Average Medicaid Skin Biopsy & Lesion Removal Payments in Bronx, NY: $109.54
Avg. Paid
$109.54
Range
$23.26 – $800.08
Total Claims
6,092
Providers
21
Typical Payment Range
Typical Medicaid Skin Biopsy & Lesion Removal payments fall between $32.45 and $71.73 per claim (median: $49.92). The top 10% of payments exceed $92.79.
Based on per-provider averages across all Medicaid claims in this category.
Removal and microscopic examination of skin tissue to diagnose skin conditions, including suspicious moles, rashes, and potential skin cancers.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Skin Biopsy & Lesion Removal in Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Perry Ave Family Medical Center Inc
3071 Perry Ave |
$571.57 | 13 | 13 |
|
Benedict Chang Wu
3514 Bainbridge Ave |
$78.52 | 14 | 13 |
|
Mathew Pathrose
111 E 210Th St |
$77.36 | 14 | 14 |
|
Paul V. Benites
2100 Bartow Ave |
$86.17 | 15 | 15 |
|
Angela America Libranti
1455 West Ave |
$74.56 | 15 | 13 |
|
Joonkwon Bak
1825 Eastchester Rd # 7Nw |
$92.75 | 17 | 17 |
|
Jay Stephen Lerman
1180 Morris Park Ave |
$52.71 | 30 | 29 |
|
Montefiore Medical Center
111 E 210Th St |
$800.08 | 39 | 36 |
|
Anto Vincetic
3626 E Tremont Ave Ste 102 |
$27.85 | 42 | 38 |
|
New York City Health And Hospitals Corporation
234 E 149Th St |
$153.48 | 59 | 52 |
|
Kenneth Edward Bloom
1455 West Ave |
$111.37 | 60 | 60 |
|
Insoo Om
220 E 161St St |
$64.79 | 71 | 69 |
|
Sadia R Shah
1578 Williamsbridge Rd Apt 3A |
$23.26 | 76 | 76 |
|
Louisa Mae Tift
3620 E Tremont Ave |
$77.13 | 113 | 111 |
|
Curtis Linjer Chen
119 E Fordham Rd |
$80.45 | 154 | 152 |
|
Eugene J Whang
3620 E Tremont Ave |
$67.41 | 648 | 620 |
|
Medalliance Medical Health Services Inc
625 E Fordham Rd |
$359.85 | 690 | 678 |
|
Elena Pollack
2015 Grand Concourse |
$103.19 | 692 | 665 |
|
Jessica Senge
220 E 161St St |
$102.56 | 743 | 713 |
|
Douglas Ira Rosen
3620 E Tremont Ave |
$59.74 | 795 | 763 |
|
George Abel Lopez
553 E Fordham Rd |
$49.92 | 1,792 | 1,575 |
What to Expect: Skin Biopsy & Lesion Removal
A skin biopsy takes 15-30 minutes. The area is cleaned and numbed with local anesthetic. The doctor removes a small sample of skin tissue using one of several methods: shave, punch, or excisional biopsy. A few stitches may be needed. Mild discomfort and a small scar are common. Results from the pathology lab typically take 1-2 weeks.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 11102 | Tangential biopsy addl lesion | $64.91 | 704,767 | 2,299 |
| 11104 | Punch biopsy 1st lesion | $109.54 | 82,461 | 368 |
| 11103 | Tangential biopsy each addl | $40.87 | 73,076 | 350 |
| 11305 | Shave removal lesion scalp 0.5 | $21.83 | 56,499 | 132 |
| 11306 | Shave removal scalp 0.6-1cm | $32.90 | 39,363 | 105 |
| 11106 | Incisional biopsy 1st lesion | $105.07 | 25,288 | 19 |
| 11301 | Shave removal lesion 0.6-1cm | $42.64 | 22,135 | 118 |
| 11402 | Excision lesion trunk 1.1-2cm | $53.66 | 17,120 | 39 |
| 11606 | Excision malig trunk >4cm | $0.00 | 16,922 | 27 |
| 11307 | Shave removal scalp 1.1-2cm | $37.22 | 15,819 | 69 |
| 11422 | Excision lesion scalp 1.1-2cm | $48.13 | 13,892 | 20 |
| 11300 | Shave removal lesion 0.5cm | $33.39 | 12,390 | 73 |
| 11105 | Punch biopsy each addl | $31.01 | 12,216 | 62 |
| 11442 | Excision lesion face 1.1-2cm | $44.09 | 12,140 | 5 |
| 11302 | Shave removal lesion 1.1-2cm | $44.06 | 10,863 | 30 |
