0ÉèIDICODEC COSTN DOLLARSN FLATRATEN# INFORMALL-ISDOLLARSL.NAMEC/úNAME2C)úPERCOMC#TYPEC7UNITNL UNITTYPECVSCUTCWISNOTBILLL_ISTAXL`TAXNa IDMODIFIkIDMODIF2IoISCANCELVSLsACTCOSTNt ISPRN1500L~ !N 95831 0.00 0.00 0.00FFMuscle testing, manual (separate procedure) extremity (excluding hand) or trunk, with report + 1.00 FF 0.00F 0.00F "N 95832 0.00 0.00 0.00FFMuscle Testing Manual + 1.00 FF 0.00F 0.00F #N 95833 0.00 0.00 0.00FFTotal evaluation of body, excluding hands + 1.00 FF 0.00F 0.00F $N 95834 0.00 0.00 0.00FFTotal evaluation of body, including hands + 1.00 FF 0.00F 0.00F %N 95851 0.00 0.00 0.00FFROM measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) + 1.00 FF 0.00F 0.00F &N 95852 0.00 0.00 0.00FFROM measurements and report (separate procedure); hand, with or without comparison with normal side + 1.00 FF 0.00F 0.00F 'N 97001 0.00 0.00 0.00FFPhysical therapy evaluation + 1.00 FF 0.00F 0.00F (N 97002 0.00 0.00 0.00FFPhysical therapy reevaluation + 1.00 FF 0.00F 0.00F )N 97003 0.00 0.00 0.00FFOccupational therapy evaluation + 1.00 FF 0.00F 0.00F *N 97004 0.00 0.00 0.00FFOccupational therapy reevaluation + 1.00 FF 0.00F 0.00F +N 97010 0.00 0.00 0.00FFApplication of a modality to one or more areas; hot or cold packs + 1.00 FF 0.00F 0.00F ,N 97012 0.00 0.00 0.00FFTraction, mechanical + 1.00 FF 0.00F 0.00F -N97014 0.00 0.00 0.00FFElectrical stimulation + 35.00 FF 0.00F 0.00F .N 97016 0.00 0.00 0.00FFVasopnuematic device + 1.00 FF 0.00F 0.00F /N 97018 0.00 0.00 0.00FFParaffin bath + 1.00 FF 0.00F 0.00F 0N 97022 0.00 0.00 0.00FFWhirlpool + 1.00 FF 0.00F 0.00F 1N 97024 0.00 0.00 0.00FFDiathermy + 1.00 FF 0.00F 0.00F 2N 97026 0.00 0.00 0.00FFInfrared + 1.00 FF 0.00F 0.00F 3N 97028 0.00 0.00 0.00FFUltraviolet + 1.00 FF 0.00F 0.00F 4N 97032 0.00 0.00 0.00FFApplication of a modality to one or more areas; electrical stimulation (manual), each 15 minutes + 1.00 FF 0.00F 0.00F 5N 97033 0.00 0.00 0.00FFLontophoresis, each 15 minutes + 1.00 FF 0.00F 0.00F 6N 97034 0.00 0.00 0.00FFContrast baths, each 15 minutes + 1.00 FF 0.00F 0.00F 7N97035 0.00 0.00 0.00FFUltrasound, each 15 minutes + 20.00 FF 0.00F 0.00F 8N 97036 0.00 0.00 0.00FFHubbard tank, each 15 minutes + 1.00 FF 0.00F 0.00F 9N 97101 0.00 0.00 0.00FFApplication of a modality to one or more areas; hot or cold packs + 1.00 FF 0.00F 0.00F :N 97110 0.00 0.00 0.00FFTherapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, ROM and flexibility + 1.00 FF 0.00F 0.00F ;N 97112 0.00 0.00 0.00FFNeuromuscular reeducation of movement, balance, coordination, kinesthetic