FACIAL BONE PLAIN(PWD/SR) - HMO

Type - CT Scan

HIP JOINT AP (STANDARD)

X-Ray procedure

HIP JOINT AP (STANDARD) - HMO

X-Ray procedure (HMO rate)

HIP JOINT AP & FROGLEG (STANDARD)

X-Ray procedure

HIP JOINT AP & FROGLEG (STANDARD) - HMO

X-Ray procedure (HMO rate)

KNEE JOINT AP/L (STANDARD)

X-Ray procedure

F.N.A.B (STANDARD) - HMO

Type - Ultrasound

F.N.A.B(PWD/SR) - HMO

Type - Ultrasound

GALL BLADDER (STANDARD)

Type - Ultrasound

GALL BLADDER (STANDARD) - HMO

Type - Ultrasound

GALL BLADDER(PWD/SR)

Type - Ultrasound

ABDOMEN TRIPHASIC (STANDARD)

CT Scan

ABDOMEN TRIPHASIC (PWD/SR)

Type - CT Scan

ABDOMEN TRIPHASIC(PWD/SR) - HMO

Type - CT Scan

CT SCAN GUIDED PROSTATE CORE (STANDARD)

Type - CT Scan

CT SCAN GUIDED PROSTATE CORE (STANDARD) - HMO

Type - CT Scan

CT SCAN GUIDED PROSTATE CORE(PWD/SR)

Type - CT Scan

CT SCAN GUIDED PROSTATE CORE(PWD/SR) - HMO

Type - CT Scan

CT SCAN GUIDED LUNG CORE (STANDARD)

Type - CT Scan

CT SCAN GUIDED LUNG CORE (STANDARD) - HMO

Type - CT Scan

CT SCAN GUIDED LUNG CORE(PWD/SR)

Type - CT Scan

CT SCAN GUIDED LUNG CORE(PWD/SR) - HMO

Type - CT Scan

CT SCAN GUIDED LIVER CORE (STANDARD)

Type - CT Scan

ABDOMEN TRIPHASIC (STANDARD) - HMO

Type - CT Scan

CT SCAN GUIDED LIVER CORE (STANDARD) - HMO

Type - CT Scan

CT SCAN GUIDED LIVER CORE(PWD/SR)

Type - CT Scan

CT SCAN GUIDED LIVER CORE(PWD/SR) - HMO

Type - CT Scan

CT SCAN GUIDED KIDNEY CORE (STANDARD)

Type - CT Scan

CT SCAN GUIDED KIDNEY CORE (STANDARD) - HMO

Type - CT Scan

CT SCAN GUIDED KIDNEY CORE(PWD/SR)

Type - CT Scan

CT SCAN GUIDED KIDNEY CORE(PWD/SR) - HMO

Type - CT Scan

CT GUIDED BIOPSY (STANDARD)

Type - CT Scan

CT GUIDED BIOPSY (STANDARD) - HMO

Type - CT Scan

CT GUIDED BIOPSY(PWD/SR)

Type - CT Scan

CT GUIDED BIOPSY(PWD/SR) - HMO

Type - CT Scan

CRANIAL PLAIN (NON-TRAUMA) (STANDARD)

Type - CT Scan

CRANIAL PLAIN (NON-TRAUMA) (STANDARD) - HMO

Type - CT Scan

CRANIAL PLAIN (NON-TRAUMA)(PWD/SR)

Type - CT Scan

CRANIAL PLAIN (NON-TRAUMA)(PWD/SR) - HMO

Type - CT Scan

CRANIAL PLAIN (TRAUMA) (STANDARD)

Type - CT Scan

CRANIAL PLAIN (TRAUMA) (STANDARD) - HMO

Type - CT Scan

CRANIAL PLAIN (TRAUMA)(PWD/SR)

Type - CT Scan

CRANIAL PLAIN (TRAUMA)(PWD/SR) - HMO

Type - CT Scan

CRANIAL WITH CONTRAST (STANDARD)

Type - CT Scan

CRANIAL WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

CRANIAL WITH CONTRAST(PWD/SR)

Type - CT Scan

CRANIAL WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

CHEST PLAIN (STANDARD)

Type - CT Scan

CHEST PLAIN (STANDARD) - HMO

Type - CT Scan

CHEST PLAIN(PWD/SR)

Type - CT Scan

CHEST PLAIN(PWD/SR) - HMO

Type - CT Scan

CHEST WITH CONTRAST (STANDARD)

Type - CT Scan

CHEST WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

CHEST WITH CONTRAST(PWD/SR)

Type - CT Scan

CHEST WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

CHEST HIGH RESOLUTION PLAIN (STANDARD)

Type - CT Scan

CHEST HIGH RESOLUTION PLAIN (STANDARD) - HMO

Type - CT Scan

CHEST HIGH RESOLUTION PLAIN(PWD/SR)

Type - CT Scan

CHEST HIGH RESOLUTION PLAIN(PWD/SR) - HMO

Type - CT Scan

CHEST HIGH RESOLUTION W/ CONTRAST (STANDARD)

Type - CT Scan

CHEST HIGH RESOLUTION W/ CONTRAST (STANDARD) - HMO

Type - CT Scan

CHEST HIGH RESOLUTION W/ CONTRAST(PWD/SR)

Type - CT Scan

CHEST HIGH RESOLUTION W/ CONTRAST(PWD/SR) - HMO

Type - CT Scan

FACIAL BONE PLAIN (STANDARD)

Type - CT Scan

FACIAL BONE PLAIN (STANDARD) - HMO

Type - CT Scan

FACIAL BONE PLAIN(PWD/SR)

Type - CT Scan

FACIAL BONE WITH CONTRAST (STANDARD)

Type - CT Scan

FACIAL BONE WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

FACIAL BONE WITH CONTRAST(PWD/SR)

Type - CT Scan

FACIAL BONE WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

EXTREMITIES PLAIN(PWD/SR)

Type - CT Scan

EXTREMITIES PLAIN(PWD/SR) - HMO

Type - CT Scan

EXTREMITIES PLAIN (STANDARD)

Type - CT Scan

EXTREMITIES PLAIN (STANDARD) - HMO

Type - CT Scan

EXTREMITIES WITH CONTRAST (STANDARD)

