| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $64 | $84 | $119 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $96 | $140 | $228 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $39 | $197 | $318 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $196 | $348 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $33 | $110 | $265 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $43 | $157 | $323 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $80 | $181 | $266 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $97 | $196 | $307 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $108 | $177 | $333 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $101 | $200 | $397 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $165 | $320 | $484 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $87 | $235 | $360 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $119 | $270 | $513 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $213 | $362 | $608 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $154 | $335 | $659 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $335 | $534 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $32 | $123 | $203 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $65 | $103 | $177 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $8 | $15 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $161 | $207 | $246 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $56 | $148 | $299 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $44 | $190 | $353 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $83 | $115 | $174 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $60 | $199 | $370 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $7 | $19 | $47 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $6 | $12 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $20 | $81 | $180 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $44 | $81 | $122 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $56 | $183 | $458 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $47 | $121 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $20 | $48 | $69 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $70 | $412 | $820 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $750 | $6,919 | $18,751 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $22 | $130 | $248 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $277 | $831 | $2,080 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $254 | $524 | $995 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $105 | $853 | $1,396 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $91 | $666 | $1,519 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $221 | $405 | $693 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $107 | $330 | $516 |
| Septoplasty CPT 30520 • ENT | $726 | $1,197 | $1,630 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $81 | $331 | $621 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $238 | $567 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $96 | $390 | $681 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $192 | $378 | $697 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $301 | $369 | $468 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $143 | $258 | $506 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $140 | $526 | $809 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $299 | $678 | $1,283 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $224 | $309 | $510 |