| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $51 | $58 | $64 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $98 | $153 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $32 | $57 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $43 | $88 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $42 | $68 | $105 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $37 | $66 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $78 | $101 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $121 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $122 | $163 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $103 | $118 | $140 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $92 | $133 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $147 | $160 | $173 |
| 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 | $154 | $173 | $193 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $55 | $78 | $100 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $43 | $60 | $75 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $4 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $146 | $153 | $164 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $82 | $97 | $110 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $65 | $96 | $129 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $43 | $67 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $133 | $139 | $144 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $18 | $18 | $18 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $5 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $7 | $40 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $58 | $58 | $58 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $77 | $77 | $77 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $15 | $17 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $9 | $43 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $60 | $365 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $944 | $944 | $944 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $26 | $148 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,172 | $2,606 | $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 | $575 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $146 | $240 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $380 | $433 |
| Septoplasty CPT 30520 • ENT | $581 | $593 | $605 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $134 | $177 | $220 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $83 | $121 | $184 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $202 | $248 | $329 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $310 | $317 | $323 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $419 | $479 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $175 | $211 | $234 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $333 | $378 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $370 | $518 | $604 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $188 | $189 | $191 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $308 | $323 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $323 | $339 |