Type - CT Scan

EXTREMITIES WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

EXTREMITIES WITH CONTRAST(PWD/SR)

Type - CT Scan

EXTREMITIES WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

LOWER ABDOMEN PLAIN (STANDARD)

Type - CT Scan

LOWER ABDOMEN PLAIN (STANDARD) - HMO

Type - CT Scan

LOWER ABDOMEN PLAIN(PWD/SR)

Type - CT Scan

LOWER ABDOMEN PLAIN(PWD/SR) - HMO

Type - CT Scan

LOWER ABDOMEN WITH CONTRAST (STANDARD)

Type - CT Scan

LOWER ABDOMEN WITH CONTRAST (STANDARD)

Type - CT Scan

LOWER ABDOMEN WITH CONTRAST(PWD/SR)

Type - CT Scan

LOWER ABDOMEN WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

LUMBO-SACRAL PLAIN (STANDARD)

Type - CT Scan

LUMBO-SACRAL PLAIN (STANDARD) - HMO

Type - CT Scan

LUMBO-SACRAL PLAIN(PWD/SR)

Type - CT Scan

LUMBO-SACRAL PLAIN(PWD/SR)

Type - CT Scan

LUMBO-SACRAL WITH CONTRAST (STANDARD)

Type - CT Scan

LUMBO-SACRAL WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

LUMBO-SACRAL WITH CONTRAST(PWD/SR)

Type - CT Scan

LUMBO-SACRAL WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

MANDIBLE PLAIN (STANDARD)

Type - CT Scan

MANDIBLE PLAIN (STANDARD) - HMO

Type - CT Scan

MANDIBLE PLAIN(PWD/SR)

Type - CT Scan

MANDIBLE PLAIN(PWD/SR) - HMO

Type - CT Scan

MANDIBLE WITH CONTRAST (STANDARD)

Type - CT Scan

MANDIBLE WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

MANDIBLE WITH CONTRAST(PWD/SR)

Type - CT Scan

MANDIBLE WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

MASTOID PLAIN (STANDARD)

Type - CT Scan

MASTOID PLAIN (STANDARD) - HMO

Type - CT Scan

MASTOID PLAIN(PWD/SR)

Type - CT Scan

MASTOID PLAIN(PWD/SR) - HMO

Type - CT Scan

MASTOID WITH CONTRAST (STANDARD)

Type - CT Scan

MASTOID WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

MASTOID WITH CONTRAST(PWD/SR)

Type - CT Scan

MASTOID WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

NECK / CERVICAL PLAIN (STANDARD)

Type - CT Scan

NECK / CERVICAL PLAIN (STANDARD) - HMO

Type - CT Scan

NECK / CERVICAL PLAIN(PWD/SR)

Type - CT Scan

NECK / CERVICAL PLAIN(PWD/SR) - HMO

Type - CT Scan

NECK / CERVICAL WITH CONTRAST (STANDARD)

Type - CT Scan

NECK / CERVICAL WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

NECK / CERVICAL WITH CONTRAST(PWD/SR)

Type - CT Scan

NECK / CERVICAL WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

NASO-PHARYNX PLAIN(PWD/SR)

Type - CT Scan

NASO-PHARYNX PLAIN(PWD/SR) - HMO

Type - CT Scan

NASO-PHARYNX PLAIN (STANDARD)

Type - CT Scan

NASO-PHARYNX PLAIN (STANDARD) - HMO

Type - CT Scan

NASO-PHARYNX WITH CONTRAST (STANDARD)

Type - CT Scan

NASO-PHARYNX WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

NASO-PHARYNX WITH CONTRAST(PWD/SR)

Type - CT Scan

NASO-PHARYNX WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

ORBITS PLAIN(PWD/SR)

Type - CT Scan

ORBITS PLAIN(PWD/SR) - HMO

Type - CT Scan

ORBITS PLAIN (STANDARD)

Type - CT Scan

ORBITS PLAIN (STANDARD) - HMO

Type - CT Scan

ORBITS WITH CONTRAST (STANDARD)

Type - CT Scan

ORBITS WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

ORBITS WITH CONTRAST(PWD/SR)

Type - CT Scan

ORBITS WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

PNS PLAIN (STANDARD)

Type - CT Scan

PNS PLAIN (STANDARD) - HMO

Type - CT Scan

PNS PLAIN(PWD/SR)

Type - CT Scan

PNS PLAIN(PWD/SR) - HMO

Type - CT Scan

PNS WITH CONTRAST (STANDARD)

Type - CT Scan

PNS WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

PNS WITH CONTRAST(PWD/SR)

Type - CT Scan

PNS WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

TEMPORAL PLAIN (STANDARD)

Type - CT Scan

TEMPORAL PLAIN (STANDARD) - HMO

Type - CT Scan

TEMPORAL PLAIN(PWD/SR)

Type - CT Scan

TEMPORAL PLAIN(PWD/SR) - HMO

Type - CT Scan

TEMPORAL WITH CONTRAST (STANDARD)

Type - CT Scan

TEMPORAL WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

TEMPORAL WITH CONTRAST(PWD/SR)

Type - CT Scan

TEMPORAL WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

THORACIC SPINE PLAIN (STANDARD)

Type - CT Scan

THORACIC SPINE PLAIN (STANDARD) - HMO

Type - CT Scan

THORACIC SPINE PLAIN(PWD/SR)

Type - CT Scan

THORACIC SPINE PLAIN(PWD/SR) - HMO

Type - CT Scan

THORACIC SPINE WITH CONTRAST (STANDARD)

Type - CT Scan

THORACIC SPINE WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

THORACIC SPINE WITH CONTRAST(PWD/SR)

Type - CT Scan

THORACIC SPINE WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

UPPER ABDOMEN PLAIN (STANDARD)

Type - CT Scan

UPPER ABDOMEN PLAIN (STANDARD) - HMO

Type - CT Scan

UPPER ABDOMEN PLAIN(PWD/SR)

Type - CT Scan

UPPER ABDOMEN PLAIN(PWD/SR) - HMO

Type - CT Scan

UPPER ABDOMEN WITH CONTRAST (STANDARD)

