| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $219 | $286 | $353 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $76 | $173 | $271 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $128 | $162 | $179 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $213 | $277 | $341 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $122 | $153 | $185 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $327 | $332 | $337 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $146 | $192 | $239 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $124 | $205 | $286 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $477 | $478 | $478 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $250 | $270 | $291 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $219 | $281 | $344 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $399 | $551 | $703 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $419 | $534 | $757 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $162 | $368 | $575 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $201 | $261 | $322 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $117 | $153 | $189 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $17 | $18 | $19 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $170 | $320 | $471 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $197 | $270 | $342 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $105 | $188 | $231 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $336 | $336 | $336 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $441 | $448 | $456 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $9 | $10 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $46 | $76 | $105 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $59 | $60 | $61 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $127 | $466 | $804 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $29 | $97 | $165 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $36 | $67 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $176 | $610 | $1,044 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,362 | $4,456 | $7,550 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $29 | $119 | $209 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,385 | $1,873 | $2,360 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $314 | $314 | $314 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $630 | $630 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $342 | $502 | $582 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $254 | $294 | $314 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $520 | $641 | $871 |
| Septoplasty CPT 30520 • ENT | $1,190 | $1,589 | $1,989 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $431 | $532 | $633 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $180 | $254 | $329 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $241 | $345 | $449 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $367 | $568 | $768 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $419 | $493 | $567 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $233 | $280 | $303 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $686 | $753 | $821 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $489 | $765 | $1,042 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $355 | $385 | $416 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $513 | $702 | $891 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $392 | $625 | $859 |