| Acute gi blood loss imaging (78278) |
$2,891.93 |
$2,891.93 |
6.9× |
| Angio extremity unilateral (75710) |
$8,023.82 |
$8,023.82 |
2.4× |
| Angio pulmonary unilateral (75741) |
$35,429.76 |
$35,429.76 |
10.7× |
| Angiogram extremity bilateral (75716) |
$9,864.54 |
$9,864.54 |
3.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$35,429.76 |
$35,429.76 |
10.7× |
| Ankle 2 views (73600) |
$969.03 |
$969.03 |
10.7× |
| Barium enema (74270) |
$2,713.18 |
$2,713.18 |
14.8× |
| Bone age studies (77072) |
$1,774.24 |
$1,774.24 |
16.3× |
| Bone imaging limited area (78300) |
$3,523.55 |
$3,523.55 |
8.4× |
| Bone survey complete (77075) |
$1,774.24 |
$1,774.24 |
16.3× |
| Bowel imaging (78290) |
$5,213.60 |
$5,213.60 |
12.5× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,825.95 |
$1,825.95 |
4.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,256.85 |
$2,256.85 |
12.3× |
| Cisternogram (78630) |
$5,579.04 |
$5,579.04 |
9.8× |
| Cisternography, positive contrast, radiological supervision and interpretation Other Diagnostic Radiology FS (70015) |
$9,642.56 |
$9,642.56 |
11.8× |
| Clavicle complete (73000) |
$1,564.17 |
$1,564.17 |
17.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$8,227.88 |
$8,227.88 |
44.9× |
| Contrast exam abdominl aorta (75625) |
$12,241.86 |
$12,241.86 |
3.7× |
| CT - st neck w&wo contr (70492) |
$2,172 |
$2,172 |
11.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$12,644.73 |
$12,644.73 |
34.7× |
| CT abdomen and pelvis without contrast (74176) |
$10,044.97 |
$10,044.97 |
40.3× |
| CT abdomen w wo contrast (74170) |
$9,768.49 |
$9,768.49 |
53.3× |
| CT abdomen w/contrast (74160) |
$8,067.15 |
$8,067.15 |
44.0× |
| CT abdomen w/o contrast (74150) |
$6,727.02 |
$6,727.02 |
61.6× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$3,185.43 |
$3,185.43 |
8.7× |
| CT angio abdom w/o & w/dye (74175) |
$2,607.61 |
$2,607.61 |
14.2× |
| CT angio abdominal arteries (75635) |
$8,269.87 |
$8,269.87 |
45.1× |
| CT angio hrt w/3d image (75574) |
$2,172 |
$2,172 |
6.0× |
| CT angiograph pelv w/o&w/dye (72191) |
$2,172 |
$2,172 |
11.9× |
| CT cervical spine w/contrast (72126) |
$8,227.88 |
$8,227.88 |
22.6× |
| CT cervical spine w/o contrast (72125) |
$9,142.02 |
$9,142.02 |
83.7× |
| CT chest w/contrast (71260) |
$8,275.93 |
$8,275.93 |
45.2× |
| CT extremity upper w & w/o contrast (73202) |
$9,792.09 |
$9,792.09 |
53.5× |
| CT head/brain with contrast (70460) |
$2,172 |
$2,172 |
11.9× |
| CT head/brain without and with contrast (70470) |
$8,151.32 |
$8,151.32 |
44.5× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$2,583.78 |
$2,583.78 |
28.4× |
| CT limited/localized follow up study (76380) |
$1,301.76 |
$1,301.76 |
14.3× |
| CT lower ext w/wo contrast (73702) |
$2,172 |
$2,172 |
11.9× |
| CT lower extremity w contrast (73701) |
$8,639.33 |
$8,639.33 |
47.2× |
| CT lower extremity w/o contrast unilateral (73700) |
$6,638.73 |
$6,638.73 |
60.8× |
| CT lumbar spine w/contrast (72132) |
$6,785.73 |
$6,785.73 |
18.6× |
| CT lumbar spine w/o contrast (72131) |
$8,041.60 |
$8,041.60 |
73.7× |
| CT lumbar spine w/o then w/ con (72133) |
$2,172 |
$2,172 |
11.9× |
| CT maxillofacial area w/o contrast (70486) |
$6,727.02 |
$6,727.02 |
61.6× |
| CT maxillofacial w/contrast (70487) |
$7,125.03 |
$7,125.03 |
38.9× |
| CT maxillofacial w/o then w/ con (70488) |
$8,075.77 |
$8,075.77 |
44.1× |
| CT orbit sella ear w/o con (70480) |
$7,405.14 |
$7,405.14 |
67.8× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$2,172 |
