Results 21 to 30 of 124 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
57905 - Additional Information
Mastoids or petrous temporal bones (R)
Fee: $69.85 Benefit: 75% = $52.40 85% = $59.40
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57907 - Additional Information
Sinuses or facial bones – orbit, maxilla or malar, any or all (R)
Fee: $51.25 Benefit: 75% = $38.45 85% = $43.60
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57915 - Additional Information
Mandible, not by orthopantomography technique (R)
Fee: $51.05 Benefit: 75% = $38.30 85% = $43.40
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57918 - Additional Information
Salivary calculus (R)
Fee: $51.05 Benefit: 75% = $38.30 85% = $43.40
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57921 - Additional Information
Nose (R)
Fee: $51.05 Benefit: 75% = $38.30 85% = $43.40
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57924 - Additional Information
Eye (R)
Fee: $51.05 Benefit: 75% = $38.30 85% = $43.40
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57927 - Additional Information
Temporo mandibular joints (R)
Fee: $53.75 Benefit: 75% = $40.35 85% = $45.70
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57930 - Additional Information
Teeth—single area (R)
Fee: $35.70 Benefit: 75% = $26.80 85% = $30.35
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57933 - Additional Information
Teeth - full mouth (R)
Fee: $84.75 Benefit: 75% = $63.60 85% = $72.05
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
57939 - Additional Information
Palato pharyngeal studies with fluoroscopic screening (R)
Fee: $69.85 Benefit: 75% = $52.40 85% = $59.40
(See para IN.0.19 of explanatory notes to this Category)
Results 21 to 30 of 124 matches
Legend
- Assist - Addition/Deletion of (Assist.)
- Amend - Amended Description
- Anaes - Anaesthetic Values Amended
- Emsn - EMSN Change
- Fee - Fee Amended
- Renum - Item Number Change (renumbered)
- New - New Item
- NewMin - New Item (previous Ministerial Determination)
- Qfe - QFE Change