| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $81 | $95 | $108 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $38 | $85 | $131 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $41 | $45 | $48 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $44 | $72 | $100 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $34 | $34 | $34 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $20 | $43 | $65 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $60 | $67 | $75 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $107 | $145 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $97 | $120 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $15 | $15 | $15 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $92 | $115 | $137 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $44 | $44 | $44 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $108 | $147 | $186 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $69 | $69 | $69 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $22 | $33 | $44 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $9 | $42 | $61 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $17 | $44 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $17 | $52 | $87 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $11 | $67 | $105 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $7 | $73 | $112 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $75 | $100 | $124 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $9 | $97 | $185 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $21 | $21 | $22 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $4 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $38 | $43 | $49 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $28 | $41 | $55 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $48 | $204 | $360 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $94 | $145 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $52 | $58 | $64 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $60 | $210 | $481 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $5,354 | $6,607 | $7,860 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $19 | $19 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $184 | $885 | $1,585 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $108 | $131 | $155 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $90 | $268 | $447 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $317 | $317 | $318 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $13 | $69 | $125 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $38 | $197 | $355 |
| Septoplasty CPT 30520 • ENT | $115 | $303 | $491 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $33 | $78 | $124 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $22 | $104 | $158 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $41 | $214 | $329 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $47 | $139 | $232 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $261 | $339 | $417 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $44 | $85 | $127 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $34 | $39 | $44 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $406 | $406 | $406 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $25 | $25 | $25 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $63 | $165 | $268 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $44 | $50 | $56 |