| Abdomen 2 views (74019) |
$295.91 |
$845.47 |
3.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,362.14 |
$3,891.82 |
3.9× |
| Angiography extremity bilateral rs&i (75716) |
$151.24 |
$432.12 |
0.1× |
| Angiography extremity unilateral rs&i (75710) |
$630.88 |
$1,802.50 |
0.2× |
| Angiography internal mammary rs&i (75756) |
$4,428.43 |
$12,652.65 |
1.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,428.43 |
$12,652.65 |
0.9× |
| Angiography Spinal Selective Rs&I (75705) |
$426.65 |
$1,219 |
0.1× |
| Ankle 2 views (73600) |
$93.28 |
$266.50 |
1.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$136.32 |
$389.50 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$899.89 |
$2,571.12 |
0.3× |
| Aortography abdominal serialography rs&i (75625) |
$99.92 |
$285.50 |
0.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,428.43 |
$12,652.65 |
1.6× |
| Arthrogram elbow (73085) |
$605.27 |
$1,729.33 |
2.0× |
| Arthrogram hip (73525) |
$658.95 |
$1,882.71 |
2.1× |
| Arthrogram shoulder (73040) |
$297.68 |
$850.50 |
1.0× |
| Arthrogram wrist (73115) |
$243.86 |
$696.75 |
0.8× |
| Arthrography knee lt (73580) |
$658.95 |
$1,882.71 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,529.96 |
$4,371.32 |
4.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$731.33 |
$2,089.50 |
2.1× |
| Bone &/joint imaging whole body (78306) |
$397.08 |
$1,134.50 |
1.1× |
| Bone age studies (77072) |
$362.96 |
$1,037.03 |
3.9× |
| Bone Imaging 3 Phase (78315) |
$496.04 |
$1,417.25 |
1.4× |
| Bone survey complete (77075) |
$204.87 |
$585.35 |
2.2× |
| Brain image w/flow 4 + views (78606) |
$196.44 |
$561.25 |
0.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$273.88 |
$782.50 |
0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,819.73 |
$5,199.24 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$78.88 |
$225.38 |
1.0× |
| Chest 1 view (71045) |
$228.52 |
$652.90 |
3.0× |
| Chest 3 views (71047) |
$270.94 |
$774.12 |
3.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$333.27 |
$952.19 |
2.2× |
| Clavicle complete (73000) |
$80.32 |
$229.50 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$91.97 |
$262.78 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,812.05 |
$19,463.01 |
22.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,054.70 |
$5,870.58 |
9.8× |
| CT abdomen w contrast (74160) |
$465.32 |
$1,329.50 |
3.0× |
| CT abdomen w wo contrast (74170) |
$739.46 |
$2,112.75 |
4.8× |
| CT abdomen w/o contrast (74150) |
$431.99 |
$1,234.25 |
4.7× |
| CT angiography upper extremity lt (73206) |
$1,888.33 |
$5,395.23 |
12.2× |
| CT c-spine w/o contrast (72125) |
$430.76 |
$1,230.75 |
4.7× |
| CT cervical spine w&w/o contrast (72127) |
$1,085.72 |
$3,102.08 |
7.0× |
| CT cervical spine with contrast (72126) |
$503.21 |
$1,437.75 |
1.6× |
| CT chest w/wo contrast (71270) |
$618.98 |
$1,768.50 |
4.0× |
| CT chest with contrast (71260) |
$829.09 |
$2,368.82 |
5.4× |
| CT head/brain with contrast (70460) |
$503.21 |
$1,437.75 |
3.3× |
| CT head/brain without and with contrast (70470) |
$698.08 |
$1,994.50 |
4.5× |
| CT iac w contrast (70481) |
$500.02 |
$1,428.62 |
3.2× |
| CT limited/localized follow up study (76380) |
$430.76 |
$1,230.75 |
5.6× |
| CT lower ext w/o (73700) |
$430.76 |
$1,230.75 |
4.7× |
| CT lower extremity w wo contrast (73702) |
$508.29 |
$1,452.25 |
3.3× |
| CT lower extremity with contrast (73701) |
$441.66 |
$1,261.88 |
2.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,821.34 |
$5,203.84 |
11.8× |
| CT lumbar spine w/o contrast (72131) |
$574.26 |
$1,640.75 |
6.2× |
| CT lumbar spine with contrast (72132) |
$646.80 |
$1,848 |
2.1× |
| CT maxillofacial w contrast (70487) |
$1,314.97 |
$3,757.05 |
8.5× |
| CT maxillofacial w/o contrast (70486) |
$379.58 |
$1,084.50 |
4.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,597.38 |
$4,563.93 |
10.3× |
| CT neck soft tissue w contrast (70491) |