sense posture, and proprioception + 1.00 FF 0.00F 0.00F N 97124 0.00 0.00 0.00FFMassage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion). + 1.00 FF 0.00F 0.00F ?N 97140 0.00 0.00 0.00FFManual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes + 1.00 FF 0.00F 0.00F @N 97150 0.00 0.00 0.00FFTherapeutic procedure(s), group (2 or more individuals) + 1.00 FF 0.00F 0.00F AN 97504 0.00 0.00 0.00FFOrthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes + 1.00 FF 0.00F 0.00F BN 97520 0.00 0.00 0.00FFProsthetic training, upper and/or lower extremity(s), each 15 minutes + 1.00 FF 0.00F 0.00F CN 97530 0.00 0.00 0.00FFTherapeutic activities, direct (one on one) patient contact by the provider, (use of dynamic activities to improve functional performance), each 15 minutes + 1.00 FF 0.00F 0.00F DN 97532 0.00 0.00 0.00FFDevelopment of cognitive skills to improve attention, memory, problem solving, (includes compensatory training) direct (one on one) patient contact by the provider, each 15 minutes + 1.00 FF 0.00F 0.00F EN 97533 0.00 0.00 0.00FFSensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one on one) patient contact by the provider, each 15 minutes + 1.00 FF 0.00F 0.00F FN 97535 0.00 0.00 0.00FFSelf care/home management training (e.g., activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of adaptive equipment), direct one on one contact by provider each 15 minutes. + 1.00 FF 0.00F 0.00F GN 97542 0.00 0.00 0.00FFWheelchair management /propulsion training, each 15 minutes + 1.00 FF 0.00F 0.00F HN 97597 0.00 0.00 0.00FFRemoval of devitalized tissue from wounds + 1.00 FF 0.00F 0.00F IN 97598 0.00 0.00 0.00FFRemoval of devitalized tissue from wounds + 1.00 FF 0.00F 0.00F JN 97703 0.00 0.00 0.00FFCheckout for orthotic/prosthetic, use, established patient, each 15 minutes + 1.00 FF 0.00F 0.00F KN 97750 0.00 0.00 0.00FFPhysical performance test or measurement (e.g., musculoskeletal, functional capacity) with written report, each 15 minutes + 1.00 FF 0.00F 0.00F ÝY 97005 0.00 0.00 0.00FFATHLETIC TRAIN EVAL + 1.00 FF 0.00F 0.00F ÞY 97006 0.00 0.00 0.00FFATHLETIC TRAIN REEVAL + 1.00 FF 0.00F 0.00F íY 97039 0.00 0.00 0.00FFPHYSICAL THERAPY TREATMENT + 1.00 FF 0.00F 0.00F ïY 97112 0.00 0.00 0.00FFNEUROMUSCULAR REEDUCATION + 1.00 FF 0.00F 0.00F óY 97139 0.00 0.00 0.00FFPHYSICAL MEDICINE PROCEDURE + 1.00 FF 0.00F 0.00F úY 97537 0.00 0.00 0.00FFCOMMUNITY/WORK REINTEGRATION + 1.00 FF 0.00F 0.00F üY 97545 0.00 0.00 0.00FFWORK HARDENING + 1.00 FF 0.00F 0.00F ýY 97546 0.00 0.00 0.00FFWORK