Please search by your full state name below:
Cryosurgery CPT Codes
| Location | Types of Lesions | CPT Code | 50% | 75% | 90% | Medicare |
|---|---|---|---|---|---|---|
| Alabama (Birmingham - 352XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | 90.76 | $104.58 | $117.31 | $74.79 |
| Alabama (Birmingham - 352XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | 20.42 | $23.53 | $26.40 | $6.13 |
| Alabama (Birmingham - 352XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | *NDA | NDA | NDA | $155.22 |
| Alabama (Birmingham - 352XX) | Warts & Molluscum | 17110 (1-14 Lesions) | 102.11 | $117.66 | $131.98 | $102.18 |
| Alabama (Birmingham - 352XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $121.27 |
| Alabama (Birmingham - 352XX) | Skin Tags | 11200 Simple | 86.96 | $96.17 | $100.96 | $80.46 |
| Alabama (Birmingham - 352XX) | Skin Tags | 11201 Extensive | 32.04 | $35.43 | $37.20 | $17.38 |
| Alabama (Birmingham - 352XX) | Anal Lesions | 46916 Simple | 413.02 | $414.36 | $493.82 | $213.32 |
| Alabama (Birmingham - 352XX) | Anal Lesions | 46924 Extensive | 1,475.08 | $1,479.85 | $1,763.65 | $500.46 |
| Alabama (Birmingham - 352XX) | Penile Lesions | 54056 Simple | 236.59 | $236.59 | $267.70 | $131.03 |
| Alabama (Birmingham - 352XX) | Penile Lesions | 54065 Extensive | 1,022.09 | $1,022.09 | $1,156.46 | $201.36 |
| Alabama (Birmingham - 352XX) | Vulva Lesions | 56501 Simple | 204.62 | $222.69 | $243.50 | $120.54 |
| Alabama (Birmingham - 352XX) | Vulva Lesions | 56515 Extensive | 698.12 | $759.77 | $830.76 | $206.65 |
| Alabama (Birmingham - 352XX) | Vaginal Lesions | 57061 Simple | 387.53 | $407.93 | $500.30 | $104.83 |
| Alabama (Birmingham - 352XX) | Vaginal Lesions | 57065 Extensive | 775.05 | $815.85 | $1,000.59 | $177.65 |
| Arizona (Phoenix - 850XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $90.89 | $113.26 | $135.31 | $82.11 |
| Arizona (Phoenix - 850XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $20.45 | $25.48 | $30.44 | $6.72 |
| Arizona (Phoenix - 850XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $170.76 |
| Arizona (Phoenix - 850XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $102.25 | $127.41 | $152.22 | $112.43 |
| Arizona (Phoenix - 850XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $133.31 |
| Arizona (Phoenix - 850XX) | Skin Tags | 11200 Simple | $101.23 | 118.61 | 146.13 | $88.26 |
| Arizona (Phoenix - 850XX) | Skin Tags | 11201 Extensive | $37.29 | $43.70 | $53.84 | $18.90 |
| Arizona (Phoenix - 850XX) | Anal Lesions | 46916 Simple | $405.92 | $409.00 | $409.00 | $234.69 |
| Arizona (Phoenix - 850XX) | Anal Lesions | 46924 Extensive | $1,449.73 | $1,460.73 | $1,460.73 | $554.03 |
| Arizona (Phoenix - 850XX) | Penile Lesions | 54056 Simple | $204.05 | $234.71 | $282.25 | $143.94 |
| Arizona (Phoenix - 850XX) | Penile Lesions | 54065 Extensive | $881.50 | 1,013.93 | $1,219.32 | $219.85 |
| Arizona (Phoenix - 850XX) | Vulva Lesions | 56501 Simple | $204.47 | $251.08 | $286.17 | $132.62 |
| Arizona (Phoenix - 850XX) | Vulva Lesions | 56515 Extensive | $697.60 | $856.63 | $976.34 | $226.54 |
| Arizona (Phoenix - 850XX) | Vaginal Lesions | 57061 Simple | $484.17 | $713.27 | $832.61 | $115.38 |
| Arizona (Phoenix - 850XX) | Vaginal Lesions | 57065 Extensive | $968.34 | $1,426.53 | 1,665.21 | $194.87 |
| Arkansas (Little Rock - 722XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $75.48 | $126.90 | $152.29 | $73.96 |
| Arkansas (Little Rock - 722XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $16.98 | $28.55 | $34.27 | $6.07 |
| Arkansas (Little Rock - 722XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $154.19 |
| Arkansas (Little Rock - 722XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $84.92 | $142.76 | $171.33 | $100.97 |
| Arkansas (Little Rock - 722XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $119.89 |
| Arkansas (Little Rock - 722XX) | Skin Tags | 11200 Simple | $144.81 | $162.67 | $179.48 | $79.61 |
| Arkansas (Little Rock - 722XX) | Skin Tags | 11201 Extensive | $53.35 | $59.93 | $66.13 | $17.25 |
| Arkansas (Little Rock - 722XX) | Anal Lesions | 46916 Simple | $168.79 | $193.06 | $266.08 | $210.97 |
| Arkansas (Little Rock - 722XX) | Anal Lesions | 46924 Extensive | $602.83 | $689.50 | $950.28 | $494.21 |
| Arkansas (Little Rock - 722XX) | Penile Lesions | 54056 Simple | $159.29 | $305.87 | $344.63 | $129.64 |
| Arkansas (Little Rock - 722XX) | Penile Lesions | 54065 Extensive | $688.15 | $1,321.35 | $1,488.78 | $199.44 |
| Arkansas (Little Rock - 722XX) | Vulva Lesions | 56501 Simple | $183.77 | $191.49 | $205.53 | $119.40 |
| Arkansas (Little Rock - 722XX) | Vulva Lesions | 56515 Extensive | $626.98 | $653.31 | $701.22 | $204.86 |
| Arkansas (Little Rock - 722XX) | Vaginal Lesions | 57061 Simple | $712.41 | $714.71 | $746.87 | $103.86 |
| Arkansas (Little Rock - 722XX) | Vaginal Lesions | 57065 Extensive | $1,424.82 | $1,429.41 | $1,493.73 | $176.11 |
| California (San Diego - 921XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $136.33 | $163.09 | $168.14 | $97.52 |
| California (San Diego - 921XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $30.67 | $36.69 | $37.93 | $7.75 |
| California (San Diego - 921XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $196.03 |
| California (San Diego - 921XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $153.37 | $183.47 | $189.16 | $135.82 |
| California (San Diego - 921XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $159.26 |
| California (San Diego - 921XX) | Skin Tags | 11200 Simple | $172.52 | $173.83 | $175.87 | $103.21 |
| California (San Diego - 921XX) | Skin Tags | 11201 Extensive | $63.56 | $64.04 | $64.79 | $20.76 |
| California (San Diego - 921XX) | Anal Lesions | 46916 Simple | $450.86 | $467.86 | $511.25 | $277.15 |
| California (San Diego - 921XX) | Anal Lesions | 46924 Extensive | $1,610.20 | $1,670.93 | $1,825.90 | $672.61 |
| California (San Diego - 921XX) | Penile Lesions | 54056 Simple | $261.19 | $363.19 | $386.13 | $168.66 |
| California (San Diego - 921XX) | Penile Lesions | 54065 Extensive | $1,128.36 | $1,568.97 | $1,668.09 | $252.78 |
| California (San Diego - 921XX) | Vulva Lesions | 56501 Simple | $255.20 | $305.79 | $344.02 | $149.43 |
| California (San Diego - 921XX) | Vulva Lesions | 56515 Extensive | $870.67 | $1,043.28 | $1,173.72 | $251.22 |
| California (San Diego - 921XX) | Vaginal Lesions | 57061 Simple | $690.06 | $778.13 | $861.14 | $131.00 |
| California (San Diego - 921XX) | Vaginal Lesions | 57065 Extensive | $1,380.12 | $1,556.25 | $1,722.27 | $215.74 |
| California (San Francisco - 941XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $117.26 | $144.33 | $207.57 | $104.70 |
| California (San Francisco - 941XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $26.38 | $32.47 | $46.70 | $8.28 |
| California (San Francisco - 941XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $209.18 |
| California (San Francisco - 941XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $131.92 | $162.37 | $233.51 | $146.32 |
| California (San Francisco - 941XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $171.21 |
| California (San Francisco - 941XX) | Skin Tags | 11200 Simple | $159.32 | $204.50 | $285.40 | $110.50 |
| California (San Francisco - 941XX) | Skin Tags | 11201 Extensive | $58.70 | $75.34 | $105.15 | $21.92 |
| California (San Francisco - 941XX) | Anal Lesions | 46916 Simple | $356.76 | $663.92 | $666.01 | $297.43 |
| California (San Francisco - 941XX) | Anal Lesions | 46924 Extensive | $1,274.13 | $2,371.15 | $2,378.60 | $726.26 |
| California (San Francisco - 941XX) | Penile Lesions | 54056 Simple | $295.56 | $348.68 | $452.67 | $180.69 |
| California (San Francisco - 941XX) | Penile Lesions | 54065 Extensive | $1,276.83 | $1,431.11 | $1,955.53 | $269.51 |
| California (San Francisco - 941XX) | Vulva Lesions | 56501 Simple | $232.49 | $288.80 | $336.44 | $159.07 |
| California (San Francisco - 941XX) | Vulva Lesions | 56515 Extensive | $793.21 | $985.33 | $1,147.85 | $266.41 |
| California (San Francisco - 941XX) | Vaginal Lesions | 57061 Simple | $784.86 | $825.63 | $891.89 | $139.65 |
| California (San Francisco - 941XX) | Vaginal Lesions | 57065 Extensive | $1,569.72 | $1,651.26 | $1,783.77 | $228.75 |
| California (Los Angeles -900XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $138.62 | $224.95 | $227.22 | $92.19 |
| California (Los Angeles -900XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $31.19 | $50.61 | $51.13 | $7.40 |
| California (Los Angeles -900XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $187.32 |
| California (Los Angeles -900XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $155.95 | $253.07 | $255.63 | $127.72 |
| California (Los Angeles -900XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $150.28 |
| California (Los Angeles -900XX) | Skin Tags | 11200 Simple | $138.33 | $202.96 | $241.58 | $98.05 |
| California (Los Angeles -900XX) | Skin Tags | 11201 Extensive | $50.97 | $74.77 | $89.00 | $20.13 |
| California (Los Angeles -900XX) | Anal Lesions | 46916 Simple | $355.18 | $450.86 | $764.48 | $262.47 |
| California (Los Angeles -900XX) | Anal Lesions | 46924 Extensive | $1,268.50 | $1,610.20 | $2,730.28 | $631.46 |
