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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MRI - ANGIO, FOOT WITH CONTRAST | 90901-07[2015] | 240293 | 73718 | 760 | ||
0 | MRI - ANGIO,ABD. WITH CONTRAST | 90901-05[2015] | 240294 | 73719 | 760 | ||
0 | MRI - ANGIO,RENAL WITH CONTRAST | 240295 | 74182 | 760 | |||
0 | MRI - ANGIO,UPPER EXTREMITY WITH CONTRAST | 90901-07[2015] | 240296 | 760 | |||
0 | MRI - ANKLE | 240297 | 1,500.00 | ||||
0 | MRI - ANY 2 REG. OR 2 STUDIES | 240298 | 2,500.00 | ||||
0 | MRI - BRAIN | 90901-09[2015] | 240299 | 70551 | 1,500.00 | ||
0 | MRI - CERVICAL SPINE | 90901-03[2015] | 240300 | 72141 | 1,500.00 | ||
0 | MRI - ELBOW | 90901-08[2015] | 240301 | 73218 | 1,500.00 | ||
0 | MRI - EXTREMITY | 90901-07[2015] | 240302 | 73218 | 1,500.00 | ||
0 | MRI - HEART (CARDIAC) | 240303 | 2,000.00 | ||||
0 | MRI - HIP | 240304 | 1,500.00 |
MRI - ANGIO, FOOT WITH CONTRAST
760
MRI - ANGIO,ABD. WITH CONTRAST
760
MRI - ANGIO,RENAL WITH CONTRAST
760
MRI - ANGIO,UPPER EXTREMITY WITH CONTRAST
760
MRI - ANKLE
1,500.00
MRI - ANY 2 REG. OR 2 STUDIES
2,500.00
MRI - BRAIN
1,500.00
MRI - CERVICAL SPINE
1,500.00
MRI - ELBOW
1,500.00
MRI - EXTREMITY
1,500.00
MRI - HEART (CARDIAC)
2,000.00
MRI - HIP
1,500.00
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