X174

Base Rate – $239.44
Name – Gastrointestinal imaging

Category – T Test

Fee Modifiers

Type Code # of calls Explicit Action Amount
XRAY
XRAY
CINE
STEREO
 
 
Yes 
 Yes
Increase Base To
Increase By
150%
$17.37

Diagnostic Radiology

/ Nuclear Medicine

// Gastrointestinal studies

/// –

//// X174


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