| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $100 | $105 | $111 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $46 | $85 | $123 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $81 | $108 | $162 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $96 | $102 | $108 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $55 | $81 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $89 | $90 | $92 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $64 | $80 | $97 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $80 | $164 | $248 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $88 | $182 | $275 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $113 | $169 | $226 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $155 | $165 | $176 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $112 | $242 | $372 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $190 | $200 | $221 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $205 | $205 | $205 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $38 | $109 | $179 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $42 | $50 | $58 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $8 | $10 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $74 | $107 | $141 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $99 | $109 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $101 | $103 | $104 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $89 | $90 | $92 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $122 | $133 | $144 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $3 | $3 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $8 | $54 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $5 | $5 | $5 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $39 | $39 | $39 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $10 | $10 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $33 | $63 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $51 | $51 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $368 | $368 | $368 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $13 | $13 | $13 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $948 | $948 | $948 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $181 | $198 | $215 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $498 | $508 | $519 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $285 | $307 | $318 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $126 | $160 | $177 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $219 | $276 | $305 |
| Septoplasty CPT 30520 • ENT | $499 | $598 | $697 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $167 | $199 | $230 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $197 | $254 | $312 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $262 | $336 | $411 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $379 | $416 | $453 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $303 | $312 | $321 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $168 | $175 | $178 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $262 | $348 | $434 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $294 | $334 | $374 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $123 | $169 | $192 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $283 | $377 | $471 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $233 | $265 | $296 |