| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $86 | $180 | $326 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $84 | $244 | $404 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $41 | $81 | $178 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $43 | $80 | $100 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $33 | $49 | $65 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $50 | $67 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $62 | $106 | $150 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $110 | $188 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $87 | $109 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $83 | $105 | $127 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $91 | $120 | $149 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $344 | $594 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $86 | $171 | $223 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $98 | $113 | $127 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $94 | $197 | $299 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $35 | $48 | $57 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $6 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $118 | $172 | $253 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $81 | $115 | $202 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $97 | $120 | $158 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $43 | $81 | $119 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $156 | $281 | $405 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $7 | $11 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $6 | $23 | $56 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $44 | $51 | $58 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $56 | $67 | $77 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $52 | $165 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $8 | $11 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $50 | $60 | $70 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $75 | $510 | $944 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $22 | $24 | $26 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $208 | $1,612 | $2,458 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $161 | $208 | $254 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $419 | $581 | $742 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $330 | $369 | $427 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $146 | $187 | $221 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $178 | $309 | $416 |
| Septoplasty CPT 30520 • ENT | $430 | $921 | $1,774 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $220 | $225 | $230 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $83 | $124 | $165 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $192 | $298 | $341 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $180 | $662 | $1,145 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $568 | $706 | $845 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $113 | $181 | $225 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $311 | $337 | $363 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $376 | $478 | $580 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $144 | $176 | $196 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $443 | $604 | $765 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $194 | $498 | $801 |