42591 Autograft – per site
| 40000 | PERIODONTICS |
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| 42000 | PERIODONTAL SERVICES, SURGICAL |
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| 42500 | PERIODONTAL SURGERY, FLAPS, GRAFTS, SOFT TISSUE |
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| 42590 | Grafts, Dermal, Onlay, for Ridge Augmenation |
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| 42591 | Autograft – per site | $944.97 | $944.97 |