| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $79 | $85 | $92 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $23 | $30 | $37 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $11 | $37 | $62 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $76 | $83 | $89 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $25 | $41 | $58 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $13 | $43 | $72 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $12 | $32 | $51 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $8 | $52 | $96 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $13 | $59 | $106 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $39 | $52 | $64 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $22 | $49 | $76 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $34 | $88 | $143 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $18 | $86 | $154 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $14 | $70 | $127 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $13 | $41 | $69 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $34 | $35 | $37 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $2 | $4 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $36 | $67 | $98 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $34 | $52 | $70 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $30 | $41 | $51 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $61 | $88 | $116 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $16 | $88 | $161 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $7 | $9 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $4 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $54 | $56 | $57 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $52 | $54 | $56 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $62 | $375 | $689 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $15 | $99 | $183 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $7 | $8 | $8 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $82 | $391 | $700 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $730 | $4,297 | $7,864 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $25 | $27 | $28 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $271 | $1,676 | $3,082 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $22 | $125 | $228 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $81 | $356 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $72 | $264 | $456 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $99 | $141 | $184 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $59 | $170 | $282 |
| Septoplasty CPT 30520 • ENT | $67 | $355 | $643 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $43 | $130 | $216 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $93 | $142 | $191 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $31 | $141 | $251 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $48 | $145 | $243 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $32 | $178 | $324 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $133 | $156 | $180 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $195 | $230 | $265 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $278 | $328 | $378 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $94 | $106 | $118 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $27 | $139 | $252 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $43 | $153 | $263 |