HARDENING, ADD-ON + 1.00 FF 0.00F 0.00F Z 97602 0.00 0.00 0.00FFWOUND(S) CARE NON-SELECTIVE + 1.00 FF 0.00F 0.00F Z 97605 0.00 0.00 0.00FFNEG PRESS WOUND TX, < 50 CM + 1.00 FF 0.00F 0.00F Z 97606 0.00 0.00 0.00FFNEG PRESS WOUND TX, > 50 CM + 1.00 FF 0.00F 0.00F Z 97755 0.00 0.00 0.00FFASSISTIVE TECHNOLOGY ASSESS + 1.00 FF 0.00F 0.00F Z 97760 0.00 0.00 0.00FFORTHOTIC MGMT AND TRAINING + 1.00 FF 0.00F 0.00F Z 97761 0.00 0.00 0.00FFPROSTHETIC TRAINING + 1.00 FF 0.00F 0.00F Z 97762 0.00 0.00 0.00FFC/O FOR ORTHOTIC/PROSTH USE + 1.00 FF 0.00F 0.00F Z 97799 0.00 0.00 0.00FFPHYSICAL MEDICINE PROCEDURE + 1.00 FF 0.00F 0.00F Z 97802 0.00 0.00 0.00FFMEDICAL NUTRITION, INDIV, IN + 1.00 FF 0.00F 0.00F Z 97803 0.00 0.00 0.00FFMED NUTRITION, INDIV, SUBSEQ + 1.00 FF 0.00F 0.00F Z 97804 0.00 0.00 0.00FFMEDICAL NUTRITION, GROUP + 1.00 FF 0.00F 0.00F Z 97810 0.00 0.00 0.00FFACUPUNCT W/O STIMUL 15 MIN + 1.00 FF 0.00F 0.00F Z 97811 0.00 0.00 0.00FFACUPUNCT W/O STIMUL ADDL 15M + 1.00 FF 0.00F 0.00F Z 97813 0.00 0.00 0.00FFACUPUNCT W/STIMUL 15 MIN + 1.00 FF 0.00F 0.00F Z 97814 0.00 0.00 0.00FFACUPUNCT W/STIMUL ADDL 15M + 1.00 FF 0.00F 0.00F Z 98925 0.00 0.00 0.00FFOSTEOPATHIC MANIPULATION + 1.00 FF 0.00F 0.00F Z 98926 0.00 0.00 0.00FFOSTEOPATHIC MANIPULATION + 1.00 FF 0.00F 0.00F Z 98927 0.00 0.00 0.00FFOSTEOPATHIC MANIPULATION + 1.00 FF 0.00F 0.00F Z 98928 0.00 0.00 0.00FFOSTEOPATHIC MANIPULATION + 1.00 FF 0.00F 0.00F Z 98929 0.00 0.00 0.00FFOSTEOPATHIC MANIPULATION + 1.00 FF 0.00F 0.00F Z 98940 0.00 0.00 0.00FFCHIROPRACTIC MANIPULATION + 1.00 FF 0.00F 0.00F Z98941 0.00 0.00 0.00FFCHIROPRACTIC MANIPULATION + 60.00 FF 0.00F 0.00F Z 98942 0.00 0.00 0.00FFCHIROPRACTIC MANIPULATION + 1.00 FF 0.00F 0.00F Z 98943 0.00 0.00 0.00FFCHIROPRACTIC MANIPULATION + 1.00 FF 0.00F 0.00F FZ 99201 0.00 0.00 0.00FFOFFICE VISIT, NEW PAT + 1.00 FF 0.00F 0.00F GZ 99202 0.00 0.00 0.00FFOFFICE VISIT, NEW PAT + 1.00 FF 0.00F 0.00F HZ 99203 0.00 0.00 0.00FFOFFICE VISIT, NEW PAT + 1.00 FF 0.00F 0.00F IZ 99204 0.00 0.00 0.00FFOFFICE VISIT, NEW PAT + 1.00 FF 0.00F 0.00F JZ 99205 0.00 0.00 0.00FFOFFICE VISIT, NEW PAT + 1.00 FF 0.00F 0.00F KZ 99211 0.00 0.00 0.00FFOFFICE VISIT, EST PAT + 1.00 FF 0.00F 0.00F LZ99212 0.00 0.00 0.00FFOFFICE VISIT, EST PAT + 30.00 FF 0.00F 0.00F MZ99213 0.00 0.00 0.00FFOFFICE VISIT, EST PAT + 190.00 FF 0.00F 0.00F NZ 99214 0.00 0.00 0.00FFOFFICE VISIT, EST PAT + 1.00 FF 0.00F 0.00F OZ 99215 0.00 0.00 0.00FFOFFICE VISIT, EST PAT + 1.00 FF 0.00F 0.00F çO 72010 0.00 0.00 0.00FFX-RAY SPINE + 1.00 FF 0.00F 0.00F èO 72020 0.00 0.00 