| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $47 | $111 | $174 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $59 | $156 | $219 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $71 | $172 | $265 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $83 | $151 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $87 | $132 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $89 | $160 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $110 | $175 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $117 | $190 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $149 | $232 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $197 | $258 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $64 | $138 | $212 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $145 | $262 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $79 | $208 | $349 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $288 | $376 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $233 | $308 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $36 | $98 | $169 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $21 | $59 | $111 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $18 | $58 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $215 | $359 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $100 | $146 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $118 | $199 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $87 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $76 | $149 | $256 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $22 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $7 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $32 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $8 | $53 | $74 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $82 | $369 | $876 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $52 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $41 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $105 | $286 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $958 | $5,010 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $33 | $156 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $361 | $2,528 | $3,711 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $211 | $278 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $904 | $1,077 | $1,371 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $401 | $533 | $686 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $223 | $316 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $330 | $555 | $628 |
| Septoplasty CPT 30520 • ENT | $478 | $805 | $887 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $156 | $210 | $339 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $58 | $190 | $283 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $139 | $377 | $497 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $284 | $430 | $683 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $263 | $593 | $947 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $129 | $269 | $318 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $330 | $449 | $512 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $527 | $715 | $816 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $189 | $235 | $274 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $337 | $421 | $447 |