| Code | Description | Old Price | New Price | Allowable | |
| 30000 | Drainage Hematoma Nasal Intern | $110.00 | $88.43 | ||
| 30100 | Biopsy Intranasal | $154.00 | $97.93 | ||
| 30117 | Excision or Destruction intranasal lesion; Internal | $987.00 | $905.62 | ||
| 30120 | Planing of Skin of Nose | $987.00 | $905.62 | ||
| 30130 | EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE | $987.00 | $905.62 | ||
| 30140 | Nose Submucous Resect Turbinate | $987.00 | $905.62 | ||
| 30410 | Repair Elevation Nasal | $2,250.00 | $2,037.71 | ||
| 30465 | Repair Nasal Stenosis | $2,250.00 | $2,037.71 | ||
| 30620 | Septal/Intranasal Dermatoplasty | $2,340.00 | $2,037.71 | ||
| 30903 | Control Nasal Bleeding/Anterio | $82.00 | $52.04 | ||
| 30930 | FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC | $987.00 | $905.62 | ||
| 30999 | Middle Turbinate | $700.00 | |||
| 31000 | Lavage By Cannulatio Maxillary | $201.00 | $88.43 | ||
| 31020 | Accessory Sinuses Maxillary | $987.00 | $905.62 | ||
| 31075 | Incision Transorbital Lynch | $2,250.00 | $2,037.71 | ||
| 31080 | Sinus Open W/outo-plasti Flap | $2,250.00 | $2,037.71 | ||
| 31205 | Ethmoidectomy; Extranasal, Tot | $987.00 | $905.62 | ||
| 31231 | Nasal Endoscopy | $94.00 | $77.83 |