| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $124 | $144 | $163 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $150 | $197 | $243 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $47 | $51 | $54 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $43 | $82 | $121 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $56 | $61 | $66 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $67 | $91 | $116 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $99 | $112 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $118 | $139 | $160 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $90 | $104 | $117 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $83 | $112 | $142 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $149 | $177 | $205 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $173 | $181 | $189 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $186 | $199 | $211 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $154 | $163 | $172 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $70 | $75 | $80 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $43 | $46 | $50 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $6 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $119 | $172 | $226 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $82 | $97 | $113 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $97 | $116 | $135 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $43 | $44 | $46 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $133 | $156 | $179 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $12 | $18 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $4 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $15 | $28 | $41 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $12 | $35 | $58 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $77 | $87 | $96 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $17 | $21 | $24 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $10 | $12 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $109 | $121 | $133 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $944 | $944 | $944 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $26 | $31 | $37 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $420 | $1,296 | $2,172 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $161 | $242 | $322 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $710 | $843 | $977 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $350 | $524 | $699 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $146 | $218 | $291 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $416 | $429 | $443 |
| Septoplasty CPT 30520 • ENT | $581 | $647 | $714 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $142 | $181 | $220 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $83 | $189 | $295 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $341 | $386 | $430 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $310 | $311 | $313 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $460 | $725 | $991 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $184 | $204 | $225 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $341 | $352 | $363 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $483 | $532 | $580 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $188 | $229 | $270 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $318 | $395 | $472 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $333 | $389 | $445 |