| Item Number | Description | Schedule Fee |
|---|---|---|
| 52354 | MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) |
$1,636.40 |
| Total: | $1,636.40 | |