| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,006 |
$5,006 |
3.0× |
| Abdomen 2 views (74019) |
$417 |
$417 |
3.3× |
| Acute gi blood loss imaging (78278) |
$1,842 |
$1,842 |
3.8× |
| Angiography extremity bilateral rs&i (75716) |
$2,623 |
$2,623 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$5,345 |
$5,345 |
1.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$18,780 |
$18,780 |
2.8× |
| Ankle 2 views (73600) |
$321 |
$321 |
3.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,648 |
$2,648 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,836 |
$2,836 |
0.7× |
| Arthrogram elbow (73085) |
$1,069 |
$1,069 |
2.6× |
| Arthrogram hip (73525) |
$1,069 |
$1,069 |
2.6× |
| Arthrogram knee (73580) |
$1,282 |
$1,282 |
3.1× |
| Arthrogram shoulder (73040) |
$1,069 |
$1,069 |
2.6× |
| Arthrogram wrist (73115) |
$1,282 |
$1,282 |
3.1× |
| Basic dosimetry (77300) |
$499 |
$499 |
3.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,564 |
$1,564 |
3.3× |
| Bone &/joint imaging whole body (78306) |
$2,644 |
$2,644 |
5.5× |
| Bone age studies (77072) |
$202 |
$202 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,732 |
$1,732 |
3.6× |
| Bone survey complete (77075) |
$615 |
$615 |
4.9× |
| Bone survey infant (77076) |
$401 |
$401 |
3.2× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,454 |
$1,454 |
3.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,607 |
$2,607 |
5.4× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) |
$2,762 |
$2,762 |
2.9× |
| Cervical spine 2 or 3 views (72040) |
$338 |
$338 |
3.2× |
| Chest 1 view (71045) |
$387 |
$387 |
3.7× |
| Chest xray 3 views (71047) |
$313 |
$313 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$767 |
$767 |
3.6× |
| Clavicle complete (73000) |
$327 |
$327 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$494 |
$494 |
3.9× |
| Continuing medical physics consltj pr wk (77336) |
$499 |
$499 |
3.1× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$675 |
$675 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,920 |
$3,920 |
9.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,272 |
$2,272 |
7.9× |
| CT abdomen w contrast (74160) |
$1,781 |
$1,781 |
8.5× |
| CT abdomen w wo contrast (74170) |
$1,964 |
$1,964 |
9.3× |
| CT abdomen w/o contrast (74150) |
$1,152 |
$1,152 |
9.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,791 |
$2,791 |
13.3× |
| CT angiography upper extremity lt (73206) |
$1,912 |
$1,912 |
9.1× |
| CT c-spine w/contrast (72126) |
$1,379 |
$1,379 |
3.3× |
| CT c-spine w/o contrast (72125) |
$3,218 |
$3,218 |
25.7× |
| CT cervical spine w&w/o contrast (72127) |
$675 |
$675 |
3.2× |
| CT chest w contrast (71260) |
$2,955 |
$2,955 |
14.1× |
| CT chest w/wo contrast (71270) |
$3,021 |
$3,021 |
14.4× |
| CT colonography screening (74263) |
$2,338 |
$2,338 |
8.2× |
| CT head/brain with contrast (70460) |
$2,689 |
$2,689 |
12.8× |
| CT head/brain without and with contrast (70470) |
$3,466 |
$3,466 |
16.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,108 |
$1,108 |
2.7× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$272 |
$272 |
2.6× |
| CT iac w contrast (70481) |
$1,932 |
$1,932 |
9.2× |
| CT lower ext w/o (73700) |
$2,226 |
$2,226 |
17.8× |
| CT lower extremity w wo contrast (73702) |
$675 |
$675 |
3.2× |
| CT lower extremity w/contrast material (73701) |
$675 |
$675 |
3.2× |
| CT lumbar spine w & w/o contrast (72133) |
$675 |
$675 |
3.2× |
| CT lumbar spine w/contrast (72132) |
$1,379 |
$1,379 |
3.3× |
| CT lumbar spine w/o contrast (72131) |
$2,361 |
$2,361 |
18.8× |
| CT maxillofacial w contrast (70487) |
$1,901 |
$1,901 |
9.0× |
| CT maxillofacial w/wo contrast (70488) |
$675 |
$675 |
3.2× |
| CT maxillofacial wo contrast (70486) |
$1,402 |
$1,402 |
11.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$675 |
$675 |
3.2× |
| CT orbits w/o contrast (70480) |
$1,381 |
$1,381 |
11.0× |
| CT pelvis w/o contrast (72192) |
$1,152 |
$1,152 |
9.2× |
| CT pelvis w/wo contrast (72194) |
$1,964 |
$1,964 |
9.3× |
| CT scan of arm combo (73202) |
$675 |
$675 |
3.2× |
| CT soft tissue neck w contrast (70491) |
$3,067 |
$3,067 |
14.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,067 |
$3,067 |
14.6× |
| CT soft tissue neck w/o contrast (70490) |
$3,067 |
$3,067 |
24.5× |
| CT thoracic spine w/contrast (72129) |
$677 |
$677 |
3.2× |
| CT thoracic spine w/o contrast (72128) |
$2,405 |
$2,405 |
19.2× |
| CT thorax w/o contrast (71250) |
$2,547 |
$2,547 |
20.3× |
| CT upper ext wo (73200) |
$2,226 |
$2,226 |
17.8× |
| CT upper extremity with contrast (73201) |
