| Item Number | Description | Schedule Fee |
|---|---|---|
| 56219 | Computed tomography—scan of spine, one or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X rays, not being a service to which item 59724 applies (R) (Anaes.) |
$367.05 |
| Total: | $367.05 | |