| Acute gi blood loss imaging (78278) |
$4,670.85 |
$4,670.85 |
11.2× |
| Angio extremity unilateral (75710) |
$11,696.90 |
$11,696.90 |
3.5× |
| Angiogram extremity bilateral (75716) |
$12,835.75 |
$12,835.75 |
3.9× |
| Angiogram pelvic (75736) |
$12,681.09 |
$12,681.09 |
2.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$11,853.80 |
$11,853.80 |
3.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$7,221.44 |
$7,221.44 |
2.2× |
| Ankle 2 views (73600) |
$1,165.12 |
$1,165.12 |
12.8× |
| Bone age studies (77072) |
$818.59 |
$818.59 |
7.5× |
| Bone imaging limited area (78300) |
$3,443.60 |
$3,443.60 |
8.2× |
| Bone survey complete (77075) |
$3,327.24 |
$3,327.24 |
30.5× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$3,546.50 |
$3,546.50 |
9.1× |
| Brain image w/flow 4 + views (78606) |
$2,921.40 |
$2,921.40 |
5.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,196.04 |
$1,196.04 |
6.5× |
| Clavicle complete (73000) |
$1,513.93 |
$1,513.93 |
16.7× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$8,427.48 |
$8,427.48 |
46.0× |
| Contrast exam abdominl aorta (75625) |
$12,846.89 |
$12,846.89 |
3.9× |
| Contrast exam thoracic aorta (75605) |
$12,681.09 |
$12,681.09 |
2.2× |
| CT - st neck w&wo contr (70492) |
$10,111.41 |
$10,111.41 |
55.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$25,161.02 |
$25,161.02 |
69.1× |
| CT abdomen and pelvis without contrast (74176) |
$17,217.10 |
$17,217.10 |
69.1× |
| CT abdomen w wo contrast (74170) |
$12,580.49 |
$12,580.49 |
68.7× |
| CT abdomen w/contrast (74160) |
$10,159.63 |
$10,159.63 |
55.5× |
| CT abdomen w/o contrast (74150) |
$8,427.48 |
$8,427.48 |
77.2× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$19,480.53 |
$19,480.53 |
53.5× |
| CT angio abdom w/o & w/dye (74175) |
$16,667 |
$16,667 |
91.0× |
| CT angio abdominal arteries (75635) |
$20,656.41 |
$20,656.41 |
112.8× |
| CT cervical spine w/contrast (72126) |
$12,842.33 |
$12,842.33 |
35.3× |
| CT cervical spine w/o contrast (72125) |
$8,789.66 |
$8,789.66 |
80.5× |
| CT chest w/contrast (71260) |
$10,500.28 |
$10,500.28 |
57.3× |
| CT extremity upper w & w/o contrast (73202) |
$7,112.05 |
$7,112.05 |
38.8× |
| CT head/brain with contrast (70460) |
$8,427.48 |
$8,427.48 |
46.0× |
| CT head/brain without and with contrast (70470) |
$8,741.72 |
$8,741.72 |
47.7× |
| CT lower ext w/wo contrast (73702) |
$9,676.14 |
$9,676.14 |
52.8× |
| CT lower extremity w contrast (73701) |
$8,789.66 |
$8,789.66 |
48.0× |
| CT lower extremity w/o contrast unilateral (73700) |
$7,384.23 |
$7,384.23 |
67.6× |
| CT lumbar spine w/contrast (72132) |
$9,676.14 |
$9,676.14 |
26.6× |
| CT lumbar spine w/o contrast (72131) |
$8,789.66 |
$8,789.66 |
80.5× |
| CT lumbar spine w/o then w/ con (72133) |
$10,111.41 |
$10,111.41 |
55.2× |
| CT maxillofacial area w/o contrast (70486) |
$7,582.29 |
$7,582.29 |
69.5× |
| CT maxillofacial w/contrast (70487) |
$8,427.48 |
$8,427.48 |
46.0× |
| CT maxillofacial w/o then w/ con (70488) |
$9,097.55 |
$9,097.55 |
49.7× |
| CT orbit sella ear w/o con (70480) |
$7,582.29 |
$7,582.29 |
69.5× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$10,111.41 |
$10,111.41 |
55.2× |
| CT pelvis w & w/o contrast (72194) |
$7,112.05 |
$7,112.05 |
38.8× |
| CT pelvis w/o contrast (72192) |
$8,789.66 |
$8,789.66 |
80.5× |
| CT soft tissue neck w/contrast (70491) |
$8,427.48 |
$8,427.48 |
46.0× |
| CT soft tissue neck w/o contrast (70490) |
$7,582.29 |
$7,582.29 |
69.5× |
