| Abdomen 2 views (74019) |
$316.89 |
$880.25 |
3.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$534.78 |
$1,485.50 |
1.3× |
| Ankle 2 views (73600) |
$131.36 |
$364.88 |
1.5× |
| 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 &/Joint Imaging Limited Area (78300) |
$636.93 |
$1,769.25 |
1.6× |
| Bone &/joint imaging whole body (78306) |
$597.51 |
$1,659.75 |
1.5× |
| Bone age studies (77072) |
$301.23 |
$836.75 |
2.9× |
| Bone Imaging 3 Phase (78315) |
$646.65 |
$1,796.25 |
1.6× |
| Bone Marrow Imaging Limited Area (78102) |
$380.25 |
$1,056.25 |
0.9× |
| Bone survey complete (77075) |
$657.63 |
$1,826.75 |
6.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$312.66 |
$868.50 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$277.74 |
$771.50 |
3.2× |
| Chest 1 view (71045) |
$108.27 |
$300.75 |
1.2× |
| Chest 3 views (71047) |
$233.82 |
$649.50 |
2.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$441.40 |
$1,226.12 |
2.5× |
| Clavicle complete (73000) |
$153.50 |
$426.38 |
1.8× |
| 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) |
$4,371.57 |
$12,143.25 |
12.5× |
| CT abdomen and pelvis without contrast (74176) |
$3,096.72 |
$8,602 |
12.9× |
| CT abdomen w contrast (74160) |
$1,741.36 |
$4,837.12 |
9.9× |
| CT abdomen w wo contrast (74170) |
$1,743.44 |
$4,842.88 |
9.9× |
| CT abdomen w/o contrast (74150) |
$1,593.27 |
$4,425.75 |
15.2× |
| 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) |
$1,908.99 |
$5,302.75 |
18.2× |
| CT cervical spine w&w/o contrast (72127) |
$1,501.29 |
$4,170.25 |
8.5× |
| CT cervical spine with contrast (72126) |
$1,852.02 |
$5,144.50 |
5.3× |
| CT chest w/wo contrast (71270) |
$1,874.92 |
$5,208.12 |
10.6× |
| CT chest with contrast (71260) |
$1,310.04 |
$3,639 |
7.4× |
| 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) |
$1,187.10 |
$3,297.50 |
6.7× |
| CT head/brain without and with contrast (70470) |
$1,627.38 |
$4,520.50 |
9.2× |
| 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) |
$1,016.73 |
$2,824.25 |
5.8× |
| CT limited/localized follow up study (76380) |
$277.29 |
$770.25 |
3.2× |
| CT lower ext w/o (73700) |
$698.13 |
$1,939.25 |
6.6× |
| CT lower extremity w wo contrast (73702) |
$1,008.09 |
$2,800.25 |
5.7× |
| CT lower extremity with contrast (73701) |
$844.29 |
$2,345.25 |
4.8× |
| CT lumbar spine w & w/o contrast (72133) |
$858.87 |
$2,385.75 |
4.9× |
| CT lumbar spine w/o contrast (72131) |
$1,382.58 |
$3,840.50 |
13.2× |
| CT lumbar spine with contrast (72132) |
$1,623.15 |
$4,508.75 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,103.40 |
$3,065 |
6.3× |
| CT maxillofacial w/o contrast (70486) |
$1,213.65 |
$3,371.25 |
11.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,348.11 |
$3,744.75 |
7.7× |
| CT neck soft tissue w contrast (70491) |
$1,844.10 |
$5,122.50 |
10.5× |
| 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) |
$898.38 |
$2,495.50 |
8.6× |
| CT pelvis w & w/o contrast (72194) |
$3,171.33 |
$8,809.25 |
18.0× |
| CT pelvis w/o contrast (72192) |
$1,909.89 |
$5,305.25 |
18.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,679.31 |
$4,664.75 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,186.65 |
$3,296.25 |
11.3× |
| CT thoracic spine w/contrast (72129) |
$1,686.06 |
$4,683.50 |
9.6× |
| CT thoracic spine w/o contrast (72128) |
$1,670.40 |
$4,640 |
15.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,865.34 |
$5,181.50 |
10.6× |
| CT thorax w/o contrast (71250) |
$570.82 |
$1,585.62 |
5.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,805.76 |
$5,016 |
10.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,760.94 |
$4,891.50 |
16.8× |
| CT upper extremity with contrast (73201) |
$2,087.10 |
$5,797.50 |
6.0× |
| 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) |
$744.30 |
$2,067.50 |
2.1× |
| CTA chest (71275) |
$583.47 |
$1,620.75 |
3.3× |
| Cta Head (70496) |
$468.45 |
$1,301.25 |
2.7× |
| CTA lwr ext w&w/o contrast (73706) |
$782.73 |
$2,174.25 |
4.4× |
| Cta Neck (70498) |
$528.48 |
$1,468 |
3.0× |
| Cta Pelvis (72191) |
$610.29 |
$1,695.25 |
3.5× |
| Cystography minimum 3 views rs&i (74430) |
$379.48 |
$1,054.12 |
1.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$220.77 |
$613.25 |
2.1× |
| Dxa bone density study axial skeleton (77085) |
$171.09 |
$475.25 |
1.6× |
| Esophagus (74220) |
$142.65 |
$396.25 |
0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$147.15 |
$408.75 |
1.4× |
| Fluoroscopy up to 1 hr (76000) |
$297.99 |
$827.75 |
1.2× |
| Foot 2 views (73620) |
$183.33 |
$509.25 |
2.1× |
| Forearm 2 views (73090) |
$174.06 |
$483.50 |
2.0× |
| 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× |
| Gated Heart Planar Single (78472) |
$635.58 |
$1,765.50 |
1.6× |
| Hand 2 views (73120) |
$171.09 |
$475.25 |
1.6× |
| Hand 3 views (73130) |
$197.64 |
