| Abdomen 2 views (74019) |
$241.65 |
$671.25 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$534.78 |
$1,485.50 |
1.3× |
| Ankle 2 views (73600) |
$126.18 |
$350.50 |
1.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$255.15 |
$708.75 |
0.7× |
| Arthrogram elbow (73085) |
$566.28 |
$1,573 |
1.6× |
| Arthrogram hip (73525) |
$566.28 |
$1,573 |
1.6× |
| Arthrogram shoulder (73040) |
$566.28 |
$1,573 |
1.6× |
| Arthrogram wrist (73115) |
$566.28 |
$1,573 |
1.6× |
| Arthrography knee lt (73580) |
$566.28 |
$1,573 |
1.6× |
| Bone age studies (77072) |
$301.23 |
$836.75 |
2.9× |
| Bone Marrow Imaging Limited Area (78102) |
$380.25 |
$1,056.25 |
0.9× |
| Bone survey complete (77075) |
$280.80 |
$780 |
2.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$312.66 |
$868.50 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$202.50 |
$562.50 |
2.3× |
| Chest 1 view (71045) |
$129.69 |
$360.25 |
1.5× |
| Chest 3 views (71047) |
$241.38 |
$670.50 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$441.40 |
$1,226.12 |
2.5× |
| Clavicle complete (73000) |
$139.68 |
$388 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$120.42 |
$334.50 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,829.95 |
$10,638.75 |
10.9× |
| CT abdomen and pelvis without contrast (74176) |
$3,059.96 |
$8,499.88 |
12.8× |
| CT abdomen w contrast (74160) |
$1,660.77 |
$4,613.25 |
9.4× |
| CT abdomen w wo contrast (74170) |
$1,665.76 |
$4,627.12 |
9.5× |
| CT abdomen w/o contrast (74150) |
$1,520.37 |
$4,223.25 |
14.5× |
| CT angio hrt w/3d image (75574) |
$2,278.35 |
$6,328.75 |
6.5× |
| CT angiography upper extremity lt (73206) |
$782.19 |
$2,172.75 |
4.4× |
| CT c-spine w/o contrast (72125) |
$1,821.42 |
$5,059.50 |
17.3× |
| CT cervical spine w&w/o contrast (72127) |
$2,390.22 |
$6,639.50 |
13.6× |
| CT cervical spine with contrast (72126) |
$2,169.09 |
$6,025.25 |
6.2× |
| CT chest w/wo contrast (71270) |
$2,083.64 |
$5,787.88 |
11.8× |
| CT chest with contrast (71260) |
$1,487.34 |
$4,131.50 |
8.4× |
| CT colonography screening (74263) |
$391.68 |
$1,088 |
1.6× |
| CT colonography w/dye (74262) |
$574.56 |
$1,596 |
3.3× |
| CT colonography w/o cntrst (74261) |
$352.35 |
$978.75 |
3.4× |
| CT head/brain with contrast (70460) |
$1,132.38 |
$3,145.50 |
6.4× |
| CT head/brain without and with contrast (70470) |
$1,822.95 |
$5,063.75 |
10.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$53.01 |
$147.25 |
0.6× |
| CT hrt w/3d image congen (75573) |
$2,665.71 |
$7,404.75 |
7.6× |
| CT iac w contrast (70481) |
$1,142.01 |
$3,172.25 |
6.5× |
| CT limited/localized follow up study (76380) |
$277.29 |
$770.25 |
3.2× |
| CT lower ext w/o (73700) |
$1,409.58 |
$3,915.50 |
13.4× |
| CT lower extremity w wo contrast (73702) |
$2,447.28 |
$6,798 |
13.9× |
| CT lower extremity with contrast (73701) |
$1,958.58 |
$5,440.50 |
11.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,714.77 |
$4,763.25 |
9.7× |
| CT lumbar spine w/o contrast (72131) |
$1,482.21 |
$4,117.25 |
14.1× |
| CT lumbar spine with contrast (72132) |
$1,658.34 |
$4,606.50 |
4.7× |
| CT maxillofacial w contrast (70487) |
$1,301.58 |
$3,615.50 |
7.4× |
| CT maxillofacial w/o contrast (70486) |
$1,072.35 |
$2,978.75 |
10.2× |
| CT maxillofacial w/wo contrast (70488) |
$1,846.98 |
$5,130.50 |
10.5× |
| CT neck soft tissue w contrast (70491) |
$1,476.45 |
$4,101.25 |
8.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,545.38 |
$7,070.50 |
14.4× |
| CT orbits w/o contrast (70480) |
$1,039.32 |
$2,887 |
9.9× |
| CT pelvis w & w/o contrast (72194) |
$2,568.51 |
$7,134.75 |
14.6× |
| CT pelvis w/o contrast (72192) |
$1,955.25 |
$5,431.25 |
18.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,568.51 |
$7,134.75 |
14.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,443.51 |
$4,009.75 |
13.7× |
| CT thoracic spine w/contrast (72129) |
$2,254.05 |
$6,261.25 |
12.8× |
| CT thoracic spine w/o contrast (72128) |
$1,599.75 |
$4,443.75 |
15.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,865.34 |
$5,181.50 |
10.6× |
| CT thorax w/o contrast (71250) |
$815.49 |
$2,265.25 |
7.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,083.05 |
$5,786.25 |
11.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,942.65 |
$5,396.25 |
18.5× |
| CT upper extremity with contrast (73201) |
$1,312.11 |
$3,644.75 |
3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,548.14 |
$4,300.38 |
8.8× |
| Cta Abdomen (74175) |
$610.29 |
$1,695.25 |
3.5× |
| CTA abdomen pelvis (74174) |
$1,260.99 |
$3,502.75 |
3.6× |
| CTA chest (71275) |
$583.47 |
$1,620.75 |
