| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $121 | $121 | $121 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $61 | $96 | $132 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $35 | $60 | $85 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $103 | $110 | $116 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $89 | $93 | $97 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $98 | $104 | $110 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $110 | $114 | $120 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $134 | $140 | $145 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $113 | $113 | $113 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $123 | $127 | $131 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $170 | $179 | $188 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $148 | $148 | $148 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $212 | $227 | $242 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $195 | $195 | $195 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $52 | $72 | $92 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $64 | $69 | $78 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $1 | $3 | $5 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $144 | $145 | $147 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $52 | $58 | $69 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $128 | $128 | $128 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $68 | $93 | $106 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $67 | $67 | $67 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $4 | $11 | $19 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $7 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $50 | $63 | $70 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $44 | $45 | $46 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $60 | $245 | $430 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $15 | $89 | $163 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $7 | $37 | $53 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $78 | $510 | $726 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $704 | $3,305 | $5,905 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $23 | $148 | $211 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $262 | $1,794 | $2,561 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $200 | $206 | $213 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $783 | $783 | $783 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $327 | $380 | $434 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $147 | $158 | $181 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $326 | $380 | $435 |
| Septoplasty CPT 30520 • ENT | $618 | $618 | $618 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $225 | $225 | $225 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $206 | $207 | $208 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $256 | $274 | $292 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $276 | $276 | $276 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $355 | $380 | $404 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $200 | $200 | $200 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $291 | $306 | $321 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $415 | $463 | $510 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $177 | $184 | $190 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $273 | $284 | $294 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $285 | $295 | $305 |