| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $154 | $156 | $158 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $142 | $165 | $188 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $93 | $113 | $122 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $67 | $107 | $148 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $55 | $77 | $99 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $55 | $105 | $154 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $77 | $115 | $153 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $125 | $133 | $141 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $137 | $180 | $224 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $123 | $127 | $131 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $260 | $260 | $260 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $55 | $105 | $155 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $295 | $309 | $336 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $272 | $272 | $272 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $55 | $95 | $134 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $53 | $54 | $55 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $7 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $117 | $133 | $148 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $45 | $75 | $104 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $123 | $146 | $158 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $106 | $106 | $106 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $175 | $175 | $175 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $15 | $24 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $49 | $55 | $62 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $40 | $45 | $51 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $79 | $273 | $468 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $87 | $161 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $31 | $52 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $73 | $84 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,116 | $4,200 | $7,284 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $30 | $137 | $244 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,058 | $2,156 | $2,253 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $186 | $194 | $201 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $529 | $639 | $749 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $403 | $414 | $425 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $168 | $179 | $190 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $470 | $537 | $608 |
| Septoplasty CPT 30520 • ENT | $856 | $1,033 | $1,209 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $319 | $361 | $403 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $180 | $265 | $351 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $238 | $349 | $460 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $243 | $515 | $787 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $361 | $471 | $582 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $55 | $94 | $173 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $62 | $247 | $431 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $364 | $522 | $680 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $266 | $303 | $341 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $346 | $428 | $510 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $376 | $454 | $532 |