| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $123 | $134 | $155 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $70 | $78 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $25 | $73 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $54 | $63 | $72 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $33 | $52 | $70 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $67 | $76 | $84 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $99 | $116 | $124 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $82 | $122 | $152 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $131 | $154 | $167 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $112 | $126 | $140 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $115 | $132 | $149 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $173 | $194 | $216 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $186 | $219 | $238 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $122 | $133 | $154 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $78 | $86 | $100 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $43 | $62 | $75 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $11 | $30 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $146 | $147 | $148 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $50 | $93 | $109 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $65 | $111 | $129 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $43 | $45 | $47 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $62 | $98 | $133 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $11 | $18 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $4 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $50 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $12 | $39 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $77 | $486 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $17 | $124 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $54 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $92 | $376 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $944 | $5,695 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $26 | $108 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $221 | $2,336 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $161 | $161 | $161 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $710 | $710 | $710 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $350 | $650 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $146 | $240 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $358 | $433 |
| Septoplasty CPT 30520 • ENT | $581 | $617 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $30 | $160 | $229 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $86 | $153 | $189 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $210 | $276 | $341 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $310 | $317 | $323 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $460 | $469 | $479 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $175 | $202 | $234 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $363 | $370 | $378 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $580 | $592 | $604 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $146 | $174 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $318 | $320 | $323 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $333 | $336 | $339 |