| Item Number | Description | Schedule Fee |
|---|---|---|
| 45815 | Operation on:(a) mandible or maxilla (other than alveolar margins) for chronic osteomyelitis with radiological and laboratory evidence of osteomyelitis; or(b) mandible or maxilla for necrosis of the jaw from any cause including medication or radiation that requires debridement of the alveolar bone or beyond (Anaes.) (Assist.) |
$415.75 |
| Total: | $415.75 | |