Exam, Radiologic, Stomach/GI Tract History

Year
Total Treatments
Average Cost
Amount Covered

Exam, Stomach

2014
17
$81
$31
2013
38
$72
$28
2012
1
$81
$27

Exam, Upper GI Tract (with KUB)

2014
3
$225
$161
2013
1
$225
$153
2012
1
$225
$108
2011
1
$225
$139

Exam, Esophagus

2014
7
$157
$76
2013
19
$157
$54
2012
5
$157
$36

Exam, Upper GI Tract (Air Contrast)

2014
13
$201
$112
2013
20
$216
$115
2012
3
$230
$120

Complete Exam, Stomach/Chest

2014
1
$130
$63
2013
10
$130
$64

Complete Exam, Stomach

2014
3
$105
$52
2013
6
$105
$52
2011
1
$105
$87

Exam, Small Intestine

2014
2
$169
$148
2012
1
$169
$106