| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $154 | $156 | $158 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $188 | $190 | $191 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $122 | $126 | $132 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $148 | $155 | $163 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $129 | $131 | $134 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $141 | $147 | $154 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $153 | $160 | $168 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $55 | $128 | $202 |
| 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 | $55 | $98 | $141 |
| 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 | $276 | $293 | $309 |
| 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 | $106 | $120 | $134 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $64 | $87 | $110 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $7 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $55 | $142 | $229 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $135 | $143 | $151 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $158 | $165 | $179 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $82 | $82 | $82 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $175 | $175 | $175 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $14 | $21 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $5 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $45 | $46 | $46 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $10 | $30 | $51 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $62 | $70 | $79 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $18 | $90 | $161 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $10 | $40 | $69 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $106 | $367 | $628 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $961 | $4,123 | $7,284 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $24 | $27 | $30 |
| 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 | $191 | $196 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $529 | $652 | $774 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $403 | $414 | $425 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $168 | $172 | $177 |
| 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 | $288 | $319 | $351 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $246 | $353 | $460 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $371 | $579 | $787 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $543 | $562 | $582 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $55 | $126 | $269 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $431 | $454 | $477 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $680 | $682 | $684 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $62 | $210 | $302 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $400 | $455 | $510 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $416 | $474 | $532 |