| California (Los Angeles -900XX) | Penile Lesions | 54056 Simple | $269.08 | $326.01 | $489.26 | $160.12 |
| California (Los Angeles -900XX) | Penile Lesions | 54065 Extensive | $1,162.43 | $1,408.35 | $2,113.61 | $241.46 |
| California (Los Angeles -900XX) | Vulva Lesions | 56501 Simple | $245.84 | $331.27 | $387.16 | $143.65 |
| California (Los Angeles -900XX) | Vulva Lesions | 56515 Extensive | $838.74 | $1,130.22 | $1,320.89 | $242.77 |
| California (Los Angeles -900XX) | Vaginal Lesions | 57061 Simple | $409.01 | $509.66 | $631.04 | $125.62 |
| California (Los Angeles -900XX) | Vaginal Lesions | 57065 Extensive | $818.01 | $1,019.31 | $1,262.07 | $208.59 |
| Colorado (Denver - 802XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $96.41 | $117.22 | $139.82 | $83.24 |
| Colorado (Denver - 802XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $21.69 | $26.37 | $31.46 | $6.78 |
| Colorado (Denver - 802XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $172.06 |
| Colorado (Denver - 802XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $108.46 | $131.87 | $157.29 | $114.32 |
| Colorado (Denver - 802XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $135.28 |
| Colorado (Denver - 802XX) | Skin Tags | 11200 Simple | $126.39 | $132.92 | $150.53 | $89.23 |
| Colorado (Denver - 802XX) | Skin Tags | 11201 Extensive | $46.57 | $48.97 | $55.46 | $18.91 |
| Colorado (Denver - 802XX) | Anal Lesions | 46916 Simple | $351.74 | $417.91 | $439.68 | $237.64 |
| Colorado (Denver - 802XX) | Anal Lesions | 46924 Extensive | $1,256.23 | $1,492.55 | $1,570.28 | $563.61 |
| Colorado (Denver - 802XX) | Penile Lesions | 54056 Simple | $213.70 | $228.02 | $285.74 | $145.56 |
| Colorado (Denver - 802XX) | Penile Lesions | 54065 Extensive | $923.18 | $985.04 | $1,234.41 | $221.67 |
| Colorado (Denver - 802XX) | Vulva Lesions | 56501 Simple | $181.94 | $217.17 | $273.90 | $133.16 |
| Colorado (Denver - 802XX) | Vulva Lesions | 56515 Extensive | $620.75 | $740.92 | $934.47 | $226.88 |
| Colorado (Denver - 802XX) | Vaginal Lesions | 57061 Simple | $546.06 | $589.95 | $644.18 | $116.00 |
| Colorado (Denver - 802XX) | Vaginal Lesions | 57065 Extensive | $1,092.12 | $1,179.90 | $1,288.35 | $195.10 |
| Connecticut (Bristol, Simsbury - 060XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $143.12 | $159.02 | $211.62 | $$90.96 |
| Connecticut (Bristol, Simsbury - 060XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $32.20 | $35.78 | $47.61 | $7.39 |
| Connecticut (Bristol, Simsbury - 060XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $187.58 |
| Connecticut (Bristol, Simsbury - 060XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $161.01 | $178.90 | $238.07 | $125.18 |
| Connecticut (Bristol, Simsbury - 060XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $147.98 |
| Connecticut (Bristol, Simsbury - 060XX) | Skin Tags | 11200 Simple | $153.34 | $177.57 | $184.68 | $97.39 |
| Connecticut (Bristol, Simsbury - 060XX) | Skin Tags | 11201 Extensive | $56.50 | $65.42 | $68.04 | $20.47 |
| Connecticut (Bristol, Simsbury - 060XX) | Anal Lesions | 46916 Simple | $214.27 | $232.03 | $299.40 | $259.92 |
| Connecticut (Bristol, Simsbury - 060XX) | Anal Lesions | 46924 Extensive | $765.25 | $828.68 | $1,069.28 | $619.47 |
| Connecticut (Bristol, Simsbury - 060XX) | Penile Lesions | 54056 Simple | $312.42 | $356.69 | $473.88 | $159.01 |
| Connecticut (Bristol, Simsbury - 060XX) | Penile Lesions | 54065 Extensive | $1,349.65 | $1,540.89 | $2,047.17 | $241.08 |
| Connecticut (Bristol, Simsbury - 060XX) | Vulva Lesions | 56501 Simple | $296.20 | $417.83 | $541.03 | $145.32 |
| Connecticut (Bristol, Simsbury - 060XX) | Vulva Lesions | 56515 Extensive | $1,010.56 | $1,425.55 | $1,845.85 | $246.90 |
| Connecticut (Bristol, Simsbury - 060XX) | Vaginal Lesions | 57061 Simple | $862.50 | $876.26 | $1,252.38 | $126.67 |
| Connecticut (Bristol, Simsbury - 060XX) | Vaginal Lesions | 57065 Extensive | $1,725.00 | $1,752.51 | $2,504.76 | $212.37 |
| Florida (Miami - 331XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $101.98 | $154.10 | $162.43 | $91.46 |
| Florida (Miami - 331XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.95 | $34.67 | $36.55 | $7.64 |
| Florida (Miami - 331XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $194.95 |
| Florida (Miami - 331XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $114.73 | $173.37 | $182.74 | $124.00 |
| Florida (Miami - 331XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $148.13 |
| Florida (Miami - 331XX) | Skin Tags | 11200 Simple | $153.46 | $194.39 | $203.96 | $99.40 |
| Florida (Miami - 331XX) | Skin Tags | 11201 Extensive | $56.54 | $71.62 | $75.14 | $21.95 |
| Florida (Miami - 331XX) | Anal Lesions | 46916 Simple | $302.68 | $407.92 | $450.90 | $263.69 |
| Florida (Miami - 331XX) | Anal Lesions | 46924 Extensive | $1,081.00 | $1,456.85 | $1,610.35 | $616.00 |
| Florida (Miami - 331XX) | Penile Lesions | 54056 Simple | $231.49 | $306.93 | $357.87 | $162.26 |
| Florida (Miami - 331XX) | Penile Lesions | 54065 Extensive | $1,000.05 | $1,325.94 | $1,545.99 | $248.56 |
| Florida (Miami - 331XX) | Vulva Lesions | 56501 Simple | $380.70 | $824.23 | $841.59 | $154.56 |
| Florida (Miami - 331XX) | Vulva Lesions | 56515 Extensive | $1,298.85 | $2,812.07 | $2,871.29 | $265.28 |
| Florida (Miami - 331XX) | Vaginal Lesions | 57061 Simple | $433.41 | $711.06 | $1,045.29 | $133.79 |
| Florida (Miami - 331XX) | Vaginal Lesions | 57065 Extensive | $866.82 | $1,422.12 | $2,090.58 | $228.75 |
| Georgia (Atlanta - 303XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $122.77 | $156.82 | $194.90 | $84.14 |
| Georgia (Atlanta - 303XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $27.62 | $35.29 | $43.85 | $6.85 |
| Georgia (Atlanta - 303XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $174.00 |
| Georgia (Atlanta - 303XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $138.12 | $176.43 | $219.26 | $115.54 |
| Georgia (Atlanta - 303XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $136.74 |
| Georgia (Atlanta - 303XX) | Skin Tags | 11200 Simple | $137.67 | $150.25 | $166.08 | $90.21 |
| Georgia (Atlanta - 303XX) | Skin Tags | 11201 Extensive | $50.72 | $55.35 | $61.19 | $19.12 |
| Georgia (Atlanta - 303XX) | Anal Lesions | 46916 Simple | $393.29 | $579.63 | $592.72 | $240.28 |
| Georgia (Atlanta - 303XX) | Anal Lesions | 46924 Extensive | $1,404.60 | $2,070.10 | $2,116.85 | $569.96 |
| Georgia (Atlanta - 303XX) | Penile Lesions | 54056 Simple | $276.49 | $381.15 | $569.44 | $147.17 |
| Georgia (Atlanta - 303XX) | Penile Lesions | 54065 Extensive | $1,194.45 | $1,646.57 | $2,459.97 | $224.06 |
| Georgia (Atlanta - 303XX) | Vulva Lesions | 56501 Simple | $300.63 | $405.41 | $495.41 | $134.76 |
| Georgia (Atlanta - 303XX) | Vulva Lesions | 56515 Extensive | $1,025.67 | $1,383.16 | $1,690.24 | $229.58 |
| Georgia (Atlanta - 303XX) | Vaginal Lesions | 57061 Simple | $633.74 | $939.06 | $1,151.00 | $109.53 |
| Georgia (Atlanta - 303XX) | Vaginal Lesions | 57065 Extensive | $1,267.47 | $1,878.12 | $2,301.99 | $186.27 |
| Illinois (Chicago - 661XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $159.62 | $208.50 | $268.16 | $89.94 |
| Illinois (Chicago - 661XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $35.91 | $46.91 | $60.34 | $7.45 |
| Illinois (Chicago - 661XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $189.75 |
| Illinois (Chicago - 661XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $179.57 | $234.57 | $301.68 | $122.44 |
| Illinois (Chicago - 661XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $145.81 |
| Illinois (Chicago - 661XX) | Skin Tags | 11200 Simple | $183.08 | $228.50 | $306.69 | $97.30 |
| Illinois (Chicago - 661XX) | Skin Tags | 11201 Extensive | $67.45 | $84.19 | $112.99 | $21.21 |
| Illinois (Chicago - 661XX) | Anal Lesions | 46916 Simple | $484.32 | $664.50 | $666.97 | $258.37 |
| Illinois (Chicago - 661XX) | Anal Lesions | 46924 Extensive | $1,729.70 | $2,373.20 | $2,382.03 | $606.21 |
| Illinois (Chicago - 661XX) | Penile Lesions | 54056 Simple | $355.99 | $394.98 | $513.05 | $158.76 |
| Illinois (Chicago - 661XX) | Penile Lesions | 54065 Extensive | $1,537.87 | $1,706.32 | $2,216.38 | $242.92 |
| Illinois (Chicago - 661XX) | Vulva Lesions | 56501 Simple | $368.02 | $505.62 | $659.62 | $149.18 |
| Illinois (Chicago - 661XX) | Vulva Lesions | 56515 Extensive | $1,255.61 | $1,725.07 | $2,250.46 | $255.55 |
| Illinois (Chicago - 661XX) | Vaginal Lesions | 57061 Simple | $708.02 | $1,022.30 | $1,645.31 | $129.40 |
| Illinois (Chicago - 661XX) | Vaginal Lesions | 57065 Extensive | $1,416.03 | $2,044.59 | 3,290.61 | $220.14 |
| Indiana (Indianapolis - 462XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $155.39 | $248.62 | $354.40 | $77.80 |
| Indiana (Indianapolis - 462XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $34.96 | $55.94 | $79.74 | $6.36 |
| Indiana (Indianapolis - 462XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $161.53 |
| Indiana (Indianapolis - 462XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $174.81 | $279.70 | $398.70 | $106.50 |
| Indiana (Indianapolis - 462XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $126.26 |
