| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $12 | $92 | $227 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $27 | $85 | $213 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $37 | $139 | $324 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $46 | $164 | $401 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $56 | $195 | $496 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $33 | $123 | $323 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $46 | $130 | $314 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $36 | $145 | $338 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $43 | $146 | $372 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $68 | $178 | $328 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $58 | $264 | $499 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $113 | $286 | $549 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $94 | $248 | $458 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $86 | $304 | $505 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $144 | $328 | $579 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $92 | $354 | $616 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $129 | $333 | $649 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $55 | $136 | $292 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $122 | $214 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $16 | $64 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $137 | $277 | $539 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $25 | $159 | $362 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $86 | $170 | $337 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $87 | $179 | $369 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $47 | $146 | $379 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $15 | $57 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $4 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $19 | $59 | $97 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $9 | $69 | $162 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $600 | $2,504 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $144 | $753 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $40 | $117 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $85 | $338 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $770 | $5,088 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $25 | $144 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $366 | $1,620 | $4,534 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $176 | $362 | $726 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $237 | $828 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $644 | $1,356 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $282 | $666 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $138 | $509 | $857 |
| Septoplasty CPT 30520 • ENT | $639 | $1,218 | $2,453 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $114 | $361 | $789 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $258 | $678 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $122 | $424 | $925 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $357 | $783 | $1,584 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $301 | $611 | $1,168 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $133 | $302 | $650 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $270 | $525 | $958 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $343 | $839 | $1,364 |