Average Medicaid Skin Biopsy & Lesion Removal Payments in Grand Rapids, MI: $53.50
Avg. Paid
$53.50
Range
$52.99 – $55.55
Total Claims
5,795
Providers
3
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Psoriasis And Eczema Treatment Center Of Western Michigan Pllc
833 Michigan St Ne |
$52.99 | 4,397 | 4,333 |
|
Forefront Dermatology, S.C.
2525 E Paris Ave Se Ste 100 |
$55.04 | 1,194 | 1,178 |
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$55.55 | 204 | 202 |
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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Skin Biopsy & Lesion Removal in Grand Rapids, MI is $53.50 per claim, based on 5,795 claims from 3 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 Grand Rapids, MI?
There are 3 Medicaid providers offering Skin Biopsy & Lesion Removal related services in Grand Rapids, MI according to public payment data.
What is the price range for Skin Biopsy & Lesion Removal in Grand Rapids, MI?
Medicaid reimbursement for Skin Biopsy & Lesion Removal in Grand Rapids, MI ranges from $52.99 to $55.55 per claim, with an average of $53.50. 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
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New York, NY
Avg $70.52
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Brooklyn, NY
Avg $54.58
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Avg $38.42
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