| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $48 | $48 | $49 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $60 | $121 | $153 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $94 | $97 | $100 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $50 | $96 | $124 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $39 | $74 | $109 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $109 | $112 | $114 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $120 | $122 | $125 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $146 | $149 | $153 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $112 | $112 | $112 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $133 | $161 | $211 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $30 | $136 | $190 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $146 | $146 | $146 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $234 | $240 | $247 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $123 | $215 | $307 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $79 | $92 | $106 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $52 | $60 | $65 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $5 | $6 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $94 | $96 | $97 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $106 | $111 | $114 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $126 | $129 | $134 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $109 | $117 | $131 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $158 | $167 | $175 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $6 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $39 | $49 | $54 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $34 | $40 | $46 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $61 | $312 | $563 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $14 | $81 | $148 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $6 | $7 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $75 | $78 | $81 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $722 | $3,551 | $6,380 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $23 | $125 | $227 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $1,787 | $2,068 | $2,524 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $208 | $209 | $210 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $269 | $542 | $815 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $322 | $387 | $452 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $145 | $160 | $188 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $270 | $309 | $329 |
| Septoplasty CPT 30520 • ENT | $614 | $683 | $752 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $21 | $78 | $135 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $192 | $200 | $207 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $247 | $264 | $282 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $401 | $444 | $487 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $320 | $339 | $357 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $178 | $191 | $197 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $263 | $263 | $263 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $375 | $375 | $375 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $21 | $77 | $132 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $284 | $294 | $305 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $295 | $295 | $295 |