Base Rate – $66.17
Name – Ultrasound, pelvis, female, translabial or endo-vaginal (EV), additional benefit

Category – T Test

Fee Modifiers

Type Code # of calls Explicit Action Amount
AGE L13 Increase Base To 1.3

Diagnostic Radiology

/ Diagnostic Ultrasound

// Obstetrics Gynecology and Female Pelvis

/// –

//// X324

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