X451

PDF page 392 / F2

Neck
               X431 - multislice sequence ............................................................                       73.35
               X435 - repeat (another plane, different pulse sequence - to a
                      maximum of 3 repeats).......................................................                           36.70
                 Thorax
               X441 - multislice sequence ............................................................                       73.35
               X445 - repeat (another plane, different pulse sequence - to a
                      maximum of 3 repeats).......................................................                           36.70
                 Abdomen
               X451 - multislice sequence ............................................................ 73.35
               X455 - repeat (another plane, different pulse sequence - to a
                       maximum of 3 repeats).......................................................    36.70
               X458 - Magnetic resonance elastography (MRE) for quantification
                       of fat and/or iron deposition in the liver ..............................       36.70
                   Payment rules:
                   X451/X455 are not eligible for payment when used as guidance for organ biopsy.

Master, record 6739. Record Layout PDF, page 1.

X45120250401999999990000000000000000000000000000000000000000000000000733500

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.