57200 PROSTHESIS, MAXILLOFACIAL, OBTURATORS

50000

PROSTHODONTICS - REMOVABLE

57000

PROSTHESIS, MAXILLOFACIAL

57200 PROSTHESIS, MAXILLOFACIAL, OBTURATORS
57201

Obturator, Cleft Palate (prosthesis extra)

107.2 - 464.32
+Lab Costs
107.2 - 464.32
+Lab Costs
57202

Obturator, Palatal (prosthesis extra)

107.2 - 464.32
+Lab Costs
107.2 - 464.32
+Lab Costs
57203

Obturator, Post-Maxillectomy (prosthesis extra)

107.2 - 1160.82
+Lab Costs
107.2 - 1160.82
+Lab Costs
57204

Obturator, Temporary Palatal (prosthesis extra)

107.2 - 1160.82
+Lab Costs
107.2 - 1160.82
+Lab Costs
57205

Obturator, Resilient (prosthesis extra)

107.2 - 1160.82
+Lab Costs
107.2 - 1160.82
+Lab Costs
57206

Obturator, Hollow Bulb (prosthesis extra)

107.2 - 1160.82
+Lab Costs
107.2 - 1160.82
+Lab Costs
57207

Obturator, Inflatable (prosthesis extra)

428.84 - 1394.04
+Lab Costs
428.84 - 1394.04
+Lab Costs
57208

Obturator Prosthesis, Modification (relines or repairs)

428.84 - 813.1
+Lab Costs
428.84 - 813.1
+Lab Costs
57209

Speech Aid Prosthesis

750.47 - 1509.6
+Lab Costs
750.47 - 1509.6
+Lab Costs
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