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Department of Veterans' Affairs Fee Schedules for Medical Services

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DIAGNOSTIC IMAGING SERVICES<br />

Item<br />

100% MBS<br />

Item<br />

100% MBS<br />

Item<br />

100% MBS<br />

Item<br />

100% MBS<br />

55005 54.55<br />

55079 37.85<br />

55276 169.50<br />

55727 20.00<br />

55007 18.95<br />

55084 98.25<br />

55278 169.50<br />

55729 27.25<br />

55008 54.55<br />

55085 34.05<br />

55280 169.50<br />

55730 13.65<br />

55010 18.95<br />

55113 230.65<br />

55282 169.50<br />

55731 98.00<br />

55011 54.55<br />

55114 230.65<br />

55284 169.50<br />

55732 49.00<br />

55013 18.95<br />

55115 230.65<br />

55292 169.50<br />

55733 35.00<br />

55014 55.65<br />

55116 261.65<br />

55294 169.50<br />

55734 17.50<br />

55016 18.95<br />

55117 261.65<br />

55296 111.05<br />

55735 63.50<br />

55017 54.55<br />

55118 275.50<br />

55600 109.10<br />

55736 127.00<br />

55019 18.95<br />

55119 115.35<br />

55601 54.55<br />

55737 28.50<br />

55020 55.65<br />

55120 115.35<br />

55603 109.10<br />

55739 57.00<br />

55022 18.95<br />

55121 115.35<br />

55604 54.55<br />

55759 150.00<br />

55023 54.75<br />

55122 130.85<br />

55700 60.00<br />

55760 75.00<br />

55025 18.95<br />

55123 130.85<br />

55701 30.00<br />

55762 60.00<br />

55026 54.55<br />

55125 137.75<br />

55702 17.50<br />

55763 30.00<br />

55028 109.10<br />

55130 170.00<br />

55703 35.00<br />

55764 160.00<br />

55029 37.85<br />

55131 85.00<br />

55704 70.00<br />

55765 80.00<br />

55030 109.10<br />

55135 353.60<br />

55705 35.00<br />

55766 65.00<br />

55031 37.85<br />

55136 176.80<br />

55706 100.00<br />

55767 32.50<br />

55032 109.10<br />

55220 84.75<br />

55707 70.00<br />

55768 150.00<br />

55033 37.85<br />

55221 84.75<br />

55708 35.00<br />

55769 75.00<br />

55036 111.30<br />

55222 84.75<br />

55709 38.00<br />

55770 60.00<br />

55037 37.85<br />

55223 84.75<br />

55710 35.00<br />

55771 30.00<br />

55038 109.10<br />

55224 84.75<br />

55711 17.50<br />

55772 160.00<br />

55039 37.85<br />

55226 84.75<br />

55712 115.00<br />

55773 80.00<br />

55044 111.30<br />

55227 84.75<br />

55713 50.00<br />

55774 65.00<br />

55045 37.85<br />

55228 84.75<br />

55714 35.00<br />

55775 32.50<br />

55048 109.50<br />

55229 84.75<br />

55715 40.00<br />

55800 109.10<br />

55049 37.85<br />

55230 84.75<br />

55716 17.50<br />

55801 54.55<br />

55054 109.10<br />

55232 84.75<br />

55717 19.00<br />

55802 37.85<br />

55059 49.15<br />

55233 84.75<br />

55718 100.00<br />

55803 18.95<br />

55060 17.05<br />

55235 84.75<br />

55719 57.50<br />

55804 109.10<br />

55061 54.55<br />

55236 55.55<br />

55720 20.00<br />

55805 54.55<br />

55062 18.95<br />

55238 169.50<br />

55721 115.00<br />

55806 37.85<br />

55063 49.15<br />

55244 169.50<br />

55722 50.00<br />

55807 18.95<br />

55064 17.05<br />

55246 169.50<br />

55723 38.00<br />

55808 109.10<br />

55070 98.25<br />

55248 169.50<br />

55724 57.50<br />

55809 54.55<br />

55073 34.05<br />

55252 169.50<br />

55725 40.00<br />

55810 37.85<br />

55076 109.10<br />

55274 169.50<br />

55726 19.00<br />

55811 18.95<br />

1 NOVEMBER 2011 – 31 OCTOBER 2012 65

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