| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $136 | $191 | $269 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $326 | $354 | $400 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $67 | $113 | $185 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $107 | $130 | $163 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $37 | $148 | $259 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $98 | $128 | $156 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $166 | $181 | $196 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $119 | $200 | $277 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $225 | $329 | $434 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $139 | $200 | $261 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $470 | $470 | $470 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $295 | $295 | $295 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $238 | $331 | $478 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $198 | $362 | $527 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $104 | $110 | $116 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $72 | $101 | $145 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $12 | $26 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $209 | $223 | $237 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $120 | $135 | $150 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $87 | $185 | $341 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $112 | $139 | $165 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $152 | $266 | $380 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $15 | $22 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $61 | $98 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $53 | $61 | $70 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $212 | $451 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $21 | $99 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $16 | $36 | $57 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $125 | $526 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,132 | $4,602 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $111 | $202 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,280 | $2,659 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $296 | $332 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $1,162 | $1,162 | $1,162 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $643 | $747 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $190 | $285 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $565 | $725 |
| Septoplasty CPT 30520 • ENT | $1,552 | $1,605 | $1,658 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $536 | $633 | $729 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $130 | $294 | $458 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $623 | $728 | $833 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $1,008 | $1,041 | $1,075 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $790 | $1,055 | $1,320 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $273 | $399 | $651 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $642 | $644 | $646 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $921 | $1,294 | $1,667 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $188 | $389 | $510 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $589 | $649 | $709 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $612 | $676 | $740 |