| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $112 | $119 | $126 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $136 | $144 | $152 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $60 | $80 | $119 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $80 | $83 | $86 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $56 | $63 | $69 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $313 | $313 | $313 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $155 | $181 | $207 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $196 | $223 | $251 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $194 | $194 | $194 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $175 | $186 | $197 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $159 | $180 | $202 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $254 | $263 | $273 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $212 | $282 | $422 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $213 | $296 | $378 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $99 | $204 | $309 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $125 | $152 | $180 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $4 | $8 | $12 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $293 | $304 | $314 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $96 | $138 | $180 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $114 | $192 | $239 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $76 | $193 | $310 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $114 | $151 | $189 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $7 | $10 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $4 | $5 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $33 | $36 | $41 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $44 | $50 | $57 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $52 | $282 | $512 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $78 | $143 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $5 | $6 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $69 | $79 | $89 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $810 | $3,571 | $6,331 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $30 | $131 | $232 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,518 | $1,990 | $2,226 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $220 | $235 | $250 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $593 | $692 | $791 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $41 | $256 | $411 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $156 | $187 | $203 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $429 | $541 | $764 |
| Septoplasty CPT 30520 • ENT | $601 | $839 | $1,076 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $224 | $312 | $400 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $174 | $182 | $190 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $320 | $375 | $430 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $266 | $724 | $1,182 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $390 | $542 | $695 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $193 | $243 | $343 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $485 | $600 | $715 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $1,018 | $1,018 | $1,018 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $173 | $270 | $367 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $264 | $527 | $789 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $275 | $402 | $528 |