| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $121 | $131 | $141 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $146 | $159 | $172 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $61 | $66 | $77 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $112 | $124 | $135 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $37 | $37 | $37 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $36 | $42 | $48 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $116 | $116 | $116 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $80 | $87 | $95 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $89 | $89 | $89 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $84 | $84 | $84 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $180 | $199 | $219 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $187 | $187 | $187 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $153 | $228 | $270 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $161 | $161 | $161 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $47 | $66 | $85 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $41 | $41 | $41 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $151 | $151 | $151 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $93 | $108 | $123 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $63 | $116 | $144 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $89 | $114 | $140 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $62 | $129 | $195 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $18 | $29 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $4 | $6 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $11 | $36 | $64 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $29 | $38 | $47 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $58 | $83 | $108 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $24 | $87 | $150 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $14 | $34 | $53 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $106 | $444 | $781 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $961 | $3,883 | $6,805 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $30 | $129 | $227 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $338 | $1,704 | $2,853 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $185 | $190 | $196 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $774 | $774 | $774 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $285 | $367 | $449 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $141 | $165 | $187 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $53 | $183 | $356 |
| Septoplasty CPT 30520 • ENT | $499 | $655 | $810 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $111 | $163 | $216 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $161 | $198 | $235 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $195 | $252 | $308 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $256 | $391 | $527 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $374 | $382 | $390 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $22 | $77 | $189 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $297 | $308 | $319 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $294 | $294 | $294 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $161 | $207 | $254 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $276 | $339 | $402 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $233 | $233 | $233 |