| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $104 | $106 | $107 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $127 | $154 | $181 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $42 | $69 | $83 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $102 | $123 | $145 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $126 | $126 | $126 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $61 | $61 | $61 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $80 | $89 | $98 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $84 | $84 | $84 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $130 | $130 | $130 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $119 | $119 | $119 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $58 | $110 | $163 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $143 | $163 | $184 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $198 | $208 | $212 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $171 | $184 | $196 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $57 | $57 | $57 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $30 | $48 | $67 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $3 | $3 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $162 | $162 | $163 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $91 | $93 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $84 | $102 | $112 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $56 | $87 | $118 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $64 | $93 | $123 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $6 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $35 | $47 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $27 | $32 | $38 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $489 | $589 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $100 | $104 | $108 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $40 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $92 | $99 | $106 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $525 | $2,259 | $3,994 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $169 | $220 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,385 | $1,751 | $2,280 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $174 | $223 | $271 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $630 | $630 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $342 | $360 | $378 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $157 | $161 | $169 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $339 | $365 | $379 |
| Septoplasty CPT 30520 • ENT | $540 | $603 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $260 | $260 | $260 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $178 | $182 | $186 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $191 | $207 | $223 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $243 | $338 | $433 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $356 | $395 | $435 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $176 | $180 | $187 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $30 | $144 | $259 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $456 | $456 | $456 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $25 | $94 | $162 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $269 | $284 | $298 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $244 | $244 | $244 |