| 1 |
BMD FOREARM |
2100.00-2100.00 |
| 2 |
X RAY NASAL BONE AP |
450.00-450.00 |
| 3 |
X-RAY - HEEL AXIAL/LAT |
800.00-800.00 |
| 4 |
X-RAY - LEG LAT |
450.00-450.00 |
| 5 |
X-Ray - ANKLE AP/LAT |
800.00-800.00 |
| 6 |
X-Ray - Ankle Lat |
450.00-450.00 |
| 7 |
X-Ray - Barium Enema |
4000.00-4000.00 |
| 8 |
X-Ray - CHEST AP |
450.00-450.00 |
| 9 |
X-RAY - CHEST LAT VIEW |
300.00-300.00 |
| 10 |
X-Ray - COCCYX AP |
250.00-250.00 |
| 11 |
X-Ray - COCCYX LAT |
250.00-250.00 |
| 12 |
X-Ray - Femur AP/Lat |
800.00-800.00 |
| 13 |
X-Ray - Foot Lat |
450.00-450.00 |
| 14 |
X-RAY - FOOT LEFT AP/LAT |
500.00-500.00 |
| 15 |
X-Ray - FOOT RIGHT AP |
250.00-250.00 |
| 16 |
X-RAY - FOOT RIGHT OBLIQUE |
250.00-250.00 |
| 17 |
X-RAY - HAND LEFT AP/LAT |
500.00-500.00 |
| 18 |
X-RAY - HAND RIGHT AP/LAT |
500.00-500.00 |
| 19 |
X-Ray - HIP JOINT AP/LAT |
800.00-800.00 |
| 20 |
X-RAY - INFANTOGRAM |
1000.00-1000.00 |
| 21 |
X-Ray - LEG AP/LAT |
800.00-800.00 |
| 22 |
X-Ray - LEG LEFT AP |
250.00-250.00 |
| 23 |
X-Ray - LEG LEFT LAT |
250.00-250.00 |
| 24 |
X-Ray - LEG RIGHT AP |
250.00-250.00 |
| 25 |
X-RAY - Leg right AP LAT |
500.00-500.00 |
| 26 |
X-Ray - Mastoids Both |
500.00-500.00 |
| 27 |
X-Ray - Neck Ap/ Lat |
500.00-500.00 |
| 28 |
X-RAY - NECK LATERAL FOR ADENOIDS |
250.00-250.00 |
| 29 |
X-Ray - Shoulder Lat |
450.00-450.00 |
| 30 |
X-Ray - SKULL AP |
250.00-450.00 |
| 31 |
X-RAY - SKULL LATERAL VIEW |
250.00-250.00 |
| 32 |
X-Ray - SKULL TOWNES VIEW |
450.00-450.00 |
| 33 |
X-RAY - WRIST LEFT AP/LAT |
500.00-500.00 |
| 34 |
X-RAY - WRIST RIGHT AP/LAT |
500.00-500.00 |
| 35 |
X-Ray - Wrist- AP |
450.00-450.00 |
| 36 |
X-RAY ABDOMEN AP VIEW |
250.00-250.00 |
| 37 |
X-RAY ABDOMEN ERECT |
450.00-450.00 |
| 38 |
X-RAY BARIUM MEAL |
4000.00-4000.00 |
| 39 |
X-RAY BARIUM MEAL FOLLOW THROUGH |
4100.00-4100.00 |
| 40 |
X-RAY BARIUM SWALLOW |
4000.00-4000.00 |
| 41 |
X-RAY CERVICAL SPINE AP/LAT |
800.00-800.00 |
| 42 |
X-RAY CERVICAL SPINE FLEXION/EXTENSION |
900.00-900.00 |
| 43 |
X-RAY CHEST |
300.00-300.00 |
| 44 |
X-RAY CHEST OBL |
450.00-450.00 |
| 45 |
X-RAY FOOT AP/LAT |
500.00-500.00 |
| 46 |
X-RAY FOREARM LEFT AP |
250.00-250.00 |
| 47 |
X-RAY FOREARM LEFT AP + LAT |
500.00-500.00 |
| 48 |
X-RAY FOREARM RIGHT AP |
250.00-250.00 |
| 49 |
X-RAY FOREARM RIGHT AP + LAT |
500.00-500.00 |
| 50 |
X-RAY HAND AP |
450.00-450.00 |
| 51 |
X-RAY HAND AP/LAT |
800.00-800.00 |
| 52 |
X-RAY HIP AP |
250.00-450.00 |
| 53 |
X-RAY HIP LEFT - AP |
250.00-250.00 |
| 54 |
X-RAY HSG |
3000.00-5700.00 |
| 55 |
X-RAY HUMERUS AP/LAT |
800.00-800.00 |
| 56 |
X-RAY KNEE JOINT AP |
450.00-450.00 |
| 57 |
X-RAY KUB |
250.00-450.00 |
| 58 |
X-RAY LUMBAR SPINE AP |
450.00-450.00 |
| 59 |
X-RAY LUMBAR SPINE LAT |
450.00-450.00 |
| 60 |
X-RAY MANDIBLE PA VIEW |
250.00-250.00 |
| 61 |
X-RAY NASOPHARYNX LAT |
450.00-450.00 |
| 62 |
X-RAY ORBIT AP/LAT |
500.00-800.00 |
| 63 |
X-RAY PELVIS AP |
250.00-450.00 |
| 64 |
X-RAY PELVIS PA |
250.00-250.00 |
| 65 |
X-RAY PNS |
250.00-250.00 |
| 66 |
X-RAY SHOULDER RIGHT - AP |
250.00-250.00 |
| 67 |
X-RAY SHOULDER AP |
450.00-450.00 |
| 68 |
X-RAY SHOULDER LEFT - AP |
250.00-250.00 |
| 69 |
X-Ray SHOULDER RIGHT AP+LAT |
500.00-500.00 |
| 70 |
X-RAY Tm Joint Closed Mouth |
250.00-250.00 |
| 71 |
X-RAY Tm Joint Open Mouth |
250.00-250.00 |
| 72 |
XRAY AP/LAT |
500.00-500.00 |
| 73 |
XRAY HAND BOTH OBLIQUE |
500.00-500.00 |
| 74 |
XRAY HUMERUS LEFT AP |
250.00-250.00 |
| 75 |
XRAY HUMERUS RIGHT AP |
250.00-250.00 |
| 76 |
XRAY KNEE BOTH AP & LAT |
1000.00-1000.00 |
| 77 |
Xray Left Femur AP |
250.00-250.00 |
| 78 |
Xray Lumbar Spine Flexion / Extension |
900.00-900.00 |
| 79 |
XRAY NECK AP |
500.00-500.00 |
| 80 |
XRAY RGU ( RETROGRADE URETHROGRAPHY) |
4000.00-4000.00 |
| 81 |
Xray Skull PA View |
250.00-250.00 |
| 82 |
XRAY STERNUM LAT |
450.00-450.00 |