| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,975.60 |
$3,592 |
1.5× |
| Abdomen 1 View (74018) |
$232.65 |
$423 |
2.8× |
| Abdomen 2 views (74019) |
$292.05 |
$531 |
2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$759 |
$1,380 |
2.0× |
| Angio pulmonary bilat (75743) |
$1,751.20 |
$3,184 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$1,977.25 |
$3,595 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$1,751.20 |
$3,184 |
0.6× |
| Ankle 2 views (73600) |
$287.65 |
$523 |
3.4× |
| Aortography thoracic serialography rs&i (75605) |
$2,917.20 |
$5,304 |
0.5× |
| Artery X-Rays Abdomen (75726) |
$2,917.20 |
$5,304 |
0.5× |
| Arthrogram hip (73525) |
$440 |
$800 |
1.3× |
| Arthrogram Wrist (73115) |
$492.25 |
$895 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$275.55 |
$501 |
2.1× |
| Bone age studies (77072) |
$207.35 |
$377 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$1,095.05 |
$1,991 |
2.8× |
| Bone Imaging Limited Area (78300) |
$389.40 |
$708 |
1.0× |
| Bone Imaging Whole Body (78306) |
$961.40 |
$1,748 |
2.5× |
| Bone survey infant (77076) |
$993.85 |
$1,807 |
9.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,175.80 |
$3,956 |
1.6× |
| Chest 1 view (71045) |
$222.75 |
$405 |
2.7× |
| Chest 2 views (71046) |
$250.25 |
$455 |
3.0× |
| Chest 3 views (71047) |
$281.60 |
$512 |
3.4× |
| Clavicle complete (73000) |
$308 |
$560 |
3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$70.40 |
$128 |
0.7× |
| Continuing medical physics consltj pr wk (77336) |
$349.25 |
$635 |
2.7× |
| Contrast Exam Abdominl Aorta (75625) |
$2,115.85 |
$3,847 |
0.7× |
| Contrast X-Ray Bladder (74430) |
$514.25 |
$935 |
1.5× |
| Contrast X-Ray Of Elbow (73085) |
$620.95 |
$1,129 |
1.9× |
| Contrast X-Ray Of Knee Joint (73580) |
$568.70 |
$1,034 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,949.65 |
$5,363 |
8.8× |
| CT abdomen and pelvis without contrast (74176) |
$2,245.10 |
$4,082 |
9.8× |
| CT abdomen w contrast (74160) |
$1,647.25 |
$2,995 |
9.8× |
| CT abdomen w wo contrast (74170) |
$1,783.10 |
$3,242 |
10.6× |
| CT abdomen w/o contrast (74150) |
$1,234.20 |
$2,244 |
12.3× |
| CT Angio Abdomen and Pelvis (74174) |
$2,849.55 |
$5,181 |
8.5× |
| CT Angio Chest (71275) |
$1,724.25 |
$3,135 |
10.2× |
| CT Angio Head (70496) |
$735.90 |
$1,338 |
4.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$785.95 |
$1,429 |
4.7× |
| CT Angio Neck (70498) |
$735.90 |
$1,338 |
4.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$785.95 |
$1,429 |
4.7× |
| CT cervical spine w/ contrast (72126) |
$2,446.40 |
$4,448 |
7.3× |
| CT cervical spine w/o contrast (72125) |
$1,994.85 |
$3,627 |
19.8× |
| CT cervical spine w/wo cont (72127) |
$2,568.50 |
$4,670 |
15.2× |
| CT chest w contrast (71260) |
$1,474.55 |
$2,681 |
8.7× |
| CT chest w/wo contrast (71270) |
$1,619.75 |
$2,945 |
9.6× |
| CT head/brain with contrast (70460) |
$1,288.65 |
$2,343 |
7.6× |
| CT head/brain without and with contrast (70470) |
$1,630.75 |
$2,965 |
9.7× |
| CT iac w contrast (70481) |
$1,177.55 |
$2,141 |
7.0× |
| CT l-spine w&w/o contrast (72133) |
$2,191.75 |
$3,985 |
13.0× |
| CT lower ext w/o (73700) |
$1,801.25 |
$3,275 |
17.9× |
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines |
$267.30–$2,007.50 |
$486–$3,650 |
varies |
| CT lumbar spine w contrast (72132) |
$2,133.45 |
$3,879 |
6.4× |
| CT lumbar spine w/o contrast (72131) |
$1,829.30 |
$3,326 |
18.2× |
| CT maxillofacial w contrast (70487) |
$1,096.15 |
$1,993 |
6.5× |
| CT maxillofacial wo contrast (70486) |
$1,053.25 |
$1,915 |
10.5× |
