| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $27 | $75 | $135 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $47 | $114 | $197 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $59 | $176 | $371 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $144 | $245 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $60 | $130 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $118 | $178 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $97 | $136 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $128 | $184 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $106 | $128 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $141 | $249 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $204 | $410 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $195 | $348 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $174 | $253 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $224 | $364 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $226 | $314 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $209 | $345 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $98 | $146 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $80 | $130 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $9 | $13 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $231 | $359 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $114 | $178 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $158 | $226 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $111 | $176 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $76 | $168 | $245 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $15 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $5 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $67 | $89 | $139 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $62 | $125 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $262 | $545 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $62 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $43 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $215 | $499 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,716 | $4,571 | $7,402 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $55 | $249 | $472 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $981 | $2,401 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $68 | $255 | $457 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $105 | $692 | $1,131 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $697 | $1,477 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $182 | $313 | $514 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $328 | $529 | $1,016 |
| Septoplasty CPT 30520 • ENT | $478 | $735 | $1,017 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $156 | $268 | $365 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $187 | $329 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $217 | $388 | $584 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $192 | $389 | $656 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $308 | $513 | $947 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $187 | $212 | $239 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $252 | $321 | $397 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $392 | $481 | $582 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $189 | $212 | $224 |