| A2001 | Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) | 530 | $810 | $429K |
| Q4197 | Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) | 970 | $140 | $133.2K |
| Q4196 | Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) | 1,010 | $80 | $83.9K |
| Q4180 | Revita, per square centimeter (add-on, list separately in addition to primary procedure) | 210 | $270 | $56K |
| Q4229 | Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 330 | $160 | $53.8K |
| 15271 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2. | 260 | $110 | $27.5K |
| 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. | 280 | $90 | $24.4K |
| 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,… | 100 | $70 | $6.7K |
| 29581 | The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A… | 90 | $70 | $6.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 80 | $60 | $5.1K |