X176

Sialogram

Fee

ComponentValue
Fee basisH / P components
H / P source listing; PDF p. 382$29.80 / $12.40
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 382 / D24

Sialogram................................................................................ 29.80 12.40
Fee master record

Master, record 6624. Record Layout PDF, page 1.

X17620260401999999990000000000000000373000000000000000000000000000000124000

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
assistant00000373000 / 37.3
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000124000 / 12.4
Explanation

AI-generated. Unreviewed.

This listing covers a sialogram. It is in the Diagnostic Radiology section, under Miscellaneous Examinations.

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