| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $99 | $101 | $102 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $119 | $121 | $124 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $78 | $79 | $81 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $45 | $70 | $96 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $34 | $34 | $34 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $40 | $67 | $95 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $68 | $68 | $68 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $40 | $63 | $87 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $140 | $140 | $140 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $40 | $63 | $85 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $102 | $129 | $156 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $189 | $189 | $189 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $201 | $202 | $203 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $167 | $167 | $167 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $40 | $43 | $47 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $40 | $42 | $45 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $5 | $5 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $82 | $82 | $82 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $89 | $90 | $91 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $105 | $106 | $107 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $92 | $93 | $93 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $132 | $135 | $138 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $6 | $7 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $51 | $53 | $55 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $29 | $30 | $31 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $40 | $45 | $49 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $64 | $115 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $22 | $38 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $63 | $207 | $352 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $2,593 | $4,614 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $70 | $121 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $183 | $1,151 | $1,833 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $179 | $194 | $210 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $704 | $763 | $823 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $390 | $423 | $456 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $162 | $171 | $190 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $223 | $228 | $237 |
| Septoplasty CPT 30520 • ENT | $499 | $520 | $540 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $40 | $108 | $177 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $157 | $161 | $166 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $211 | $211 | $211 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $210 | $269 | $329 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $272 | $276 | $280 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $151 | $153 | $155 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $229 | $229 | $229 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $327 | $327 | $327 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $114 | $133 | $153 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $239 | $242 | $246 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $256 | $256 | $256 |