76301 Reduction, Maxillary, Closed
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 76000 | FRACTURES, TREATMENT OF |
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| 76300 | FRACTURES, REDUCTIONS, MAXILLARY, HORIZONTAL LE FORT'S l |
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| 76301 | Reduction, Maxillary, Closed | $1090.68 | $1090.68 |