| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $134 | $145 | $156 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $167 | $174 | $189 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $109 | $156 | $251 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $131 | $138 | $152 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $114 | $120 | $126 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $125 | $210 | $295 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $138 | $148 | $159 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $168 | $279 | $390 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $434 | $434 | $434 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $154 | $163 | $172 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $212 | $310 | $506 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $400 | $400 | $400 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $264 | $322 | $439 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $337 | $337 | $337 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $75 | $105 | $135 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $72 | $135 | $198 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $5 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $182 | $287 | $393 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $111 | $122 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $9 | $164 | $341 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $116 | $133 | $165 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $157 | $183 | $208 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $28 | $50 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $51 | $56 | $60 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $33 | $37 | $41 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $54 | $133 | $212 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $23 | $82 | $141 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $27 | $60 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $73 | $512 | $732 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $2,589 | $4,481 | $6,373 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $81 | $157 | $223 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $240 | $1,467 | $2,402 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $252 | $296 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $1,162 | $1,162 | $1,162 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $441 | $447 | $452 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $188 | $215 | $268 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $348 | $353 | $356 |
| Septoplasty CPT 30520 • ENT | $814 | $1,419 | $2,024 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $283 | $283 | $283 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $224 | $237 | $263 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $307 | $382 | $532 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $514 | $519 | $525 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $390 | $700 | $1,320 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $217 | $362 | $651 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $320 | $331 | $342 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $456 | $472 | $488 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $173 | $200 | $227 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $346 | $354 | $369 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $363 | $747 | $1,131 |