| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $157 | $169 | $188 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $195 | $212 | $230 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $150 | $165 | $193 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $154 | $249 | $413 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $73 | $167 | $261 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $42 | $217 | $393 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $42 | $242 | $442 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $42 | $160 | $279 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $177 | $355 | $594 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $492 | $492 | $492 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $181 | $236 | $290 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $42 | $193 | $343 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $356 | $519 | $846 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $441 | $476 | $511 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $42 | $103 | $172 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $42 | $139 | $236 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $11 | $26 | $42 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $42 | $193 | $343 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $130 | $148 | $165 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $122 | $176 | $200 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $133 | $146 | $159 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $214 | $351 | $487 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $5 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $11 | $32 | $54 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $39 | $40 | $41 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $359 | $519 | $680 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $126 | $162 | $198 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $24 | $43 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $480 | $682 | $883 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $525 | $4,788 | $9,052 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $98 | $177 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,963 | $2,426 | $3,169 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $284 | $351 | $417 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $354 | $354 | $354 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $410 | $502 | $685 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $221 | $260 | $338 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $453 | $644 | $1,024 |
| Septoplasty CPT 30520 • ENT | $516 | $773 | $1,030 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $174 | $205 | $236 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $50 | $148 | $307 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $309 | $380 | $439 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $673 | $1,092 | $1,511 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $258 | $366 | $474 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $265 | $302 | $378 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $42 | $304 | $606 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $42 | $572 | $1,301 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $42 | $275 | $478 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $407 | $467 | $556 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $42 | $351 | $586 |