77301 Osteotomy, Maxilla, Le Fort l
70000 | ORAL MAXILLOFACIAL SURGERY |
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77000 | MAXILLOFACIAL DEFORMITIES, TREATMENT OF |
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77300 | OSTEOTOMY, MAXILLARY |
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77301 | Osteotomy, Maxilla, Le Fort l | $4860.22 | $4860.22 |