| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $14 | $52 | $98 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $15 | $76 | $169 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $31 | $69 | $145 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $46 | $101 | $182 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $47 | $102 | $222 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $28 | $63 | $144 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $31 | $78 | $128 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $40 | $77 | $157 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $43 | $90 | $166 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $59 | $172 | $492 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $119 | $219 | $598 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $113 | $232 | $658 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $64 | $216 | $551 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $125 | $327 | $754 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $144 | $289 | $873 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $163 | $331 | $934 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $129 | $287 | $778 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $41 | $91 | $163 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $21 | $71 | $94 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $5 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $100 | $221 | $640 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $39 | $145 | $438 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $75 | $172 | $511 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $57 | $159 | $460 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $57 | $237 | $596 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $13 | $31 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $48 | $68 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $11 | $50 | $90 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $478 | $876 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $46 | $130 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $46 | $117 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $85 | $343 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $85 | $3,515 | $7,402 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $47 | $248 | $423 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $1,812 | $4,534 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $122 | $346 | $673 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $105 | $725 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $683 | $2,468 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $98 | $284 | $616 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $166 | $356 | $661 |
| Septoplasty CPT 30520 • ENT | $315 | $1,034 | $2,575 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $165 | $297 | $841 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $212 | $718 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $175 | $365 | $976 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $217 | $513 | $897 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $296 | $385 | $532 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $157 | $306 | $665 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $244 | $468 | $979 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $332 | $418 | $623 |