Service List

Service Modality Clinic Fee Prof Fee
ECG (Tech) G310 Cardiac 0.00 12.60
ECG (Prof) G313 Cardiac 0.00 8.01
Stress ECG - Max/Submax (Tech) G315 Cardiac 0.00 82.71
Stress ECG - Vector (Tech) G316 Cardiac 0.00 30.87
Stress ECG - Max/Submax (Prof) G319 Cardiac 0.00 111.69
Stress ECG - Vector (Prof) G335 Cardiac 0.00 17.91
Echo Comp.Study 1 Dim (Tech) G560 Cardiac 0.00 62.55
Echo Comp.Study 1 Dim (P1) G561 Cardiac 0.00 63.99
Echo Comp.Study 1 Dim (P2) G562 Cardiac 0.00 47.34
Echo Comp.Study 2 Dim (Tech) G566 Cardiac 0.00 107.19
Echo Comp.Study 2 Dim (P1) G567 Cardiac 0.00 100.53
Echo Comp.Study 2 Dim (P2) G568 Cardiac 0.00 75.51
Echo Comp.Study 1 and 2 Dim (P1) G571 Cardiac 0.00 173.16
Echo Comp.Study 1 and 2 Dim (P2) G572 Cardiac 0.00 99.72
SPEC Site Bone Scan No Flow J851 Nuclear Medicine 161.28 72.54
Thyroid Scan J818 Nuclear Medicine 121.95 72.54
Myo Rest Non Gated J807 Nuclear Medicine 413.64 68.58
Myo Stress Non Gated J808 Nuclear Medicine 152.28 37.62
Gastric Emptying Solid J829 Nuclear Medicine 196.02 72.54
Liver RBC Scan J878 Nuclear Medicine 272.25 72.54
Liver Colloid Scan J832 Nuclear Medicine 152.28 72.54
Salivary Scan J833 Nuclear Medicine 182.97 72.54
Bone Scan Inj Flow Spect J850 Nuclear Medicine 197.10 89.46
Bone Scan Inj No Flow Spect J850 Nuclear Medicine 197.10 89.46
Spec Site Bone Scan Inj Spect J851 Nuclear Medicine 161.28 72.54
Spec Site Bone Scan No Flow Spect J851 Nuclear Medicine 161.28 72.54
Parathyroid Sc J820 Nuclear Medicine 446.22 99.54
Muga Scan J813 Nuclear Medicine 256.95 112.50
Renal Scan J834 Nuclear Medicine 182.97 58.68
Renal Function Static J835 Nuclear Medicine 250.38 104.04
Gastric Emptying Liquid J829 Nuclear Medicine 196.02 72.54
Labelled RBC`S J878 Nuclear Medicine 272.25 72.54
Holter - Tech Comp. 72 hours G685 Cardiac 0.00 186.48
Holter (Prof 72 hours) G659 Cardiac 0.00 172.53
Myo 1 Day Cardiac Stress J807 Nuclear Medicine 413.64 68.58
Holter (Prof 48-71 hours) G658 Cardiac 0.00 135.81
Holter (Prof 72 hours plus) G657 Cardiac 0.00 122.76
Holter (Prof 47-71 hours) G656 Cardiac 0.00 92.07
Holter (Prof 12-47 hours) G653 Cardiac 0.00 61.38
Hida Scan J831 J867 Nuclear Medicine 326.70 114.39
Liver Spleen Scan J832 Nuclear Medicine 152.28 72.54
Quantification Si Ratio Y850 Nuclear Medicine 197.10 116.30
Liver/Spleen Scan J832 Nuclear Medicine 152.28 72.54
Salivary Scintigraphy J833 Nuclear Medicine 182.97 72.54
Spec Site Bone Scan Inj J851 Nuclear Medicine 161.28 72.54
First Transit with Blood Pools J867 Nuclear Medicine 108.99 41.85
Renal Function Physiologic J834 Nuclear Medicine 182.97 58.68
Bone Scintigraphy 30% Y851 Nuclear Medicine 161.28 94.30
Gastric Emptying Scan J829 Nuclear Medicine 196.02 72.54
Holter - Tech Comp. 48-71 hours G682 Cardiac 0.00 90.90
Holter - Tech Comp. 48-71 hours G683 Cardiac 0.00 124.29
Holter - Tech Comp. 72 hours plus G684 Cardiac 0.00 136.26
BS Inj Flow J850 Nuclear Medicine 197.10 89.46
