| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $27 | $54 | $108 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $37 | $92 | $179 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $46 | $189 | $318 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $56 | $169 | $275 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $128 | $285 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $113 | $215 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $125 | $246 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $140 | $283 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $116 | $224 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $184 | $306 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $304 | $484 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $190 | $339 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $155 | $348 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $244 | $401 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $218 | $428 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $257 | $501 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $88 | $146 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $87 | $144 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $5 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $163 | $220 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $140 | $226 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $136 | $231 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $109 | $154 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $60 | $182 | $386 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $7 | $14 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $12 | $58 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $43 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $437 | $850 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $246 | $753 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $20 | $70 | $117 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $85 | $466 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,716 | $5,270 | $7,402 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $25 | $137 | $248 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $1,903 | $4,534 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $295 | $457 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $612 | $873 | $1,050 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $407 | $576 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $182 | $270 | $369 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $138 | $439 | $901 |
| Septoplasty CPT 30520 • ENT | $478 | $1,126 | $1,574 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $99 | $248 | $387 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $255 | $449 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $217 | $452 | $738 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $472 | $777 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $422 | $644 | $1,160 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $159 | $242 | $316 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $361 | $515 | $783 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $333 | $725 | $1,318 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $106 | $193 | $348 |