Y3

Base Rate – $0.00
Name – Superficial x-ray therapy, cancer

Category – T Test

Fee Modifiers

Type Code # of calls Explicit Action Amount
BMI
BMI
ROLE
ROLE
ANU
ANU
BMIANE
BMIANT
ANE
ANEST
ANU
ANU
 
  
  
  
 1 
 2 – 150
Yes 
 Yes 
 Yes 
 Yes 
  
 
Increase By
Increase By
Replace Base
Replace Base
For Each Call Pay Base At
For Each Call Increase By
25%
25%
$109.92
$18.29
100%
$18.29

Therapeutic Radiology

/ X-Ray Therapy

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