14901 Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Ridge or Tooth Supported

10000	PREVENTION
14000	APPLIANCES
14900	APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA, SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes models, gnathological determinants, appliance construction and insertion adjustment [no post- insertion adjustments])
14901	Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Ridge or Tooth Supported	$771.11 +Lab Costs	$771.11 +Lab Costs