Type - CT Scan

UPPER ABDOMEN WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

UPPER ABDOMEN WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

UROGRAM (STANDARD)

Type - CT Scan

UROGRAM(PWD/SR) - HMO

Type - CT Scan

WHOLE ABDOMEN PLAIN (STANDARD) - HMO

Type - CT Scan

WHOLE ABDOMEN WITH CONTRAST (STANDARD) - HMO

Type - CT Scan

WHOLE ABDOMEN WITH CONTRAST(PWD/SR)

Type - CT Scan

PERIPHERAL CTA (STANDARD)

Type - CT Scan

PERIPHERAL CTA(PWD/SR)

Type - CT Scan

THORACIC AORTA CTA(PWD/SR)

Type - CT Scan

THORACIC AORTA CTA(PWD/SR) - HMO

Type - CT Scan

WHOLE ABDOMEN CTA (STANDARD) - HMO

Type - CT Scan

WHOLE ABDOMEN CTA(PWD/SR)

Type - CT Scan

WHOLE ABDOMEN CTA(PWD/SR) - HMO

Type - CT Scan

WHOLE ABDOMEN CTA (STANDARD)

Type - CT Scan

UPPER ABDOMEN WITH CONTRAST(PWD/SR)

Type - CT Scan

UROGRAM (STANDARD) - HMO

Type - CT Scan

UROGRAM(PWD/SR)

Type - CT Scan

WHOLE ABDOMEN PLAIN(PWD/SR)

Type - CT Scan

WHOLE ABDOMEN PLAIN(PWD/SR) - HMO

Type - CT Scan

WHOLE ABDOMEN PLAIN (STANDARD)

Type - CT Scan

WHOLE ABDOMEN WITH CONTRAST (STANDARD)

Type - CT Scan

WHOLE ABDOMEN WITH CONTRAST(PWD/SR) - HMO

Type - CT Scan

ABDOMINAL AORTA CTA(PWD/SR)

Type - CT Scan

ABDOMINAL AORTA CTA(PWD/SR) - HMO

Type - CT Scan

ABDOMINAL AORTA CTA (STANDARD)

Type - CT Scan

ABDOMINAL AORTA CTA (STANDARD) - HMO

Type - CT Scan

CRANIAL CTA (STANDARD)

Type - CT Scan

CRANIAL CTA (STANDARD) - HMO

Type - CT Scan

CRANIAL CTA(PWD/SR)

Type - CT Scan

CRANIAL CTA(PWD/SR) - HMO

Type - CT Scan

PERIPHERAL CTA (STANDARD) - HMO

Type - CT Scan

PERIPHERAL CTA(PWD/SR) - HMO

Type - CT Scan

RENAL CTA (STANDARD)

Type - CT Scan

RENAL CTA (STANDARD) - HMO

Type - CT Scan

RENAL CTA(PWD/SR)

Type - CT Scan

RENAL CTA(PWD/SR) - HMO

Type - CT Scan

THORACIC AORTA CTA (STANDARD)

Type - CT Scan

THORACIC AORTA CTA (STANDARD) - HMO

Type - CT Scan

STAT FEE (2250) (STANDARD & HMO)

Type - CT Scan

STAT FEE (2250)(PWD/SR) (STANDARD & HMO)

Type - CT Scan

STAT FEE (750) (STANDARD & HMO)

Type - CT Scan

STAT FEE (750)(PWD/SR) (STANDARD & HMO)

Type - CT Scan

IOHEXOL 50ML (STANDARD)

Type - CT Scan Supplies

IOHEXOL 50ML (STANDARD) - HMO

Type - CT Scan Supplies

IOHEXOL 50ML(PWD/SR)

Type - CT Scan Supplies

IOHEXOL 50ML(PWD/SR) - HMO

Type - CT Scan Supplies

IOHEXOL 100ML(PWD/SR)

Type - CT Scan Supplies

IOHEXOL 100ML(PWD/SR) - HMO

Type - CT Scan Supplies

ULTRAVIST 300MG/100ML(PWD/SR)

Type - CT Scan Supplies

ULTRAVIST 300MG/100ML(PWD/SR) - HMO

Type - CT Scan Supplies

ULTRAVIST 300MG/100ML (STANDARD)

Type - CT Scan Supplies

ULTRAVIST 300MG/100ML (STANDARD) - HMO

Type - CT Scan

ULTRAVIST 300MG/50ML (STANDARD)

Type - CT Scan Supplies

ULTRAVIST 300MG/50ML (STANDARD)

Type - CT Scan Supplies

PULMONARY / THORACIC AORTA CTA (STANDARD)

Type - CT Scan

PULMONARY / THORACIC AORTA CTA (STANDARD) - HMO

Type - CT Scan

PULMONARY / THORACIC AORTA CTA(PWD/SR)

Type - CT Scan

ABDOMINAL AORTA (STANDARD)

Type - Ultrasound

ABDOMINAL AORTA (STANDARD) - HMO

Type - Ultrasound

ABDOMINAL AORTA(PWD/SR)

Type - Ultrasound

ABDOMINAL AORTA(PWD/SR) - HMO

Type - Ultrasound

BREAST (ONE SIDE ONLY) (STANDARD)

Type - Ultrasound

BREAST (ONE SIDE ONLY) (STANDARD) - HMO

Type - Ultrasound

BREAST (ONE SIDE ONLY)(PWD/SR)

Type - Ultrasound

BREAST (ONE SIDE ONLY)(PWD/SR)

Type - Ultrasound

F.N.A.B (STANDARD)

Type - Ultrasound

F.N.A.B(PWD/SR)

Type - Ultrasound

GALL BLADDER(PWD/SR) - HMO

Type - Ultrasound

HBT (HEPATOBILIARY TRACT) (STANDARD)

Type - Ultrasound

HBT (HEPATOBILIARY TRACT) (STANDARD) - HMO

Type - Ultrasound

HBT (HEPATOBILIARY TRACT)(PWD/SR)

Type - Ultrasound

HBT (HEPATOBILIARY TRACT)(PWD/SR) - HMO

Type - Ultrasound

HYSTEROSONOGRAM (STANDARD)

