| Abdomen 2 views (74019) |
$152.46 |
$508.20 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$649.53 |
$2,165.10 |
1.7× |
| Ankle 2 views (73600) |
$81.39 |
$271.30 |
1.0× |
| Arthrogram hip (73525) |
$254.55 |
$848.50 |
0.8× |
| Arthrogram shoulder (73040) |
$284.87 |
$949.55 |
0.9× |
| Arthrogram wrist (73115) |
$289.29 |
$964.30 |
0.9× |
| Arthrography knee lt (73580) |
$215.17 |
$717.22 |
0.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$468.23 |
$1,560.75 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$845.64 |
$2,818.80 |
2.2× |
| Bone age studies (77072) |
$76.47 |
$254.90 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$995.70 |
$3,319 |
2.6× |
| Bone survey complete (77075) |
$378.47 |
$1,261.55 |
3.8× |
| Cervical spine 2 or 3 views (72040) |
$127.55 |
$425.15 |
1.5× |
| Chest 1 view (71045) |
$94.80 |
$316 |
1.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$191.10 |
$637 |
1.1× |
| Clavicle complete (73000) |
$122.61 |
$408.70 |
1.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,001.08 |
$6,670.25 |
6.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,721.63 |
$5,738.75 |
7.6× |
| CT abdomen w contrast (74160) |
$848.61 |
$2,828.70 |
5.1× |
| CT abdomen w wo contrast (74170) |
$963.39 |
$3,211.30 |
5.8× |
| CT abdomen w/o contrast (74150) |
$776.76 |
$2,589.20 |
7.8× |
| CT angio hrt w/3d image (75574) |
$1,085.27 |
$3,617.55 |
3.3× |
| CT angiography upper extremity lt (73206) |
$941.18 |
$3,137.25 |
5.7× |
| CT c-spine w/o contrast (72125) |
$845.90 |
$2,819.65 |
8.5× |
| CT cervical spine with contrast (72126) |
$812.29 |
$2,707.62 |
2.5× |
| CT chest w/wo contrast (71270) |
$910.64 |
$3,035.45 |
5.5× |
| CT chest with contrast (71260) |
$792.81 |
$2,642.70 |
4.8× |
| CT head/brain with contrast (70460) |
$839.87 |
$2,799.55 |
5.0× |
| CT head/brain without and with contrast (70470) |
$843.75 |
$2,812.50 |
5.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,008.18 |
$3,360.60 |
3.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$101.15 |
$337.15 |
1.2× |
| CT iac w contrast (70481) |
$665.75 |
$2,219.15 |
4.0× |
| CT limited/localized follow up study (76380) |
$235.65 |
$785.50 |
2.9× |
| CT lower ext w/o (73700) |
$667.80 |
$2,226 |
6.7× |
| CT lower extremity w wo contrast (73702) |
$717.99 |
$2,393.30 |
4.3× |
| CT lower extremity with contrast (73701) |
$697.83 |
$2,326.10 |
4.2× |
| CT lumbar spine w & w/o contrast (72133) |
$861.47 |
$2,871.55 |
5.2× |
| CT lumbar spine w/o contrast (72131) |
$889.92 |
$2,966.40 |
9.0× |
| CT lumbar spine with contrast (72132) |
$887.04 |
$2,956.78 |
2.7× |
| CT maxillofacial w contrast (70487) |
$622.91 |
$2,076.35 |
3.7× |
| CT maxillofacial w/o contrast (70486) |
$554.03 |
$1,846.75 |
5.6× |
| CT maxillofacial w/wo contrast (70488) |
$658.36 |
$2,194.52 |
4.0× |
| CT neck soft tissue w contrast (70491) |
$1,067.58 |
$3,558.60 |
6.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$704.87 |
$2,349.55 |
4.2× |
| CT orbits w/o contrast (70480) |
$612.93 |
$2,043.10 |
6.2× |
| CT pelvis w & w/o contrast (72194) |
$926.10 |
$3,087 |
5.6× |
| CT pelvis w/o contrast (72192) |
$817.49 |
$2,724.95 |
8.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,128.96 |
$3,763.20 |
6.8× |
| CT soft tissue neck w/o contrast (70490) |
$727.71 |
$2,425.70 |
7.3× |
| CT thoracic spine w/contrast (72129) |
$745.70 |
$2,485.65 |
4.5× |
| CT thoracic spine w/o contrast (72128) |
$818.33 |
$2,727.75 |
8.2× |
| CT thoracic spine w/wo contrast (72130) |
$834.83 |
$2,782.75 |
5.0× |
| CT thorax w/o contrast (71250) |
$817.11 |
$2,723.70 |
8.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$811.20 |
$2,704 |
4.9× |
| CT upper extremity w/o contrast rt (73200) |
$691.01 |
$2,303.35 |
7.0× |
| CT upper extremity with contrast (73201) |
$668.72 |
$2,229.05 |
2.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,153.47 |
$3,844.90 |
6.9× |
| Cta Abdomen (74175) |
$1,409.33 |
$4,697.75 |
8.5× |
| CTA abdomen pelvis (74174) |
$1,707.77 |
$5,692.55 |
5.2× |
| CTA chest (71275) |
$1,154.13 |
$3,847.10 |
6.9× |
| Cta Head (70496) |
$1,045.52 |
$3,485.05 |
6.3× |
| CTA lwr ext w&w/o contrast (73706) |
$731.48 |
$2,438.25 |
4.4× |
