| Item Number | Description | Schedule Fee |
|---|---|---|
| 56036 | Computed tomography—scan of facial bones, para nasal sinuses or both, with scan of brain, with intravenous contrast medium, if:(a) a scan without intravenous contrast medium has been performed; and(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (Anaes.) |
$378.95 |
| Total: | $378.95 | |