| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,366.10 |
$880.92 |
1.7× |
| Abdomen 2 views (74019) |
$326.79 |
$452.62 |
3.0× |
| Acute gi blood loss imaging (78278) |
$520.42 |
$720.81 |
1.3× |
| Ankle 2 views (73600) |
$217.86 |
$301.75 |
2.4× |
| Arthrogram hip (73525) |
$682.55 |
$945.36 |
1.9× |
| Arthrogram shoulder (73040) |
$1,128.49 |
$1,563 |
3.1× |
| Basic dosimetry (77300) |
$240.32 |
$127.54 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,217.86 |
$1,686.79 |
3.0× |
| Bone &/joint imaging whole body (78306) |
$964.80 |
$1,336.30 |
2.3× |
| Bone age studies (77072) |
$144.40 |
$200 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$1,013 |
$1,403.04 |
2.5× |
| Bone survey complete (77075) |
$298.58 |
$413.54 |
2.8× |
| Bone survey infant (77076) |
$465.65 |
$644.95 |
4.3× |
| Bowel imaging (78290) |
$520.42 |
$720.81 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$222.71 |
$308.46 |
2.5× |
| Chest 1 view (71045) |
$211.23 |
$292.56 |
2.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$319.94 |
$443.12 |
1.8× |
| Clavicle complete (73000) |
$157.40 |
$218 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$624.02 |
$864.29 |
5.8× |
| Continuing medical physics consltj pr wk (77336) |
$494.95 |
$685.52 |
3.6× |
| Corpora cavernosography (74445) |
$809.20 |
$1,120.78 |
7.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,851.98 |
$2,565.08 |
5.1× |
| CT abdomen and pelvis without contrast (74176) |
$1,295.04 |
$1,793.68 |
5.3× |
| CT abdomen w contrast (74160) |
$1,047.26 |
$1,450.50 |
5.8× |
| CT abdomen w wo contrast (74170) |
$1,583.94 |
$2,193.82 |
8.7× |
| CT abdomen w/o contrast (74150) |
$837.83 |
$1,160.43 |
7.8× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,198.57 |
$3,045.11 |
12.1× |
| CT angiography upper extremity lt (73206) |
$2,072.68 |
$2,870.74 |
11.4× |
| CT c-spine w/contrast (72126) |
$1,124.94 |
$1,558.10 |
3.1× |
| CT c-spine w/o contrast (72125) |
$976.26 |
$1,352.16 |
9.0× |
| CT chest w contrast (71260) |
$999.74 |
$1,384.68 |
5.5× |
| CT chest w/wo contrast (71270) |
$2,686.97 |
$3,721.57 |
14.8× |
| CT colonography screening (74263) |
$2,108.18 |
$2,919.92 |
8.6× |
| CT colonography w/o cntrst (74261) |
$1,855.02 |
$2,569.27 |
17.2× |
| CT head/brain with contrast (70460) |
$1,105.77 |
$1,531.54 |
6.1× |
| CT head/brain without and with contrast (70470) |
$1,417.64 |
$1,963.50 |
7.8× |
| CT iac w contrast (70481) |
$1,539.53 |
$2,132.31 |
8.5× |
| CT lower ext w/o (73700) |
$878.38 |
$1,216.60 |
8.1× |
| CT lower extremity w wo contrast (73702) |
$1,424.59 |
$1,973.12 |
7.9× |
| CT lower extremity w/contrast material (73701) |
$1,206.27 |
$1,670.73 |
6.7× |
| CT lumbar spine w/contrast (72132) |
$1,125.29 |
$1,558.57 |
3.1× |
| CT lumbar spine w/o contrast (72131) |
$975.24 |
$1,350.76 |
9.0× |
| CT maxillofacial w contrast (70487) |
$962.42 |
$1,332.98 |
5.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,340.24 |
$1,856.30 |
7.4× |
| CT maxillofacial wo contrast (70486) |
$1,390.59 |
$1,926.02 |
12.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,346.46 |
$1,864.90 |
7.4× |
| CT orbits w/o contrast (70480) |
$1,607.19 |
$2,226.02 |
14.9× |
| CT pelvis w/o contrast (72192) |
$987.93 |
$1,368.32 |
9.2× |
| CT pelvis w/wo contrast (72194) |
$2,606.58 |
$3,610.22 |
14.4× |
| CT scan of arm combo (73202) |
$2,416.98 |
$3,347.62 |
13.4× |
| CT soft tissue neck w contrast (70491) |
$981.28 |
$1,359.11 |
5.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,365.70 |
$1,891.55 |
7.5× |
| CT soft tissue neck w/o contrast (70490) |
$837 |
$1,159.28 |
7.8× |
| CT thoracic spine w/contrast (72129) |
