| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $123 | $142 | $161 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $74 | $95 | $117 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $44 | $72 | $97 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $9 | $91 | $194 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $52 | $59 | $65 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $36 | $38 | $40 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $11 | $124 | $201 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $19 | $77 | $118 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $10 | $114 | $218 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $133 | $151 | $169 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $76 | $165 | $253 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $212 | $253 | $295 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $226 | $272 | $318 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $19 | $91 | $164 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $37 | $51 | $73 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $61 | $84 | $106 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $4 | $4 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $44 | $79 | $128 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $30 | $98 | $178 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $37 | $69 | $101 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $25 | $85 | $146 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $31 | $59 | $87 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $6 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $8 | $37 | $55 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $24 | $35 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $42 | $197 | $481 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $104 | $179 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $28 | $40 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $463 | $695 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $4,175 | $8,072 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $14 | $78 | $192 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $183 | $233 | $304 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $32 | $105 | $178 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $249 | $424 | $525 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $64 | $225 | $387 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $35 | $98 | $161 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $96 | $117 | $138 |
| Septoplasty CPT 30520 • ENT | $154 | $326 | $499 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $18 | $102 | $176 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $7 | $127 | $246 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $86 | $206 | $327 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $50 | $185 | $320 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $35 | $143 | $252 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $44 | $126 | $237 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $206 | $210 | $214 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $294 | $350 | $406 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $15 | $131 | $247 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $31 | $204 | $377 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $44 | $139 | $233 |