| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $123 | $127 | $131 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $66 | $109 | $152 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $59 | $86 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $45 | $82 | $119 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $61 | $61 | $61 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $73 | $73 | $73 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $80 | $92 | $104 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $125 | $125 | $125 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $139 | $139 | $139 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $116 | $116 | $116 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $157 | $175 | $193 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $188 | $188 | $188 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $135 | $203 | $238 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $104 | $104 | $104 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $86 | $86 | $86 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $67 | $67 | $67 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $7 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $121 | $121 | $121 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $64 | $76 | $88 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $107 | $121 | $129 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $56 | $56 | $56 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $152 | $153 | $154 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $8 | $16 | $23 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $3 | $5 | $8 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $52 | $66 | $73 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $15 | $34 | $53 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $69 | $84 | $98 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $22 | $100 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $44 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $140 | $533 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,202 | $4,636 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $33 | $151 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,764 | $2,949 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $211 | $289 | $368 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $904 | $959 | $1,015 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $458 | $629 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $191 | $286 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $320 | $377 |
| Septoplasty CPT 30520 • ENT | $524 | $595 | $665 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $116 | $166 | $215 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $170 | $176 | $183 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $172 | $211 | $250 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $263 | $347 | $431 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $317 | $353 | $389 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $175 | $181 | $191 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $307 | $307 | $307 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $490 | $490 | $490 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $131 | $161 | $188 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $268 | $276 | $284 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $281 | $281 | $281 |