| Cta Neck (70498) |
$1,045.52 |
$3,485.05 |
6.3× |
| Cystography minimum 3 views rs&i (74430) |
$473.94 |
$1,579.80 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$161.37 |
$537.90 |
1.6× |
| Echoencephalography real time imaging (76506) |
$190.37 |
$634.55 |
1.9× |
| Esophagus (74220) |
$157.13 |
$523.75 |
0.9× |
| Fetal biophysical profile non-stress testing (76818) |
$308.31 |
$1,027.70 |
3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$125.04 |
$416.80 |
1.3× |
| Fluoroscopy up to 1 hr (76000) |
$120.34 |
$401.10 |
0.5× |
| Foot 2 views (73620) |
$66.95 |
$223.15 |
0.8× |
| Forearm 2 views (73090) |
$109.55 |
$365.15 |
1.3× |
| Gated Heart Planar Single (78472) |
$801.98 |
$2,673.25 |
2.1× |
| Hand 2 views (73120) |
$87.17 |
$290.55 |
0.9× |
| Hand 3 views (73130) |
$112.23 |
$374.10 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$906.36 |
$3,021.20 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$906.36 |
$3,021.20 |
2.4× |
| Ht muscle image spect sing (78451) |
$1,895.22 |
$6,317.40 |
1.5× |
| Humerus Min 2 Views Left (73060) |
$109.14 |
$363.80 |
1.3× |
| Hysterosalpingogram (74740) |
$254.55 |
$848.50 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$567.90 |
$1,893 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$750.63 |
$2,502.10 |
1.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$607.40 |
$2,024.65 |
1.2× |
| Knee 3 views (73562) |
$153.18 |
$510.60 |
1.9× |
| Liver & spleen imaging static only (78215) |
$540.83 |
$1,802.75 |
1.4× |
| Lung perfusion differential (78597) |
$657.60 |
$2,192 |
1.7× |
| Lymphoscintigraphy (78195) |
$718.80 |
$2,396 |
1.4× |
| Meckels Diverticulum (78290) |
$674.18 |
$2,247.25 |
1.8× |
| Mr safety determination physician/other qhp (76016) |
$75.90 |
$253 |
0.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$21.11 |
$70.35 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$78.39 |
$261.30 |
0.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$208.35 |
$694.50 |
0.9× |
| MRA head w & w/o contrast (70546) |
$1,187.03 |
$3,956.75 |
3.6× |
| MRA head w/o contrast (70544) |
$780.39 |
$2,601.30 |
3.4× |
| MRA neck w contrast (70548) |
$858.83 |
$2,862.75 |
2.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$987.66 |
$3,292.20 |
3.0× |
| MRA neck w/o contrast (70547) |
$930.08 |
$3,100.25 |
4.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,315.72 |
$4,385.70 |
4.0× |
| MRI abdomen w/o contrast (74181) |
$880.91 |
$2,936.35 |
3.9× |
| MRI any jnt lwr ext with con lt (73722) |
$1,150.11 |
$3,833.70 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$926.37 |
$3,087.90 |
1.2× |
| MRI cervical spine w/o contrast (72141) |
$930.30 |
$3,101 |
4.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,186.28 |
$3,954.25 |
3.6× |
| MRI chest w/o contrast (71550) |
$719.43 |
$2,398.10 |
3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,015.17 |
$3,383.90 |
3.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$882.66 |
$2,942.20 |
3.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$986.96 |
$3,289.88 |
4.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,152.21 |
$3,840.70 |
3.5× |
| MRI orbit/face/neck w/contrast (70542) |
$1,001.88 |
$3,339.60 |
3.0× |
| MRI pelvis w contrast (72196) |
$930.30 |
$3,101 |
2.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,270.25 |
$4,234.15 |
3.8× |
| MRI pelvis w/o contrast (72195) |
$840.23 |
$2,800.75 |
3.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,138.83 |
$3,796.10 |
3.4× |
| MRI scan of leg joint before and after contrast (73723) |
$972.87 |
$3,242.90 |
2.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,324.91 |
$4,416.35 |
4.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$965.33 |
$3,217.75 |
2.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,356.98 |
$4,523.25 |
4.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,152.21 |
$3,840.70 |
3.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,318.01 |
$4,393.35 |
4.0× |
| MRI thoracic spine w/o contrast (72146) |
$930.30 |
$3,101 |
4.1× |
| MRI upper ext joint w/o contrast (73221) |
$891.57 |
$2,971.90 |
3.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,041.24 |
$3,470.80 |
