| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $211 | $220 | $230 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $255 | $270 | $284 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $59 | $143 | $185 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $137 | $180 | $223 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $45 | $45 | $45 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $194 | $194 | $194 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $60 | $101 | $142 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $118 | $201 | $284 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $130 | $169 | $208 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $117 | $117 | $117 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $137 | $137 | $137 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $168 | $168 | $168 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $418 | $418 | $418 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $338 | $354 | $369 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $62 | $88 | $113 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $60 | $67 | $73 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $33 | $60 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $111 | $111 | $111 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $76 | $140 | $204 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $148 | $209 | $240 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $122 | $122 | $122 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $115 | $115 | $115 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $32 | $58 | $85 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $29 | $39 | $49 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $258 | $484 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $81 | $143 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $29 | $54 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $340 | $629 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $3,501 | $6,565 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $14 | $91 | $168 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $982 | $1,517 | $2,052 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $166 | $166 | $166 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $525 | $525 | $525 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $285 | $285 | $285 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $141 | $141 | $141 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $741 | $822 | $862 |
| Septoplasty CPT 30520 • ENT | $732 | $1,352 | $1,973 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $389 | $389 | $389 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $218 | $381 | $545 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $286 | $514 | $741 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $476 | $877 | $1,279 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $370 | $370 | $370 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $205 | $416 | $521 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $60 | $181 | $302 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $431 | $764 | $1,097 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $153 | $496 | $667 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $485 | $748 | $1,011 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $60 | $283 | $506 |