| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $100 | $111 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $186 | $186 | $186 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $67 | $85 | $93 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $46 | $46 | $46 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $49 | $49 | $49 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $41 | $54 | $66 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $66 | $66 | $66 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $152 | $201 | $250 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $98 | $119 | $139 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $90 | $90 | $90 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $149 | $149 | $149 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $113 | $113 | $113 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $170 | $196 | $222 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $115 | $115 | $115 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $72 | $72 | $72 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $32 | $78 | $111 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $8 | $12 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $191 | $191 | $191 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $84 | $135 | $185 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $96 | $108 | $121 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $122 | $131 | $141 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $200 | $200 | $200 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $23 | $39 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $3 | $4 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $78 | $89 | $104 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $11 | $67 | $117 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $83 | $387 | $692 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $20 | $21 | $23 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $16 | $58 | $100 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $109 | $679 | $1,248 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,716 | $6,237 | $10,758 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $52 | $204 | $356 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,410 | $3,153 | $4,027 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $288 | $297 | $305 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $989 | $989 | $989 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $576 | $593 | $610 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $232 | $237 | $247 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $32 | $499 | $1,117 |
| Septoplasty CPT 30520 • ENT | $530 | $530 | $530 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $131 | $131 | $131 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $79 | $216 | $352 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $282 | $470 | $658 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $274 | $274 | $274 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $402 | $402 | $402 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $195 | $207 | $213 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $329 | $329 | $329 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $470 | $470 | $470 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $101 | $221 | $326 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $357 | $430 | $504 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $372 | $372 | $372 |