| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $117 | $133 | $148 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $71 | $108 | $145 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $92 | $101 | $118 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $114 | $129 | $144 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $95 | $110 | $125 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $56 | $56 | $56 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $77 | $113 | $148 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $143 | $162 | $181 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $106 | $153 | $200 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $123 | $123 | $123 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $144 | $163 | $183 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $271 | $271 | $271 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $194 | $217 | $230 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $239 | $239 | $239 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $52 | $92 | $132 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $60 | $69 | $77 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $7 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $154 | $171 | $187 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $106 | $119 | $132 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $98 | $115 | $125 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $108 | $140 | $171 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $103 | $125 | $147 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $6 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $11 | $71 | $114 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $39 | $51 | $64 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $48 | $429 | $809 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $113 | $214 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $26 | $47 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $86 | $109 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $554 | $4,899 | $9,245 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $20 | $21 | $22 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,446 | $2,895 | $3,623 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $210 | $239 | $268 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $500 | $606 | $712 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $342 | $393 | $445 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $188 | $224 | $245 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $276 | $306 | $366 |
| Septoplasty CPT 30520 • ENT | $631 | $734 | $836 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $243 | $262 | $280 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $83 | $129 | $175 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $238 | $283 | $327 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $408 | $476 | $544 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $296 | $359 | $423 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $168 | $190 | $235 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $243 | $294 | $346 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $429 | $461 | $494 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $176 | $183 | $190 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $270 | $339 | $408 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $313 | $369 | $425 |