| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $51 | $59 | $67 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $147 | $147 | $147 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $67 | $99 | $116 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $54 | $109 | $163 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $102 | $102 | $102 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $112 | $134 | $156 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $98 | $129 | $166 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $150 | $178 | $206 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $114 | $115 | $116 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $102 | $113 | $123 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $123 | $123 | $123 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $151 | $151 | $151 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $243 | $271 | $293 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $199 | $219 | $239 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $57 | $81 | $105 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $53 | $68 | $88 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $4 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $119 | $161 | $209 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $108 | $129 | $150 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $87 | $122 | $153 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $104 | $104 | $104 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $152 | $152 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $5 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $15 | $46 | $88 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $20 | $42 | $65 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $316 | $600 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $103 | $197 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $46 | $88 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $42 | $533 | $1,025 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $382 | $4,867 | $9,353 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $14 | $173 | $332 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $144 | $2,397 | $3,523 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $154 | $154 | $154 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $489 | $489 | $489 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $228 | $327 | $427 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $127 | $182 | $237 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $264 | $371 | $479 |
| Septoplasty CPT 30520 • ENT | $603 | $603 | $603 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $195 | $216 | $238 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $62 | $62 | $62 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $235 | $235 | $235 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $390 | $390 | $390 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $318 | $318 | $318 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $176 | $271 | $319 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $365 | $470 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $371 | $521 | $672 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $172 | $224 | $276 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $270 | $270 | $270 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $281 | $281 | $281 |