0.00FFX-RAY SPINE + 1.00 FF 0.00F 0.00F éO72040 0.00 0.00 0.00FFX-RAY NECK SPINE + 75.00 FF 0.00F 0.00F êO 72050 0.00 0.00 0.00FFX-RAY NECK SPINE + 1.00 FF 0.00F 0.00F ëO 72052 0.00 0.00 0.00FFX-RAY NECK SPINE + 1.00 FF 0.00F 0.00F ìO 72069 0.00 0.00 0.00FFX-RAY TRUNK SPINE + 1.00 FF 0.00F 0.00F íO 72070 0.00 0.00 0.00FFX-RAY THORACIC SPINE + 1.00 FF 0.00F 0.00F îO 72072 0.00 0.00 0.00FFX-RAY THORACIC SPINE + 1.00 FF 0.00F 0.00F ïO 72074 0.00 0.00 0.00FFX-RAY THORACIC SPINE + 1.00 FF 0.00F 0.00F ðO 72080 0.00 0.00 0.00FFX-RAY TRUNK SPINE + 1.00 FF 0.00F 0.00F ñO 72090 0.00 0.00 0.00FFX-RAY TRUNK SPINE + 1.00 FF 0.00F 0.00F òO72100 0.00 0.00 0.00FFX-RAY LOWER SPINE + 95.00 FF 0.00F 0.00F óO 72110 0.00 0.00 0.00FFX-RAY LOWER SPINE + 1.00 FF 0.00F 0.00F ôO 72114 0.00 0.00 0.00FFX-RAY LOWER SPINE + 1.00 FF 0.00F 0.00F õO 72120 0.00 0.00 0.00FFX-RAY LOWER SPINE + 1.00 FF 0.00F 0.00F öO 72125 0.00 0.00 0.00FFCT NECK SPINE W/O DYE + 1.00 FF 0.00F 0.00F ÷O 72126 0.00 0.00 0.00FFCT NECK SPINE W/DYE + 1.00 FF 0.00F 0.00F øO 72127 0.00 0.00 0.00FFCT NECK SPINE W/O & W/DYE + 1.00 FF 0.00F 0.00F ùO 72128 0.00 0.00 0.00FFCT CHEST SPINE W/O DYE + 1.00 FF 0.00F 0.00F úO 72129 0.00 0.00 0.00FFCT CHEST SPINE W/DYE + 1.00 FF 0.00F 0.00F ûO 72130 0.00 0.00 0.00FFCT CHEST SPINE W/O & W/DYE + 1.00 FF 0.00F 0.00F üO 72131 0.00 0.00 0.00FFCT LUMBAR SPINE W/O DYE + 1.00 FF 0.00F 0.00F ýO 72132 0.00 0.00 0.00FFCT LUMBAR SPINE W/DYE + 1.00 FF 0.00F 0.00F þO 72133 0.00 0.00 0.00FFCT LUMBAR SPINE W/O & W/DYE + 1.00 FF 0.00F 0.00F ÿO 72141 0.00 0.00 0.00FFMRI NECK SPINE W/O DYE + 1.00 FF 0.00F 0.00F P 72142 0.00 0.00 0.00FFMRI NECK SPINE W/DYE + 1.00 FF 0.00F 0.00F P 72146 0.00 0.00 0.00FFMRI CHEST SPINE W/O DYE + 1.00 FF 0.00F 0.00F P 72147 0.00 0.00 0.00FFMRI CHEST SPINE W/DYE + 1.00 FF 0.00F 0.00F P 72148 0.00 0.00 0.00FFMRI LUMBAR SPINE W/O DYE + 1.00 FF 0.00F 0.00F P 72149 0.00 0.00 0.00FFMRI LUMBAR SPINE W/DYE + 1.00 FF 0.00F 0.00F P 72156 0.00 0.00 0.00FFMRI NECK SPINE W/O & W/DYE + 1.00 FF 0.00F 0.00F P 72157 0.00 0.00 0.00FFMRI CHEST SPINE W/O & W/DYE + 1.00 FF 0.00F 0.00F P 72158 0.00 0.00 0.00FFMRI LUMBAR SPINE W/O & W/DYE + 1.00 FF 0.00F 0.00F P 72159 0.00 0.00 0.00FFMR ANGIO SPINE W/O&W/DYE + 1.00 FF 0.00F 0.00F P 72170 0.00 0.00 0.00FFX-RAY PELVIS + 1.00 FF 0.00F 0.00F P 72190 0.00 0.00 0.00FFX-RAY PELVIS + 1.00 FF 0.00F 0.00F P 72191 0.00 0.00 0.00FFCT ANGIOGRAPH PELVIC W/O&W/DYE + 1.00 FF 0.00F 0.00F P 72192 0.00 0.00 0.00FFCT PELVIS W/O DYE + 1.00 FF 0.00F 0.00F P 72193 0.00 0.00 0.00FFCT PELVIS W/DYE + 1.00 FF 