| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $73 | $139 | $263 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $58 | $168 | $317 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $111 | $262 | $400 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $112 | $251 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $149 | $308 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $78 | $123 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $27 | $156 | $295 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $190 | $329 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $227 | $399 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $231 | $441 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $75 | $213 | $366 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $63 | $238 | $505 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $82 | $325 | $599 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $319 | $628 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $303 | $527 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $165 | $293 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $27 | $94 | $176 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $11 | $26 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $125 | $263 | $428 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $157 | $293 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $191 | $342 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $147 | $306 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $66 | $211 | $372 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $27 | $50 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $9 | $17 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $47 | $74 | $131 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $87 | $160 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $143 | $393 | $876 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $59 | $158 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $16 | $43 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $315 | $813 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $85 | $2,611 | $6,787 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $35 | $94 | $232 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $402 | $1,711 | $3,711 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $244 | $449 | $1,069 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $807 | $1,152 | $1,510 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $401 | $756 | $1,753 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $346 | $979 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $330 | $1,042 | $2,163 |
| Septoplasty CPT 30520 • ENT | $324 | $1,125 | $2,024 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $72 | $373 | $729 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $327 | $666 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $202 | $467 | $833 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $292 | $562 | $900 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $430 | $717 | $1,320 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $211 | $365 | $651 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $340 | $568 | $1,047 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $342 | $829 | $1,667 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $84 | $349 | $706 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $337 | $607 | $1,089 |