| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $101 | $101 | $101 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $122 | $122 | $122 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $19 | $57 | $77 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $33 | $63 | $93 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $26 | $26 | $26 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $52 | $70 | $88 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $83 | $83 | $83 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $94 | $94 | $94 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $72 | $72 | $72 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $79 | $87 | $95 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $114 | $131 | $148 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $128 | $128 | $128 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $87 | $156 | $191 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $32 | $50 | $68 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $32 | $47 | $61 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $45 | $45 | $45 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $4 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $139 | $139 | $139 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $66 | $77 | $87 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $74 | $93 | $103 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $36 | $55 | $75 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $121 | $139 | $157 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $17 | $30 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $6 | $9 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $47 | $52 | $62 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $63 | $80 | $96 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $112 | $426 | $739 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $26 | $96 | $167 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $13 | $55 | $98 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $160 | $578 | $995 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $1,373 | $5,202 | $9,031 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $43 | $184 | $325 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $2,381 | $2,905 | $3,176 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $243 | $270 | $298 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $862 | $862 | $862 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $391 | $434 | $478 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $161 | $173 | $197 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $36 | $261 | $393 |
| Septoplasty CPT 30520 • ENT | $491 | $492 | $493 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $32 | $125 | $218 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $77 | $125 | $172 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $205 | $269 | $333 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $208 | $250 | $292 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $304 | $368 | $431 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $152 | $172 | $211 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $242 | $291 | $341 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $383 | $463 | $544 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $138 | $168 | $198 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $289 | $325 | $361 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $390 | $390 | $390 |