Ultrasound study of arm or leg veins with compression and maneuvers
Ct scan of blood vessels of chest with contrast
Ct scan of pelvis without contrast
X-ray of knee, 1-2 views
X-ray of knee, 3 views
Radiology
Ct scan of abdomen and pelvis with contrast
Bone Imaging/Musculoskeletal
Ct scan of chest with contrast
Physician visit costs
Ct scan of upper spine without contrast
Vascular & Interventional Radiology
X-ray of ankle, minimum of 3 views
Complete ultrasound scan behind abdominal cavity
Mri scan of leg joint without contrast
X-ray of thigh bone, minimum 2 views
ULTRASOUND
X-ray of upper spine, 4-5 views
Pediatric Radiology
Ct scan of abdomen and pelvis without contrast
Ultrasound of both sides of head and neck blood flow
X-ray of foot, minimum of 3 views
Ct scan head or brain without contrast
X-ray of hand, minimum of 3 views
Abdominal Imaging
X-ray of chest, 1 view
Diagnostic Radiology
X-ray of lower leg, 2 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of wrist, minimum of 3 views
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