| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $64 | $103 | $127 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $43 | $149 | $246 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $34 | $99 | $162 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $39 | $120 | $197 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $37 | $38 | $39 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $18 | $83 | $188 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $40 | $83 | $132 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $16 | $91 | $160 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $84 | $97 | $119 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $17 | $78 | $111 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $92 | $93 | $93 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $107 | $111 | $114 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $83 | $157 | $232 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $49 | $102 | $156 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $9 | $48 | $92 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $35 | $70 | $105 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $1 | $2 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $15 | $54 | $92 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $8 | $94 | $181 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $74 | $98 | $123 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $132 | $150 | $187 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $5 | $96 | $158 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $10 | $23 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $1 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $9 | $28 | $46 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $10 | $21 | $27 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $37 | $187 | $477 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $78 | $112 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $14 | $34 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $49 | $325 | $866 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $367 | $1,519 | $3,665 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $13 | $18 | $24 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $208 | $1,179 | $1,665 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $47 | $163 | $233 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $50 | $337 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $77 | $209 | $342 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $21 | $135 | $214 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $42 | $251 | $461 |
| Septoplasty CPT 30520 • ENT | $121 | $586 | $1,051 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $36 | $145 | $263 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $29 | $146 | $229 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $38 | $159 | $317 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $173 | $295 | $523 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $34 | $221 | $377 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $42 | $131 | $212 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $201 | $254 | $310 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $40 | $167 | $293 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $71 | $191 | $311 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $24 | $148 | $273 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $63 | $148 | $233 |