0.00F 0.00F P 72194 0.00 0.00 0.00FFCT PELVIS W/O & W/DYE + 1.00 FF 0.00F 0.00F P 72195 0.00 0.00 0.00FFMRI PELVIS W/O DYE + 1.00 FF 0.00F 0.00F P 72196 0.00 0.00 0.00FFMRI PELVIS W/DYE + 1.00 FF 0.00F 0.00F P 72197 0.00 0.00 0.00FFMRI PELVIS W/O & W/DYE + 1.00 FF 0.00F 0.00F P 72198 0.00 0.00 0.00FFMR ANGIO PELVIS W/O & W/DYE + 1.00 FF 0.00F 0.00F P 72200 0.00 0.00 0.00FFX-RAY EXAM SACROILIAC JOINTS + 1.00 FF 0.00F 0.00F P 72202 0.00 0.00 0.00FFX-RAY EXAM SACROILIAC JOINTS + 1.00 FF 0.00F 0.00F P 72220 0.00 0.00 0.00FFX-RAY TAILBONE + 1.00 FF 0.00F 0.00F P 72240 0.00 0.00 0.00FFCONTRAST X-RAY NECK SPINE + 1.00 FF 0.00F 0.00F P 72255 0.00 0.00 0.00FFCONTRAST X-RAY, THORAX SPINE + 1.00 FF 0.00F 0.00F P 72265 0.00 0.00 0.00FFCONTRAST X-RAY, LOWER SPINE + 1.00 FF 0.00F 0.00F P 72270 0.00 0.00 0.00FFCONTRAST X-RAY, SPINE + 1.00 FF 0.00F 0.00F P 72275 0.00 0.00 0.00FFEPIDUROGRAPHY + 1.00 FF 0.00F 0.00F P 72285 0.00 0.00 0.00FFX-RAY C/T SPINE DISK + 1.00 FF 0.00F 0.00F P 72295 0.00 0.00 0.00FFX-RAY LOWER SPINE DISK + 1.00 FF 0.00F 0.00F P 73000 0.00 0.00 0.00FFX-RAY COLLAR BONE + 1.00 FF 0.00F 0.00F P 73010 0.00 0.00 0.00FFX-RAY SHOULDER BLADE + 1.00 FF 0.00F 0.00F P 73020 0.00 0.00 0.00FFX-RAY SHOULDER + 1.00 FF 0.00F 0.00F P 73030 0.00 0.00 0.00FFX-RAY SHOULDER + 1.00 FF 0.00F 0.00F !P 73040 0.00 0.00 0.00FFCONTRAST X-RAY SHOULDER + 1.00 FF 0.00F 0.00F "P 73050 0.00 0.00 0.00FFX-RAY SHOULDERS + 1.00 FF 0.00F 0.00F #P 73060 0.00 0.00 0.00FFX-RAY HUMERUS + 1.00 FF 0.00F 0.00F $P 73070 0.00 0.00 0.00FFX-RAY ELBOW + 1.00 FF 0.00F 0.00F %P 73080 0.00 0.00 0.00FFX-RAY ELBOW + 1.00 FF 0.00F 0.00F &P 73085 0.00 0.00 0.00FFCONTRAST X-RAY ELBOW + 1.00 FF 0.00F 0.00F 'P 73090 0.00 0.00 0.00FFX-RAY FOREARM + 1.00 FF 0.00F 0.00F (P 73092 0.00 0.00 0.00FFX-RAY ARM, INFANT + 1.00 FF 0.00F 0.00F )P 73100 0.00 0.00 0.00FFX-RAY WRIST + 1.00 FF 0.00F 0.00F *P 73110 0.00 0.00 0.00FFX-RAY WRIST + 1.00 FF 0.00F 0.00F +P 73115 0.00 0.00 0.00FFCONTRAST X-RAY WRIST + 1.00 FF 0.00F 0.00F ,P 73120 0.00 0.00 0.00FFX-RAY HAND + 1.00 FF 0.00F 0.00F -P 73130 0.00 0.00 0.00FFX-RAY HAND + 1.00 FF 0.00F 0.00F .P 73140 0.00 0.00 0.00FFX-RAY FINGER(S) + 1.00 FF 0.00F 0.00F /P 73200 0.00 0.00 0.00FFCT UPPER EXTREMITY W/O DYE + 1.00 FF 0.00F 0.00F 0P 73201 0.00 0.00 0.00FFCT UPPER EXTREMITY W/DYE + 1.00 FF 0.00F 0.00F 1P 73202 0.00 0.00 0.00FFCT UPPER EXTREMITY W/O&W/DYE + 1.00 FF 0.00F 0.00F 2P 73206 0.00 0.00 0.00FFCT ANGIO UPPER EXTRM W/O&W/DYE + 1.00 FF 0.00F 0.00F 3P 73218 0.00 0.00 0.00FFMRI UPPER EXTREMITY W/O DYE + 1.00 FF 0.00F 0.00F 