91225 Five units
| 90000 | GENERAL SERVICES |
||
| 91000 | UNCLASSIFIED TREATMENTS |
||
| 91200 | UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is |
||
| 91220 | Second Surgeon (team approach) |
||
| 91225 | Five units | $539.92 | $539.92 |