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Home
>> Departments >> Oral
and Maxillofacial Surgery >> OMPS
Fee
Schedule
NEW
FEE SCHEUDLE - Effective: July 2006
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Procedure |
Fee |
Diagnosis |
| 88304 Level III |
$180.00 |
Soft tissue lipoma |
Mucocele, salivary |
Neuroma |
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| 88305 Level IV |
$180.00 |
Bone exostosis |
Gingiva/oral mucosa |
Leiomyoma |
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Lip, biopsy/wedge |
Lymph node, biopsy |
Odontogenic cyst |
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Salivary gland, biopsy |
Soft tissue |
Thyroglossal dust |
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Tongue, biopsy |
Abcess |
Skin cyst or tag |
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Polyps |
Fissure/Fistula |
Vein, varicosity |
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| 88307 Level V |
$200.00 |
Bone, biopsy |
Bone fragments |
Odontogenic tumor |
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Salivary gland |
Bone tumor |
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| 88309 Level VI |
$310.00 |
Soft tissue tumor, |
Tongue/tonsil resection, |
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Extensive resection |
for tumor |
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88311 |
$40.00 |
Decalcification |
88312 |
$65.00 |
Special stains: Group 1 for microorganisms
(PAS, acid fast, methanamine silver) |
88313 |
$65.00 |
Special stains: Group 2 for all others (iron,
trichrome), except ICC |
88321 |
$125.00 |
Consultations, slides prepared elsewhere |
88346 |
$65.00 |
Immunofluorescent, each antibody (6 antibodies),
direct method |
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Note:
Immunofluorescent cases require SIX antibody stains at $45.00 each,
which totals $270.00 per biopsy. |
88104 |
$100.00 |
Cytopathology |
88300 |
$55.00 |
Level I - Gross examination only (with diagnosis)
|
88302 |
$65.00 |
Level II - Gross and microscopic exam identifying
normal structure |
88323 |
$180.00 |
Consultation/report, slides prepared here |
88325 |
$200.00 |
Comprehensive consultation
|
88329 |
$100.00 |
Consultation during surgery |
88331 |
$180.00 |
Consultation during surgery with frozen section
(single section) |
88332 |
$65.00 |
Consultation during surgery with frozen section
(each additional section) |
88342 |
140 |
Immunocytochemistry per anitbody |
88347 |
$65.00 |
Immunofluorescent, each antibody, indirect method
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Multiple Specimens: Billed in full price for specimens
A and B, remaining specimens are at no charge.
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