| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $123 | $172 | $222 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $84 | $118 | $152 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $99 | $139 | $178 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $77 | $98 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $65 | $85 | $104 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $33 | $73 | $113 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $124 | $137 | $150 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $152 | $170 | $188 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $109 | $138 | $167 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $127 | $133 | $139 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $91 | $142 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $94 | $158 | $222 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $190 | $213 | $237 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $127 | $163 | $198 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $78 | $86 | $94 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $35 | $50 | $65 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $5 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $163 | $208 | $253 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $109 | $156 | $202 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $128 | $143 | $158 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $112 | $115 | $119 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $152 | $154 | $156 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $9 | $11 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $6 | $39 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $44 | $48 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $56 | $373 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $165 | $171 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $43 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $70 | $499 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $75 | $4,073 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $22 | $146 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $208 | $1,625 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $254 | $311 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $742 | $879 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $330 | $565 | $799 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $221 | $277 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $178 | $235 | $291 |
| Septoplasty CPT 30520 • ENT | $430 | $547 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $150 | $190 | $230 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $114 | $148 | $183 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $192 | $221 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $180 | $305 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $442 | $568 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $113 | $144 | $175 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $285 | $311 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $369 | $373 | $376 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $144 | $166 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $284 | $364 | $443 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $194 | $246 | $297 |