Exam, Radiologic, Stomach/GI Tract History

Year
Total Treatments
Average Cost
Amount Covered

Complete Exam, Stomach/Chest

2014
6
$104
$25
2013
11
$104
$19
2012
2
$104
$33
2011
1
$104
$16

Exam, Stomach

2014
28
$47
$11
2013
91
$41
$8
2012
14
$47
$13

Exam, Upper GI Tract (Multiple)

2013
2
$179
$51
2012
2
$179
$55

Exam, Upper GI Tract (with KUB)

2014
2
$152
$42
2013
12
$135
$34
2012
4
$179
$42
2011
1
$152
$36

Exam, Colon

2014
2
$134
$37
2012
1
$134
$38

Complete Exam, Stomach

2014
4
$57
$18
2013
3
$57
$18

Exam, Stomach (Multiple Views)

2013
2
$53
$16

Exam, Upper GI Tract

2013
1
$134
$42

Exam, Esophagus

2014
1
$88
$26