| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $151 | $252 | $353 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $439 | $452 | $466 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $94 | $100 | $107 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $343 | $358 | $372 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $122 | $210 | $297 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $126 | $240 | $355 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $363 | $374 | $385 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $298 | $384 | $469 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $353 | $419 | $486 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $407 | $418 | $428 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $557 | $581 | $605 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $415 | $559 | $703 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $499 | $595 | $691 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $575 | $599 | $622 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $326 | $332 | $339 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $192 | $196 | $200 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $12 | $18 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $301 | $387 | $473 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $323 | $332 | $342 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $377 | $389 | $401 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $336 | $345 | $354 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $441 | $469 | $497 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $7 | $10 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $46 | $76 | $105 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $35 | $48 | $61 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $47 | $325 | $603 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $88 | $165 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $36 | $67 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $61 | $422 | $784 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $525 | $4,038 | $7,550 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $17 | $113 | $209 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,385 | $2,266 | $3,146 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $208 | $208 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $630 | $630 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $342 | $342 | $342 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $169 | $169 | $169 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $832 | $852 | $871 |
| Septoplasty CPT 30520 • ENT | $1,906 | $1,947 | $1,989 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $431 | $436 | $442 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $196 | $362 | $528 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $723 | $750 | $778 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $1,227 | $1,260 | $1,293 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $891 | $947 | $1,004 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $497 | $527 | $558 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $732 | $776 | $821 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $1,042 | $1,106 | $1,171 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $416 | $480 | $544 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $822 | $856 | $891 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $859 | $894 | $930 |