| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $68 | $91 | $114 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $83 | $109 | $135 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $4 | $36 | $98 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $90 | $131 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $97 | $97 | $97 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $61 | $61 | $61 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $170 | $170 | $170 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $206 | $206 | $206 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $159 | $159 | $159 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $186 | $186 | $186 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $166 | $168 | $171 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $318 | $318 | $318 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $42 | $200 | $346 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $278 | $278 | $278 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $134 | $134 | $134 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $113 | $113 | $113 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $6 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $241 | $241 | $241 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $50 | $103 | $155 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $114 | $116 | $120 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $101 | $105 | $108 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $146 | $196 | $245 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $14 | $24 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $10 | $23 | $48 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $37 | $52 | $67 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $78 | $291 | $503 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $18 | $72 | $126 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $33 | $55 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $106 | $393 | $680 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $953 | $3,411 | $5,868 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $34 | $91 | $148 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,196 | $2,209 | $2,235 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $195 | $226 | $257 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $791 | $791 | $791 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $363 | $392 | $421 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $168 | $181 | $208 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $281 | $403 | $628 |
| Septoplasty CPT 30520 • ENT | $643 | $764 | $884 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $328 | $328 | $328 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $173 | $225 | $276 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $257 | $362 | $466 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $390 | $417 | $444 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $326 | $448 | $571 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $181 | $214 | $282 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $453 | $453 | $453 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $721 | $721 | $721 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $190 | $232 | $274 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $286 | $352 | $418 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $50 | $242 | $434 |