| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $119 | $127 | $135 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $145 | $155 | $165 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $94 | $97 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $115 | $115 | $115 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $39 | $39 | $39 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $109 | $109 | $109 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $120 | $120 | $120 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $107 | $126 | $145 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $36 | $73 | $110 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $132 | $141 | $149 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $116 | $116 | $116 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $218 | $218 | $218 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $231 | $247 | $264 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $191 | $191 | $191 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $54 | $81 | $108 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $41 | $52 | $62 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $12 | $17 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $93 | $132 | $171 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $105 | $111 | $117 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $94 | $119 | $137 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $107 | $107 | $107 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $146 | $146 | $146 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $5 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $54 | $64 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $38 | $38 | $38 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $259 | $259 | $259 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $57 | $57 | $57 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $22 | $22 | $22 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $253 | $253 | $253 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $334 | $334 | $334 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $12 | $12 | $12 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $883 | $1,642 | $2,402 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $210 | $210 | $210 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $823 | $823 | $823 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $357 | $578 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $190 | $262 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $173 | $311 | $392 |
| Septoplasty CPT 30520 • ENT | $638 | $764 | $889 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $36 | $120 | $204 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $61 | $161 | $261 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $241 | $290 | $338 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $401 | $401 | $401 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $316 | $316 | $316 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $169 | $172 | $175 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $250 | $250 | $250 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $369 | $369 | $369 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $151 | $178 | $202 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $278 | $326 | $374 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $290 | $290 | $290 |