| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $132 | $148 | $165 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $153 | $173 | $205 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $100 | $108 | $123 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $136 | $197 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $106 | $106 | $106 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $59 | $61 | $62 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $164 | $273 | $382 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $153 | $180 | $207 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $202 | $215 | $228 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $163 | $163 | $163 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $199 | $223 | $246 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $281 | $281 | $281 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $166 | $405 | $733 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $147 | $176 | $205 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $79 | $150 | $220 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $65 | $74 | $90 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $5 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $94 | $148 | $191 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $110 | $136 | $151 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $165 | $169 | $176 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $83 | $86 | $90 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $84 | $118 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $14 | $36 | $58 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $4 | $10 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $14 | $44 | $93 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $14 | $33 | $52 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $108 | $375 | $642 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $91 | $170 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $25 | $48 | $71 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $261 | $457 | $653 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $2,306 | $4,819 | $7,332 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $48 | $153 | $259 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,155 | $3,508 | $5,406 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $269 | $335 | $401 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $712 | $712 | $712 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $871 | $880 | $889 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $207 | $305 | $467 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $411 | $550 |
| Septoplasty CPT 30520 • ENT | $900 | $1,110 | $1,321 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $180 | $236 | $293 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $62 | $130 | $247 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $250 | $434 | $711 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $345 | $436 | $527 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $584 | $1,007 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $230 | $252 | $264 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $526 | $793 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $370 | $408 | $483 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $158 | $226 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $341 | $392 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $336 | $414 |