Specialist Radiologist

Other Specialists and General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R T/M

19.1

Skeleton

19.1.1

Limbs

3305

Finger, toe

9.5

163.31

6.3

108.30

6500

Hand

11.6

199.40

7.7

132.36

6501

Wrist (specify region)

11.6

199.40

7.7

132.36

6503

Scaphoid

11.6

199.40

7.7

132.36

6504

Radius and ulna

11.6

199.40

7.7

132.36

6505

Elbow

11.6

199.40

7.7

132.36

6506

Humerus

11.6

199.40

7.7

132.36

6507

Shoulder

11.6

199.40

7.7

132.36

6508

Acromio-Clavicula joint

11.6

199.40

7.7

132.36

6509

Clavicle

11.6

199.40

7.7

132.36

6510

Scapula

11.6

199.40

7.7

132.36

6511

Foot

11.6

199.40

7.7

132.36

6512

Ankle

11.6

199.40

7.7

132.36

6513

Calcaneus

11.6

199.40

7.7

132.36

6514

Tibia and fibula

11.6

199.40

7.7

132.36

6515

Knee

11.6

199.40

7.7

132.36

6516

Patella

11.6

199.40

7.7

132.36

6517

Femur

11.6

199.40

7.7

132.36

6518

Hip

11.6

199.40

7.7

132.36

6519

Sesamoid Bone

11.6

199.40

7.7

132.36

3309

Smith-Petersen or equivalent control, in theatre

58

997.02

38.7

665.25

3311

Stress studies. e.g. joint

11.6

199.40

7.7

132.36

3313

Full length study, both legs

23.2

398.81

15.5

266.45

3317

Skeletal survey

42

721.98

28

481.32

3319

Arthrography per joint

23.1

397.09

15.4

264.73

3320

Introduction of contrast medium or air: Add

20.7

355.83

13.8

237.22

19.1.2

Spinal column

3321

Per region, cervical, sacral, coccygeal, one region thoracic

16.6

285.36

11

189.09

3325

Stress studies

16.6

285.36

11

189.09

3331

Pelvis (Sacro-iliac or hip joints to be added where an extra set of views is required)

16.6

285.35

11

189.09

3333

Myelography: Lumbar

43.3

744.33

28.9

496.79

4

307.24

+T

3334

Myelography: Thoracic

33.3

572.43

22.2

381.62

4

307.24

+T

3335

Myelography: Servical

53.3

916.23

35.5

610.25

4

307.24

+T

3336

Multiple (lumbar, thoracic, cervical): Same fee as for first segment (no additional introduction of contrast medium)

4

307.24

+T

3344

Introduction of contrast medium

+       28.1

483.04

18.7

321.45

3345

Discography

51.9

892.16

34.6

594.77

4

307.24

+T

3347

Introduction of contrast medium per disc level: Add

+       42.3

727.14

28.2

484.76

19.1.3

Skull

3349

Skull studies

23.5

403.97

15.7

269.88

3351

Paranasal sinuses

15.5

283.64

11

189.09

3353

Facial bones and/or orbits

18.9

324.89

12.5

216.59

3355

Mandible

14.1

242.38

9.4

161.59

3357

Nasal bone

11.7

201.12

7.8

134.08

3359

Mastoid: Bilateral

27

464.13

18

309.42

3361

Teeth: One quadrant

5.5

94.55

3.7

63.60

3363

Teeth: Two quadrants

9.5

163.31

6.3

108.30

3365

Teeth: Full mouth

16.5

283.64

11

189.09

3366

Teeth: Rotation tomography of the teeth and jaws

20

343.80

13.3

228.63

3367

Teeth: Temporo-mandibular joints: Per side

16.5

283.64

11

189.09

3369

Teeth: Tomography: Per side

16.5

283.64

11

189.09

3371

Localisation of foreign body in the eye

23.5

403.97

15.7

269.88

3381

Ventriculography

40.9

703.07

27.3

469.29

4

307.24

+T

3385

Post-nasal studies: Lateral neck

9.5

163.31

6.3

108.30

3387

Maxillo-facial cephalometry

13.2

226.91

8.8

151.27

3389

Dacrocystography

16.55

284.49

11

189.09

4

307 24

+T

3391

For introduction of contrast medium add

+     16.55

284.49

11

189.09

19.2

Alimentary tract

3393

Bowel washout: Add

+ 7.2

123.77

4.8

82.51

3395

Sialography (plus 80% for each additional gland)

