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Code | Description | Tech | Prof | Fee |
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All Codes |
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X113 | Colon - air contrast, primary or secondary, including survey films, if taken | $69.70 | $49.80 | |
X112 | Colon - barium enema including survey film, if taken | $55.05 | $29.40 | |
X114 | Gallbladder - one or multiple day examinations | $34.05 | $11.60 | |
X120 | Gallbladder - one or multiple day examinations with preliminary plain film | $45.30 | $11.60 | |
X110 | Hypotonic duodenogram | $44.80 | $32.95 | |
X107 | Oesophagus when X103, X104, X108 or X109 not claimed | $30.35 | $21.40 | |
X104 | Oesophagus, stomach and duodenum - double contrast, including survey film, if taken | $55.20 | $46.40 | |
X103 | Oesophagus, stomach and duodenum - double contrast, including survey film, if taken, and small bowel | $69.30 | $58.40 | |
X108 | Oesophagus, stomach and duodenum - including survey film, if taken | $52.70 | $38.15 | |
X109 | Oesophagus, stomach and small bowel | $67.20 | $49.80 | |
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X117 | Operative cholangiogram | $24.70 | $11.10 | |
X123 | Operative pancreatogram or ERCP | $24.70 | $9.00 | |
X105 | Palatopharyngeal analysis - cine or videotape | $33.55 | $36.90 | |
X106 | Pharynx and oesophagus - cine or videotape | $33.55 | $36.90 | |
X111 | Small bowel only - when only examination performed during patient's visit | $30.05 | $21.80 | |
X116 | T-tube cholangiogram | $24.70 | $9.90 | |
Complete Study - 1 and 2 dimensions |
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G571 | Professional component | $96.20 | ||
G400
Physician-in-charge - 1st day
|
$223.10 | |||
G570 | Technical component | $118.95 | ||
G400
Physician-in-charge - 1st day
|
$223.10 | |||
COVID-19 Immunization |
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G593 | COVID-19 vaccine | $13.00 |
The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.
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