| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $131 | $134 | $137 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $66 | $133 | $167 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $38 | $61 | $108 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $37 | $76 | $133 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $37 | $85 | $114 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $119 | $123 | $126 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $131 | $134 | $138 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $111 | $140 | $168 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $175 | $175 | $175 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $110 | $131 | $153 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $37 | $127 | $216 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $241 | $241 | $241 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $37 | $163 | $276 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $135 | $135 | $135 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $99 | $102 | $105 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $70 | $71 | $72 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $5 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $158 | $163 | $169 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $37 | $92 | $122 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $37 | $71 | $138 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $74 | $105 | $121 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $72 | $123 | $173 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $13 | $19 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $43 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $35 | $48 | $61 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $45 | $63 | $81 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $18 | $70 | $121 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $32 | $43 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $109 | $402 | $549 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $985 | $3,075 | $5,165 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $31 | $131 | $182 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $205 | $1,522 | $2,310 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $201 | $206 | $212 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $786 | $786 | $786 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $393 | $407 | $435 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $181 | $182 | $183 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $37 | $272 | $468 |
| Septoplasty CPT 30520 • ENT | $37 | $352 | $666 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $242 | $244 | $247 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $37 | $110 | $223 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $37 | $165 | $284 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $37 | $167 | $298 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $37 | $280 | $436 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $38 | $97 | $216 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $300 | $323 | $347 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $427 | $468 | $550 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $38 | $121 | $205 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $37 | $226 | $325 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $37 | $234 | $337 |