81222 Appliance, Mandibular
| 80000 | ORTHODONTICS |
||
| 81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
||
| 81200 | APPLIANCES, FIXED OR CEMENTED |
||
| 81220 | Appliance, Fixed, Spaces Regaining, Unilateral |
||
| 81222 | Appliance, Mandibular |
$262.16
+Lab Costs |
$262.16
+Lab Costs |