| Item Number | Description | Schedule Fee |
|---|---|---|
| 52360 | MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) |
$1,879.35 |
| Total: | $1,879.35 | |