| Item Number | Description | Schedule Fee |
|---|---|---|
| 52366 | MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) |
$2,067.50 |
| Total: | $2,067.50 | |