| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $88 | $114 | $131 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $152 | $170 | $204 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $30 | $33 | $38 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $30 | $62 | $126 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $30 | $79 | $104 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $30 | $93 | $155 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $30 | $101 | $188 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $30 | $97 | $162 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $121 | $152 | $179 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $30 | $136 | $208 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $88 | $203 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $241 | $296 | $350 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $30 | $96 | $221 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $171 | $240 | $308 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $30 | $89 | $154 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $30 | $58 | $88 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $11 | $30 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $30 | $115 | $158 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $30 | $96 | $149 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $30 | $86 | $129 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $112 | $117 | $128 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $99 | $138 | $164 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $14 | $19 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $35 | $60 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $25 | $39 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $51 | $69 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $93 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $47 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $42 | $354 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $382 | $4,226 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $27 | $109 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $346 | $1,889 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $140 | $254 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $548 | $840 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $435 | $617 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $181 | $283 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $30 | $148 | $383 |
| Septoplasty CPT 30520 • ENT | $30 | $452 | $875 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $215 | $229 | $242 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $30 | $106 | $258 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $30 | $112 | $276 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $30 | $182 | $335 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $30 | $169 | $447 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $30 | $103 | $248 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $30 | $302 | $510 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $30 | $454 | $812 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $144 | $258 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $30 | $152 | $395 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $30 | $179 | $329 |