| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $43 | $85 | $127 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $52 | $104 | $157 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $30 | $78 | $103 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $97 | $110 | $123 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $81 | $81 | $81 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $40 | $40 | $40 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $66 | $66 | $66 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $117 | $119 | $122 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $135 | $135 | $135 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $86 | $86 | $86 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $158 | $178 | $199 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $187 | $187 | $187 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $203 | $232 | $246 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $105 | $105 | $105 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $44 | $58 | $72 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $44 | $49 | $54 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $8 | $8 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $123 | $123 | $123 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $102 | $114 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $106 | $124 | $134 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $58 | $85 | $111 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $131 | $138 | $146 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $11 | $19 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $9 | $10 | $11 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $12 | $26 | $39 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $79 | $287 | $494 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $18 | $72 | $127 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $8 | $11 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $107 | $387 | $667 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $971 | $3,361 | $5,752 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $30 | $88 | $145 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,615 | $2,015 | $2,276 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $175 | $186 | $198 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $376 | $575 | $774 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $326 | $360 | $429 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $151 | $160 | $179 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $326 | $340 | $368 |
| Septoplasty CPT 30520 • ENT | $526 | $636 | $746 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $190 | $190 | $190 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $55 | $132 | $208 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $217 | $249 | $281 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $234 | $358 | $482 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $343 | $346 | $348 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $169 | $186 | $194 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $272 | $272 | $272 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $433 | $433 | $433 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $154 | $179 | $222 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $250 | $290 | $330 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $259 | $303 | $347 |