75403 Osteomyelitis, Non Surgical Treatment of
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 75000 | SURGICAL INCISIONS |
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| 75400 | SEQUESTRECTOMY (FOR OSTEOMYELITIS) |
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| 75403 | Osteomyelitis, Non Surgical Treatment of | $204.49 | $204.49 |