76989 25 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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76980 | Repairs, Lacerations, Complicated (local tissue shifts) |
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76989 | 25 cm. and over | $681.4 | $681.4 |