04922 Casts, Diagnostic, Mounted, using face bow transfer
| 00000 | DIAGNOSTIC |
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| 04000 | TEST/ANALYSIS/LABORATORY PROCEDURES/INTERPRETATION AND/OR REPORTS |
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| 04900 | CASTS, DIAGNOSTIC (technical procedure only) |
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| 04920 | Casts, Diagnostic, Mounted |
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| 04922 | Casts, Diagnostic, Mounted, using face bow transfer |
$174.12
+Lab Costs |
$174.12
+Lab Costs |