$455.35 |
$1,301 |
2.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$531.17 |
$1,517.62 |
3.4× |
| CT orbits w/o contrast (70480) |
$430.76 |
$1,230.75 |
4.7× |
| CT pelvis w & w/o contrast (72194) |
$739.46 |
$2,112.75 |
4.8× |
| CT pelvis w/o contrast (72192) |
$482.74 |
$1,379.25 |
5.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$530.25 |
$1,515 |
3.4× |
| CT soft tissue neck w/o contrast (70490) |
$430.76 |
$1,230.75 |
4.7× |
| CT thoracic spine w/contrast (72129) |
$1,708.44 |
$4,881.24 |
11.0× |
| CT thoracic spine w/o contrast (72128) |
$430.76 |
$1,230.75 |
4.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,266.58 |
$3,618.81 |
8.2× |
| CT thorax w/o contrast (71250) |
$804.96 |
$2,299.90 |
8.7× |
| CT unlisted procedure (76497) |
$51.45 |
$147 |
0.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$508.29 |
$1,452.25 |
3.3× |
| CT upper extremity w/o contrast rt (73200) |
$430.76 |
$1,230.75 |
4.7× |
| CT upper extremity with contrast (73201) |
$2,241.51 |
$6,404.32 |
7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,674.43 |
$7,641.23 |
17.3× |
| Cta Abdomen (74175) |
$2,048.27 |
$5,852.21 |
13.2× |
| CTA abdomen pelvis (74174) |
$2,048.27 |
$5,852.21 |
6.7× |
| CTA chest (71275) |
$1,149.60 |
$3,284.56 |
7.4× |
| Cta Head (70496) |
$1,849.87 |
$5,285.33 |
12.0× |
| CTA lwr ext w&w/o contrast (73706) |
$2,000.97 |
$5,717.05 |
12.9× |
| Cta Neck (70498) |
$1,849.87 |
$5,285.33 |
12.0× |
| Cta Pelvis (72191) |
$904.66 |
$2,584.75 |
5.9× |
| Cystography minimum 3 views rs&i (74430) |
$69.12 |
$197.50 |
0.2× |
| Diskogram cervical (72285) |
$442.49 |
$1,264.25 |
0.3× |
| Diskography lumbar (72295) |
$429.10 |
$1,226 |
0.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$93.76 |
$267.88 |
1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$143.58 |
$410.22 |
1.9× |
| Dxa bone density study axial skeleton (77085) |
$94.82 |
$270.90 |
1.0× |
| Echo exam of fetal heart (76825) |
$58.10 |
$166 |
0.1× |
| Echoencephalography real time imaging (76506) |
$394.61 |
$1,127.45 |
4.3× |
| Esophageal motility (78258) |
$526.48 |
$1,504.25 |
1.5× |
| Esophagus (74220) |
$252.30 |
$720.86 |
1.6× |
| Fetal biophysical profile non-stress testing (76818) |
$83.48 |
$238.50 |
0.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$227.03 |
$648.67 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$132.56 |
$378.75 |
0.6× |
| Foot 2 views (73620) |
$84.18 |
$240.50 |
1.1× |
| Forearm 2 views (73090) |
$92.58 |
$264.50 |
1.2× |
| Gastric mucosa imaging (78261) |
$841.21 |
$2,403.45 |
2.4× |
| Gated Heart Planar Single (78472) |
$189.40 |
$541.12 |
0.5× |
| Hand 2 views (73120) |
$73.68 |
$210.50 |
0.8× |
| Hand 3 views (73130) |
$61.78 |
$176.50 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,244.98 |
$9,271.38 |
6.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,244.98 |
$9,271.38 |
9.2× |
| Ht muscle image spect sing (78451) |
$1,766.54 |
$5,047.27 |
1.5× |
| Humerus Min 2 Views Left (73060) |
$100.28 |
$286.50 |
1.3× |
| Hysterosalpingogram (74740) |
$146.04 |
$417.25 |
0.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$335.88 |
$959.66 |
3.6× |
| Kidney imaging morphology (78700) |
$345.01 |
$985.75 |
1.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$738.96 |
$2,111.33 |
1.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$720.22 |
$2,057.75 |
1.5× |
| Knee 3 views (73562) |
$64.49 |
$184.25 |
0.8× |
| Liver & spleen imaging static only (78215) |
$254.19 |
$726.25 |
0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$308.61 |
$881.75 |
0.9× |
| Liver imaging static only (78201) |
$142.54 |
$407.25 |
0.3× |
| Liver imaging w/vascular flow (78202) |
$212.36 |
$606.75 |
0.4× |
| Lung Ventilation Imaging (78579) |
$601.82 |
$1,719.48 |
1.7× |
| Lymphoscintigraphy (78195) |
$1,847.80 |
$5,279.44 |
3.9× |
| Meckels Diverticulum (78290) |
$202.74 |
