| 1 |
Dexa Scan |
3150.00-3150.00 |
| 2 |
X RAY ARM A/L |
490.00-490.00 |
| 3 |
X RAY B/L CALCANEUM AX/LAT |
770.00-770.00 |
| 4 |
X RAY BOTH ANKLE LATERAL VIEW |
490.00-490.00 |
| 5 |
X RAY BOTH ANKLE STRESS VIEW AP/LAT |
770.00-770.00 |
| 6 |
X RAY BOTH ARM AP |
490.00-490.00 |
| 7 |
X RAY BOTH ELBOW LATERAL VIEW |
490.00-490.00 |
| 8 |
X RAY BOTH FEET LAT |
490.00-490.00 |
| 9 |
X RAY BOTH FOOT AP/LAT VIEW |
770.00-770.00 |
| 10 |
X RAY BOTH FOOT LATERAL |
490.00-490.00 |
| 11 |
X RAY BOTH HAND LATERAL |
490.00-490.00 |
| 12 |
X RAY BOTH HANDS AP AND OBLIQUE VIEW |
490.00-490.00 |
| 13 |
X RAY BOTH HANDS AP VIEW |
490.00-490.00 |
| 14 |
X RAY BOTH HANDS WITH WRIST AP VIEW |
490.00-490.00 |
| 15 |
X RAY BOTH HEEL AP VIEW |
490.00-490.00 |
| 16 |
X RAY BOTH KNEE IN VARUS STRESS |
770.00-770.00 |
| 17 |
X RAY BOTH KNEE JOINTS LAT VIEW |
490.00-490.00 |
| 18 |
X RAY BOTH KNEE JT AP/LAT |
770.00-770.00 |
| 19 |
X RAY BOTH KNEE MERCHANT VIEW |
490.00-490.00 |
| 20 |
X RAY BOTH KNEE PA VIEW |
490.00-490.00 |
| 21 |
X RAY BOTH KNEE STAND AP/L |
770.00-770.00 |
| 22 |
X RAY BOTH L LIMB AP |
490.00-490.00 |
| 23 |
X RAY BOTH LOWER LIMB LAT |
490.00-490.00 |
| 24 |
X RAY BOTH SACRO-ILIAC JT AP VIEW |
490.00-490.00 |
| 25 |
X RAY BOTH SACRO-ILIAC JT OBLIQUE VIEW |
490.00-490.00 |
| 26 |
X RAY BOTH STYLOID AP/LAT |
770.00-770.00 |
| 27 |
X RAY BOTH THIGH AP/LAT |
770.00-770.00 |
| 28 |
X RAY BOTH VALGUS STRESS AP VIEW |
490.00-490.00 |
| 29 |
X RAY BOTH WRIST LAT |
490.00-490.00 |
| 30 |
X RAY CERVICAL (EXTENSION) |
315.00-315.00 |
| 31 |
X RAY CERVICAL (FLEXION) |
315.00-315.00 |
| 32 |
X RAY CERVICAL OPEN MOUTH VIEW |
315.00-315.00 |
| 33 |
X RAY CERVICAL SPINE OBLIQUE BOTH |
490.00-490.00 |
| 34 |
X RAY CHEST LT LAT |
315.00-315.00 |
| 35 |
X RAY CHEST LT LAT DECUBITUS |
315.00-315.00 |
| 36 |
X RAY CHEST RT LAT |
315.00-315.00 |
| 37 |
X RAY CHEST RT LAT DECUBITUS |
315.00-315.00 |
| 38 |
X RAY D.L SPINE (EXTENSION) |
315.00-315.00 |
| 39 |
X RAY D.L SPINE (FLEXION) |
315.00-315.00 |
| 40 |
X RAY D.L SPINE (OBLIQUE) |
315.00-315.00 |
| 41 |
X RAY DORSOL LUMBAR SPINE AP |
315.00-315.00 |
| 42 |
X RAY L.S SPINE (EXTENSION) |
315.00-315.00 |
| 43 |
X RAY L.S SPINE (FLEXION) |
315.00-315.00 |
| 44 |
X RAY L.S. SPINE OBLIQUE(LEFT & RIGHT) |