$549 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$677.70 |
$1,882.50 |
1.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$579.51 |
$1,609.75 |
1.4× |
| Ht muscle image spect sing (78451) |
$635.58 |
$1,765.50 |
0.5× |
| Humerus Min 2 Views Left (73060) |
$168.34 |
$467.62 |
1.9× |
| 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× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$979.29 |
$2,720.25 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$470.70 |
$1,307.50 |
0.9× |
| Knee 3 views (73562) |
$189.54 |
$526.50 |
2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$605.43 |
$1,681.75 |
1.5× |
| Lymphoscintigraphy (78195) |
$631.98 |
$1,755.50 |
1.2× |
| Meckels Diverticulum (78290) |
$982.44 |
$2,729 |
2.4× |
| 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) |
$1,854.68 |
$5,151.88 |
5.3× |
| MRA head w/o contrast (70544) |
$817.78 |
$2,271.62 |
3.4× |
| MRA head with contrast (70545) |
$1,104.48 |
$3,068 |
3.2× |
| MRA neck w contrast (70548) |
$930.15 |
$2,583.75 |
2.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,270.98 |
$3,530.50 |
3.6× |
| MRA neck w/o contrast (70547) |
$786.96 |
$2,186 |
3.3× |
| MRI abdomen w contrast (74182) |
$1,199.43 |
$3,331.75 |
3.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,678.86 |
$4,663.50 |
4.8× |
| MRI abdomen w/o contrast (74181) |
$860.49 |
$2,390.25 |
3.6× |
| MRI any jnt lwr ext with con lt (73722) |
$1,073.97 |
$2,983.25 |
1.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$795.06 |
$2,208.50 |
1.0× |
| 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) |
$1,670.58 |
$4,640.50 |
4.8× |
| MRI cervical spine w/o contrast (72141) |
$1,706.40 |
$4,740 |
7.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,086.48 |
$3,018 |
3.1× |
| MRI chest w/o contrast (71550) |
$786.96 |
$2,186 |
3.3× |
| MRI chest with contrast (71551) |
$1,225.98 |
$3,405.50 |
1.6× |
| MRI fetal sngl/1st gestation (74712) |
$443.70 |
$1,232.50 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$992.88 |
$2,758 |
2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$992.88 |
$2,758 |
2.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$860.49 |
$2,390.25 |
3.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$860.49 |
$2,390.25 |
3.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,588.32 |
$4,412 |
4.5× |
| MRI orbit/face/neck w/contrast (70542) |
$795.06 |
$2,208.50 |
2.3× |
| MRI pelvis w contrast (72196) |
$795.06 |
$2,208.50 |
2.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,678.86 |
$4,663.50 |
4.8× |
| MRI pelvis w/o contrast (72195) |
$860.49 |
$2,390.25 |
3.6× |
| MRI scan of arm joint before and after contrast (73223) |
$1,629.09 |
$4,525.25 |
4.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,406.88 |
$3,908 |
4.0× |
| MRI spectroscopy (76390) |
$2,136.51 |
$5,934.75 |
24.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,363.40 |
$6,565 |
6.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,053.27 |
$2,925.75 |
3.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,962.45 |
$5,451.25 |
5.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,561.41 |
$4,337.25 |
4.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,669.13 |
$7,414.25 |
7.6× |
| MRI thoracic spine w/o contrast (72146) |
$1,306.89 |
$3,630.25 |
5.5× |
| MRI tmj (70336) |
$743.31 |
$2,064.75 |
3.1× |
| MRI upper ext joint w/o contrast (73221) |
$860.49 |
$2,390.25 |
3.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,086.48 |
$3,018 |
3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$860.49 |
$2,390.25 |
3.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,492.47 |
$4,145.75 |
1.1× |
| 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× |
| Nm gastric emptying study (78264) |
$982.44 |
$2,729 |
2.4× |
| Nm gastroesophageal reflux study (78262) |
$982.44 |
$2,729 |
2.4× |
| 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× |
| Parathyrd planar w/wo subtrj (78071) |
$503.91 |
$1,399.75 |
1.3× |
| Parathyroid imaging (78070) |
$503.91 |
$1,399.75 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$169.42 |
$470.62 |
1.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,385.28 |
$3,848 |
4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$579.51 |
$1,609.75 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$579.51 |
$1,609.75 |
1.1× |
| 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) |
$171 |
$475 |
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) |
$208.84 |
$580.12 |
2.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$172.44 |
$479 |
2.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$202.72 |
$563.12 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$257.67 |
$715.75 |
1.5× |
| 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) |
$163.08 |
$453 |
0.3× |
| Ribs bilateral 3 views (71110) |
$305.60 |
$848.88 |
