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Imaging

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Noncovered

Services/Items

Computed Tomographic Angiography  Chest, Heart & Coronary Arteries

Computed Tomographic Colonography

Computed Tomography Abdomen & Pelvis

Computed Tomography Thorax

Computed Tomography Scans of the Head or Brain

Bone / Joint Imaging

Duplex Scan

for Erectile Dysfunction

Duplex Scan Of Lower Extremity Arteries

 Duplex

Scanning

Non-Invasive Evaluation of Extremity Veins

Non-invasive Extracranial Arterial Studies

Noninvasive Physiologic Studies of Upper or Lower Extremity Arteries

Post-Voiding Residual Ultrasound

Transcranial Doppler

Studies

Transthoracic Echocardiography (TTE)

Ultrasound, Soft Tissues of Head and Neck

3D Interpretation & Reporting of Imaging

Studies

Aortography & Peripheral Angiography

Bone Mineral Density

Studies

Renal

Angiography

Screening & Diagnostic Mammography

Sinus

X-ray(s)

Wireless Capsule Endoscopy

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