| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $66 | $118 | $201 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $122 | $173 | $245 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $69 | $102 | $159 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $43 | $110 | $193 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $33 | $69 | $105 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $19 | $99 | $183 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $107 | $120 | $128 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $30 | $110 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $30 | $90 | $146 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $113 | $159 | $223 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $98 | $241 | $312 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $178 | $178 | $178 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $103 | $271 | $384 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $151 | $151 | $151 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $79 | $122 | $181 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $49 | $63 | $83 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $6 | $10 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $94 | $151 | $256 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $57 | $109 | $175 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $94 | $153 | $205 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $75 | $106 | $138 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $102 | $176 | $251 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $13 | $21 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $4 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $28 | $33 | $41 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $39 | $56 | $73 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $47 | $265 | $482 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $14 | $101 | $145 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $7 | $45 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $79 | $91 | $106 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $525 | $4,192 | $7,860 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $32 | $155 | $278 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,385 | $1,741 | $1,995 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $155 | $182 | $208 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $630 | $630 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $41 | $191 | $342 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $125 | $200 | $285 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $215 | $322 | $461 |
| Septoplasty CPT 30520 • ENT | $774 | $911 | $1,047 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $185 | $185 | $185 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $35 | $133 | $303 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $216 | $288 | $398 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $360 | $396 | $432 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $279 | $338 | $417 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $192 | $200 | $217 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $141 | $220 | $259 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $326 | $326 | $326 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $25 | $105 | $164 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $361 | $451 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $157 | $227 | $297 |