| CT neck tissue combo (70492) |
$1,340.90 |
$2,438 |
7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,238.05 |
$2,251 |
7.3× |
| CT orbits w/o contrast (70480) |
$1,119.80 |
$2,036 |
11.1× |
| CT pelvis w&w/o contrast (72194) |
$1,348.05 |
$2,451 |
8.0× |
| CT pelvis w/o contrast (72192) |
$1,100.55 |
$2,001 |
10.9× |
| CT scan of leg combo (73702) |
$2,011.90 |
$3,658 |
11.9× |
| CT scans face/jaw combo (70488) |
$1,146.75 |
$2,085 |
6.8× |
| CT soft tissue neck w contrast (70491) |
$1,207.25 |
$2,195 |
7.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,177 |
$2,140 |
11.7× |
| CT thoracic spine w contrast (72129) |
$2,231.90 |
$4,058 |
13.2× |
| CT thoracic spine w/o contrast (72128) |
$1,707.20 |
$3,104 |
17.0× |
| CT thoracic spine w/wo cont (72130) |
$2,241.25 |
$4,075 |
13.3× |
| CT thorax w/o contrast (71250) |
$1,472.90 |
$2,678 |
14.6× |
| CT upper ext wo (73200) |
$1,342 |
$2,440 |
13.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,063.60 |
$3,752 |
12.2× |
| CT upper extremity with contrast (73201) |
$1,965.70 |
$3,574 |
5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$785.95 |
$1,429 |
4.7× |
| Cta Abdomen (74175) |
$2,586.10 |
$4,702 |
15.3× |
| CTA pelvis (72191) |
$897.60 |
$1,632 |
5.3× |
| Dxa Bone Density Axial (77080) |
$51.68 |
$93.97 |
0.5× |
| Esophagram (74220) |
$369.60 |
$672 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$214.50 |
$390 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$204.60 |
$372 |
0.9× |
| Follow-Up Angiography (75898) |
$1,751.20 |
$3,184 |
0.6× |
| Foot 2 views (73620) |
$238.70 |
$434 |
2.9× |
| Forearm 2 views (73090) |
$319 |
$580 |
3.8× |
| Gastric emptying imaging study (78264) |
$1,154.45 |
$2,099 |
3.0× |
| Gated Heart Planar Single (78472) |
$838.20 |
$1,524 |
2.2× |
| Hand 2 views (73120) |
$234.30 |
$426 |
2.3× |
| Hepatobil Syst Image W/Drug (78227) |
$1,388.20 |
$2,524 |
2.7× |
| Hepatobiliary System Imaging (78226) |
$574.75 |
$1,045 |
1.5× |
| Ht Muscle Image Spect Sing (78451) |
$1,863.40 |
$3,388 |
1.5× |
| Hysterosalpingogram (74740) |
$408.10 |
$742 |
1.8× |
| K Flow/Funct Image W/Drug (78708) |
$1,531.20 |
$2,784 |
2.9× |
| K Flow/Funct Image W/O Drug (78707) |
$1,518 |
$2,760 |
2.9× |
| Knee 3 Views (73562) |
$388.30 |
$706 |
4.6× |
| Lung Ventilat&Perfus Imaging (78582) |
$922.90 |
$1,678 |
1.8× |
| Lymph System Imaging (78195) |
$669.90 |
$1,218 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$437.25 |
$795 |
1.9× |
| Meckels Divert Exam (78290) |
$873.95 |
$1,589 |
2.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$627.55 |
$1,141 |
1.7× |
| Mra Head W/O & W/Contrast Material (70546) |
$3,317.60 |
$6,032 |
9.9× |
| MRA head w/o contrast (70544) |
$1,353 |
$2,460 |
5.9× |
| MRA neck w contrast (70548) |
$1,599.95 |
$2,909 |
4.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,904.10 |
$3,462 |
5.7× |
| MRA neck w/o contrast (70547) |
$290.95 |
$529 |
1.3× |
| MRI abdomen w/o contrast (74181) |
$1,574.10 |
$2,862 |
6.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,758.35 |
$3,197 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,861.10 |
$5,202 |
8.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,791.35 |
$3,257 |
2.4× |
| MRI Breast W/O Contrast Bilateral (77047) |
$1,408.55 |
$2,561 |
6.1× |
| MRI cervical spine w contrast (72142) |
$2,141.70 |
$3,894 |
6.4× |
| MRI cervical spine w/o cont (72141) |
$1,824.90 |
$3,318 |
8.0× |
| MRI chest wo w contrast (71552) |
$2,417.80 |
$4,396 |
7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,649.45 |
$2,999 |
4.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,714.90 |
