| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $93 | $180 | $267 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $288 | $310 | $331 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $134 | $152 | $189 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $30 | $130 | $230 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $37 | $118 | $199 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $59 | $74 | $89 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $155 | $155 | $155 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $290 | $290 | $290 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $218 | $218 | $218 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $265 | $265 | $265 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $202 | $374 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $301 | $368 | $435 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $30 | $225 | $337 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $30 | $207 | $385 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $105 | $113 | $121 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $71 | $87 | $102 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $7 | $11 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $111 | $205 | $299 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $30 | $121 | $211 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $30 | $152 | $248 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $120 | $164 | $208 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $119 | $146 | $173 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $45 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $35 | $37 | $39 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $45 | $47 | $49 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $67 | $121 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $5 | $5 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $306 | $549 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $2,869 | $5,165 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $18 | $19 | $20 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,438 | $1,847 | $2,052 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $214 | $296 | $377 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $630 | $630 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $394 | $396 | $397 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $184 | $265 | $305 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $392 | $552 | $725 |
| Septoplasty CPT 30520 • ENT | $1,229 | $1,443 | $1,658 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $412 | $412 | $412 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $121 | $290 | $458 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $302 | $463 | $623 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $465 | $770 | $1,075 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $620 | $705 | $790 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $203 | $250 | $344 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $507 | $576 | $646 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $723 | $723 | $723 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $212 | $301 | $364 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $550 | $630 | $709 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $337 | $456 | $574 |