| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $93 | $98 | $103 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $76 | $108 | $125 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $19 | $48 | $82 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $17 | $71 | $100 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $44 | $78 | $105 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $30 | $36 | $40 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $38 | $50 | $68 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $86 | $115 | $145 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $44 | $96 | $140 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $105 | $110 | $115 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $97 | $138 | $162 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $32 | $144 | $211 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $101 | $165 | $204 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $61 | $118 | $189 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $41 | $77 | $99 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $5 | $33 | $49 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $2 | $5 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $33 | $69 | $130 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $90 | $92 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $8 | $73 | $108 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $92 | $92 | $93 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $24 | $93 | $134 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $7 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $9 | $35 | $58 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $5 | $32 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $309 | $518 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $123 | $179 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $6 | $8 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $466 | $695 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $535 | $3,060 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $161 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $216 | $1,305 | $2,114 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $74 | $166 | $215 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $152 | $488 | $823 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $120 | $288 | $456 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $33 | $133 | $190 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $44 | $195 | $305 |
| Septoplasty CPT 30520 • ENT | $536 | $667 | $769 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $105 | $142 | $178 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $10 | $122 | $197 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $158 | $210 | $262 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $348 | $392 | $453 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $44 | $213 | $321 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $26 | $74 | $152 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $39 | $131 | $224 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $44 | $136 | $319 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $103 | $130 | $158 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $157 | $227 | $283 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $30 | $109 | $252 |