| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $86 | $169 | $269 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $98 | $184 | $326 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $63 | $146 | $251 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $72 | $151 | $276 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $34 | $132 | $259 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $156 | $227 | $295 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $159 | $219 | $367 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $11 | $262 | $447 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $63 | $144 | $254 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $8 | $141 | $317 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $137 | $271 | $446 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $127 | $431 | $650 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $186 | $302 | $556 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $34 | $246 | $459 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $224 | $272 | $328 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $88 | $132 | $190 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $8 | $19 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $20 | $195 | $356 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $9 | $106 | $255 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $10 | $106 | $227 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $75 | $159 | $236 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $93 | $217 | $372 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $21 | $31 | $50 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $7 | $32 | $51 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $41 | $85 | $160 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $306 | $643 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $89 | $145 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $51 | $85 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $89 | $305 | $667 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $786 | $3,745 | $7,860 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $81 | $189 | $278 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $184 | $2,545 | $6,068 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $31 | $161 | $296 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $448 | $539 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $155 | $306 | $456 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $125 | $145 | $184 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $34 | $340 | $630 |
| Septoplasty CPT 30520 • ENT | $368 | $765 | $1,435 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $302 | $491 | $729 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $118 | $238 | $439 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $15 | $273 | $532 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $232 | $455 | $900 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $84 | $399 | $697 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $25 | $336 | $651 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $66 | $610 | $1,047 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $53 | $629 | $1,020 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $129 | $312 | $495 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $268 | $514 | $725 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $281 | $519 | $757 |