42561 Autograft (free connective tissue), includes harvesting from donor site – per site.
| 40000 | PERIODONTICS |
||
| 42000 | PERIODONTAL SERVICES, SURGICAL |
||
| 42500 | PERIODONTAL SURGERY, FLAPS, GRAFTS, SOFT TISSUE |
||
| 42560 | Grafts, For Ridge Augmentation |
||
| 42561 | Autograft (free connective tissue), includes harvesting from donor site – per site. | $1179.83 | $1179.83 |