| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $13 | $29 | $52 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $27 | $85 | $228 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $31 | $99 | $164 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $51 | $147 | $317 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $223 | $394 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $60 | $131 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $130 | $308 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $94 | $233 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $133 | $293 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $164 | $329 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $178 | $399 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $214 | $441 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $201 | $366 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $248 | $505 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $308 | $585 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $305 | $628 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $228 | $521 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $133 | $293 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $83 | $176 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $12 | $38 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $296 | $458 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $113 | $207 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $140 | $342 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $131 | $306 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $66 | $166 | $365 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $7 | $18 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $6 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $54 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $84 | $145 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $206 | $545 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $34 | $57 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $28 | $69 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $333 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $85 | $2,949 | $7,402 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $55 | $172 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $791 | $2,052 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $244 | $503 | $1,069 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $989 | $1,239 | $1,510 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $693 | $1,753 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $388 | $979 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $328 | $516 | $806 |
| Septoplasty CPT 30520 • ENT | $478 | $981 | $1,717 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $114 | $296 | $562 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $234 | $489 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $202 | $328 | $677 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $184 | $458 | $683 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $271 | $536 | $837 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $211 | $377 | $565 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $243 | $406 | $661 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $342 | $668 | $1,115 |