| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $117 | $125 | $134 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $145 | $153 | $162 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $65 | $82 | $91 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $90 | $101 | $113 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $67 | $67 | $67 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $81 | $95 | $108 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $73 | $117 | $160 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $136 | $165 | $195 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $152 | $152 | $152 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $95 | $137 | $180 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $170 | $177 | $184 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $145 | $216 | $287 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $227 | $229 | $232 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $181 | $181 | $181 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $63 | $104 | $145 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $53 | $67 | $81 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $8 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $118 | $145 | $171 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $103 | $104 | $104 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $40 | $82 | $122 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $62 | $98 | $134 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $70 | $128 | $185 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $16 | $25 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $8 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $9 | $51 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $51 | $57 | $63 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $83 | $430 | $777 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $109 | $200 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $49 | $86 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $114 | $448 | $782 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,010 | $5,045 | $9,080 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $30 | $31 | $32 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $342 | $1,801 | $2,695 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $206 | $292 | $379 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $839 | $839 | $839 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $446 | $709 | $858 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $186 | $296 | $358 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $437 | $467 | $486 |
| Septoplasty CPT 30520 • ENT | $629 | $862 | $1,096 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $220 | $232 | $245 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $190 | $245 | $299 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $338 | $375 | $411 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $312 | $511 | $709 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $461 | $496 | $531 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $226 | $277 | $303 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $364 | $364 | $364 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $61 | $322 | $582 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $225 | $301 | $377 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $373 | $475 | $577 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $389 | $389 | $389 |