$3,118 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,529 |
$2,780 |
6.7× |
| MRI lumbar spine w contrast (72149) |
$1,934.35 |
$3,517 |
5.8× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,218.70 |
$4,034 |
6.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,883.20 |
$3,424 |
8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,419.90 |
$6,218 |
10.2× |
| MRI pelvis w/o & w contrast (72197) |
$3,076.70 |
$5,594 |
9.2× |
| MRI pelvis w/o contrast (72195) |
$1,695.10 |
$3,082 |
7.4× |
| MRI thoracic spine w/o contrast (72146) |
$1,895.30 |
$3,446 |
8.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$1,767.70 |
$3,214 |
5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,576.85 |
$2,867 |
6.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,868.25 |
$5,215 |
8.5× |
| MRI, abdomen, combo (74183) |
$2,861.10 |
$5,202 |
8.5× |
| MRI, dorsal spine combo (72157) |
$2,241.25 |
$4,075 |
6.7× |
| MRI, dorsal spine contrast (72147) |
$1,934.35 |
$3,517 |
5.8× |
| MRI, joint upper extrem (73221) |
$1,535.16 |
$2,791.20 |
6.7× |
| MRI, joint upper extrem combo (73223) |
$1,947.55 |
$3,541 |
5.8× |
| MRI, lumbar spine combo (72158) |
$2,141.70 |
$3,894 |
6.4× |
| Myelogram cervical (72240) |
$876.70 |
$1,594 |
1.2× |
| Myelogram Lumbar (72265) |
$1,024.10 |
$1,862 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,020.15 |
$3,673 |
1.6× |
| Neck soft tissue (70360) |
$301.95 |
$549 |
3.6× |
| Nonvascular Shunt X-Ray (75809) |
$411.95 |
$749 |
4.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,084.40 |
$5,608 |
2.3× |
| Nuclear Rx Oral Admin (79005) |
$377.30 |
$686 |
1.7× |
| Parathyroid Planar Imaging (78070) |
$444.95 |
$809 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$311.30 |
$566 |
3.1× |
| Pet Image W/Ct Lmtd (78814) |
$1,886.50 |
$3,430 |
1.4× |
| PET image w/CT, full body (78816) |
$1,886.50 |
$3,430 |
1.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$1,886.50 |
$3,430 |
1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$934.45 |
$1,699 |
2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$518.65 |
$943 |
5.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$374 |
$680 |
0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$338.25 |
$615 |
4.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$228.80 |
$416 |
2.7× |
| Radex elbow complete minimum 3 views (73080) |
$372.35 |
$677 |
4.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$411.95 |
$749 |
4.1× |
| Radex fingr minimum 2 views (73140) |
$223.30 |
$406 |
2.7× |
| Radex foot complete minimum 3 views (73630) |
$311.30 |
$566 |
3.7× |
| Radex Hand Minimum 3 Views (73130) |
$297.55 |
$541 |
3.6× |
| Radex lower extremity infant minimum 2 views (73592) |
$329.45 |
$599 |
3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$309.10 |
$562 |
3.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$325.60 |
$592 |
3.9× |
| Radex shoulder complete minimum 2 views (73030) |
$375.10 |
$682 |
4.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$235.30 |
$427.82 |
2.8× |
| Radex Spine 1 View Specify Level (72020) |
$336.05 |
$611 |
4.0× |
| Radex Sternum Minimum 2 Views (71120) |
$323.40 |
$588 |
3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$323.40 |
$588 |
3.9× |
| Radex Toe Minimum 2 Views (73660) |
$241.45 |
$439 |
2.9× |
| Radex upper extremity infant minimum 2 views (73092) |
$223.30 |
$406 |
2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$303.05 |
$551 |
3.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$372.35 |
$677 |
3.7× |
| Radiation treatment delivery level 1 (77402) |
