14319 Each additional unit over two
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14300 | CONTROL OF ORAL HABITS, MISCELLANEOUS |
||
| 14310 | Myofunctional Therapy |
||
| 14319 | Each additional unit over two |
$85.68
+Lab Costs |
$85.68
+Lab Costs |