| Item Number | Description | Schedule Fee |
|---|---|---|
| 11614 | Transcranial doppler, examination of the intracranial arterial circulation using CW Doppler or pulsed Doppler with hard copy recording of waveforms, examination and report, other than a service associated with a service to which item 55280 of the diagnostic imaging services table applies |
$88.25 |
| Total: | $88.25 | |