| CT spine cervical w/wo contrast (72127) |
$7,112.05 |
$7,112.05 |
38.8× |
| CT thoracic spine w/contrast (72129) |
$7,112.05 |
$7,112.05 |
38.8× |
| CT thoracic spine w/o contrast (72128) |
$8,789.66 |
$8,789.66 |
80.5× |
| CT thorax lung cancer scr c- (71271) |
$3,203.84 |
$3,203.84 |
29.3× |
| CT thorax w/o contrast (71250) |
$9,443.83 |
$9,443.83 |
86.5× |
| CT thorax w/o then w/ contrast (71270) |
$12,594.09 |
$12,594.09 |
68.8× |
| CT upper extremity w/dye (73201) |
$8,789.66 |
$8,789.66 |
24.1× |
| CT upper extremity w/o contrast rt (73200) |
$7,909.21 |
$7,909.21 |
72.4× |
| CTA chest w/wo contrast (71275) |
$2,308.23 |
$2,308.23 |
12.6× |
| CTA head w contrast (70496) |
$2,813.12 |
$2,813.12 |
15.4× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$8,757.57 |
$8,757.57 |
47.8× |
| Cta Neck (70498) |
$8,757.57 |
$8,757.57 |
47.8× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$5,075.29 |
$5,075.29 |
27.7× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$1,821.13 |
$1,821.13 |
7.3× |
| Gastric emptying study (78264) |
$3,539.47 |
$3,539.47 |
8.5× |
| Hepatobil syst image w/drug (78227) |
$3,484.26 |
$3,484.26 |
6.1× |
| Hepatobiliary system imaging (78226) |
$5,046.36 |
$5,046.36 |
12.1× |
| Humerus min 2 views (73060) |
$1,335.86 |
$1,335.86 |
14.7× |
| Imrt planning (77301) |
$28,509.06 |
$28,509.06 |
19.7× |
| Intracavitary radiation source applic complex (77763) |
$3,354.80 |
$3,354.80 |
4.6× |
| Intracavitary radiation source applic intermed (77762) |
$2,565.85 |
$2,565.85 |
4.4× |
| Intracavitary radiation source applic simple (77761) |
$2,565.85 |
$2,565.85 |
4.4× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$3,354.82 |
$3,354.82 |
8.6× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$1,683.31 |
$1,683.31 |
4.3× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$1,683.31 |
$1,683.31 |
4.3× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$1,683.31 |
$1,683.31 |
4.3× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$4,988.88 |
$4,988.88 |
8.8× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$5,445.85 |
$5,445.85 |
9.6× |
| Kidney w vascular flow (78701) |
$2,317.14 |
$2,317.14 |
5.6× |
| Lung perf&ventilat diferentl (78598) |
$17,441.59 |
$17,441.59 |
30.8× |
| Lung ventilat&perfus imaging (78582) |
$4,072.49 |
$4,072.49 |
7.2× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$4,306.96 |
$4,306.96 |
11.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$15,975.12 |
$15,975.12 |
43.8× |
| Mr safety determination physician/other qhp (76016) |
$252.89 |
$252.89 |
2.8× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$168.42 |
$168.42 |
2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$70.61 |
$70.61 |
2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$265.09 |
$265.09 |
2.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$696.84 |
$696.84 |
2.8× |
| MRA head w & w/o contrast (70546) |
$7,861.49 |
$7,861.49 |
21.6× |
| MRA head w/contrast (70545) |
$6,164.11 |
$6,164.11 |
16.9× |
| MRA head w/o contrast (70544) |
$16,214.30 |
$16,214.30 |
65.1× |
| MRA neck w/contrast (70548) |
$6,016.25 |
$6,016.25 |
16.5× |
| MRA neck w/o contrast (70547) |
$6,164.11 |
$6,164.11 |
24.7× |
| MRA neck w/wo contrast (70549) |
$8,372.67 |
$8,372.67 |
23.0× |
| MRI abdomen w/contrast (74182) |
$8,161.52 |
$8,161.52 |
22.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$22,740 |
$22,740 |
62.4× |
| MRI abdomen w/o contrast (74181) |
$16,214.30 |
