| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $31 | $99 | $180 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $51 | $137 | $223 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $52 | $153 | $276 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $35 | $76 | $144 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $45 | $96 | $174 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $40 | $87 | $152 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $43 | $90 | $166 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $96 | $151 | $225 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $138 | $202 | $275 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $64 | $201 | $302 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $81 | $143 | $202 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $145 | $206 | $282 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $93 | $219 | $324 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $278 | $379 | $468 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $178 | $237 | $289 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $59 | $140 | $220 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $58 | $81 | $96 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $7 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $119 | $171 | $231 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $57 | $97 | $159 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $32 | $92 | $186 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $87 | $121 | $167 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $57 | $140 | $227 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $13 | $23 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $5 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $28 | $54 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $11 | $41 | $65 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $88 | $257 | $571 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $20 | $65 | $147 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $12 | $57 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $119 | $345 | $771 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $85 | $2,684 | $6,650 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $47 | $226 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $371 | $1,119 | $2,489 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $164 | $286 | $491 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $459 | $1,003 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $376 | $563 | $912 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $236 | $423 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $305 | $387 | $495 |
| Septoplasty CPT 30520 • ENT | $512 | $728 | $940 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $70 | $216 | $317 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $71 | $206 | $390 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $143 | $331 | $522 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $179 | $435 | $613 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $333 | $387 | $445 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $184 | $208 | $248 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $272 | $359 | $510 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $342 | $416 | $519 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $203 | $271 | $391 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $299 | $365 | $429 |