| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $97 | $98 | $100 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $123 | $183 | $242 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $55 | $72 | $81 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $93 | $95 | $96 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $81 | $83 | $84 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $34 | $62 | $89 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $64 | $80 | $97 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $118 | $120 | $122 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $131 | $133 | $134 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $107 | $110 | $113 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $94 | $124 | $155 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $112 | $144 | $176 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $190 | $190 | $190 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $323 | $323 | $323 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $85 | $87 | $88 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $42 | $46 | $50 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $4 | $5 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $74 | $98 | $121 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $86 | $87 | $89 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $104 | $113 | $131 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $89 | $90 | $92 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $105 | $114 | $122 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $4 | $4 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $38 | $58 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $35 | $35 | $35 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $39 | $39 | $39 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $12 | $12 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $7 | $8 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $51 | $51 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $437 | $437 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $17 | $17 | $17 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,385 | $1,385 | $1,385 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $212 | $215 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $498 | $511 | $525 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $285 | $307 | $318 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $169 | $174 | $177 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $305 | $354 | $452 |
| Septoplasty CPT 30520 • ENT | $697 | $865 | $1,033 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $159 | $194 | $230 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $197 | $252 | $307 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $123 | $192 | $262 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $391 | $422 | $453 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $252 | $286 | $321 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $178 | $215 | $290 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $262 | $344 | $426 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $294 | $334 | $374 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $132 | $210 | $306 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $283 | $373 | $463 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $233 | $265 | $296 |