$253.55 |
$461 |
2.6× |
| Radiation treatment delivery level 3 (77412) |
$436.70 |
$794 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$302.50 |
$550 |
3.0× |
| Radiologic exam colon double contrast study (74280) |
$560.45 |
$1,019 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$492.25 |
$895 |
2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$395.45 |
$719 |
2.3× |
| Radiologic exam knee complete 4/more views (73564) |
$414.70 |
$754 |
4.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$358.05 |
$651 |
3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$359.15 |
$653 |
2.1× |
| Radiologic exam swallow function contrast study (74230) |
$668.80 |
$1,216 |
4.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$398.20 |
$724 |
2.4× |
| Radiologic examination femur 1 view (73551) |
$383.35 |
$697 |
4.6× |
| Radiologic examination femur minimum 2 views (73552) |
$441.10 |
$802 |
5.3× |
| Radiologic examination knee 1/2 views (73560) |
$298.65 |
$543 |
3.6× |
| Radiologic Examination Osseous Survey Limited (77074) |
$500.50 |
$910 |
5.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$339.90 |
$618 |
4.1× |
| Ribs bilateral 3 views (71110) |
$334.40 |
$608 |
3.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,172.05 |
$2,131 |
2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,739.10 |
$3,162 |
3.3× |
| Rp Therapy Intravenous Administration (79101) |
$509.30 |
$926 |
2.3× |
| Scapula (73010) |
$312.95 |
$569 |
3.1× |
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines |
$47.30–$94.60 |
$86–$172 |
varies |
| Shoulder 1 view (73020) |
$259.05 |
$471 |
3.1× |
| Shoulder Arthrography (73040) |
$388.85 |
$707 |
1.2× |
| Skull less than 4 views (70250) |
$292.60 |
$532 |
2.9× |
| Special dosimetry (77331) |
$209 |
$380 |
1.6× |
| Special Physics Consult (77370) |
$397.65 |
$723 |
3.1× |
| Special teletherapy port plan (77321) |
$471.35 |
$857 |
1.3× |
| Special treatment procedure (77470) |
$1,084.60 |
$1,972 |
2.0× |
| Sternoclavicular joints (71130) |
$323.40 |
$588 |
3.9× |
| Tbs technical calculation only (77091) |
$128.70 |
$234 |
1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$636.35 |
$1,157 |
1.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$334.40 |
$608 |
0.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$785.95 |
$1,429 |
2.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$430.65 |
$783 |
3.3× |
| Thoracic spine 2 views (72070) |
$282.15 |
$513 |
2.8× |
| Thoracic spine 3 views (72072) |
$437.25 |
$795 |
4.3× |
| Thoracolumbar 2 views (72080) |
$292.60 |
$532 |
3.5× |
| Thyroid Met Imaging Body (78018) |
$902 |
$1,640 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$586.85 |
$1,067 |
1.5× |
| Tx Devices Design & Construction Complex (77334) |
$624.25 |
$1,135 |
1.7× |
| Tx devices design & construction simple (77332) |
$234.85 |
$427 |
1.8× |
| Ultrasound Breast Limited (76642) |
$365.75 |
$665 |
4.4× |
| Ultrasound Exam Aaa Screen (76706) |
$485.65 |
$883 |
4.8× |
| Ultrasound, abdomen limited (76705) |
$504.35 |
$917 |
5.0× |
| Umbilical-artery Doppler (OB) (76820) |
$168.85 |
$307 |
1.7× |
| Upper gi w/o kub (74240) |
$367.95 |
$669 |
2.2× |
| Urethrocystogram voiding (74455) |
$433.95 |
$789 |
1.9× |
| Urethrocystography retrograde (74450) |
$374 |
$680 |
1.6× |
| Us breast unilateral complete (76641) |
$395.45 |
$719 |
3.9× |
| Us chest (76604) |
$506 |
$920 |
5.0× |
| Us complete joint (76881) |
$418.55 |
$761 |
4.2× |
| Us exam, pelvic, limited (76857) |
$317.90 |
$578 |
3.2× |
| Us head (76506) |
$519.75 |
$945 |
