| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $7 | $72 | $106 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $11 | $89 | $128 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $12 | $49 | $83 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $47 | $74 | $102 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $5 | $17 | $29 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $32 | $48 | $65 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $45 | $71 | $90 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $68 | $89 | $110 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $87 | $115 | $142 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $13 | $45 | $77 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $104 | $136 | $163 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $98 | $107 | $117 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $22 | $121 | $212 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $26 | $73 | $148 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $45 | $52 | $59 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $45 | $53 | $62 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $25 | $45 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $44 | $90 | $136 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $65 | $81 | $93 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $74 | $95 | $111 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $52 | $55 | $56 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $62 | $107 | $136 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $7 | $12 | $21 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $35 | $39 | $47 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $21 | $35 | $58 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $35 | $49 | $76 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $42 | $100 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $15 | $33 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $41 | $62 | $104 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $932 | $2,974 | $3,995 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $29 | $103 | $141 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,189 | $1,653 | $2,185 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $174 | $179 | $190 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $102 | $438 | $774 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $38 | $225 | $412 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $157 | $162 | $172 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $57 | $256 | $378 |
| Septoplasty CPT 30520 • ENT | $379 | $466 | $540 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $45 | $111 | $171 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $43 | $122 | $178 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $34 | $170 | $254 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $226 | $238 | $244 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $178 | $289 | $356 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $163 | $172 | $176 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $42 | $153 | $263 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $45 | $232 | $420 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $88 | $117 | $147 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $27 | $177 | $269 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $246 | $264 | $282 |