| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $16 | $108 | $237 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $22 | $102 | $228 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $31 | $103 | $263 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $48 | $162 | $418 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $57 | $184 | $518 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $30 | $101 | $337 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $30 | $153 | $407 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $30 | $115 | $282 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $30 | $130 | $355 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $30 | $179 | $492 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $30 | $229 | $598 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $277 | $658 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $30 | $248 | $551 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $309 | $754 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $144 | $391 | $873 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $212 | $414 | $934 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $157 | $397 | $778 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $30 | $121 | $292 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $30 | $92 | $224 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $13 | $32 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $30 | $342 | $640 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $30 | $193 | $438 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $52 | $199 | $511 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $73 | $224 | $460 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $53 | $204 | $520 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $7 | $17 | $31 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $5 | $8 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $26 | $59 | $100 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $6 | $51 | $94 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $299 | $850 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $45 | $160 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $38 | $94 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $60 | $727 | $3,056 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $62 | $4,925 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $33 | $214 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $1,337 | $3,055 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $230 | $405 | $701 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $79 | $844 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $802 | $2,468 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $15 | $325 | $937 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $30 | $618 | $1,289 |
| Septoplasty CPT 30520 • ENT | $324 | $1,358 | $2,575 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $170 | $419 | $841 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $30 | $275 | $718 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $30 | $468 | $976 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $184 | $698 | $1,653 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $30 | $540 | $1,219 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $180 | $334 | $679 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $30 | $467 | $1,000 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $30 | $654 | $1,423 |