| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $117 | $132 | $163 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $145 | $163 | $204 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $32 | $105 | $159 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $48 | $86 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $60 | $88 | $104 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $44 | $79 | $113 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $120 | $123 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $112 | $141 | $152 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $117 | $149 | $167 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $111 | $128 | $139 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $170 | $185 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $215 | $226 | $241 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $231 | $270 | $384 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $30 | $130 | $198 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $51 | $67 | $78 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $60 | $63 | $65 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $7 | $10 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $93 | $151 | $198 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $64 | $76 | $107 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $71 | $132 | $205 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $27 | $90 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $146 | $157 | $179 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $7 | $48 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $12 | $35 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $96 | $375 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $24 | $109 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $7 | $28 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $133 | $581 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $334 | $5,492 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $37 | $167 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $304 | $1,538 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $164 | $306 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $349 | $839 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $357 | $691 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $149 | $288 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $278 | $361 | $484 |
| Septoplasty CPT 30520 • ENT | $638 | $661 | $674 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $30 | $133 | $215 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $61 | $180 | $295 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $242 | $293 | $430 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $229 | $437 | $658 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $304 | $359 | $500 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $30 | $168 | $435 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $250 | $301 | $395 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $355 | $558 | $949 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $167 | $270 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $278 | $330 | $472 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $290 | $316 | $361 |