$1,897.63 |
$2,628.29 |
10.5× |
| CT thoracic spine w/o contrast (72128) |
$975.92 |
$1,351.69 |
9.0× |
| CT thoracic spine w/wo contrast (72130) |
$2,441.26 |
$3,381.24 |
13.5× |
| CT thorax w/o contrast (71250) |
$1,442.25 |
$1,997.57 |
13.4× |
| CT upper ext wo (73200) |
$911.64 |
$1,262.66 |
8.4× |
| CT upper extremity with contrast (73201) |
$1,203.98 |
$1,667.56 |
3.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,478.38 |
$2,047.63 |
8.2× |
| Cta Abdomen (74175) |
$2,028.35 |
$2,809.35 |
11.2× |
| CTA abdomen pelvis (74174) |
$2,697.70 |
$3,736.42 |
7.5× |
| CTA chest (71275) |
$2,028.35 |
$2,809.35 |
11.2× |
| Cta Head (70496) |
$1,229.21 |
$1,702.51 |
6.8× |
| Cta Neck (70498) |
$1,174.03 |
$1,626.08 |
6.5× |
| Cta Pelvis (72191) |
$2,250.90 |
$3,117.59 |
12.4× |
| Cystography minimum 3 views rs&i (74430) |
$366.64 |
$507.80 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$269.91 |
$373.83 |
2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$114.54 |
$158.65 |
1.3× |
| Esophagus (74220) |
$373.46 |
$517.25 |
2.1× |
| Facial bones min 3 views (70150) |
$240.82 |
$333.54 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$378.06 |
$523.63 |
3.5× |
| Fluoroscopy up to 1 hr (76000) |
$251.79 |
$348.74 |
1.0× |
| Foot 2 views (73620) |
$203.58 |
$281.96 |
2.3× |
| Forearm 2 views (73090) |
$258.76 |
$358.39 |
2.9× |
| Hand 2 views (73120) |
$183.68 |
$254.40 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,381.19 |
$1,913 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$884.34 |
$1,224.84 |
2.1× |
| Hysterosalpingogram (74740) |
$472.28 |
$264.16 |
1.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$243.44 |
$337.18 |
2.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,672.48 |
$2,316.45 |
3.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,045.29 |
$1,447.78 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,625.58 |
$2,251.50 |
2.9× |
| Knee 3 views (73562) |
$251.99 |
$349.01 |
2.8× |
| Lung ventilation imaging (78579) |
$900.16 |
$1,246.76 |
2.2× |
| Lymphoscintigraphy (78195) |
$1,381.19 |
$1,913 |
2.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,244.45 |
$3,108.65 |
2.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,199.33 |
$3,046.16 |
6.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,570.32 |
$3,560 |
7.1× |
| Mammary ductogram or galactogram multiple (77054) |
$149.40 |
$206.93 |
0.6× |
| Mammary ductogram or galactogram single (77053) |
$113.76 |
$157.56 |
0.5× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$177.72 |
$246.14 |
2.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$819.48 |
$882.24 |
2.1× |
| MRA head w & w/o contrast (70546) |
$1,645.64 |
$2,279.27 |
4.6× |
| MRA head w/o contrast (70544) |
$1,204.64 |
$1,668.46 |
4.9× |
| MRA head with contrast (70545) |
$2,485.24 |
$3,442.16 |
6.9× |
| MRA neck w contrast (70548) |
$1,219.23 |
$1,688.68 |
3.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,660.56 |
$2,299.94 |
4.6× |
| MRA neck w/o contrast (70547) |
$818.06 |
$1,133.04 |
3.3× |
| MRI abdomen w contrast (74182) |
$2,026.42 |
$2,806.67 |
5.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,161.54 |
$4,378.86 |
8.8× |
| MRI abdomen w/o contrast (74181) |
$2,084.41 |
$2,887 |
8.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,874.74 |
$2,596.59 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,171.75 |
$4,393 |
8.8× |
| MRI breast w/o contrast bilateral (77047) |
$1,440.16 |
$1,994.68 |
5.8× |
| MRI c-spine with contrast (72142) |
$2,228.15 |
$3,086.08 |
6.2× |
| MRI cervical spine w/o contrast (72141) |
$1,060.40 |
$1,468.70 |
4.3× |