Type - Ultrasound

HYSTEROSONOGRAM (STANDARD) - HMO

Type - Ultrasound

HYSTEROSONOGRAM(PWD/SR)

Type - Ultrasound

HYSTEROSONOGRAM(PWD/SR) - HMO

Type - Ultrasound

KIDNEYS (STANDARD)

Type - Ultrasound

KIDNEYS (STANDARD) - HMO

Type - Ultrasound

KIDNEYS(PWD/SR)

Type - Ultrasound

KIDNEYS(PWD/SR) - HMO

Type - Ultrasound

KUB (STANDARD)

Type - Ultrasound

KUB (STANDARD) - HMO

Type - Ultrasound

KUB(PWD/SR)

Type - Ultrasound

KUB(PWD/SR) - HMO

Type - Ultrasound

LIVER (STANDARD)

Type - Ultrasound

LIVER (STANDARD) - HMO

Type - Ultrasound

LIVER(PWD/SR)

Type - Ultrasound

LIVER(PWD/SR) - HMO

Type - Ultrasound

LIVER, GALL BLADDER (STANDARD)

Type - Ultrasound

LIVER, GALL BLADDER (STANDARD) - HMO

Type - Ultrasound

LIVER, GALL BLADDER(PWD/SR)

Type - Ultrasound

LIVER, GALL BLADDER(PWD/SR) - HMO

Type - Ultrasound

LIVER, GALLBLADDER, PANCREAS(PWD/SR)

Type - Ultrasound

LIVER, GALLBLADDER, PANCREAS(PWD/SR) - HMO

Type - Ultrasound

LIVER, GALLBLADDER, PANCREAS (STANDARD)

Type - Ultrasound

LIVER, GALLBLADDER, PANCREAS (STANDARD)

Type - Ultrasound

LOWER ABDOMEN (STANDARD)

Type - Ultrasound

NECK (STANDARD)

Ultrasound procedure

LUNGS (STANDARD)

Ultrasound procedure

LUNGS (STANDARD) - HMO

Ultrasound procedure (HMO rate)

NECK (STANDARD) - HMO

Ultrasound procedure (HMO rate)

PANCREAS (STANDARD)

Ultrasound procedure

PANCREAS (STANDARD) - HMO

Ultrasound procedure (HMO rate)

PANCREAS SPLEEN (STANDARD)

Ultrasound procedure

PANCREAS SPLEEN (STANDARD) - HMO

Ultrasound procedure (HMO rate)

PELVIC (NON PREGNANT) (STANDARD)

Ultrasound procedure

PELVIC (NON PREGNANT) (STANDARD) - HMO

Ultrasound procedure (HMO rate)

PROSTATE (STANDARD)

Ultrasound procedure

PROSTATE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

SPLEEN (STANDARD)

Ultrasound procedure

SPLEEN (STANDARD) - HMO

Ultrasound procedure (HMO rate)

STAT FEE (3500) (STANDARD)

Ultrasound procedure

STAT FEE (3500) (STANDARD) - HMO

Ultrasound procedure (HMO rate)

STAT FEE (750) (STANDARD)

Ultrasound procedure

STAT FEE (750) (STANDARD) - HMO

Ultrasound procedure (HMO rate)

THYROID (STANDARD)

Ultrasound procedure

THYROID (STANDARD) - HMO

Ultrasound procedure (HMO rate)

UPPER ABDOMEN (STANDARD)

Ultrasound procedure

UPPER ABDOMEN (STANDARD) - HMO

Ultrasound procedure (HMO rate)

UPPER EXTREMITIES SOFT TISSUE (STANDARD)

Ultrasound procedure

UPPER EXTREMITIES SOFT TISSUE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

URINARY BLADDER (STANDARD)

Ultrasound procedure

URINARY BLADDER (STANDARD) - HMO

Ultrasound procedure (HMO rate)

URINARY BLADDER PROSTATE (STANDARD)

Ultrasound procedure

URINARY BLADDER PROSTATE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

USE OF ULTRASOUND MACHINE (STANDARD)

Ultrasound procedure

USE OF ULTRASOUND MACHINE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

WHOLE ABDOMEN (STANDARD)

Ultrasound procedure

WHOLE ABDOMEN (STANDARD) - HMO

Ultrasound procedure (HMO rate)

BREAST (TWO SIDES) (STANDARD)

Ultrasound procedure

BREAST (TWO SIDES) (STANDARD) - HMO

Ultrasound procedure (HMO rate)

TESTES / SCROTAL (STANDARD)

Ultrasound procedure

TESTES / SCROTAL (STANDARD) - HMO

Ultrasound procedure (HMO rate)

TRANSRECTAL MALE / FEMALE (STANDARD)

Ultrasound procedure

TRANSRECTAL MALE / FEMALE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ADRENAL GLAND (STANDARD)

Ultrasound procedure

ADRENAL GLAND (STANDARD) - HMO

Ultrasound procedure (HMO rate)

GLUTEAL ULTRASOUND (STANDARD)

Ultrasound procedure

GLUTEAL ULTRASOUND (STANDARD) - HMO

Ultrasound procedure (HMO rate)

INGUINAL AREA (STANDARD)

Ultrasound procedure

INGUINAL AREA (STANDARD) - HMO

Ultrasound procedure (HMO rate)

CHEST MAPPING (STANDARD)

Ultrasound procedure

CHEST MAPPING (STANDARD) - HMO

Ultrasound procedure (HMO rate)

CRANIAL (STANDARD)

Ultrasound procedure

CRANIAL (STANDARD) - HMO

Ultrasound procedure (HMO rate)

TESTES / SCROTAL DOPPLER (STANDARD)

Ultrasound procedure

TESTES / SCROTAL DOPPLER (STANDARD) - HMO

Ultrasound procedure (HMO rate)

MSK / SOFT TISSUE (OTHER PARTS) (STANDARD)

Ultrasound procedure

MSK / SOFT TISSUE (OTHER PARTS) (STANDARD) - HMO

Ultrasound procedure (HMO rate)

LOWER EXTREMITIES SOFT TISSUE (STANDARD)

Ultrasound procedure

LOWER EXTREMITIES SOFT TISSUE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