$1,379 |
$1,379 |
3.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,041 |
$2,041 |
9.7× |
| Cta Abdomen (74175) |
$1,639 |
$1,639 |
7.8× |
| CTA abdomen pelvis (74174) |
$3,274 |
$3,274 |
7.8× |
| CTA chest (71275) |
$2,186 |
$2,186 |
10.4× |
| Cta Head (70496) |
$2,217 |
$2,217 |
10.5× |
| Cta Neck (70498) |
$2,073 |
$2,073 |
9.9× |
| Cta Pelvis (72191) |
$1,639 |
$1,639 |
7.8× |
| Cystography minimum 3 views rs&i (74430) |
$1,791 |
$1,791 |
4.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$560 |
$560 |
4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$152 |
$152 |
1.5× |
| Dxa bone density study axial skeleton (77085) |
$330 |
$330 |
2.6× |
| Esophagus (74220) |
$769 |
$769 |
3.7× |
| Facial bones min 3 views (70150) |
$525 |
$525 |
4.2× |
| Fetal biophysical profile non-stress testing (76818) |
$401 |
$401 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$616 |
$616 |
4.9× |
| Fluoroscopy up to 1 hr (76000) |
$826 |
$826 |
2.9× |
| Foot 2 views (73620) |
$378 |
$378 |
3.6× |
| Forearm 2 views (73090) |
$363 |
$363 |
3.5× |
| Hand 2 views (73120) |
$135 |
$135 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,717 |
$1,717 |
2.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,717 |
$1,717 |
3.6× |
| Hysterosalpingogram (74740) |
$1,048 |
$1,048 |
3.7× |
| Kidney imaging morphology (78700) |
$1,454 |
$1,454 |
3.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,564 |
$1,564 |
2.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$906 |
$906 |
1.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,638 |
$1,638 |
2.5× |
| Knee 3 views (73562) |
$353 |
$353 |
3.4× |
| Lung perf&ventilat diferentl (78598) |
$1,923 |
$1,923 |
3.0× |
| Lymphoscintigraphy (78195) |
$2,109 |
$2,109 |
3.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,725 |
$2,725 |
2.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,379 |
$1,379 |
3.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$4,033 |
$4,033 |
9.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,341 |
$1,341 |
3.0× |
| Mr safety determination physician/other qhp (76016) |
$273 |
$273 |
2.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$76 |
$76 |
2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$285 |
$285 |
2.5× |
| Mr safety implt pos&/immoblj (76019) |
$184 |
$184 |
2.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$750 |
$750 |
2.6× |
| MRA head w/o contrast (70544) |
$876 |
$876 |
3.1× |
| MRA head with contrast (70545) |
$1,379 |
$1,379 |
3.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,379 |
$1,379 |
3.3× |
| MRA neck w/o contrast (70547) |
$876 |
$876 |
3.1× |
| MRI abdomen w contrast (74182) |
$1,379 |
$1,379 |
3.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,379 |
$1,379 |
3.3× |
| MRI abdomen w/o contrast (74181) |
$798 |
$798 |
2.8× |
| MRI c-spine with contrast (72142) |
$1,379 |
$1,379 |
3.3× |
| MRI cervical spine w/o contrast (72141) |
$876 |
$876 |
3.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,379 |
$1,379 |
3.3× |
| MRI chest with contrast (71551) |
$2,725 |
$2,725 |
2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$5,243 |
$5,243 |
12.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,033 |
$4,033 |
9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,419 |
$2,419 |
8.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$876 |
$876 |
3.1× |
| MRI pelvis w/contrast (72196) |
$1,379 |
$1,379 |
3.3× |
| MRI pelvis w/o contrast (72195) |
$876 |
$876 |
3.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,379 |
$1,379 |
3.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,379 |
$1,379 |
3.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,379 |
$1,379 |
3.3× |
| MRI temporomandibular joint (70336) |
$907 |
$907 |
3.2× |
| MRI thoracic spine w/o contrast (72146) |
$876 |
$876 |
3.1× |
| MRI upper ext joint w/o contrast (73221) |
$2,419 |
$2,419 |
8.5× |
| Myelogram Cervical (72240) |
$2,834 |
$2,834 |
3.0× |
| Myelogram Lumbar (72265) |
$2,739 |
$2,739 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$5,118 |
$5,118 |
3.3× |
| N-invas est c ffr sw aly CTA (75580) |
$3,625 |
$3,625 |
3.5× |
| Neck soft tissue (70360) |
$324 |
$324 |
3.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,454 |
$1,454 |
3.0× |
| Nm cardiac blood pool multiple (78473) |
$1,454 |
$1,454 |
3.0× |
| Nm gastric emptying study (78264) |
$2,565 |
$2,565 |
5.4× |
| Nonvascular shunt X-ray (75809) |
$401 |
$401 |
3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,006 |
$5,006 |
3.0× |
| Ob us nuchal meas 1 gest (76813) |
