| 1 |
CT KUB |
5400.00-5400.00 |
| 2 |
CT HEAD (PLAIN) |
2385.00-2385.00 |
| 3 |
CT ORBIT AXIAL & CORONAL CONTRAST |
4950.00-4950.00 |
| 4 |
CT SCAN - BRAIN PLAIN |
2385.00-2385.00 |
| 5 |
CT SCAN - EXTERMITIES |
4950.00-4950.00 |
| 6 |
CT SCAN - Lower Abdomen |
3600.00-3600.00 |
| 7 |
CT SCAN - LOWER ABDOMEN CONTRAST |
6300.00-6300.00 |
| 8 |
CT SCAN - PNS-AXIAL/CORONAL |
4050.00-4050.00 |
| 9 |
CT SCAN - Upper Abdomen |
3600.00-3600.00 |
| 10 |
CT SCAN - UPPER ABDOMEN CONTRAST |
6300.00-6300.00 |
| 11 |
CT SCAN - WHOLE ABDOMEN CONTRAST |
7200.00-7200.00 |
| 12 |
CT SCAN TEMPORAL BONE CONTRAST |
6300.00-6300.00 |
| 13 |
CT TEMPORAL BONE |
4950.00-4950.00 |
| 14 |
CT UROGRAPHY |
8100.00-8100.00 |
| 15 |
CT WHOLE ABDOMEN |
5400.00-5400.00 |