| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $202 | $212 | $222 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $105 | $178 | $251 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $108 | $131 | $177 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $30 | $122 | $215 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $186 | $186 | $186 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $30 | $117 | $205 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $145 | $145 | $145 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $271 | $271 | $271 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $300 | $300 | $300 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $115 | $181 | $247 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $123 | $215 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $406 | $406 | $406 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $30 | $239 | $400 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $223 | $223 | $223 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $94 | $96 | $98 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $95 | $95 | $95 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $6 | $11 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $174 | $174 | $174 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $184 | $191 | $197 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $145 | $197 | $232 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $196 | $202 | $207 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $173 | $224 | $276 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $54 | $63 | $67 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $5 | $20 | $35 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $45 | $47 | $49 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $67 | $121 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $24 | $43 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $237 | $411 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $2,869 | $5,165 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $18 | $19 | $20 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $216 | $1,439 | $2,052 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $212 | $213 | $214 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $624 | $627 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $394 | $549 | $856 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $182 | $183 | $184 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $310 | $392 | $550 |
| Septoplasty CPT 30520 • ENT | $30 | $588 | $1,146 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $255 | $255 | $255 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $30 | $72 | $113 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $30 | $156 | $282 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $745 | $777 | $809 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $578 | $595 | $612 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $203 | $243 | $321 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $473 | $473 | $473 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $675 | $695 | $716 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $212 | $276 | $339 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $30 | $272 | $513 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $536 | $536 | $536 |