19

326.61

12.7

218.31

4

307.24

+T

3397

Introduction of contrast medium (plus 80% for each additional gland – add)

+       16.6

285.35

11

189.09

3399

Pharynx and oesophagus

19

326.61

12.7

218.31

3403

Oesophagus. stomach and duodenum (control film of abdomen included) and limited follow through

30

515.70

20

343.80

3405

Double contrast: Add

+          11

189.09

7.3

125.49

3406

Small bowel meal (control film of abdomen included except when part of item 3408)

30

515.70

20

343.80

3408

Barium meal and dedicated gastro-intestinal tract follow through (including control film of the abdomen, oesophagus, duodenum, small bowel and colon)

43.3

744.33

28.9

496.79

3409

Barium enema (control film of abdomen included)

27.5

472.73

18.3

314.58

3411

Air contrast study (add)

+          29

498.51

19.3

331.77

3416

Pancreas: ERCP hospital equipment: Choledogram and/or pancreatography screening included.

Note: For items 3415 and 3416: Endoscopy (See item 1778)

23.3

400.53

15.5

266.45

4

307.24

+T

3417

Gastric/oesophageal/ duodenal intubation control

8.8

151.27

5.9

101.42

3419

Gastric/oesophageal/ intubation insertion of tube (add)

+         8.4

144.40

5.6

96.26

3421

Duodenal intubation: Insertion of tube (add)

+       16.5

283.64

11

189.09

3423

Hypotonic duodenography (3403 and 3405 included) (add)

+          44

756.36

29.3

503.67

19.3

Biliary tract

3427

Cholangiography: Intravenous

33

567.27

22

378.18

3431

Operative Cholangiography: First series: Add item 3607 only when the Radiologist attends personally in the theatre

31.6

543.20

21

360.99

3433

Post-operative: T-Tube

25

429.75

16.7

287.07

3435

Introduction of contrast medium (add)

+         8.4

144.40

5.6

96.26

3437

Trans hepatic, percutaneous

27.5

472.73

18.3

314.58

3439

Introduction of contrast medium (add)

+       49.7

854.34

33.1

568,99

3441

Tomography of biliary tract (add)

+       14.1

242.38

9.4

161.59

19.4

Chest

3443

Larynx (Tomography included)

18.8

323.17

12.5

214.88

3445

Chest (item 3601 included)

14.1

242.38

9.4

161.59

3447

Chest and cardiac studies (item 3601 included)

18.9

324.89

12.6

216.59

3449

Ribs

18.5

318.02

12.3

211.44

3451

Sternum or sternoclavicular joints

18.9

324.89

12.6

216.59

3453

Bronchography: Unilateral

18.9

324.89

12.6

216.59

8

614.48

+T

3455

Bronchography: Bilateral

33.1

568.99

22.1

379.90

8

614.48

+T

3457

Introduction of contrast medium included

53.6

921.38

35.7

613.68

3461

Pleunography

18.9

324.89

12.6

216.59

3

230.43

+T

3463

For introduction of contrast medium: Add

+         4.2

72.20

2.8

48.13

3465

Laryngography

16.5

283.64

11

189.09

3467

For introduction of contrast medium: Add

+          15

257.85

10

171.90

3468

Thoracic inlet

9.5

163.31

6.3

108.30

19.5

Abdomen

3477

Control films of the abdomen (not being part of examination for barium meal, barium enema, pyelogram, cholecystogram, cholangiogram etc)

14.1

242.38

9.4

161.59

3479

Acute abdomen or equivalent studies

23.5

403.97

15.7

269.88

19.6

Urinary tract

3487

Escretory urogram. Control film included and bladder views before and after micturition (intravenous pyelogram) (item 0206 not applicable)

