| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $201 | $207 | $214 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $153 | $219 | $258 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $62 | $107 | $159 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $119 | $173 | $205 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $67 | $114 | $171 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $44 | $81 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $125 | $136 | $144 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $153 | $187 | $256 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $112 | $198 | $285 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $140 | $207 | $250 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $312 | $318 | $331 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $144 | $269 | $394 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $288 | $352 | $384 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $219 | $282 | $345 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $79 | $115 | $172 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $65 | $82 | $115 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $94 | $174 | $259 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $175 | $180 | $190 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $205 | $212 | $225 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $104 | $153 | $203 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $231 | $241 | $251 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $25 | $25 | $25 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $9 | $9 | $9 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $66 | $66 | $66 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $61 | $61 | $61 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $80 | $80 | $80 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $20 | $20 | $20 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $54 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $104 | $104 | $104 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $939 | $939 | $939 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $31 | $31 | $31 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $350 | $350 | $350 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $266 | $317 | $369 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $1,015 | $1,030 | $1,044 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $578 | $578 | $578 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $241 | $436 | $533 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $506 | $767 |
| Septoplasty CPT 30520 • ENT | $1,047 | $1,069 | $1,091 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $397 | $459 | $521 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $62 | $243 | $363 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $250 | $367 | $452 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $432 | $459 | $486 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $636 | $879 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $352 | $421 | $489 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $515 | $720 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $900 | $964 | $1,027 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $410 | $442 | $475 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $457 | $635 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $418 | $658 |