| Item Number | Description | Schedule Fee |
|---|---|---|
| 46153 | Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)—single surgeon, one service per patient on the same occasion (H) (Anaes.) (Assist.) |
$2,114.15 |
| Total: | $2,114.15 | |