37.6

646.34

25.1

431.47

3493

Waterload test: Add

+       18.3

314.58

12.2

209.72

3497

Cystography only or urethrography only (retrograde)

29

498.51

19.3

331.77

3499

Cysto-urethrography: Retrograde

47.8

821.68

31.9

548.36

3503

Cysto-urethrography: Introduction of contrast medium: Add

5.5

94.55

3.7

63.60

3505

Retrograde-prograde pyelography

27.5

472.73

18.3

314.58

3

230.43

+T

3511

Aspiration renal cyst

27.6

474.44

18.4

316.30

3513

Tomography of renal tract: Add

+ 14.1

242.38

9.4

161.59

19.8.1

Vascular Studies

3536

Dedicated angiography suite: Analogue monoplane unit. Once off charge per patient by owner of equipment

315

5,414.85

3537

Dedicated angiography suite: Digital monoplane unit: Once off charge per patient by owner of equipment

617

10,606.23

3538

Dedicated angiography suite: Analogue bi-plane unit: Once off charge per patient by owner of equipment

693

11,912.67

3539

Dedicated angiography suite: Digital bi-plane unit: Once off charge per patient by owner of equipment

829

14,250.51

3545

Venography: Per limb

27.5

472.73

16.5

283.64

3548

Analogue monoplane screening table

272

4,675.68

3550

Digital monoplane screening table

530

9,110.70

3557

Catheterisation aorta or vena cava, any level, any route with aortogram/ cavogram

81

1,392.39

48.6

835.43

4

307.24

+T

3558

Translumbar aortic puncture, with full study

116

1,994.04

69.6

1,196.42

5

384.05

+T

3559

Selective first order catheterisation, arterial or venous, with angiogram/ venogram

95

1,663.05

57

979.83

4

307.24

+T

3560

Selective second order catheterisation, arterial or venous, with angiogram/ venogram

109

1,873,71

65.4

1,124.23

4

307.24

+T

3562

Selective third order catheterisation, arterial or venous, with angiogram/ venogram

122

2,097.18

73.2

1,258.31

4

307.24

+T

3566

Guiding catheter placement, any site arterial or venous, for any intracranial procedure or anteriovenous malformation (AVM)

143

2,458.17

85.8

1,474.90

5

384.05

+T

3570

Microcatheter insertion, any cranial vessel and/or pulmonary vessel, arterial or venous (including guiding catheter placement)

218

3,747.42

130.8

2,248.45

5

384.05

+T

3572

Transcatheter selective blood sampling, arterial or venous

54

928.26

32.4

556.96

3574

Spinal angiogram (global fee) including all selective catheterisations

800

13,752.00

480

8,251.20

5

384.05

+T

19.8.2

Introduction of contrast medium

3563

Direct intravenous for limb: Add

11.1

190.81

7.4

127.21

3564

Direct femoral arterial or venous or jugular venous puncture

62

1,065.78

37.2

639.47

3575

"Cut-downs" for venography: Add

16.55

284.49

11

189.09

19.9

Tomography and Cinematography

3577

Tomography (conventional except where otherwise specified): Add 100% of the fee provided that if it is more than one dimension, fee shall be charged for the additional investigation at 50% of the tariff with a maximum of two additional investigations

3579

Tomography (multi-dimensional in motion): Add 150% of the fee

#VALUE!

3581

Cinematography: For first series: Add 100% of the fee

3583

Cinematography: For each series after the first: Add 80% of the primary fee

19.9.1

Computed Tomography

The amounts in this section are calculated according to the Computed Tomography unit values (unless otherwise specified)

6400

Plus Spiral CT

50

826.00

6401

Plus 3D reconstruction

50

826.00

6402

Plus high resolution study

50

826.00

6403

CT limb without contrast

200

3,304.00

5

384.05

+T

6404

CT limb with contrast only

200

3,304.00

5

384.05

+T

6405

CT limb pre AND post contrast

250

4,130.00

5

384.05

+T

6406

CT joint without contrast

200

3,304.00

5

384.05

+T

6407

CT joint with contrast only

200

3,304.00

5

384.05

+T

6408

CT joint pre AND post contrast

250

4,130.00

5

384.05

+T

6409

CT brain without contrast (including posterior fossa)

