| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $31 | $77 | $145 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $39 | $130 | $272 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $56 | $179 | $339 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $34 | $75 | $144 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $130 | $265 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $36 | $83 | $152 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $45 | $99 | $166 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $67 | $146 | $283 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $103 | $211 | $343 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $66 | $191 | $379 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $106 | $224 | $315 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $125 | $296 | $434 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $150 | $274 | $503 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $163 | $305 | $539 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $129 | $282 | $448 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $41 | $136 | $252 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $30 | $78 | $151 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $5 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $100 | $195 | $368 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $25 | $122 | $252 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $86 | $158 | $294 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $87 | $158 | $263 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $47 | $174 | $314 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $9 | $14 | $22 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $5 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $26 | $50 | $76 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $6 | $45 | $92 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $65 | $373 | $876 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $18 | $173 | $753 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $11 | $15 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $82 | $724 | $3,056 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $771 | $4,581 | $13,615 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $25 | $113 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $306 | $1,288 | $4,534 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $230 | $454 | $918 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $840 | $1,212 | $1,371 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $401 | $809 | $1,507 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $352 | $842 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $166 | $364 | $649 |
| Septoplasty CPT 30520 • ENT | $324 | $856 | $1,476 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $114 | $290 | $483 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $59 | $235 | $420 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $149 | $326 | $582 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $224 | $617 | $960 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $296 | $465 | $692 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $133 | $235 | $389 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $244 | $408 | $568 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $347 | $544 | $809 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $130 | $288 | $423 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $277 | $431 | $643 |