| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $119 | $119 | $119 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $362 | $362 | $362 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $72 | $129 | $244 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $289 | $289 | $289 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $97 | $97 | $97 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $50 | $82 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $124 | $211 | $299 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $152 | $201 | $250 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $411 | $411 | $411 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $252 | $252 | $252 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $473 | $473 | $473 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $349 | $349 | $349 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $258 | $319 | $379 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $484 | $484 | $484 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $45 | $160 | $275 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $156 | $156 | $156 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $16 | $16 | $16 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $141 | $189 | $237 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $115 | $190 | $265 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $138 | $168 | $198 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $223 | $223 | $223 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $159 | $159 | $159 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $12 | $20 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $9 | $29 | $38 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $27 | $39 | $50 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $374 | $698 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $84 | $158 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $7 | $9 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $388 | $714 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $403 | $4,469 | $8,535 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $126 | $232 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,064 | $2,355 | $3,001 |
| 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 | $456 | $493 | $530 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $141 | $180 | $219 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $481 | $644 | $726 |
| Septoplasty CPT 30520 • ENT | $1,552 | $1,605 | $1,658 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $376 | $456 | $536 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $458 | $458 | $458 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $386 | $504 | $623 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $1,073 | $1,074 | $1,075 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $773 | $781 | $790 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $221 | $294 | $440 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $648 | $648 | $648 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $902 | $902 | $902 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $242 | $392 | $469 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $692 | $701 | $709 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $50 | $388 | $725 |