| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $108 | $128 | $148 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $180 | $180 | $180 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $73 | $73 | $73 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $124 | $124 | $124 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $167 | $167 | $167 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $200 | $200 | $200 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $285 | $285 | $285 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $173 | $206 | $238 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $262 | $262 | $262 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $317 | $317 | $317 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $266 | $266 | $266 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $341 | $341 | $341 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $560 | $560 | $560 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $286 | $286 | $286 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $126 | $139 | $153 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $183 | $183 | $183 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $12 | $12 | $12 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $333 | $333 | $333 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $92 | $120 | $148 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $192 | $192 | $192 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $155 | $155 | $155 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $169 | $169 | $169 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $158 | $158 | $158 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $73 | $133 | $193 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $94 | $175 | $256 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $31 | $44 | $58 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $34 | $41 | $47 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $173 | $261 | $348 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $3,122 | $3,122 | $3,122 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $98 | $124 | $150 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $7,319 | $7,319 | $7,319 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $636 | $636 | $636 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $1,379 | $1,379 | $1,379 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $575 | $575 | $575 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $1,033 | $1,033 | $1,033 |
| Septoplasty CPT 30520 • ENT | $1,438 | $1,438 | $1,438 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $541 | $541 | $541 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $466 | $466 | $466 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $818 | $818 | $818 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $722 | $722 | $722 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $1,066 | $1,066 | $1,066 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $523 | $523 | $523 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $843 | $843 | $843 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $1,343 | $1,343 | $1,343 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $451 | $451 | $451 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $735 | $735 | $735 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $770 | $770 | $770 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $636 | $636 | $636 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $518 | $518 | $518 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $53 | $68 | $83 |