| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $97 | $97 | $97 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $117 | $117 | $117 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $41 | $73 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $93 | $97 | $100 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $81 | $81 | $81 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $36 | $36 | $36 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $97 | $97 | $97 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $92 | $118 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $102 | $131 |
| 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 | $152 | $152 | $152 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $115 | $115 | $115 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $190 | $216 | $241 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $156 | $156 | $156 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $85 | $85 | $85 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $41 | $49 | $57 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $5 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $121 | $121 | $121 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $52 | $73 | $94 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $101 | $114 | $130 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $89 | $89 | $89 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $125 | $125 | $125 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $3 | $3 | $3 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $1 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $15 | $23 | $31 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $23 | $23 | $23 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $31 | $31 | $31 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $8 | $11 | $13 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $3 | $3 | $3 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $41 | $50 | $60 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $350 | $350 | $350 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $11 | $11 | $11 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $924 | $1,877 | $2,831 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $139 | $139 | $139 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $420 | $420 | $420 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $228 | $270 | $312 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $112 | $143 | $173 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $138 | $231 | $324 |
| Septoplasty CPT 30520 • ENT | $499 | $499 | $499 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $167 | $167 | $167 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $148 | $157 | $165 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $195 | $262 | $329 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $325 | $325 | $325 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $252 | $252 | $252 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $140 | $169 | $198 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $206 | $206 | $206 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $294 | $294 | $294 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $148 | $150 | $153 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $224 | $224 | $224 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $233 | $233 | $233 |