| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $90 | $107 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $45 | $116 | $153 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $61 | $87 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $91 | $110 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $65 | $91 | $105 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $87 | $104 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $61 | $93 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $94 | $123 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $86 | $99 | $112 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $77 | $109 | $140 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $91 | $159 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $92 | $92 | $92 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $185 | $220 | $238 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $91 | $91 | $91 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $34 | $56 | $79 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $40 | $53 | $65 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $2 | $4 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $113 | $138 | $164 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $80 | $100 | $110 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $98 | $118 | $129 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $86 | $104 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $50 | $101 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $39 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $23 | $38 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $31 | $50 | $69 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $93 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $52 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $41 | $353 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $350 | $4,210 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $11 | $184 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $924 | $2,335 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $139 | $253 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $420 | $718 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $228 | $514 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $112 | $260 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $135 | $239 | $291 |
| Septoplasty CPT 30520 • ENT | $466 | $565 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $163 | $163 | $163 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $46 | $138 | $184 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $190 | $230 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $176 | $304 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $235 | $290 | $317 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $136 | $162 | $175 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $165 | $228 | $259 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $274 | $322 | $370 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $84 | $136 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $218 | $262 | $285 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $187 | $242 | $297 |