| Item Number | Description | Schedule Fee |
|---|---|---|
| 55066 | Breasts, both, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound guided breast intervention be performed; and(b) the service is not performed in conjunction with any other item in this Group (R) |
$250.50 |
| Total: | $250.50 | |