TAX ID|NPI|SCHEDNO|NAME|SCH_NAME|CPTNO|CPT|MODIFIER|FULLAMT|PROFAMT|TECHAMT|ANESUNITS|BEGIN DATEDT 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|74176|74176 - CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL||275||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|74019|74019 - RADIOLOGIC EXAM ABDOMEN 2 VIEWS||0|0|29.57||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|73721|73721 - MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|73564|73564 - RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS||0|0|38.64||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|73502|73502 - RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS||0|0|40.46||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|73221|73221 - MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|73030|73030 - RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS||0|0|26.4||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72170|72170 - RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS||0|0|30.93||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72158|72158 - MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL||500||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72157|72157 - MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72156|72156 - MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL||500||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72148|72148 - MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72146|72146 - MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72141|72141 - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72132|72132 - CT LUMBAR SPINE W/CONTRAST MATERIAL||300||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72131|72131 - CT LUMBAR SPINE W/O CONTRAST MATERIAL||275||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72129|72129 - CT THORACIC SPINE W/CONTRAST MATERIAL||300||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72128|72128 - CT THORACIC SPINE W/O CONTRAST MATERIAL||275||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72126|72126 - CT CERVICAL SPINE W/CONTRAST MATERIAL||300||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72125|72125 - CT CERVICAL SPINE W/O CONTRAST MATERIAL||275||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72114|72114 - RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6||0|0|53.16||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72110|72110 - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS||0|0|44.99||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72100|72100 - RADEX SPINE LUMBOSACRAL 2/3 VIEWS||0|0|32.29||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72072|72072 - RADEX SPINE THORACIC 3 VIEWS||0|0|32.29||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72070|72070 - RADEX SPINE THORACIC 2 VIEWS||0|0|29.12||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72052|72052 - RADEX SPINE CERVICAL 6 OR MORE VIEWS||0|0|53.16||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72050|72050 - RADEX SPINE CERVICAL 4 OR 5 VIEWS||0|0|44.09||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|72040|72040 - RADEX SPINE CERVICAL 2 OR 3 VIEWS||0|0|32.29||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|71260|71260 - CT THORAX W/CONTRAST MATERIAL||300||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|71046|71046 - RADIOLOGIC EXAM CHEST 2 VIEWS||0|0|26.4||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|70553|70553 - MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL||500||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|70552|70552 - MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL||475||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|70551|70551 - MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|70544|70544 - MRA HEAD W/O CONTRST MATERIAL||450||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|70496|70496 - CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST||300||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|70470|70470 - CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL||325||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|70450|70450 - CT HEAD/BRAIN W/O CONTRAST MATERIAL||275||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|62305|62305 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS||300||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|62304|62304 - MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL||300||||06/11/2019 58-1036115|1972558336|137|SH Neurosurgical Imaging Cente|137-SH Neurosurgical Imaging Cente|62302|62302 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL||300||||06/11/2019