$2,172 |
11.9× |
| CT pelvis w & w/o contrast (72194) |
$2,172 |
$2,172 |
11.9× |
| CT pelvis w/o contrast (72192) |
$7,596.33 |
$7,596.33 |
69.6× |
| CT soft tissue neck w/contrast (70491) |
$8,166.62 |
$8,166.62 |
44.6× |
| CT soft tissue neck w/o contrast (70490) |
$7,432.11 |
$7,432.11 |
68.1× |
| CT spine cervical w/wo contrast (72127) |
$8,471.82 |
$8,471.82 |
46.3× |
| CT thoracic spine w/contrast (72129) |
$2,172 |
$2,172 |
11.9× |
| CT thoracic spine w/o contrast (72128) |
$7,563.76 |
$7,563.76 |
69.3× |
| CT thoracic spine w/o then w/ con (72130) |
$2,172 |
$2,172 |
11.9× |
| CT thorax lung cancer scr c- (71271) |
$1,774.24 |
$1,774.24 |
16.3× |
| CT thorax w/o contrast (71250) |
$7,510.18 |
$7,510.18 |
68.8× |
| CT thorax w/o then w/ contrast (71270) |
$2,172 |
$2,172 |
11.9× |
| CT upper extremity w/dye (73201) |
$8,227.88 |
$8,227.88 |
22.6× |
| CT upper extremity w/o contrast rt (73200) |
$7,497.21 |
$7,497.21 |
68.7× |
| CTA chest w/wo contrast (71275) |
$1,599.37 |
$1,599.37 |
8.7× |
| CTA head w contrast (70496) |
$8,338.26 |
$8,338.26 |
45.5× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$1,543.46 |
$1,543.46 |
8.4× |
| Cta Neck (70498) |
$2,755.49 |
$2,755.49 |
15.0× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$8,674.31 |
$8,674.31 |
47.4× |
| Esophogram (74220) |
$1,954.01 |
$1,954.01 |
10.7× |
| Fetal biophysical profile w/o nst (76819) |
$545.82 |
$545.82 |
5.0× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$1,383.73 |
$1,383.73 |
5.6× |
| Gastric emptying study (78264) |
$2,269.87 |
$2,269.87 |
5.4× |
| Gated heart planar single (78472) |
$5,213.60 |
$5,213.60 |
12.5× |
| Hepatobil syst image w/drug (78227) |
$3,948.90 |
$3,948.90 |
7.0× |
| Hepatobiliary system imaging (78226) |
$3,478.29 |
$3,478.29 |
8.3× |
| Humerus min 2 views (73060) |
$1,468.32 |
$1,468.32 |
16.2× |
| Imrt planning (77301) |
$15,280.63 |
$15,280.63 |
10.6× |
| Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) |
$5,213.60 |
$5,213.60 |
12.5× |
| Intracavitary radiation source applic complex (77763) |
$4,054.72 |
$4,054.72 |
5.6× |
| Intracavitary radiation source applic intermed (77762) |
$3,371.18 |
$3,371.18 |
5.8× |
| Intracavitary radiation source applic simple (77761) |
$2,274.30 |
$2,274.30 |
3.9× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,484.66 |
$1,484.66 |
3.8× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$1,249.05 |
$1,249.05 |
3.2× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$1,627.54 |
$1,627.54 |
4.2× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$1,226.75 |
$1,226.75 |
3.1× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$5,579.04 |
$5,579.04 |
9.8× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$6,505.16 |
$6,505.16 |
11.5× |
| Lung ventilat&perfus imaging (78582) |
$4,753.85 |
$4,753.85 |
8.4× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$6,593.67 |
$6,593.67 |
18.1× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$6,593.67 |
$6,593.67 |
18.1× |
| Mr safety determination physician/other qhp (76016) |
$295.04 |
$295.04 |
3.2× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$196.49 |
$196.49 |
3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$82.38 |
$82.38 |
2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$309.28 |
$309.28 |
3.1× |
| Mr safety med physics xm customization plng&mntr (76017) |
$812.98 |
$812.98 |
3.3× |
| MRA head w & w/o contrast (70546) |
$6,277.99 |
$6,277.99 |