BS Inj No Flow J850 Nuclear Medicine 197.10 89.46
Str Myo Stress Inj J807 Nuclear Medicine 413.64 68.58
Str Myo Rest Inj J808 Nuclear Medicine 152.28 37.62
Abdomen Complete Ultrasound 92.70 47.61
Abdomen Limited Ultrasound 61.02 31.59
Abdominal wall Ultrasound 61.02 31.59
Hernia Ultrasound 48.51 26.91
Groin Ultrasound 48.51 26.91
Abdominal U/S & Limited Pelvic Ultrasound 153.72 79.20
Female Pelvic Ultrasound 92.70 47.79
Pelvic Limited Ultrasound 61.02 31.59
Transvaginal Ultrasound 92.70 47.70
Male Pelvic Ultrasound 92.70 47.79
Pelvic & Limited Abdomen Ultrasound 153.72 79.38
OB Dating (< 16 wks) Ultrasound 61.02 31.59
EFTS (NT) Ultrasound 74.16 37.53
OB Routine (18-20 wks) anatomy scan Ultrasound 92.70 60.84
OB Routine (> 20 wks) Ultrasound 92.70 58.05
OB Routine Follow Up Ultrasound 92.70 58.05
Biophysical Profile Ultrasound 146.88 87.93
Pregnancy: OB High Risk Ultrasound 146.88 87.93
OB Dating (< 16 wks) - TWINS Ultrasound 139.77 71.37
Pregnancy: IPS - TWINS Ultrasound 137.16 66.96
OB Routine (18-20 wks) anatomy scan - TWINS Ultrasound 171.45 100.62
OB Routine (> 20 wks) - TWINS Ultrasound 171.45 97.83
Biophysical Profile - TWINS Ultrasound 225.63 127.71
OB Routine Follow Up - TWINS Ultrasound 171.45 97.83
Pregnancy: OB High Risk: - TWINS Ultrasound 225.63 127.71
Extra Gestation Ultrasound 78.75 39.78
Transrectal Ultrasound 185.40 95.49
Testes/Scrotum Ultrasound 89.91 42.84
Breast Ultrasound 46.42 23.58
Axila Ultrasound 46.42 23.58
Wall Mass Ultrasound 92.70 44.19
Carotid Doppler Ultrasound 194.58 87.03
Upper Arterial Arms Ultrasound 239.76 142.47
Lower Arterial Legs Ultrasound 269.10 161.46
Renal Vascular Ultrasound 169.38 91.35
Aorta & Iliac Arteries Ultrasound 176.22 93.06
Upper Venous Arm Ultrasound 146.88 74.07
Upper Venous Arms Both Ultrasound 201.06 103.95
Lower Venous Leg Ultrasound 176.22 93.06
Lower Venous Legs Both Ultrasound 230.40 122.94
Thoracic Outlet Syndrome Ultrasound 146.88 74.07
Shoulder Ultrasound 48.51 26.91
Elbow Ultrasound 48.51 26.91
Forearm Ultrasound 48.51 26.91
AC Joint Ultrasound 48.51 26.91
Wrist Ultrasound 48.51 26.91
Leg Ultrasound 48.51 26.91
Knee Ultrasound 48.51 26.91
Ankle Ultrasound 48.51 26.91
Achilles Tendon Ultrasound 48.51 26.91
Foot Ultrasound 48.51 26.91
Hip Ultrasound 48.51 26.91
Lump/Soft Tissue Ultrasound 48.51 26.91
Back Ultrasound 48.51 26.91
Other Muscle Ultrasound 48.51 26.91
Plain Film (K.U.B.) X-Ray 30.51 11.52
Acute (2-3 views) + PA Chest X-Ray 77.13 27.99
Skull (3/4) X-Ray 61.20 23.85
Skull (5+) X-Ray 76.32 29.52
Sinuses X-Ray 60.70 0.00
Adenoids X-Ray 28.17 14.31
Soft Tissue X-Ray 28.17 14.31
Sella Turcica X-Ray 30.51 11.52
Mastoids X-Ray 58.68 25.65
I.A. Meati X-Ray 44.46 18.63
Facial Bones X-Ray 44.46 18.54
Nasal Bones X-Ray 30.51 11.52
Eye (for foreign body/Orbits) X-Ray 30.42 16.29
Mandible (3) X-Ray 44.46 18.63
Mandible (4+) X-Ray 61.20 23.85
T.M. Joints (4+) X-Ray 44.46 18.63
Zygomatic Arches 4+ X-Ray 61.20 23.85
