| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $182 | $193 | $205 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $156 | $209 | $248 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $58 | $121 | $161 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $89 | $154 | $198 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $152 | $249 | $424 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $166 | $180 | $188 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $180 | $202 | $221 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $219 | $299 | $427 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $242 | $281 | $322 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $188 | $206 | $228 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $282 | $315 | $340 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $324 | $366 | $395 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $346 | $476 | $670 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $289 | $325 | $351 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $163 | $181 | $197 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $92 | $143 | $228 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $5 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $231 | $385 | $686 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $159 | $217 | $310 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $186 | $211 | $230 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $167 | $208 | $275 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $120 | $204 | $264 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $11 | $11 | $11 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $5 | $5 | $5 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $26 | $46 | $76 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $11 | $11 | $12 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $113 | $113 | $113 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $28 | $28 | $28 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $12 | $12 | $12 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $144 | $144 | $144 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,316 | $1,491 | $1,666 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $47 | $47 | $47 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $496 | $579 | $662 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $491 | $491 | $491 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $1,260 | $1,690 | $2,120 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $912 | $912 | $912 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $423 | $423 | $423 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $414 | $529 | $587 |
| Septoplasty CPT 30520 • ENT | $940 | $1,766 | $3,300 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $309 | $331 | $367 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $276 | $308 | $331 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $358 | $694 | $1,300 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $502 | $601 | $689 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $445 | $564 | $666 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $248 | $482 | $892 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $364 | $561 | $868 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $519 | $648 | $779 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $272 | $409 | $639 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $401 | $488 | $575 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $419 | $784 | $1,427 |