| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $10 | $62 | $141 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $14 | $53 | $84 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $47 | $89 | $143 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $50 | $151 | $318 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $60 | $141 | $218 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $16 | $117 | $285 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $114 | $169 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $114 | $246 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $118 | $283 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $116 | $175 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $42 | $104 | $212 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $217 | $484 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $170 | $339 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $171 | $275 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $229 | $367 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $188 | $239 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $61 | $215 | $501 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $31 | $83 | $144 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $62 | $108 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $108 | $161 | $214 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $87 | $156 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $130 | $212 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $92 | $127 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $56 | $163 | $386 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $22 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $7 | $11 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $50 | $82 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $62 | $100 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $340 | $876 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $44 | $133 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $18 | $46 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $369 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,618 | $5,284 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $51 | $170 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $1,279 | $3,793 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $207 | $309 | $457 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $478 | $1,065 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $491 | $715 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $252 | $369 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $138 | $389 | $643 |
| Septoplasty CPT 30520 • ENT | $437 | $852 | $1,574 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $97 | $232 | $350 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $39 | $184 | $302 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $172 | $307 | $401 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $409 | $509 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $365 | $636 | $1,160 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $159 | $225 | $295 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $182 | $429 | $783 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $291 | $524 | $756 |