| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $34 | $42 | $51 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $54 | $195 | $337 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $7 | $69 | $127 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $7 | $60 | $100 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $48 | $52 | $56 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $9 | $38 | $67 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $30 | $65 | $99 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $142 | $258 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $22 | $75 | $131 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $28 | $70 | $112 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $89 | $203 | $317 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $111 | $142 | $173 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $109 | $118 | $127 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $118 | $131 | $154 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $8 | $39 | $80 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $7 | $41 | $60 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $9 | $62 | $146 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $33 | $68 | $109 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $16 | $98 | $167 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $110 | $111 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $114 | $124 | $133 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $12 | $18 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $5 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $31 | $53 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $8 | $40 | $58 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $86 | $432 | $691 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $56 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $47 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $60 | $326 | $1,043 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $944 | $5,696 | $8,072 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $27 | $87 | $202 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,172 | $2,751 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $40 | $110 | $181 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $152 | $431 | $710 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $86 | $412 | $799 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $33 | $99 | $165 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $210 | $313 | $416 |
| Septoplasty CPT 30520 • ENT | $166 | $563 | $961 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $15 | $156 | $298 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $165 | $179 | $189 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $25 | $185 | $329 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $432 | $526 | $621 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $54 | $491 | $927 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $175 | $282 | $442 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $67 | $398 | $729 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $580 | $607 | $633 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $20 | $104 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $57 | $187 | $318 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $30 | $370 | $710 |