| Indiana (Indianapolis - 462XX) | Skin Tags | 11200 Simple | $129.29 | $182.99 | $209.57 | $83.58 |
| Indiana (Indianapolis - 462XX) | Skin Tags | 11201 Extensive | $47.63 | $67.42 | $77.21 | $17.92 |
| Indiana (Indianapolis - 462XX) | Anal Lesions | 46916 Simple | $613.38 | $615.66 | $615.66 | $221.98 |
| Indiana (Indianapolis - 462XX) | Anal Lesions | 46924 Extensive | $2,190.65 | $2,198.78 | $2,198.78 | $522.97 |
| Indiana (Indianapolis - 462XX) | Penile Lesions | 54056 Simple | $280.66 | $321.44 | $402.79 | $136.20 |
| Indiana (Indianapolis - 462XX) | Penile Lesions | 54065 Extensive | $1,212.46 | $1,388.61 | $1,740.04 | $208.58 |
| Indiana (Indianapolis - 462XX) | Vulva Lesions | 56501 Simple | $272.35 | $311.24 | $375.18 | $125.02 |
| Indiana (Indianapolis - 462XX) | Vulva Lesions | 56515 Extensive | $929.19 | $1,061.86 | $1,280.03 | $213.83 |
| Indiana (Indianapolis - 462XX) | Vaginal Lesions | 57061 Simple | $481.94 | $564.92 | $714.15 | $108.80 |
| Indiana (Indianapolis - 462XX) | Vaginal Lesions | 57065 Extensive | $963.87 | $1,129.83 | $1,428.30 | $183.84 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $109.04 | $158.02 | $190.83 | $75.26 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $24.53 | $35.55 | $42.94 | $6.16 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $156.46 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $122.67 | $177.77 | $214.68 | $102.92 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $122.08 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Skin Tags | 11200 Simple | $159.48 | $166.23 | $204.46 | $80.91 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Skin Tags | 11201 Extensive | $58.75 | $61.24 | $75.33 | $17.43 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Anal Lesions | 46916 Simple | $193.79 | $215.37 | $265.82 | $214.63 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Anal Lesions | 46924 Extensive | $692.10 | $769.18 | $949.35 | $504.26 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Penile Lesions | 54056 Simple | $276.02 | $322.83 | $371.26 | $131.79 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Penile Lesions | 54065 Extensive | $1,192.40 | $1,394.63 | $1,603.83 | $202.32 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Vulva Lesions | 56501 Simple | $220.88 | $266.82 | $291.41 | $121.02 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Vulva Lesions | 56515 Extensive | $753.59 | $910.34 | $994.24 | $207.31 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Vaginal Lesions | 57061 Simple | $666.93 | $672.83 | $718.28 | $105.28 |
| Iowa (Des Moines, Ames - 500XX/503XX) | Vaginal Lesions | 57065 Extensive | $1,333.86 | $1,345.65 | $1,436.55 | $178.21 |
| Kansas (Kansas City - 661XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $149.18 | $150.50 | $180.82 | $77.04 |
| Kansas (Kansas City - 661XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $33.56 | $33.86 | $40.68 | $6.36 |
| Kansas (Kansas City - 661XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $161.77 |
| Kansas (Kansas City - 661XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $167.82 | $169.31 | $203.42 | $104.90 |
| Kansas (Kansas City - 661XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $124.81 |
| Kansas (Kansas City - 661XX) | Skin Tags | 11200 Simple | $112.45 | $112.87 | $132.22 | $83.19 |
| Kansas (Kansas City - 661XX) | Skin Tags | 11201 Extensive | $41.43 | $41.58 | $48.71 | $18.16 |
| Kansas (Kansas City - 661XX) | Anal Lesions | 46916 Simple | $257.89 | $290.15 | $420.43 | $220.38 |
| Kansas (Kansas City - 661XX) | Anal Lesions | 46924 Extensive | $921.03 | $1,036.25 | $1,501.55 | $515.10 |
| Kansas (Kansas City - 661XX) | Penile Lesions | 54056 Simple | $204.51 | $273.46 | $374.29 | $135.53 |
| Kansas (Kansas City - 661XX) | Penile Lesions | 54065 Extensive | $883.47 | $1,181.36 | $1,616.95 | $208.50 |
| Kansas (Kansas City - 661XX) | Vulva Lesions | 56501 Simple | $280.23 | $316.42 | $411.31 | $126.12 |
| Kansas (Kansas City - 661XX) | Vulva Lesions | 56515 Extensive | $956.07 | $1,079.55 | $1,403.28 | $216.58 |
| Kansas (Kansas City - 661XX) | Vaginal Lesions | 57061 Simple | $496.73 | $601.85 | $754.11 | $109.49 |
| Kansas (Kansas City - 661XX) | Vaginal Lesions | 57065 Extensive | $993.45 | $1,203.69 | $1,508.22 | $186.34 |
| Kentucky (Louisville - 402XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $99.71 | $122.91 | $136.41 | $75.13 |
| Kentucky (Louisville - 402XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.44 | $27.66 | $30.69 | $6.19 |
| Kentucky (Louisville - 402XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $157.57 |
| Kentucky (Louisville - 402XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $112.18 | $138.28 | $153.46 | $102.32 |
| Kentucky (Louisville - 402XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $121.71 |
| Kentucky (Louisville - 402XX) | Skin Tags | 11200 Simple | $118.68 | $149.24 | $168.27 | $81.09 |
| Kentucky (Louisville - 402XX) | Skin Tags | 11201 Extensive | $43.72 | $54.98 | $61.99 | $17.71 |
| Kentucky (Louisville - 402XX) | Anal Lesions | 46916 Simple | $224.22 | $407.92 | $409.24 | $214.73 |
| Kentucky (Louisville - 402XX) | Anal Lesions | 46924 Extensive | $800.78 | $1,456.85 | $1,461.58 | $501.55 |
| Kentucky (Louisville - 402XX) | Penile Lesions | 54056 Simple | $207.69 | $249.38 | $258.47 | $132.06 |
| Kentucky (Louisville - 402XX) | Penile Lesions | 54065 Extensive | $897.21 | $1,077.33 | $1,116.59 | $203.39 |
| Kentucky (Louisville - 402XX) | Vulva Lesions | 56501 Simple | $195.74 | $241.77 | $270.25 | $122.60 |
| Kentucky (Louisville - 402XX) | Vulva Lesions | 56515 Extensive | $667.81 | $824.88 | $922.03 | $210.63 |
| Kentucky (Louisville - 402XX) | Vaginal Lesions | 57061 Simple | $548.09 | $1,019.81 | $1,023.11 | $106.46 |
| Kentucky (Louisville - 402XX) | Vaginal Lesions | 57065 Extensive | $1,096.17 | $2,039.61 | $2,046.21 | $181.18 |
| Louisiana (New Orleans - 701XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $90.94 | $127.48 | $154.60 | $81.74 |
| Louisiana (New Orleans - 701XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $20.46 | $28.68 | $34.79 | $6.68 |
| Louisiana (New Orleans - 701XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $169.69 |
| Louisiana (New Orleans - 701XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $102.31 | $143.41 | $173.93 | $112.00 |
| Louisiana (New Orleans - 701XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $132.73 |
| Louisiana (New Orleans - 701XX) | Skin Tags | 11200 Simple | $148.35 | $235.53 | $236.59 | $87.80 |
| Louisiana (New Orleans - 701XX) | Skin Tags | 11201 Extensive | $54.65 | $86.77 | $87.17 | $18.76 |
| Louisiana (New Orleans - 701XX) | Anal Lesions | 46916 Simple | $224.68 | $269.34 | $301.01 | $233.50 |
| Louisiana (New Orleans - 701XX) | Anal Lesions | 46924 Extensive | $802.43 | $961.93 | $1,075.05 | $551.68 |
| Louisiana (New Orleans - 701XX) | Penile Lesions | 54056 Simple | $235.83 | $290.66 | $307.10 | $143.17 |
| Louisiana (New Orleans - 701XX) | Penile Lesions | 54065 Extensive | $1,018.79 | $1,255.64 | $1,326.67 | $218.61 |
| Louisiana (New Orleans - 701XX) | Vulva Lesions | 56501 Simple | $259.74 | $298.80 | $482.90 | $131.62 |
| Louisiana (New Orleans - 701XX) | Vulva Lesions | 56515 Extensive | $886.18 | $1,019.44 | $1,647.55 | $224.73 |
| Louisiana (New Orleans - 701XX) | Vaginal Lesions | 57061 Simple | $478.52 | $536.07 | $876.75 | $114.55 |
| Louisiana (New Orleans - 701XX) | Vaginal Lesions | 57065 Extensive | $957.03 | $1,072.14 | $1,753.50 | $193.28 |
| Maryland (Baltimore - 212XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $120.24 | $164.24 | $182.74 | $90.19 |
| Maryland (Baltimore - 212XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $27.05 | $36.95 | $41.12 | $7.34 |
| Maryland (Baltimore - 212XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $186.20 |
| Maryland (Baltimore - 212XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $135.27 | $184.77 | $205.58 | $124.04 |
| Maryland (Baltimore - 212XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $146.68 |
| Maryland (Baltimore - 212XX) | Skin Tags | 11200 Simple | $124.82 | $150.30 | $168.27 | $96.62 |
| Maryland (Baltimore - 212XX) | Skin Tags | 11201 Extensive | $45.99 | $55.37 | $61.99 | $20.36 |
| Maryland (Baltimore - 212XX) | Anal Lesions | 46916 Simple | $285.54 | $470.13 | $530.50 | $257.72 |
| Maryland (Baltimore - 212XX) | Anal Lesions | 46924 Extensive | $1,019.80 | $1,679.03 | $1,894.63 | $613.42 |
| Maryland (Baltimore - 212XX) | Penile Lesions | 54056 Simple | $224.15 | $272.84 | $313.13 | $157.71 |
| Maryland (Baltimore - 212XX) | Penile Lesions | 54065 Extensive | $968.33 | $1,178.66 | $1,352.70 | $239.36 |
| Maryland (Baltimore - 212XX) | Vulva Lesions | 56501 Simple | $245.55 | $321.10 | $447.40 | $$144.29 |
| Maryland (Baltimore - 212XX) | Vulva Lesions | 56515 Extensive | $837.75 | $1,095.50 | $1,526.42 | $245.33 |
| Maryland (Baltimore - 212XX) | Vaginal Lesions | 57061 Simple | $546.32 | $725.58 | $1,008.48 | $125.74 |
| Maryland (Baltimore - 212XX) | Vaginal Lesions | 57065 Extensive | $1,092.63 | $1,451.16 | $2,016.96 | $211.02 |
