04931 Casts, Diagnostic, Orthodontic (unmounted, angle trimmed and soaped)
| 00000 | DIAGNOSTIC |
||
| 04000 | TEST/ANALYSIS/LABORATORY PROCEDURES/INTERPRETATION AND/OR REPORTS |
||
| 04900 | CASTS, DIAGNOSTIC (technical procedure only) |
||
| 04930 | Casts, Diagnostic, Orthodontic |
||
| 04931 | Casts, Diagnostic, Orthodontic (unmounted, angle trimmed and soaped) |
$148.02
+Lab Costs |
$148.02
+Lab Costs |