ARCHIVED Imaging of the Spine 2021-09-12 to 2023-03-31 for Indiana Medicaid
72125, 72126, 72127, 72128, 72129, 72130, 72131, 72132, 72133, 72141, 72142, 72146, 72147, 72148, 72149, 72156, 72157, 72158, 77078, 78811, 78812, 78813, 78814, 78815, 78816, G0235, S8085
ARCHIVED Imaging of the Extremities 2021-09-12 to 2023-03-31 for Indiana Medicaid
73200, 73201, 73202, 73218, 73219, 73220, 73221, 73222, 73223, 73700, 73701, 73702, 73718, 73719,
73720, 73721, 73722, 73723, 78811, 78812, 78813, 78814, 78815, 78816, G0235, S8085
ARCHIVED Vascular Imaging 2021-09-12 to 2023-03-31 for Indiana Medicaid
70450, 70460, 70470, 70496, 70498, 70544, 70545, 70546, 70547, 70548, 70549, 70551, 70552, 70553,
71250, 71260, 71270, 71275, 71550, 71551, 71552, 71555, 72159, 72192, 72193, 72194, 72195, 72196, 72197, 72198, 73206, 73225, 73706, 73725, 74150, 74160, 74170, 74174, 74175, 74176, 74177, 74178,
74181, 74182, 74183, 74185, 75635, 93880, 93882, 93922, 93923, 93924, 93925, 93926, 93930, 93931,
93978, 93979, C8900, C8901, C8902, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, C8920, C8931, C8932, C8933, C8934, C8935, C8936
ARCHIVED SPECT Imaging 2021-09-12 to 2022-06-11
78071, 78072, 78803, 78830, 78831, 78832