| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $125 | $127 | $129 |
| 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 | $36 | $79 | $101 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $54 | $88 | $121 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $108 | $108 | $108 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $50 | $84 | $119 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $129 | $129 | $129 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $157 | $157 | $157 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $118 | $118 | $118 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $106 | $106 | $106 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $195 | $199 | $202 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $153 | $153 | $153 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $240 | $245 | $253 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $208 | $208 | $208 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $113 | $113 | $113 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $67 | $67 | $67 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $6 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $162 | $162 | $162 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $69 | $90 | $111 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $130 | $132 | $134 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $94 | $106 | $118 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $127 | $147 | $166 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $29 | $40 | $46 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $4 | $20 | $36 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $39 | $247 | $455 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $10 | $64 | $118 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $4 | $5 | $5 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $51 | $253 | $455 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $437 | $2,752 | $5,066 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $14 | $75 | $136 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,154 | $1,718 | $2,000 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $174 | $200 | $227 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $525 | $525 | $525 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $285 | $310 | $336 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $141 | $171 | $187 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $184 | $292 | $345 |
| Septoplasty CPT 30520 • ENT | $665 | $727 | $789 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $50 | $137 | $223 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $66 | $143 | $220 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $260 | $278 | $296 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $433 | $472 | $512 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $336 | $352 | $369 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $187 | $199 | $205 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $275 | $275 | $275 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $392 | $392 | $392 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $145 | $171 | $197 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $298 | $305 | $311 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $311 | $311 | $311 |