| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $47 | $85 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $62 | $122 | $153 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $80 | $93 | $101 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $119 | $121 | $123 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $105 | $106 | $107 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $49 | $71 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $64 | $105 | $127 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $146 | $149 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $133 | $153 | $173 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $133 | $136 | $140 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $188 | $191 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $219 | $219 | $219 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $192 | $243 | $284 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $206 | $206 | $206 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $79 | $96 | $113 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $65 | $66 | $66 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $2 | $2 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $76 | $133 | $164 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $64 | $92 | $110 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $85 | $105 | $128 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $91 | $106 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $63 | $108 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $6 | $47 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $3 | $23 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $31 | $66 | $96 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $72 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $41 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $41 | $469 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $382 | $887 | $1,472 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $11 | $147 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $924 | $1,971 | $2,708 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $140 | $254 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $548 | $548 | $548 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $228 | $514 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $112 | $206 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $271 | $284 | $291 |
| Septoplasty CPT 30520 • ENT | $629 | $647 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $209 | $209 | $209 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $63 | $143 | $184 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $242 | $247 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $402 | $417 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $319 | $322 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $165 | $169 | $179 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $255 | $257 | $259 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $364 | $367 | $370 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $130 | $152 | $174 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $277 | $282 | $285 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $289 | $293 | $297 |