| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $73 | $173 | $263 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $58 | $189 | $317 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $111 | $299 | $400 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $135 | $251 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $176 | $311 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $83 | $123 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $27 | $152 | $295 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $212 | $329 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $254 | $399 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $244 | $441 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $237 | $366 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $63 | $252 | $505 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $82 | $371 | $599 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $374 | $650 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $340 | $527 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $182 | $293 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $102 | $176 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $10 | $26 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $285 | $428 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $178 | $293 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $216 | $342 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $150 | $306 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $66 | $204 | $372 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $30 | $50 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $10 | $17 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $24 | $66 | $131 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $92 | $160 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $143 | $363 | $876 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $54 | $158 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $16 | $39 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $289 | $813 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $85 | $2,607 | $6,787 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $35 | $92 | $232 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $402 | $2,437 | $6,068 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $244 | $424 | $1,069 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $807 | $1,153 | $1,510 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $401 | $738 | $1,753 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $333 | $979 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $330 | $1,104 | $2,163 |
| Septoplasty CPT 30520 • ENT | $324 | $1,275 | $2,024 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $72 | $432 | $729 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $384 | $666 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $202 | $528 | $833 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $292 | $618 | $900 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $430 | $818 | $1,320 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $211 | $413 | $651 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $340 | $648 | $1,047 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $342 | $969 | $1,667 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $84 | $376 | $706 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $337 | $687 | $1,089 |