5.2× |
| Us kidney transplant (76776) |
$702.35 |
$1,277 |
7.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$319 |
$580 |
3.2× |
| Us ob limited 1 or more fetuses (76815) |
$452.10 |
$822 |
4.5× |
| Us ob transvaginal (76817) |
$526.35 |
$957 |
5.2× |
| Us pelvic non ob complete (76856) |
$454.30 |
$826 |
4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$440.55 |
$801 |
4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$323.95 |
$589 |
3.2× |
| Us retroperitoneal complete (76770) |
$547.80 |
$996 |
5.4× |
| Us retroperitoneal limited (76775) |
$436.15 |
$793 |
4.3× |
| Us scrotum and contents (76870) |
$506 |
$920 |
5.0× |
| Us spinal canal and contents (76800) |
$372.35 |
$677 |
3.7× |
| Us thyroid (76536) |
$457.05 |
$831 |
4.5× |
| Vein X-Ray Chest (75827) |
$1,532.85 |
$2,787 |
1.0× |
| Venography caval inferior serialography rs&i (75825) |
$1,751.20 |
$3,184 |
0.6× |
| Venography extremity bilateral rs&i (75822) |
$2,154.90 |
$3,918 |
1.4× |
Wrist 2 views (73100)
range across 2 matching MRF lines |
$220–$268.40 |
$400–$488 |
varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$386.10 |
$702 |
4.6× |
| X-ray antegrade pyelogram tube (74425) |
$433.95 |
$789 |
1.3× |
| X-Ray Aorta Leg Arteries (75630) |
$2,428.25 |
$4,415 |
0.8× |
| X-Ray Bend Only L-S Spine (72120) |
$370.15 |
$673 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$323.95 |
$589 |
3.9× |
| X-Ray Exam Breast Specimen (76098) |
$364.65 |
$663 |
0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$103.95 |
$189 |
1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$156.20 |
$284 |
1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$328.90 |
$598 |
3.3× |
| X-Ray Exam Hip Uni 1 View (73501) |
$291.50 |
$530 |
3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$328.35 |
$597 |
3.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$494.45 |
$899 |
4.9× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$482.35 |
$877 |
4.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$493.35 |
$897 |
4.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$674.30 |
$1,226 |
6.7× |
| X-Ray Exam L-S Spine Bending (72114) |
$530.20 |
$964 |
5.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$397.10 |
$722 |
4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$515.35 |
$937 |
5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$353.10 |
$642 |
3.5× |
| X-ray humerus (73060) |
$346.50 |
$630 |
4.1× |
| X-ray IV pyelogram (ivp) (74400) |
$164.45 |
$299 |
1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$64.35 |
$117 |
0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$410.30 |
$746 |
4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$386.86 |
$703.38 |
3.8× |
| X-ray nose-rectum child f.b. (76010) |
$214.50 |
$390 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$386.65 |
$703 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$341 |
$620 |
3.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$323.40 |
$588 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$312.95 |
$569 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$425.70 |
$774 |
5.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$469.15 |
$853 |
4.7× |
| X-ray thoracic spine 4 vw (72074) |
$534.05 |
$971 |
5.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$602.25 |
$1,095 |
1.8× |
| X-Rays Bone Survey Complete (77075) |
$794.75 |
$1,445 |
7.9× |
| Xr c-spine 4 or 5 views (72050) |
$457.05 |
$831 |
4.5× |
| Xr facial bones less than 3 views (70140) |
$308 |
$560 |
3.7× |
| Xr orbits complete 4 views (70200) |
$365.20 |
$664 |
3.6× |