4P 73219 0.00 0.00 0.00FFMRI UPPER EXTREMITY W/DYE + 1.00 FF 0.00F 0.00F 5P 73220 0.00 0.00 0.00FFMRI UPPER EXTREMITY W/O&W/DYE + 1.00 FF 0.00F 0.00F 6P 73221 0.00 0.00 0.00FFMRI JOINT UPPER EXTREM W/O DYE + 1.00 FF 0.00F 0.00F 7P 73222 0.00 0.00 0.00FFMRI JOINT UPPER EXTREM W/DYE + 1.00 FF 0.00F 0.00F 8P 73223 0.00 0.00 0.00FFMRI JOINT UPPER EXTR W/O&W/DYE + 1.00 FF 0.00F 0.00F 9P 73225 0.00 0.00 0.00FFMR ANGIO UPR EXTR W/O&W/DYE + 1.00 FF 0.00F 0.00F :P 73500 0.00 0.00 0.00FFX-RAY HIP + 1.00 FF 0.00F 0.00F ;P 73510 0.00 0.00 0.00FFX-RAY HIP + 1.00 FF 0.00F 0.00F P 73530 0.00 0.00 0.00FFX-RAY HIP + 1.00 FF 0.00F 0.00F ?P 73540 0.00 0.00 0.00FFX-RAY PELVIS & HIPS + 1.00 FF 0.00F 0.00F @P 73542 0.00 0.00 0.00FFX-RAY EXAM, SACROILIAC JOINT + 1.00 FF 0.00F 0.00F AP 73550 0.00 0.00 0.00FFX-RAY THIGH + 1.00 FF 0.00F 0.00F BP 73560 0.00 0.00 0.00FFX-RAY KNEE, 1 OR 2 + 1.00 FF 0.00F 0.00F CP 73562 0.00 0.00 0.00FFX-RAY KNEE, 3 + 1.00 FF 0.00F 0.00F DP 73564 0.00 0.00 0.00FFX-RAY EXAM, KNEE, 4 OR MORE + 1.00 FF 0.00F 0.00F EP 73565 0.00 0.00 0.00FFX-RAY KNEES + 1.00 FF 0.00F 0.00F FP 73580 0.00 0.00 0.00FFCONTRAST X-RAY KNEE JOINT + 1.00 FF 0.00F 0.00F GP 73590 0.00 0.00 0.00FFX-RAY LOWER LEG + 1.00 FF 0.00F 0.00F HP 73592 0.00 0.00 0.00FFX-RAY LEG, INFANT + 1.00 FF 0.00F 0.00F IP 73600 0.00 0.00 0.00FFX-RAY ANKLE + 1.00 FF 0.00F 0.00F JP 73610 0.00 0.00 0.00FFX-RAY ANKLE + 1.00 FF 0.00F 0.00F KP 73615 0.00 0.00 0.00FFCONTRAST X-RAY ANKLE + 1.00 FF 0.00F 0.00F LP 73620 0.00 0.00 0.00FFX-RAY FOOT + 1.00 FF 0.00F 0.00F MP 73630 0.00 0.00 0.00FFX-RAY FOOT + 1.00 FF 0.00F 0.00F NP 73650 0.00 0.00 0.00FFX-RAY HEEL + 1.00 FF 0.00F 0.00F OP 73660 0.00 0.00 0.00FFX-RAY TOE(S) + 1.00 FF 0.00F 0.00F PP 73700 0.00 0.00 0.00FFCT LOWER EXTREMITY W/O DYE + 1.00 FF 0.00F 0.00F QP 73701 0.00 0.00 0.00FFCT LOWER EXTREMITY W/DYE + 1.00 FF 0.00F 0.00F RP 73702 0.00 0.00 0.00FFCT LOWER EXTREMITY W/O&W/DYE + 1.00 FF 0.00F 0.00F SP 73706 0.00 0.00 0.00FFCT ANGIO LOWER EXTR W/O&W/DYE + 1.00 FF 0.00F 0.00F TP 73718 0.00 0.00 0.00FFMRI LOWER EXTREMITY W/O DYE + 1.00 FF 0.00F 0.00F UP 73719 0.00 0.00 0.00FFMRI LOWER EXTREMITY W/DYE + 1.00 FF 0.00F 0.00F VP 73720 0.00 0.00 0.00FFMRI LOWER EXTREMITY W/O&W/DYE + 1.00 FF 0.00F 0.00F WP 73721 0.00 0.00 0.00FFMRI JOINT LOWER EXTRE W/O DYE + 1.00 FF 0.00F 0.00F XP 73722 0.00 0.00 0.00FFMRI JOINT LOWER EXTR W/DYE + 1.00 FF 0.00F 0.00F YP 73723 0.00 0.00 0.00FFMRI JOINT LOWER EXTR W/O&W/DYE + 1.00 FF 0.00F 0.00F ZP 73725 0.00 0.00 0.00FFMR ANG LOWER EXT W OR W/O DYE + 1.00 FF 0.00F 0.00F