| Abdomen 2 views (74019) |
$120 |
$200 |
1.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$270 |
$450 |
0.8× |
| Ankle 2 views (73600) |
$274.20 |
$457 |
3.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$50.40 |
$84 |
0.2× |
| Arthrogram shoulder (73040) |
$84 |
$140 |
0.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$67.20 |
$112 |
0.2× |
| Bone &/joint imaging whole body (78306) |
$111.60 |
$186 |
0.3× |
| Bone age studies (77072) |
$80.70 |
$134.50 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$148.80 |
$248 |
0.4× |
| Bone survey complete (77075) |
$273 |
$455 |
3.0× |
| Brain image w/flow 4 + views (78606) |
$114.60 |
$191 |
0.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$178.20 |
$297 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$170.70 |
$284.50 |
2.2× |
| Chest 1 view (71045) |
$123 |
$205 |
1.6× |
| Chest 3 views (71047) |
$369.90 |
$616.50 |
4.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$112.20 |
$187 |
0.7× |
| Clavicle complete (73000) |
$143.40 |
$239 |
1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$132.60 |
$221 |
1.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,732.40 |
$4,554 |
8.9× |
| CT abdomen and pelvis without contrast (74176) |
$919.80 |
$1,533 |
4.4× |
| CT abdomen w contrast (74160) |
$963.60 |
$1,606 |
6.3× |
| CT abdomen w wo contrast (74170) |
$1,092.30 |
$1,820.50 |
7.1× |
| CT abdomen w/o contrast (74150) |
$648.60 |
$1,081 |
7.1× |
| CT angio hrt w/3d image (75574) |
$156 |
$260 |
0.5× |
| CT angiography upper extremity lt (73206) |
$347.70 |
$579.50 |
2.3× |
| CT c-spine w/o contrast (72125) |
$920.10 |
$1,533.50 |
10.0× |
| CT cervical spine w&w/o contrast (72127) |
$139.20 |
$232 |
0.9× |
| CT cervical spine with contrast (72126) |
$1,294.50 |
$2,157.50 |
4.2× |
| CT chest w/wo contrast (71270) |
$871.20 |
$1,452 |
5.7× |
| CT chest with contrast (71260) |
$779.40 |
$1,299 |
5.1× |
| CT head/brain with contrast (70460) |
$773.70 |
$1,289.50 |
5.0× |
| CT head/brain without and with contrast (70470) |
$1,019.40 |
$1,699 |
6.6× |
| CT iac w contrast (70481) |
$370.20 |
$617 |
2.4× |
| CT lower ext w/o (73700) |
$634.80 |
$1,058 |
6.9× |
| CT lower extremity w wo contrast (73702) |
$886.50 |
$1,477.50 |
5.8× |
| CT lower extremity with contrast (73701) |
$738.30 |
$1,230.50 |
4.8× |
| CT lumbar spine w & w/o contrast (72133) |
$556.20 |
$927 |
3.6× |
| CT lumbar spine w/o contrast (72131) |
$298.20 |
$497 |
3.3× |
| CT lumbar spine with contrast (72132) |
$784.50 |
$1,307.50 |
2.6× |
| CT maxillofacial w contrast (70487) |
$782.40 |
$1,304 |
5.1× |
| CT maxillofacial w/o contrast (70486) |
$658.80 |
$1,098 |
7.2× |
| CT maxillofacial w/wo contrast (70488) |
$945 |
$1,575 |
6.1× |
| CT neck soft tissue w contrast (70491) |
$709.50 |
$1,182.50 |
4.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$160.80 |
$268 |
1.0× |
| CT orbits w/o contrast (70480) |
$496.80 |
$828 |
5.4× |
| CT pelvis w & w/o contrast (72194) |
$1,791.30 |
$2,985.50 |
11.7× |
| CT pelvis w/o contrast (72192) |
$837.90 |
$1,396.50 |
9.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$831.30 |
$1,385.50 |
5.4× |
| CT soft tissue neck w/o contrast (70490) |
$589.80 |
$983 |
6.4× |
| CT thoracic spine w/contrast (72129) |
$1,686.90 |
$2,811.50 |
11.0× |
| CT thoracic spine w/o contrast (72128) |
$885 |
$1,475 |
9.7× |
| CT thoracic spine w/wo contrast (72130) |
$139.20 |
$232 |
0.9× |
| CT thorax w/o contrast (71250) |
$423.60 |
$706 |
4.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$933 |
$1,555 |
6.1× |
| CT upper extremity w/o contrast rt (73200) |
$618.60 |
$1,031 |
6.8× |
| CT upper extremity with contrast (73201) |
$761.10 |
$1,268.50 |
2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$982.80 |
$1,638 |
6.4× |
| Cta Abdomen (74175) |
$1,301.10 |
$2,168.50 |
8.5× |
| CTA abdomen pelvis (74174) |
$1,708.80 |
$2,848 |
5.6× |
| CTA chest (71275) |
$1,353.60 |
$2,256 |
8.8× |
| Cta Head (70496) |
$721.50 |
$1,202.50 |
4.7× |
| Cta Neck (70498) |
$924.90 |
$1,541.50 |
6.0× |
