| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $73 | $118 | $154 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $117 | $165 | $213 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $11 | $46 | $91 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $33 | $97 | $181 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $15 | $63 | $142 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $29 | $103 | $172 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $10 | $105 | $179 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $72 | $130 | $214 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $20 | $129 | $239 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $8 | $103 | $194 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $73 | $215 | $296 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $136 | $232 | $328 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $20 | $227 | $380 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $76 | $152 | $197 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $45 | $70 | $84 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $21 | $55 | $94 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $8 | $15 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $56 | $125 | $207 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $110 | $144 | $167 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $72 | $153 | $199 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $42 | $98 | $159 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $94 | $179 | $235 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $44 | $51 | $58 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $34 | $38 | $46 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $43 | $144 | $330 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $53 | $124 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $14 | $31 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $73 | $319 | $505 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $710 | $3,542 | $4,959 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $17 | $57 | $131 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $197 | $1,145 | $1,760 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $97 | $150 | $203 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $114 | $455 | $797 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $42 | $301 | $441 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $87 | $136 | $184 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $237 | $452 | $725 |
| Septoplasty CPT 30520 • ENT | $45 | $860 | $1,658 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $86 | $271 | $536 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $12 | $213 | $458 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $45 | $300 | $623 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $109 | $513 | $1,075 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $30 | $431 | $790 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $30 | $112 | $262 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $119 | $247 | $387 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $51 | $507 | $921 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $12 | $250 | $469 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $25 | $396 | $709 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $132 | $282 | $433 |