| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $70 | $117 | $164 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $198 | $217 | $236 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $83 | $106 | $129 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $158 | $198 | $238 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $135 | $171 | $206 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $29 | $102 | $150 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $70 | $117 | $164 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $161 | $181 | $200 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $96 | $164 | $222 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $89 | $113 | $138 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $101 | $179 | $257 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $300 | $302 | $303 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $244 | $286 | $328 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $267 | $334 | $400 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $54 | $99 | $144 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $84 | $85 | $86 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $4 | $4 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $138 | $169 | $201 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $57 | $101 | $146 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $110 | $141 | $173 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $120 | $135 | $151 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $158 | $187 | $216 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $9 | $10 | $11 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $4 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $6 | $13 | $20 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $4 | $5 | $5 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $67 | $314 | $561 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $16 | $17 | $18 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $9 | $11 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $80 | $400 | $720 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $750 | $750 | $751 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $26 | $124 | $222 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,080 | $2,531 | $2,982 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $254 | $320 | $385 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $742 | $939 | $1,135 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $330 | $523 | $716 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $221 | $277 | $332 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $270 | $319 | $369 |
| Septoplasty CPT 30520 • ENT | $689 | $764 | $839 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $98 | $196 | $294 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $265 | $316 | $368 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $162 | $250 | $338 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $443 | $496 | $548 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $419 | $427 | $434 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $242 | $296 | $351 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $356 | $437 | $517 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $508 | $539 | $570 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $253 | $261 | $269 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $386 | $482 | $578 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $401 | $434 | $468 |