76986 12-16 cm.
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 76000 | FRACTURES, TREATMENT OF |
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| 76900 | FRACTURES, REDUCTIONS, ALVEOLAR |
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| 76980 | Repairs, Lacerations, Complicated (local tissue shifts) |
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| 76986 | 12-16 cm. | $535.2 | $535.2 |