Results 261 to 270 of 275 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
55889 - Additional Information
Ankle or hind foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55891 (NR)
Fee: $40.95 Benefit: 75% = $30.75 85% = $34.85
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55890 - Additional Information
Ankle or hind foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55888 (R)
Fee: $131.20 Benefit: 75% = $98.40 85% = $111.55
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55891 - Additional Information
Ankle or hind foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55889 (NR)
Fee: $45.55 Benefit: 75% = $34.20 85% = $38.75
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55892 - Additional Information
Mid foot or fore foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55894 (R)
Fee: $118.25 Benefit: 75% = $88.70 85% = $100.55
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55893 - Additional Information
Mid foot or fore foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55895 (NR)
Fee: $40.95 Benefit: 75% = $30.75 85% = $34.85
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55894 - Additional Information
Mid foot or fore foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55892 (R)
Fee: $131.20 Benefit: 75% = $98.40 85% = $111.55
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55895 - Additional Information
Mid foot or fore foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55893 (NR)
Fee: $45.55 Benefit: 75% = $34.20 85% = $38.75
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63019 - Additional Information
MRI—scan of head (including MRA if performed) for the assessment of suitability for the treatment of medically refractory essential tremor with magnetic resonance imaging‑guided focused ultrasound
Applicable once per patient per lifetime (R) (Contrast)
(Anaes.)
Fee: $426.50 Benefit: 75% = $319.90 85% = $362.55
Category 5 - DIAGNOSTIC IMAGING SERVICES
63020 - Additional Information
MRI—scan of head (including MRA if performed) for the post‑procedure assessment of the patient following magnetic resonance imaging‑guided focused ultrasound for the treatment of medically refractory essential tremor
Applicable once per patient per lifetime (R) (Contrast)
(Anaes.)
Fee: $426.50 Benefit: 75% = $319.90 85% = $362.55
Category 5 - DIAGNOSTIC IMAGING SERVICES
63401 - Additional Information
MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast)
(Anaes.)
Fee: $426.50 Benefit: 75% = $319.90 85% = $362.55
(See para IN.0.19 of explanatory notes to this Category)
Results 261 to 270 of 275 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