$579.25 |
0.6× |
| MRA head w & w/o contrast (70546) |
$1,714.80 |
$4,899.41 |
5.6× |
| MRA head w/o contrast (70544) |
$1,154.62 |
$3,298.91 |
5.5× |
| MRA head with contrast (70545) |
$1,566.76 |
$4,476.44 |
5.1× |
| MRA neck w contrast (70548) |
$939.49 |
$2,684.25 |
3.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$939.49 |
$2,684.25 |
3.1× |
| MRA neck w/o contrast (70547) |
$1,687.11 |
$4,820.32 |
8.0× |
| MRI abdomen w contrast (74182) |
$2,097.36 |
$5,992.44 |
6.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,194.02 |
$6,268.63 |
7.1× |
| MRI abdomen w/o contrast (74181) |
$1,382.72 |
$3,950.62 |
6.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,141.78 |
$6,119.38 |
3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,654.69 |
$4,727.69 |
2.4× |
| MRI c-spine with contrast (72142) |
$1,196.80 |
$3,419.42 |
3.9× |
| MRI cervical spine w/o contrast (72141) |
$1,154.62 |
$3,298.91 |
5.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,614.60 |
$7,470.30 |
8.5× |
| MRI chest w/o contrast (71550) |
$1,108.19 |
$3,166.25 |
5.3× |
| MRI chest with contrast (71551) |
$939.49 |
$2,684.25 |
1.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,490.10 |
$7,114.57 |
8.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,686.24 |
$4,817.81 |
8.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$622.12 |
$1,777.50 |
3.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,108.19 |
$3,166.25 |
3.6× |
| MRI orbit/face/neck w/contrast (70542) |
$1,188.22 |
$3,394.91 |
3.9× |
| MRI pelvis w contrast (72196) |
$816.90 |
$2,334 |
2.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,194.02 |
$6,268.63 |
7.1× |
| MRI pelvis w/o contrast (72195) |
$2,089.54 |
$5,970.12 |
9.9× |
| MRI scan of arm joint before and after contrast (73223) |
$2,490.10 |
$7,114.57 |
8.1× |
| MRI scan of leg joint before and after contrast (73723) |
$939.49 |
$2,684.25 |
3.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,196.80 |
$3,419.42 |
3.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,687.11 |
$4,820.32 |
5.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,196.80 |
$3,419.42 |
3.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$939.49 |
$2,684.25 |
3.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,194.02 |
$6,268.63 |
7.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,154.62 |
$3,298.91 |
5.5× |
| MRI tmj (70336) |
$939.49 |
$2,684.25 |
4.5× |
| MRI upper ext joint w/o contrast (73221) |
$622.12 |
$1,777.50 |
3.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,490 |
$7,114.30 |
8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$622.12 |
$1,777.50 |
3.0× |
| Myelogram Cervical (72240) |
$482.04 |
$1,377.25 |
0.7× |
| Myelogram Lumbar (72265) |
$357.79 |
$1,022.25 |
0.5× |
| Myelogram thoracic (72255) |
$482.04 |
$1,377.25 |
0.7× |
| Myelography 2 or more regions (72270) |
$691.60 |
$1,976 |
1.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$910 |
$2,600 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$1,912.81 |
$5,465.18 |
1.7× |
| Neck soft tissue (70360) |
$90.91 |
$259.75 |
1.2× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$74.20 |
$212 |
0.2× |
| Nm gastric emptying study (78264) |
$218.49 |
$624.25 |
0.6× |
| Nm gastroesophageal reflux study (78262) |
$407.53 |
$1,164.38 |
1.2× |
| Nuclear medicine of heart pumping function (78473) |
$374.76 |
$1,070.75 |
1.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$144.02 |
$411.50 |
0.4× |
| Nuclear Rx Oral Admin (79005) |
$521.06 |
$1,488.75 |
2.5× |
| Osseous survey limited (77074) |
$270.87 |
$773.92 |
2.9× |
| Parathyroid imaging (78070) |
$188.39 |
$538.25 |
0.5× |
| Pelvis 1 or 2 views (72170) |
$57.31 |
$163.75 |
0.6× |
| PET image w/CT, skull-thigh (78815) |
$3,972.38 |
$11,349.67 |
3.2× |
| PET imaging CT for attenuation limited area (78814) |
$3,972.38 |
$11,349.67 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$3,972.38 |
