| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $11 | $46 | $98 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $27 | $66 | $112 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $73 | $101 | $145 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $92 | $175 | $318 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $71 | $142 | $222 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $35 | $138 | $285 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $106 | $136 | $174 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $55 | $136 | $246 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $43 | $148 | $283 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $110 | $137 | $180 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $83 | $144 | $219 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $66 | $235 | $484 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $124 | $227 | $339 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $114 | $229 | $348 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $186 | $269 | $367 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $92 | $218 | $346 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $176 | $300 | $501 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $71 | $109 | $163 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $21 | $57 | $92 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $5 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $143 | $177 | $231 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $25 | $96 | $159 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $106 | $154 | $212 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $87 | $123 | $167 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $66 | $207 | $386 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $11 | $22 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $26 | $47 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $11 | $42 | $65 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $192 | $503 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $48 | $130 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $12 | $58 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $119 | $441 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,316 | $7,051 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $47 | $225 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $835 | $2,196 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $206 | $350 | $491 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $467 | $1,017 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $447 | $912 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $270 | $423 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $138 | $300 | $414 |
| Septoplasty CPT 30520 • ENT | $324 | $873 | $1,574 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $114 | $248 | $350 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $159 | $196 | $276 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $143 | $287 | $401 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $423 | $500 | $613 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $310 | $605 | $1,160 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $159 | $197 | $248 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $254 | $478 | $783 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $333 | $439 | $543 |