| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $120 | $121 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $145 | $150 | $153 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $54 | $84 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $69 | $103 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $51 | $87 | $105 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $66 | $90 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $91 | $108 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $111 | $132 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $149 | $149 | $149 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $119 | $130 | $140 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $136 | $174 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $157 | $157 | $157 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $167 | $214 | $238 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $142 | $142 | $142 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $70 | $74 | $79 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $59 | $62 | $65 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $0 | $7 | $14 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $163 | $172 | $189 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $62 | $93 | $110 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $72 | $110 | $129 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $49 | $91 | $112 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $146 | $149 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $15 | $21 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $5 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $45 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $53 | $61 | $69 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $86 | $388 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $19 | $99 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $7 | $32 | $77 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $116 | $657 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,052 | $4,561 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $27 | $110 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $304 | $1,971 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $181 | $274 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $839 | $839 | $839 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $392 | $596 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $165 | $277 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $320 | $379 |
| Septoplasty CPT 30520 • ENT | $552 | $608 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $171 | $193 | $215 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $146 | $171 | $184 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $250 | $265 | $294 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $357 | $394 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $389 | $533 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $175 | $202 | $254 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $259 | $312 | $419 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $370 | $523 | $676 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $188 | $206 | $224 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $284 | $311 | $365 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $297 | $330 | $396 |