| Cta Pelvis (72191) |
$168.60 |
$281 |
1.1× |
| Cystography minimum 3 views rs&i (74430) |
$34.80 |
$58 |
0.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$166.20 |
$277 |
1.8× |
| Echoencephalography real time imaging (76506) |
$84 |
$140 |
0.9× |
| Esophagus (74220) |
$195 |
$325 |
1.3× |
| Fetal biophysical profile non-stress testing (76818) |
$87.60 |
$146 |
1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$168.30 |
$280.50 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$50.40 |
$84 |
0.2× |
| Foot 2 views (73620) |
$50.10 |
$83.50 |
0.7× |
| Forearm 2 views (73090) |
$217.80 |
$363 |
2.9× |
| Hand 2 views (73120) |
$178.20 |
$297 |
1.9× |
| Hand 3 views (73130) |
$110.10 |
$183.50 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$94.80 |
$158 |
0.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$56.40 |
$94 |
0.2× |
| Humerus Min 2 Views Left (73060) |
$95.70 |
$159.50 |
1.3× |
| Hysterosalpingogram (74740) |
$111 |
$185 |
0.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$95.40 |
$159 |
0.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$135 |
$225 |
0.3× |
| Knee 3 views (73562) |
$288.60 |
$481 |
3.8× |
| Liver & spleen imaging static only (78215) |
$76.80 |
$128 |
0.2× |
| Lung perf&ventilat diferentl (78598) |
$136.80 |
$228 |
0.3× |
| Lung perfusion differential (78597) |
$236.40 |
$394 |
0.7× |
| Lung Ventilation Imaging (78579) |
$100.80 |
$168 |
0.3× |
| Lymphoscintigraphy (78195) |
$122.40 |
$204 |
0.3× |
| Mammary ductogram or galactogram single (77053) |
$24 |
$40 |
0.1× |
| Meckels Diverticulum (78290) |
$90.60 |
$151 |
0.3× |
| MRA head w & w/o contrast (70546) |
$210 |
$350 |
0.7× |
| MRA head w/o contrast (70544) |
$1,046.40 |
$1,744 |
5.0× |
| MRA head with contrast (70545) |
$214.20 |
$357 |
0.7× |
| MRA neck w contrast (70548) |
$1,809.60 |
$3,016 |
5.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,058.10 |
$1,763.50 |
3.5× |
| MRA neck w/o contrast (70547) |
$674.10 |
$1,123.50 |
3.2× |
| MRI abdomen w contrast (74182) |
$175.20 |
$292 |
0.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,333.50 |
$2,222.50 |
4.4× |
| MRI abdomen w/o contrast (74181) |
$1,486.80 |
$2,478 |
7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$214.20 |
$357 |
0.3× |
| MRI breast w/o contrast bilateral (77047) |
$388.20 |
$647 |
1.9× |
| MRI c-spine with contrast (72142) |
$236.40 |
$394 |
0.8× |
| MRI cardiac w/o contrast (75557) |
$160.80 |
$268 |
0.8× |
| MRI cervical spine w/o contrast (72141) |
$1,016.70 |
$1,694.50 |
4.9× |
| MRI chest w/o & w/contrast material (71552) |
$173.40 |
$289 |
0.6× |
| MRI chest w/o contrast (71550) |
$214.20 |
$357 |
1.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,286.70 |
$2,144.50 |
4.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,116.30 |
$1,860.50 |
3.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$704.40 |
$1,174 |
3.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$689.10 |
$1,148.50 |
3.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,134.30 |
$1,890.50 |
3.7× |
| MRI orbit/face/neck w/contrast (70542) |
$214.20 |
$357 |
0.7× |
| MRI pelvis w contrast (72196) |
$1,944.60 |
$3,241 |
6.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,122 |
$1,870 |
3.7× |
| MRI pelvis w/o contrast (72195) |
$712.50 |
$1,187.50 |
3.4× |
| MRI scan of arm joint before and after contrast (73223) |
$1,218.60 |
$2,031 |
4.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,321.20 |
$2,202 |
4.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,184.40 |
$1,974 |
3.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$168.60 |
$281 |
0.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,381.80 |
$2,303 |
4.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$219.60 |
$366 |
0.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,539.90 |
$2,566.50 |
5.0× |
| MRI thoracic spine w/o contrast (72146) |
$904.20 |
$1,507 |
4.3× |
| MRI tmj (70336) |
$196.80 |
$328 |
0.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,366.80 |
$2,278 |
