57107 Facial Moulage Impression, Sectional
| 50000 | PROSTHODONTICS - REMOVABLE |
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| 57000 | PROSTHESIS, MAXILLOFACIAL |
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| 57100 | PROSTHESIS, FACIAL |
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| 57107 | Facial Moulage Impression, Sectional | $284.08 | $284.08 |