04732 Two units
| 00000 | DIAGNOSTIC |
||
| 04000 | TEST/ANALYSIS/LABORATORY PROCEDURES/INTERPRETATION AND/OR REPORTS |
||
| 04700 | SUPPLEMENTARY DIAGNOSTIC PROCEDURES (INTERPRETATION ONLY) |
||
| 04730 | Split Cast Mounting, Diagnostic |
||
| 04732 | Two units |
$155.8
+Lab Costs |
$155.8
+Lab Costs |