| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $113 | $173 | $205 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $214 | $235 | $248 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $139 | $153 | $161 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $121 | $171 | $198 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $142 | $159 | $170 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $72 | $148 | $188 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $201 | $225 | $270 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $245 | $273 | $324 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $152 | $234 | $279 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $95 | $182 | $228 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $315 | $352 | $419 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $209 | $320 | $381 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $154 | $323 | $412 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $290 | $317 | $335 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $176 | $196 | $229 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $105 | $110 | $116 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $8 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $221 | $240 | $252 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $159 | $173 | $182 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $189 | $205 | $216 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $156 | $174 | $184 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $234 | $254 | $264 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $1 | $7 | $13 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $4 | $5 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $29 | $71 | $111 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $7 | $23 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $98 | $509 | $739 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $21 | $75 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $52 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $117 | $585 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,033 | $3,402 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $29 | $113 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $331 | $1,270 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $368 | $448 | $566 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $87 | $923 | $1,666 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $799 | $984 | $1,103 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $333 | $427 | $487 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $170 | $361 | $464 |
| Septoplasty CPT 30520 • ENT | $563 | $882 | $1,056 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $194 | $307 | $367 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $97 | $251 | $331 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $359 | $399 | $425 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $589 | $650 | $689 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $490 | $524 | $551 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $272 | $291 | $306 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $402 | $430 | $452 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $361 | $543 | $645 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $273 | $300 | $317 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $473 | $535 | $644 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $491 | $555 | $668 |