| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $10 | $61 | $141 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $14 | $45 | $84 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $47 | $95 | $143 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $50 | $146 | $318 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $60 | $126 | $218 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $16 | $113 | $285 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $103 | $169 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $108 | $246 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $128 | $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 | $82 | $151 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $213 | $484 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $165 | $339 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $150 | $275 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $210 | $367 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $177 | $239 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $61 | $222 | $501 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $31 | $71 | $100 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $53 | $77 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $108 | $148 | $214 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $74 | $156 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $132 | $212 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $91 | $127 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $56 | $176 | $386 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $20 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $6 | $11 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $57 | $82 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $55 | $100 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $381 | $876 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $47 | $133 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $18 | $52 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $407 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,618 | $6,018 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $51 | $193 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $1,421 | $3,793 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $207 | $305 | $457 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $478 | $1,020 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $435 | $715 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $240 | $369 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $138 | $326 | $643 |
| Septoplasty CPT 30520 • ENT | $437 | $838 | $1,574 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $97 | $238 | $350 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $39 | $160 | $302 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $172 | $292 | $401 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $409 | $509 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $365 | $646 | $1,160 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $159 | $211 | $295 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $182 | $420 | $783 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $291 | $478 | $756 |