490.00-490.00 |
| 45 |
X RAY LEFT ANKLE AP/LAT |
490.00-490.00 |
| 46 |
X RAY LEFT ARM AP/LAT |
490.00-490.00 |
| 47 |
X RAY LEFT ELBOW AP/LAT |
490.00-490.00 |
| 48 |
X RAY LEFT HEEL AP /LATERAL |
490.00-490.00 |
| 49 |
X RAY LEFT HIP WITH THIGH AP/LT |
490.00-490.00 |
| 50 |
X RAY LEFT HUMERUS A/L |
490.00-490.00 |
| 51 |
X RAY LEFT HUMERUS AP VIEW |
315.00-315.00 |
| 52 |
X RAY LEFT KNEE LATERAL |
315.00-315.00 |
| 53 |
X RAY LEFT KNEE STANDING AP/LAT |
490.00-490.00 |
| 54 |
X RAY LEFT LOWER LIMB LAT |
315.00-315.00 |
| 55 |
X RAY LEFT MANDIBLE OBLIQUE |
315.00-315.00 |
| 56 |
X RAY LEFT SCAPULA AP |
315.00-315.00 |
| 57 |
X RAY LEFT SI JOINT |
315.00-315.00 |
| 58 |
X RAY LEFT SUBMANDIBULAR REGION |
315.00-315.00 |
| 59 |
X RAY LEFT THIGH AP/L |
490.00-490.00 |
| 60 |
X RAY LEFT THIGH AP/LAT |
490.00-490.00 |
| 61 |
X RAY LEFT THIGH LAT |
315.00-315.00 |
| 62 |
X RAY LEFT WRIST AP/LAT |
490.00-490.00 |
| 63 |
X RAY MASTOID LEFT LAT OBLIQUE |
315.00-315.00 |
| 64 |
X RAY MASTOID RIGHT LAT OBLIQUE |
315.00-315.00 |
| 65 |
X RAY MAXILLA AP/LAT |
490.00-490.00 |
| 66 |
X RAY NASAL BONE AP |
315.00-315.00 |
| 67 |
X RAY NASAL BONE BILATERAL LATERAL |
490.00-490.00 |
| 68 |
X RAY OF OBJECT |
315.00-315.00 |
| 69 |
X RAY ORBIT PA |
315.00-315.00 |
| 70 |
X RAY PATELLA AP RIGHT |
315.00-315.00 |
| 71 |
X RAY PELVIS AP/LAT |
490.00-490.00 |
| 72 |
X RAY PELVIS LAT VIEW |
315.00-315.00 |
| 73 |
X RAY PNS LAT |
315.00-315.00 |
| 74 |
X RAY REPORTING (1 FILM) |
315.00-315.00 |
| 75 |
X RAY REPORTING (2 FILM) |
490.00-490.00 |
| 76 |
X RAY RIGHT ANKLE AP/LAT |
490.00-490.00 |
| 77 |
X RAY RIGHT ARM A/L |
490.00-490.00 |
| 78 |
X RAY RIGHT CALCANEUM AP |
315.00-315.00 |
| 79 |
X RAY RIGHT CALCANEUM LAT/AXI/AL |
490.00-490.00 |
| 80 |
X RAY RIGHT CLAVICLE LAT |
315.00-315.00 |
| 81 |
X RAY RIGHT ELBOW A/L |
490.00-490.00 |
| 82 |
X RAY RIGHT FEMUR AP/LAT |
490.00-490.00 |
| 83 |
X RAY RIGHT FINGER A/L |
490.00-490.00 |
| 84 |
X RAY RIGHT FOREARM A/L |
490.00-490.00 |
| 85 |
X RAY RIGHT HAND A/L |
490.00-490.00 |
| 86 |
X RAY RIGHT HEEL AP/LAT |
490.00-490.00 |
| 87 |
X RAY RIGHT HUMERUS A/L |
315.00-315.00 |
| 88 |
X RAY RIGHT KNEE LAT VIEW |
315.00-315.00 |
| 89 |
X RAY RIGHT KNEE SKYLINE VIEW |
315.00-315.00 |
| 90 |
X RAY RIGHT KNEE STAND AP/LAT |
