02521 One unit of time
| 00000 | DIAGNOSTIC |
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| 02000 | RADIOGRAPHS (including radiographic examination and diagnosis and interpretation) |
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| 02500 | RADIOGRAPHS, TEMPOROMANDIBULAR JOINT |
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| 02520 | Interpretation of the Arthrogram |
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| 02521 | One unit of time | $77.9 | $77.9 |