Chest PA X-Ray 30.51 11.43
Chest PA/Lateral X-Ray 45.74 19.26
Chest (3+) X-Ray 57.69 22.32
Thoracic Inlet X-Ray 30.51 11.52
Rib X-Ray 36.72 14.13
Sternum X-Ray 36.72 14.13
Sterno-Clavicular Joints X-Ray 36.72 14.31
Consultation X-Ray 0.00 90.00
Radiology Consultation X-Ray 0.00 90.00
Bone Age X-Ray 30.51 11.52
Bone Age (2+) X-Ray 44.46 19.17
Shoulder Under 12 Year or Chiro (2) X-Ray 36.72 14.31
Shoulder (3+) X-Ray 52.38 19.17
Clavicle X-Ray 61.02 23.04
Acromioclavicular Joints (with & w/o weights) X-Ray 44.46 18.63
Scapula Regular (2) X-Ray 36.72 14.31
Scapula (3+) X-Ray 52.83 19.17
Humerus X-Ray 30.51 11.52
Elbow Under 12 Year or Chiro (2) X-Ray 30.51 11.52
Elbow (3/4) X-Ray 46.89 16.29
Forearm X-Ray 30.51 11.52
Scaphoid(4) X-Ray 46.89 16.29
Wrist Regular (2/3) X-Ray 30.51 11.52
Wrist (4+) X-Ray 46.89 16.29
Hand & Wrist Regular (2/3) X-Ray 44.46 23.49
Bilateral Hands and Wrists (3 views) X-Ray 88.92 46.98
Hand Regular (2/3) X-Ray 30.51 11.52
Hand & Wrist (4+) X-Ray 56.61 28.26
Finger or Thumb (3+) X-Ray 30.51 11.52
Femur (2) X-Ray 45.45 16.29
Knee Under 15 Year or Chiro (2) X-Ray 30.51 11.52
Knee (3/4) X-Ray 46.89 16.29
Knee (5+) X-Ray 63.18 20.97
Tibia & Fibula (2) X-Ray 30.51 11.52
Tibia & Fibula (3+) X-Ray 46.89 16.29
Ankle Regular (2/3) X-Ray 30.51 11.52
Ankle (4+) X-Ray 46.89 16.29
Calcaneus (2) X-Ray 30.51 11.52
Calcaneus Regular (3+) X-Ray 46.89 16.29
Foot (2/3) X-Ray 30.51 11.52
Foot (4+) X-Ray 46.89 16.29
Toes (3+) X-Ray 45.45 16.29
Leg Length X-Ray 44.46 18.63
Cervical Spine Under 15 year or Chiro (2/3) X-Ray 53.10 14.31
Cervical Spine Regular (4/5) X-Ray 68.40 19.35
Cervical Spine (6+) X-Ray 82.62 23.85
Thoracic Spine Under 15 Year or Chiro (2) X-Ray 48.42 14.31
Thoracic Spine (3+) X-Ray 61.20 19.17
Scoliosis(2) X-Ray 60.75 24.03
Scoliosis Series Regular (4+) X-Ray 109.62 37.35
Lumbar spine. Pelvis & S.I.Joints X-Ray 143.37 49.50
Lumbar Spine Under 25 Year or Chiro (2) X-Ray 53.10 14.31
Lumbar Spine Regular (4/5) X-Ray 68.40 19.35
Lumbar Spine (6+) X-Ray 82.62 24.03
S.I. Joints Regular (2/3) X-Ray 44.46 18.63
S.I. Joints (4+) X-Ray 59.31 23.49
Sacrum & Coccyx (2) X-Ray 49.05 11.52
Sacrum & Coccyx Regular (3+) X-Ray 63.54 19.17
Pelvis X-Ray 30.51 11.52
Pelvis & Right Hip X-Ray 56.79 16.56
Pelvis & Left Hip X-Ray 56.79 16.56
Pelvis & Both Hips X-Ray 65.25 18.63
Survey Arthritic/Metastatic (2+) X-Ray 257.76 102.42
Barium Swallow G.I. Tract 99.36 83.52
Upper G.I. Series G.I. Tract 99.36 83.52
G.I. & Small Bowel G.I. Tract 124.74 105.12
Mammogram OBSP Mammography 76.14 55.80
Unilateral-Routine Mammography 57.51 34.92
Additional 2-views-Coned views Mammography 24.48 18.72
Bilateral Mammogram-High Risk Mammography 152.28 111.60
Mammography-Unilateral High Risk Mammography 57.51 34.92
Unilateral Implant Mammography 81.99 53.64
Bilateral-Routine Mammography 152.28 111.60
Carotid Doppler Vascular 194.58 87.03
Upper Arterial Arms Vascular 336.78 196.29
