| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $102 | $118 | $125 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $151 | $152 | $152 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $30 | $46 | $99 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $53 | $98 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $30 | $85 | $105 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $77 | $102 | $115 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $79 | $109 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $97 | $152 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $107 | $167 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $62 | $113 | $139 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $121 | $169 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $148 | $185 | $222 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $30 | $199 | $246 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $126 | $162 | $198 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $30 | $51 | $78 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $61 | $65 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $5 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $98 | $142 | $165 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $64 | $85 | $111 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $30 | $98 | $128 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $93 | $108 | $115 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $152 | $155 | $161 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $7 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $38 | $60 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $4 | $37 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $39 | $378 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $80 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $30 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $250 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $5,526 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $14 | $148 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $173 | $2,134 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $174 | $303 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $525 | $852 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $285 | $671 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $141 | $285 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $30 | $222 | $319 |
| Septoplasty CPT 30520 • ENT | $632 | $652 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $30 | $154 | $216 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $133 | $171 | $192 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $250 | $282 | $329 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $244 | $359 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $166 | $281 | $326 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $30 | $100 | $181 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $237 | $255 | $266 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $171 | $322 | $380 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $118 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $284 | $289 | $300 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $30 | $229 | $302 |