| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $57 | $96 | $134 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $69 | $134 | $167 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $109 | $113 | $122 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $131 | $137 | $148 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $114 | $121 | $128 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $49 | $105 | $141 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $138 | $147 | $157 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $168 | $180 | $191 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $210 | $210 | $210 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $154 | $165 | $176 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $212 | $222 | $241 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $160 | $171 | $182 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $198 | $242 | $264 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $136 | $192 | $249 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $75 | $108 | $141 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $72 | $78 | $83 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $5 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $159 | $182 | $205 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $121 | $127 | $139 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $9 | $105 | $163 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $116 | $125 | $142 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $157 | $174 | $190 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $41 | $53 | $60 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $23 | $32 | $41 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $54 | $157 | $259 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $76 | $108 | $141 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $23 | $60 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $337 | $600 | $732 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $334 | $3,353 | $6,373 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $12 | $86 | $223 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $132 | $1,645 | $2,402 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $164 | $186 | $208 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $349 | $446 | $544 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $357 | $404 | $452 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $149 | $175 | $188 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $355 | $358 | $362 |
| Septoplasty CPT 30520 • ENT | $814 | $822 | $829 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $260 | $263 | $266 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $224 | $225 | $227 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $196 | $270 | $307 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $525 | $529 | $533 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $390 | $392 | $395 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $217 | $218 | $220 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $319 | $321 | $325 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $455 | $458 | $462 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $227 | $232 | $236 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $346 | $351 | $361 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $363 | $370 | $377 |