Lower Arterial Legs Vascular 366.12 233.37
Renal Vascular Vascular 229.14 31.59
Aorta & Iliac Arteries Vascular 176.22 93.06
Upper Venous Arm Vascular 195.39 100.98
Upper Venous Arms Both Vascular 298.08 157.77
Lower Venous Leg Vascular 292.41 119.97
Lower Venous Legs Both Vascular 462.78 176.76
Thoracic Outlet Syndrome Vascular 195.39 100.98
Baseline X146 Bone Mineral Density 113.04 86.40
Second Test Risk- 2 Site - X153 Bone Mineral Density 113.04 86.40
Subsequent High Risk X155 Bone Mineral Density 113.04 86.40
Subsequent Low Risk - X148 Bone Mineral Density 113.04 86.40
Bilateral Hands (3) X-Ray 61.02 23.04
Hand (4+) X-Ray 46.89 16.29
Bilateral Knees (3/4 views) X-Ray 93.78 32.58
Bilateral Hands and Wrists (4+) X-Ray 113.22 56.52
Penile Doppler Vascular 13.05 14.04
Recall Unilateral Mammography 57.51 34.92
Recall Bilateral Mammography 152.28 111.60
Hand Ultrasound 48.51 26.91
Bilateral Implants Mammography 125.10 93.24
Plain Film (K.U.B.) Chiro X-ray 0.00 11.52
Acute (2-3 views) Chiro X-ray 0.00 27.99
Skull (3/4) Chiro X-ray 0.00 23.85
Skull (5+) Chiro X-ray 0.00 29.52
Sinuses Chiro X-ray 0.00 18.63
Adenoids Chiro X-ray 0.00 14.31
Soft Tissue Chiro X-ray 0.00 14.31
Sella Turcica Chiro X-ray 0.00 11.52
Mastoids Chiro X-ray 0.00 25.65
I.A. Meati Chiro X-ray 0.00 18.63
Facial Bones Chiro X-ray 0.00 18.54
Nasal Bones Chiro X-ray 0.00 11.52
Eye (for foreign body/Orbits) Chiro X-ray 0.00 16.29
Mandible (3) Chiro X-ray 0.00 18.63
Mandible (4+) Chiro X-ray 0.00 23.85
T.M. Joints (4+) Chiro X-ray 0.00 18.63
Zygomatic Arches 4+ Chiro X-ray 0.00 23.85
Chest PA Chiro X-ray 0.00 11.43
Chest PA/Lateral Chiro X-ray 0.00 19.26
Chest (3+) Chiro X-ray 0.00 22.32
Thoracic Inlet Chiro X-ray 0.00 11.52
Rib Chiro X-ray 0.00 25.56
Sternum Chiro X-ray 0.00 14.13
Sterno-Clavicular Joints Chiro X-ray 0.00 14.31
Consultation Chiro X-ray 0.00 90.00
Radiology Consultation Chiro X-ray 0.00 90.00
Bone Age Chiro X-ray 0.00 11.52
Bone Age (2+) Chiro X-ray 0.00 19.17
Shoulder Under 12 Year or Chiro (2) Chiro X-ray 0.00 14.31
Shoulder (3+) Chiro X-ray 0.00 19.17
Clavicle Chiro X-ray 0.00 23.04
Acromioclavicular Joints (with & w/o weights) Chiro X-ray 0.00 18.63
Scapula Regular (2) Chiro X-ray 0.00 14.31
Scapula (3+) Chiro X-ray 0.00 19.17
Humerus Chiro X-ray 0.00 11.52
Elbow Under 12 Year or Chiro (2) Chiro X-ray 0.00 11.52
Elbow (3/4) Chiro X-ray 0.00 16.29
Forearm Chiro X-ray 0.00 11.52
Scaphoid(4) Chiro X-ray 0.00 16.29
Wrist Regular (2/3) Chiro X-ray 0.00 11.52
Wrist (4+) Chiro X-ray 0.00 16.29
Hand & Wrist Regular (2/3) Chiro X-ray 0.00 23.49
Bilateral Hands and Wrists (3 views) Chiro X-ray 0.00 46.98
Hand Regular (2/3) Chiro X-ray 0.00 11.52
Hand & Wrist (4+) Chiro X-ray 0.00 28.26
Finger or Thumb (3+) Chiro X-ray 0.00 11.52
Femur (2) Chiro X-ray 0.00 11.52
Knee Under 15 Year or Chiro (2) Chiro X-ray 0.00 11.52
Knee (3/4) Chiro X-ray 0.00 16.29
Knee (5+) Chiro X-ray 0.00 20.97