3.3× |
| Cta Head (70496) |
$1,822.95 |
$5,063.75 |
10.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,109.34 |
$3,081.50 |
6.3× |
| Cta Neck (70498) |
$1,950.39 |
$5,417.75 |
11.1× |
| Cta Pelvis (72191) |
$610.29 |
$1,695.25 |
3.5× |
| Cystography minimum 3 views rs&i (74430) |
$339.93 |
$944.25 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$308.43 |
$856.75 |
2.9× |
| Dxa bone density study axial skeleton (77085) |
$171.09 |
$475.25 |
1.6× |
| Esophagus (74220) |
$204.84 |
$569 |
1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$147.15 |
$408.75 |
1.4× |
| Fluoroscopy up to 1 hr (76000) |
$441.72 |
$1,227 |
1.8× |
| Foot 2 views (73620) |
$147.42 |
$409.50 |
1.7× |
| Forearm 2 views (73090) |
$155.70 |
$432.50 |
1.8× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$715.68 |
$1,988 |
1.3× |
| Hand 2 views (73120) |
$156.42 |
$434.50 |
1.5× |
| Hand 3 views (73130) |
$160.11 |
$444.75 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$153.36 |
$426 |
1.8× |
| Hysterosalpingogram (74740) |
$629.46 |
$1,748.50 |
2.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$223.29 |
$620.25 |
2.1× |
| Knee 3 views (73562) |
$168.48 |
$468 |
1.9× |
| Lymphoscintigraphy (78195) |
$631.98 |
$1,755.50 |
1.2× |
| Mr elastography (76391) |
$353.70 |
$982.50 |
1.5× |
| Mr safety determination physician/other qhp (76016) |
$111.60 |
$310 |
1.3× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$75.60 |
$210 |
1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$30.96 |
$86 |
1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$115.92 |
$322 |
1.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$304.92 |
$847 |
1.3× |
| MRA head w & w/o contrast (70546) |
$1,631.84 |
$4,532.88 |
4.7× |
| MRA head w/o contrast (70544) |
$711.22 |
$1,975.62 |
3.0× |
| MRA head with contrast (70545) |
$891.45 |
$2,476.25 |
2.5× |
| MRA neck w contrast (70548) |
$504.09 |
$1,400.25 |
1.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$640.80 |
$1,780 |
1.8× |
| MRA neck w/o contrast (70547) |
$573.84 |
$1,594 |
2.4× |
| MRI abdomen w contrast (74182) |
$1,155.42 |
$3,209.50 |
3.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,357.02 |
$3,769.50 |
3.9× |
| MRI abdomen w/o contrast (74181) |
$802.44 |
$2,229 |
3.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,110.78 |
$3,085.50 |
1.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$830.16 |
$2,306 |
1.1× |
| MRI breast w/o contrast bilateral (77047) |
$570.33 |
$1,584.25 |
2.4× |
| MRI breast w/o contrast unilat (77046) |
$786.96 |
$2,186 |
3.3× |
| MRI c-spine with contrast (72142) |
$1,300.32 |
$3,612 |
3.7× |
| MRI cervical spine w/o contrast (72141) |
$1,175.13 |
$3,264.25 |
4.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,698.75 |
$4,718.75 |
4.8× |
| MRI chest w/o contrast (71550) |
$1,072.53 |
$2,979.25 |
4.5× |
| MRI chest with contrast (71551) |
$1,175.13 |
$3,264.25 |
1.5× |
| MRI fetal sngl/1st gestation (74712) |
$443.70 |
$1,232.50 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$688.59 |
$1,912.75 |
2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$741.42 |
$2,059.50 |
2.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$524.88 |
$1,458 |
2.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$718.47 |
$1,995.75 |
3.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,279.98 |
$3,555.50 |
3.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,264.50 |
$3,512.50 |
3.6× |
| MRI pelvis w contrast (72196) |
$1,010.70 |
$2,807.50 |
2.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,212.93 |
$3,369.25 |
3.5× |
| MRI pelvis w/o contrast (72195) |
$786.96 |
$2,186 |
3.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,493.19 |
$4,147.75 |
4.3× |
| MRI scan of leg joint before and after contrast (73723) |
$1,313.37 |
$3,648.25 |
3.7× |
| MRI spectroscopy (76390) |
$2,136.51 |
$5,934.75 |
24.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,902.24 |
$5,284 |
5.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$984.60 |
$2,735 |
2.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,572.39 |
$4,367.75 |
4.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,472.49 |
$4,090.25 |
4.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,154.69 |
$5,985.25 |
6.1× |
| MRI thoracic spine w/o contrast (72146) |
$902.88 |
$2,508 |
3.8× |
| MRI tmj (70336) |
$699.75 |
$1,943.75 |
2.9× |
| MRI upper ext joint w/o contrast (73221) |
$708.03 |
$1,966.75 |
3.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,064.34 |
$2,956.50 |
3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$540.09 |
