| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $123 | $145 | $168 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $125 | $164 | $203 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $74 | $90 | $99 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $97 | $119 | $130 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $49 | $71 | $102 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $67 | $93 | $122 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $140 | $160 | $180 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $148 | $174 | $213 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $112 | $149 | $186 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $86 | $123 | $161 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $160 | $177 | $195 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $122 | $138 | $153 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $237 | $304 | $337 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $104 | $151 | $198 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $99 | $118 | $144 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $91 | $108 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $12 | $13 | $17 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $255 | $255 | $255 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $111 | $136 | $148 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $87 | $146 | $176 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $59 | $83 | $107 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $147 | $153 | $159 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $15 | $25 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $9 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $56 | $63 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $16 | $32 | $48 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $105 | $372 | $639 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $23 | $94 | $165 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $12 | $41 | $70 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $85 | $118 | $150 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,287 | $4,380 | $7,472 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $35 | $146 | $258 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $281 | $1,895 | $2,961 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $211 | $217 | $224 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $586 | $777 | $968 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $458 | $461 | $465 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $191 | $202 | $212 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $479 | $578 | $628 |
| Septoplasty CPT 30520 • ENT | $621 | $748 | $876 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $254 | $254 | $254 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $101 | $224 | $285 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $407 | $478 | $514 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $387 | $427 | $468 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $573 | $654 | $694 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $279 | $319 | $339 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $253 | $417 | $547 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $370 | $656 | $875 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $212 | $234 | $277 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $365 | $433 | $467 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $396 | $459 | $491 |