17.2× |
| MRA head w/contrast (70545) |
$5,262.68 |
$5,262.68 |
14.4× |
| MRA head w/o contrast (70544) |
$5,626.72 |
$5,626.72 |
22.6× |
| MRA neck w/o contrast (70547) |
$5,006.69 |
$5,006.69 |
20.1× |
| MRA neck w/wo contrast (70549) |
$7,596.71 |
$7,596.71 |
20.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,807.47 |
$7,807.47 |
21.4× |
| MRI abdomen w/o contrast (74181) |
$4,863.99 |
$4,863.99 |
19.5× |
| MRI cervical spine w/o contrast (72141) |
$4,863.99 |
$4,863.99 |
19.5× |
| MRI cervical spine with contrast (72142) |
$5,306.71 |
$5,306.71 |
14.6× |
| MRI chest w & w/o contrast (71552) |
$4,726.08 |
$4,726.08 |
13.0× |
| MRI chest w/o contrast (71550) |
$4,728.69 |
$4,728.69 |
19.0× |
| MRI joint upr extr w/o&w/dye (73223) |
$4,726.08 |
$4,726.08 |
13.0× |
| MRI joint upr extrem w/o dye (73221) |
$4,867.45 |
$4,867.45 |
19.5× |
| Mri Lower Extremity W/O Dye (73718) |
$4,632.36 |
$4,632.36 |
18.6× |
| MRI lumbar spine with contrast (72149) |
$5,306.71 |
$5,306.71 |
14.6× |
| MRI lumbar w/wo contrast (72158) |
$7,754.69 |
$7,754.69 |
21.3× |
| MRI lwr ext w/o jnts with con rt (73719) |
$4,726.08 |
$4,726.08 |
13.0× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$6,275.24 |
$6,275.24 |
17.2× |
| MRI orbit/face/neck w/o contrast (70540) |
$3,738.08 |
$3,738.08 |
15.0× |
| MRI pelvis w/o contrast (72195) |
$5,006.69 |
$5,006.69 |
20.1× |
| MRI pelvis w/wo contrast (72197) |
$6,405.72 |
$6,405.72 |
17.6× |
| MRI spine cervical wo/w contrast (72156) |
$6,725.99 |
$6,725.99 |
18.5× |
| MRI spine thoracic w/contrast (72147) |
$5,306.71 |
$5,306.71 |
14.6× |
| MRI thoracic spine w wo contrast (72157) |
$6,725.99 |
$6,725.99 |
18.5× |
| MRI thoracic spine w/o contrast (72146) |
$4,863.99 |
$4,863.99 |
19.5× |
| MRI tmj (70336) |
$3,738.08 |
$3,738.08 |
15.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,867.45 |
$4,867.45 |
19.5× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$6,593.67 |
$6,593.67 |
18.1× |
| Myelography 2 or more regions (72270) |
$9,642.56 |
$9,642.56 |
11.8× |
| Myocardial spect single study at rest or stress (78451) |
$15,473.12 |
$15,473.12 |
11.4× |
| Nm bone 3 phase (78315) |
$3,312.77 |
$3,312.77 |
7.9× |
| Nm bone imaging whole body (78306) |
$5,246.70 |
$5,246.70 |
12.6× |
| Nm heart perfusion spect stress rest (78452) |
$15,473.12 |
$15,473.12 |
11.4× |
| Nm thyroid imaging only (78013) |
$5,213.60 |
$5,213.60 |
12.5× |
| Nose to rectum for fb child (76010) |
$833.85 |
$833.85 |
9.2× |
| Ob us < 14 wks single fetus (76801) |
$2,697.38 |
$2,697.38 |
24.7× |
| Parathyroid imaging (78070) |
$1,474.57 |
$1,474.57 |
3.5× |
| Pulmonary perfusion imaging particulate (78580) |
$2,446.94 |
$2,446.94 |
5.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,026.55 |
$2,026.55 |
3.6× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,254.21 |
$1,254.21 |
13.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,778.91 |
$1,778.91 |
19.6× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,668.35 |
$2,668.35 |
24.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,920.60 |
$1,920.60 |
17.6× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$1,774.24 |
$1,774.24 |
16.3× |
| Radex spine cervical 2 or 3 views (72040) |
$1,878.16 |
$1,878.16 |
20.7× |
| Radex spine cervical 4 or 5 views (72050) |
$2,448.38 |
$2,448.38 |
22.4× |
| Radex spine cervical 6 or more views (72052) |
$2,674.07 |
$2,674.07 |
24.5× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,138.25 |