| Massachusetts (Boston, Cambridge - 021XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $156.41 | $205.64 | $275.00 | $91.81 |
| Massachusetts (Boston, Cambridge - 021XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $35.19 | $46.27 | $61.88 | $7.37 |
| Massachusetts (Boston, Cambridge - 021XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $186.79 |
| Massachusetts (Boston, Cambridge - 021XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $175.96 | $231.35 | $309.38 | $127.16 |
| Massachusetts (Boston, Cambridge - 021XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $149.67 |
| Massachusetts (Boston, Cambridge - 021XX) | Skin Tags | 11200 Simple | $196.69 | $276.17 | $307.71 | $97.70 |
| Massachusetts (Boston, Cambridge - 021XX) | Skin Tags | 11201 Extensive | $72.46 | $101.75 | $113.37 | $20.07 |
| Massachusetts (Boston, Cambridge - 021XX) | Anal Lesions | 46916 Simple | $448.57 | $560.50 | $747.83 | $261.58 |
| Massachusetts (Boston, Cambridge - 021XX) | Anal Lesions | 46924 Extensive | $1,602.03 | $2,001.80 | $2,670.83 | $629.36 |
| Massachusetts (Boston, Cambridge - 021XX) | Penile Lesions | 54056 Simple | $311.80 | $451.09 | $572.29 | $159.58 |
| Massachusetts (Boston, Cambridge - 021XX) | Penile Lesions | 54065 Extensive | $1,346.98 | $1,948.70 | $2,472.31 | $240.53 |
| Massachusetts (Boston, Cambridge - 021XX) | Vulva Lesions | 56501 Simple | $297.31 | $392.43 | $454.10 | $143.47 |
| Massachusetts (Boston, Cambridge - 021XX) | Vulva Lesions | 56515 Extensive | $1,014.36 | $1,338.87 | $1,549.27 | $242.45 |
| Massachusetts (Boston, Cambridge - 021XX) | Vaginal Lesions | 57061 Simple | $674.78 | $960.87 | $1,231.65 | $125.43 |
| Massachusetts (Boston, Cambridge - 021XX) | Vaginal Lesions | 57065 Extensive | $1,349.55 | $1,921.74 | $2,463.30 | $208.36 |
| Michigan (Detroit - 482XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $82.09 | $118.13 | $135.61 | $87.40 |
| Michigan (Detroit - 482XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $18.47 | $26.58 | $30.51 | $7.23 |
| Michigan (Detroit - 482XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $184.02 |
| Michigan (Detroit - 482XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $92.35 | $132.90 | $152.56 | $119.08 |
| Michigan (Detroit - 482XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $141.72 |
| Michigan (Detroit - 482XX) | Skin Tags | 11200 Simple | $111.88 | $117.56 | $127.79 | $94.47 |
| Michigan (Detroit - 482XX) | Skin Tags | 11201 Extensive | $41.22 | $43.31 | $47.08 | $20.56 |
| Michigan (Detroit - 482XX) | Anal Lesions | 46916 Simple | $165.86 | $205.14 | $254.09 | $250.84 |
| Michigan (Detroit - 482XX) | Anal Lesions | 46924 Extensive | $592.35 | $732.65 | $907.45 | $588.74 |
| Michigan (Detroit - 482XX) | Penile Lesions | 54056 Simple | $277.80 | $382.39 | $552.77 | $154.12 |
| Michigan (Detroit - 482XX) | Penile Lesions | 54065 Extensive | $1,200.10 | $1,651.91 | $2,387.96 | $235.89 |
| Michigan (Detroit - 482XX) | Vulva Lesions | 56501 Simple | $178.48 | $179.57 | $242.71 | $144.35 |
| Michigan (Detroit - 482XX) | Vulva Lesions | 56515 Extensive | $608.94 | $612.65 | $828.07 | $247.24 |
| Michigan (Detroit - 482XX) | Vaginal Lesions | 57061 Simple | $314.55 | $479.21 | $659.64 | $125.26 |
| Michigan (Detroit - 482XX) | Vaginal Lesions | 57065 Extensive | $629.10 | $958.41 | $1,319.28 | $212.93 |
| Minnesota (Minneapolis - 554XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $142.40 | $207.19 | $230.87 | $82.10 |
| Minnesota (Minneapolis - 554XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $32.04 | $46.62 | $51.95 | $6.61 |
| Minnesota (Minneapolis - 554XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $167.45 |
| Minnesota (Minneapolis - 554XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $160.20 | $233.09 | $259.73 | $113.42 |
| Minnesota (Minneapolis - 554XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $133.66 |
| Minnesota (Minneapolis - 554XX) | Skin Tags | 11200 Simple | $178.90 | $204.19 | $229.00 | $87.49 |
| Minnesota (Minneapolis - 554XX) | Skin Tags | 11201 Extensive | $65.91 | $75.23 | $84.37 | $18.17 |
| Minnesota (Minneapolis - 554XX) | Anal Lesions | 46916 Simple | $586.93 | $633.10 | $643.03 | $233.53 |
| Minnesota (Minneapolis - 554XX) | Anal Lesions | 46924 Extensive | $2,096.18 | $2,261.08 | $2,296.53 | $558.20 |
| Minnesota (Minneapolis - 554XX) | Penile Lesions | 54056 Simple | $345.14 | $386.84 | $465.41 | $142.71 |
| Minnesota (Minneapolis - 554XX) | Penile Lesions | 54065 Extensive | $1,491.02 | $1,671.14 | $2,010.58 | $216.47 |
| Minnesota (Minneapolis - 554XX) | Vulva Lesions | 56501 Simple | $250.96 | $299.53 | $354.01 | $128.31 |
| Minnesota (Minneapolis - 554XX) | Vulva Lesions | 56515 Extensive | $856.23 | $1,021.93 | $1,207.79 | $217.70 |
| Minnesota (Minneapolis - 554XX) | Vaginal Lesions | 57061 Simple | $721.11 | $897.96 | $905.90 | $112.10 |
| Minnesota (Minneapolis - 554XX) | Vaginal Lesions | 57065 Extensive | $1,442.22 | $1,795.92 | $1,811.79 | $187.00 |
| Mississippi (Jackson - 392XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $88.72 | $145.51 | $195.50 | $74.86 |
| Mississippi (Jackson - 392XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $19.96 | $32.74 | $43.99 | $6.18 |
| Mississippi (Jackson - 392XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $157.15 |
| Mississippi (Jackson - 392XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $99.81 | $163.70 | $219.94 | $101.90 |
| Mississippi (Jackson - 392XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $121.26 |
| Mississippi (Jackson - 392XX) | Skin Tags | 11200 Simple | $148.35 | $163.17 | $216.43 | $80.84 |
| Mississippi (Jackson - 392XX) | Skin Tags | 11201 Extensive | $54.65 | $60.11 | $79.74 | $17.68 |
| Mississippi (Jackson - 392XX) | Anal Lesions | 46916 Simple | $210.48 | $241.52 | $280.50 | $213.99 |
| Mississippi (Jackson - 392XX) | Anal Lesions | 46924 Extensive | $751.73 | $862.58 | $1,001.78 | $499.42 |
| Mississippi (Jackson - 392XX) | Penile Lesions | 54056 Simple | $554.24 | $556.03 | $556.03 | $131.64 |
| Mississippi (Jackson - 392XX) | Penile Lesions | 54065 Extensive | $2,394.31 | $2,402.06 | $2,402.06 | $202.85 |
| Mississippi (Jackson - 392XX) | Vulva Lesions | 56501 Simple | $217.41 | $299.16 | $320.03 | $122.33 |
| Mississippi (Jackson - 392XX) | Vulva Lesions | 56515 Extensive | $741.76 | $1,020.66 | $1,091.85 | $210.25 |
| Mississippi (Jackson - 392XX) | Vaginal Lesions | 57061 Simple | $429.33 | $518.72 | $694.40 | $106.20 |
| Mississippi (Jackson - 392XX) | Vaginal Lesions | 57065 Extensive | $858.66 | $1,037.43 | $1,388.79 | $180.86 |
| Missouri (St. Louis - 631XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $129.28 | $192.42 | $358.94 | $81.42 |
| Missouri (St. Louis - 631XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $29.09 | $43.30 | $80.76 | $6.68 |
| Missouri (St. Louis - 631XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $169.80 |
| Missouri (St. Louis - 631XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $145.44 | $216.48 | $403.81 | $111.33 |
| Missouri (St. Louis - 631XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $132.13 |
| Missouri (St. Louis - 631XX) | Skin Tags | 11200 Simple | $140.58 | $178.90 | $195.26 | $87.64 |
| Missouri (St. Louis - 631XX) | Skin Tags | 11201 Extensive | $51.79 | $65.91 | $71.94 | $18.86 |
| Missouri (St. Louis - 631XX) | Anal Lesions | 46916 Simple | $590.89 | $593.09 | 593.09 | $232.85 |
| Missouri (St. Louis - 631XX) | Anal Lesions | 46924 Extensive | $2,110.33 | $2,118.18 | $2,118.18 | $548.44 |
| Missouri (St. Louis - 631XX) | Penile Lesions | 54056 Simple | $226.95 | $302.86 | $359.14 | $143 |
| Missouri (St. Louis - 631XX) | Penile Lesions | 54065 Extensive | $980.42 | $1,308.34 | $1,551.47 | $218.58 |
| Missouri (St. Louis - 631XX) | Vulva Lesions | 56501 Simple | $269.09 | $374.17 | $426.79 | $132.08 |
| Missouri (St. Louis - 631XX) | Vulva Lesions | 56515 Extensive | $918.08 | $1,276.58 | $1,456.09 | $225.88 |
| Missouri (St. Louis - 631XX) | Vaginal Lesions | 57061 Simple | $650.84 | $963.89 | $981.21 | $114.84 |
| Missouri (St. Louis - 631XX) | Vaginal Lesions | 57065 Extensive | $1,301.67 | $1,927.77 | $1,962.42 | $194.33 |
| Montana (Billings, Lockwood - 591XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $135.98 | $153.38 | $183.88 | $83.64 |
| Montana (Billings, Lockwood - 591XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $30.60 | $34.51 | $41.37 | $6.84 |
| Montana (Billings, Lockwood - 591XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $173.78 |
| Montana (Billings, Lockwood - 591XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $152.98 | $172.55 | $206.86 | $114.60 |
| Montana (Billings, Lockwood - 591XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $135.83 |
| Montana (Billings, Lockwood - 591XX) | Skin Tags | 11200 Simple | $170.76 | $173.28 | $173.28 | $89.87 |
| Montana (Billings, Lockwood - 591XX) | Skin Tags | 11201 Extensive | $62.91 | $63.84 | $63.84 | $19.19 |
| Montana (Billings, Lockwood - 591XX) | Anal Lesions | 46916 Simple | $277.49 | $307.00 | $436.50 | $239.11 |
| Montana (Billings, Lockwood - 591XX) | Anal Lesions | 46924 Extensive | $991.05 | $1,096.43 | $1,558.93 | $565.34 |
