| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $193 | $195 | $197 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $107 | $137 | $167 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $39 | $66 | $80 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $336 | $336 | $336 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $97 | $105 | $114 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $55 | $86 | $117 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $91 | $206 | $356 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $115 | $209 | $303 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $129 | $299 | $470 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $38 | $116 | $194 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $558 | $558 | $558 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $255 | $345 | $436 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $320 | $364 | $385 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $157 | $157 | $157 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $36 | $57 | $79 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $87 | $119 | $150 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $7 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $112 | $172 | $233 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $86 | $120 | $153 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $210 | $261 | $362 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $288 | $288 | $288 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $420 | $420 | $420 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $3 | $3 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $61 | $61 | $61 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $81 | $81 | $81 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $98 | $98 | $98 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $29 | $29 | $29 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $11 | $11 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $42 | $42 | $42 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,553 | $1,553 | $1,553 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $13 | $13 | $13 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $144 | $144 | $144 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $323 | $323 | $323 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $904 | $904 | $904 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $457 | $457 | $457 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $127 | $127 | $127 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $465 | $596 | $725 |
| Septoplasty CPT 30520 • ENT | $1,658 | $1,742 | $1,827 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $302 | $338 | $374 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $101 | $316 | $531 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $249 | $436 | $623 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $716 | $895 | $1,075 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $558 | $674 | $790 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $279 | $363 | $530 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $38 | $280 | $523 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $585 | $711 | $837 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $328 | $429 | $531 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $709 | $777 | $844 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $363 | $386 | $410 |