| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $64 | $110 | $136 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $78 | $135 | $169 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $34 | $88 | $109 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $45 | $91 | $130 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $34 | $76 | $113 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $38 | $85 | $125 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $83 | $114 | $143 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $87 | $141 | $196 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $95 | $129 | $189 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $86 | $125 | $158 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $158 | $169 | $180 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $187 | $224 | $251 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $152 | $230 | $265 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $105 | $184 | $224 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $72 | $93 | $142 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $44 | $61 | $74 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $7 | $12 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $123 | $172 | $206 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $58 | $111 | $142 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $81 | $125 | $145 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $41 | $91 | $133 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $74 | $129 | $156 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $19 | $19 | $19 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $6 | $6 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $15 | $50 | $84 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $60 | $60 | $60 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $79 | $79 | $79 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $18 | $18 | $18 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $11 | $11 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $107 | $107 | $107 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $971 | $971 | $971 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $30 | $30 | $30 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $341 | $341 | $341 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $198 | $198 | $198 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $774 | $774 | $774 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $429 | $429 | $429 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $179 | $179 | $179 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $320 | $355 | $444 |
| Septoplasty CPT 30520 • ENT | $526 | $607 | $663 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $115 | $211 | $246 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $173 | $203 | $217 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $217 | $258 | $291 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $234 | $387 | $478 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $277 | $357 | $531 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $156 | $179 | $259 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $227 | $287 | $419 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $322 | $437 | $671 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $162 | $203 | $219 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $250 | $284 | $338 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $259 | $299 | $367 |