04920 Casts, Diagnostic, Mounted
| 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 | ||
| 04921 | Casts, Diagnostic, Mounted |
130.85
+Lab Costs |
130.85
+Lab Costs |
| 04922 | Casts, Diagnostic, Mounted, using face bow transfer |
174.12
+Lab Costs |
174.12
+Lab Costs |
| 04923 | Casts, Diagnostic, Mounted, using face bow and occlusal records |
343.85
+Lab Costs |
343.85
+Lab Costs |
| 04924 | Casts, Diagnostic, Mounted using fully adjustable articulator (used with 04941 and 04942) |
Independent Consideration
+Lab Costs |
Independent Consideration
+Lab Costs |