Exam, Radiologic, Lower Limb History
Year
Total Treatments
Average Cost
Amount Covered
Arthrogram, Ankle
2011
2
$103
$50
Complete Exam, Foot
2011
4
$35
$8
Exam, Knee
2013
2
$80
$15
2012
16
$60
$4
Exam, Knee (4+ Views)
2012
1
$40
$40
Complete Exam, Ankle
2014
2
$82
$16
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