Additional Cost: Thirty-Five Dollars
$ 35.00
Additional Cost: Twenty Dollars
$ 20.00
Additional Cost: Twenty-Five Dollars
$ 25.00
Additional Eyewear Adjustment
$ 10.00
Additional Left Elbow Fuse on Multiple Fractured Frame
$ 19.00
Additional Left Elbow Fuse w/ Specialty Hinge on Multiple Fractured Frame
$ 21.00
