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Delaware Valley Hospital Physician.Xlsx Delaware Valley Hospital TYPE OF HCPCS DESCRIPTION CHARGE SELF PAY AVERAGE AVERAGE AVERAGE SERVICE COMMERCIAL MEDICARE MEDICAID Surgery - Integumentary 10004 Fine Needle Aspi Surgery - Integumentary 10005 Fine Needle Aspi Surgery - Integumentary 10006 Fine Needle Aspi Surgery - Integumentary 10007 Fine Needle Aspi Surgery - Integumentary 10008 Fine Needle Aspi Surgery - Integumentary 10009 Fine Needle Aspi Surgery - Integumentary 10010 Fine Needle Aspi Surgery - Integumentary 10011 Fine Needle Aspi Surgery - Integumentary 10012 Fine Needle Aspi Surgery - Integumentary 10021 Fine Needle Aspi $170 $110 $109 $65 $63 Surgery - Integumentary 10030 Image-Guided Cat Surgery - Integumentary 10035 Perq Sft Tiss Lo Surgery - Integumentary 10036 Perq Sft Tiss Lo Surgery - Integumentary 10040 Acne Surgery $138 $89 $107 $62 $55 Surgery - Integumentary 10060 I&D Of Abscess ; $286 $186 $171 $117 $95 Surgery - Integumentary 10061 Incision & Drain $506 $329 $311 $212 $173 Surgery - Integumentary 10080 I&D Of Pilonidal $184 $120 $194 $121 $99 Surgery - Integumentary 10081 I&D Of Pilonidal $291 $189 $315 $202 $165 Surgery - Integumentary 10120 Incision & Remov $208 $135 $183 $119 $97 Surgery - Integumentary 10121 Incision & Remov $373 $242 $332 $218 $180 Surgery - Integumentary 10140 I&D Hematoma Ser $178 $115 $211 $139 $115 Surgery - Integumentary 10160 Punct Aspir Absc $143 $93 $167 $110 $91 Surgery - Integumentary 10180 Incision & Drain Surgery - Integumentary 11000 Dbrdmt Extensv E $159 $103 $53 $33 $28 Surgery - Integumentary 11001 Dbrdmt Extnsve E Surgery - Integumentary 11004 Debrid Skn Subq Surgery - Integumentary 11005 Debrid Skn Subq Surgery - Integumentary 11006 Debrid Skn Subq Surgery - Integumentary 11008 Removal Prosheti Surgery - Integumentary 11010 Dbrdmt W/Rmvl Fm $806 $524 $516 $327 $270 Surgery - Integumentary 11011 Debrid Assoc Ope Surgery - Integumentary 11012 Dbrdmt Fx&/Dislc $790 $514 $780 $497 $413 Surgery - Integumentary 11042 Debridement Subc $473 $307 $117 $71 $57 Surgery - Integumentary 11043 Debridement Musc $812 $528 $281 $183 $161 Surgery - Integumentary 11044 Debridement Bone $483 $314 $408 $268 $235 Surgery - Integumentary 11045 Dbrdmt Subcutane $40 $26 $49 $32 $24 Surgery - Integumentary 11046 Debridement Musc $386 $251 $100 $67 $52 Surgery - Integumentary 11047 Debridement Bone $180 $117 $176 $118 $91 Surgery - Integumentary 11055 Paring/Cutting B $70 $45 $36 $18 $18 Surgery - Integumentary 11056 Paring/Cutting B $76 $50 $49 $27 $25 Surgery - Integumentary 11057 Paring/Cutting B $120 $78 $60 $34 $31 Surgery - Integumentary 11102 Tangential Biops Surgery - Integumentary 11103 Tangential Biops Surgery - Integumentary 11104 Punch Biopsy Ski $170 $111 $102 $57 $48 Surgery - Integumentary 11105 Punch Biopsy Ski Surgery - Integumentary 11106 Incisional Biops Surgery - Integumentary 11107 Incisional Biops Surgery - Integumentary 11200 Removal Skn Tags $165 $107 $128 $85 $70 Surgery - Integumentary 11201 Removal Sk Tgs M $140 $91 $28 $19 $23 Surgery - Integumentary 11300 Shaving Skin Les $59 $38 $72 $40 $33 Surgery - Integumentary 11301 Shvg Skin Lesion $97 $63 $102 $61 $50 Surgery - Integumentary 