UPPER EXTREMITIES SOFT TISSUE (STANDARD)

Ultrasound procedure

UPPER EXTREMITIES SOFT TISSUE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

F.A.S.T (STANDARD)

Ultrasound procedure

F.A.S.T (STANDARD) - HMO

Ultrasound procedure (HMO rate)

NECK DOPPLER (STANDARD)

Ultrasound procedure

NECK DOPPLER (STANDARD) - HMO

Ultrasound procedure (HMO rate)

THYROID DOPPLER (STANDARD)

Ultrasound procedure

THYROID DOPPLER (STANDARD) - HMO

Ultrasound procedure (HMO rate)

LIVER DOPPLER (STANDARD)

Ultrasound procedure

LIVER DOPPLER (STANDARD) - HMO

Ultrasound procedure (HMO rate)

PELVIC / TVS DOPPLER (STANDARD)

Ultrasound procedure

PELVIC / TVS DOPPLER (STANDARD) - HMO

Ultrasound procedure (HMO rate)

RENAL DOPPLER (STANDARD)

Ultrasound procedure

RENAL DOPPLER (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED THORACENTESIS (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED THORACENTESIS (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED PARACENTESIS (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED PARACENTESIS (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED THYROID/NECK FNAB (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED THYROID/NECK FNAB (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED THYROID/NECK CORE (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED THYROID/NECK CORE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED BREAST FNAB (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED BREAST FNAB (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED BREAST CORE (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED BREAST CORE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED SOFT TISSUE FNAB (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED SOFT TISSUE FNAB (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED PIGTAIL INSERTION (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED PIGTAIL INSERTION (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED PROSTATE CORE (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED PROSTATE CORE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED LUNG CORE (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED LUNG CORE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED LIVER CORE (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED LIVER CORE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED KIDNEY CORE (STANDARD)

Ultrasound procedure

ULTRASOUND GUIDED KIDNEY CORE (STANDARD) - HMO

Ultrasound procedure (HMO rate)

ABDOMEN AP/L (STANDARD)

X-Ray procedure

ABDOMEN AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

ABDOMEN LATERAL (STANDARD)

X-Ray procedure

ABDOMEN LATERAL (STANDARD) - HMO

X-Ray procedure (HMO rate)

ABDOMEN SUP AND UPR (STANDARD)

X-Ray procedure

ABDOMEN SUP AND UPR (STANDARD) - HMO

X-Ray procedure (HMO rate)

ABDOMEN UPRIGHT (STANDARD)

X-Ray procedure

ABDOMEN UPRIGHT (STANDARD) - HMO

X-Ray procedure (HMO rate)

ANKLE AP/L (STANDARD)

X-Ray procedure

ANKLE AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

APICOLORDOTIC VIEW (STANDARD)

X-Ray procedure

APICOLORDOTIC VIEW (STANDARD) - HMO

X-Ray procedure (HMO rate)

ARM AP/L (STANDARD)

X-Ray procedure

ARM AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

BABYGRAM (STANDARD)

X-Ray procedure

BABYGRAM (STANDARD) - HMO

X-Ray procedure (HMO rate)

CALCANEUS (STANDARD)

X-Ray procedure

CALCANEUS (STANDARD) - HMO

X-Ray procedure (HMO rate)

CERVICAL AP/L (STANDARD)

X-Ray procedure

CERVICAL AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

CERVICAL AP/L + OPEN MOUTH (STANDARD)

X-Ray procedure

CERVICAL AP/L + OPEN MOUTH (STANDARD) - HMO

X-Ray procedure (HMO rate)

CERVICAL SERIES (STANDARD)

X-Ray procedure

CERVICAL SERIES (STANDARD) - HMO

X-Ray procedure (HMO rate)

CHEST DECUBITUS (STANDARD)

X-Ray procedure

CHEST DECUBITUS (STANDARD) - HMO

X-Ray procedure (HMO rate)

CHEST LATERAL (STANDARD)

X-Ray procedure

CHEST LATERAL (STANDARD) - HMO

X-Ray procedure (HMO rate)

CHEST PA (ADULT) (STANDARD)

X-Ray procedure

CHEST PA (ADULT) (STANDARD) - HMO

X-Ray procedure (HMO rate)

CHEST PA (ADULT) PORTABLE (STANDARD)

X-Ray procedure

CHEST PA (ADULT) PORTABLE (STANDARD) - HMO

X-Ray procedure (HMO rate)

CHEST PA / LAT (ADULT) (STANDARD)

X-Ray procedure

CHEST PA / LAT (ADULT) (STANDARD) - HMO

X-Ray procedure (HMO rate)

CHEST PA / LAT (PEDIA) (STANDARD)

X-Ray procedure

CHEST PA / LAT (PEDIA) (STANDARD) - HMO

X-Ray procedure (HMO rate)

CLAVICLE AP (STANDARD)

X-Ray procedure

CLAVICLE AP (STANDARD) - HMO

X-Ray procedure (HMO rate)

ELBOW JOINT AP/L (STANDARD)

X-Ray procedure

ELBOW JOINT AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

FACIAL BONE (STANDARD)

X-Ray procedure

FACIAL BONE (STANDARD) - HMO

X-Ray procedure (HMO rate)

FOOT AP/O (STANDARD)

X-Ray procedure

FOOT AP/O (STANDARD) - HMO

X-Ray procedure (HMO rate)

FOREARM AP/L (STANDARD)

X-Ray procedure

FOREARM AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

HAND PA/O (STANDARD)

X-Ray procedure

HAND PA/O (STANDARD) - HMO

X-Ray procedure (HMO rate)

KNEE JOINT AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

KUB AP (STANDARD)

X-Ray procedure

KUB AP (STANDARD) - HMO

X-Ray procedure (HMO rate)

LEG AP/L (STANDARD)

X-Ray procedure

LEG AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

LUMBOSACRAL AP/L (STANDARD)

X-Ray procedure

LUMBOSACRAL AP/L (STANDARD) - HMO

X-Ray procedure (HMO rate)

LUMBOSACRAL SERIES (STANDARD)

