DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
968 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $64 | $1,457 | $6,953 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $96 | $1,502 | $6,953 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $39 | $1,548 | $6,953 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $1,548 | $6,953 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $33 | $1,478 | $6,953 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $43 | $1,516 | $6,953 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $80 | $1,536 | $6,953 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $97 | $1,548 | $6,953 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $108 | $1,532 | $6,953 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $101 | $1,550 | $6,953 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $165 | $1,646 | $6,953 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $87 | $1,578 | $6,953 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $119 | $1,607 | $6,953 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $213 | $1,680 | $6,953 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $154 | $1,659 | $6,953 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $1,659 | $6,953 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $32 | $1,489 | $6,953 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $65 | $1,473 | $6,953 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $1,397 | $6,953 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $161 | $1,556 | $6,953 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $56 | $1,509 | $6,953 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $44 | $1,543 | $6,953 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $83 | $115 | $174 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $60 | $1,550 | $6,953 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $7 | $19 | $47 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $6 | $12 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $20 | $81 | $180 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $44 | $81 | $122 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $56 | $183 | $458 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $47 | $121 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $20 | $48 | $69 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $70 | $412 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $750 | $6,919 | $18,751 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $22 | $130 | $248 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $831 | $2,080 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $254 | $524 | $995 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $105 | $853 | $1,396 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $666 | $1,519 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $221 | $405 | $693 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $107 | $1,655 | $6,953 |
| Septoplasty CPT 30520 • ENT | $726 | $2,348 | $6,953 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $81 | $1,655 | $6,953 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $1,581 | $6,953 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $96 | $1,703 | $6,953 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $192 | $1,693 | $6,953 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $301 | $1,884 | $7,944 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $143 | $1,597 | $6,953 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $140 | $1,811 | $6,953 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $299 | $1,933 | $6,953 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $224 | $1,638 | $6,953 |