| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $117 | $121 | $123 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $53 | $119 | $152 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $32 | $66 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $114 | $117 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $99 | $101 | $104 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $108 | $111 | $113 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $120 | $122 | $124 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $147 | $149 | $152 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $162 | $164 | $167 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $135 | $137 | $139 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $116 | $167 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $215 | $219 | $222 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $231 | $236 | $238 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $122 | $170 | $198 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $78 | $93 | $108 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $52 | $59 | $65 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $2 | $2 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $157 | $160 | $163 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $64 | $64 | $65 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $125 | $127 | $129 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $110 | $110 | $110 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $60 | $121 | $152 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $31 | $58 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $17 | $41 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $259 | $546 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $76 | $144 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $52 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $337 | $730 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $334 | $5,492 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $90 | $210 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $132 | $2,124 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $164 | $300 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $349 | $793 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $357 | $689 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $149 | $287 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $278 | $288 | $291 |
| Septoplasty CPT 30520 • ENT | $638 | $656 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $204 | $210 | $215 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $175 | $180 | $183 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $242 | $247 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $229 | $364 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $304 | $313 | $317 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $169 | $173 | $175 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $250 | $254 | $259 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $355 | $364 | $369 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $181 | $186 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $278 | $282 | $284 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $290 | $294 | $297 |