| Item Number | Description | Schedule Fee |
|---|---|---|
| 55084 | Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55036, 55038, 55065, 55600 or 55603 is not performed on the same patient by the providing practitioner (R) |
$112.85 |
| Total: | $112.85 | |