| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $97 | $98 | $100 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $56 | $90 | $123 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $77 | $79 | $81 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $96 | $100 | $104 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $84 | $90 | $96 |
| 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 | $85 | $107 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $122 | $127 | $131 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $88 | $97 | $106 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $113 | $116 | $119 |
| 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 | $115 | $146 | $178 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $190 | $202 | $226 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $184 | $184 | $184 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $43 | $64 | $85 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $50 | $51 | $52 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $2 | $2 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $74 | $98 | $121 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $92 | $95 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $104 | $106 | $112 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $89 | $90 | $92 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $122 | $123 | $125 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $5 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $38 | $65 | $78 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $38 | $38 | $38 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $49 | $49 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $12 | $12 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $44 | $84 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $51 | $51 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $573 | $573 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $19 | $19 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $216 | $216 | $216 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $210 | $213 | $215 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $498 | $511 | $525 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $318 | $364 | $456 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $177 | $181 | $190 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $260 | $290 | $305 |
| Septoplasty CPT 30520 • ENT | $594 | $646 | $697 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $230 | $266 | $302 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $148 | $172 | $197 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $232 | $247 | $262 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $386 | $419 | $453 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $308 | $314 | $321 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $178 | $207 | $266 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $262 | $328 | $393 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $294 | $334 | $374 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $155 | $180 | $192 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $283 | $309 | $334 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $233 | $265 | $296 |