210

3,469.20

5

384.05

+T

6410

CT brain with contrast only (including posterior fossa)

210

3,469.20

5

384.05

+T

6411

CT brain pre AND post contrast (including posterior fossa)

265

4,377.80

5

384.05

+T

6412

CT orbits complete study, axial OR coronal, without contrast

160

2,643.20

5

384.05

+T

6413

CT orbits complete study, axial AND coronal, without contrast

210

3,469.20

5

384.05

+T

6414

CT orbits complete study, axial OR coronal pre AND post contrast

215

3,551.80

5

384.05

+T

6415

CT orbits complete study, axial AND coronal pre AND post contrast

265

4,377.80

5

384.05

+T

6416

CT paranasal sinuses limited study axial OR coronal

50

826.00

5

384.05

+T

6417

CT paranasal sinuses limited study axial AND coronal

100

1,652.00

5

384.05

+T

6418

CT paranasal sinuses complete study, axial OR coronal, without contrast

160

2,643.20

5

384.05

+T

6419

CT paranasal sinuses complete study, axial AND coronal, without contrast

210

3,469.20

5

384.05

+T

6420

CT paranasal sinuses complete study, axial OR coronal, pre and post contrast

215

3,551.80

5

384.05

+T

6421

CT paranasal sinuses complete study, axial AND coronal, pre AND post contrast

260

4,295.20

5

384.05

+T

6422

CT pituitary fossa, without contrast

160

2,643.20

5

384.05

+T

6423

CT pituitary fossa. pre AND post contrast

210

3,469.20

5

384.05

+T

6424

CT internal auditory meati, without contrast

100

1,652.00

5

384.05

+T

6425

CT internal auditory meati. pre AND post contrast

150

2,478.00

5

384 05

+T

6426

CT mastoids

100

1,652.00

5

384.05

+T

6427

CT ear structures, limited study

100

1,652.00

5

384.05

+T

6428

CT middle AND inner ear, complete study including

310

5,121.20

5

384.05

+T

6429

CT facial bones

210

3,469.20

5

384.05

+T

6430

CT neck soft tissue, without contrast

185

3,056.20

5

384.05

+T

6431

CT neck soft tissue with contrast only

185

3,056.20

5

384.05

+T

6432

CT neck pre AND post contrast

235

3,882.20

5

384.05

+T

6433

CT cervical spine without contrast

300

4,956.00

5

384 05

+T

6434

CT cervical spine pre AND post contrast

350

5,782.00

5

384 05

+T

6435

CT cervical spine post myelogram

150

2,478.00

5

384.05

+T

6436

CT dorsal spine without contrast

300

4,956.00

5

384 05

+T

6437

CT dorsal spine pre AND post contrast

350

5,782.00

5

384 05

+T

6438

CT dorsal spine post myelogram

150

2,478.00

5

384 05

+T

6439

CT lumbar spine without contrast

300

4,956.00

5

384.05

+T

6440

CT lumbar spine pre AND post contrast

350

5,782.00

5

384.05

+T

6441

CT lumbar spine post myelogram

150

2,478.00

5

384 05

+T

6442

CT pelvimetry (topogram only)

