| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $354 | $360 | $366 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $73 | $256 | $439 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $179 | $221 | $306 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $148 | $246 | $343 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $95 | $195 | $295 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $137 | $233 | $329 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $229 | $297 | $366 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $430 | $433 | $436 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $478 | $499 | $521 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $292 | $349 | $407 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $551 | $552 | $554 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $280 | $337 | $394 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $419 | $597 | $694 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $338 | $464 | $591 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $138 | $149 | $161 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $66 | $107 | $149 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $6 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $264 | $353 | $443 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $82 | $202 | $321 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $228 | $284 | $372 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $141 | $242 | $344 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $439 | $447 | $456 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $5 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $46 | $51 | $56 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $5 | $5 | $5 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $47 | $47 | $47 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $20 | $20 | $20 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $5 | $5 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $140 | $140 | $140 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $875 | $875 | $875 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $17 | $17 | $17 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $208 | $1,472 | $2,736 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $387 | $387 | $387 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $1,050 | $1,050 | $1,050 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $342 | $502 | $582 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $169 | $266 | $314 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $531 | $634 | $819 |
| Septoplasty CPT 30520 • ENT | $1,870 | $1,929 | $1,989 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $405 | $516 | $627 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $236 | $386 | $536 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $706 | $709 | $713 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $690 | $952 | $1,213 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $400 | $618 | $835 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $303 | $372 | $511 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $686 | $732 | $779 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $467 | $720 | $974 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $355 | $430 | $538 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $779 | $812 | $846 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $816 | $873 | $930 |