Average Medicaid Skin Biopsy & Lesion Removal Payments in Philadelphia, PA: $71.07
Avg. Paid
$71.07
Range
$0.00 – $98.97
Total Claims
15,156
Providers
17
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer J Parker
3600 Spruce St |
$47.51 | 13 | 13 |
|
Gabriel Isaza Gonzalez
333 Cottman Ave |
$37.19 | 13 | 13 |
|
Jules B Lipoff
3400 Spruce Street |
$27.10 | 15 | 15 |
|
Elizabeth Diem Luong
1546 Packer Ave |
$0.00 | 22 | 12 |
|
Mia Albanese
822 Pine St Ste 2A |
$85.20 | 26 | 25 |
|
Casey Elizabeth Reid
2310 E Allegheny Ave |
$76.95 | 51 | 46 |
|
Collin Guthrie Fuller
833 Chestnut St Ste 740 |
$75.84 | 83 | 83 |
|
Temple University Hospital, Inc
3401 N Broad St |
$98.97 | 120 | 119 |
|
Howard Michael Goldman
10159 Verree Rd |
$2.47 | 123 | 122 |
|
Claudia Hossain
3400 Civic Center Blvd |
$44.18 | 128 | 127 |
|
Jason Marc Schoenfeld
9501 Roosevelt Blvd Ste 506 |
$61.97 | 323 | 281 |
|
Nicholas Kian Mollanazar
800 Spruce Street |
$47.31 | 448 | 437 |
|
Alina Shevchenko
1316 West Ontario Street |
$56.46 | 465 | 451 |
|
Afton Renette Metkowski
3401 N Broad St |
$70.20 | 640 | 630 |
|
Harold Farber
9892 Bustleton Avenue |
$6.62 | 844 | 704 |
|
Harold Jacob Milstein
525 Jamestown St Ste 206 |
$36.70 | 1,415 | 1,397 |
|
Sylvia Hsu
3401 N Broad St |
$83.96 | 10,427 | 10,063 |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Skin Biopsy & Lesion Removal in Philadelphia, PA is $71.07 per claim, based on 15,156 claims from 17 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 Philadelphia, PA?
There are 17 Medicaid providers offering Skin Biopsy & Lesion Removal related services in Philadelphia, PA according to public payment data.
What is the price range for Skin Biopsy & Lesion Removal in Philadelphia, PA?
Medicaid reimbursement for Skin Biopsy & Lesion Removal in Philadelphia, PA ranges from $0.00 to $98.97 per claim, with an average of $71.07. 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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Los Angeles, CA
Avg $38.42
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Thousand Oaks, CA
Avg $72.87
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Newport Beach, CA
Avg $53.70
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Scottsdale, AZ
Avg $63.58
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Avg $67.24
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