| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $27 | $79 | $116 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $44 | $86 | $110 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $43 | $145 | $318 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $67 | $236 | $452 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $20 | $109 | $285 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $118 | $161 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $122 | $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 | $199 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $201 | $370 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $239 | $484 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $163 | $339 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $176 | $349 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $272 | $367 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $270 | $474 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $247 | $501 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $104 | $153 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $68 | $131 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $16 | $30 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $58 | $157 | $289 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $118 | $173 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $129 | $212 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $139 | $217 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $76 | $228 | $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 | $49 | $62 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $4 | $28 | $51 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $56 | $296 | $923 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $49 | $129 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $20 | $51 | $69 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $70 | $447 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $75 | $3,760 | $7,402 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $22 | $130 | $248 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $208 | $772 | $2,202 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $199 | $299 | $457 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $105 | $601 | $989 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $438 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $182 | $251 | $369 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $263 | $527 | $1,124 |
| Septoplasty CPT 30520 • ENT | $478 | $990 | $1,574 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $90 | $215 | $350 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $165 | $247 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $94 | $263 | $401 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $494 | $793 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $200 | $606 | $1,160 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $168 | $279 | $489 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $352 | $472 | $783 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $501 | $769 | $1,464 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $81 | $248 | $493 |