| MRI chest w/o & w/contrast material (71552) |
$3,366.49 |
$4,662.73 |
9.3× |
| MRI chest w/o contrast (71550) |
$1,700.54 |
$2,355.32 |
6.9× |
| MRI chest with contrast (71551) |
$2,454.90 |
$3,400.14 |
3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,874.74 |
$2,596.59 |
5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,171.75 |
$4,393 |
8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,027.85 |
$2,808.65 |
8.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,068.88 |
$2,865.49 |
8.4× |
| MRI orbit face neck w contrast (70542) |
$2,787.84 |
$3,861.27 |
7.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,820.15 |
$2,520.98 |
5.1× |
| MRI pelvis w/contrast (72196) |
$1,874.74 |
$2,596.59 |
5.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,690.40 |
$2,341.28 |
4.7× |
| MRI pelvis w/o contrast (72195) |
$1,511.74 |
$2,093.82 |
6.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,821.09 |
$2,522.28 |
5.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,184.84 |
$1,641.06 |
3.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,821.09 |
$2,522.28 |
5.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,228.15 |
$3,086.08 |
6.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,821.09 |
$2,522.28 |
5.1× |
| MRI temporomandibular joint (70336) |
$792.23 |
$1,097.28 |
3.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,060.40 |
$1,468.70 |
4.3× |
| MRI up ext w/o contrast (73218) |
$2,213.65 |
$3,066 |
9.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,027.85 |
$2,808.65 |
8.2× |
| MRI, joint upper extrem combo (73223) |
$3,171.75 |
$4,393 |
8.8× |
| Myelogram Lumbar (72265) |
$1,351.52 |
$1,871.91 |
1.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,487.38 |
$4,830.16 |
2.6× |
| Neck soft tissue (70360) |
$109.30 |
$151.38 |
1.2× |
| Nm gastric emptying study (78264) |
$998.06 |
$1,382.36 |
2.4× |
| Nonvascular shunt X-ray (75809) |
$229.03 |
$317.22 |
2.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,177.62 |
$1,642.18 |
2.2× |
| Ob us nuchal meas 1 gest (76813) |
$496.74 |
$688.01 |
4.6× |
| Parathyroid Planar Imaging (78070) |
$1,164.59 |
$1,613 |
2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$821.22 |
$1,137.43 |
2.0× |
| Pelvis 1 or 2 views (72170) |
$141.50 |
$195.98 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$3,668.94 |
$5,081.64 |
2.5× |
| PET imaging for CT attenuation whole body (78816) |
$3,668.94 |
$5,081.64 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,641.47 |
$2,273.50 |
4.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,734.24 |
$2,402 |
3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$722.72 |
$1,001 |
1.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$232.27 |
$321.71 |
2.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$200.98 |
$278.36 |
2.2× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$254.28 |
$352.19 |
2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$165.03 |
$228.58 |
1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$212.29 |
$294.03 |
2.0× |
| Radex fingr minimum 2 views (73140) |
$175.26 |
$242.74 |
2.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$256.76 |
$355.63 |
2.9× |
| Radex Hand Minimum 3 Views (73130) |
$249.49 |
$345.56 |
2.8× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$260.21 |
$360.40 |
2.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$303.54 |
$420.40 |
2.8× |
| Radex Humerus Minimum 2 Views (73060) |
$214.10 |
$296.54 |
2.4× |
| Radex Kne 1/2 Views (73560) |
$222.71 |
$308.46 |
2.5× |
| Radex Kne Compl 4/More Views (73564) |
$300.52 |
$416.23 |
2.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$221.16 |
