91120 Emergency Services Not Othewise Specified In Guide
| 90000 | GENERAL SERVICES |
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| 91000 | UNCLASSIFIED TREATMENTS |
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| 91100 | UNCLASSIFIED TREATMENT, DENTAL PAIN |
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| 91120 | Emergency Services Not Othewise Specified In Guide | ||
| 91121 | One unit of time |
113.65 | 113.65 |
| 91122 | Two units |
227.3 | 227.3 |
| 91123 | Three units |
340.95 | 340.95 |
| 91129 | Each additional unit over three |
113.65 | 113.65 |