DLP WILSON MEDICAL CENTER LLC· WILSON, NC
HospitalCMS 2/5
1705 TARBORO ST SW, WILSON, NC 27893
Procedures offered
969 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $24 | $205 | $509 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $35 | $227 | $509 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $47 | $232 | $509 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $59 | $278 | $509 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $2,113 | $6,154 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $33 | $213 | $509 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $49 | $243 | $509 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $62 | $247 | $509 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $54 | $239 | $509 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $82 | $2,133 | $6,154 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $101 | $294 | $509 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $145 | $2,187 | $6,154 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $105 | $2,132 | $6,154 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $166 | $2,221 | $6,154 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $144 | $2,199 | $6,154 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $207 | $411 | $566 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $171 | $2,215 | $6,154 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $52 | $242 | $509 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $54 | $232 | $509 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $4 | $173 | $509 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $151 | $301 | $509 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $91 | $270 | $509 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $108 | $258 | $509 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $50 | $114 | $182 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $96 | $158 | $220 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $7 | $20 | $41 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $5 | $11 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $55 | $76 | $97 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $39 | $64 | $123 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $575 | $1,104 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $93 | $165 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $59 | $99 | $177 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $218 | $678 | $953 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $75 | $8,723 | $18,881 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $222 | $341 | $586 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $208 | $1,978 | $4,426 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $254 | $360 | $457 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $742 | $1,088 | $1,572 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $476 | $871 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $147 | $255 | $369 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $172 | $5,480 | $15,559 |
| Septoplasty CPT 30520 • ENT | $537 | $5,911 | $15,559 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $205 | $2,528 | $7,076 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $281 | $509 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $245 | $2,543 | $7,076 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $192 | $5,431 | $15,559 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $459 | $8,463 | $24,371 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $173 | $5,303 | $15,559 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $256 | $5,404 | $15,559 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $360 | $8,428 | $24,371 |