$16,214.30 |
65.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,537.52 |
$2,537.52 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$13,405 |
$13,405 |
53.8× |
| MRI chest w & w/o contrast (71552) |
$11,302.34 |
$11,302.34 |
31.0× |
| MRI chest w/o contrast (71550) |
$8,945.94 |
$8,945.94 |
35.9× |
| MRI joint upr extr w/o&w/dye (73223) |
$1,306.11 |
$1,306.11 |
3.6× |
| MRI joint upr extrem w/o dye (73221) |
$15,975.12 |
$15,975.12 |
64.1× |
| Mri Lower Extremity W/O Dye (73718) |
$17,215.30 |
$17,215.30 |
69.1× |
| MRI lumbar spine with contrast (72149) |
$10,786.20 |
$10,786.20 |
29.6× |
| MRI lumbar w/wo contrast (72158) |
$18,799.04 |
$18,799.04 |
51.6× |
| MRI lwr ext w/o jnts with con rt (73719) |
$5,782.67 |
$5,782.67 |
15.9× |
| MRI orbit/face/neck w/contrast (70542) |
$9,744.32 |
$9,744.32 |
26.7× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$3,063.10 |
$3,063.10 |
8.4× |
| MRI orbit/face/neck w/o contrast (70540) |
$9,065.84 |
$9,065.84 |
36.4× |
| MRI pelvis w/o contrast (72195) |
$2,930.17 |
$2,930.17 |
11.8× |
| MRI pelvis w/wo contrast (72197) |
$3,634.13 |
$3,634.13 |
10.0× |
| MRI spine cervical wo/w contrast (72156) |
$16,091.43 |
$16,091.43 |
44.2× |
| MRI spine thoracic w/contrast (72147) |
$8,008.68 |
$8,008.68 |
22.0× |
| MRI thoracic spine w wo contrast (72157) |
$18,799.04 |
$18,799.04 |
51.6× |
| MRI thoracic spine w/o contrast (72146) |
$14,823.93 |
$14,823.93 |
59.5× |
| MRI tmj (70336) |
$6,727.86 |
$6,727.86 |
27.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,944.52 |
$3,944.52 |
15.8× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$1,306.11 |
$1,306.11 |
3.6× |
| Nm bone 3 phase (78315) |
$6,579.94 |
$6,579.94 |
15.8× |
| Nm bone imaging whole body (78306) |
$5,045.51 |
$5,045.51 |
12.1× |
| Nm heart perfusion spect stress rest (78452) |
$12,998.63 |
$12,998.63 |
9.6× |
| Nm lymph system (78195) |
$5,713.81 |
$5,713.81 |
10.1× |
| Nm thyroid imaging only (78013) |
$2,094.50 |
$2,094.50 |
5.0× |
| Nose to rectum for fb child (76010) |
$1,227.37 |
$1,227.37 |
13.5× |
| Ob us < 14 wks single fetus (76801) |
$700.04 |
$700.04 |
6.4× |
| Parathyroid imaging (78070) |
$1,677.46 |
$1,677.46 |
4.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,546.78 |
$2,546.78 |
6.1× |
| Pulmonary perfusion imaging particulate (78580) |
$1,695.61 |
$1,695.61 |
4.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,061.35 |
$1,061.35 |
11.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,915.81 |
$2,915.81 |
26.7× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$2,122.33 |
$2,122.33 |
19.4× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$1,878.19 |
$1,878.19 |
17.2× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,329.71 |
$1,329.71 |
14.6× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,335.85 |
$1,335.85 |
14.7× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,577.46 |
$2,577.46 |
23.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,335.85 |
$1,335.85 |
12.2× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$2,227.27 |
$2,227.27 |
20.4× |
| Radex spine cervical 2 or 3 views (72040) |
$1,698.45 |
$1,698.45 |
18.7× |
| Radex spine cervical 4 or 5 views (72050) |
$1,733.30 |
$1,733.30 |
15.9× |
| Radex spine cervical 6 or more views (72052) |
$2,724.68 |
$2,724.68 |
25.0× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,562.17 |
$1,562.17 |
17.2× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$27,584.98 |
$27,584.98 |
