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10 <br /> ORANGE FAMILY MEDICAL GROUP PA <br /> 06/15/93 PROCEDURE FEES PAGE 7 <br /> PROCEDURE DESCRIPTION ALT, DESC, DEPT T,O,S, STD. FEE <br /> 74000 XRAY ABDOMEN 1 VIEW (KUB) KU8 XR 0 76.00 <br /> 71110 XRAY,RIBS,BILAT, 6 VIEWS W/INTRRPRET, XR XR 31 80.00 <br /> 204 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 Xk XR 31 .00 <br /> 207 XRAY CERVICAL SPINF,4-5 V W/INTERPRET XR XR 31 .00 <br /> 70220 SINUS SERIES XR 0 ,00 <br /> 72040 XRAY,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 /> 235 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 /> 201 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 />