| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $97 | $101 | $105 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $40 | $43 | $46 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $26 | $32 | $44 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $6 | $50 | $93 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $53 | $67 | $81 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $5 | $47 | $89 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $8 | $38 | $63 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $11 | $79 | $145 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $18 | $53 | $89 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $94 | $99 | $107 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $18 | $85 | $152 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $83 | $130 | $176 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $37 | $114 | $190 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $40 | $98 | $156 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $7 | $64 | $99 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $7 | $31 | $44 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $17 | $44 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $27 | $74 | $121 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $60 | $73 | $86 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $63 | $66 | $69 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $89 | $106 | $124 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $54 | $89 | $125 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $11 | $23 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $37 | $41 | $48 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $29 | $36 | $39 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $39 | $189 | $481 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $49 | $124 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $24 | $63 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $67 | $87 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $3,269 | $5,353 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $14 | $75 | $192 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,154 | $1,618 | $2,113 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $174 | $197 | $221 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $452 | $491 | $525 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $72 | $225 | $317 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $100 | $120 | $141 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $66 | $142 | $219 |
| Septoplasty CPT 30520 • ENT | $77 | $288 | $499 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $77 | $122 | $167 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $49 | $96 | $143 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $44 | $120 | $195 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $131 | $228 | $325 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $52 | $152 | $252 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $40 | $75 | $140 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $54 | $182 | $285 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $81 | $188 | $294 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $16 | $126 | $215 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $24 | $124 | $224 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $66 | $209 | $328 |