| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $74 | $122 | $157 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $90 | $128 | $167 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $109 | $122 | $147 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $131 | $155 | $179 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $155 | $155 | $155 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $49 | $60 | $71 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $122 | $124 | $126 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $108 | $165 | $226 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $80 | $190 | $251 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $116 | $161 | $206 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $212 | $252 | $291 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $223 | $223 | $223 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $264 | $298 | $366 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $136 | $162 | $188 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $81 | $139 | $172 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $55 | $76 | $96 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $9 | $9 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $233 | $233 | $233 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $100 | $110 | $121 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $142 | $169 | $200 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $116 | $146 | $176 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $105 | $131 | $157 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $6 | $26 | $60 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $19 | $41 | $64 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $289 | $545 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $75 | $141 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $5 | $6 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $42 | $58 | $73 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $382 | $3,377 | $6,373 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $13 | $118 | $223 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $959 | $1,921 | $2,402 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $140 | $174 | $208 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $548 | $548 | $548 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $304 | $403 | $452 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $127 | $168 | $188 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $355 | $377 | $421 |
| Septoplasty CPT 30520 • ENT | $814 | $888 | $962 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $182 | $251 | $319 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $86 | $198 | $283 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $307 | $374 | $439 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $368 | $447 | $525 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $390 | $441 | $491 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $217 | $236 | $273 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $263 | $328 | $402 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $374 | $473 | $573 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $34 | $182 | $284 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $346 | $396 | $434 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $326 | $401 | $452 |