$11,349.67 |
3.2× |
| Pr heart first pass single,planar (78481) |
$64.14 |
$183.25 |
0.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$719.51 |
$2,055.75 |
2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$324.01 |
$925.75 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$676.99 |
$1,934.25 |
1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$211.66 |
$604.76 |
0.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$645.16 |
$1,843.31 |
7.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$78.40 |
$224 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$104.91 |
$299.75 |
1.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$271.86 |
$776.73 |
3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$295.91 |
$845.47 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$284.66 |
$813.32 |
3.7× |
| Radiologic exam colon single contrast study (74270) |
$210 |
$600 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,182.95 |
$3,379.86 |
7.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$353.61 |
$1,010.31 |
4.6× |
| Radiological examination surgical specimen (76098) |
$146.12 |
$417.50 |
0.3× |
| Ribs bilateral 3 views (71110) |
$211.31 |
$603.75 |
2.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$273.09 |
$780.25 |
0.6× |
| Rp Therapy Intravenous Administration (79101) |
$300.12 |
$857.50 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$27.21 |
$77.75 |
0.3× |
| Salivary gland imaging (78230) |
$309.18 |
$883.38 |
0.9× |
| Scanogram (77073) |
$216.46 |
$618.45 |
2.3× |
| Scapula complete (73010) |
$92.66 |
$264.75 |
1.0× |
| Screening digital breast tomosynthesis (77063) |
$28.58 |
$81.65 |
1.2× |
| Sella turcica (70240) |
$21.44 |
$61.25 |
0.3× |
| Small bowel series (74250) |
$101.41 |
$289.75 |
0.7× |
| Spine thoracic 3 views (72072) |
$100.80 |
$288 |
1.1× |
| Spleen imaging only (78185) |
$262.15 |
$749 |
0.7× |
| Testicular Imaging With Vascular Flow (78761) |
$156.19 |
$446.25 |
0.4× |
| Thoracolumbar 2 views (72080) |
$30.28 |
$86.50 |
0.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$512.92 |
$1,465.50 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$813.59 |
$2,324.53 |
2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,162.50 |
$6,178.58 |
6.1× |
| Tmj unilateral (70328) |
$142.10 |
$406 |
1.9× |
| Tomogram (76100) |
$155.92 |
$445.50 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$215.25 |
$615 |
2.3× |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
$82.60 |
$236 |
0.2× |
| Unlisted Ultrasound Procedure (76999) |
$155.92 |
$445.50 |
2.0× |
| Urethrocystography retrograde rs&i (74450) |
$197.14 |
$563.25 |
0.9× |
| Urethrocystography voiding (74455) |
$166.47 |
$475.62 |
0.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$245.09 |
$700.25 |
1.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$237.82 |
$679.50 |
1.5× |
| Us abdl aorta screen aaa (76706) |
$245.68 |
$701.94 |
2.7× |
| Us breast unilateral complete (76641) |
$652.54 |
$1,864.40 |
7.1× |
| Us breast unilateral limited (76642) |
$652.54 |
$1,864.40 |
8.5× |
| Us compl joint r-t w/image documentation (76881) |
$596.40 |
$1,704 |
6.5× |
| Us guided compression repair (76936) |
$359.03 |
$1,025.79 |
1.9× |
| Us infant hips dynamic (76885) |
$213.41 |
$609.75 |
2.8× |
| Us infant hips limited static (76886) |
$84.74 |
$242.12 |
1.1× |
| Us kidney transplant (76776) |
$227.50 |
$650 |
2.5× |
| Us ob transvaginal (76817) |
$1,156.84 |
$3,305.27 |
12.6× |
| Us pelvic non ob complete (76856) |
$203.78 |
$582.25 |
2.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$299.92 |
$856.92 |
3.3× |
| Us pregnancy ltd (76815) |
$83.65 |
$239 |
0.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$438.81 |
$1,253.73 |
4.8× |
| Us retroperitoneal complete (76770) |
$97.04 |
$277.25 |
1.1× |
| Us retroperitoneal limited (76775) |
$199.59 |
$570.25 |
2.2× |
