| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $163 | $192 | $222 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $243 | $259 | $275 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $55 | $116 | $178 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $80 | $85 | $90 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $60 | $63 | $65 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $56 | $78 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $125 | $138 | $150 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $134 | $161 | $188 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $86 | $102 | $117 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $127 | $134 | $142 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $91 | $131 | $170 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $189 | $230 | $271 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $158 | $174 | $190 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $172 | $207 | $241 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $94 | $103 | $112 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $41 | $55 | $70 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $7 | $10 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $73 | $139 | $206 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $113 | $158 | $202 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $136 | $147 | $158 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $70 | $105 | $140 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $74 | $126 | $179 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $9 | $11 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $6 | $10 | $15 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $12 | $28 | $44 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $56 | $76 | $96 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $24 | $94 | $165 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $11 | $12 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $70 | $101 | $133 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $750 | $750 | $750 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $37 | $129 | $222 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $208 | $314 | $420 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $254 | $288 | $322 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $742 | $860 | $977 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $330 | $514 | $699 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $221 | $256 | $291 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $314 | $335 | $355 |
| Septoplasty CPT 30520 • ENT | $506 | $686 | $866 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $114 | $202 | $291 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $114 | $204 | $295 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $192 | $311 | $430 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $180 | $238 | $296 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $459 | $513 | $568 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $184 | $250 | $317 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $311 | $331 | $350 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $279 | $461 | $643 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $144 | $207 | $270 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $472 | $497 | $522 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $475 | $510 | $545 |