76913 6 cm. and over
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 76000 | FRACTURES, TREATMENT OF |
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| 76900 | FRACTURES, REDUCTIONS, ALVEOLAR |
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| 76910 | Fracture, Alveolar, Debridement, Teeth Removed |
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| 76913 | 6 cm. and over | $710.02 - 1420.03 | $710.02 - 1420.03 |