| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $32 | $128 | $229 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $55 | $182 | $286 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $50 | $231 | $359 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $83 | $250 | $434 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $55 | $140 | $284 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $80 | $212 | $338 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $60 | $173 | $297 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $71 | $156 | $323 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $125 | $200 | $354 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $134 | $241 | $432 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $117 | $280 | $475 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $142 | $244 | $396 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $170 | $335 | $546 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $189 | $342 | $628 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $158 | $408 | $697 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $172 | $360 | $561 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $56 | $194 | $346 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $36 | $104 | $184 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $23 | $89 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $91 | $265 | $462 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $91 | $176 | $312 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $136 | $235 | $364 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $70 | $219 | $386 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $92 | $282 | $508 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $18 | $71 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $5 | $19 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $33 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $5 | $21 | $51 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $56 | $169 | $636 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $19 | $24 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $29 | $69 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $70 | $218 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $700 | $2,406 | $7,402 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $25 | $71 | $277 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $629 | $2,080 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $241 | $347 | $457 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $105 | $886 | $1,522 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $478 | $699 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $177 | $275 | $369 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $175 | $491 | $955 |
| Septoplasty CPT 30520 • ENT | $542 | $1,320 | $2,184 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $164 | $379 | $718 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $122 | $299 | $463 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $235 | $524 | $839 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $296 | $694 | $1,419 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $459 | $673 | $1,014 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $184 | $369 | $561 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $350 | $560 | $829 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $554 | $815 | $1,180 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $128 | $341 | $615 |