| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $44 | $88 | $145 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $46 | $100 | $182 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $47 | $123 | $222 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $39 | $98 | $144 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $49 | $116 | $174 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $36 | $89 | $138 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $53 | $111 | $166 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $83 | $147 | $180 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $84 | $166 | $219 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $113 | $172 | $242 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $106 | $159 | $202 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $146 | $255 | $343 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $176 | $284 | $324 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $163 | $283 | $347 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $151 | $234 | $289 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $48 | $111 | $163 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $87 | $108 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $9 | $23 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $117 | $203 | $238 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $36 | $119 | $159 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $52 | $146 | $186 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $36 | $124 | $167 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $47 | $460 | $1,337 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $20 | $56 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $6 | $13 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $26 | $62 | $89 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $11 | $39 | $70 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $65 | $652 | $1,738 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $21 | $74 | $211 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $37 | $103 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $85 | $421 | $1,182 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,316 | $9,471 | $20,937 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $47 | $330 | $596 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $379 | $2,285 | $4,534 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $230 | $346 | $491 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $737 | $1,032 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $427 | $711 | $912 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $194 | $290 | $423 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $166 | $420 | $586 |
| Septoplasty CPT 30520 • ENT | $466 | $782 | $940 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $121 | $253 | $317 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $215 | $276 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $175 | $330 | $445 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $224 | $420 | $613 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $327 | $574 | $1,152 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $167 | $245 | $286 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $243 | $382 | $591 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $406 | $642 | $925 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $31 | $190 | $272 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $277 | $427 | $731 |