| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $127 | $129 | $131 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $154 | $276 | $398 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $45 | $61 | $93 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $122 | $220 | $318 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $107 | $152 | $197 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $126 | $128 | $130 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $329 | $339 | $349 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $401 | $407 | $412 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $445 | $445 | $445 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $366 | $366 | $366 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $198 | $358 | $517 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $395 | $395 | $395 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $248 | $310 | $432 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $334 | $334 | $334 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $148 | $170 | $192 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $142 | $146 | $149 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $16 | $16 | $16 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $261 | $261 | $261 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $112 | $202 | $291 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $45 | $173 | $343 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $118 | $225 | $333 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $165 | $320 | $476 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $6 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $39 | $65 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $5 | $31 | $57 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $378 | $707 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $95 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $42 | $79 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $429 | $795 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $4,325 | $8,077 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $144 | $268 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $316 | $1,639 | $3,164 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $210 | $256 | $303 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $823 | $823 | $823 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $456 | $758 | $1,241 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $190 | $244 | $278 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $45 | $269 | $478 |
| Septoplasty CPT 30520 • ENT | $647 | $1,177 | $1,707 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $377 | $472 | $567 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $195 | $349 | $503 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $253 | $339 | $424 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $421 | $765 | $1,108 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $321 | $596 | $872 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $45 | $191 | $484 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $713 | $886 | $1,060 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $1,017 | $1,017 | $1,017 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $45 | $227 | $503 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $287 | $528 | $769 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $803 | $877 | $951 |