3.6× |
| Radiation tx delivery lvl 1 (77402) |
$424.87 |
$424.87 |
4.0× |
| Radiation tx delivery lvl 2 (77407) |
$1,000.24 |
$1,000.24 |
2.5× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,481.51 |
$1,481.51 |
13.6× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$1,035.47 |
$1,035.47 |
11.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,616.28 |
$1,616.28 |
17.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$1,718.29 |
$1,718.29 |
15.7× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$2,518.06 |
$2,518.06 |
23.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$3,082.12 |
$3,082.12 |
7.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$7,384.23 |
$7,384.23 |
13.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,769.51 |
$3,769.51 |
6.6× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$316.07 |
$316.07 |
13.5× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$4,937.27 |
$4,937.27 |
11.8× |
| Ultrasound breast limited (76642) |
$1,638.34 |
$1,638.34 |
18.0× |
| Ultrasound, abdomen limited (76705) |
$2,536.78 |
$2,536.78 |
23.2× |
| Urography antegrade (74425) |
$1,306.11 |
$1,306.11 |
3.6× |
| Us abdominal aorta real time screen study aaa (76706) |
$7,169.61 |
$7,169.61 |
65.7× |
| Us breast uni real time with image complete (76641) |
$1,638.34 |
$1,638.34 |
15.0× |
| Us chest (76604) |
$2,318.41 |
$2,318.41 |
21.2× |
| Us compl joint r-t w/image documentation (76881) |
$2,536.78 |
$2,536.78 |
23.2× |
| Us encephalogram (76506) |
$2,559.22 |
$2,559.22 |
23.4× |
| Us kidney transplanted (76776) |
$768.21 |
$768.21 |
7.0× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,268.36 |
$1,268.36 |
11.6× |
| Us ob followup per fetus (76816) |
$1,587.24 |
$1,587.24 |
14.5× |
| Us ob limited 1 or more fetuses (76815) |
$2,536.78 |
$2,536.78 |
23.2× |
| Us obstetric transvaginal (76817) |
$372.19 |
$372.19 |
3.4× |
| Us pelvic limited or f/u non-ob (76857) |
$449.45 |
$449.45 |
4.1× |
| Us pelvis complete (76856) |
$1,587.24 |
$1,587.24 |
14.5× |
| Us retroperitoneal complete (76770) |
$2,826.05 |
$2,826.05 |
25.9× |
| Us retroperitoneal limited (76775) |
$2,536.78 |
$2,536.78 |
23.2× |
| Us scrotum (76870) |
$2,733.97 |
$2,733.97 |
25.0× |
| Us soft tissue head/neck (76536) |
$2,536.78 |
$2,536.78 |
23.2× |
| Us transrectal (76872) |
$3,511.87 |
$3,511.87 |
32.2× |
| Venogram extremity bilateral (75822) |
$6,544.92 |
$6,544.92 |
4.0× |
| Venogram ivc w serialography (75825) |
$14,029.18 |
$14,029.18 |
4.3× |
| Venogram svc w serialography (75827) |
$7,980.57 |
$7,980.57 |
4.9× |
| Venography ext unilateral (75820) |
$4,555.95 |
$4,555.95 |
2.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,233.74 |
$1,233.74 |
13.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,335.86 |
$1,335.86 |
14.7× |
| X-ray exam hips bi 3-4 views (73522) |
$318 |
$318 |
2.9× |
| X-ray exam of finger(s) (73140) |
$995.31 |
$995.31 |
11.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,445.67 |
$1,445.67 |
15.9× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,119.21 |
$1,119.21 |
12.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,233.74 |
$1,233.74 |
13.6× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,165.12 |
$1,165.12 |
10.7× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,233.74 |
$1,233.74 |
13.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,097.32 |
$1,097.32 |
12.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,137.98 |
$1,137.98 |
