| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $215 | $217 | $219 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $272 | $272 | $272 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $30 | $56 | $98 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $86 | $154 | $211 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $73 | $73 | $73 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $156 | $178 | $201 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $119 | $169 | $219 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $19 | $163 | $265 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $128 | $168 | $208 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $144 | $144 | $144 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $179 | $262 | $344 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $126 | $199 | $273 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $213 | $264 | $341 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $19 | $189 | $358 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $172 | $176 | $180 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $72 | $103 | $135 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $8 | $9 | $11 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $209 | $233 | $257 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $98 | $148 | $195 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $30 | $103 | $178 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $91 | $109 | $127 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $286 | $286 | $286 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $14 | $22 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $8 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $7 | $34 | $57 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $32 | $51 | $72 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $93 | $165 | $307 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $21 | $53 | $107 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $21 | $47 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $47 | $121 | $177 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,202 | $2,504 | $4,840 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $16 | $28 | $36 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $398 | $1,348 | $1,824 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $199 | $215 | $231 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $904 | $904 | $904 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $390 | $427 | $458 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $180 | $190 | $208 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $30 | $379 | $628 |
| Septoplasty CPT 30520 • ENT | $583 | $1,022 | $1,334 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $219 | $274 | $329 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $189 | $222 | $283 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $343 | $533 | $760 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $317 | $378 | $439 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $471 | $610 | $749 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $30 | $126 | $318 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $263 | $428 | $594 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $19 | $446 | $945 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $229 | $384 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $313 | $389 | $447 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $19 | $304 | $468 |