| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $112 | $131 | $149 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $136 | $158 | $181 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $33 | $49 | $65 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $48 | $68 | $87 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $66 | $67 | $68 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $80 | $81 | $81 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $78 | $96 | $114 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $138 | $142 | $145 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $154 | $160 | $166 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $125 | $134 | $143 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $103 | $140 | $177 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $137 | $175 | $213 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $155 | $183 | $211 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $176 | $181 | $186 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $91 | $95 | $99 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $69 | $73 | $76 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $9 | $12 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $126 | $176 | $227 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $60 | $63 | $66 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $77 | $100 | $123 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $39 | $53 | $67 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $70 | $118 | $165 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $21 | $21 | $21 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $7 | $7 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $36 | $36 | $36 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $59 | $59 | $59 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $78 | $78 | $78 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $18 | $18 | $18 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $10 | $10 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $106 | $106 | $106 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $953 | $953 | $953 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $30 | $30 | $30 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $335 | $335 | $335 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $194 | $194 | $194 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $774 | $774 | $774 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $421 | $421 | $421 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $176 | $176 | $176 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $421 | $424 | $426 |
| Septoplasty CPT 30520 • ENT | $553 | $574 | $596 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $133 | $176 | $219 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $74 | $134 | $195 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $175 | $269 | $362 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $265 | $304 | $344 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $388 | $449 | $510 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $192 | $220 | $248 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $308 | $355 | $402 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $490 | $567 | $644 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $184 | $187 | $189 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $283 | $304 | $325 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $294 | $323 | $352 |