| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $102 | $153 | $167 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $81 | $81 | $81 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $78 | $106 | $133 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $100 | $131 | $162 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $101 | $121 | $141 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $77 | $116 | $154 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $79 | $137 | $170 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $30 | $149 | $207 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $59 | $156 | $228 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $62 | $124 | $187 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $264 | $264 | $264 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $307 | $307 | $307 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $246 | $289 | $331 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $271 | $271 | $271 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $42 | $95 | $153 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $68 | $78 | $87 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $7 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $165 | $188 | $211 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $112 | $144 | $151 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $130 | $168 | $176 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $93 | $123 | $152 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $217 | $217 | $217 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $3 | $3 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $1 | $1 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $35 | $35 | $35 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $19 | $19 | $19 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $33 | $63 | $94 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $15 | $22 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $18 | $33 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $42 | $82 | $121 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $382 | $382 | $382 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $13 | $24 | $36 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $959 | $959 | $959 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $140 | $140 | $140 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $548 | $548 | $548 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $304 | $304 | $304 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $127 | $127 | $127 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $244 | $338 | $392 |
| Septoplasty CPT 30520 • ENT | $632 | $840 | $900 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $289 | $289 | $289 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $184 | $227 | $257 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $216 | $245 | $273 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $331 | $448 | $565 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $166 | $305 | $444 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $82 | $203 | $247 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $30 | $266 | $363 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $30 | $349 | $519 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $132 | $231 | $257 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $285 | $359 | $392 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $286 | $370 | $409 |