| Item Number | Description | Schedule Fee |
|---|---|---|
| 63020 | MRI—scan of head (including MRA if performed) for the post‑procedure assessment of the patient following magnetic resonance imaging‑guided focused ultrasound for the treatment of medically refractory essential tremor Applicable once per patient per lifetime (R) (Contrast) (Anaes.) |
$452.05 |
| Total: | $452.05 | |