| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $26 | $63 | $117 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $59 | $107 | $146 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $40 | $98 | $182 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $16 | $52 | $117 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $92 | $143 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $61 | $123 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $75 | $135 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $96 | $152 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $49 | $102 | $186 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $140 | $206 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $46 | $97 | $170 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $71 | $166 | $235 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $177 | $273 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $166 | $293 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $151 | $243 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $31 | $72 | $137 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $50 | $82 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $6 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $162 | $199 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $84 | $135 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $101 | $159 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $60 | $74 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $76 | $154 | $251 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $21 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $6 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $80 | $158 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $6 | $22 | $41 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $98 | $143 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $37 | $58 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $21 | $34 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $232 | $348 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,716 | $6,151 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $35 | $93 | $190 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $402 | $3,811 | $7,319 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $207 | $246 | $287 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $468 | $916 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $401 | $460 | $532 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $160 | $187 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $194 | $293 | $356 |
| Septoplasty CPT 30520 • ENT | $437 | $575 | $809 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $97 | $170 | $258 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $132 | $225 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $217 | $264 | $318 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $402 | $524 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $365 | $406 | $459 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $179 | $207 | $221 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $289 | $324 | $361 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $291 | $445 | $582 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $114 | $178 | $230 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $251 | $316 | $359 |