57308 Skull Plate, Customized
| 50000 | PROSTHODONTICS - REMOVABLE |
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| 57000 | PROSTHESIS, MAXILLOFACIAL |
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| 57300 | PROSTHESIS, MAXILLOFACIAL, OTHER |
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| 57308 | Skull Plate, Customized |
Independent Consideration
+Lab Costs |
Indep. Consid.
+Lab Costs |