Health Insurance (1991 Diagnostic Imaging Services Table) Regulations

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Statutory Rules 1991 No. 861

__________________

Health Insurance (1991 Diagnostic Imaging

Services Table) Regulations 2

I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.

Dated 29 April 1991.

BILL HAYDEN

Governor-General

By His Excellency’s Command,

B.HOWE

Minister of State for Community Services

and Health

____________

Citation

1. These Regulations may be cited as the Health Insurance (1991 Diagnostic Imaging Services Table) Regulations.

Commencement

2. These Regulations commence on 1 May 1991.

Diagnostic imaging services table

3. The table of diagnostic imaging services in the Schedule is prescribed for the purposes of subsection 4aa (1) of the Health Insurance Act 1973.

SCHEDULE Regulation 3

TABLE OF DIAGNOSTIC IMAGING SERVICES

RULES OF INTERPRETATION

1. (1) In this table:

“Division” means a Division of a Part of the list of services and fees in this table;

“item” means an item in that list;

“Part” means a Part of that list.

(2) A reference in this table by number to an item in the series 795 to 798 (both inclusive) is a reference to the item so numbered in the general medical services table.

2. In Parts 1 and 3, “report” means a report prepared by a medical practitioner.

3. In item 793, “group of practitioners” has the same meaning as in subsection 16a (10).

4. A service specified in this table is a diagnostic imaging service for the purposes of the Act, whether the diagnostic imaging service is rendered by:

(a) a medical practitioner; or

(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.

5. If an item includes the symbol “(NR)”, the item relates to an NR-type diagnostic imaging service.

6. If an item includes the symbol “(R)”, the item relates to an R-type diagnostic imaging service.

SCHEDULE—continued

7. If an item includes the symbol “(S)”, the item relates to the service specified in the item when rendered by a specialist in the practice of the specialty of diagnostic radiology.

8. If an item includes the symbol “(HR)”, the item relates to the service specified in the item when rendered with the use of magnetic resonance imaging equipment of a recognised hospital or a radiology unit included in a prescribed class of radiology units.

9. For the purposes of rule 8, each of the following classes of radiology units is a prescribed class of radiology units:

(a) radiology units operated by the Commonwealth;

(b) radiology units operated by a State or an authority of a State;

(c) radiology units operated by the Northern Territory;

(d) radiology units operated by the Australian Capital Territory;

(e) radiology units operated by Australian tertiary education institutions.

10. If an item includes a symbol in parentheses consisting of the letters “AU” followed by a number, that symbol refers to an item in Part 3 of the general medical services table in respect of the administration of an anaesthetic in connection with the diagnostic imaging service to which the firstmentioned item relates, being:

(a) if the anaesthetic is administered by a medical practitioner other than a specialist anaesthetist—the relevant item in Division 1 of Part 3 of that table; or

(b) if the anaesthetic is administered by a specialist anaesthetist—the relevant item in Division 2 of Part 3 of that table.

11. If an item includes the symbol “(C)”, the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.

12. If an item includes the symbol “(NC)”, the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit other than a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.

13. A reference in item 2455 to an amount under this rule is a reference to an amount equal to the sum of:

SCHEDULE—continued

(a) the fee set out in the item relating to the service (being a service in Part 2) in conjunction with which the service referred to in item 2455 is performed; and

(b) $108.00.

14. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a radiographic examination of the kind referred to in the firstmentioned item and:

(a) in the case of item 2732—$19.80; or

(b) in the case of item 2782—$21.00; or

(c) in the case of item 2798—$12.60.

15. A nuclear scanning service to which an item in Part 5 relates is a medical service for the purposes of the Act only if the preliminary examination of the patient, the estimation and administration of the dosage and performance of the scan are undertaken by a medical practitioner, or on behalf of a medical practitioner in the practitioner’s presence, and the compilation of the final report is undertaken by the medical practioner.

16. A reference in item 8748 or 8749 to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item relating to the service (being a service in Part 5), in conjunction with which the service referred to in item 8748 or 8749 is performed and:

(a) in the case of item 8748—$84.00; and

(b) in the case of item 8749—$63.00.

17. A reference in item 8868 to an amount under this rule is a reference to an amount equal to the sum of:

(a) the fee set out in the item relating to the service (being a service in Part 5) in conjunction with which the service referred to in item 8868 is performed; and

(b) $168.00.

