| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $31 | $64 | $115 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $59 | $98 | $143 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $71 | $120 | $177 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $23 | $67 | $145 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $38 | $97 | $179 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $87 | $148 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $82 | $169 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $55 | $113 | $184 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $71 | $128 | $222 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $82 | $162 | $247 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $66 | $114 | $200 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $63 | $140 | $286 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $210 | $341 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $100 | $222 | $370 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $163 | $298 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $49 | $107 | $157 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $21 | $49 | $99 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $8 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $86 | $145 | $222 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $79 | $164 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $97 | $195 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $88 | $130 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $66 | $106 | $177 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $20 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $7 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $5 | $33 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $18 | $48 | $65 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $88 | $323 | $739 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $83 | $194 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $20 | $67 | $97 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $120 | $451 | $1,004 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $85 | $2,892 | $6,875 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $55 | $237 | $409 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $371 | $1,145 | $2,662 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $244 | $280 | $310 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $556 | $945 | $1,291 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $401 | $469 | $532 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $111 | $170 | $216 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $330 | $417 | $544 |
| Septoplasty CPT 30520 • ENT | $478 | $726 | $929 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $156 | $221 | $337 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $80 | $187 | $309 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $143 | $248 | $384 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $308 | $387 | $438 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $430 | $499 | $608 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $211 | $243 | $300 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $361 | $451 | $510 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $543 | $630 | $767 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $84 | $186 | $285 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $337 | $406 | $442 |