50

826.00

5

384.05

+T

6443

CT chest without contrast

235

3,882.20

5

384.05

+T

6444

CT chest with contrast

235

3,882.20

5

384.05

+T

6445

CT chest pre AND post contrast

285

4,708.20

5

384.05

+T

6446

CT chest high resolution lungs, limited study

100

1,652.00

5

384.05

+T

6447

CT high resolution lungs, complete study

235

3,882.20

5

384.05

+T

6448

CT abdomen without contrast

215

3,551.80

5

384.05

+T

6449

CT abdomen with contrast

215

3,551.80

5

384.05

+T

6450

CT abdomen pre AND post contrast

265

4,377.80

5

384.05

+T

6451

CT abdomen triphasic study

315

5,203.80

5

384.05

+T

6452

CT pelvis without contrast

215

3,551.80

5

384.05

+T

6453

CT pelvis with contrast

215

3,551.80

5

384.05

+T

6454

CT pelvis pre AND post contrast

265

4,377.80

5

384.05

+T

6455

CT abdomen AND pelvis without contrast

315

5,203.80

5

384.05

+T

6456

CT abdomen AND pelvis with contrast

315

5,203.80

5

384.05

+T

6457

CT abdomen AND pelvis pre AND post contrast

365

6,029.80

5

384.05

+T

6458

CT chest. abdomen AND pelvis with contrast

545

9,003.40

5

384.05

+T

6459

CT base of skull to symphysis pubis with contrast

735

12,142.20

5

384.05

+T

6460

CT for dental implants maxilla OR mandible

250

4,130.00

5

384.05

+T

6461

CT for dental implants maxilla AND mandible

500

8,260.00

5

384.05

+T

6462

CT angiography per limited region (including spiral. high resolution AND all reconstructions)

515

8,507.80

5

384.05

+T

6463

CT angiography per extensive region (including spiral, high resolution, 3D AND all other reconstructions)

615

10,159.80

5

384.05

+T

6464

CT limited study any region. Region to be identified on the account

50

826.00

5

384.05

+T

6465

CT guidance for aspiration, biopsy or drainage

100

1,652.00

11

844.91

+T

6466

CT guidance for aspiration, at time of CT diagnostic study

50

826.00

5

384.05

+T

6467

CT stereotactic localisation for biopsy

150

2,478.00

11

844.91

+T

6468

CT for radiotherapy planning (not to be used as an add-on)

160

2,643.20

6469

Quantitative CT for bone mineral density

97

1,602.44

3592

Where a fully digital C-arm portable x-ray unit, with angiography/interventional capability is used in hospital or theatre, per half hour

47

807.93

3597

Contrast media

19.10

Miscellaneous

3601

Fluoroscopy: Per half hour: Add (not applicable for items 3445 and 3447)

+       11.6

199.40

7.7

132.36

3602

Where a C-arm portable X-ray unit is used in hospital or theatre: Per half hour: Add

+           16

275.04

10.7

183.93

3603

Sinography

27.7

476.16

18.4

316.30

3600

Peripheral bone densitometry utilising ionising radiation

13

223.47

13

223.47

3604

Bone densitometry (to be charged once only for one or more levels done at the same session)

77

1,323.63

77

1,323.63

3607

Attendance at operation in theatre or at radiological procedure performed by a surgeon or physician in X-ray department (except item 3309): Per half hour: Plus fee for examination performed (Only to be used by radiological technical staff)

8.4

144.40

5.6

96.26

3609

Foreign body localization: Fee for part examined plus two-thirds for every additional series and add fluoroscopy fee if this is done

3611

Foreign body localisation: Introduction of sterile needle markers: Add

+       16.5

283.64

11

189.09

3613

Setting of sterile trays

3.3

56.73

3.3

56.73

5034

Fine needle aspiration or biopsy

25

429.75

25

429.75

6

460.66

+T

19.11

Ultrasonic investigations

The amounts in this section are calculated according to the Ultrasound unit values (unless otherwise specified)

3612

Ultrasonic bone densitometry

19

308.56

19

308.56

3619

Intravascular ultrasound imaging assess the atheroschlerotic process to guide the placement of an intracoronary stent. This item may be applied once per vessel (left anterior descending territory, circumflex territory and/or right coronary territory) in which a stent or multiple stents are deployed

30

487.20

30

487.20

9

691.29

+T

3596

Introvascular ultrasound per case, arterial or venous, for intervention

30

487.20

30

487.20

3621

Cardiac examination (M Mode)

25

406.00

25

406.00

3622

Cardiac examination: 2 Dimensional

50

812.00

50

812.00

3623

Cardiac examination + effort: Add

+          10

162.40

10

162.40

3624

Cardiac examination + contrast: Add

+          10

162.40

10

162.40

3625

Cardiac examinations + doppler

50

812.00

50

812.00

3626

Cardiac examinations + phonocardiograpy: Add

+          10

162.40

10

162.40

3627

Ultrasound examination includes whole abdomen and pelvic organs, where pelvic organs are clinically indicated (including liver, gall bladder, spleen, pancreas, abdominal vascular anatomy, para-aortic area, renal tract, pelvic organs)

