| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $6 | $51 | $96 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $9 | $27 | $46 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $3 | $15 | $27 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $19 | $56 | $93 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $8 | $19 | $31 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $14 | $51 | $89 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $10 | $36 | $63 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $61 | $70 | $80 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $27 | $79 | $130 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $78 | $93 | $107 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $16 | $84 | $151 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $176 | $178 | $180 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $29 | $109 | $190 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $15 | $56 | $97 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $13 | $49 | $85 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $26 | $33 | $41 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $3 | $5 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $64 | $93 | $121 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $8 | $47 | $86 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $72 | $86 | $100 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $53 | $71 | $89 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $30 | $77 | $124 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $5 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $46 | $46 | $46 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $6 | $16 | $26 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $47 | $54 | $62 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $66 | $119 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $28 | $51 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $61 | $340 | $619 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $525 | $3,857 | $7,189 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $17 | $129 | $241 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,385 | $1,708 | $2,031 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $28 | $118 | $208 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $539 | $585 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $342 | $376 | $411 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $34 | $101 | $169 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $82 | $110 | $138 |
| Septoplasty CPT 30520 • ENT | $308 | $403 | $498 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $111 | $132 | $154 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $9 | $78 | $148 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $22 | $108 | $195 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $80 | $134 | $188 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $30 | $141 | $251 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $124 | $132 | $140 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $182 | $194 | $205 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $52 | $173 | $293 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $90 | $119 | $147 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $39 | $131 | $223 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $233 | $252 | $271 |