$306.32 |
2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$159.32 |
$220.66 |
1.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$193.28 |
$267.70 |
1.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$257.03 |
$356 |
2.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$99.88 |
$138.34 |
1.1× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$163.42 |
$226.34 |
1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$317.77 |
$440.12 |
3.5× |
| Radex Toe Minimum 2 Views (73660) |
$174.72 |
$242 |
1.9× |
| Radex upper extremity infant minimum 2 views (73092) |
$208.56 |
$288.86 |
1.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$249.49 |
$345.56 |
2.8× |
| Radiation treatment delivery level 1 (77402) |
$373.34 |
$517.09 |
3.5× |
| Radiation treatment delivery level 2 (77407) |
$621.44 |
$860.72 |
1.6× |
| Radiation treatment delivery level 3 (77412) |
$695.84 |
$963.77 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$233.68 |
$323.65 |
2.6× |
| Radiologic exam chest 2 views (71046) |
$226.15 |
$313.23 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$795.64 |
$1,102 |
4.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$566.78 |
$785.01 |
3.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$770.37 |
$1,067 |
4.3× |
| Radiologic examination femur 1 view (73551) |
$160.77 |
$222.68 |
1.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$217.86 |
$301.75 |
2.4× |
| Radiological examination surgical specimen (76098) |
$266.54 |
$369.16 |
0.5× |
| Ribs bilateral 3 views (71110) |
$165.76 |
$229.59 |
1.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,139.29 |
$2,963 |
3.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,139.29 |
$2,963 |
1.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$350.88 |
$328.08 |
1.4× |
| Scapula (73010) |
$157.40 |
$218 |
1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$97.77 |
$135.42 |
4.2× |
| Shoulder 1 view (73020) |
$249.49 |
$345.56 |
2.8× |
| Simulation intermediate (77285) |
$1,243.14 |
$1,721.80 |
3.2× |
| Small bowel series (74250) |
$339.63 |
$470.40 |
1.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$787.52 |
$195.90 |
2.0× |
| Special dosimetry (77331) |
$521.77 |
$722.68 |
3.8× |
| Special Physics Consult (77370) |
$593.28 |
$821.72 |
4.3× |
| Special treatment procedure (77470) |
$1,034.36 |
$418.10 |
1.8× |
| Spine thoracic 3 views (72072) |
$161.98 |
$224.34 |
1.5× |
| Stereotactic Body Radiation Delivery (77373) |
$4,618.61 |
$6,396.97 |
2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$931.81 |
$595.60 |
2.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,243.14 |
$1,721.80 |
3.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$833.08 |
$322.12 |
2.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$403.34 |
$147.26 |
2.9× |
| Thoracolumbar 2 views (72080) |
$152.77 |
$211.60 |
1.7× |
| Thyroid imaging w/blood flow (78013) |
$576.41 |
$798.35 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$803.90 |
$1,113.44 |
1.9× |
| Treatment device complex (77334) |
$603.18 |
$236.66 |
1.6× |
| Treatment device intermediate (77333) |
$493.25 |
$683.17 |
3.6× |
| Treatment devices simple (77332) |
$263.84 |
$93.36 |
1.9× |
| Ultrasound breast complete (76641) |
$442.36 |
$612.69 |
4.1× |
| Ultrasound Exam Aaa Screen (76706) |
$358.59 |
$496.66 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$507.41 |
$649.39 |
4.7× |
| Umbilical-artery Doppler (OB) (76820) |
$129.66 |
$179.58 |
1.2× |
| Unlisted ultrasound procedure (76999) |
$180.40 |
$249.86 |
2.0× |
| Urethrocystogram voiding (74455) |
$769.77 |
$1,066.16 |
