| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $155 | $171 | $187 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $78 | $152 | $226 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $68 | $121 | $202 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $54 | $142 | $245 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $51 | $60 | $70 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $61 | $126 | $233 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $124 | $181 | $259 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $102 | $186 | $316 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $163 | $190 | $217 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $136 | $138 | $140 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $115 | $181 | $247 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $206 | $211 | $216 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $233 | $354 | $496 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $123 | $147 | $170 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $79 | $90 | $100 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $75 | $96 | $137 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $21 | $48 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $148 | $225 | $338 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $95 | $142 | $230 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $118 | $170 | $269 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $47 | $69 | $91 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $62 | $151 | $240 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $21 | $21 | $21 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $7 | $7 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $35 | $35 | $35 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $12 | $12 | $12 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $76 | $76 | $76 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $17 | $17 | $17 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $10 | $10 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $104 | $104 | $104 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $932 | $932 | $932 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $29 | $29 | $29 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $218 | $218 | $218 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $190 | $190 | $190 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $774 | $774 | $774 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $412 | $412 | $412 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $172 | $172 | $172 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $216 | $424 | $590 |
| Septoplasty CPT 30520 • ENT | $537 | $663 | $848 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $183 | $206 | $229 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $86 | $98 | $109 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $210 | $431 | $634 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $323 | $361 | $399 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $479 | $614 | $778 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $218 | $245 | $288 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $378 | $421 | $465 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $604 | $673 | $741 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $146 | $238 | $308 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $323 | $370 | $417 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $339 | $386 | $433 |