| Item Number | Description | Schedule Fee |
|---|---|---|
| 61333 | Lung ventilation study using Galligas and lung perfusion study using gallium-68 macro aggregated albumin (68Ga-MAA), with PET, if the service is performed because the service to which item 61348 applies cannot be performed due to unavailability of technetium-99m (R) |
$443.35 |
| Total: | $443.35 | |