| 11443 | Excision lesion face 2.1-3cm | $62.47 | 8,948 | 3 |
| 11441 | Excision lesion face 0.6-1cm | $38.84 | 8,352 | 4 |
| 11421 | Excision lesion scalp 0.6-1cm | $26.78 | 7,801 | 20 |
| 11403 | Excision lesion trunk 2.1-3cm | $48.99 | 7,210 | 18 |
| 11423 | Excision lesion scalp 2.1-3cm | $48.14 | 5,611 | 9 |
| 11107 | Incisional biopsy each addl | $58.28 | 4,575 | 6 |
| 11420 | Excision lesion scalp 0.5cm | $24.13 | 4,525 | 20 |
| 11401 | Excision lesion trunk 0.6-1cm | $60.91 | 3,339 | 20 |
| 11312 | Shave removal face 1.1-2cm | $44.31 | 2,223 | 12 |
| 11311 | Shave removal face 0.6-1cm | $43.07 | 1,422 | 23 |
| 11424 | Excision lesion scalp 3.1-4cm | $55.23 | 1,307 | 4 |
| 11310 | Shave removal lesion face 0.5 | $40.00 | 1,131 | 17 |
| 11446 | Excision lesion face >4cm | $0.94 | 1,069 | 1 |
| 11440 | Excision lesion face 0.5cm | $45.25 | 964 | 4 |
| 11404 | Excision lesion trunk 3.1-4cm | $63.28 | 743 | 4 |
| 11426 | Excision lesion scalp >4cm | $28.15 | 658 | 4 |
| 11400 | Excision lesion trunk 0.5cm | $64.77 | 217 | 6 |
| 11603 | Excision malig trunk 2.1-3cm | $78.92 | 206 | 2 |
| 11406 | Excision lesion trunk >4cm | $65.23 | 186 | 3 |
| 11444 | Excision lesion face 3.1-4cm | $124.66 | 148 | 1 |
| 11602 | Excision malig trunk 1.1-2cm | $68.68 | 134 | 1 |
| 11600 | Excision malig lesion trunk 0.5 | $0.00 | 50 | 2 |
| 11604 | Excision malig trunk 3.1-4cm | $37.84 | 40 | 1 |
| 11601 | Excision malig trunk 0.6-1cm | — | — | — |
| 11620 | Excision malig scalp 0.5cm | — | — | — |
| 11621 | Excision malig scalp 0.6-1cm | — | — | — |
| 11622 | Excision malig scalp 1.1-2cm | — | — | — |
| 11623 | Excision malig scalp 2.1-3cm | — | — | — |
| 11624 | Excision malig scalp 3.1-4cm | — | — | — |
| 11626 | Excision malig scalp >4cm | — | — | — |
| 11640 | Excision malig face 0.5cm | — | — | — |
| 11641 | Excision malig face 0.6-1cm | — | — | — |
| 11642 | Excision malig face 1.1-2cm | — | — | — |
| 11643 | Excision malig face 2.1-3cm | — | — | — |
| 11644 | Excision malig face 3.1-4cm | — | — | — |
| 11646 | Excision malig face >4cm | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Skin Biopsy & Lesion Removal cost in Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Skin Biopsy & Lesion Removal in Bronx, NY is $109.54 per claim, based on 6,092 claims from 21 providers. Typical payments fall between $32.45 and $71.73. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Skin Biopsy & Lesion Removal in Bronx, NY?
There are 21 Medicaid providers offering Skin Biopsy & Lesion Removal related services in Bronx, NY according to public payment data.
What is the price range for Skin Biopsy & Lesion Removal in Bronx, NY?
Medicaid reimbursement for Skin Biopsy & Lesion Removal in Bronx, NY ranges from $23.26 to $800.08 per claim, with an average of $109.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Skin Biopsy & Lesion Removal in Other Cities
San Diego, CA
Avg $54.44
67,932 claims · 12 providers
New York, NY
Avg $70.52
36,723 claims · 42 providers
Brooklyn, NY
Avg $54.58
35,874 claims · 53 providers
Los Angeles, CA
Avg $38.42
30,949 claims · 30 providers
Thousand Oaks, CA
Avg $72.87
24,863 claims · 3 providers
Newport Beach, CA
Avg $53.70
15,807 claims · 4 providers
Philadelphia, PA
Avg $71.07
15,156 claims · 17 providers
Scottsdale, AZ
Avg $63.58
15,116 claims · 17 providers
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