| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $65 | $86 | $107 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $77 | $120 | $153 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $4 | $50 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $102 | $128 | $162 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $42 | $66 | $105 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $42 | $73 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $109 | $117 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $153 | $179 | $204 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $228 | $228 | $228 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $140 | $163 | $187 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $164 | $207 | $264 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $197 | $197 | $197 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $42 | $194 | $329 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $168 | $169 | $171 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $79 | $113 | $146 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $42 | $59 | $71 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $1 | $3 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $129 | $146 | $164 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $98 | $110 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $109 | $112 | $114 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $64 | $111 | $157 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $136 | $176 | $215 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $4 | $5 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $11 | $20 | $36 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $19 | $41 | $62 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $32 | $50 | $69 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $96 | $184 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $40 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $41 | $549 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $370 | $4,711 | $9,052 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $12 | $103 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $139 | $851 | $2,197 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $152 | $175 | $198 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $420 | $420 | $420 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $304 | $552 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $123 | $150 | $168 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $379 | $466 |
| Septoplasty CPT 30520 • ENT | $657 | $762 | $866 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $150 | $221 | $293 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $184 | $222 | $259 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $250 | $287 | $339 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $288 | $426 | $564 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $391 | $433 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $181 | $201 | $241 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $42 | $218 | $354 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $42 | $305 | $504 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $181 | $186 | $190 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $336 | $386 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $350 | $403 |