490.00-490.00 |
| 91 |
X RAY RIGHT LEG AP/LAT |
490.00-490.00 |
| 92 |
X RAY RIGHT LOWER LIMB LAT |
315.00-315.00 |
| 93 |
X RAY RIGHT PATELLA LAT |
315.00-315.00 |
| 94 |
X RAY RIGHT SCAPULA A/L |
315.00-315.00 |
| 95 |
X RAY RIGHT SHOULDER A/L |
315.00-315.00 |
| 96 |
X RAY RIGHT SHOULDER AP/AXI/AL |
490.00-490.00 |
| 97 |
X RAY RIGHT SHOULDER LAT |
315.00-315.00 |
| 98 |
X RAY RIGHT SUBMANDIBULAR REGION |
315.00-315.00 |
| 99 |
X RAY RIGHT THIGH AP |
315.00-315.00 |
| 100 |
X RAY RIGHT THIGH AP/LAT VIEW |
490.00-490.00 |
| 101 |
X RAY RIGHT THUMB A/L |
315.00-315.00 |
| 102 |
X RAY RIGHT WRIST A/L |
315.00-315.00 |
| 103 |
X RAY RIGHT WRIST A/L/OBL |
490.00-490.00 |
| 104 |
X RAY SACRO COCCYGEAL AP & LAT |
490.00-490.00 |
| 105 |
X RAY SACRO COCCYGEAL SPINE AP |
315.00-315.00 |
| 106 |
X RAY SACRO COCCYGEAL SPINE LAT |
315.00-315.00 |
| 107 |
X RAY SCAPULA AP/LATERAL |
490.00-490.00 |
| 108 |
X RAY SI JOINT LATERAL VIEW |
315.00-315.00 |
| 109 |
X RAY SKULL AP/RT. LATERAL |
490.00-490.00 |
| 110 |
X RAY SKULL LT. LATERAL VIEW |
315.00-315.00 |
| 111 |
X RAY SKULL RT LATERAL VIEW |
315.00-315.00 |
| 112 |
X RAY SOFT TISSUE NECK AP & LAT |
490.00-490.00 |
| 113 |
X RAY SOFT TISSUE PENIS |
315.00-315.00 |
| 114 |
X RAY SOFT TISSUES NECK LAT |
315.00-315.00 |
| 115 |
X RAY STERNUM AP/LAT |
490.00-490.00 |
| 116 |
X RAY STERNUM LATERAL VIEW |
315.00-315.00 |
| 117 |
X RAY TOE AP/LAT |
490.00-490.00 |
| 118 |
X RAY VALGUS STRESS AP VIEW |
490.00-490.00 |
| 119 |
X RAY WHOLE LEG AP |
490.00-490.00 |
| 120 |
X RAY WHOLE LEG LAT |
490.00-490.00 |
| 121 |
X RAY WHOLE SPINE AP LEFT BENDING |
490.00-490.00 |
| 122 |
X RAY WHOLE SPINE AP RIGHT BENDING |
490.00-490.00 |
| 123 |
X RAY WHOLE SPINE EXTENSION |
490.00-490.00 |
| 124 |
X RAY WHOLE SPINE FLEXION |
490.00-490.00 |
| 125 |
X RAY WHOLE SPINE LAT VIEW |
490.00-490.00 |
| 126 |
X-RAY - ABDOMEN LAT |
315.00-315.00 |
| 127 |
X-Ray - Barium Enema |
4000.00-4000.00 |
| 128 |
X-RAY - BOTH FEET AP VIEW |
490.00-490.00 |
| 129 |
X-Ray - Both Femur AP/LAT |
770.00-770.00 |
| 130 |
X-RAY - BOTH FOOT OBL |
490.00-490.00 |
| 131 |
X-Ray - Both Knee AP Standing |
490.00-490.00 |
| 132 |
X-Ray - BOTH LEG AP |
490.00-490.00 |
| 133 |
X-Ray - BOTH LOWER LIMB AP |
490.00-490.00 |
| 134 |