11302 Shav 1 Les Trnk $119 $77 $120 $71 $59 Surgery - Integumentary 11303 Shav 1 Les Trnk $138 $90 $139 $84 $70 Surgery - Integumentary 11305 Shav 1 Les Scalp $75 $49 $79 $46 $37 Surgery - Integumentary 11306 Shav 1 Les Scalp $112 $73 $100 $58 $49 Surgery - Integumentary 11307 Shav 1 Les Scalp $128 $83 $126 $75 $62 Surgery - Integumentary 11308 Shav 1 Les Scalp $157 $102 $139 $85 $71 Surgery - Integumentary 11310 Shav 1 Les Face $36 $23 $93 $54 $44 Surgery - Integumentary 11311 Shav 1 Les Face $187 $122 $121 $74 $61 Surgery - Integumentary 11312 Shav 1 Les Face Surgery - Integumentary 11313 Shav 1 Les Face $224 $146 $184 $114 $94 Surgery - Integumentary 11400 Exc B9 Lesion Mr $210 $136 $146 $95 $77 Surgery - Integumentary 11401 Exc B9 Lesion Mr $268 $174 $186 $120 $98 Surgery - Integumentary 11402 Exc B9 Lesion Mr $366 $238 $206 $133 $109 Surgery - Integumentary 11403 Exc B9 Lesion Mr $465 $302 $261 $173 $141 Surgery - Integumentary 11404 Exc B9 Lesion Mr $608 $395 $289 $191 $156 Surgery - Integumentary 11406 Exc B9 Lesion Mr $812 $528 $437 $291 $236 Surgery - Integumentary 11420 Exc B9 Lesion Mr $242 $157 $146 $95 $78 Surgery - Integumentary 11421 Exc B9 Lesion Mr $313 $203 $196 $127 $105 Surgery - Integumentary 11422 Exc B9 Lesion Mr $410 $267 $240 $158 $130 Surgery - Integumentary 11423 Exc B9 Lesion Mr $568 $369 $274 $181 $149 Surgery - Integumentary 11424 Exc B9 Lesion Mr $674 $438 $316 $209 $171 Surgery - Integumentary 11426 Exc B9 Lesion Mr $881 $573 $482 $323 $264 Surgery - Integumentary 11440 Exc B9 Lesion Mr $143 $93 $180 $120 $98 Surgery - Integumentary 11441 Exc B9 Les Mrgn $498 $324 $230 $152 $125 Surgery - Integumentary 11442 Exc B9 Les Mrgn $267 $173 $255 $169 $139 Surgery - Integumentary 11443 Exc B9 Les Mrgn $306 $199 $311 $207 $170 Surgery - Integumentary 11444 Exc B9 Les Mrgn Surgery - Integumentary 11446 Exc B9 Lesion Mr $511 $332 $564 $378 $309 Surgery - Integumentary 11450 Exc Skin Hidrade Surgery - Integumentary 11451 Exc Skin Hidrade Surgery - Integumentary 11462 Exc Skin Hidrade Surgery - Integumentary 11463 Exc Skin Hidrade Surgery - Integumentary 11470 Exc Skn Hidraden Surgery - Integumentary 11471 Exc Skin Hidrade Surgery - Integumentary 11600 Excision Mal Les $348 $226 $221 $141 $114 Surgery - Integumentary 11601 Excision Mal Les $392 $255 $268 $172 $141 Surgery - Integumentary 11602 Excision Mal Les $420 $273 $293 $188 $153 Surgery - Integumentary 11603 Excision Mal Les $462 $300 $347 $225 $183 Surgery - Integumentary 11604 Excision Mal Les $507 $330 $385 $249 $203 Surgery - Integumentary 11606 Excision Maligna $661 $430 $572 $374 $304 Surgery - Integumentary 11620 Excision Maligna $332 $216 $223 $143 $116 Surgery - Integumentary 11621 Excision Maligna $390 $254 $270 $174 $142 Surgery - Integumentary 11622 Excision Maligna $444 $289 $306 $197 $163 Surgery - Integumentary 11623 Excision Maligna $524 $341 $377 $245 $200 Surgery - Integumentary 11624 Excision Maligna $602 $391 $428 $279 $228 Surgery - Integumentary 11626 Excision Maligna $789 $513 $526 $345 $284 Surgery - Integumentary 11640 Excision Maligna $273 $177 $229 $146 $121 Surgery - Integumentary 11641 Excision Maligna $240 $156 $281 $181 $151 Surgery - Integumentary 11642 Excision Maligna $383 $249 $328 $212 $179 Surgery - Integumentary 11643 Excision Maligna $436 $283 $408 $267 $221 Surgery - Integumentary 11644 Excision Maligna $546 $355 $506 $332 $273 Surgery - Integumentary 11646 Excision Maligna Surgery - Integumentary 11719 Trimming Nondyst $37 $24 $14 $9 $9 Surgery - Integumentary 11720 Debridement Nail $57 $37 $28 $17 $14 Surgery - Integumentary 11721 Debridement Nail $87 $56 $46 $29 $25 Surgery - Integumentary 11730 Avul Nail Plat P $190 $123 $103 $63 $53 Surgery - Integumentary 11732 Avulsion Nail Pl $90 $58 $32 $20 $18 Surgery - Integumentary 11740 Evacuation Of Su $46 $30 $57 $36 $30 Surgery - Integumentary 11750 Exc Nail&Matrix $351 $228 $182 $117 $106 Surgery - Integumentary 11755 Biopsy Nail Unit $114 $74 $122 $71 $62 Surgery - Integumentary 11760 Repair Of Nail B $305 $198 $209 $134 $113 Surgery - Integumentary 11762 Reconstruction O $357 $232 $339 $222 $185 Surgery - Integumentary 11765 Wedge Excision O $98 $64 $170 $107 $85 Surgery - Integumentary 11770 Excision Pilonid $382 $248 $343 $221 $191 Surgery - Integumentary 11771 Excision Pilonid $1,096 $712 $792 $527 $428 Surgery - Integumentary 11772 Excision Pilonid $1,451 $943 $1,025 $689 $560 Surgery - Integumentary 11900 Injection Intral Surgery - Integumentary 11901 Injection Intral Surgery - Integumentary 11920 Tattooing Incl Surgery - Integumentary 11921 Tattooing Incl Surgery - Integumentary 11922 Tattooing Incl M Surgery - Integumentary 11950 Subcut Inj Fil M Surgery - Integumentary 11951 Subcut Inj Fil M Surgery - Integumentary 11952 Subcut Inj Fil M Surgery - Integumentary 11954 Subcutaneous Inj Surgery - Integumentary 11960 Insrt Expander N Surgery - Integumentary 11970 Replcmt Tissue X Surgery - Integumentary 11971 Remv Tiss Expand Surgery - Integumentary 11976 Removal Impl Con $185 $120 $170 $112 $95 Surgery - Integumentary 11980 Subcut Hormone P Surgery - Integumentary 11981 Insrt Non-Biodeg $118 $76 $130 $77 $77 Surgery - Integumentary 11982 Remv Non-Biodegr $140 $91 $152 $90 $80 Surgery - Integumentary 11983 Remv Reins Nonbi $242 $158 $222 $123 $118 Surgery - Integumentary 12001 Simpl Repr Sclp& $204 $132 $86 $53 $51 Surgery - Integumentary 12002 Simpl Repr Sclp& $297 $193 $112 $71 $66 Surgery - Integumentary 12004 Simpl Repr Sclp& $409 $266 $138 $89 $80 Surgery - Integumentary 12005 Simpl Repr Sclp& $506 $329 $179 $116 $104 Surgery - Integumentary 12006 Simpl Repr Sclp& $608 $395 $220 $141 $128 Surgery - Integumentary 12007 Simpl Repr Sclp& $827 $537 $269 $174 $155 Surgery - Integumentary 12011 Simpl Repr Face& $270 $176 $107 $67 $62 Surgery - Integumentary 12013 Simple Repair F/ $373 $242 $113 $71 $66 Surgery - Integumentary 12014 Simple Repair F/ $461 $300 $142 $91 $83 Surgery - Integumentary 12015 Simple Repair F/ $634 $412 $178 $115 $105 Surgery - Integumentary 12016 Simple Repair F/ $661 $430 $239 $156 $140 Surgery - Integumentary 12017 Simple Repair F/ $674 $438 $266 $185 $167 Surgery - Integumentary 12018 Simple Repair F/ $774 $503 $302 $210 $191 Surgery - Integumentary 12020 Tx Sup Wound Deh $280 $182 $341 $222 $183 Surgery - Integumentary 12021 Tx Sup Wound Deh Surgery - Integumentary 12031 Repair Intermedi $305 $198 $277 $178 $146 Surgery
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