$456 |
$456 |
3.6× |
| Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) |
$88 |
$88 |
2.5× |
| Osseous survey limited (77074) |
$424 |
$424 |
3.4× |
| Parathyroid Planar Imaging (78070) |
$1,045 |
$1,045 |
2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,063 |
$2,063 |
4.3× |
| Pelvis 1 or 2 views (72170) |
$443 |
$443 |
3.5× |
| Peritoneogram after injection (74190) |
$1,885 |
$1,885 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$5,553 |
$5,553 |
3.2× |
| PET imaging CT for attenuation limited area (78814) |
$5,553 |
$5,553 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$5,553 |
$5,553 |
3.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$11,096 |
$11,096 |
2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,555 |
$1,555 |
3.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,033 |
$2,033 |
3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,182 |
$2,182 |
3.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$327 |
$327 |
3.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$324 |
$324 |
3.1× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$326 |
$326 |
3.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$275 |
$275 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$796 |
$796 |
6.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$431 |
$431 |
3.4× |
| Radex fingr minimum 2 views (73140) |
$325 |
$325 |
3.1× |
| Radex Foot Compl Minimum 3 Views (73630) |
$338 |
$338 |
3.2× |
| Radex Hand Minimum 3 Views (73130) |
$367 |
$367 |
3.5× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$135 |
$135 |
1.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$350 |
$350 |
2.8× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$426 |
$426 |
3.4× |
| Radex Humerus Minimum 2 Views (73060) |
$315 |
$315 |
3.0× |
| Radex Kne 1/2 Views (73560) |
$363 |
$363 |
3.5× |
| Radex Kne Compl 4/More Views (73564) |
$401 |
$401 |
3.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$548 |
$548 |
4.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$315 |
$315 |
3.0× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$401 |
$401 |
3.2× |
| Radex Sho Compl Minimum 2 Views (73030) |
$333 |
$333 |
3.2× |
| Radex Sinuses Paransl < 3 Views (70210) |
$314 |
$314 |
3.0× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$243 |
$243 |
1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$443 |
$443 |
4.2× |
| Radex Toe Minimum 2 Views (73660) |
$326 |
$326 |
3.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$255 |
$255 |
2.0× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$329 |
$329 |
3.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$419 |
$419 |
3.3× |
| Radiation treatment delivery level 1 (77402) |
$455 |
$455 |
3.7× |
| Radiation treatment delivery level 2 (77407) |
$937 |
$937 |
2.0× |
| Radiation treatment delivery level 3 (77412) |
$964 |
$964 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$417 |
$417 |
4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$454 |
$454 |
3.6× |
| Radiologic exam chest 2 views (71046) |
$424 |
$424 |
4.1× |
| Radiologic exam colon single contrast study (74270) |
$505 |
$505 |
2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$675 |
$675 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,389 |
$1,389 |
6.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,113 |
$1,113 |
5.3× |
| Radiologic examination femur 1 view (73551) |
$314 |
$314 |
3.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$327 |
$327 |
3.1× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$401 |
$401 |
3.2× |
| Radiological examination surgical specimen (76098) |
$1,483 |
$1,483 |
2.3× |
| Ribs bilateral 3 views (71110) |
$224 |
$224 |
1.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,565 |
$3,565 |
5.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,053 |
$4,053 |
6.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,974 |
$4,974 |
3.2× |
| Sacroiliac Joints < 3 Views (72200) |
$165 |
$165 |
1.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$814 |
$814 |
2.8× |
| Scapula (73010) |
$444 |
$444 |
3.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$118 |
$118 |
5.0× |
| Shoulder 1 view (73020) |
$324 |
$324 |
3.1× |
| Small bowel series (74250) |
$915 |
$915 |
4.4× |
| Spine thoracic 3 views (72072) |
$401 |
$401 |
3.2× |
| Stereotactic Body Radiation Delivery (77373) |
$6,620 |
$6,620 |
3.1× |
| Thoracolumbar 2 views (72080) |
$314 |
$314 |
3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,711 |
$1,711 |
3.6× |
| Tmj unilateral (70328) |
$176 |
$176 |
