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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | APEXIFICATION | 320027 | 2003351 | 450 | |||
0 | APEXIFICATION (ANTERIOR) | 320028 | 2003351 | 640 | |||
0 | APEXIOGENESIS (ANTERIOR) | 320029 | 600 | ||||
0 | APICECTOMY OF POSTERIOR TOOTH | 97432-00[463] | 320030 | 69530 | 1,900.00 | ||
0 | APICECTOMY-ANT.TOOTH W/RRF ADDL | 97432-00[463] | 320031 | 69530 | 650 | ||
0 | APICOECTOMY OF ADD'L ANTERIOR TOOTH | 97432-00[463] | 320032 | 69530 | 520 | ||
0 | APICOECTOMY OF ANTERIOR TOOTH | 97432-00[463] | 320033 | 69530 | 1,300.00 | ||
0 | APICOECTOMY RETROG AMAL. 2 ROOTS | 97432-00[463] | 320034 | 69530 | 1,300.00 | ||
0 | AUGMENTATION OF BONE - BILATERAL, MANDIBULAR RIDGE + E | 45841-00[1371] | 320035 | 2007996 | 2,000.00 | ||
0 | AUGMENTATION OF BONE - UNILATERAL, MANDIBULAR RIDGE + E | 45841-00[1371] | 320036 | 2007996 | 1,440.00 | ||
0 | B.GRAFT FACIAL BONE-A.GENOUS/H.GENOUS | 320037 | 21215 | 8,200.00 | |||
0 | BAND AND LOOP SPACE MAINTAINER | 320038 | 2001510 | 650 |
APEXIFICATION
450
APEXIFICATION (ANTERIOR)
640
APEXIOGENESIS (ANTERIOR)
600
APICECTOMY OF POSTERIOR TOOTH
1,900.00
APICECTOMY-ANT.TOOTH W/RRF ADDL
650
APICOECTOMY OF ADD'L ANTERIOR TOOTH
520
APICOECTOMY OF ANTERIOR TOOTH
1,300.00
APICOECTOMY RETROG AMAL. 2 ROOTS
1,300.00
AUGMENTATION OF BONE - BILATERAL, MANDIBULAR RIDGE + E
2,000.00
AUGMENTATION OF BONE - UNILATERAL, MANDIBULAR RIDGE + E
1,440.00
B.GRAFT FACIAL BONE-A.GENOUS/H.GENOUS
8,200.00
BAND AND LOOP SPACE MAINTAINER
650
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