3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$912.90 |
$3,043 |
4.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,179.27 |
$3,930.90 |
1.0× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,413.53 |
$8,045.10 |
3.0× |
| Neck soft tissue (70360) |
$117.95 |
$393.15 |
1.4× |
| Nm gastric emptying study (78264) |
$681.48 |
$2,271.60 |
1.8× |
| Nuclear medicine study of kidney and blood flow (78701) |
$567.17 |
$1,890.55 |
1.5× |
| Nuclear Rx Oral Admin (79005) |
$584.60 |
$1,948.65 |
2.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$201.17 |
$670.55 |
2.0× |
| Osseous survey infant (77076) |
$153.18 |
$510.60 |
1.5× |
| Parathyroid imaging (78070) |
$579.72 |
$1,932.40 |
1.5× |
| Pelvis 1 or 2 views (72170) |
$141.77 |
$472.55 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,292.25 |
$4,307.50 |
3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$657.60 |
$2,192 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$783.87 |
$2,612.90 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$174.78 |
$582.60 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$127.17 |
$423.90 |
1.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$156.66 |
$522.20 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$249.24 |
$830.80 |
2.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$139.08 |
$463.60 |
1.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$103.26 |
$344.20 |
1.2× |
| Radiologic exam colon single contrast study (74270) |
$279.33 |
$931.10 |
1.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$173 |
$576.65 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$202.23 |
$674.10 |
1.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$217.79 |
$725.95 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$119.30 |
$397.65 |
1.4× |
| Radiological examination surgical specimen (76098) |
$142.64 |
$475.45 |
0.3× |
| Ribs bilateral 3 views (71110) |
$144 |
$480 |
1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$721.88 |
$2,406.25 |
1.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$361.50 |
$1,205 |
1.6× |
| Scanogram (77073) |
$65.90 |
$219.65 |
0.7× |
| Scapula complete (73010) |
$120.95 |
$403.15 |
1.2× |
| Screening digital breast tomosynthesis (77063) |
$32.45 |
$108.15 |
1.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$135.69 |
$452.30 |
1.4× |
| Small bowel series (74250) |
$257.81 |
$859.35 |
1.5× |
| Spine thoracic 3 views (72072) |
$181.37 |
$604.55 |
1.8× |
| Tbs Technical Calculation Only (77091) |
$129.47 |
$431.55 |
1.6× |
| Testicular Imaging With Vascular Flow (78761) |
$329.15 |
$1,097.15 |
0.9× |
| Thoracolumbar 2 views (72080) |
$136.07 |
$453.55 |
1.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$370.16 |
$1,233.85 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$801.02 |
$2,670.05 |
2.1× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$129.47 |
$431.55 |
1.6× |
| Ultrasound elastography first target lesion (76982) |
$369.77 |
$1,232.55 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$227.54 |
$758.45 |
2.3× |
| Umbilical-artery Doppler (OB) (76820) |
$228.42 |
$761.40 |
2.3× |
| Unlisted magnetic resonance procedure (76498) |
$736.64 |
$2,455.45 |
8.9× |
| Urethrocystography voiding (74455) |
$242.43 |
$808.10 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$313.01 |
$1,043.35 |
1.9× |
| Us abdl aorta screen aaa (76706) |
$170.31 |
$567.70 |
1.7× |
| Us breast unilateral complete (76641) |
$173.48 |
$578.25 |
1.7× |
| Us breast unilateral limited (76642) |
$165.20 |
$550.65 |
2.0× |
| Us chest (76604) |
$207.68 |
$692.25 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$287.31 |
$957.70 |
2.9× |
| Us infant hips limited static (76886) |
$120.57 |
$401.90 |
1.5× |
| Us ob detailed single fetus (76811) |
$322.76 |
$1,075.85 |
1.4× |
| Us ob transvaginal (76817) |
$354.47 |
$1,181.55 |
3.6× |
| Us pelvic non ob complete (76856) |
$353.40 |
$1,178 |
3.6× |
| Us pregnancy ltd (76815) |
$81.79 |
$272.62 |
0.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$253.16 |
$843.85 |
2.6× |
| Us retroperitoneal complete (76770) |
$253.96 |
$846.52 |
2.6× |
| Us retroperitoneal limited (76775) |
$252.51 |
$841.70 |
2.5× |