X-RAY - BOTH MANDIBLE OBL |
490.00-490.00 |
| 135 |
X-RAY - BOTH SACRO ILIAC JOINT AP |
490.00-490.00 |
| 136 |
X-Ray - BOTH SHOULDER AP |
490.00-490.00 |
| 137 |
X-Ray - Both Shoulder AP Lat |
770.00-770.00 |
| 138 |
X-Ray - Both Thumb Ap/Lat |
770.00-770.00 |
| 139 |
X-Ray - Cervical Spine (lat) |
315.00-315.00 |
| 140 |
X-Ray - Chest Right Oblique |
315.00-315.00 |
| 141 |
X-Ray - CHEST AP |
315.00-315.00 |
| 142 |
X-RAY - CHEST LAT VIEW |
250.00-250.00 |
| 143 |
X-RAY - CHEST LEFT OBLIQUE |
315.00-315.00 |
| 144 |
X-Ray - COCCYX AP |
250.00-250.00 |
| 145 |
X-RAY - COCCYX AP VIEW |
315.00-315.00 |
| 146 |
X-Ray - COCCYX LAT |
250.00-250.00 |
| 147 |
X-RAY - COCCYX LAT VIEW |
315.00-315.00 |
| 148 |
X-RAY - D.L SPINE R/L OBLIQUE VIEW |
490.00-490.00 |
| 149 |
X-Ray - Dorsal spine (AP) |
315.00-315.00 |
| 150 |
X-Ray - Dorsal spine (lat) |
315.00-315.00 |
| 151 |
X-RAY - FOOT LEFT AP/LAT |
500.00-500.00 |
| 152 |
X-Ray - FOOT RIGHT AP |
250.00-250.00 |
| 153 |
X-RAY - FOOT RIGHT OBLIQUE |
250.00-250.00 |
| 154 |
X-RAY - HAND LEFT AP/LAT |
500.00-500.00 |
| 155 |
X-RAY - HAND RIGHT AP/LAT |
500.00-500.00 |
| 156 |
X-Ray - L S SPINE LAT |
315.00-315.00 |
| 157 |
X-RAY - LEFT ARM LAT |
315.00-315.00 |
| 158 |
X-RAY - LEFT ELBOW AP |
315.00-315.00 |
| 159 |
X-RAY - LEFT ELBOW LAT |
315.00-315.00 |
| 160 |
X-RAY - LEFT FEMUR AP/LAT |
490.00-490.00 |
| 161 |
X-RAY - LEFT FOOT AP/LAT |
490.00-490.00 |
| 162 |
X-Ray - Left knee sky line |
315.00-315.00 |
| 163 |
X-RAY - LEFT WRIST AP |
315.00-315.00 |
| 164 |
X-RAY - LEFT WRIST OBL |
315.00-315.00 |
| 165 |
X-Ray - LEG LEFT AP |
250.00-250.00 |
| 166 |
X-Ray - LEG LEFT LAT |
250.00-250.00 |
| 167 |
X-Ray - LEG RIGHT AP |
250.00-250.00 |
| 168 |
X-RAY - Leg right AP LAT |
500.00-500.00 |
| 169 |
X-RAY - LS SPINE LEFT OBLIQUE VIEW |
315.00-315.00 |
| 170 |
X-RAY - MAMMOGRAPHY (ONE SIDE) |
1750.00-1750.00 |
| 171 |
X-Ray - Mastoids Both |
500.00-500.00 |
| 172 |
X-Ray - Neck Ap/ Lat |
500.00-500.00 |
| 173 |
X-RAY - NECK LATERAL FOR ADENOIDS |
250.00-250.00 |
| 174 |
X-Ray - Pelvis with both hips (AP) |
490.00-490.00 |
| 175 |
X-RAY - RIGHT ELBOW AP |
315.00-315.00 |
| 176 |
X-RAY - RIGHT FOOT AP/LAT |
490.00-490.00 |
| 177 |
X-RAY - RIGHT HEEL LAT |
315.00-315.00 |
| 178 |
