91239 Each additional unit over four
90000 | GENERAL SERVICES |
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91000 | UNCLASSIFIED TREATMENTS |
||
91200 | UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is |
||
91230 | Management of Exceptional Patient |
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91239 | Each additional unit over four | $124.98 | $124.98 |