| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $97 | $98 | $100 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $117 | $120 | $123 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $77 | $79 | $81 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $41 | $68 | $96 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $29 | $68 | $108 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $89 | $90 | $92 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $100 | $114 | $129 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $118 | $120 | $122 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $131 | $133 | $134 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $107 | $110 | $113 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $125 | $140 | $155 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $112 | $114 | $115 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $190 | $190 | $190 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $208 | $208 | $208 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $38 | $76 | $113 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $42 | $54 | $67 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $121 | $126 | $132 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $52 | $70 | $89 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $104 | $114 | $134 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $92 | $105 | $118 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $122 | $123 | $125 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $5 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $15 | $46 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $38 | $38 | $38 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $49 | $49 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $10 | $10 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $7 | $8 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $63 | $63 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $437 | $437 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $14 | $14 | $14 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $173 | $173 | $173 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $174 | $194 | $215 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $498 | $660 | $823 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $285 | $307 | $318 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $177 | $181 | $190 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $219 | $276 | $305 |
| Septoplasty CPT 30520 • ENT | $665 | $681 | $697 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $167 | $199 | $230 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $197 | $197 | $197 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $260 | $261 | $262 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $432 | $443 | $453 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $321 | $328 | $336 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $178 | $181 | $186 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $206 | $234 | $262 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $294 | $334 | $374 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $104 | $163 | $192 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $283 | $291 | $298 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $233 | $265 | $296 |