee orthosis adjustable joint
HCPCS L1832 • Durable Medical Equipment
$686$868$1,051
Foot insert removable molded
HCPCS L3000 • Durable Medical Equipment
$333$410$487
Submucous resection inferior turbinate
CPT 30140 • ENT
$451$2,536$6,142
Septoplasty
CPT 30520 • ENT
$981$2,717$6,142
Ablation inferior turbinate unilateral intramural
CPT 30801 • ENT
$337$2,018$5,358
Nasal endoscopy diagnostic
CPT 31231 • ENT
$273$639$1,320
Nasal endoscopy with biopsy
CPT 31237 • ENT
$386$2,052$5,358
Nasal/sinus endoscopy with ethmoidectomy partial
CPT 31254 • ENT
$636$2,483$6,142
Nasal/sinus endoscopy with ethmoidectomy total
CPT 31255 • ENT
$531$3,171$8,036
Nasal/sinus endoscopy with maxillary antrostomy
CPT 31256 • ENT
$268$2,235$6,142
Nasal/sinus endoscopy with frontal sinus exploration
CPT 31267 • ENT
$320$2,299$6,142
Nasal/sinus endoscopy with sphenoidotomy
CPT 31276 • ENT
$456$3,038$8,036
Incision and drainage peritonsillar abscess
CPT 42700 • ENT
$309$736$1,320