| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $125 | $126 | $127 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $8 | $82 | $155 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $10 | $56 | $102 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $19 | $70 | $121 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $38 | $75 | $113 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $12 | $12 | $12 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $13 | $13 | $13 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $23 | $23 | $23 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $11 | $11 | $11 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $21 | $21 | $21 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $193 | $195 | $197 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $223 | $223 | $223 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $30 | $137 | $243 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $13 | $70 | $126 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $39 | $39 | $39 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $7 | $7 | $7 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $1 | $1 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $9 | $9 | $9 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $11 | $61 | $111 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $13 | $72 | $131 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $56 | $79 | $102 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $28 | $84 | $141 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $7 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $11 | $42 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $39 | $40 | $40 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $52 | $371 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $133 | $156 | $179 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $8 | $21 | $34 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $687 | $691 | $695 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $2,749 | $5,410 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $135 | $145 | $154 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $167 | $1,215 | $2,264 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $37 | $128 | $219 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $507 | $507 | $508 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $80 | $80 | $80 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $179 | $179 | $180 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $30 | $180 | $329 |
| Septoplasty CPT 30520 • ENT | $333 | $543 | $754 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $30 | $136 | $241 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $115 | $160 | $206 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $189 | $236 | $283 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $55 | $271 | $488 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $189 | $276 | $364 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $26 | $119 | $212 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $259 | $259 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $370 | $370 | $370 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $159 | $159 | $159 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $30 | $171 | $311 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $223 | $273 | $324 |