02809 Each additional unit over two

00000

DIAGNOSTIC

02000

RADIOGRAPHS (including radiographic examination and diagnosis and interpretation)

02800

RADIOGRAPHS, COMPUTERIZED AXIAL TOMOGRAMS (CT), POSITRON EMISSION TOMOGRAPHY
(P.E.T), MAGNETIC RESONANCE IMAGES (M.R.I) INTERPRETATION (either the radiographs, CT scans,
PET scans, MRI scans, or the interpretation must be received from another source)

02809 Each additional unit over two $95.35
+Material Expenses
$95.35
+Mater. Exp.
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