Tibia & Fibula (2) Chiro X-ray 0.00 11.52
Tibia & Fibula (3+) Chiro X-ray 0.00 16.29
Ankle Regular (2/3) Chiro X-ray 0.00 11.52
Ankle (4+) Chiro X-ray 0.00 16.29
Calcaneus (2) Chiro X-ray 0.00 11.52
Calcaneus Regular (3+) Chiro X-ray 0.00 16.29
Foot (2/3) Chiro X-ray 0.00 11.52
Foot (4+) Chiro X-ray 0.00 16.29
Toes (3+) Chiro X-ray 0.00 16.29
Leg Length Chiro X-ray 0.00 18.63
Cervical Spine Under 15 year or Chiro (2/3) Chiro X-ray 0.00 14.31
Cervical Spine Regular (4/5) Chiro X-ray 0.00 19.35
Cervical Spine (6+) Chiro X-ray 0.00 23.85
Thoracic Spine Under 15 Year or Chiro (2) Chiro X-ray 0.00 14.31
Thoracic Spine (3+) Chiro X-ray 0.00 19.17
Scoliosis(2) Chiro X-ray 0.00 24.03
Scoliosis Series Regular (4+) Chiro X-ray 0.00 37.35
Lumbar spine. Pelvis & S.I.Joints Chiro X-ray 0.00 49.50
Lumbar Spine Under 25 Year or Chiro (2) Chiro X-ray 0.00 14.31
Lumbar Spine Regular (4/5) Chiro X-ray 0.00 19.35
Lumbar Spine (6+) Chiro X-ray 0.00 24.03
S.I. Joints Regular (2/3) Chiro X-ray 0.00 18.63
S.I. Joints (4+) Chiro X-ray 0.00 23.49
Sacrum & Coccyx (2) Chiro X-ray 0.00 11.52
Sacrum & Coccyx Regular (3+) Chiro X-ray 0.00 19.17
Pelvis Chiro X-ray 0.00 11.52
Pelvis & Right Hip Chiro X-ray 0.00 16.56
Pelvis & Left Hip Chiro X-ray 0.00 16.56
Pelvis & Both Hips Chiro X-ray 0.00 18.63
Survey Arthritic/Metastatic (2+) Chiro X-ray 0.00 31.14
Bilateral Hands (3) Chiro X-ray 0.00 23.04
Hand (4+) Chiro X-ray 0.00 16.29
Bilateral Knees (3/4 views) Chiro X-ray 0.00 32.58
Bilateral Feet (2/3 views) Chiro X-ray 0.00 23.04
Bilateral Hands and Wrists (4+) Chiro X-ray 0.00 56.52
Thyroid FNA Ultrasound 89.91 66.33
Face. Neck and/or Thyroid Ultrasound 89.91 42.66
Blood Work Fee BLOOD WORK 25.00 0.00
Blood Work BLOOD WORK 25.00 0.00
ALT BLOOD WORK 6.00 0.00
AST BLOOD WORK 6.00 0.00
Glucose. Random BLOOD WORK 6.00 0.00
HbA1C BLOOD WORK 15.00 0.00
Urinalysis Chemical BLOOD WORK 6.00 0.00
Urinalysis Microscopic BLOOD WORK 6.00 0.00
Hepatitis B Surface Antibody BLOOD WORK 20.00 0.00
Hepatitis B Surface Antigen BLOOD WORK 20.00 0.00
Hepatitis B Core Antibody BLOOD WORK 20.00 0.00
Hepatitis C BLOOD WORK 20.00 0.00
Immigration Medical Fee Age 0-4 IMMIGRATION MEDICAL FEE 100.00 0.00
Immigration Medical Fee Age 5-49 IMMIGRATION MEDICAL FEE 150.00 0.00
Immigration Medical Fee Age 50-74 IMMIGRATION MEDICAL FEE 150.00 0.00
Immigration Medical Fee Age 75+ IMMIGRATION MEDICAL FEE 220.00 0.00
Immigration Medical Fee CUAET 0-14 IMMIGRATION MEDICAL FEE 50.00 0.00
Immigration Medical Fee CUAET 14+ IMMIGRATION MEDICAL FEE 100.00 0.00
Creatinine BLOOD WORK 5.00 0.00
Upper Extremity Ultrasound 75.42 0.00
Lower Extremity Ultrasound 75.42 0.00
Appendix Ultrasound 48.51 26.91
Aorta Ultrasound 48.51 26.91
Mammography OBSP Implants Mammography 125.10 93.24
Chest PA (Immigration) X-Ray 50.00 0.00
Chest PA (Immigration) X-Ray 50.00 0.00
3D/ 4D Ultrasound 3D/4D Ultrasound 80.00 0.00
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