Displaying 1401 - 1440 of 2652

57200

PROSTHESIS, MAXILLOFACIAL, OBTURATORS
57206

Obturator, Hollow Bulb (prosthesis extra)

 $107.2 - 1160.82
+Lab Costs 		$107.2 - 1160.82
+Lab Costs
57200

PROSTHESIS, MAXILLOFACIAL, OBTURATORS
57207

Obturator, Inflatable (prosthesis extra)

 $428.84 - 1394.04
+Lab Costs 		$428.84 - 1394.04
+Lab Costs
57200

PROSTHESIS, MAXILLOFACIAL, OBTURATORS
57208

Obturator Prosthesis, Modification (relines or repairs)

 $428.84 - 813.1
+Lab Costs 		$428.84 - 813.1
+Lab Costs
57200

PROSTHESIS, MAXILLOFACIAL, OBTURATORS
57209

Speech Aid Prosthesis

 $750.47 - 1509.6
+Lab Costs 		$750.47 - 1509.6
+Lab Costs
57000

PROSTHESIS, MAXILLOFACIAL
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57301

Velar Bulb (prosthesis and obturator extra)

 $107.2 - 1160.82
+Lab Costs 		$107.2 - 1160.82
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57302

Velar Lift Button, Mechanical (prosthesis and obturator extra)

 $107.2 - 1160.82
+Lab Costs 		$107.2 - 1160.82
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57303

Retention, Spiral Spring (prosthesis extra)

 $696.5
+Lab Costs 		$696.5
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57304

Retention, Magnetic (prosthesis extra)

 $346.69
+Lab Costs 		$346.69
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57305

Guide Plane, Condylar (prosthesis extra)

 $107.21 - 697.58
+Lab Costs 		$107.21 - 697.58
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57306

Implant, Silastic Chin

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57307

Mesh Prosthesis, Chrome Cobalt Mandibular Mesh

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57308

Skull Plate, Customized

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57309

Akerman, Pseudotemporomandibular Joint (prosthesis extra)

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57311

Feeding Appliance (for infants with cleft palate)

 $536.04 - 1160.82
+Lab Costs 		$536.04 - 1160.82
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57321

Lingual Prosthesis

 $1715.36 - 3485.61
+Lab Costs 		$1715.36 - 3485.61
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57341

Mandibular Resection Prosthesis with Guide Flange

 $1072.1 - 1859.4
+Lab Costs 		$1072.1 - 1859.4
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57342

Mandibular Resection Prosthesis without Guide Flange

 $643.26 - 1392.99
+Lab Costs 		$643.26 - 1392.99
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57351

Prosthesis, Maxillofacial, Fixed

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57361

Palatal Augmentation Prosthesis

 $750.47 - 1742.81
+Lab Costs 		$750.47 - 1742.81
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57371

Palatal Life Prosthesis, Modification (relines or repairs)

 $214.41 - 813.1
+Lab Costs 		$214.41 - 813.1
+Lab Costs
57300

PROSTHESIS, MAXILLOFACIAL, OTHER
57372

Gingival Prosthesis
Note: For removable appliance used to mask unaesthetic embrasures see sub-classification 49300 soft
tissue prosthesis, code 49301 Gingival Mask

 $378.78
+Lab Costs 		$378.78
+Lab Costs
57000

PROSTHESIS, MAXILLOFACIAL
57400

PROSTHESIS, TEMPOROMANDIBULAR JOINT
57400

PROSTHESIS, TEMPOROMANDIBULAR JOINT
57401

Exercisers, Trismus, Therapy

 $857.67 - 1392.99
+Lab Costs 		$857.67 - 1392.99
+Lab Costs
57400

PROSTHESIS, TEMPOROMANDIBULAR JOINT
57402

Splints, Permanent Cast Occlusal

 $2144.22 - 3485.61
+Lab Costs 		$2144.22 - 3485.61
+Lab Costs
57000

PROSTHESIS, MAXILLOFACIAL
57500

PROSTHESIS, SPLINTS
57500

PROSTHESIS, SPLINTS
57501

Stout

 $1032.51
+Lab Costs 		$1032.51
+Lab Costs
57500

PROSTHESIS, SPLINTS
57502

Cast Capped

 $1446.15
+Lab Costs 		$1446.15
+Lab Costs
57500

PROSTHESIS, SPLINTS
57503

Gunning (upper and lower)

 $1446.15
+Lab Costs 		$1446.15
+Lab Costs
57500

PROSTHESIS, SPLINTS
57504

Bar Splint, Cast, Labial and Lingual

 $1446.15
+Lab Costs 		$1446.15
+Lab Costs
57500

PROSTHESIS, SPLINTS
57505

Scaffolding, Rhinoplastic

 $1446.15
+Lab Costs 		$1446.15
+Lab Costs
57500

PROSTHESIS, SPLINTS
57506

Cast, Adjustable

 $1446.15
+Lab Costs 		$1446.15
+Lab Costs
57500

PROSTHESIS, SPLINTS
57508

Commisure Splint

 $321.63 - 1510.64
+Lab Costs 		$321.63 - 1510.64
+Lab Costs
57000

PROSTHESIS, MAXILLOFACIAL
57600

PROSTHESIS, STENTS
57600

PROSTHESIS, STENTS
57601

Ridge Extension

 $1032.51
+Lab Costs 		$1032.51
+Lab Costs
57600

PROSTHESIS, STENTS
57602

Palatal

 $1032.51
+Lab Costs 		$1032.51
+Lab Costs
57600

PROSTHESIS, STENTS
57603

Skin Grafts

 $1032.51
+Lab Costs 		$1032.51
+Lab Costs
57600

PROSTHESIS, STENTS
57604

Mucous Membrane Grafts

 $1032.51
+Lab Costs 		$1032.51
+Lab Costs
57600

PROSTHESIS, STENTS
57650

Prosthesis, Radiation Appliances
57600

PROSTHESIS, STENTS
57650

Prosthesis, Radiation Appliances
57651

Radiation Vehicle Carrier

 $953.18 - 3099.65
+Lab Costs 		$953.18 - 3099.65
+Lab Costs