| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $123 | $131 | $143 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $139 | $150 | $158 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $103 | $187 | $351 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $103 | $194 | $434 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $95 | $184 | $360 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $116 | $263 | $410 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $129 | $252 | $449 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $124 | $271 | $541 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $121 | $295 | $601 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $142 | $316 | $489 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $186 | $443 | $699 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $207 | $519 | $832 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $144 | $401 | $902 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $193 | $401 | $728 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $104 | $202 | $363 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $58 | $121 | $243 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $8 | $13 | $20 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $139 | $264 | $546 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $72 | $183 | $401 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $177 | $277 | $476 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $112 | $118 | $123 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $73 | $112 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $6 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $38 | $56 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $27 | $55 | $85 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $100 | $386 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $72 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $43 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $142 | $544 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $934 | $4,502 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $42 | $159 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,947 | $2,494 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $230 | $299 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $69 | $542 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $336 | $567 | $799 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $154 | $244 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $128 | $783 | $1,619 |
| Septoplasty CPT 30520 • ENT | $630 | $1,807 | $2,323 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $838 | $884 | $930 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $148 | $362 | $766 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $152 | $742 | $1,121 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $174 | $2,053 | $3,581 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $153 | $1,697 | $3,432 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $743 | $1,511 | $2,279 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $329 | $2,134 | $3,581 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $156 | $2,267 | $3,581 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $176 | $359 | $708 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $279 | $1,834 | $4,128 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $291 | $1,584 | $2,937 |