ULTRASOUND
SERVICE CHARGE CODE SERVICE DESCRIPTION SERVICE CHARGE PRICE
2000001 US-EXT CAROTIDS, BILATERAL 156.15
2000004 US-GUIDED BIOPSY 296.82
2000012 US-FETAL HEART, COMP 259.71
2000016 US-EXT CAROTIDS, UNILATERAL 121.16
2000033 US-FETAL HEART, 2-D 116.45
2000050 US-GUIDE RADIOTX EXC B-SCAN 116.45
2000064 US-TRANSRECTAL 210.25
2000066 US-GUIDE RADIOTX B-SCAN 121.16
2000068 US-TRANSVAGINAL 210.25
2000076 US EXAM FOLLOW-UP 108.54
2000079 US-BIOPHYSICAL PROFILE 247.35
2000080 US-SURGERY 108.54
2000084 US-GUIDED ASPIRATION 309.16
2000152 US-OVA ASPIRATION 435.71
2004883 US-THYROID 128.96
2004925 US-GALLBLADDER 128.96
2004933 US-ABDOMEN (LIVER,PANCREAS,B-DUCT) 156.46
2004941 US-AORTA 128.96
2004958 US-KIDNEY 128.96
2004966 US-BRAIN NEWBORN 128.96
2004974 US-OBSTETRICAL 128.96
2004984 US-PELVIC 128.96
2005310 US-EXTREMITY, NON-VASCULAR 128.96
2005328 US-SPLEEN 128.96
2005344 US-SCROTUM 128.96
2050182 US-GUIDED AMNIOCENTESIS 104.73
2050187 US-BRAIN INFANT 82.38
2050192 US-BREAST 123.56
2050194 US-CHEST 118.86
2076705 US-APPENDIX 128.96
2076815 US-GESTATIONAL, LIMITED 104.73
2093925 US-DUPLEX, LE ARTERIES, BIL 255.83
2093926 US-DUPLEX, LE ARTERIES, UNIL 127.91
2093930 US-DUPLEX, UE ARTERIES, BIL 255.83
2093931 US-DUPLEX, UE ARTERIES, UNIL 127.91
2096019 US-MULTI GESTATION, POST-1ST TRIM 186.41
2096020 US-DUPLEX, EXTREMITY, BIL 255.83
2096030 US-DUPLEX, EXTREMITY, UNIL 186.41
2098000 US-GUIDED PARACENTESIS 190.32