| Code | Description | Old Price | New Price | Allowable |
| 20005 | I&D Soft Tissue Abscess | $843.00 | $516.33 | |
| 20680 | Removal of Implant; Deep | $1,200.00 | $1,010.80 | |
| 20912 | Cartilage Graft Nasal Septum | $1,428.00 | $1,342.90 | |
| 21026 | Excision of Facial Bone | $2,300.00 | $2,037.71 | |
| 21029 | Removal Benign Tumor Face Bone | $1,174.00 | $905.62 | |
| 21138 | Forhead Appl of Prosth bone | $2,235.00 | $2,037.71 | |
| 21208 | Osteoplasty Facial Bones | $2,250.00 | $2,037.71 | |
| 21210 | Graft Bone; Nasal/Maxilla/Mal | $2,563.00 | $2,037.71 | |
| 21280 | MEDIAL CANTHOPEXY SEPARATE PROCEDURE | $1,100.00 | $905.62 | |
| 21282 | LATERAL CANTHOPEXY | $987.00 | $905.62 | |
| 21320 | Closed Txmt Nasal Frac/Stabliz | $987.00 | $905.62 | |
| 21337 | Closed Txmt of Nasal Fracture | $987.00 | $905.62 | |
| 21340 | Canthal Ligament Nasolacrimal | $2,250.00 | $905.62 | |
| 21356 | Open Treatment of Zygomatic | $2,300.00 | $2,037.71 | |
| 21360 | Open Treatment Depressed Malar | $2,250.00 | $2,037.71 | |
| 21390 | OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC | $2,194.00 | $2,037.71 | |
| 21555 | Exc Tumor Soft Tissue of Neck | $843.00 | $516.33 | |
| 21556 | Exc Deep Sunfascial Instramuscu | $1,097.00 | $1,010.80 | |
| 25111 | Excision Ganglion Wrist | $1,035.00 | $701.51 | |
| 26115 | Excise Tumor/Vasc Hand/Finger | $724.00 | $516.33 | |
| 26160 | Excision Gaglion Cyst | $790.00 | $701.51 |