| Us scrotum and contents (76870) |
$317.94 |
$1,059.80 |
3.2× |
| Us soft tissue head/neck (76536) |
$244.98 |
$816.60 |
2.5× |
| Us spinal canal and contents (76800) |
$335.93 |
$1,119.75 |
3.4× |
| Us transrectal (76872) |
$181.01 |
$603.35 |
1.8× |
| Us transrectal prostate volume (76873) |
$241.58 |
$805.25 |
2.4× |
| Us xtr non-vasc lmtd (76882) |
$261.99 |
$873.30 |
2.6× |
| Venogram extremity bilateral (75822) |
$1,338.96 |
$4,463.20 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$1,338.96 |
$4,463.20 |
0.9× |
| Vertebral fracture assessment via dxa (77086) |
$48.18 |
$160.60 |
0.6× |
| Wrist 2 views (73100) |
$101.02 |
$336.70 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$191.36 |
$637.85 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$144.06 |
$480.20 |
1.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$132.66 |
$442.20 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$359.24 |
$1,197.45 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$97.74 |
$325.80 |
1.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$137.70 |
$459 |
1.7× |
| X-ray exam hip uni 1 view (73501) |
$97.89 |
$326.30 |
1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$125.31 |
$417.70 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$191.21 |
$637.35 |
1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$156.66 |
$522.20 |
1.6× |
| X-ray exam of femur 1 (73551) |
$93.91 |
$313.02 |
1.1× |
| X-ray eye for foreign body (70030) |
$102.81 |
$342.70 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$158.90 |
$529.65 |
1.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$105.11 |
$350.35 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$121.28 |
$404.25 |
1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$113.90 |
$379.65 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$218.67 |
$728.90 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$146.13 |
$487.10 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$72.56 |
$241.85 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$172.35 |
$574.50 |
1.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$178.76 |
$595.85 |
1.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$73.91 |
$246.35 |
0.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$140.12 |
$467.05 |
1.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$68 |
$226.65 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$165.59 |
$551.95 |
1.7× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$283.65 |
$945.50 |
0.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$424.40 |
$1,414.65 |
1.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$150.48 |
$501.60 |
1.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$205.92 |
$686.40 |
2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$218.28 |
$727.60 |
2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$170.60 |
$568.65 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$185.07 |
$616.90 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$118.60 |
$395.32 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$210.90 |
$703 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$77.18 |
$257.25 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$135.30 |
$451 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$121.58 |
$405.25 |
1.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$92.33 |
$307.75 |
1.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$82.44 |
$274.80 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$126.65 |
$422.15 |
1.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$136.07 |
$453.55 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$86.73 |
$289.10 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$102.26 |
$340.85 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$209.88 |
$699.60 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$109.70 |
$365.65 |
1.3× |
| Xr shoulder 1 view (73020) |
$113.65 |
$378.82 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$209.88 |
$699.60 |
2.1× |
| Xr tibia/fibula 2 views (73590) |
$118.89 |
$396.30 |
1.4× |
| Xr tmj bilateral (70330) |
$118.41 |
$394.70 |
1.4× |
| Xray knee 1 or 2 views rt (73560) |
$109.86 |
$366.20 |
1.3× |