| Item Number | Description | Schedule Fee |
|---|---|---|
| 45587 | Meloplasty for correction of facial asymmetry if: (a) the asymmetry is secondary to trauma (including previous surgery), a congenital condition or a medical condition (such as facial nerve palsy); and (b) the meloplasty is limited to one side of the face (Anaes.) (Assist.) |
$1,039.25 |
| Total: | $1,039.25 | |