| Q4194 | Novachor, per square centimeter (add-on, list separately in addition to primary procedure) | 1,260 | $810 | $1M |
| 77280 | The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service. | 3,240 | $210 | $685.8K |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 3,410 | $140 | $481.1K |
| Q4244 | Procenta, per 200 mg | 40 | $7,990 | $287.8K |
| 17311 | Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the… | 340 | $520 | $178.7K |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) | 140 | $1,170 | $168.6K |
| 17313 | Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins. | 230 | $480 | $111.8K |
| 77401 | Deleted effective Jan. 1, 2026. | 3,140 | $30 | $100.4K |
| Q4205 | Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) | 80 | $1,160 | $88.4K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 710 | $90 | $65.7K |