50

974.40

60

974.40

5102

Ultrasound of joints (eg shoulder hip knee). per joint

50

812.00

50

812.00

5103

Ultrasound soft tissue. any region

50

812.00

50

812.00

3628

Renal tract

50

812.00

50

812.00

3631

Ophthalmic examination

50

812.00

50

812.00

3632

Axial length measurement and calculation of intra-ocular lens power. Per eye. Not to be used with item 3034

50

812.00

50

812.00

3634

Peripheral vascular study, B mode only

39

633.36

39

633.36

5110

Carotid ultrasound vascular study; B mode, pulsed and colour doppler; bilateral study. internal, external and common carotid flow and anatomy

128

2,078.72

120

1,948.80

5111

Full ultrasonic and colour Doppler evaluation of entire extracranial vascular tree; carotids, vertebral and subclavian vessels (not to be used together with items 5110,5112,5113. 5114)

206

3,345.44

164.8

2,676.35

5112

Peripheral arterial ultrasound vascular study; B mode, pulsed and colour doppler: per limb; to include waveforms at minimum of three levels, pressure studies at two levels and Full interpretation of results

117

1,900.08

117

1,900.08

5113

Peripheral venous ultrasound vascular study: B mode, pulsed and colour doppler: to evaluate deep vein thrombosis

117

1,900.08

117

1.900.08

5114

Peripheral venous ultrasound vascular study; B mode, pulsed and colour Doppler in erect and supine position including compression manoeuvres and reflux in superficial and deep systems, bilaterally

178

2,890.72

142.4

2,312.58

3635

Plus(+) Doppler

39

633.36

39

633.36

3637

Plus(+) Colour Doppler (may be added onto any other regional exam, but not to be added to items 5110, 5111, 5112, 5113 or 5114)

78

1,266.72

78

1,266.72

19.12

Portable unit examinations

3639

Where X-ray unit is kept and used in the hospital: Add

+          10

171.90

7

120.33

3640

Theatre investigations (with fixed installation): Add

+         4.5

77.36

3

51.57

3641

Tracer test

33.2

570.71

22.1

379.90

3642

Repeat of further tracer tests for same investigation: half of tracer test (item 3641) fee

16.6

285.35

11.1

190.81

3643

If both tracer and therapeutic procedures are done, half fee of tracer test to be charged plus therapeutic fee

3645

Other organ scanning with use of relevant radio isotopes

82.2

1,413.02

54.8

942.01

19.14

lnterventional radiological procedures

5014

Atherectomy (per vessel)

341

5,861.79

204.6

3,517.07

5016

Aspiration thrombectomy (per vessel)

219

3,764.61

131.4

2,258.77

5018

On-table thrombolysis/ transcatheter infusion performed in angiography suite

178

3,059.82

106.8

1,835.89

5

384.05

+T

5022

Embolisation non-intracranial, per vessel

178

3,059.82

106.8

1,835.89

9

691.29

+T

5031

Antegrade ureteric stent insertion

116

1,994.04

69.6

1,196.42

6

460.86

+T

5033

Percutaneous cystostomy in radiology suite

50

859.50

30

515.70

5035

Urethral balloon dilatation in radiology suite

38

653.22

22.8

391.93

5036

Percutaneous Abdominal/ pelvic / other drain insertion, any modality

57

979.83

34.2

587.90

5037

Urethral stenting in radiology suite

171

2,939.49

102.6

1,763.69

5041

Balloon occlusion / Wada test

178

3,059.82

106.8

1,835.89

9

691.29

+T

5043

lntracranial angioplasty

341

5,861.79

204.6

3,517.07

13

998 53

+T

5045

Hepatic arterial infusion catheter insertion

260

4,469.40

156

2,681.64

6

460.86

+T

5047

Combined internal/external biliary drainage

171

2,939.49

102.6

1,763.69

9

691.29

+T

5049

Percutaneous gall bladder drainage

116

1,994.04

69.6

1,196.42

9

691.29

+T

5072

Tunnelled/Subcutaneous arteria/venous line performed in radiology suite

137

2,355.03

82.2

1,413.02

5

384.05

+T

5074

IVC filter Insertion jugular or femoral route

260

4,469.40

156

2,681.64

9

691.29

+T

5076

Intravascular foreign body removal, arterial or venous, any route

341

5,861.79

204.6

3,517.07

9

691.29

+T

5078

Percutaneous sclerotherapy of an arteriovenous malformation (AVM)

