Exam, Radiologic, Stomach/GI Tract History

Year
Total Treatments
Average Cost
Amount Covered

Exam, Stomach

2014
20
$55
$43
2013
21
$90
$81
2012
2
$68
$65
2011
1
$33
$9

Complete Exam, Stomach/Chest

2014
8
$135
$75
2013
6
$160
$159
2012
3
$180
$178
2011
1
$57
$16

Complete Exam, Stomach

2014
2
$100
$100
2013
4
$49
$46
2012
1
$49
$44
2011
1
$49
$14

Exam, Upper GI Tract (Air Contrast)

2012
1
$445
$442

Exam, Upper GI Tract (Multiple)

2012
1
$163
$147

Exam, Esophagus

2013
2
$84
$50

Exam, Upper GI Tract (with KUB)

2014
2
$268
$267
2013
1
$123
$116

Exam, Upper GI Tract (Air Contrast) and Small Intestine

2013
1
$663
$663

Exam, Upper GI Tract (Air Contrast with KUB)

2014
4
$479
$479
2013
5
$479
$479

Exam, Small Intestine

2013
5
$268
$181