$1,500.25 |
2.3× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,310.85 |
$3,641.25 |
1.5× |
| Neck soft tissue (70360) |
$137.16 |
$381 |
1.6× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$539.37 |
$1,498.25 |
1.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$157.95 |
$438.75 |
1.5× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$314.82 |
$874.50 |
3.0× |
| Orthopantogram (70355) |
$104.13 |
$289.25 |
1.2× |
| Osseous survey infant (77076) |
$657.63 |
$1,826.75 |
6.3× |
| Osseous survey limited (77074) |
$238.59 |
$662.75 |
2.3× |
| Pelvis 1 or 2 views (72170) |
$153.81 |
$427.25 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$772.02 |
$2,144.50 |
2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$405.99 |
$1,127.75 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$111.42 |
$309.50 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$184.41 |
$512.25 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$184.41 |
$512.25 |
1.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$163.71 |
$454.75 |
1.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$328.41 |
$912.25 |
3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$171.45 |
$476.25 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$159.48 |
$443 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$202.72 |
$563.12 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$283.86 |
$788.50 |
1.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$302.13 |
$839.25 |
1.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$302.13 |
$839.25 |
1.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$302.13 |
$839.25 |
1.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$111.42 |
$309.50 |
1.3× |
| Radiological examination surgical specimen (76098) |
$265.05 |
$736.25 |
0.5× |
| Ribs bilateral 3 views (71110) |
$277.74 |
$771.50 |
2.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$363.78 |
$1,010.50 |
0.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,880.82 |
$5,224.50 |
1.4× |
| Sacroiliac Joints < 3 Views (72200) |
$154.71 |
$429.75 |
1.5× |
| Salivary gland imaging serial images (78231) |
$701.73 |
$1,949.25 |
1.7× |
| Scanogram (77073) |
$190.08 |
$528 |
1.8× |
| Scapula complete (73010) |
$177.52 |
$493.12 |
1.7× |
| Screening digital breast tomosynthesis (77063) |
$56.88 |
$158 |
2.4× |
| Sella turcica (70240) |
$96.30 |
$267.50 |
1.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$342.54 |
$951.50 |
3.3× |
| Small bowel series (74250) |
$261.54 |
$726.50 |
1.5× |
| Speech evaluation complex (70371) |
$583.02 |
$1,619.50 |
2.4× |
| Spine thoracic 3 views (72072) |
$257.40 |
$715 |
2.5× |
| Tbs Technical Calculation Only (77091) |
$121.05 |
$336.25 |
1.4× |
| Testicular Imaging With Vascular Flow (78761) |
$333.72 |
$927 |
0.8× |
| Thoracolumbar 2 views (72080) |
$253.71 |
$704.75 |
2.9× |
| Thyroid uptake measurement (78012) |
$552.60 |
$1,535 |
1.4× |
| Tmj unilateral (70328) |
$123.48 |
$343 |
1.4× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$121.05 |
$336.25 |
1.4× |
| Ultrasound elastography first target lesion (76982) |
$189.72 |
$527 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$195.30 |
$542.50 |
1.9× |
| Unlisted magnetic resonance procedure (76498) |
$1,007.10 |
$2,797.50 |
11.5× |
| Unlisted Ultrasound Procedure (76999) |
$178.38 |
$495.50 |
2.0× |
| Upper Extremity Infant (73092) |
$230.40 |
$640 |
2.2× |
| Urethrocystography retrograde rs&i (74450) |
$475.92 |
$1,322 |
2.0× |
| Urethrocystography voiding (74455) |
$482.22 |
$1,339.50 |
2.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$302.49 |
$840.25 |
1.7× |
| Us abdl aorta screen aaa (76706) |
$262.66 |
$729.62 |
2.5× |
| Us breast unilateral complete (76641) |
$160.74 |
$446.50 |
1.5× |
| Us breast unilateral limited (76642) |
$160.74 |
$446.50 |
1.8× |
| Us chest (76604) |
$133.78 |
$371.62 |
1.3× |
| Us compl joint r-t w/image documentation (76881) |
$322.02 |
$894.50 |
3.1× |
| Us elastography parenchyma (76981) |
$189.72 |
$527 |
1.8× |
| Us guided compression repair (76936) |
$181.80 |
$505 |
0.8× |
| Us infant hips limited static (76886) |
$610.56 |
$1,696 |
7.0× |
| Us ob transvaginal (76817) |
$318.20 |
$883.88 |
3.0× |
| Us pelvic non ob complete (76856) |
$259.78 |
$721.62 |
2.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$266 |
$738.88 |
2.5× |
| Us pregnancy ltd (76815) |
$213.52 |
$593.12 |
2.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$155.66 |
$432.38 |
1.5× |
| Us retroperitoneal complete (76770) |
$332.91 |
$924.75 |
3.2× |
| Us retroperitoneal limited (76775) |
