| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $126 | $145 | $165 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $81 | $118 | $156 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $48 | $74 | $101 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $122 | $141 | $160 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $55 | $103 | $147 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $65 | $90 | $116 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $109 | $118 | $127 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $140 | $148 | $156 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $57 | $128 | $172 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $143 | $163 | $184 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $164 | $181 | $197 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $228 | $266 | $304 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $244 | $285 | $327 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $212 | $240 | $268 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $76 | $105 | $128 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $67 | $72 | $77 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $17 | $40 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $162 | $179 | $208 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $105 | $114 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $131 | $152 | $172 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $102 | $125 | $147 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $91 | $137 | $182 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $13 | $20 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $5 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $37 | $46 | $55 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $4 | $28 | $52 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $64 | $278 | $492 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $13 | $14 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $7 | $8 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $87 | $419 | $751 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $594 | $685 | $776 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $16 | $22 | $28 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $195 | $195 | $195 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $219 | $225 | $230 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $507 | $831 | $1,394 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $334 | $486 | $788 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $154 | $167 | $180 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $87 | $265 | $379 |
| Septoplasty CPT 30520 • ENT | $609 | $743 | $865 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $190 | $216 | $241 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $192 | $217 | $252 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $218 | $299 | $397 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $102 | $384 | $561 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $364 | $407 | $449 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $88 | $179 | $249 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $298 | $332 | $367 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $315 | $421 | $524 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $182 | $193 | $203 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $311 | $352 | $394 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $325 | $368 | $410 |