| Montana (Billings, Lockwood - 591XX) | Penile Lesions | 54056 Simple | $315.76 | $315.76 | $317.68 | $146.59 |
| Montana (Billings, Lockwood - 591XX) | Penile Lesions | 54065 Extensive | $1,364.09 | $1,364.09 | $1,372.36 | $223.60 |
| Montana (Billings, Lockwood - 591XX) | Vulva Lesions | 56501 Simple | $279.56 | $352.34 | $446.20 | $135.00 |
| Montana (Billings, Lockwood - 591XX) | Vulva Lesions | 56515 Extensive | $953.78 | $1,202.11 | $1,522.33 | $230.39 |
| Montana (Billings, Lockwood - 591XX) | Vaginal Lesions | 57061 Simple | $493.34 | $621.78 | $787.41 | $117.47 |
| Montana (Billings, Lockwood - 591XX) | Vaginal Lesions | 57065 Extensive | $986.67 | $1,243.56 | $1,574.82 | $198.19 |
| Nebraska (Omaha - 681XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $140.85 | $168.74 | $194.38 | $75.89 |
| Nebraska (Omaha - 681XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $31.69 | $37.97 | $43.74 | $6.18 |
| Nebraska (Omaha - 681XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $156.94 |
| Nebraska (Omaha - 681XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $158.46 | $189.83 | $218.68 | $104.05 |
| Nebraska (Omaha - 681XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $123.20 |
| Nebraska (Omaha - 681XX) | Skin Tags | 11200 Simple | $162.36 | $177.99 | $185.73 | $81.39 |
| Nebraska (Omaha - 681XX) | Skin Tags | 11201 Extensive | $56.82 | $65.58 | $68.43 | $17.38 |
| Nebraska (Omaha - 681XX) | Anal Lesions | 46916 Simple | $200.56 | $216.20 | $263.09 | $216.19 |
| Nebraska (Omaha - 681XX) | Anal Lesions | 46924 Extensive | $716.28 | $772.15 | $939.60 | $509.91 |
| Nebraska (Omaha - 681XX) | Penile Lesions | 54056 Simple | $292.54 | $329.64 | $400.85 | $132.60 |
| Nebraska (Omaha - 681XX) | Penile Lesions | 54065 Extensive | $1,263.76 | $1,424.03 | $1,731.67 | $203.08 |
| Nebraska (Omaha - 681XX) | Vulva Lesions | 56501 Simple | $255.55 | $281.35 | $307.83 | $121.00 |
| Nebraska (Omaha - 681XX) | Vulva Lesions | 56515 Extensive | $871.89 | $959.90 | $1,050.24 | $206.84 |
| Nebraska (Omaha - 681XX) | Vaginal Lesions | 57061 Simple | $591.48 | $725.60 | $767.19 | $105.39 |
| Nebraska (Omaha - 681XX) | Vaginal Lesions | 57065 Extensive | $1,182.96 | $1,451.19 | $1,534.38 | $177.75 |
| Nevada (Las Vegas - 890XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $110.05 | $151.88 | $183.12 | $87.38 |
| Nevada (Las Vegas - 890XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $24.76 | $34.17 | $41.20 | $7.12 |
| Nevada (Las Vegas - 890XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $180.81 |
| Nevada (Las Vegas - 890XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $123.80 | $170.86 | $206.01 | $120.04 |
| Nevada (Las Vegas - 890XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $142.06 |
| Nevada (Las Vegas - 890XX) | Skin Tags | 11200 Simple | $143.09 | $161.05 | $176.89 | $93.70 |
| Nevada (Las Vegas - 890XX) | Skin Tags | 11201 Extensive | $52.72 | $59.33 | $65.17 | $19.82 |
| Nevada (Las Vegas - 890XX) | Anal Lesions | 46916 Simple | $361.73 | $412.07 | $460.12 | $249.80 |
| Nevada (Las Vegas - 890XX) | Anal Lesions | 46924 Extensive | $1,291.90 | $1,471.68 | $1,643.30 | $593.58 |
| Nevada (Las Vegas - 890XX) | Penile Lesions | 54056 Simple | $257.13 | $286.76 | $309.94 | $152.94 |
| Nevada (Las Vegas - 890XX) | Penile Lesions | 54065 Extensive | $1,110.81 | $1,238.79 | $1,338.96 | $232.38 |
| Nevada (Las Vegas - 890XX) | Vulva Lesions | 56501 Simple | $265.08 | $339.96 | $455.31 | $140.31 |
| Nevada (Las Vegas - 890XX) | Vulva Lesions | 56515 Extensive | $904.39 | $1,159.86 | $1,553.41 | $238.78 |
| Nevada (Las Vegas - 890XX) | Vaginal Lesions | 57061 Simple | $509.66 | $685.32 | $846.02 | $122.20 |
| Nevada (Las Vegas - 890XX) | Vaginal Lesions | 57065 Extensive | $1,019.31 | $1,370.64 | $1,692.03 | $205.41 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $158.46 | $209.00 | $265.75 | $85.55 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $35.65 | $47.03 | $59.79 | $6.94 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $175.98 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $178.26 | $235.13 | $298.97 | $117.80 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $139.17 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Skin Tags | 11200 Simple | $194.24 | $254.78 | $263.50 | $91.50 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Skin Tags | 11201 Extensive | $71.56 | $93.86 | $97.08 | $19.21 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Anal Lesions | 46916 Simple | $231.52 | $321.43 | $442.67 | $244.09 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Anal Lesions | 46924 Extensive | $826.85 | $1,147.95 | $1,580.95 | $581.54 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Penile Lesions | 54056 Simple | $261.38 | $451.54 | $454.93 | $149.32 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Penile Lesions | 54065 Extensive | $1,129.17 | $1,950.67 | $1,965.28 | $226.66 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Vulva Lesions | 56501 Simple | $254.78 | $356.02 | $375.44 | $135.89 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Vulva Lesions | 56515 Extensive | $869.25 | $1,214.67 | $1,280.90 | $230.95 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Vaginal Lesions | 57061 Simple | $591.42 | $744.83 | $1,269.83 | $118.51 |
| New Hampshire (Concord, Manchester, Nashua - 030XX) | Vaginal Lesions | 57065 Extensive | $1,182.84 | $1,489.65 | $2,539.65 | $198.57 |
| New Jersey (Jersey City, Newark - 071XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $101.91 | $135.88 | $159.95 | $95.34 |
| New Jersey (Jersey City, Newark - 071XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.93 | $30.57 | $35.99 | $7.68 |
| New Jersey (Jersey City, Newark - 071XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $194.75 |
| New Jersey (Jersey City, Newark - 071XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $114.65 | $152.87 | $179.95 | $131.81 |
| New Jersey (Jersey City, Newark - 071XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $155.34 |
| New Jersey (Jersey City, Newark - 071XX) | Skin Tags | 11200 Simple | $134.46 | $185.38 | $242.80 | $101.63 |
| New Jersey (Jersey City, Newark - 071XX) | Skin Tags | 11201 Extensive | $49.54 | $68.30 | $89.45 | $21.00 |
| New Jersey (Jersey City, Newark - 071XX) | Anal Lesions | 46916 Simple | $223.80 | $286.24 | $454.42 | $271.94 |
| New Jersey (Jersey City, Newark - 071XX) | Anal Lesions | 46924 Extensive | $799.30 | $1,022.30 | $1,622.93 | $652.89 |
| New Jersey (Jersey City, Newark - 071XX) | Penile Lesions | 54056 Simple | $118.32 | $243.92 | $425.96 | $166.01 |
| New Jersey (Jersey City, Newark - 071XX) | Penile Lesions | 54065 Extensive | $511.14 | $1,053.73 | $1,840.13 | $250.48 |
| New Jersey (Jersey City, Newark - 071XX) | Vulva Lesions | 56501 Simple | $340.03 | $433.12 | $575.00 | $150.06 |
| New Jersey (Jersey City, Newark - 071XX) | Vulva Lesions | 56515 Extensive | $1,160.09 | $1,477.70 | $1,961.76 | $253.88 |
| New Jersey (Jersey City, Newark - 071XX) | Vaginal Lesions | 57061 Simple | $600.05 | $764.33 | $1,014.71 | $131.07 |
| New Jersey (Jersey City, Newark - 071XX) | Vaginal Lesions | 57065 Extensive | $1,200.09 | $1,528.65 | $2,029.41 | $218.27 |
| New Mexico (Albuquerque - 871XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $63.62 | $131.92 | $154.03 | $78.43 |
| New Mexico (Albuquerque - 871XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $14.32 | $29.68 | $34.66 | $6.46 |
| New Mexico (Albuquerque - 871XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $164.35 |
| New Mexico (Albuquerque - 871XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $71.58 | $148.41 | $173.28 | $106.94 |
| New Mexico (Albuquerque - 871XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $127.14 |
| New Mexico (Albuquerque - 871XX) | Skin Tags | 11200 Simple | $119.63 | $125.24 | $129.45 | $84.61 |
| New Mexico (Albuquerque - 871XX) | Skin Tags | 11201 Extensive | $44.08 | $46.14 | $47.69 | $18.39 |
| New Mexico (Albuquerque - 871XX) | Anal Lesions | 46916 Simple | $151.74 | $159.46 | $237.84 | $224.36 |
| New Mexico (Albuquerque - 871XX) | Anal Lesions | 46924 Extensive | $541.93 | $569.50 | $849.43 | $525.68 |
| New Mexico (Albuquerque - 871XX) | Penile Lesions | 54056 Simple | $302.31 | $629.84 | $634.62 | $137.88 |
| New Mexico (Albuquerque - 871XX) | Penile Lesions | 54065 Extensive | $1,305.96 | $2,720.90 | $2,741.55 | $211.73 |
| New Mexico (Albuquerque - 871XX) | Vulva Lesions | 56501 Simple | $262.79 | $274.03 | $280.08 | $128.05 |
| New Mexico (Albuquerque - 871XX) | Vulva Lesions | 56515 Extensive | $896.56 | $934.93 | $955.58 | $219.61 |
| New Mexico (Albuquerque - 871XX) | Vaginal Lesions | 57061 Simple | 600.36 | $685.85 | 687.99 | $111.22 |
| New Mexico (Albuquerque - 871XX) | Vaginal Lesions | 57065 Extensive | $1,200.72 | $1,371.69 | $1,375.98 | $188.95 |
| New York (Manhattan - 100XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $181.74 | $249.11 | $339.70 | $94.95 |
| New York (Manhattan - 100XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $40.89 | $56.05 | $76.43 | $7.71 |
| New York (Manhattan - 100XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $195.54 |
