DLP FRYE REGIONAL MEDICAL CENTER LLC· HICKORY, NC
ProviderCMS 2/5
420 N CENTER ST, HICKORY, NC 28601
Procedures offered
940 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $108 | $807 | $1,663 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $143 | $821 | $1,663 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $178 | $840 | $1,663 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $221 | $1,210 | $2,712 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $145 | $821 | $1,663 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $179 | $839 | $1,663 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $148 | $824 | $1,663 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $169 | $834 | $1,663 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $185 | $1,190 | $2,712 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $226 | $863 | $1,663 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $249 | $1,224 | $2,712 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $154 | $1,188 | $2,712 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $286 | $1,244 | $2,712 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $332 | $1,269 | $2,712 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $264 | $912 | $1,663 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $298 | $1,250 | $2,712 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $176 | $863 | $1,663 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $99 | $797 | $1,663 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $9 | $750 | $1,663 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $245 | $897 | $1,663 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $164 | $831 | $1,663 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $142 | $834 | $1,663 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $112 | $148 | $184 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $264 | $1,181 | $1,663 |
| 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 | $2,318 | $6,142 |
| Septoplasty CPT 30520 • ENT | $981 | $2,459 | $6,142 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $337 | $1,929 | $5,358 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $273 | $895 | $1,663 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $386 | $1,955 | $5,358 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $636 | $2,283 | $6,142 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $531 | $2,855 | $8,036 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $268 | $2,092 | $6,142 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $320 | $2,140 | $6,142 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $456 | $2,694 | $8,036 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $309 | $968 | $1,663 |