$1,138.25 |
12.5× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$32,360.11 |
$32,360.11 |
4.2× |
| Radiation tx delivery lvl 1 (77402) |
$646.54 |
$646.54 |
6.1× |
| Radiation tx delivery lvl 2 (77407) |
$885.55 |
$885.55 |
2.2× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,774.24 |
$1,774.24 |
16.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,172 |
$2,172 |
11.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,310.27 |
$1,310.27 |
7.2× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$2,001.59 |
$2,001.59 |
22.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,001.59 |
$2,001.59 |
22.0× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$1,944.31 |
$1,944.31 |
17.8× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$1,774.23 |
$1,774.23 |
16.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$15,473.12 |
$15,473.12 |
27.3× |
| Small bowel series (74250) |
$1,914.22 |
$1,914.22 |
10.5× |
| Thyroid uptake single/multiple quant measurement (78012) |
$5,213.60 |
$5,213.60 |
12.5× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,116.50 |
$1,116.50 |
2.7× |
| Ultrasound breast limited (76642) |
$1,301.76 |
$1,301.76 |
14.3× |
| Ultrasound, abdomen limited (76705) |
$2,534.60 |
$2,534.60 |
23.2× |
| Us abdominal aorta real time screen study aaa (76706) |
$1,774.24 |
$1,774.24 |
16.3× |
| Us chest (76604) |
$1,774.24 |
$1,774.24 |
16.3× |
| Us compl joint r-t w/image documentation (76881) |
$1,811.16 |
$1,811.16 |
16.6× |
| Us kidney transplanted (76776) |
$1,774.24 |
$1,774.24 |
16.3× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,705.22 |
$1,705.22 |
15.6× |
| Us ob detailed single fetus (76811) |
$3,738.08 |
$3,738.08 |
15.0× |
| Us ob followup per fetus (76816) |
$1,200.11 |
$1,200.11 |
11.0× |
| Us ob limited 1 or more fetuses (76815) |
$2,328.30 |
$2,328.30 |
21.3× |
| Us obstetric transvaginal (76817) |
$2,277.77 |
$2,277.77 |
20.9× |
| Us pelvic limited or f/u non-ob (76857) |
$2,375.73 |
$2,375.73 |
21.8× |
| Us pelvis complete (76856) |
$3,574.76 |
$3,574.76 |
32.7× |
| Us retroperitoneal complete (76770) |
$4,538.56 |
$4,538.56 |
41.6× |
| Us retroperitoneal limited (76775) |
$2,562.41 |
$2,562.41 |
23.5× |
| Us scrotum (76870) |
$2,775.03 |
$2,775.03 |
25.4× |
| Us soft tissue head/neck (76536) |
$3,249.23 |
$3,249.23 |
29.8× |
| Venogram extremity bilateral (75822) |
$6,080.06 |
$6,080.06 |
3.7× |
| Venogram ivc w serialography (75825) |
$35,429.76 |
$35,429.76 |
10.7× |
| Venogram svc w serialography (75827) |
$17,119.04 |
$17,119.04 |
10.4× |
| Venography ext unilateral (75820) |
$4,342.90 |
$4,342.90 |
2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$984.94 |
$984.94 |
10.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,445.44 |
$1,445.44 |
15.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,925.01 |
$2,925.01 |
16.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,576.29 |
$1,576.29 |
17.3× |
| X-ray exam hips bi 3-4 views (73522) |
$358.70 |
$358.70 |
3.3× |
| X-ray exam of finger(s) (73140) |
$1,198.42 |
$1,198.42 |
13.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,301.76 |
$1,301.76 |
14.3× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,033.83 |
$1,033.83 |
11.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,416.63 |
$1,416.63 |
15.6× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,226.24 |
$1,226.24 |
11.2× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,625 |
$1,625 |