1.7× |
| Treatment device complex (77334) |
$1,341 |
$1,341 |
3.0× |
| Ultrasound breast complete (76641) |
$401 |
$401 |
3.2× |
| Ultrasound Exam Aaa Screen (76706) |
$512 |
$512 |
4.1× |
| Ultrasound, abdomen limited (76705) |
$752 |
$752 |
6.0× |
| Umbilical-artery Doppler (OB) (76820) |
$270 |
$270 |
2.2× |
| Unlisted magnetic resonance procedure (76498) |
$324 |
$324 |
3.1× |
| Unlisted ultrasound procedure (76999) |
$317 |
$317 |
3.0× |
| Urethrocystogram voiding (74455) |
$1,791 |
$1,791 |
6.3× |
| Urethrocystography retrograde rs&i (74450) |
$876 |
$876 |
3.1× |
| Us breast unilateral limited (76642) |
$456 |
$456 |
4.4× |
| Us chest (76604) |
$438 |
$438 |
3.5× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$1,048 |
$1,048 |
4.0× |
| Us compl joint r-t w/image documentation (76881) |
$507 |
$507 |
4.0× |
| Us encephalogram (76506) |
$495 |
$495 |
4.0× |
| Us hips infant static (76886) |
$321 |
$321 |
3.1× |
| Us infant hips w manipulation (76885) |
$649 |
$649 |
6.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$401 |
$401 |
3.2× |
| Us ob detailed single fetus (76811) |
$694 |
$694 |
2.4× |
| Us ob limited (76815) |
$525 |
$525 |
4.2× |
| Us ob transvaginal (76817) |
$697 |
$697 |
5.6× |
| Us pelvic non ob complete (76856) |
$938 |
$938 |
7.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$768 |
$768 |
6.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$566 |
$566 |
4.5× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$430 |
$430 |
3.4× |
| Us retroperitoneal complete (76770) |
$710 |
$710 |
5.7× |
| Us retroperitoneal limited (76775) |
$504 |
$504 |
4.0× |
| Us scrotum and contents (76870) |
$640 |
$640 |
5.1× |
| Us soft tissue head/neck (76536) |
$732 |
$732 |
5.8× |
| Us spinal canal and contents (76800) |
$438 |
$438 |
3.5× |
| Us transrectal (76872) |
$384 |
$384 |
3.1× |
| Us transrectal prostate volume (76873) |
$401 |
$401 |
3.2× |
| Us, eye b-scan (76512) |
$401 |
$401 |
3.2× |
| Venogram Extremity Unilateral (75820) |
$4,823 |
$4,823 |
2.6× |
| Venography caval superior serialography rs&i (75827) |
$4,823 |
$4,823 |
2.6× |
| Vertebral fracture assessment via dxa (77086) |
$314 |
$314 |
3.0× |
| Wrist 2 views (73100) |
$485 |
$485 |
4.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$401 |
$401 |
3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$205 |
$205 |
2.0× |
| X-ray b.e. reductn intuss (74283) |
$519 |
$519 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$864 |
$864 |
4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$363 |
$363 |
3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$384 |
$384 |
3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$350 |
$350 |
2.8× |
| X-ray exam of femur 2/> (73552) |
$324 |
$324 |
3.1× |
| X-ray eye for foreign body (70030) |
$457 |
$457 |
4.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$164 |
$164 |
1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$263 |
$263 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$190 |
$190 |
1.8× |
| X-ray leg, infant (73592) |
$300 |
$300 |
2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$609 |
$609 |
4.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$672 |
$672 |
5.4× |
| X-ray nose-rectum child f.b. (76010) |
$362 |
$362 |
3.5× |
| X-ray optic foramen (70190) |
$166 |
$166 |
1.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$401 |
$401 |
3.2× |
| X-ray retrograde pyelogram (74420) |
$1,222 |
$1,222 |
2.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$188 |
$188 |
1.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$443 |
$443 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$443 |
$443 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$503 |
$503 |
4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$359 |
$359 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$655 |
$655 |
6.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$758 |
$758 |
6.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$338 |
$338 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$180 |
$180 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$206 |
$206 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$443 |
$443 |
4.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$653 |
$653 |
5.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$658 |
$658 |
5.3× |
| Xr bone length studies (77073) |
$321 |
$321 |
2.6× |
| Xr c-spine 4 or 5 views (72050) |
$580 |
$580 |
4.6× |
| Xr c-spine 6 or more views (72052) |
$427 |
$427 |
3.4× |
| Xr chest 4+ views (71048) |
$477 |
$477 |
3.8× |