| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $128 | $128 | $128 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $155 | $155 | $156 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $30 | $57 | $70 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $30 | $73 | $95 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $30 | $46 | $70 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $30 | $49 | $86 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $30 | $60 | $121 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $30 | $89 | $148 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $165 | $165 | $165 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $30 | $101 | $139 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $136 | $189 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $143 | $187 | $230 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $252 | $252 | $252 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $198 | $199 | $200 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $30 | $54 | $96 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $30 | $47 | $82 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $30 | $43 | $56 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $30 | $124 | $179 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $30 | $85 | $112 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $27 | $98 | $133 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $77 | $77 | $78 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $197 | $197 | $197 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $10 | $10 | $10 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $4 | $5 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $13 | $24 | $30 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $45 | $45 | $45 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $512 | $601 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $178 | $178 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $56 | $57 | $57 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $90 | $560 | $896 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $4,924 | $4,924 | $4,924 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $174 | $225 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $304 | $1,697 | $2,736 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $134 | $134 | $134 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $543 | $543 | $543 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $220 | $220 | $221 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $108 | $108 | $109 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $30 | $335 | $488 |
| Septoplasty CPT 30520 • ENT | $697 | $697 | $697 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $250 | $250 | $250 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $30 | $151 | $212 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $30 | $254 | $366 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $320 | $320 | $320 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $30 | $323 | $469 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $231 | $231 | $231 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $30 | $220 | $372 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $30 | $330 | $592 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $30 | $103 | $249 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $30 | $271 | $392 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $30 | $219 | $408 |