Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
External breast prosthesis garment, with mastectomy form, post mastectomy
Breast prosthesis, mastectomy form
Breast prosthesis, silicone or equal, without integral adhesive
Breast prosthesis, silicone or equal, with integral adhesive
Nipple prosthesis, prefabricated, reusable, any type, each
Nipple prosthesis, custom fabricated, reusable, any material, any type, each
Custom breast prosthesis, post mastectomy, molded to patient model
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