| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $37 | $78 | $181 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $46 | $117 | $224 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $56 | $86 | $111 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $65 | $180 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $46 | $72 | $111 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $35 | $91 | $189 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $37 | $39 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $124 | $228 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $197 | $306 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $216 | $348 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $94 | $144 | $256 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $101 | $145 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $134 | $195 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $237 | $440 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $95 | $114 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $47 | $90 | $207 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $83 | $144 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $8 | $13 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $153 | $185 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $101 | $203 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $66 | $115 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $75 | $95 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $60 | $67 | $76 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $9 | $19 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $4 | $6 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $29 | $61 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $8 | $42 | $65 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $82 | $415 | $850 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $234 | $753 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $70 | $117 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $85 | $301 | $896 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $85 | $3,240 | $6,331 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $34 | $248 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $361 | $1,873 | $4,534 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $230 | $270 | $358 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $791 | $960 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $401 | $573 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $204 | $308 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $44 | $451 | $901 |
| Septoplasty CPT 30520 • ENT | $478 | $844 | $1,233 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $99 | $140 | $165 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $269 | $403 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $88 | $377 | $738 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $453 | $794 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $44 | $363 | $533 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $211 | $259 | $334 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $208 | $378 | $492 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $582 | $853 | $1,318 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $131 | $186 | $239 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $337 | $459 | $694 |