3.1× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$1,019.28 |
$1,411.74 |
5.6× |
| Us breast unilateral limited (76642) |
$370.16 |
$512.69 |
4.1× |
| Us chest (76604) |
$320.12 |
$160.76 |
3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$408.65 |
$372.31 |
3.8× |
| Us ob limited (76815) |
$244.38 |
$228.44 |
2.3× |
| Us ob transvaginal (76817) |
$297.95 |
$261.35 |
2.8× |
| Us pelvic non ob complete (76856) |
$376.06 |
$297.07 |
3.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$294.58 |
$273.57 |
2.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$384.14 |
$532.04 |
3.6× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$277.86 |
$384.86 |
2.6× |
| Us retroperitoneal complete (76770) |
$387.53 |
$536.75 |
3.6× |
| Us retroperitoneal limited (76775) |
$414.31 |
$535 |
3.8× |
| Us scrotum and contents (76870) |
$311.91 |
$282.02 |
2.9× |
| Us soft tissue head/neck (76536) |
$339.80 |
$390.90 |
3.1× |
| Us spinal canal and contents (76800) |
$526.32 |
$728.98 |
4.9× |
| Us transrectal (76872) |
$844.91 |
$1,170.24 |
7.8× |
| Us transrectal prostate volume (76873) |
$475.51 |
$658.60 |
4.4× |
| Us,transplanted kidney, real time/ doppler (76776) |
$445.47 |
$617 |
4.1× |
| Wrist 2 views (73100) |
$183.68 |
$254.40 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$214.08 |
$296.50 |
2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$148.60 |
$205.80 |
1.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$795.64 |
$1,102 |
4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$224.48 |
$310.92 |
2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$317.99 |
$440.43 |
3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$328.32 |
$454.74 |
3.0× |
| X-ray exam of femur 2/> (73552) |
$222.71 |
$308.46 |
2.5× |
| X-ray eye for foreign body (70030) |
$66.52 |
$92.13 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$160.68 |
$222.54 |
1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$190.98 |
$264.52 |
2.1× |
| X-ray leg, infant (73592) |
$208.56 |
$288.86 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$171.77 |
$237.90 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$193.48 |
$267.98 |
1.8× |
| X-ray nose-rectum child f.b. (76010) |
$168.27 |
$233.06 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$207.76 |
$287.75 |
1.9× |
| X-ray retrograde pyelogram (74420) |
$824.52 |
$1,142 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$189.16 |
$262 |
2.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$278.06 |
$385.13 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$268.24 |
$371.53 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$153.04 |
$211.96 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$149.86 |
$207.56 |
1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$159.32 |
$220.66 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$317.77 |
$440.12 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$157.62 |
$218.30 |
1.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$189.16 |
$262 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$241.93 |
$335.08 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$155.24 |
$215.02 |
1.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$151.07 |
$209.24 |
1.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$185.91 |
$257.50 |
1.7× |
| Xr bone length studies (77073) |
$186.84 |
$258.78 |
1.7× |
| Xr c-spine 4 or 5 views (72050) |
$195.07 |
$270.18 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$185.39 |
$256.78 |
1.7× |
| Xr chest 4+ views (71048) |
$378.82 |
$524.68 |
3.5× |
| Xr urogram antegrade (74425) |
$649.11 |
$899.04 |
1.8× |