6.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,112.40 |
$1,854 |
3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$746.10 |
$1,243.50 |
3.6× |
| Myelography 2 or more regions (72270) |
$771.60 |
$1,286 |
1.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$523.80 |
$873 |
0.7× |
| Neck soft tissue (70360) |
$92.70 |
$154.50 |
1.2× |
| Nm gastric emptying study (78264) |
$118.20 |
$197 |
0.3× |
| Nm gastroesophageal reflux study (78262) |
$216 |
$360 |
0.6× |
| Nm peritoneal-venous shunt patency (78291) |
$75 |
$125 |
0.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$73.80 |
$123 |
0.8× |
| Osseous survey infant (77076) |
$284.40 |
$474 |
3.1× |
| Osseous survey limited (77074) |
$231.60 |
$386 |
2.5× |
| Parathyrd planar w/wo subtrj (78071) |
$50.40 |
$84 |
0.1× |
| Parathyroid imaging (78070) |
$74.40 |
$124 |
0.2× |
| Pelvis 1 or 2 views (72170) |
$86.40 |
$144 |
0.9× |
| Peritoneogram rs&i (74190) |
$466.20 |
$777 |
1.0× |
| PET image w/CT, skull-thigh (78815) |
$189.60 |
$316 |
0.2× |
| PET imaging CT for attenuation limited area (78814) |
$171.60 |
$286 |
0.1× |
| PET imaging for CT attenuation whole body (78816) |
$193.20 |
$322 |
0.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,141.20 |
$1,902 |
3.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$90.60 |
$151 |
0.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$136.80 |
$228 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$134.40 |
$224 |
1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$143.10 |
$238.50 |
1.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$69 |
$115 |
0.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$197.70 |
$329.50 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$59.10 |
$98.50 |
0.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$64.80 |
$108 |
0.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$334.80 |
$558 |
4.4× |
| Radiologic exam colon single contrast study (74270) |
$81 |
$135 |
0.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$273.60 |
$456 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$77.40 |
$129 |
1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$135 |
$225 |
0.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$112.20 |
$187 |
0.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$83.40 |
$139 |
0.2× |
| Scanogram (77073) |
$33.60 |
$56 |
0.4× |
| Scapula complete (73010) |
$136.80 |
$228 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$55.80 |
$93 |
2.4× |
| Small bowel series (74250) |
$68.40 |
$114 |
0.4× |
| Spine thoracic 3 views (72072) |
$195.30 |
$325.50 |
2.1× |
| Thoracolumbar 2 views (72080) |
$70.20 |
$117 |
0.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$189 |
$315 |
0.4× |
| Thyroid uptake measurement (78012) |
$63 |
$105 |
0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$87.60 |
$146 |
0.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$897 |
$1,495 |
1.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$88.80 |
$148 |
0.3× |
| Ultrasound, abdomen limited (76705) |
$618.60 |
$1,031 |
6.8× |
| Umbilical-artery Doppler (OB) (76820) |
$39.60 |
$66 |
0.4× |
| Upper Extremity Infant (73092) |
$117.30 |
$195.50 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$55.20 |
$92 |
0.3× |
| Urethrocystography voiding (74455) |
$43.80 |
$73 |
0.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$43.80 |
$73 |
0.3× |
| Us abdl aorta screen aaa (76706) |
$99.90 |
$166.50 |
1.1× |
| Us breast unilateral complete (76641) |
$140.40 |
$234 |
1.5× |
| Us breast unilateral limited (76642) |
$111.60 |
$186 |
1.5× |
| Us chest (76604) |
$85.50 |
$142.50 |
0.9× |
| Us compl joint r-t w/image documentation (76881) |
$175.20 |
$292 |
1.9× |
| Us elastography parenchyma (76981) |
$190.20 |
$317 |
2.1× |
| Us infant hips dynamic (76885) |
$70.80 |
$118 |
0.9× |
| Us kidney transplant (76776) |
$48.60 |
$81 |
0.5× |
| Us ob detailed single fetus (76811) |
$150.60 |
$251 |
0.7× |
| Us ob transvaginal (76817) |
$278.40 |
$464 |
3.0× |
| Us pelvic non ob complete (76856) |
