| Item Number | Description | Schedule Fee |
|---|---|---|
| 52380 | Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.) |
$2,541.45 |
| Total: | $2,541.45 | |