57500 PROSTHESIS, SPLINTS
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 57000 | PROSTHESIS, MAXILLOFACIAL |
||
| 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 |