17.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$858.75 |
$858.75 |
9.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,301.76 |
$1,301.76 |
14.3× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,680.83 |
$1,680.83 |
18.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,209.24 |
$2,209.24 |
20.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,301.76 |
$1,301.76 |
14.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,613.54 |
$1,613.54 |
14.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,549.43 |
$2,549.43 |
23.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,091.91 |
$1,091.91 |
12.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,317.43 |
$2,317.43 |
21.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,441.38 |
$1,441.38 |
13.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$516.46 |
$516.46 |
4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,754.04 |
$1,754.04 |
19.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,515.36 |
$1,515.36 |
16.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,301.76 |
$1,301.76 |
14.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,614.14 |
$1,614.14 |
14.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,215.90 |
$1,215.90 |
11.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$658.48 |
$658.48 |
7.2× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,249.05 |
$1,249.05 |
13.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,188.29 |
$1,188.29 |
13.1× |
| Xr abdomen 1 view (74018) |
$626 |
$626 |
6.9× |
| Xr abdomen 2 views (74019) |
$1,624.99 |
$1,624.99 |
14.9× |
| Xr abdomen 3 views (74021) |
$1,774.24 |
$1,774.24 |
16.3× |
| Xr chest 1 view (71045) |
$932.91 |
$932.91 |
10.3× |
| Xr chest 2 views (71046) |
$1,000.25 |
$1,000.25 |
11.0× |
| Xr chest 3 views (71047) |
$1,301.76 |
$1,301.76 |
14.3× |
| Xr facial bones 3 views (70150) |
$1,644.51 |
$1,644.51 |
15.1× |
| Xr lower extremity 2 views infant (73592) |
$295.04 |
$295.04 |
3.2× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$1,774.24 |
$1,774.24 |
16.3× |
| Xr mandible 4 views (70110) |
$1,774.24 |
$1,774.24 |
16.3× |
| Xr nasal bones (70160) |
$1,389.74 |
$1,389.74 |
15.3× |
| Xr pelvis 3 views (72190) |
$1,382.39 |
$1,382.39 |
12.7× |
| Xr spine 1 view (72020) |
$1,192.17 |
$1,192.17 |
13.1× |
| Xr sternum 2 views (71120) |
$1,407.28 |
$1,407.28 |
15.5× |
| Xr upper extremity 2 views infant (73092) |
$1,774.24 |
$1,774.24 |
16.3× |
| Xray elbow 2 views (73070) |
$1,012.20 |
$1,012.20 |
11.1× |
| Xray forearm 2 views (73090) |
$1,578.34 |
$1,578.34 |
17.4× |
| Xray knee 1 or 2 views rt (73560) |
$1,339.10 |
$1,339.10 |
14.7× |
| Xray neck soft tissue (70360) |
$1,581.21 |
$1,581.21 |
17.4× |
| Xray orbits complete min 4 views (70200) |
$1,472.77 |
$1,472.77 |
13.5× |
| Xray pelvis 1 or 2 views (72170) |
$1,382.39 |
$1,382.39 |
12.7× |
| Xray ribs bilateral 3 views (71110) |
$1,774.24 |
$1,774.24 |
16.3× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$1,865.36 |
$1,865.36 |
17.1× |
| Xray scapula complete (73010) |
$1,226.89 |
$1,226.89 |
11.2× |
| Xray shoulder 1 view (73020) |
$1,123.44 |
$1,123.44 |
12.4× |
| Xray sinuses paranasal <3 views (70210) |
$954.44 |
$954.44 |
10.5× |
| Xray spine thoracic 2 views (72070) |
$922.56 |
$922.56 |
8.5× |
| Xray spine thoracic 3 views (72072) |
$1,879.51 |
$1,879.51 |
17.2× |
| Xray tibia-fibula 2 views bil (73590) |
$1,502.77 |
$1,502.77 |
16.5× |
| Xray tmj open - closed unilat (70328) |
$1,301.76 |
$1,301.76 |
14.3× |