| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $6 | $57 | $108 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $13 | $72 | $131 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $27 | $40 | $53 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $72 | $72 | $72 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $4 | $19 | $33 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $66 | $66 | $66 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $34 | $34 | $34 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $83 | $83 | $83 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $25 | $25 | $25 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $8 | $8 | $8 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $103 | $120 | $137 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $77 | $77 | $77 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $93 | $140 | $186 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $29 | $29 | $29 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $38 | $38 | $38 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $9 | $9 | $9 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $3 | $5 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $14 | $14 | $14 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $11 | $48 | $86 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $15 | $58 | $101 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $15 | $45 | $75 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $52 | $119 | $185 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $21 | $21 | $22 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $5 | $5 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $38 | $38 | $39 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $55 | $55 | $55 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $643 | $643 | $643 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $15 | $80 | $145 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $8 | $36 | $64 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $889 | $889 | $890 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $5,895 | $6,878 | $7,860 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $27 | $118 | $209 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $184 | $783 | $1,381 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $31 | $93 | $155 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $448 | $448 | $448 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $310 | $310 | $311 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $63 | $94 | $125 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $36 | $195 | $355 |
| Septoplasty CPT 30520 • ENT | $49 | $270 | $491 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $28 | $28 | $28 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $79 | $119 | $158 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $54 | $163 | $272 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $23 | $128 | $232 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $34 | $225 | $417 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $169 | $169 | $169 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $33 | $140 | $247 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $34 | $34 | $34 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $13 | $13 | $13 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $268 | $268 | $268 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $33 | $33 | $34 |