| Item Number | Description | Schedule Fee |
|---|---|---|
| 45873 | Temporomandibular joint, surgery of, involving procedures to which item 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (H) (Anaes.) (Assist.) |
$1,754.55 |
| Total: | $1,754.55 | |