chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

MRI-UP EX NO JT W-LT0 0
MRI-UP EX NO JT W-RT 0 0
MRI-UPEX NOJT W/WO-LT 0 0
MRI-UPEX NOJT W/WO-RT 0 0
MRI-BREASTS W/WO 6CON
6
MRI-BRST-UNI W/WO-LT 0 0
MRI-BRST-UNI W/WO 1RT
1
MRI-MAMMO-CAD 7 7
MRI-LEFT KNEE WO SHAPEMAT 0 0
MRI-RT KNEE WO SHAPEMATCH 0 0
MRI BREASTS W/O CONTRAST 0 0
3D RENDER W/INTER 4CT MRI 4
3D RECONSTRUCTION0 0
MRI-ANKLE WO CON-LT 3 3
MRI-ANKLE WO CON-RT 0 0
MRI-ANKLE W CONT-LT 0 0
MRI-ANKLE W CONT-RT 0 0
MRI-ANKL W/WO CO-LT 0 0
MRI-ANKL W/WO CO-RT 0 0
MRI-LOEX NO JT WO-LT 0 0
MRI-LOEX NO JT WO-RT 5 5
MRI-LO EX NO JT W-LT0 0
MRI-LO EX NO JT-W-RT 0 0
MRI-LOEX NOJT W/WO-LT 1 1
MRI-LOEX NOJT W/WO-RT 2 2
MRV-WO CONTRAST0 0
MRV-W&WO 0 0
MRI PIT/SELLA W/O CONTRAS 0 0
MRI-GADO PER ML 2844 2844
MRA-LO EX W/WO CO-LT 0 0
MRA-LO EX W/WO CO-RT 0 0
MRA-LOWER EXT W/WO-BILAT 0 0
MRA-UP EX W/WO CO-LT 0 0
MRA-UP EX W/WO CO-RT 0 0
MRA-CHEST W/WO CONTR 0 0
MRA-HEAD W/O CONTR 26 26
MRA-HEAD W/CONTRAST 0 0
MRA-HEAD W/WO CONTR 0 0
MRA-NECK W/O CONTRA 0 0
MRA-NECK W/WO CONTRA 12 12
MRA-AB W/WO CONTRAST 2 2
MRA-PELVIS W/WO CONT 0 0
CT ABDOMEN W CONTRAS 8 8
CT ABDOMEN W&W/O 1 CON 1
CT ABDOMEN W/O CONT 1 1
CT C SPINE W/CONTRAS 0 0
CT CERVICAL SPINE W/O 37 37