| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $56 | $112 | $141 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $41 | $43 | $51 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $41 | $65 | $87 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $41 | $46 | $52 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $41 | $64 | $87 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $41 | $58 | $89 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $41 | $99 | $149 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $41 | $87 | $119 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $41 | $53 | $74 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $41 | $116 | $173 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $41 | $81 | $161 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $41 | $169 | $230 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $89 | $89 | $89 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $41 | $62 | $97 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $41 | $61 | $84 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $4 | $17 | $41 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $41 | $99 | $132 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $41 | $74 | $106 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $41 | $67 | $125 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $48 | $68 | $81 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $132 | $165 | $181 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $11 | $15 | $23 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $8 | $8 | $8 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $27 | $34 | $39 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $44 | $56 | $74 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $98 | $98 | $98 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $22 | $22 | $22 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $27 | $62 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $140 | $140 | $140 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,202 | $1,202 | $1,202 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $33 | $33 | $33 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $282 | $282 | $282 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $211 | $237 | $251 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $791 | $829 | $904 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $411 | $433 | $458 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $191 | $200 | $203 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $41 | $300 | $417 |
| Septoplasty CPT 30520 • ENT | $41 | $355 | $576 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $41 | $121 | $222 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $41 | $96 | $187 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $41 | $202 | $311 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $41 | $172 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $41 | $246 | $365 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $41 | $142 | $181 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $41 | $208 | $321 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $41 | $169 | $420 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $41 | $117 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $41 | $184 | $280 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $41 | $108 | $241 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $41 | $161 | $244 |