$271.76 |
$754.88 |
2.6× |
| Us scrotum and contents (76870) |
$407.25 |
$1,131.25 |
3.9× |
| Us soft tissue head/neck (76536) |
$277.83 |
$771.75 |
2.6× |
| Us transrectal (76872) |
$336.33 |
$934.25 |
3.2× |
| Us xtr non-vasc lmtd (76882) |
$322.02 |
$894.50 |
3.1× |
| Us, eye b-scan (76512) |
$169.47 |
$470.75 |
1.6× |
| Venogram extremity bilateral (75822) |
$345.51 |
$959.75 |
0.2× |
| Venography extremity unilateral rs&i (75820) |
$242.46 |
$673.50 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$114.48 |
$318 |
1.3× |
| Wrist 2 views (73100) |
$157.23 |
$436.75 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$234.81 |
$652.25 |
2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$191.79 |
$532.75 |
2.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$167.31 |
$464.75 |
1.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$301.59 |
$837.75 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$125.96 |
$349.88 |
1.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$136.53 |
$379.25 |
1.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$328.41 |
$912.25 |
3.1× |
| X-ray exam hip uni 1 view (73501) |
$111.42 |
$309.50 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$111.42 |
$309.50 |
1.3× |
| X-ray exam hip uni 4/> views (73503) |
$184.41 |
$512.25 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$184.41 |
$512.25 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$328.41 |
$912.25 |
3.1× |
| X-ray exam of femur 1 (73551) |
$111.42 |
$309.50 |
1.3× |
| X-ray eye for foreign body (70030) |
$75.33 |
$209.25 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$244.76 |
$679.88 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$134.37 |
$373.25 |
1.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$158.85 |
$441.25 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$139.32 |
$387 |
1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$155.70 |
$432.50 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$248.13 |
$689.25 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$196.24 |
$545.12 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$148.05 |
$411.25 |
1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$244.44 |
$679 |
2.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$468.09 |
$1,300.25 |
4.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$242.60 |
$673.88 |
2.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$140.67 |
$390.75 |
1.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$112.50 |
$312.50 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$223.74 |
$621.50 |
2.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$243.72 |
$677 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$270.09 |
$750.25 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$198.54 |
$551.50 |
2.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$234.81 |
$652.25 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$270.81 |
$752.25 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$132.84 |
$369 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$154.71 |
$429.75 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$164.02 |
$455.62 |
1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$223.74 |
$621.50 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$183.33 |
$509.25 |
2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$296.64 |
$824 |
2.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$188.82 |
$524.50 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$192.96 |
$536 |
2.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$112.95 |
$313.75 |
1.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$155.70 |
$432.50 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$186.62 |
$518.38 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$123.48 |
$343 |
1.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$171.09 |
$475.25 |
2.0× |
| Xr arthrogram ankle (73615) |
$566.28 |
$1,573 |
1.6× |
| Xr c-spine 6 or more views (72052) |
$435.42 |
$1,209.50 |
4.1× |
| Xr chest 4+ views (71048) |
$250.56 |
$696 |
2.4× |
| Xr finger(s) 2+ views (73140) |
$132.03 |
$366.75 |
1.5× |
| XR Mastoids < 3 Views Bilateral (70120) |
$123.48 |
$343 |
1.2× |
| Xr optic foramina (70190) |
$93.78 |
$260.50 |
1.1× |
| Xr shoulder 1 view (73020) |
$92.07 |
$255.75 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$278.10 |
$772.50 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$166.90 |
$463.62 |
1.9× |
| Xr tmj bilateral (70330) |
$189.72 |
$527 |
2.2× |
| Xray knee 1 or 2 views rt (73560) |
$132.84 |
$369 |
1.5× |