81243 Appliance, Two-Molar Band, Hooked and Elastics
| 80000 | ORTHODONTICS |
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| 81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
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| 81200 | APPLIANCES, FIXED OR CEMENTED |
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| 81240 | Appliance, Fixed, Cross-Bite Correction - Posterior |
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| 81243 | Appliance, Two-Molar Band, Hooked and Elastics |
$279.91
+Lab Costs |
$279.91
+Lab Costs |