| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $56 | $138 | $297 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $182 | $241 | $360 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $34 | $78 | $118 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $100 | $202 | $287 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $190 | $190 | $190 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $75 | $83 | $92 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $126 | $155 | $189 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $141 | $181 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $122 | $171 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $166 | $195 | $253 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $230 | $352 | $467 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $235 | $235 | $235 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $256 | $375 | $584 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $211 | $345 | $480 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $30 | $74 | $99 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $84 | $118 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $4 | $13 | $36 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $177 | $177 | $177 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $72 | $140 | $264 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $87 | $215 | $353 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $194 | $282 | $371 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $121 | $321 | $522 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $9 | $15 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $42 | $52 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $51 | $111 | $171 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $32 | $125 | $218 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $28 | $54 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $7 | $16 | $24 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $60 | $150 | $279 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $932 | $1,740 | $2,548 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $23 | $55 | $86 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,051 | $2,096 | $2,185 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $224 | $579 | $934 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $733 | $2,197 | $3,661 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $394 | $958 | $2,027 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $181 | $619 | $845 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $38 | $506 | $810 |
| Septoplasty CPT 30520 • ENT | $1,077 | $1,462 | $1,848 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $393 | $393 | $393 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $133 | $326 | $549 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $329 | $506 | $722 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $775 | $988 | $1,201 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $615 | $774 | $933 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $341 | $456 | $513 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $231 | $344 | $458 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $584 | $650 | $716 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $38 | $155 | $272 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $660 | $796 | $932 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $455 | $463 | $471 |