| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $62 | $127 | $165 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $153 | $178 | $205 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $42 | $122 | $225 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $108 | $161 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $237 | $237 | $237 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $261 | $261 | $261 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $177 | $230 | $283 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $129 | $145 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $259 | $259 | $259 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $124 | $219 | $315 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $139 | $292 | $444 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $187 | $187 | $187 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $42 | $178 | $304 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $243 | $243 | $243 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $72 | $169 | $250 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $108 | $127 | $147 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $11 | $12 | $14 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $94 | $123 | $166 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $152 | $171 | $181 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $42 | $171 | $295 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $50 | $67 | $83 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $130 | $249 | $367 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $9 | $16 | $23 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $5 | $11 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $12 | $22 | $38 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $51 | $85 | $119 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $87 | $96 | $105 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $22 | $82 | $143 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $11 | $12 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $113 | $396 | $680 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,018 | $4,392 | $7,767 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $61 | $129 | $197 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,196 | $2,311 | $2,540 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $221 | $319 | $418 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $649 | $776 | $903 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $800 | $817 | $835 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $178 | $239 | $338 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $405 | $455 | $480 |
| Septoplasty CPT 30520 • ENT | $1,099 | $1,279 | $1,460 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $166 | $238 | $311 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $262 | $290 | $304 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $413 | $425 | $449 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $230 | $309 | $387 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $495 | $739 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $42 | $165 | $410 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $30 | $354 | $604 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $370 | $578 | $862 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $42 | $174 | $305 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $470 | $532 | $655 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $395 | $490 |