| Item Number | Description | Schedule Fee |
|---|---|---|
| 56233 | NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56220, 56221 and 56223, without intravenous contrast medium (R) (Anaes.) |
$270.10 |
| Total: | $270.10 | |