| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $124 | $131 | $137 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $114 | $166 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $38 | $70 | $119 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $37 | $54 | $72 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $44 | $50 | $57 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $67 | $67 | $67 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $103 | $126 | $149 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $121 | $152 | $183 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $128 | $133 | $138 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $119 | $119 | $119 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $37 | $61 | $86 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $166 | $166 | $166 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $37 | $145 | $276 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $141 | $144 | $147 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $82 | $82 | $82 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $36 | $47 | $57 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $6 | $10 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $189 | $189 | $189 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $36 | $61 | $89 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $37 | $56 | $94 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $35 | $82 | $120 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $133 | $153 | $173 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $15 | $23 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $8 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $50 | $56 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $15 | $41 | $72 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $96 | $179 | $343 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $21 | $58 | $121 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $34 | $47 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $140 | $289 | $549 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,202 | $2,613 | $5,165 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $33 | $83 | $181 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $276 | $1,460 | $2,052 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $197 | $204 | $212 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $904 | $904 | $904 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $394 | $411 | $427 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $178 | $181 | $183 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $37 | $247 | $355 |
| Septoplasty CPT 30520 • ENT | $37 | $248 | $460 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $188 | $188 | $188 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $37 | $140 | $221 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $37 | $213 | $301 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $37 | $162 | $286 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $37 | $231 | $425 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $38 | $94 | $207 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $311 | $323 | $335 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $37 | $339 | $536 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $38 | $81 | $124 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $37 | $216 | $342 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $293 | $325 | $357 |