$123.90 |
$206.50 |
1.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$144.30 |
$240.50 |
1.6× |
| Us pregnancy ltd (76815) |
$239.10 |
$398.50 |
2.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$170.40 |
$284 |
1.9× |
| Us retroperitoneal complete (76770) |
$65.40 |
$109 |
0.7× |
| Us retroperitoneal limited (76775) |
$528.60 |
$881 |
5.8× |
| Us scrotum and contents (76870) |
$382.50 |
$637.50 |
4.2× |
| Us soft tissue head/neck (76536) |
$419.40 |
$699 |
4.6× |
| Us spinal canal and contents (76800) |
$100.80 |
$168 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$160.80 |
$268 |
1.8× |
| Venogram extremity bilateral (75822) |
$119.40 |
$199 |
0.1× |
| Wrist 2 views (73100) |
$93.60 |
$156 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$121.80 |
$203 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$66 |
$110 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$291.60 |
$486 |
3.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$398.70 |
$664.50 |
2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$199.20 |
$332 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$231 |
$385 |
3.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$75 |
$125 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$84.60 |
$141 |
1.1× |
| X-ray exam hip uni 4/> views (73503) |
$117.60 |
$196 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$111 |
$185 |
1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$119.70 |
$199.50 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$167.70 |
$279.50 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$280.80 |
$468 |
3.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$204.60 |
$341 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$320.40 |
$534 |
3.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$57 |
$95 |
0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$193.20 |
$322 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$333.60 |
$556 |
3.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$414.60 |
$691 |
4.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$112.20 |
$187 |
1.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$39.90 |
$66.50 |
0.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$72.30 |
$120.50 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$102 |
$170 |
1.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$30 |
$50 |
0.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$156.30 |
$260.50 |
2.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$169.80 |
$283 |
1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$223.20 |
$372 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$131.10 |
$218.50 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$129.90 |
$216.50 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$249.60 |
$416 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$80.40 |
$134 |
1.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$64.20 |
$107 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$152.70 |
$254.50 |
1.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$118.80 |
$198 |
1.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$52.50 |
$87.50 |
0.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$117.30 |
$195.50 |
1.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$85.80 |
$143 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$191.70 |
$319.50 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$112.50 |
$187.50 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$103.80 |
$173 |
1.4× |
| Xr c-spine 6 or more views (72052) |
$279.90 |
$466.50 |
3.1× |
| Xr chest 4+ views (71048) |
$245.10 |
$408.50 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$147.30 |
$245.50 |
1.9× |
| Xr shoulder 1 view (73020) |
$107.70 |
$179.50 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$228.30 |
$380.50 |
2.5× |
| Xr tibia/fibula 2 views (73590) |
$244.20 |
$407 |
3.2× |
| Xr tmj bilateral (70330) |
$34.80 |
$58 |
0.5× |
| Xray knee 1 or 2 views rt (73560) |
$251.40 |
$419 |
3.3× |