| Item Number | Description | Schedule Fee |
|---|---|---|
| 58909 | Barium or other opaque meal of one or more of pharynx, oesophagus, stomach or duodenum, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939, 57942 or 57945 applies (R) |
$103.20 |
| Total: | $103.20 | |