| New York (Manhattan - 100XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $204.46 | $280.25 | $382.16 | $130.75 |
| New York (Manhattan - 100XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $154.49 |
| New York (Manhattan - 100XX) | Skin Tags | 11200 Simple | $202.94 | $280.25 | $368.03 | $101.59 |
| New York (Manhattan - 100XX) | Skin Tags | 11201 Extensive | $74.77 | $103.25 | $135.59 | $21.30 |
| New York (Manhattan - 100XX) | Anal Lesions | 46916 Simple | $548.74 | $764.32 | $817.84 | $271.25 |
| New York (Manhattan - 100XX) | Anal Lesions | 46924 Extensive | $1,959.80 | $2,729.73 | $2,920.85 | $647.20 |
| New York (Manhattan - 100XX) | Penile Lesions | 54056 Simple | $305.73 | $417.46 | $536.37 | $165.88 |
| New York (Manhattan - 100XX) | Penile Lesions | 54065 Extensive | $1,320.76 | $1,803.41 | $2,317.11 | $251.30 |
| New York (Manhattan - 100XX) | Vulva Lesions | 56501 Simple | $440.84 | $577.49 | $738.06 | $151.39 |
| New York (Manhattan - 100XX) | Vulva Lesions | 56515 Extensive | $1,504.03 | $1,970.26 | $2,518.10 | $257.05 |
| New York (Manhattan - 100XX) | Vaginal Lesions | 57061 Simple | $1,502.85 | $1,533.45 | $1,533.45 | $132.00 |
| New York (Manhattan - 100XX) | Vaginal Lesions | 57065 Extensive | $3,005.70 | $3,066.90 | $3,066.90 | $221.09 |
| North Dakota (Fargo - 581XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $166.64 | $201.73 | $222.64 | $82.04 |
| North Dakota (Fargo - 581XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $37.49 | $45.39 | $50.09 | $6.64 |
| North Dakota (Fargo - 581XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $168.40 |
| North Dakota (Fargo - 581XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $187.47 | $226.95 | $250.47 | $113.00 |
| North Dakota (Fargo - 581XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $133.44 |
| North Dakota (Fargo - 581XX) | Skin Tags | 11200 Simple | $175.84 | $205.48 | $206.25 | $87.67 |
| North Dakota (Fargo - 581XX) | Skin Tags | 11201 Extensive | $64.78 | $75.70 | $75.99 | $18.40 |
| North Dakota (Fargo - 581XX) | Anal Lesions | 46916 Simple | $218.18 | $245.91 | $324.49 | $233.72 |
| North Dakota (Fargo - 581XX) | Anal Lesions | 46924 Extensive | $779.23 | $878.25 | $1,158.90 | $556.37 |
| North Dakota (Fargo - 581XX) | Penile Lesions | 54056 Simple | $289.64 | $293.94 | $378.74 | $143.00 |
| North Dakota (Fargo - 581XX) | Penile Lesions | 54065 Extensive | $1,251.23 | $1,269.84 | $1,636.15 | $217.42 |
| North Dakota (Fargo - 581XX) | Vulva Lesions | 56501 Simple | $257.44 | $302.13 | $355.69 | $129.61 |
| North Dakota (Fargo - 581XX) | Vulva Lesions | 56515 Extensive | $878.32 | $1,030.81 | $1,213.53 | $220.42 |
| North Dakota (Fargo - 581XX) | Vaginal Lesions | 57061 Simple | $798.90 | $814.92 | $1,097.75 | $113.08 |
| North Dakota (Fargo - 581XX) | Vaginal Lesions | 57065 Extensive | $1,597.80 | $1,629.84 | $2,195.49 | $189.42 |
| Ohio (Columbus - 430XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $113.92 | $145.39 | $182.42 | $79.74 |
| Ohio (Columbus - 430XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $25.63 | $32.71 | $41.04 | $6.59 |
| Ohio (Columbus - 430XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $167.69 |
| Ohio (Columbus - 430XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $128.16 | $163.57 | $205.22 | $108.56 |
| Ohio (Columbus - 430XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $129.21 |
| Ohio (Columbus - 430XX) | Skin Tags | 11200 Simple | $121.65 | $160.07 | $201.40 | $86.16 |
| Ohio (Columbus - 430XX) | Skin Tags | 11201 Extensive | $44.82 | $58.97 | $74.20 | $18.81 |
| Ohio (Columbus - 430XX) | Anal Lesions | 46916 Simple | $255.58 | $368.03 | $513.05 | $228.39 |
| Ohio (Columbus - 430XX) | Anal Lesions | 46924 Extensive | $912.78 | $1,314.38 | $1,832.33 | $534.38 |
| Ohio (Columbus - 430XX) | Penile Lesions | 54056 Simple | $203.42 | $250.11 | $284.31 | $140.42 |
| Ohio (Columbus - 430XX) | Penile Lesions | 54065 Extensive | $878.77 | $1,080.49 | $1,228.23 | $215.70 |
| Ohio (Columbus - 430XX) | Vulva Lesions | 56501 Simple | $237.46 | $306.69 | $424.25 | $131.06 |
| Ohio (Columbus - 430XX) | Vulva Lesions | 56515 Extensive | $810.14 | $1,046.35 | $1,447.45 | $224.92 |
| Ohio (Columbus - 430XX) | Vaginal Lesions | 57061 Simple | $440.27 | $586.79 | $751.65 | $113.75 |
| Ohio (Columbus - 430XX) | Vaginal Lesions | 57065 Extensive | $880.53 | $1,173.57 | $1,503.30 | $193.59 |
| Oklahoma (Oklahoma City - 731XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $100.20 | $136.41 | $167.70 | $74.21 |
| Oklahoma (Oklahoma City - 731XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.55 | $30.69 | $37.73 | $6.13 |
| Oklahoma (Oklahoma City - 731XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $155.89 |
| Oklahoma (Oklahoma City - 731XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $112.73 | $153.46 | $188.66 | $100.89 |
| Oklahoma (Oklahoma City - 731XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $120.17 |
| Oklahoma (Oklahoma City - 731XX) | Skin Tags | 11200 Simple | $152.44 | $167.79 | $192.34 | $80.16 |
| Oklahoma (Oklahoma City - 731XX) | Skin Tags | 11201 Extensive | $56.16 | $61.82 | $70.86 | $17.56 |
| Oklahoma (Oklahoma City - 731XX) | Anal Lesions | 46916 Simple | $149.09 | $173.27 | $217.78 | $212.10 |
| Oklahoma (Oklahoma City - 731XX) | Anal Lesions | 46924 Extensive | $532.48 | $618.83 | $777.78 | $494.48 |
| Oklahoma (Oklahoma City - 731XX) | Penile Lesions | 54056 Simple | $281.61 | $310.42 | $310.42 | $130.51 |
| Oklahoma (Oklahoma City - 731XX) | Penile Lesions | 54065 Extensive | $1,216.54 | $1,341.01 | $1,341.01 | $201.28 |
| Oklahoma (Oklahoma City - 731XX) | Vulva Lesions | 56501 Simple | $254.95 | $289.88 | $316.68 | $121.37 |
| Oklahoma (Oklahoma City - 731XX) | Vulva Lesions | 56515 Extensive | $869.83 | $988.99 | $1,080.45 | $208.73 |
| Oklahoma (Oklahoma City - 731XX) | Vaginal Lesions | 57061 Simple | $478.59 | $861.00 | $863.79 | $105.35 |
| Oklahoma (Oklahoma City - 731XX) | Vaginal Lesions | 57065 Extensive | $957.18 | $1,722.00 | $1,727.58 | $179.54 |
| Oregon (Portland - 972XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $117.78 | $192.81 | $254.82 | $85.02 |
| Oregon (Portland - 972XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $26.50 | $43.38 | $57.34 | $6.87 |
| Oregon (Portland - 972XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $174.14 |
| Oregon (Portland - 972XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $132.51 | $216.91 | $286.68 | $117.28 |
| Oregon (Portland - 972XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $138.37 |
| Oregon (Portland - 972XX) | Skin Tags | 11200 Simple | $207.02 | $271.13 | $308.58 | $90.76 |
| Oregon (Portland - 972XX) | Skin Tags | 11201 Extensive | $76.27 | $99.89 | $113.69 | $18.94 |
| Oregon (Portland - 972XX) | Anal Lesions | 46916 Simple | $427.27 | $655.42 | $748.17 | $242.26 |
| Oregon (Portland - 972XX) | Anal Lesions | 46924 Extensive | $1,525.95 | $2,340.80 | $2,672.03 | $578.42 |
| Oregon (Portland - 972XX) | Penile Lesions | 54056 Simple | $300.69 | $346.04 | $447.86 | $148.10 |
| Oregon (Portland - 972XX) | Penile Lesions | 54065 Extensive | $1,299.00 | $1,494.91 | $1,934.74 | $224.60 |
| Oregon (Portland - 972XX) | Vulva Lesions | 56501 Simple | $274.44 | $332.01 | $411.26 | $134.00 |
| Oregon (Portland - 972XX) | Vulva Lesions | 56515 Extensive | $936.32 | $1,132.74 | $1,403.11 | $227.48 |
| Oregon (Portland - 972XX) | Vaginal Lesions | 57061 Simple | $845.76 | $981.60 | $1,042.95 | $116.97 |
| Oregon (Portland - 972XX) | Vaginal Lesions | 57065 Extensive | $1,691.52 | $1,963.20 | $2,085.90 | $195.50 |
| Pennsylvania (Philadelphia - 191XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $113.23 | $143.12 | $203.82 | $78.60 |
| Pennsylvania (Philadelphia - 191XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $25.48 | $32.20 | $45.86 | $6.49 |
| Pennsylvania (Philadelphia - 191XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $165.21 |
| Pennsylvania (Philadelphia - 191XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $127.39 | $161.01 | $229.30 | $107.02 |
| Pennsylvania (Philadelphia - 191XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $127.36 |
| Pennsylvania (Philadelphia - 191XX) | Skin Tags | 11200 Simple | $132.90 | $163.06 | $192.79 | $84.91 |
| Pennsylvania (Philadelphia - 191XX) | Skin Tags | 11201 Extensive | $48.96 | $60.07 | $71.03 | $18.54 |
| Pennsylvania (Philadelphia - 191XX) | Anal Lesions | 46916 Simple | $336.30 | $596.13 | $634.19 | $225.02 |
| Pennsylvania (Philadelphia - 191XX) | Anal Lesions | 46924 Extensive | $1,201.08 | $2,129.05 | $2,264.95 | $526.25 |
| Pennsylvania (Philadelphia - 191XX) | Penile Lesions | 54056 Simple | $277.19 | $306.69 | $407.64 | $138.36 |
| Pennsylvania (Philadelphia - 191XX) | Penile Lesions | 54065 Extensive | $1,197.45 | $1,324.89 | $1,760.99 | $212.68 |
| Pennsylvania (Philadelphia - 191XX) | Vulva Lesions | 56501 Simple | $283.90 | $353.19 | $421.30 | $128.68 |
| Pennsylvania (Philadelphia - 191XX) | Vulva Lesions | 56515 Extensive | $968.60 | $1,205.01 | $1,437.39 | $221.43 |
| Pennsylvania (Philadelphia - 191XX) | Vaginal Lesions | 57061 Simple | $449.27 | $804.51 | $1,070.06 | $111.97 |
