| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $82 | $98 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $242 | $245 | $248 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $69 | $86 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $30 | $78 | $121 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $61 | $115 | $168 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $74 | $113 | $185 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $158 | $181 | $204 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $129 | $163 | $190 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $88 | $156 | $211 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $169 | $171 | $173 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $240 | $278 | $316 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $366 | $366 | $367 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $30 | $210 | $394 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $203 | $264 | $325 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $85 | $89 | $96 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $72 | $87 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $6 | $11 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $117 | $219 | $270 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $30 | $81 | $134 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $94 | $156 | $212 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $190 | $193 | $196 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $249 | $256 | $264 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $3 | $3 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $1 | $1 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $39 | $39 | $39 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $21 | $87 | $168 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $280 | $280 | $280 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $11 | $14 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $2 | $20 | $38 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $79 | $221 | $364 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,202 | $1,202 | $1,202 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $73 | $73 | $73 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $124 | $124 | $124 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $163 | $163 | $163 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $904 | $904 | $904 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $268 | $268 | $268 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $191 | $238 | $285 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $284 | $400 | $477 |
| Septoplasty CPT 30520 • ENT | $648 | $846 | $1,092 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $177 | $264 | $351 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $193 | $265 | $302 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $412 | $528 | $760 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $699 | $702 | $705 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $520 | $556 | $592 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $289 | $290 | $291 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $255 | $383 | $468 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $607 | $677 | $746 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $219 | $274 | $384 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $471 | $505 | $574 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $492 | $493 | $493 |