X-Ray procedure

LUMBOSACRAL SERIES (STANDARD) - HMO

X-Ray procedure (HMO rate)

MANDIBLE PA/O (STANDARD)

X-Ray procedure

MANDIBLE PA/O (STANDARD) - HMO

X-Ray procedure (HMO rate)

MASTOIDS SERIES (STANDARD)

X-Ray procedure

MASTOIDS SERIES (STANDARD) - HMO

X-Ray procedure (HMO rate)

NASAL BONE (STANDARD)

X-Ray procedure

NASAL BONE (STANDARD) - HMO

X-Ray procedure (HMO rate)

ORBIT - WATERS/RHEESE (STANDARD)

X-Ray procedure

ORBIT - WATERS/RHEESE (STANDARD) - HMO

X-Ray procedure (HMO rate)

PARANASAL SINUSES (STANDARD)

X-Ray procedure

PARANASAL SINUSES (STANDARD) - HMO

X-Ray procedure (HMO rate)

PATELLA (STANDARD)

X-Ray procedure

PATELLA (STANDARD) - HMO

X-Ray procedure (HMO rate)

PELVIMETRY (STANDARD)

X-Ray procedure

PELVIMETRY (STANDARD) - HMO

X-Ray procedure (HMO rate)

PELVIS AP (STANDARD)

X-Ray procedure

PELVIS AP (STANDARD) - HMO

X-Ray procedure (HMO rate)

PELVIS AP & FROGLEG (STANDARD)

X-Ray procedure

PELVIS AP & FROGLEG (STANDARD) - HMO

X-Ray procedure (HMO rate)

PLAIN ABDOMEN (STANDARD)

X-Ray procedure

PLAIN ABDOMEN (STANDARD) - HMO

X-Ray procedure (HMO rate)

RIB CAGE AP/O (STANDARD)

X-Ray procedure

RIB CAGE AP/O (STANDARD) - HMO

X-Ray procedure (HMO rate)

SACRO-COCCYGEAL APL (STANDARD)

X-Ray procedure

SACRO-COCCYGEAL APL (STANDARD) - HMO

X-Ray procedure (HMO rate)

SCAPULA (STANDARD)

X-Ray procedure

SCAPULA (STANDARD) - HMO

X-Ray procedure (HMO rate)

SCOLIOSIS SERIES (STANDARD)

X-Ray procedure

SCOLIOSIS SERIES (STANDARD) - HMO

X-Ray procedure (HMO rate)

SHOULDER AP (STANDARD)

X-Ray procedure

SHOULDER AP (STANDARD) - HMO

X-Ray procedure (HMO rate)

SHOULDER SERIES (STANDARD)

X-Ray procedure

SHOULDER SERIES (STANDARD) - HMO

X-Ray procedure (HMO rate)

SKELETAL SURVEY (ADULT) (STANDARD)

X-Ray procedure

SKELETAL SURVEY (ADULT) (STANDARD) - HMO

X-Ray procedure (HMO rate)

SKELETAL SURVEY (PEDIA) (STANDARD)

X-Ray procedure

SKELETAL SURVEY (PEDIA) (STANDARD) - HMO

X-Ray procedure (HMO rate)

SKULL APL (STANDARD)

X-Ray procedure

SKULL APL (STANDARD) - HMO

X-Ray procedure (HMO rate)

SKULL SERIES (STANDARD)

X-Ray procedure

SKULL SERIES (STANDARD) - HMO

X-Ray procedure (HMO rate)

STAT FEE (2250) (STANDARD)

X-Ray procedure

STAT FEE (2250) (STANDARD) - HMO

X-Ray procedure (HMO rate)

STAT FEE (750) (STANDARD)

X-Ray procedure

STAT FEE (750) (STANDARD) - HMO

X-Ray procedure (HMO rate)

T-CAGE AP (STANDARD)

X-Ray procedure

T-CAGE AP (STANDARD) - HMO

X-Ray procedure (HMO rate)

T-CAGE APL (STANDARD)

X-Ray procedure

T-CAGE APL (STANDARD) - HMO

X-Ray procedure (HMO rate)

THIGH APL (STANDARD)

X-Ray procedure

THIGH APL (STANDARD) - HMO

X-Ray procedure (HMO rate)

THORACIC SPINE APL (STANDARD)

X-Ray procedure

THORACIC SPINE APL (STANDARD) - HMO

X-Ray procedure (HMO rate)

THORACO-LUMBAR APL (STANDARD)

X-Ray procedure

THORACO-LUMBAR APL (STANDARD) - HMO

X-Ray procedure (HMO rate)

TMJ (TEMPORO-MANDIBLE JOINT) (STANDARD)

X-Ray procedure

TMJ (TEMPORO-MANDIBLE JOINT) (STANDARD) - HMO

X-Ray procedure (HMO rate)

WRIST JOINT APL (STANDARD)

X-Ray procedure

WRIST JOINT APL (STANDARD) - HMO

X-Ray procedure (HMO rate)

ZYGOMATIC BONE (STANDARD)

X-Ray procedure

ZYGOMATIC BONE (STANDARD) - HMO

X-Ray procedure (HMO rate)

X-RAY FILM PER SHEET (STANDARD)

X-Ray procedure

X-RAY FILM PER SHEET (STANDARD) - HMO

X-Ray procedure (HMO rate)

X-RAY FILM 2 IN 1 (STANDARD)

X-Ray procedure

X-RAY FILM 2 IN 1 (STANDARD) - HMO

X-Ray procedure (HMO rate)

LUNGS (PWD/SR)

Ultrasound procedure

LUNGS (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

NECK (PWD/SR)

Ultrasound procedure

NECK (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

PANCREAS (PWD/SR)

Ultrasound procedure

PANCREAS (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

PANCREAS SPLEEN (PWD/SR)

Ultrasound procedure

PANCREAS SPLEEN (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

PELVIC (NON PREGNANT) (PWD/SR)

Ultrasound procedure

PELVIC (NON PREGNANT) (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

PROSTATE (PWD/SR)

Ultrasound procedure

PROSTATE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

SPLEEN (PWD/SR)

Ultrasound procedure

SPLEEN (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

STAT FEE (3500) (PWD/SR)