12.5× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,325.34 |
$1,325.34 |
14.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,916.88 |
$1,916.88 |
17.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$513.53 |
$513.53 |
5.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,881.75 |
$1,881.75 |
17.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,748.49 |
$2,748.49 |
25.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,335.86 |
$1,335.86 |
14.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,483 |
$2,483 |
22.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,115.72 |
$1,115.72 |
10.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$812.84 |
$812.84 |
7.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,616.28 |
$1,616.28 |
17.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,677.42 |
$1,677.42 |
18.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,827.19 |
$1,827.19 |
20.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,197.29 |
$2,197.29 |
20.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,745.01 |
$1,745.01 |
16.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$995.31 |
$995.31 |
11.0× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,165.12 |
$1,165.12 |
12.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,233.74 |
$1,233.74 |
13.6× |
| Xr abdomen 1 view (74018) |
$1,479.89 |
$1,479.89 |
16.3× |
| Xr abdomen 2 views (74019) |
$1,473.52 |
$1,473.52 |
13.5× |
| Xr abdomen 3 views (74021) |
$1,745.01 |
$1,745.01 |
16.0× |
| Xr bone survey infant (77076) |
$1,655.46 |
$1,655.46 |
15.2× |
| Xr bone survey limited (77074) |
$1,655.46 |
$1,655.46 |
15.2× |
| Xr chest 1 view (71045) |
$1,097.32 |
$1,097.32 |
12.1× |
| Xr chest 2 views (71046) |
$1,793.20 |
$1,793.20 |
19.7× |
| Xr chest 3 views (71047) |
$2,223 |
$2,223 |
24.5× |
| Xr facial bones 3 views (70150) |
$1,827.19 |
$1,827.19 |
16.7× |
| Xr lower extremity 2 views infant (73592) |
$830.26 |
$830.26 |
9.1× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$1,434.88 |
$1,434.88 |
13.1× |
| Xr mandible 4 views (70110) |
$1,445.67 |
$1,445.67 |
13.2× |
| Xr nasal bones (70160) |
$849.49 |
$849.49 |
9.3× |
| Xr pelvis 3 views (72190) |
$1,043.22 |
$1,043.22 |
9.6× |
| Xr spine 1 view (72020) |
$286.89 |
$286.89 |
3.2× |
| Xr sternum 2 views (71120) |
$1,520.44 |
$1,520.44 |
16.7× |
| Xr upper extremity 2 views infant (73092) |
$1,587.24 |
$1,587.24 |
14.5× |
| Xray elbow 2 views (73070) |
$1,186.69 |
$1,186.69 |
13.1× |
| Xray forearm 2 views (73090) |
$1,227.37 |
$1,227.37 |
13.5× |
| Xray knee 1 or 2 views rt (73560) |
$1,479.89 |
$1,479.89 |
16.3× |
| Xray neck soft tissue (70360) |
$995.31 |
$995.31 |
11.0× |
| Xray orbits complete min 4 views (70200) |
$860.60 |
$860.60 |
7.9× |
| Xray pelvis 1 or 2 views (72170) |
$1,042.61 |
$1,042.61 |
9.6× |
| Xray ribs bilateral 3 views (71110) |
$2,404.94 |
$2,404.94 |
22.0× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$1,562.17 |
$1,562.17 |
14.3× |
| Xray scapula complete (73010) |
$1,308.84 |
$1,308.84 |
12.0× |
| Xray shoulder 1 view (73020) |
$1,097.32 |
$1,097.32 |
12.1× |
| Xray sinuses paranasal <3 views (70210) |
$558.58 |
$558.58 |
6.1× |
| Xray spine thoracic 2 views (72070) |
$1,520.44 |
$1,520.44 |
13.9× |
| Xray spine thoracic 3 views (72072) |
$1,718.29 |
$1,718.29 |
15.7× |
| Xray tibia-fibula 2 views bil (73590) |
$1,881.75 |
$1,881.75 |
20.7× |
| Xray tmj's bilateral open-clsc (70330) |
$1,069.70 |
$1,069.70 |
11.8× |