| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $143 | $150 | $157 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $177 | $183 | $190 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $45 | $83 | $102 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $68 | $104 | $139 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $132 | $132 | $132 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $145 | $145 | $145 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $157 | $157 | $157 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $192 | $192 | $192 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $214 | $214 | $214 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $175 | $175 | $175 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $156 | $156 | $156 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $289 | $289 | $289 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $243 | $277 | $311 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $162 | $162 | $162 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $139 | $139 | $139 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $82 | $82 | $82 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $7 | $7 | $7 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $198 | $198 | $198 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $139 | $139 | $139 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $132 | $148 | $164 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $130 | $135 | $141 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $177 | $190 | $203 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $6 | $7 | $8 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $3 | $3 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $46 | $58 | $70 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $9 | $34 | $60 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $80 | $211 | $341 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $20 | $107 | $194 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $7 | $9 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $104 | $280 | $455 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $919 | $4,690 | $8,462 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $33 | $169 | $304 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $327 | $894 | $2,000 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $310 | $381 | $452 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $1,298 | $1,298 | $1,298 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $288 | $484 | $690 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $160 | $230 | $315 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $334 | $347 | $360 |
| Septoplasty CPT 30520 • ENT | $823 | $823 | $823 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $270 | $270 | $270 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $234 | $237 | $240 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $207 | $264 | $322 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $534 | $543 | $551 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $414 | $420 | $426 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $198 | $211 | $236 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $348 | $348 | $348 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $497 | $497 | $497 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $201 | $222 | $242 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $372 | $373 | $374 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $390 | $390 | $390 |