X-RAY - RIGHT LEG AP |
315.00-315.00 |
| 179 |
X-Ray - RIGHT SCAPULA AP |
315.00-315.00 |
| 180 |
X-RAY - RIGHT WRIST AP |
315.00-315.00 |
| 181 |
X-RAY - RIGHT WRIST LAT |
315.00-315.00 |
| 182 |
X-RAY - SI JOINT LEFT OBLIQUE |
315.00-315.00 |
| 183 |
X-RAY - SI JOINT RIGHT AP/LAT |
490.00-490.00 |
| 184 |
X-RAY - SI JOINT RIGHT OBLIQUE |
315.00-315.00 |
| 185 |
X-Ray - SKULL AP |
250.00-250.00 |
| 186 |
X-RAY - SKULL LATERAL VIEW |
250.00-250.00 |
| 187 |
X-RAY - WHOLE SPINE AP |
490.00-490.00 |
| 188 |
X-RAY - WRIST LEFT AP/LAT |
500.00-500.00 |
| 189 |
X-RAY - WRIST RIGHT AP/LAT |
500.00-500.00 |
| 190 |
X-RAY ABDOMEN AP VIEW |
250.00-250.00 |
| 191 |
X-RAY ABDOMEN ERECT |
315.00-315.00 |
| 192 |
X-RAY BARIUM MEAL |
4000.00-4000.00 |
| 193 |
X-RAY BARIUM SWALLOW |
4000.00-4000.00 |
| 194 |
X-RAY BASE OF SKULL |
490.00-490.00 |
| 195 |
X-RAY BOTH ANKLE AP/LAT |
770.00-770.00 |
| 196 |
X-RAY BOTH HIP AP |
490.00-490.00 |
| 197 |
X-RAY BOTH HIP AP/LAT |
770.00-770.00 |
| 198 |
X-RAY BOTH KNEE VALGUS STRESS AP VIEW |
490.00-490.00 |
| 199 |
X-RAY BOTH MASTOIDS LAT-OBL |
490.00-490.00 |
| 200 |
X-RAY BOTH THIGH AP VIEW |
490.00-490.00 |
| 201 |
X-RAY CERVICAL SPINE AP VIEW |
315.00-315.00 |
| 202 |
X-RAY CERVICAL SPINE AP/LAT |
490.00-490.00 |
| 203 |
X-RAY CHEST |
250.00-250.00 |
| 204 |
X-RAY DORSAL SPINE EXTENSION |
315.00-315.00 |
| 205 |
X-RAY DORSAL SPINE FLEXION |
315.00-315.00 |
| 206 |
X-RAY FOOT AP/LAT |
300.00-300.00 |
| 207 |
X-RAY FOREARM LEFT AP |
250.00-250.00 |
| 208 |
X-RAY FOREARM LEFT AP + LAT |
500.00-500.00 |
| 209 |
X-RAY FOREARM RIGHT AP |
250.00-250.00 |
| 210 |
X-RAY FOREARM RIGHT AP + LAT |
500.00-500.00 |
| 211 |
X-RAY HIP AP |
250.00-250.00 |
| 212 |
X-RAY HIP LEFT - AP |
250.00-250.00 |
| 213 |
X-RAY HSG |
3500.00-5600.00 |
| 214 |
X-RAY KUB |
250.00-315.00 |
| 215 |
X-Ray L / S Spine AP/LAT |
490.00-490.00 |
| 216 |
X-RAY LEFT HIP AP/LAT |
490.00-490.00 |
| 217 |
X-RAY LEFT HIP LAT |
315.00-315.00 |
| 218 |
X-RAY LEFT SHOULDER AP VIEW |
315.00-315.00 |
| 219 |
X-RAY LS SPINE AP VIEW |
315.00-315.00 |
| 220 |
X-RAY MANDIBLE PA |
315.00-315.00 |
| 221 |
X-RAY MANDIBLE PA VIEW |
250.00-250.00 |
| 222 |
X-RAY NASAL BONE LAT |
490.00-490.00 |
| 223 |
X-RAY NASOPHARYNX LAT |
490.00-490.00 |
| 224 |
X-RAY ORBIT AP/LAT |
