57201 Obturator, Cleft Palate (prosthesis extra)
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 |