74638 15 cm. and over
70000 | ORAL MAXILLOFACIAL SURGERY |
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74000 | SURGICAL EXCISION (not in conjunction with tooth removal, including biopsy) |
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74600 | SURGICAL EXCISION, CYSTS/GRANULOMAS |
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74630 | Exasion of Cyst |
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74638 | 15 cm. and over | $1703.51 | $1703.51 |