74128 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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| 74100 | SURGICAL EXCISION, TUMORS, BENIGN |
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| 74120 | Tumors, Benign, Bone Tissue |
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| 74128 | 15 cm. and over | $1646.8 | $1646.8 |