Medical Procedure Costs

21013

Exc face tum deep < 2 cm

Surgery - Musculoskeletal

$372

—

21014

Exc face tum deep 2 cm/>

Surgery - Musculoskeletal

$480

—

21015

Resect face/scalp tum < 2 cm

Surgery - Musculoskeletal

$640

—

21016

Resect face/scalp tum 2 cm/>

Surgery - Musculoskeletal

$901

—

21025

Excision of bone lower jaw

Surgery - Musculoskeletal

$614

—

21026

Excision of facial bone(s)

Surgery - Musculoskeletal

$414

—

21029

Contour of face bone lesion

Surgery - Musculoskeletal

$571

—

21030

Excise max/zygoma b9 tumor

Surgery - Musculoskeletal

$337

—

21031

Remove exostosis mandible

Surgery - Musculoskeletal

$253

—

21032

Remove exostosis maxilla

Surgery - Musculoskeletal

$244

—

21034

Excise max/zygoma mal tumor

Surgery - Musculoskeletal

$988

—

21040

Excise mandible lesion

Surgery - Musculoskeletal

$338

—

21044

Removal of jaw bone lesion

Surgery - Musculoskeletal

$765

—

21045

Extensive jaw surgery

Surgery - Musculoskeletal

$1,061

—

21046

Remove mandible cyst complex

Surgery - Musculoskeletal

$899

—

21047

Excise lwr jaw cyst w/repair

Surgery - Musculoskeletal

$1,077

—

21048

Remove maxilla cyst complex

Surgery - Musculoskeletal

$907

—

21049

Excis uppr jaw cyst w/repair

Surgery - Musculoskeletal

$1,021

—

21050

Removal of jaw joint

Surgery - Musculoskeletal

$796

—

21060

Remove jaw joint cartilage

Surgery - Musculoskeletal

$717

—

21070

Remove coronoid process

Surgery - Musculoskeletal

$540

—

21073

Mnpj of tmj w/anesth

Surgery - Musculoskeletal

$223

—

21076

Impres&prep surg obt prosth

Surgery - Musculoskeletal

$628

—

21077

Impres&prep orbital prosth

Surgery - Musculoskeletal

$1,528

—

21079

Impres&prep intrm obt prosth

Surgery - Musculoskeletal

$1,036

—

21080

Impres&prep def obt prosth

Surgery - Musculoskeletal

$1,163

—

21081

Impres&prep mndbl res prosth

Surgery - Musculoskeletal

$1,066

—

21082

Impres&prep paltl aug prosth

Surgery - Musculoskeletal

$993

—

21083

Impres&prep paltl lft prosth

Surgery - Musculoskeletal

$916

—

21084

Impres&prep sp aid prosth

Surgery - Musculoskeletal

$1,057

—

21085

Impres&prep oral surg splint

Surgery - Musculoskeletal

$430

—

21086

Impres&prep auricular prosth

Surgery - Musculoskeletal

$1,127

—

21087

Impres&prep nasal prosth

Surgery - Musculoskeletal

$1,127

—

21100

Maxillofacial fixation

Surgery - Musculoskeletal

$332

—

21110

Interdental fixation

Surgery - Musculoskeletal

$675

—

21116

Injection jaw joint x-ray

Surgery - Musculoskeletal

$39

—

21120

Genioplasty augmentation

Surgery - Musculoskeletal

$489

—

21121

Geniop sldg osteot 1

Surgery - Musculoskeletal

$487

—

21122

Geniop sldg osteot 2/>

Surgery - Musculoskeletal

$700

—

21123

Geniop sldg augmentation

Surgery - Musculoskeletal

$778

—

21125

Augmentation mndblr prostc

Surgery - Musculoskeletal

$606

—

21127

Augmentation mndblr b1 grf

Surgery - Musculoskeletal

$696

—

21137

Rdctj forehead cntrg only

Surgery - Musculoskeletal

$685

—

21138

Rdctj forehead cntrg&prostc

Surgery - Musculoskeletal

$827

—

21139

Rdctj forehead cntrg&setback

Surgery - Musculoskeletal

$984

—

21141

Rcnstj midface lefort i 1pc

Surgery - Musculoskeletal

$1,208

—

21142

Rcnstj midface lefort i 2pcs

Surgery - Musculoskeletal

$1,238

—

21143

Rcnstj mdface lefort i 3/>pc

Surgery - Musculoskeletal

$1,274

—

21145

Rcnstj mdfc lefort i 1 w/grf

Surgery - Musculoskeletal

$1,391

—

21146

Rcnstj mdfc lefort i 2 w/grf

Surgery - Musculoskeletal

$1,453

—

My Cost List