| Allergen specific IgE each allergen CPT 86003 • Allergy | $3 | $3 | $4 |
| Allergen specific IgE qualitative multi-allergen CPT 86005 • Allergy | $4 | $5 | $6 |
| Percutaneous allergy skin test each allergen CPT 95004 • Allergy | $4 | $4 | $4 |
| Allergy testing insect venoms CPT 95017 • Allergy | $4 | $4 | $4 |
| Allergy testing drugs or biologicals CPT 95018 • Allergy | $7 | $7 | $8 |
| Intracutaneous allergy test each allergen CPT 95024 • Allergy | $1 | $4 | $8 |
| Allergen immunotherapy injection single CPT 95115 • Allergy | $9 | $10 | $10 |
| Allergen immunotherapy injection multiple CPT 95117 • Allergy | $11 | $11 | $12 |
| Allergen immunotherapy antigen preparation multi-dose CPT 95165 • Allergy | $3 | $9 | $15 |
| Permanent pacemaker insertion CPT 33208 • Cardiology | $463 | $529 | $595 |
| Implantable defibrillator insertion CPT 33249 • Cardiology | $814 | $930 | $1,047 |
| Coronary artery bypass graft (CABG) single CPT 33533 • Cardiology | $1,670 | $1,902 | $2,135 |
| Coronary artery bypass graft (CABG) two grafts CPT 33534 • Cardiology | $1,962 | $2,235 | $2,509 |
| Coronary artery bypass graft (CABG) three grafts CPT 33535 • Cardiology | $2,180 | $2,489 | $2,798 |
| Percutaneous coronary angioplasty single vessel CPT 92920 • Cardiology | $469 | $512 | $555 |
| Percutaneous coronary stent single vessel CPT 92928 • Cardiology | $521 | $569 | $617 |
| Electrocardiogram (ECG) 12-lead CPT 93000 • Cardiology | $8 | $13 | $17 |
| Electrocardiogram tracing only CPT 93005 • Cardiology | $8 | $8 | $8 |
| Electrocardiogram interpretation only CPT 93010 • Cardiology | $9 | $10 | $11 |
| Cardiovascular stress test CPT 93015 • Cardiology | $34 | $53 | $72 |
| Cardiovascular stress test tracing only CPT 93017 • Cardiology | $33 | $34 | $34 |
| Holter monitor up to 48 hours CPT 93224 • Cardiology | $43 | $66 | $89 |
| External ECG recording up to 7 days CPT 93241 • Cardiology | $338 | $338 | $338 |
| Echocardiography transthoracic limited CPT 93303 • Cardiology | $139 | $187 | $235 |
| Echocardiography transthoracic complete CPT 93306 • Cardiology | $64 | $137 | $210 |
| Echocardiography transesophageal CPT 93312 • Cardiology | $98 | $175 | $251 |
| Stress echocardiography CPT 93350 • Cardiology | $103 | $148 | $192 |
| Left and right heart catheterization CPT 93452 • Cardiology | $210 | $229 | $248 |
| Left heart catheterization CPT 93458 • Cardiology | $262 | $671 | $1,079 |
| Left heart catheterization with ventriculography CPT 93459 • Cardiology | $297 | $736 | $1,175 |
| Duplex scan extracranial arteries CPT 93880 • Cardiology | $44 | $122 | $200 |
| Non-invasive physiologic study extremity arteries CPT 93922 • Cardiology | $11 | $12 | $13 |
| Duplex scan lower extremity arteries CPT 93925 • Cardiology | $213 | $236 | $259 |
| Duplex scan extremity veins complete CPT 93970 • Cardiology | $36 | $117 | $198 |
| Paring or cutting benign hyperkeratotic lesion single CPT 11055 • Dermatology | $15 | $42 | $70 |
| Paring or cutting benign hyperkeratotic lesions 2-4 CPT 11056 • Dermatology | $22 | $24 | $27 |
| Tangential biopsy of skin single lesion CPT 11102 • Dermatology | $103 | $107 | $111 |
| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $50 | $95 | $140 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $60 | $64 | $68 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $40 | $67 | $94 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $55 | $60 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $99 | $108 | $117 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $44 | $86 | $129 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $122 | $131 | $140 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $103 | $110 | $117 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $164 | $177 | $189 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $104 | $130 | $155 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $118 | $169 | $220 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $144 | $200 | $256 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $157 | $170 | $184 |