| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $107 | $109 | $112 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $48 | $89 | $130 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $73 | $96 | $108 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $74 | $88 | $102 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $43 | $61 | $78 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $42 | $71 | $101 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $42 | $57 | $71 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $95 | $95 | $95 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $241 | $241 | $241 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $104 | $104 | $104 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $70 | $117 | $164 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $168 | $229 | $290 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $185 | $196 | $212 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $30 | $91 | $152 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $48 | $48 | $48 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $57 | $57 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $23 | $42 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $134 | $134 | $134 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $68 | $81 | $94 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $112 | $122 | $140 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $50 | $57 | $64 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $122 | $129 | $136 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $14 | $22 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $54 | $58 | $63 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $35 | $49 | $62 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $73 | $88 | $104 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $12 | $98 | $184 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $32 | $58 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $61 | $507 | $953 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,030 | $5,041 | $9,052 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $20 | $110 | $200 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,922 | $2,489 | $3,176 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $198 | $206 | $214 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $630 | $630 | $630 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $33 | $388 | $744 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $15 | $115 | $169 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $32 | $238 | $466 |
| Septoplasty CPT 30520 • ENT | $566 | $611 | $657 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $30 | $95 | $159 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $142 | $182 | $222 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $127 | $200 | $273 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $218 | $253 | $288 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $322 | $372 | $423 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $146 | $190 | $212 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $372 | $372 | $372 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $42 | $205 | $367 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $156 | $196 | $236 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $226 | $281 | $337 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $42 | $140 | $238 |