| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $111 | $122 | $132 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $135 | $149 | $164 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $48 | $88 | $108 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $37 | $83 | $128 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $49 | $49 | $49 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $32 | $32 | $32 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $91 | $91 | $91 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $105 | $105 | $105 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $119 | $119 | $119 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $105 | $128 | $151 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $126 | $167 | $207 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $93 | $93 | $93 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $151 | $220 | $255 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $77 | $77 | $77 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $69 | $69 | $69 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $50 | $59 | $69 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $8 | $8 | $8 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $133 | $133 | $133 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $73 | $97 | $120 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $54 | $111 | $140 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $34 | $78 | $122 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $117 | $136 | $156 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $15 | $26 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $11 | $41 | $56 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $39 | $62 | $84 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $98 | $305 | $512 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $22 | $59 | $95 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $11 | $34 | $56 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $140 | $518 | $896 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,202 | $3,883 | $6,565 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $37 | $135 | $232 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $215 | $1,905 | $2,764 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $175 | $188 | $201 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $692 | $692 | $692 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $33 | $244 | $373 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $15 | $113 | $173 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $32 | $251 | $366 |
| Septoplasty CPT 30520 • ENT | $447 | $641 | $836 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $194 | $236 | $277 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $166 | $201 | $237 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $300 | $308 | $316 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $268 | $405 | $542 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $380 | $389 | $397 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $194 | $206 | $212 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $311 | $312 | $314 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $501 | $501 | $501 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $156 | $196 | $236 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $258 | $301 | $344 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $279 | $279 | $279 |