117

2,011.23

70.2

1,206.74

5080

Transjugular intrahepatic portosystemic shunt

559

9,609.21

335.4

5,765.53

13

998.53

+T

5082

Transjugular liver biopsy

116

1,994.04

69.6

1,196.42

9

691 29

+T

5088

Oesophageal stent insertion in radiology suite

171

2,939.49

102.6

1,763.69

6

460.86

+T

5090

Trachial stent insertion

171

2,939.49

102.6

1,763.69

6

460.86

+T

5091

GIT Balloon dilatation under fluoroscopy

111

1,908.09

66.6

1,144.85

6

460.86

+T

5092

Other GIT stent insertion

171

2,939.49

102.6

1,763.69

6

460.86

5093

Percutaneous gastrostomy in radiology suite

143

2,458.17

85.8

1,474.90

5094

Cutting needle biopsy with image guidance

38

653.22

22.8

391.93

5095

Chest drain insertion in radiology suite

54

928.26

32.4

556.96

19.15

Magnetic Resonance Imaging

Note: See modifier 6101 for limited examinations

6210

Magnetic Resonance Imaging: Per anatomical Region: Cervical vertebrae

600

10,314.00

5

384.05

+T

6211

Magnetic Resonance Imaging: Per anatomical Region: Thoracic vertebrae

600

10,314.00

5

384.05

+T

6212

Magnetic Resonance Imaging: Per anatomical Region Lumbar vertebrae

600

10,314.00

5

384.05

+T

6213

Magnetic Resonance Imaging: Per anatomical Region: Sacrum

600

10,314.00

5

384.05

+T

6220

Magnetic Resonance lmaging: Per anatomical Region. Left shoulder

600

10,314.00

5

384.05

+T

6221

Magnetic Resonance Imaging: Per anatomical Region: Right shoulder

600

10,314.00

5

384 05

+T

6222

Magnetic Resonance Imaging: Per anatomical Region: Both hips

600

10,314.00

5

384.05

+T

6223

Magnetic Resonance Imaging: Per anatomical Region: Left hip

600

10,314.00

5

384 05

+T

6224

Magnetic Resonance Imaging: Per anatomical Region: Right hip

600

10,314.00

5

384.05

+T

6227

Magnetic Resonance Imaging: Per anatomical Region. Left elbow

600

10,314.00

5

384.05

+T

6228

Magnetic Resonance lmaging: Per anatomical Region Right elbow

600

10,314.00

5

384.05

+T

6231

Magnetic Resonance Imaging: Per anatomical Region: Left wrist

600

10,314.00

5

384.05

+T

6232

Magnetic Resonance Imaging: Per anatomical Region: Right wrist

600

10,314.00

5

384.05

+T

6235

Magnetic Resonance Imaging: Per anatomical Region: Left knee

600

10,314.00

5

384.05

+T

6236

Magnetic Resonance Imaging: Per anatomical Region: Right knee

600

10,314.00

5

384.05

+T

6239

Magnetic Resonance Imaging: Per anatomical Region: Left ankle

600

10,314.00

5

384.05

+T

6240

Magnetic Resonance Imaging: Per anatomical Region: Right ankle

600

10,314.00

5

384.05

+T

6260

Contrast Medium: Current price according to the regular price list published by the Radiological Society of SA

6270

Low Field Strength peripheral joint magnetic resonance imaging: Low field strength peripheral joint examination (feet, knees, hands, and elbows), in dedicated limb units not able to perform body, spine or head examinations.

105

1,804.95

70

1,203.30

5

384.05

+T