| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $126 | $126 | $126 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $153 | $153 | $153 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $60 | $92 | $109 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $81 | $81 | $81 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $32 | $37 | $41 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $74 | $74 | $74 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $65 | $65 | $65 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $124 | $124 | $124 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $95 | $140 | $185 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $112 | $112 | $112 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $95 | $95 | $95 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $190 | $190 | $190 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $209 | $237 | $264 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $103 | $160 | $218 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $52 | $66 | $80 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $47 | $53 | $59 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $152 | $167 | $182 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $97 | $108 | $120 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $73 | $108 | $142 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $57 | $87 | $116 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $53 | $53 | $53 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $18 | $29 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $8 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $46 | $55 | $60 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $15 | $28 | $41 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $95 | $347 | $598 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $22 | $81 | $141 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $6 | $9 | $13 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $80 | $106 | $132 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,165 | $3,769 | $6,373 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $22 | $32 | $42 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,977 | $2,370 | $2,731 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $225 | $242 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $742 | $742 | $742 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $449 | $451 | $452 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $188 | $195 | $208 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $356 | $367 | $378 |
| Septoplasty CPT 30520 • ENT | $523 | $523 | $523 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $116 | $116 | $116 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $68 | $68 | $68 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $163 | $163 | $163 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $247 | $247 | $247 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $365 | $365 | $365 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $180 | $205 | $217 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $232 | $260 | $288 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $460 | $460 | $460 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $164 | $187 | $210 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $256 | $256 | $256 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $268 | $268 | $268 |