53400
|
Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting
|
$179.30
|
53403
|
Mandible, treatment of fracture of, not requiring splinting
|
$219.00
|
53406
|
Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Assist.) (Anaes.)
|
$564.20
|
53409
|
Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Assist.) (Anaes.)
|
$564.20
|
53410
|
Zygomatic bone, treatment of fracture of, not requiring surgical reduction
|
$118.90
|
53411
|
Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra-oral or other approach (Anaes.)
|
$331.50
|
53412
|
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Assist.) (Anaes.)
|
$544.00
|
53413
|
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Assist.) (Anaes.)
|
$664.90
|
53414
|
Zygomatic bone, treatment of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Assist.) (Anaes.)
|
$765.60
|
53415
|
Maxilla, treatment of fracture of, requiring open reduction (Assist.) (Anaes.)
|
$604.60
|
53416
|
Mandible, treatment of fracture of, requiring open reduction (Assist.) (Anaes.)
|
$604.60
|
53418
|
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Assist.) (Anaes.)
|
$785.80
|
53419
|
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Assist.) (Anaes.)
|
$785.80
|
53422
|
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Assist.) (Anaes.)
|
$997.30
|
53423
|
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Assist.) (Anaes.)
|
$997.30
|
53424
|
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Assist.) (Anaes.)
|
$855.70
|
53425
|
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Assist.) (Anaes.)
|
$855.70
|
53427
|
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Assist.) (Anaes.)
|
$1,168.80
|
53429
|
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Assist.) (Anaes.)
|
$1,168.80
|
53439
|
Mandible, treatment of a closed fracture of, involving a joint surface (Anaes.)
|
$331.50
|
53453
|
Orbital cavity, reconstruction of a wall or floor with or without foreign implant (Assist.) (Anaes.)
|
$670.50
|
53455
|
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Assist.) (Anaes.)
|
$787.70
|
53458
|
Nasal bones, treatment of fracture of, not being a service to which item 53459 or 53460 applies
|
$59.70
|
53459
|
Nasal bones, treatment of fracture of, by reduction (Anaes.)
|
$326.70
|
53460
|
Nasal bones, treatment of fractures of, by open reduction involving osteotomies (Assist.) (Anaes.)
|
$666.40
|
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