| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $112 | $117 | $121 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $148 | $238 | $329 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $165 | $199 | $226 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $117 | $192 | $256 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $30 | $95 | $168 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $44 | $160 | $243 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $175 | $224 | $287 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $44 | $175 | $252 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $357 | $357 | $357 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $227 | $260 | $292 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $190 | $228 | $265 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $493 | $493 | $493 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $234 | $448 | $576 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $278 | $278 | $278 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $44 | $146 | $217 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $113 | $114 | $116 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $42 | $64 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $309 | $314 | $323 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $106 | $148 | $186 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $124 | $236 | $304 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $111 | $118 | $126 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $156 | $219 | $283 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $19 | $33 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $5 | $11 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $9 | $24 | $46 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $38 | $71 | $105 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $94 | $139 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $31 | $79 | $127 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $18 | $29 | $40 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $66 | $126 | $187 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,695 | $3,723 | $5,750 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $53 | $99 | $145 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,624 | $2,588 | $3,975 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $266 | $306 | $345 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $1,353 | $1,353 | $1,353 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $591 | $670 | $749 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $240 | $264 | $312 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $355 | $689 | $972 |
| Septoplasty CPT 30520 • ENT | $808 | $1,098 | $1,388 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $500 | $513 | $525 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $146 | $243 | $351 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $307 | $376 | $455 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $525 | $571 | $617 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $396 | $664 | $905 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $447 | $461 | $467 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $324 | $530 | $718 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $44 | $686 | $1,143 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $309 | $376 | $444 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $338 | $499 | $659 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $521 | $603 | $684 |