Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
Diagnostic Ultrasound
Radiology - Pediatric Radiology
Ct scan of blood vessels of chest with contrast
X-ray of knee, 1-2 views
X-ray of hip, 1 view
Radiology - Diagnostic Radiology
X-ray of ankle, minimum of 3 views
X-ray of chest, 2 views
Imaging of urinary tract following injection of a contrast agent
X-ray of knee, 3 views
Vascular & Interventional Radiology
Nuclear Radiology
Ct scan of upper spine without contrast
X-ray of chest, 1 view
Ct scan of abdomen and pelvis without contrast
Ct scan of pelvis without contrast
Ct scan of lower spine without contrast
Radiology - Neuroradiology
Complete ultrasound scan behind abdominal cavity
Pediatric Radiology
Ultrasonic guidance for blood vessel access
X-ray of lower leg, 2 views
Radiology - Body Imaging
Physician visit costs
Ct scan head or brain without contrast
X-ray of foot, minimum of 3 views
Ct scan of face without contrast
Radiology - Vascular & Interventional Radiology
X-ray of shoulder, minimum of 2 views
Aspiration of fluid from chest cavity using imaging guidance
X-ray of lower and sacral spine, 2-3 views
Ultrasound of leg arteries or artery grafts
Ct scan of chest with contrast
Imaging for evaluation of swallowing function
Ct scan of chest without contrast
Ultrasound study of arm or leg veins with compression and maneuvers
X-ray of wrist, minimum of 3 views
Ultrasound scan of head and neck soft tissue
Insertion of tunneled central venous tube for infusion (5 years or older)
X-ray of abdomen, 1 view
Ultrasound of both sides of head and neck blood flow
Radiology - Nuclear Radiology
Diagnostic Radiology
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