| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $12 | $60 | $99 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $17 | $77 | $113 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $23 | $97 | $149 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $39 | $94 | $182 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $53 | $112 | $222 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $33 | $88 | $148 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $51 | $99 | $174 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $35 | $86 | $147 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $43 | $86 | $166 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $76 | $114 | $180 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $74 | $137 | $219 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $66 | $152 | $242 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $96 | $144 | $202 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $84 | $197 | $474 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $98 | $226 | $343 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $163 | $317 | $457 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $87 | $194 | $403 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $41 | $109 | $171 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $21 | $74 | $93 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $10 | $44 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $68 | $141 | $231 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $63 | $107 | $159 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $48 | $115 | $186 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $87 | $126 | $191 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $47 | $126 | $251 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $9 | $16 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $4 | $47 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $11 | $48 | $65 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $415 | $850 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $14 | $49 | $184 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $12 | $69 | $117 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $890 | $3,056 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $62 | $3,272 | $9,052 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $25 | $242 | $423 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $2,187 | $4,534 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $122 | $303 | $491 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $164 | $847 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $445 | $912 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $98 | $260 | $423 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $138 | $422 | $1,323 |
| Septoplasty CPT 30520 • ENT | $315 | $802 | $1,081 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $70 | $229 | $415 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $143 | $303 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $122 | $329 | $773 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $217 | $504 | $976 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $296 | $520 | $1,196 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $139 | $254 | $591 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $244 | $400 | $949 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $343 | $568 | $1,509 |