X335

Base Rate – $159.12
Name – Ultrasound shoulder, dedicated rotator cuff and bicep

Category – T Test

Fee Modifiers

Type Code # of calls Explicit Action Amount
AGE
CALL
CALL
CALL
CALL
L13
CALL13
CALL13
NBRSER
NBRSER
 
 1 
 2 – 2 
 1 
 2 – 2
 
  
  
  
 
Increase Base To
For Each Call Pay Base At
For Each Call Pay Base At
For Each Call Pay Base At
For Each Call Pay Base At
130%
130%
117%
100%
90%

Diagnostic Radiology

/ Diagnostic Ultrasound

// Musculo-Skeletal

/// –

//// X335


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