| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $67 | $130 | $165 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $81 | $146 | $205 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $100 | $122 | $133 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $109 | $161 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $54 | $54 | $54 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $64 | $64 | $64 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $110 | $110 | $110 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $140 | $146 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $169 | $191 | $227 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $187 | $187 | $187 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $164 | $180 | $195 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $201 | $201 | $201 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $220 | $233 | $240 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $170 | $170 | $170 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $72 | $100 | $172 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $65 | $75 | $87 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $7 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $94 | $156 | $211 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $90 | $117 | $151 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $175 | $182 | $200 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $94 | $123 | $152 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $127 | $172 | $217 |
| 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 | $26 | $35 | $46 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $25 | $31 | $36 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $244 | $455 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $63 | $118 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $4 | $5 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $42 | $324 | $607 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $382 | $2,724 | $5,066 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $13 | $97 | $181 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $959 | $1,653 | $2,000 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $140 | $183 | $227 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $548 | $548 | $548 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $304 | $320 | $336 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $127 | $166 | $187 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $355 | $392 |
| Septoplasty CPT 30520 • ENT | $870 | $885 | $900 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $179 | $234 | $289 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $62 | $163 | $257 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $216 | $311 | $439 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $333 | $423 | $512 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $397 | $444 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $239 | $241 | $247 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $310 | $363 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $30 | $323 | $519 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $156 | $256 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $369 | $407 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $364 | $425 |