| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $64 | $94 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $152 | $183 | $231 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $30 | $93 | $151 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $30 | $111 | $185 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $30 | $78 | $126 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $30 | $74 | $144 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $30 | $67 | $103 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $30 | $81 | $133 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $179 | $179 | $179 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $30 | $115 | $161 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $156 | $245 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $354 | $354 | $354 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $237 | $272 | $315 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $136 | $195 | $254 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $30 | $59 | $88 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $30 | $56 | $82 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $12 | $30 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $30 | $127 | $223 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $30 | $83 | $109 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $128 | $130 | $134 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $112 | $133 | $172 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $152 | $180 | $208 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $51 | $56 | $60 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $46 | $50 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $61 | $303 | $545 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $23 | $100 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $7 | $43 | $60 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $73 | $451 | $732 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $710 | $759 | $807 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $23 | $149 | $223 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $240 | $1,467 | $2,402 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $203 | $286 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $797 | $797 | $797 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $441 | $447 | $452 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $184 | $235 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $30 | $249 | $425 |
| Septoplasty CPT 30520 • ENT | $665 | $721 | $777 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $208 | $208 | $208 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $30 | $105 | $183 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $30 | $177 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $431 | $472 | $514 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $30 | $255 | $417 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $175 | $211 | $283 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $30 | $186 | $342 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $30 | $259 | $488 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $102 | $173 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $30 | $228 | $369 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $30 | $287 | $468 |