| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $148 | $159 | $169 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $184 | $194 | $204 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $74 | $101 | $127 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $99 | $128 | $157 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $76 | $103 | $129 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $92 | $120 | $148 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $106 | $121 | $136 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $138 | $149 | $160 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $151 | $164 | $178 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $113 | $144 | $175 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $126 | $188 | $251 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $199 | $217 | $236 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $255 | $289 | $324 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $166 | $188 | $210 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $75 | $92 | $108 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $70 | $76 | $82 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $3 | $6 | $9 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $162 | $179 | $196 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $68 | $106 | $144 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $133 | $152 | $171 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $43 | $43 | $43 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $137 | $137 | $137 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $28 | $28 | $28 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $9 | $9 | $9 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $10 | $10 | $10 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $79 | $79 | $79 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $105 | $105 | $105 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $24 | $24 | $24 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $12 | $12 | $12 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $149 | $149 | $149 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,287 | $1,287 | $1,287 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $38 | $38 | $38 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $302 | $302 | $302 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $220 | $220 | $220 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $968 | $968 | $968 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $477 | $477 | $477 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $199 | $199 | $199 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $472 | $521 | $571 |
| Septoplasty CPT 30520 • ENT | $661 | $738 | $814 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $249 | $272 | $295 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $214 | $242 | $270 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $337 | $362 | $387 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $352 | $358 | $364 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $522 | $528 | $534 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $255 | $259 | $264 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $412 | $417 | $423 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $658 | $666 | $673 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $160 | $170 | $181 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $353 | $369 | $386 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $370 | $386 | $402 |