| J0875 | Injection, dalbavancin, 5 mg | 54,600 | $10 | $655.2K |
| Q4194 | Novachor, per square centimeter (add-on, list separately in addition to primary procedure) | 700 | $810 | $561.6K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 4,180 | $90 | $393.1K |
| A2001 | Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) | 380 | $810 | $307K |
| Q4197 | Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) | 2,030 | $140 | $281.5K |
| 36465 | In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,… | 260 | $1,010 | $257.3K |
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 1,350 | $120 | $157.6K |
| 11045 | The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately… | 3,840 | $30 | $119.1K |
| 97610 | The provider uses a low–frequency ultrasound device to try to improve wound healing. | 140 | $350 | $46.9K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 520 | $80 | $39.6K |