2.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$363.78 |
$1,010.50 |
0.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$699.57 |
$1,943.25 |
1.3× |
| 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) |
$114.48 |
$318 |
1.1× |
| Salivary gland imaging serial images (78231) |
$701.73 |
$1,949.25 |
1.7× |
| Scanogram (77073) |
$190.08 |
$528 |
1.8× |
| Scapula complete (73010) |
$191.02 |
$530.62 |
1.8× |
| 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) |
$268.83 |
$746.75 |
1.5× |
| Speech evaluation complex (70371) |
$583.02 |
$1,619.50 |
2.4× |
| Spine thoracic 3 views (72072) |
$264.20 |
$733.88 |
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 carcinoma metastases img whole body (78018) |
$376.20 |
$1,045 |
0.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$552.60 |
$1,535 |
1.4× |
| Thyroid uptake measurement (78012) |
$552.60 |
$1,535 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$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) |
$340.47 |
$945.75 |
3.2× |
| 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) |
$345.20 |
$958.88 |
2.0× |
| 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) |
$179.60 |
$498.88 |
1.7× |
| Us compl joint r-t w/image documentation (76881) |
$263.16 |
$731 |
2.5× |
| 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) |
$284.18 |
$789.38 |
2.7× |
| Us pelvic non ob complete (76856) |
$270.27 |
$750.75 |
2.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$266 |
$738.88 |
2.5× |
| Us pregnancy ltd (76815) |
$181.98 |
$505.50 |
1.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$120.46 |
$334.62 |
1.1× |
| Us retroperitoneal complete (76770) |
$340.47 |
$945.75 |
3.2× |
| Us retroperitoneal limited (76775) |
$271.76 |
$754.88 |
2.6× |
| Us scrotum and contents (76870) |
$428.13 |
$1,189.25 |
4.1× |
| Us soft tissue head/neck (76536) |
$395.01 |
$1,097.25 |
3.8× |
| Us transrectal (76872) |
$336.33 |
$934.25 |
3.2× |
| Us xtr non-vasc lmtd (76882) |
$263.16 |
$731 |
2.5× |
| 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) |
$158.13 |
$439.25 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$275.85 |
$766.25 |
2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$188.73 |
$524.25 |
2.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$182.48 |
$506.88 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$348.93 |
$969.25 |
2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$152.64 |
$424 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$167.08 |
$464.12 |
1.9× |
| 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) |
$269.91 |
$749.75 |
2.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$143.86 |
$399.62 |
1.6× |
| 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) |
$165.69 |
$460.25 |
1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$158.44 |
$440.12 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$286.29 |
$795.25 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$262.89 |
$730.25 |
3.0× |
| 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) |
$320.94 |
$891.50 |
3.1× |
| 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) |
$223.74 |
$621.50 |
2.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$154.84 |
$430.12 |
1.8× |
| 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) |
$265.90 |
$738.62 |
2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$308.07 |
$855.75 |
2.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$298.53 |
$829.25 |
0.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$218.30 |
$606.38 |
2.5× |
| 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) |
$121.59 |
$337.75 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$151.34 |
$420.38 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$179.10 |
$497.50 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$247.28 |
$686.88 |
2.8× |
| 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) |
$327.96 |
$911 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$206.82 |
$574.50 |
2.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$198.81 |
$552.25 |
2.3× |
| 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) |
$170.96 |
$474.88 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$213.26 |
$592.38 |
2.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$124.34 |
$345.38 |
1.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$181.44 |
$504 |
2.1× |
| 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) |
$228.96 |
$636 |
2.2× |
| Xr finger(s) 2+ views (73140) |
$157.68 |
$438 |
1.8× |
| 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) |
$113.22 |
$314.50 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$277.83 |
$771.75 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$178.38 |
$495.50 |
2.0× |
| Xr tmj bilateral (70330) |
$170.64 |
$474 |
2.0× |
| Xray knee 1 or 2 views rt (73560) |
$185.67 |
$515.75 |
2.1× |