| Ankle 2 views (73600) |
$148.30 |
$420 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$148.30 |
$420 |
1.8× |
| Chest 1 view (71045) |
$148.30 |
$420 |
1.8× |
| Chest 3 views (71047) |
$148.30 |
$420 |
1.8× |
| Clavicle complete (73000) |
$148.30 |
$420 |
1.8× |
| Diskography lumbar (72295) |
$3,327.75 |
$3,700 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$406.62 |
$1,140 |
1.8× |
| Foot 2 views (73620) |
$148.30 |
$420 |
1.8× |
| Forearm 2 views (73090) |
$148.30 |
$420 |
1.8× |
| Hand 2 views (73120) |
$178.16 |
$500 |
1.8× |
| Hand 3 views (73130) |
$148.30 |
$420 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$148.30 |
$420 |
1.8× |
| Knee 3 views (73562) |
$148.30 |
$420 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$178.16 |
$500 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$178.16 |
$500 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$148.30 |
$259 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$148.30 |
$420 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$148.30 |
$420 |
1.8× |
| Ribs bilateral 3 views (71110) |
$178.16 |
$500 |
1.8× |
| Scapula complete (73010) |
$178.16 |
$500 |
1.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$178.16 |
$500 |
1.8× |
| Us xtr non-vasc lmtd (76882) |
$178.16 |
$311 |
1.8× |
| Wrist 2 views (73100) |
$148.30 |
$420 |
1.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$148.30 |
$420 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$148.30 |
$420 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$148.30 |
$420 |
1.8× |
| X-ray exam hip uni 1 view (73501) |
$148.30 |
$420 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$148.30 |
$420 |
1.8× |
| X-ray exam hip uni 4/> views (73503) |
$178.16 |
$500 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$178.16 |
$500 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$178.16 |
$500 |
1.8× |
| X-ray exam of femur 1 (73551) |
$148.30 |
$420 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$148.30 |
$420 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$148.30 |
$420 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$178.16 |
$500 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$178.16 |
$500 |
1.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$178.16 |
$500 |
1.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$178.16 |
$500 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$148.30 |
$420 |
1.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$178.16 |
$500 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$178.16 |
$500 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$148.30 |
$420 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$148.30 |
$420 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$148.30 |
$420 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$178.16 |
$500 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$148.30 |
$420 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$148.30 |
$420 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$178.16 |
$500 |
1.8× |
| Xr chest 4+ views (71048) |
$178.16 |
$500 |
1.8× |
| Xr finger(s) 2+ views (73140) |
$148.30 |
$420 |
1.8× |
| Xr shoulder 1 view (73020) |
$148.30 |
$420 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$178.16 |
$500 |
1.8× |
| Xr tibia/fibula 2 views (73590) |
$148.30 |
$420 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$148.30 |
$420 |
1.8× |