Agenda - 06-21-1988 - Laserfiche WebLink

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.. - 087 ORANGE FAMILY MEDICAL CENTER X-RAY SER V I CES CHEST CPT CHG PROF Chest, 1 view 71010 31. 00 16. 00 Chest, apical lordotic 71021 31. 00 16. 00 Chest, 2 views 71020 37. 00 21. 00 Chest, 3 views (stereo, PA, lat. ) 71015 50. 00 27. 00 Chest, 4 views 71030 50. 00 27. 00 Ribs, unilateral, 3 views 71100 39. 00 29. 00 Ribs, unilateral, w/PA Chest 71100&71010 47. 00 29. 00 Ribs, bilateral, 6 views 71110 52. 00 29. 00 Ribs, bilateral, w/PA Chest 71110&71010 62. 00 29. 00 Sternum, 3 views 71 120 36. 00 22. 00 Sterno-clavicular joints, 3 views 71130 36. 00 22. 00 SPINE & PELVIS Cervical Spine, 2 views 72040 39. 00 24. 00 Cervical Spine, 4-5 views 72050 50. 00 39. 00 Thoracic Spine, 2 views 72070 . 35. 00 27. 00 L umbo sa cra l Spine, 2 views 72100 48. 00 27. 00 Lumbo sacra l Spine, 5 views 72110 59. 00 34. 00 Spine, Entire Survey, AP & lateral 72010 95. 00 61. 00 Pelvis, AP 72170 40. 00 22. 00 Pelvis, stereo, 2 views 72180 47. 00 30. 00 Pelvis & lateral Hip, 2 views 73510 47. 00 30. 00 Pelvis, 3 views 72190 • 47. 00 35. 00 Sacro- iliac joints, 4 views 72202 40. 00 24. 00 Sacrum & Coccyx 72220 41. 00 24. 00 UPPER EXTREMITIES Clavicle 73000 30. 00 22. 00 Scapula, 3 views 73010 40. 00 23. 00 Shoulder, 2 views 73030 36. 00 20. 00 Shoulder,. 3 views 73030 46. 00 30. 00 Acromioc lay icular joints 73050 36. 00 22. 00 Humerus, 2 views 73060 31. 00 23. 00 Elbow, 3 views 73080 35. 00 27. 00 Forearm, 2 views 73090 32. 00 20. 00 Wrist, 3 views 73110 36. 00 17.00 Hand, 3. views 73130 • 36. 00 27. 00 Finger, 3 views 73140 31. 00 17. 00 Opposing view for comparison 76499 20. 00 12. 00 Post Reduction, 2 views • 76499 25. 00 17. 00 ABDOMEN Abdomen, single AP 74000 38. 00 24. 00 Abdomen, 2 views 74020 49. 00 29. 00 Abdomen, 2 views & PA Chest 74020&71010 55. 00 36. 00 • Abdomen, 3 views 74010 61. 00 36. 00 10/86