| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $119 | $123 | $127 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $144 | $150 | $157 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $56 | $87 | $103 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $76 | $100 | $123 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $57 | $57 | $57 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $69 | $69 | $69 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $61 | $61 | $61 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $80 | $80 | $80 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $130 | $130 | $130 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $80 | $80 | $80 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $145 | $172 | $199 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $116 | $116 | $116 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $197 | $230 | $246 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $97 | $97 | $97 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $47 | $64 | $81 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $44 | $44 | $44 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $6 | $6 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $143 | $143 | $143 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $56 | $85 | $114 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $108 | $125 | $134 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $53 | $82 | $111 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $131 | $139 | $146 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $16 | $27 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $3 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $11 | $35 | $52 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $14 | $26 | $39 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $89 | $291 | $494 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $20 | $74 | $127 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $12 | $32 | $53 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $123 | $395 | $667 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,087 | $3,420 | $5,752 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $39 | $116 | $193 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,153 | $2,285 | $2,549 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $175 | $200 | $226 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $692 | $692 | $692 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $326 | $373 | $419 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $151 | $166 | $194 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $326 | $336 | $356 |
| Septoplasty CPT 30520 • ENT | $492 | $619 | $746 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $186 | $214 | $243 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $64 | $136 | $208 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $153 | $217 | $281 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $233 | $357 | $482 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $343 | $346 | $348 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $169 | $186 | $194 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $271 | $271 | $271 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $433 | $433 | $433 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $155 | $188 | $222 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $241 | $285 | $330 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $252 | $252 | $252 |