X416

With IV contrast

Fee

ComponentValue
Fee basisH / P components
H / P source listing; PDF p. 381$97.50
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 381 / D23

- with IV contrast................................................................... - 97.50
Passages mentioning X416

PDF page 381 / D23

DIAGNOSTIC RADIOLOGY
 COMPUTED TOMOGRAPHY (CT)
                                                                                                H    P
     Extremities (one or more)
   X412 - without IV contrast..............................................................     -    43.25
   X413 - with IV contrast...................................................................   -    64.95
   X127 - with and without IV contrast ...............................................          -    75.85
     Spine(s)
   X415 - without IV contrast..............................................................     -    86.60
   X416 - with IV contrast...................................................................   -    97.50
   X128 - with and without IV contrast ...............................................          -   108.30
   X168 CT guidance of biopsy ............................................................      -    42.50
   X417 Three dimensional CT acquisition sequencing, including post-
          processing (minimum of 60 slices; maximum 1 scan per
          patient per day) ..................................................................   -    32.70
Fee master record

Master, record 6726. Record Layout PDF, page 1.

X41620250401999999990000000000000000000000000000000000000000000000000975000

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 anaesthetist00000975000 / 97.5
Explanation

AI-generated. Unreviewed.

Computed tomography (CT) of the spine, with intravenous (IV) contrast, under Diagnostic Radiology. This is an add-on to the spine CT service.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
Preparing offline search…