| Pennsylvania (Philadelphia - 191XX) | Vaginal Lesions | 57065 Extensive | $898.53 | $1,609.02 | $2,140.11 | $190.56 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $113.59 | $142.68 | $181.74 | $88.82 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $25.56 | $32.10 | $40.89 | $7.29 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $185.39 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $127.79 | $160.51 | $204.46 | $121.53 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $144.22 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Skin Tags | 11200 Simple | $123.70 | $147.77 | $163.06 | $95.62 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Skin Tags | 11201 Extensive | $45.57 | $54.44 | $60.07 | $20.50 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Anal Lesions | 46916 Simple | $302.76 | $346.49 | $608.27 | $254.48 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Anal Lesions | 46924 Extensive | $1,081.28 | $1,237.48 | $2,172.40 | $601.37 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Penile Lesions | 54056 Simple | $230.02 | $249.68 | $314.87 | $156.06 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Penile Lesions | 54065 Extensive | $993.68 | $1,078.62 | $1,360.23 | $237.82 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Vulva Lesions | 56501 Simple | $258.23 | $284.79 | $335.32 | $144.73 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Vulva Lesions | 56515 Extensive | $881.02 | $971.65 | $1,144.02 | $247.02 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Vaginal Lesions | 57061 Simple | $545.94 | $727.43 | $810.54 | $125.82 |
| Pennsylvania (Philadelphia Area, Levittwn, Darby - 900XX) | Vaginal Lesions | 57065 Extensive | $1,091.88 | $1,454.85 | $1,621.08 | $212.64 |
| Rhode Island (Providence, Cranston - 029XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $113.23 | $127.39 | $145.39 | $87.28 |
| Rhode Island (Providence, Cranston - 029XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $25.48 | $28.66 | $32.71 | $7.12 |
| Rhode Island (Providence, Cranston - 029XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $180.86 |
| Rhode Island (Providence, Cranston - 029XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $127.39 | $143.31 | $163.57 | $119.80 |
| Rhode Island (Providence, Cranston - 029XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $141.85 |
| Rhode Island (Providence, Cranston - 029XX) | Skin Tags | 11200 Simple | $97.12 | $102.23 | $112.45 | $93.66 |
| Rhode Island (Providence, Cranston - 029XX) | Skin Tags | 11201 Extensive | $35.78 | $37.66 | $41.43 | $19.88 |
| Rhode Island (Providence, Cranston - 029XX) | Anal Lesions | 46916 Simple | $218.89 | $233.23 | $314.13 | $249.51 |
| Rhode Island (Providence, Cranston - 029XX) | Anal Lesions | 46924 Extensive | $781.75 | $832.95 | $1,121.88 | $591.80 |
| Rhode Island (Providence, Cranston - 029XX) | Penile Lesions | 54056 Simple | $178.90 | $204.46 | $278.06 | $152.84 |
| Rhode Island (Providence, Cranston - 029XX) | Penile Lesions | 54065 Extensive | $772.85 | $883.28 | $1,201.23 | $232.56 |
| Rhode Island (Providence, Cranston - 029XX) | Vulva Lesions | 56501 Simple | $216.56 | $304.41 | $336.37 | $140.38 |
| Rhode Island (Providence, Cranston - 029XX) | Vulva Lesions | 56515 Extensive | $738.86 | $1,038.58 | $1,147.62 | $239.15 |
| Rhode Island (Providence, Cranston - 029XX) | Vaginal Lesions | 57061 Simple | $502.28 | $690.08 | $690.08 | $122.23 |
| Rhode Island (Providence, Cranston - 029XX) | Vaginal Lesions | 57065 Extensive | $1,004.55 | $1,380.15 | $1,380.15 | $205.73 |
| South Carolina (Columbia - 292XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $99.71 | $108.78 | $109.13 | $76.72 |
| South Carolina (Columbia - 292XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.44 | $24.48 | $24.55 | $6.27 |
| South Carolina (Columbia - 292XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $159.26 |
| South Carolina (Columbia - 292XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $112.18 | $122.38 | $122.77 | $105.02 |
| South Carolina (Columbia - 292XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $124.50 |
| South Carolina (Columbia - 292XX) | Skin Tags | 11200 Simple | $131.98 | $158.58 | $169.54 | $82.42 |
| South Carolina (Columbia - 292XX) | Skin Tags | 11201 Extensive | $48.62 | $58.42 | $62.46 | $17.69 |
| South Carolina (Columbia - 292XX) | Anal Lesions | 46916 Simple | $295.74 | $296.70 | $764.85 | $218.83 |
| South Carolina (Columbia - 292XX) | Anal Lesions | 46924 Extensive | $1,056.23 | $1,059.65 | $2,731.60 | $515.20 |
| South Carolina (Columbia - 292XX) | Penile Lesions | 54056 Simple | $172.91 | $247.30 | $267.16 | $134.29 |
| South Carolina (Columbia - 292XX) | Penile Lesions | 54065 Extensive | $746.96 | $1,068.34 | $1,154.12 | $205.81 |
| South Carolina (Columbia - 292XX) | Vulva Lesions | 56501 Simple | $231.42 | $295.51 | $339.58 | $123.17 |
| South Carolina (Columbia - 292XX) | Vulva Lesions | 56515 Extensive | $789.55 | $1,008.21 | $1,158.58 | $210.75 |
| South Carolina (Columbia - 292XX) | Vaginal Lesions | 57061 Simple | $429.26 | $519.39 | $674.46 | $107.19 |
| South Carolina (Columbia - 292XX) | Vaginal Lesions | 57065 Extensive | $858.51 | $1,038.78 | $1,348.92 | $181.17 |
| South Dakota (Sioux Falls - 571XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $182.62 | $190.83 | $194.38 | $81.81 |
| South Dakota (Sioux Falls - 571XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $41.09 | $42.94 | $43.74 | $6.61 |
| South Dakota (Sioux Falls - 571XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $167.62 |
| South Dakota (Sioux Falls - 571XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $205.45 | $214.68 | $218.68 | $112.77 |
| South Dakota (Sioux Falls - 571XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $133.09 |
| South Dakota (Sioux Falls - 571XX) | Skin Tags | 11200 Simple | $180.60 | $223.88 | $224.72 | $87.35 |
| South Dakota (Sioux Falls - 571XX) | Skin Tags | 11201 Extensive | $66.54 | $82.48 | $82.79 | $18.28 |
| South Dakota (Sioux Falls - 571XX) | Anal Lesions | 46916 Simple | $343.09 | $371.47 | $384.03 | $232.94 |
| South Dakota (Sioux Falls - 571XX) | Anal Lesions | 46924 Extensive | $1,225.33 | $1,326.68 | $1,371.55 | $555.06 |
| South Dakota (Sioux Falls - 571XX) | Penile Lesions | 54056 Simple | $430.69 | $522.39 | $524.34 | $142.48 |
| South Dakota (Sioux Falls - 571XX) | Penile Lesions | 54065 Extensive | $1,860.60 | $2,256.74 | $2,265.14 | $216.52 |
| South Dakota (Sioux Falls - 571XX) | Vulva Lesions | 56501 Simple | $344.78 | $393.73 | $576.44 | $128.83 |
| South Dakota (Sioux Falls - 571XX) | Vulva Lesions | 56515 Extensive | $1,176.30 | $1,343.31 | $1,966.66 | $218.97 |
| South Dakota (Sioux Falls - 571XX) | Vaginal Lesions | 57061 Simple | $608.43 | $694.82 | $1,017.24 | $112.45 |
| South Dakota (Sioux Falls - 571XX) | Vaginal Lesions | 57065 Extensive | $1,216.86 | $1,389.63 | $2,034.48 | $188.15 |
| Tennessee (Nashville - 372XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $99.71 | $104.58 | $135.97 | $76.09 |
| Tennessee (Nashville - 372XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.44 | $23.53 | $30.59 | $6.23 |
| Tennessee (Nashville - 372XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $158.18 |
| Tennessee (Nashville - 372XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $112.18 | $117.66 | $152.97 | $104.07 |
| Tennessee (Nashville - 372XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $123.43 |
| Tennessee (Nashville - 372XX) | Skin Tags | 11200 Simple | $102.31 | $108.45 | $146.30 | $81.80 |
| Tennessee (Nashville - 372XX) | Skin Tags | 11201 Extensive | $37.69 | $39.95 | $53.90 | $17.61 |
| Tennessee (Nashville - 372XX) | Anal Lesions | 46916 Simple | $759.75 | $762.21 | $762.21 | $217.05 |
| Tennessee (Nashville - 372XX) | Anal Lesions | 46924 Extensive | $2,713.40 | $2,722.18 | $2,722.18 | $510.27 |
| Tennessee (Nashville - 372XX) | Penile Lesions | 54056 Simple | $244.83 | $308.09 | $424.92 | $133.25 |
| Tennessee (Nashville - 372XX) | Penile Lesions | 54065 Extensive | $1,057.64 | $1,330.97 | $1,835.65 | $204.43 |
| Tennessee (Nashville - 372XX) | Vulva Lesions | 56501 Simple | $225.29 | $273.79 | $361.77 | $122.42 |
| Tennessee (Nashville - 372XX) | Vulva Lesions | 56515 Extensive | $768.65 | $934.09 | $1,234.27 | $209.62 |
| Tennessee (Nashville - 372XX) | Vaginal Lesions | 57061 Simple | $395.55 | $611.88 | $977.13 | $106.50 |
| Tennessee (Nashville - 372XX) | Vaginal Lesions | 57065 Extensive | $791.10 | $1,223.76 | $1,954.26 | $180.21 |
| Texas (Dallas - 752XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $118.30 | $140.73 | $162.43 | $84.10 |
| Texas (Dallas - 752XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $26.62 | $31.66 | $36.55 | $6.84 |
| Texas (Dallas - 752XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $173.59 |
| Texas (Dallas - 752XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $133.08 | $158.32 | $182.74 | $115.57 |
| Texas (Dallas - 752XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $136.70 |
| Texas (Dallas - 752XX) | Skin Tags | 11200 Simple | $152.97 | $157.36 | $203.60 | $90.09 |
| Texas (Dallas - 752XX) | Skin Tags | 11201 Extensive | $56.36 | $57.97 | $75.01 | $19.05 |
