57204 Obturator, Temporary Palatal (prosthesis extra)
| 50000 | PROSTHODONTICS - REMOVABLE |
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| 57000 | PROSTHESIS, MAXILLOFACIAL |
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| 57200 | PROSTHESIS, MAXILLOFACIAL, OBTURATORS |
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| 57204 | Obturator, Temporary Palatal (prosthesis extra) |
$107.2 - 1160.82
+Lab Costs |
$107.2 - 1160.82
+Lab Costs |