SCHEDULE—continued

SERVICES AND FEES

<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span>PART 1</span></p></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 1</span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>$</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>791</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Ultrasonic cross-sectional echography, not associated with item 793, 794 or 913, where the patient is not referred by a medical practitioner for ultrasonic examination, each ultrasonic examination not exceeding two examinations in any one pregnancy (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>32.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>793</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Ultrasonic cross-sectional echography performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not associated with item 791, 794 or 913 and where the referring medical practitioner is not a member of a group of practitioners of which the firstmentioned practitioner is a member (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>93.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>794</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Ultrasonic echography, unidimensional not associated with item 791, 793 or 913 (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>56.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span></span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span></span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 2</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span></span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span></span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span></span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>913</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Echocardiography, not covered by item 791 or 793 (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>80.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span></span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span></span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 3</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span></span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span></span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span></span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>990</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries), peripheral vessels, or intra-thoracic or intra-abdominal vascular vessels (excluding cardiac and pregnancy related studies and not associated with item 793)—one examination and report (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>160.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>991</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Two or more examinations of the kind referred to in item 990 and report (not associated with item 793) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>275.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:34pt"></td><td style="width:269.35pt"></td><td style="width:65.2pt"></td><td style="width:10.8pt"></td><td style="width:10.8pt"></td></tr></tbody></table>

SCHEDULE—continued

SERVICES AND FEES

$

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<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2448</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of brain and chest with intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>290.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2449</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of brain and chest with or without intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>400.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2450</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>355.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2451</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>400.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2452</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with or without intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>510.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2453</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—pelvimetry (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>138.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2454</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—dynamic scan of region not associated with any other item in this part (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>168.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2455</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—dynamic scan of region when associated with another item in this Part (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>Amount under rule</span><span> </span><span>13</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span></span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span></span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 2—Computerised tomography on a brain scanner</span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span></span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span></span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>$</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2458</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of brain without intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>70.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2459</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of brain with intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>85.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2460</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Computerised tomography—scan of brain with or without intravenous contrast medium (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>132.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span></span></p><p style="text-align:center; font-size:10pt"><span>PART 3—DIAGNOSTIC RADIOLOGY</span></p></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 1—Radiographic examination of extremities and report</span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic">(with or without fluoroscopy)</span></p><p style="text-align:center; font-size:10pt"><span></span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2502</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Digits or phalanges—all or any of either hand or either foot (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>29.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2505</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Digits or phalanges—all or any of either hand or either foot (when the service is rendered by a specialist in the practice of his or her specialty) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>38.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:34pt"></td><td style="width:269.35pt"></td><td style="width:65.2pt"></td><td style="width:10.8pt"></td><td style="width:10.8pt"></td></tr></tbody></table>

SCHEDULE—continued

SERVICES AND FEES

$

<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2508</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Hand, wrist, forearm, elbow (to shoulder) or arm (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>29.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2512</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Hand, wrist, forearm, elbow (to shoulder) or arm (when the service is rendered by a specialist in the practice of his or her specialty) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>38.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2516</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>39.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2520</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his or her specialty)</span><span> </span><span>(R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>52.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2524</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>31.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2528</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered by a specialist in the practice of his or her specialty) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>42.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2532</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Foot, ankle and lower leg; or upper leg and knee (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>48.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2537</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Foot, ankle and lower leg; or upper leg and knee (when the service is rendered by a specialist in the practice of his or her specialty) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>64.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span></span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 2—Radiographic examination of shoulder or hip joint and report</span></p><p style="text-align:center; font-size:10pt"><span></span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2539</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Shoulder or scapula (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>39.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2541</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Shoulder or scapula (when the service is rendered by a specialist in the practice of his or her specialty) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>52.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2543</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Clavicle (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>31.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2545</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Clavicle (when the service is rendered by a specialist in the practice of his or her specialty) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>42.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2548</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Hip joint (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:34pt"></td><td style="width:269.35pt"></td><td style="width:65.2pt"></td><td style="width:10.8pt"></td><td style="width:10.8pt"></td></tr></tbody></table>

