| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $102 | $141 | $165 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $123 | $160 | $205 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $47 | $93 | $132 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $132 | $162 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $218 | $218 | $218 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $240 | $240 | $240 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $110 | $110 | $110 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $153 | $179 | $205 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $80 | $216 | $353 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $143 | $143 | $143 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $125 | $152 | $179 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $476 | $476 | $476 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $221 | $238 | $253 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $50 | $161 | $271 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $76 | $109 | $172 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $65 | $66 | $67 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $9 | $12 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $94 | $128 | $162 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $110 | $136 | $151 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $134 | $172 | $200 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $109 | $174 | $239 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $147 | $242 | $337 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $12 | $32 | $46 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $5 | $28 | $51 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $261 | $489 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $90 | $169 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $27 | $49 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $61 | $465 | $870 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $3,851 | $7,265 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $17 | $139 | $260 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,154 | $1,769 | $2,151 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $208 | $208 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $525 | $525 | $525 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $304 | $320 | $336 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $127 | $157 | $187 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $325 | $392 |
| Septoplasty CPT 30520 • ENT | $665 | $783 | $900 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $289 | $289 | $289 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $62 | $120 | $247 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $250 | $389 | $526 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $433 | $451 | $469 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $475 | $680 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $239 | $285 | $377 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $359 | $556 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $30 | $291 | $392 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $197 | $226 | $256 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $422 | $603 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $333 | $425 |