| Texas (Dallas - 752XX) | Anal Lesions | 46916 Simple | $611.88 | $611.88 | $613.86 | $240.01 |
| Texas (Dallas - 752XX) | Anal Lesions | 46924 Extensive | $2,185.28 | $2,185.28 | $2,192.35 | $569.78 |
| Texas (Dallas - 752XX) | Penile Lesions | 54056 Simple | $232.01 | $272.18 | $317.16 | $146.97 |
| Texas (Dallas - 752XX) | Penile Lesions | 54065 Extensive | $1,002.27 | $1,175.80 | $1,370.14 | $223.69 |
| Texas (Dallas - 752XX) | Vulva Lesions | 56501 Simple | $260.05 | $323.60 | $402.70 | $134.22 |
| Texas (Dallas - 752XX) | Vulva Lesions | 56515 Extensive | $887.23 | $1,104.03 | $1,373.90 | $228.57 |
| Texas (Dallas - 752XX) | Vaginal Lesions | 57061 Simple | $459.33 | $590.25 | $891.93 | $116.96 |
| Texas (Dallas - 752XX) | Vaginal Lesions | 57065 Extensive | $918.66 | $1,180.50 | $1,783.86 | $196.53 |
| Texas (Houston - 770XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $127.32 | $180.48 | $242.82 | $83.46 |
| Texas (Houston - 770XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $28.65 | $40.61 | $54.63 | $6.81 |
| Texas (Houston - 770XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $172.90 |
| Texas (Houston - 770XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $143.24 | $203.04 | $273.17 | $114.50 |
| Texas (Houston - 770XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $135.59 |
| Texas (Houston - 770XX) | Skin Tags | 11200 Simple | $137.05 | $178.47 | $223.34 | $89.56 |
| Texas (Houston - 770XX) | Skin Tags | 11201 Extensive | $50.49 | $65.75 | $82.28 | $19.05 |
| Texas (Houston - 770XX) | Anal Lesions | 46916 Simple | $764.85 | $1,801.98 | $1,810.14 | $238.37 |
| Texas (Houston - 770XX) | Anal Lesions | 46924 Extensive | $2,731.60 | $6,435.65 | $6,464.80 | $564.35 |
| Texas (Houston - 770XX) | Penile Lesions | 54056 Simple | $253.15 | $391.59 | $489.78 | $146.07 |
| Texas (Houston - 770XX) | Penile Lesions | 54065 Extensive | $1,093.61 | $1,691.66 | $2,115.83 | $222.71 |
| Texas (Houston - 770XX) | Vulva Lesions | 56501 Simple | $279.62 | $338.06 | $455.57 | $133.97 |
| Texas (Houston - 770XX) | Vulva Lesions | 56515 Extensive | $954.01 | $1,153.39 | $1,554.31 | $228.48 |
| Texas (Houston - 770XX) | Vaginal Lesions | 57061 Simple | $515.64 | $1,015.23 | $1,115.15 | $116.65 |
| Texas (Houston - 770XX) | Vaginal Lesions | 57065 Extensive | $1,031.28 | $2,030.46 | $2,230.29 | $196.50 |
| Utah (Salt Lake City - 841XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $99.22 | $125.37 | $158.56 | $78.72 |
| Utah (Salt Lake City - 841XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.33 | $28.21 | $35.68 | $6.50 |
| Utah (Salt Lake City - 841XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $165.31 |
| Utah (Salt Lake City - 841XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $111.63 | $141.04 | $178.38 | $107.22 |
| Utah (Salt Lake City - 841XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $127.57 |
| Utah (Salt Lake City - 841XX) | Skin Tags | 11200 Simple | $119.63 | $134.97 | $150.86 | $85.00 |
| Utah (Salt Lake City - 841XX) | Skin Tags | 11201 Extensive | $44.08 | $49.72 | $55.58 | $18.53 |
| Utah (Salt Lake City - 841XX) | Anal Lesions | 46916 Simple | $185.73 | $199.01 | $268.86 | $225.32 |
| Utah (Salt Lake City - 841XX) | Anal Lesions | 46924 Extensive | $663.33 | $710.75 | $960.20 | $527.28 |
| Utah (Salt Lake City - 841XX) | Penile Lesions | 54056 Simple | $237.80 | $271.03 | $286.80 | $138.52 |
| Utah (Salt Lake City - 841XX) | Penile Lesions | 54065 Extensive | $1,027.30 | $1,170.83 | $1,238.98 | $212.84 |
| Utah (Salt Lake City - 841XX) | Vulva Lesions | 56501 Simple | $177.22 | $212.68 | $239.26 | $129.01 |
| Utah (Salt Lake City - 841XX) | Vulva Lesions | 56515 Extensive | $604.62 | $725.61 | $816.29 | $221.40 |
| Utah (Salt Lake City - 841XX) | Vaginal Lesions | 57061 Simple | $543.65 | $594.11 | $600.36 | $112.00 |
| Utah (Salt Lake City - 841XX) | Vaginal Lesions | 57065 Extensive | $1,087.29 | $1,188.21 | $1,200.72 | $190.52 |
| Washington (Seattle - 981XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $129.86 | $181.78 | $226.31 | $92.01 |
| Washington (Seattle - 981XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $29.22 | $40.90 | $50.92 | $7.41 |
| Washington (Seattle - 981XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $187.82 |
| Washington (Seattle - 981XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $146.09 | $204.50 | $254.60 | $127.23 |
| Washington (Seattle - 981XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $149.91 |
| Washington (Seattle - 981XX) | Skin Tags | 11200 Simple | $174.85 | $223.23 | $228.32 | $98.06 |
| Washington (Seattle - 981XX) | Skin Tags | 11201 Extensive | $64.42 | $82.24 | $84.12 | $20.26 |
| Washington (Seattle - 981XX) | Anal Lesions | 46916 Simple | $201.71 | $258.80 | $344.80 | $262.31 |
| Washington (Seattle - 981XX) | Anal Lesions | 46924 Extensive | $720.40 | $924.28 | $1,231.43 | $629.54 |
| Washington (Seattle - 981XX) | Penile Lesions | 54056 Simple | $280.23 | $361.96 | $396.51 | $160.14 |
| Washington (Seattle - 981XX) | Penile Lesions | 54065 Extensive | $1,210.57 | $1,563.68 | $1,712.91 | $241.78 |
| Washington (Seattle - 981XX) | Vulva Lesions | 56501 Simple | $246.72 | $269.15 | $323.11 | $144.54 |
| Washington (Seattle - 981XX) | Vulva Lesions | 56515 Extensive | $841.75 | $918.29 | $1,102.38 | $244.61 |
| Washington (Seattle - 981XX) | Vaginal Lesions | 57061 Simple | $659.52 | $713.51 | $880.25 | $126.27 |
| Washington (Seattle - 981XX) | Vaginal Lesions | 57065 Extensive | $1,319.04 | $1,427.01 | $1,760.49 | $210.26 |
| Wisconsin (Milwaukee - 532XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $214.46 | $259.94 | $307.39 | $79.78 |
| Wisconsin (Milwaukee - 532XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $48.25 | $58.49 | $69.16 | $6.49 |
| Wisconsin (Milwaukee - 532XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $164.65 |
| Wisconsin (Milwaukee - 532XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $241.26 | $292.44 | $345.82 | $109.57 |
| Wisconsin (Milwaukee - 532XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $129.63 |
| Wisconsin (Milwaukee - 532XX) | Skin Tags | 11200 Simple | $262.73 | $293.46 | $327.33 | $85.47 |
| Wisconsin (Milwaukee - 532XX) | Skin Tags | 11201 Extensive | $96.80 | $108.12 | $120.59 | $18.12 |
| Wisconsin (Milwaukee - 532XX) | Anal Lesions | 46916 Simple | $648.89 | $734.69 | $747.96 | $227.44 |
| Wisconsin (Milwaukee - 532XX) | Anal Lesions | 46924 Extensive | $2,317.45 | $2,623.88 | $2,671.28 | $538.71 |
| Wisconsin (Milwaukee - 532XX) | Penile Lesions | 54056 Simple | $388.48 | $397.10 | $450.73 | $139.35 |
| Wisconsin (Milwaukee - 532XX) | Penile Lesions | 54065 Extensive | $1,678.21 | $1,715.47 | $1,947.16 | $212.62 |
| Wisconsin (Milwaukee - 532XX) | Vulva Lesions | 56501 Simple | $413.41 | $417.52 | $475.25 | $127.04 |
| Wisconsin (Milwaukee - 532XX) | Vulva Lesions | 56515 Extensive | $1,410.44 | $1,424.48 | $1,621.45 | $216.66 |
| Wisconsin (Milwaukee - 532XX) | Vaginal Lesions | 57061 Simple | $895.05 | $1,216.80 | $1,450.97 | $110.71 |
| Wisconsin (Milwaukee - 532XX) | Vaginal Lesions | 57065 Extensive | $1,790.10 | $2,433.60 | $2,901.93 | $186.22 |
| Wyoming (Cheyenne - 820XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17000 (1 Lesion) | $101.80 | $130.80 | $164.18 | $83.99 |
| Wyoming (Cheyenne - 820XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17003 (2-14 Lesions) | $22.90 | $29.43 | $36.94 | $6.88 |
| Wyoming (Cheyenne - 820XX) | Benign Lesions (Age Spots, Actinic Keratoses, Seborreic Keratoses) | 17004 (>15 Lesions) | NDA | NDA | NDA | $174.98 |
| Wyoming (Cheyenne - 820XX) | Warts & Molluscum | 17110 (1-14 Lesions) | $114.52 | $147.15 | $184.70 | $114.95 |
| Wyoming (Cheyenne - 820XX) | Warts & Molluscum | 17111 (>15 Lesions) | NDA | NDA | NDA | $136.36 |
| Wyoming (Cheyenne - 820XX) | Skin Tags | 11200 Simple | $142.70 | $181.44 | $219.20 | $90.35 |
| Wyoming (Cheyenne - 820XX) | Skin Tags | 11201 Extensive | $52.58 | $66.84 | $80.76 | $19.37 |
| Wyoming (Cheyenne - 820XX) | Anal Lesions | 46916 Simple | $290.95 | $298.00 | $400.44 | $240.30 |
| Wyoming (Cheyenne - 820XX) | Anal Lesions | 46924 Extensive | $1,039.10 | $1,064.28 | $1,430.15 | $567.33 |
| Wyoming (Cheyenne - 820XX) | Penile Lesions | 54056 Simple | $424.56 | $495.93 | $539.05 | $147.39 |
| Wyoming (Cheyenne - 820XX) | Penile Lesions | 54065 Extensive | $1,834.11 | $2,142.42 | $2,328.70 | $224.97 |
| Wyoming (Cheyenne - 820XX) | Vulva Lesions | 56501 Simple | $185.10 | $318.29 | $342.23 | $136.19 |
| Wyoming (Cheyenne - 820XX) | Vulva Lesions | 56515 Extensive | $631.50 | $1,085.93 | $1,167.60 | $232.60 |
| Wyoming (Cheyenne - 820XX) | Vaginal Lesions | 57061 Simple | $606.14 | $829.07 | $917.75 | $118.44 |
| Wyoming (Cheyenne - 820XX) | Vaginal Lesions | 57065 Extensive | $1,212.27 | $1,658.13 | $1,835.49 | $200.14 |
*Private Insurance Reimbursements represent a national average at the 50th percentile, 75th percentile, and the 90th percentile for 2013. Reimbursements may be higher or lower depending on your private insurance carrier.
*Offer available for new Verruca Freeze customers only. Current Verruca Freeze users please contact your distributor for purchase of our products.