Schedule 1Relevant services

Schedule 1 — Relevant services

<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Group I4 – Nuclear Medicine Imaging</span></p></td></tr><tr><td style="width:15.56%; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 1</span></p><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td style="width:65.72%; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 2</span></p><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Description</span></p></td><td style="width:18.72%; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 3</span></p><p style="margin-top:3pt; margin-left:29.7pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr><tr><td colspan="3" style="border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Subgroup 2– PET</span></p></td></tr></thead><tbody><tr style="height:52.35pt"><td style="width:15.56%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; line-height:normal; font-size:10pt"><span>61527</span></p></td><td style="width:65.72%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="Tabletext1" style="margin-bottom:6pt; line-height:115%"><a id="_Hlk106706609"><span style="font-family:'Times New Roman', serif">Whole body study using PET, if the service is performed because the services to which items 61429, 61430, 61442, 61450 or 61453 apply cannot be performed due to unavailability of gallium-67</span><span style="font-family:'Times New Roman', serif"> </span><span style="font-family:'Times New Roman', serif">(R)</span></a></p></td><td style="width:18.72%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; line-height:12.65pt"><span style="font-size:10pt">752.35</span></p><p><span style="font-size:10pt"></span></p><p><span style="width:68.25pt; display:inline-block"></span></p></td></tr></tbody></table>