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ORANGE FAMILY MEDICAL GROUP PA <br /> u6i15!93 PROCEDURE FEES PAGE 7 <br /> PROCEDURE DESCRIPTION ALT, DESC. DEPT T.O.S. STD. FEE <br /> ------------------------------------------------------------------------------------------------------------------------------------ <br /> '7Q000 XRAY ABDOMEN 1 VIEW (KUB) KUB XR 0 76.00 <br /> 71i10 XPAY,RId5,81LAT, 6 VIEWS W/INTREPRET. XR XR 31 80.00 <br /> -04 XRAY STERNUM, 3 VIEWS W/INTERPRET XR XR 31 .00 <br /> 214 XRAY PELVIS & LAT HIP, 2 V. W/INTERPRET. XR XR 31 .00 <br /> 242 XRAY FOOT, 2 VIEWS W/INTERPRET XR XR 31 .00 <br /> ]? XPAY CERVICAL SPINE,4-5 V W/INTERPRET XR XR 31 .00 <br /> '0220 S?NUS SERIES XR 0 .00 <br /> ^40 XR,AY,CERVICAL SPINE, 2 VIEWS W INTERPRET XR XR 0 79.00 <br /> 217 XRAY SACRUM & COCCYX W/INTERPRETATION XR XR 31 .00 <br /> 241 XRAY ANKLE 3 VIEWS/W/INTERPRET. XR XR 31 .00 <br /> 202 XRAY RIBS,BILAT. 6 VIEWS W/INTERPRET XR XR 31 ,00 <br /> 254 TEMP.MANDIBULAR JOINT,UNILAT 4 V W%INTER XR XR 31 .00 <br /> ??` XRAY ABDOMEN,2 V W/PA CHEST & INTERPRET XR XR 31 .00 <br /> 212 XRAY,PELVIS AP W/INTERPRETATION XR XR 31 .00 <br /> 248 XRAY FACIAL BONES, 4 V W/INTERPRETATION XR XR 31 .00 <br /> '-01 XRAY RIBS,UNILAT.W/PA CHEST & INTERPRET XR XR 31 .00 <br /> 257 XRAY SCOLIOSIS, 1 VIEW XR XR 31 .00 <br /> 236 XRAY ABDOMEN, 3 V W%INTERPRET. XR XR 31 .00 <br /> 211 XRAY SPINE, ENTIRE,AP & LAT W/INTERPRET XR XR 31 .00 <br /> 233 XRAY ABDOMEN, SINGLE AP W/INTERPRET XR XR 31 .00 <br />