| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $102 | $110 | $118 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $100 | $122 | $144 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $67 | $94 | $108 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $35 | $74 | $113 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $29 | $29 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $94 | $103 | $112 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $83 | $83 | $83 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $120 | $120 | $120 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $122 | $122 | $122 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $110 | $110 | $110 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $154 | $169 | $184 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $168 | $168 | $168 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $132 | $205 | $255 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $159 | $159 | $159 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $41 | $43 | $46 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $36 | $36 | $36 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $4 | $4 | $4 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $128 | $128 | $128 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $52 | $77 | $102 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $103 | $121 | $140 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $50 | $82 | $115 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $42 | $102 | $162 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $34 | $44 | $56 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $36 | $37 | $39 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $280 | $414 | $548 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $61 | $91 | $121 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $6 | $6 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $60 | $235 | $411 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $3,018 | $5,463 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $10 | $95 | $181 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $241 | $1,519 | $2,367 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $244 | $280 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $643 | $643 | $643 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $33 | $205 | $378 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $15 | $150 | $253 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $32 | $159 | $310 |
| Septoplasty CPT 30520 • ENT | $428 | $567 | $706 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $173 | $225 | $277 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $42 | $122 | $202 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $173 | $220 | $268 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $293 | $376 | $459 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $322 | $334 | $346 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $158 | $194 | $212 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $177 | $250 | $324 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $252 | $349 | $445 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $90 | $156 | $236 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $192 | $245 | $299 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $200 | $200 | $200 |