| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $27 | $66 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $11 | $73 | $152 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $5 | $69 | $108 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $12 | $82 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $52 | $76 | $99 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $19 | $80 | $113 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $27 | $72 | $117 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $77 | $88 | $98 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $11 | $60 | $109 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $98 | $99 | $101 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $145 | $174 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $156 | $186 | $215 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $36 | $168 | $237 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $20 | $105 | $190 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $69 | $87 | $104 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $53 | $57 | $61 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $4 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $66 | $80 | $94 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $63 | $83 | $109 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $49 | $100 | $128 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $33 | $84 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $29 | $111 | $153 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $8 | $10 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $25 | $49 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $40 | $46 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $477 | $691 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $69 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $46 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $639 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $712 | $807 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $174 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $216 | $933 | $2,280 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $21 | $200 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $119 | $471 | $823 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $449 | $452 | $456 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $50 | $191 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $41 | $200 | $291 |
| Septoplasty CPT 30520 • ENT | $30 | $435 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $108 | $155 | $202 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $92 | $152 | $183 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $16 | $168 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $65 | $297 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $41 | $223 | $317 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $22 | $123 | $175 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $39 | $184 | $259 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $55 | $210 | $364 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $141 | $160 | $179 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $30 | $196 | $284 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $45 | $166 | $287 |