| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $67 | $130 | $165 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $203 | $204 | $205 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $132 | $133 | $133 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $72 | $129 | $161 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $54 | $54 | $54 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $113 | $134 | $154 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $110 | $110 | $110 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $140 | $146 | $152 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $80 | $134 | $168 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $139 | $163 | $187 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $193 | $228 | $264 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $201 | $201 | $201 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $30 | $162 | $237 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $30 | $151 | $271 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $36 | $95 | $172 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $87 | $87 | $87 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $5 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $133 | $133 | $133 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $149 | $150 | $151 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $175 | $182 | $200 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $112 | $132 | $152 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $91 | $121 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $26 | $51 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $19 | $36 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $361 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $93 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $40 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $42 | $484 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $382 | $4,226 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $13 | $20 | $27 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $144 | $1,822 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $140 | $254 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $548 | $548 | $548 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $304 | $634 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $127 | $264 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $244 | $343 | $392 |
| Septoplasty CPT 30520 • ENT | $870 | $885 | $900 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $193 | $193 | $193 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $86 | $196 | $257 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $340 | $373 | $439 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $431 | $498 | $565 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $428 | $436 | $444 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $239 | $241 | $247 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $263 | $313 | $363 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $370 | $421 | $519 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $256 | $256 | $257 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $392 | $397 | $407 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $409 | $414 | $425 |