57500 PROSTHESIS, SPLINTS
50000 | PROSTHODONTICS - REMOVABLE |
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57000 | PROSTHESIS, MAXILLOFACIAL |
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57500 | PROSTHESIS, SPLINTS | ||
57501 | Stout |
1032.51
+Lab Costs |
1032.51
+Lab Costs |
57502 | Cast Capped |
1446.15
+Lab Costs |
1446.15
+Lab Costs |
57503 | Gunning (upper and lower) |
1446.15
+Lab Costs |
1446.15
+Lab Costs |
57504 | Bar Splint, Cast, Labial and Lingual |
1446.15
+Lab Costs |
1446.15
+Lab Costs |
57505 | Scaffolding, Rhinoplastic |
1446.15
+Lab Costs |
1446.15
+Lab Costs |
57506 | Cast, Adjustable |
1446.15
+Lab Costs |
1446.15
+Lab Costs |
57508 | Commisure Splint |
321.63 - 1510.64
+Lab Costs |
321.63 - 1510.64
+Lab Costs |