04731 One unit of time
| 00000 | DIAGNOSTIC |
||
| 04000 | TEST/ANALYSIS/LABORATORY PROCEDURES/INTERPRETATION AND/OR REPORTS |
||
| 04700 | SUPPLEMENTARY DIAGNOSTIC PROCEDURES (INTERPRETATION ONLY) |
||
| 04730 | Split Cast Mounting, Diagnostic |
||
| 04731 | One unit of time |
$77.9
+Lab Costs |
$77.9
+Lab Costs |