Ultrasound procedure

STAT FEE (3500) (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

STAT FEE (750) (PWD/SR)

Ultrasound procedure

STAT FEE (750) (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

THYROID (PWD/SR)

Ultrasound procedure

THYROID (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

UPPER ABDOMEN (PWD/SR)

Ultrasound procedure

UPPER ABDOMEN (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

UPPER EXTREMITIES SOFT TISSUE (PWD/SR)

Ultrasound procedure

UPPER EXTREMITIES SOFT TISSUE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

URINARY BLADDER (PWD/SR)

Ultrasound procedure

URINARY BLADDER (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

URINARY BLADDER PROSTATE (PWD/SR)

Ultrasound procedure

URINARY BLADDER PROSTATE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

USE OF ULTRASOUND MACHINE (PWD/SR)

Ultrasound procedure

USE OF ULTRASOUND MACHINE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

WHOLE ABDOMEN (PWD/SR)

Ultrasound procedure

WHOLE ABDOMEN (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

BREAST (TWO SIDES) (PWD/SR)

Ultrasound procedure

BREAST (TWO SIDES) (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

TESTES / SCROTAL (PWD/SR)

Ultrasound procedure

TESTES / SCROTAL (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

TRANSRECTAL MALE / FEMALE (PWD/SR)

Ultrasound procedure

TRANSRECTAL MALE / FEMALE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ADRENAL GLAND (PWD/SR)

Ultrasound procedure

ADRENAL GLAND (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

GLUTEAL ULTRASOUND (PWD/SR)

Ultrasound procedure

GLUTEAL ULTRASOUND (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

INGUINAL AREA (PWD/SR)

Ultrasound procedure

INGUINAL AREA (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

CHEST MAPPING (PWD/SR)

Ultrasound procedure

CHEST MAPPING (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

CRANIAL (PWD/SR)

Ultrasound procedure

CRANIAL (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

TESTES / SCROTAL DOPPLER (PWD/SR)

Ultrasound procedure

TESTES / SCROTAL DOPPLER (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

MSK / SOFT TISSUE (OTHER PARTS) (PWD/SR)

Ultrasound procedure

MSK / SOFT TISSUE (OTHER PARTS) (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

LOWER EXTREMITIES SOFT TISSUE (PWD/SR)

Ultrasound procedure

LOWER EXTREMITIES SOFT TISSUE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

UPPER EXTREMITIES SOFT TISSUE (PWD/SR)

Ultrasound procedure

UPPER EXTREMITIES SOFT TISSUE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

F.A.S.T (PWD/SR)

Ultrasound procedure

F.A.S.T (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

NECK DOPPLER (PWD/SR)

Ultrasound procedure

NECK DOPPLER (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

THYROID DOPPLER (PWD/SR)

Ultrasound procedure

THYROID DOPPLER (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

LIVER DOPPLER (PWD/SR)

Ultrasound procedure

LIVER DOPPLER (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

PELVIC / TVS DOPPLER (PWD/SR)

Ultrasound procedure

PELVIC / TVS DOPPLER (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

RENAL DOPPLER (PWD/SR)

Ultrasound procedure

RENAL DOPPLER (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED THORACENTESIS (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED THORACENTESIS (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED PARACENTESIS (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED PARACENTESIS (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED THYROID/NECK FNAB (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED THYROID/NECK FNAB (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED THYROID/NECK CORE (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED THYROID/NECK CORE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED BREAST FNAB (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED BREAST FNAB (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED BREAST CORE (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED BREAST CORE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED SOFT TISSUE FNAB (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED SOFT TISSUE FNAB (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED PIGTAIL INSERTION (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED PIGTAIL INSERTION (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED PROSTATE CORE (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED PROSTATE CORE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED LUNG CORE (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED LUNG CORE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED LIVER CORE (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED LIVER CORE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ULTRASOUND GUIDED KIDNEY CORE (PWD/SR)

Ultrasound procedure

ULTRASOUND GUIDED KIDNEY CORE (PWD/SR) - HMO

Ultrasound procedure (HMO rate)

ABDOMEN AP/L (PWD/SR)

X-Ray procedure

ABDOMEN AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ABDOMEN LATERAL (PWD/SR)

X-Ray procedure

ABDOMEN LATERAL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ABDOMEN SUP AND UPR (PWD/SR)

X-Ray procedure

ABDOMEN SUP AND UPR (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ABDOMEN UPRIGHT (PWD/SR)

X-Ray procedure

ABDOMEN UPRIGHT (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ANKLE AP/L (PWD/SR)

X-Ray procedure

ANKLE AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

APICOLORDOTIC VIEW (PWD/SR)

X-Ray procedure

APICOLORDOTIC VIEW (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ARM AP/L (PWD/SR)

X-Ray procedure

ARM AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

BABYGRAM (PWD/SR)

X-Ray procedure

BABYGRAM (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CALCANEUS (PWD/SR)

X-Ray procedure

CALCANEUS (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CERVICAL AP/L (PWD/SR)

X-Ray procedure

CERVICAL AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CERVICAL AP/L + OPEN MOUTH (PWD/SR)

X-Ray procedure

CERVICAL AP/L + OPEN MOUTH (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CERVICAL SERIES (PWD/SR)

X-Ray procedure

CERVICAL SERIES (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CHEST DECUBITUS (PWD/SR)

X-Ray procedure

CHEST DECUBITUS (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CHEST LATERAL (PWD/SR)

X-Ray procedure

CHEST LATERAL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CHEST PA (ADULT) (PWD/SR)

X-Ray procedure

CHEST PA (ADULT) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CHEST PA (ADULT) PORTABLE (PWD/SR)

X-Ray procedure

CHEST PA (ADULT) PORTABLE (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CHEST PA / LAT (ADULT) (PWD/SR)

X-Ray procedure

CHEST PA / LAT (ADULT) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CHEST PA / LAT (PEDIA) (PWD/SR)

X-Ray procedure

CHEST PA / LAT (PEDIA) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

CLAVICLE AP (PWD/SR)

X-Ray procedure

CLAVICLE AP (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ELBOW JOINT AP/L (PWD/SR)

