| Item Number | Description | Schedule Fee |
|---|---|---|
| 56507 | Computed tomography—scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis before intravenous contrast injection, when performed, not for the purposes of virtual colonoscopy and not being a service to which item 56807 or 57007 applies (R) (Anaes.) |
$540.20 |
| Total: | $540.20 | |