490.00-500.00 |
| 225 |
X-RAY PELVIS AP |
250.00-315.00 |
| 226 |
X-RAY PELVIS PA |
250.00-315.00 |
| 227 |
X-RAY PNS |
250.00-315.00 |
| 228 |
X-RAY Right Ankle LAT |
315.00-315.00 |
| 229 |
X-RAY RIGHT ELBOW LAT VIEW |
315.00-315.00 |
| 230 |
X-RAY RIGHT FOOT OBL |
315.00-315.00 |
| 231 |
X-RAY Right Foot oblique |
315.00-315.00 |
| 232 |
X-RAY RIGHT HIP AP/LAT |
490.00-490.00 |
| 233 |
X-RAY RIGHT KNEE AP & LAT |
490.00-490.00 |
| 234 |
X-RAY RIGHT KNEE AP VIEW |
315.00-315.00 |
| 235 |
X-RAY RIGHT S.I. JOINT AP VIEW |
315.00-315.00 |
| 236 |
X-RAY SHOULDER RIGHT - AP |
250.00-250.00 |
| 237 |
X-RAY SHOULDER LEFT - AP |
250.00-250.00 |
| 238 |
X-Ray SHOULDER RIGHT AP+LAT |
500.00-500.00 |
| 239 |
X-RAY Tm Joint Closed Mouth |
250.00-250.00 |
| 240 |
X-RAY Tm Joint Open Mouth |
250.00-250.00 |
| 241 |
XRAY AP/LAT |
500.00-500.00 |
| 242 |
Xray Both Patella Skyline View |
490.00-490.00 |
| 243 |
Xray Both Wrist AP |
490.00-490.00 |
| 244 |
XRAY HAND BOTH OBLIQUE |
500.00-500.00 |
| 245 |
XRAY HUMERUS LEFT AP |
250.00-250.00 |
| 246 |
XRAY HUMERUS RIGHT AP |
250.00-250.00 |
| 247 |
XRAY KNEE BOTH AP & LAT |
1000.00-1000.00 |
| 248 |
Xray Left Ankle AP |
315.00-315.00 |
| 249 |
Xray Left Clavicle |
315.00-315.00 |
| 250 |
Xray Left Femur AP |
150.00-315.00 |
| 251 |
Xray Left Foot AP |
315.00-315.00 |
| 252 |
Xray Left Foot AP/OBL |
490.00-490.00 |
| 253 |
Xray Left Hand AP |
315.00-315.00 |
| 254 |
Xray Left Hand AP/Lat |
490.00-490.00 |
| 255 |
Xray Left Hand AP/OBL |
490.00-490.00 |
| 256 |
Xray Left Hip AP |
315.00-315.00 |
| 257 |
Xray Left Knee AP/LAT |
490.00-490.00 |
| 258 |
Xray Left Knee AP |
315.00-315.00 |
| 259 |
Xray Left Shoulder LAT |
315.00-315.00 |
| 260 |
Xray Left Thumb AP/Lat |
490.00-490.00 |
| 261 |
XRAY NECK AP |
250.00-250.00 |
| 262 |
XRAY RGU ( RETROGRADE URETHROGRAPHY) |
4000.00-4000.00 |
| 263 |
Xray Right Ankle AP |
315.00-315.00 |
| 264 |
Xray Right Foot AP |
315.00-315.00 |
| 265 |
Xray Right Foot AP/OBL |
490.00-490.00 |
| 266 |
Xray Right Hand AP |
315.00-315.00 |
| 267 |
Xray Right Hand AP/OBL |
490.00-490.00 |
| 268 |
Xray Right Hip AP |
315.00-315.00 |
| 269 |
Xray Right Shoulder AP |
315.00-315.00 |
| 270 |
Xray Right Toe AP/LAT |
490.00-490.00 |
| 271 |
Xray Skull PA View |
250.00-250.00 |