X-Ray procedure

ELBOW JOINT AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

FACIAL BONE (PWD/SR)

X-Ray procedure

FACIAL BONE (PWD/SR) - HMO

X-Ray procedure (HMO rate)

FOOT AP/O (PWD/SR)

X-Ray procedure

FOOT AP/O (PWD/SR) - HMO

X-Ray procedure (HMO rate)

FOREARM AP/L (PWD/SR)

X-Ray procedure

FOREARM AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

HAND PA/O (PWD/SR)

X-Ray procedure

HAND PA/O (PWD/SR) - HMO

X-Ray procedure (HMO rate)

HIP JOINT AP (PWD/SR)

X-Ray procedure

HIP JOINT AP (PWD/SR) - HMO

X-Ray procedure (HMO rate)

HIP JOINT AP & FROGLEG (PWD/SR)

X-Ray procedure

HIP JOINT AP & FROGLEG (PWD/SR) - HMO

X-Ray procedure (HMO rate)

KNEE JOINT AP/L (PWD/SR)

X-Ray procedure

KNEE JOINT AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

KUB AP (PWD/SR)

X-Ray procedure

KUB AP (PWD/SR) - HMO

X-Ray procedure (HMO rate)

LEG AP/L (PWD/SR)

X-Ray procedure

LEG AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

LUMBOSACRAL AP/L (PWD/SR)

X-Ray procedure

LUMBOSACRAL AP/L (PWD/SR) - HMO

X-Ray procedure (HMO rate)

LUMBOSACRAL SERIES (PWD/SR)

X-Ray procedure

LUMBOSACRAL SERIES (PWD/SR) - HMO

X-Ray procedure (HMO rate)

MANDIBLE PA/O (PWD/SR)

X-Ray procedure

MANDIBLE PA/O (PWD/SR) - HMO

X-Ray procedure (HMO rate)

MASTOIDS SERIES (PWD/SR)

X-Ray procedure

MASTOIDS SERIES (PWD/SR) - HMO

X-Ray procedure (HMO rate)

NASAL BONE (PWD/SR)

X-Ray procedure

NASAL BONE (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ORBIT - WATERS/RHEESE (PWD/SR)

X-Ray procedure

ORBIT - WATERS/RHEESE (PWD/SR) - HMO

X-Ray procedure (HMO rate)

PARANASAL SINUSES (PWD/SR)

X-Ray procedure

PARANASAL SINUSES (PWD/SR) - HMO

X-Ray procedure (HMO rate)

PATELLA (PWD/SR)

X-Ray procedure

PATELLA (PWD/SR) - HMO

X-Ray procedure (HMO rate)

PELVIMETRY (PWD/SR)

X-Ray procedure

PELVIMETRY (PWD/SR) - HMO

X-Ray procedure (HMO rate)

PELVIS AP (PWD/SR)

X-Ray procedure

PELVIS AP (PWD/SR) - HMO

X-Ray procedure (HMO rate)

PELVIS AP & FROGLEG (PWD/SR)

X-Ray procedure

PELVIS AP & FROGLEG (PWD/SR) - HMO

X-Ray procedure (HMO rate)

PLAIN ABDOMEN (PWD/SR)

X-Ray procedure

PLAIN ABDOMEN (PWD/SR) - HMO

X-Ray procedure (HMO rate)

RIB CAGE AP/O (PWD/SR)

X-Ray procedure

RIB CAGE AP/O (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SACRO-COCCYGEAL APL (PWD/SR)

X-Ray procedure

SACRO-COCCYGEAL APL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SCAPULA (PWD/SR)

X-Ray procedure

SCAPULA (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SCOLIOSIS SERIES (PWD/SR)

X-Ray procedure

SCOLIOSIS SERIES (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SHOULDER AP (PWD/SR)

X-Ray procedure

SHOULDER AP (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SHOULDER SERIES (PWD/SR)

X-Ray procedure

SHOULDER SERIES (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SKELETAL SURVEY (ADULT) (PWD/SR)

X-Ray procedure

SKELETAL SURVEY (ADULT) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SKELETAL SURVEY (PEDIA) (PWD/SR)

X-Ray procedure

SKELETAL SURVEY (PEDIA) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SKULL APL (PWD/SR)

X-Ray procedure

SKULL APL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

SKULL SERIES (PWD/SR)

X-Ray procedure

SKULL SERIES (PWD/SR) - HMO

X-Ray procedure (HMO rate)

STAT FEE (2250) (PWD/SR)

X-Ray procedure

STAT FEE (2250) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

STAT FEE (750) (PWD/SR)

X-Ray procedure

STAT FEE (750) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

T-CAGE AP (PWD/SR)

X-Ray procedure

T-CAGE AP (PWD/SR) - HMO

X-Ray procedure (HMO rate)

T-CAGE APL (PWD/SR)

X-Ray procedure

T-CAGE APL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

THIGH APL (PWD/SR)

X-Ray procedure

THIGH APL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

THORACIC SPINE APL (PWD/SR)

X-Ray procedure

THORACIC SPINE APL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

THORACO-LUMBAR APL (PWD/SR)

X-Ray procedure

THORACO-LUMBAR APL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

TMJ (TEMPORO-MANDIBLE JOINT) (PWD/SR)

X-Ray procedure

TMJ (TEMPORO-MANDIBLE JOINT) (PWD/SR) - HMO

X-Ray procedure (HMO rate)

WRIST JOINT APL (PWD/SR)

X-Ray procedure

WRIST JOINT APL (PWD/SR) - HMO

X-Ray procedure (HMO rate)

ZYGOMATIC BONE (PWD/SR)

X-Ray procedure

ZYGOMATIC BONE (PWD/SR) - HMO

X-Ray procedure (HMO rate)

X-RAY FILM PER SHEET (PWD/SR)

X-Ray procedure

X-RAY FILM PER SHEET (PWD/SR) - HMO

X-Ray procedure (HMO rate)

X-RAY FILM 2 IN 1 (PWD/SR)

X-Ray procedure

X-RAY FILM 2 IN 1 (PWD/SR) - HMO

X-Ray procedure (HMO rate)