04719 Each additional unit over four
| 00000 | DIAGNOSTIC |
||
| 04000 | TEST/ANALYSIS/LABORATORY PROCEDURES/INTERPRETATION AND/OR REPORTS |
||
| 04700 | SUPPLEMENTARY DIAGNOSTIC PROCEDURES (INTERPRETATION ONLY) |
||
| 04710 | Equilibration, Casts Diagnostic (Pilot Equilibration) For Extensive Or Complicated Restorative |
||
| 04719 | Each additional unit over four |
$77.9
+Lab Costs |
$77.9
+Lab Costs |