76402 Reduction, Maxillary, Open, Unilateral
70000 | ORAL MAXILLOFACIAL SURGERY |
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76000 | FRACTURES, TREATMENT OF |
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76400 | FRACTURES, REDUCTIONS, MAXILLA, PYRAMIDAL LE FORT'S ll |
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76402 | Reduction, Maxillary, Open, Unilateral | $1272.1 | $1272.1 |