| Us scrotum and contents (76870) |
$196 |
$560 |
2.1× |
| Us soft tissue head/neck (76536) |
$214.90 |
$614 |
2.3× |
| Us spinal canal and contents (76800) |
$450.54 |
$1,287.24 |
4.9× |
| Us transrectal (76872) |
$178.76 |
$510.75 |
1.9× |
| Venogram extremity bilateral (75822) |
$585.90 |
$1,674 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$394.06 |
$804 |
0.3× |
| Wrist 2 views (73100) |
$59.59 |
$170.25 |
0.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$335.64 |
$958.98 |
3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$216.18 |
$617.68 |
2.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$64.58 |
$184.50 |
0.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$259.44 |
$741.25 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$69.39 |
$198.25 |
0.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$100.89 |
$288.25 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$236.18 |
$674.80 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$353.61 |
$1,010.31 |
4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$444.72 |
$1,270.62 |
4.8× |
| X-ray exam of femur 1 (73551) |
$296.48 |
$847.10 |
3.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$326.24 |
$932.12 |
2.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$211.15 |
$603.30 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$193.78 |
$553.67 |
2.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$65.36 |
$186.75 |
0.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$49.96 |
$142.75 |
0.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$63.35 |
$181 |
0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$203.60 |
$581.70 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$44.28 |
$126.50 |
0.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$63.26 |
$180.75 |
0.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$100.10 |
$286 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$104.39 |
$298.25 |
1.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$57.31 |
$163.75 |
0.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$202.91 |
$579.75 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$105.79 |
$302.25 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$132.74 |
$379.25 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$127.62 |
$364.62 |
1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$69.26 |
$197.88 |
0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$67.55 |
$193 |
0.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$64.53 |
$184.38 |
0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$92.53 |
$264.38 |
1.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$15.75 |
$45 |
0.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$112 |
$320 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$88.38 |
$252.50 |
1.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$81.77 |
$233.62 |
1.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$75.08 |
$214.50 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$91.44 |
$261.25 |
1.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$205.79 |
$587.97 |
2.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$43.14 |
$123.25 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$92.22 |
$263.50 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$124.25 |
$355 |
1.3× |
| Xr Cholecystography Oral Contrast (74290) |
$72.71 |
$207.75 |
0.5× |
| Xr finger(s) 2+ views (73140) |
$46.72 |
$133.50 |
0.6× |
| Xr internal auditory meati complete (70134) |
$49.52 |
$141.50 |
0.1× |
| Xr optic foramina (70190) |
$141.70 |
$404.88 |
1.8× |
| Xr shoulder 1 view (73020) |
$84.96 |
$242.75 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$31.85 |
$91 |
0.3× |
| Xr tibia/fibula 2 views (73590) |
$89.60 |
$256 |
1.2× |
| Xr tmj bilateral (70330) |
$122.32 |
$349.50 |
1.6× |
| Xray knee 1 or 2 views rt (73560) |
$86.98 |
$248.50 |
1.1× |