SCHEDULE—continued

SERVICES AND FEES

$

<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2551</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Pelvic girdle (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>59.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2554</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Sacro-iliac joints (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>59.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2557</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>96.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 3—Radiographic examination of head and report</span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2560</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Skull (calvarium) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>63.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2563</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Sinuses (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2566</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Mastoids (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>63.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2569</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Petrous temporal bones (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>63.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2573</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Facial bones—orbit, maxilla or malar—any or all (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2576</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Mandible (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2579</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Salivary calculus (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2581</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Nose (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2583</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Eye (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2585</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Temporo-mandibular joints (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>48.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2587</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Teeth—single area (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>32.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2589</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Teeth—full mouth (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>76.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2590</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Teeth—orthopantomography (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2591</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Palato-pharyngeal studies with fluoroscopic screening (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>63.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2593</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Palato-pharyngeal studies without fluoroscopic screening (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>48.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2595</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Larynx (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>42.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 4—Radiographic examination of spine and report</span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2597</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Spine—cervical (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>63.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2599</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Spine—thoracic (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>54.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2601</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Spine—lumbo-sacral (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>74.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2604</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Spine—sacro-coccygeal (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>45.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2607</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Spine—2 regions (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>93.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2609</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Spine—3 or more regions (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>128.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2611</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Spine—functional views of one area (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>20.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 5—Bone age study and skeletal surveys</span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2614</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Bone age study, wrist and knee (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2617</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Bone age study, wrist (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>38.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2621</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Skeletal survey involving 4 or more regions (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>87.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:34pt"></td><td style="width:269.35pt"></td><td style="width:65.2pt"></td><td style="width:10.8pt"></td><td style="width:10.8pt"></td></tr></tbody></table>

SCHEDULE—continued

SERVICES AND FEES

$

<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span></span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 6—Radiographic examination of thoracic region and report</span></p><p style="text-align:center; font-size:10pt"><span></span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2625</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Chest (lung fields) by direct radiography (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>34.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2627</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Chest (lung fields) by direct radiography (when the service is rendered by a specialist in the practice of his or her specialty)</span><span> </span><span>(R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2630</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Chest (lung fields) by direct radiography with fluoroscopic screening (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>59.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2634</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Thoracic inlet or trachea (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>38.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2638</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Chest by miniature radiography (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>21.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2642</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Cardiac examination (including barium swallow) (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>44.50</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2646</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Cardiac examination (including barium swallow) (when the service is rendered by a specialist in the practice of his or her specialty) (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>59.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2655</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Sternum or ribs on one side (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>42.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2656</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Sternum and ribs on one side, or ribs on both sides (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>55.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2657</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Sternum and ribs on both sides (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>67.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td colspan="5" style="width:357.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic">Division 7—Radiographic examination of urinary tract and report</span></p><p style="text-align:center; font-size:10pt"><span style="font-style:italic"></span></p></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2665</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Plain renal only (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>46.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2672</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Drip-infusion pyelography (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>128.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2676</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Intravenous pyelography, including preliminary plain film (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>120.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2678</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Intravenous pyelography, including preliminary plain film and limited tomography involving up to 3 tomographic cuts (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>150.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:10pt"><span>2681</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>152.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>2687</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Antegrade or retrograde pyelography including preliminary plain film (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>96.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>2690</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Retrograde cystography or retrograde urethrography (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>64.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>2694</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Retrograde micturating cysto-urethrography (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>76.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="width:23.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>2697</span></p></td><td style="width:258.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:justify; font-size:10pt"><span>Retro-peritoneal pneumogram (R)</span></p></td><td style="width:54.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; font-size:10pt"><span>48.00</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:34pt"></td><td style="width:269.35pt"></td><td style="width:65.2pt"></td><td style="width:10.8pt"></td><td style="width:10.8pt"></td></tr></tbody></table>

SCHEDULE—continued

SERVICES AND FEES

$

Division 8—Radiographic examination of alimentary tract and

biliary system (with or without fluoroscopy) and report

Division 9—Radiographic examination for localization of foreign bodies and report

SCHEDULE—continued

SERVICES AND FEES

$

Division 10—Radiographic examination of breasts and report

Division 11—Radiographic examination in connection with pregnancy and report

Division 12—Radiographic examination with opaque or contrast media and report

SCHEDULE—continued

SERVICES AND FEES

$

Division 13—Tomography and report

Division 14—Stereoscopic examination and report

SCHEDULE—continued

SERVICES AND FEES

$

Division 15—Fluoroscopic examination and report

Division 16—Examination not otherwise covered

Division 17—Preparation for radiological procedure, being the injection of opaque or contrast media or the removal of fluid and its replacement by air, oxygen or other contrast media or other similar preparation

SCHEDULE—continued

SERVICES AND FEES

$

PART 4—MAGNETIC RESONANCE IMAGING

PART 5—NUCLEAR MEDICINE IMAGING

SCHEDULE—continued

SERVICES AND FEES

$

SCHEDULE—continued

SERVICES AND FEES

$

SCHEDULE—continued

SERVICES AND FEES

$

SCHEDULE—continued

SERVICES AND FEES

$

____________________________________________________________

NOTE

1. Notified in the Commonwealth of Australia Gazette on 1991.