X124

With and without IV contrast

Fee

ComponentValue
Fee basisH / P components
H / P source listing; PDF p. 376$108.30
Schedule and sources
Fee edition
October 1, 2026
Record effective
2025-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 376 / D18

- with and without IV contrast ............................................... - 108.30
Fee master record

Master, record 6572. Record Layout PDF, page 1.

X12420250401999999990000000000000000000000000000000000000000000000001083000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00000000000 / 0
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00001083000 / 108.3
Explanation

AI-generated. Unreviewed.

CT scan of the neck, done with and without IV contrast. It falls under the Computed Tomography (CT) heading in Diagnostic Radiology.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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