DLP WILSON MEDICAL CENTER LLC· WILSON, NC
HospitalCMS 2/5
1705 TARBORO ST SW, WILSON, NC 27893
Procedures offered
967 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $35 | $171 | $502 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $47 | $177 | $502 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $59 | $232 | $502 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $1,305 | $6,072 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $33 | $154 | $502 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $49 | $190 | $502 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $62 | $195 | $502 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $54 | $185 | $502 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $82 | $1,329 | $6,072 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $101 | $251 | $502 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $145 | $1,394 | $6,072 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $105 | $1,328 | $6,072 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $166 | $1,434 | $6,072 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $144 | $1,408 | $6,072 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $207 | $392 | $566 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $171 | $1,427 | $6,072 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $52 | $189 | $502 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $54 | $176 | $502 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $4 | $106 | $502 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $151 | $260 | $502 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $91 | $222 | $502 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $108 | $208 | $502 |
| 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 | $3,465 | $15,352 |
| Septoplasty CPT 30520 • ENT | $537 | $3,982 | $15,352 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $205 | $1,618 | $6,982 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $235 | $502 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $245 | $1,636 | $6,982 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $192 | $3,406 | $15,352 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $459 | $5,282 | $24,046 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $173 | $3,252 | $15,352 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $256 | $3,373 | $15,352 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $360 | $5,239 | $24,046 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $170 | $304 | $502 |