| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,268.50 |
$8,537 |
3.2× |
| Abdomen 2 views (74019) |
$304 |
$608 |
3.0× |
| Acute gi blood loss imaging (78278) |
$542.50 |
$1,085 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$1,009 |
$2,018 |
0.3× |
| Angiography extremity unilateral rs&i (75710) |
$940.50 |
$1,881 |
0.3× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,244 |
$4,488 |
0.4× |
| Ankle 2 views (73600) |
$203.50 |
$407 |
2.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$996.50 |
$1,993 |
0.3× |
| Aortography abdominal serialography rs&i (75625) |
$924 |
$1,848 |
0.3× |
| Arthrogram hip (73525) |
$192 |
$384 |
0.6× |
| Arthrogram shoulder (73040) |
$314 |
$628 |
0.9× |
| Basic dosimetry (77300) |
$218 |
$436 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$531 |
$1,062 |
1.4× |
| Bone &/joint imaging whole body (78306) |
$606.50 |
$1,213 |
1.6× |
| Bone age studies (77072) |
$275 |
$550 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$637 |
$1,274 |
1.6× |
| Bone survey complete (77075) |
$303.50 |
$607 |
3.0× |
| Bone survey infant (77076) |
$275 |
$550 |
2.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$530.50 |
$1,061 |
1.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$326.25 |
$652.50 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$203.50 |
$407 |
2.4× |
| Chest 1 view (71045) |
$158.50 |
$317 |
1.9× |
| Chest xray 3 views (71047) |
$192.50 |
$385 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$451.50 |
$903 |
2.6× |
| Clavicle complete (73000) |
$203.50 |
$407 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$515.50 |
$1,031 |
5.0× |
| Continuing medical physics consltj pr wk (77336) |
$448.50 |
$897 |
3.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,681 |
$3,362 |
4.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,102.50 |
$2,205 |
4.7× |
| CT abdomen w contrast (74160) |
$1,056 |
$2,112 |
6.2× |
| CT abdomen w wo contrast (74170) |
$1,163 |
$2,326 |
6.8× |
| CT abdomen w/o contrast (74150) |
$697 |
$1,394 |
6.8× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,109 |
$2,218 |
6.5× |
| CT angiography upper extremity lt (73206) |
$625.50 |
$1,251 |
3.6× |
| CT c-spine w/contrast (72126) |
$818 |
$1,636 |
2.4× |
| CT c-spine w/o contrast (72125) |
$807 |
$1,614 |
7.9× |
| CT chest w contrast (71260) |
$576 |
$1,152 |
3.4× |
| CT chest w/wo contrast (71270) |
$682 |
$1,364 |
4.0× |
| CT head/brain with contrast (70460) |
$457.50 |
$915 |
2.7× |
| CT head/brain without and with contrast (70470) |
$501.50 |
$1,003 |
2.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$675 |
$1,350 |
2.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$450 |
$900 |
5.3× |
| CT iac w contrast (70481) |
$445.50 |
$891 |
2.6× |
| CT limited/localized follow up study (76380) |
$614 |
$1,228 |
7.2× |
| CT lower ext w/o (73700) |
$471 |
$942 |
4.6× |
| CT lower extremity w/contrast material (73701) |
$589 |
$1,178 |
3.4× |
| CT lumbar spine w/contrast (72132) |
$2,009 |
$4,018 |
5.9× |
| CT lumbar spine w/o contrast (72131) |
$1,913 |
$3,826 |
18.7× |
| CT maxillofacial w contrast (70487) |
$401 |
$802 |
2.3× |
| CT maxillofacial wo contrast (70486) |
$382.50 |
$765 |
3.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$483.50 |
$967 |
2.8× |
| CT orbits w/o contrast (70480) |
$313 |
$626 |
3.1× |
| CT pelvis w/o contrast (72192) |
$547.50 |
$1,095 |
5.4× |
| CT pelvis w/wo contrast (72194) |
$813 |
$1,626 |
4.7× |
| CT scan of arm combo (73202) |
$736.50 |
$1,473 |
4.3× |
| CT soft tissue neck w contrast (70491) |
$237.50 |
$475 |
1.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$296.50 |
$593 |
1.7× |
| CT soft tissue neck w/o contrast (70490) |
$190.50 |
$381 |
1.9× |
| CT thoracic spine w/contrast (72129) |
$1,825.50 |
$3,651 |
10.6× |
| CT thoracic spine w/o contrast (72128) |
$1,739 |
$3,478 |
17.0× |
| CT thorax w/o contrast (71250) |
$489.50 |
$979 |
4.8× |
| CT upper ext wo (73200) |
$411.50 |
$823 |
4.0× |
| CT upper extremity with contrast (73201) |
$482 |
$964 |
1.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,216 |
$2,432 |
7.1× |
| Cta Abdomen (74175) |
$1,113.50 |
$2,227 |
6.5× |
| CTA abdomen pelvis (74174) |
$1,416.50 |
$2,833 |
4.2× |
| CTA chest (71275) |
$756 |
$1,512 |
4.4× |
| Cta Head (70496) |
$533.50 |
$1,067 |
3.1× |
| Cta Neck (70498) |
$333.50 |
$667 |
1.9× |
| Cystography minimum 3 views rs&i (74430) |
$931.50 |
$1,863 |
2.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$275 |
$550 |
2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$80.50 |
$161 |
0.9× |
| Esophagus (74220) |
$451.50 |
$903 |
2.6× |
| Facial bones min 3 views (70150) |
$303.50 |
$607 |
3.0× |
| Fetal biophysical profile non-stress testing (76818) |
$172.50 |
$345 |
1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$172.50 |
$345 |
1.7× |
| Fluoroscopy up to 1 hr (76000) |
$520.50 |
$1,041 |
2.2× |
| Foot 2 views (73620) |
$203.50 |
$407 |
2.4× |
| Forearm 2 views (73090) |
$203.50 |
$407 |
2.4× |
| Hand 2 views (73120) |
$220 |
$440 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,152 |
$2,304 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$819 |
$1,638 |
2.1× |
| Hysterosalpingogram (74740) |
$582 |
$1,164 |
2.5× |
| Interstitial radiation source applic complex (77778) |
$326 |
$652 |
0.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$275 |
$550 |
2.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$522.50 |
$1,045 |
1.0× |
| Knee 3 views (73562) |
$226 |
$452 |
2.7× |
| Lymphoscintigraphy (78195) |
$453.50 |
$907 |
0.9× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,097.50 |
$2,195 |
1.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,168.50 |
$2,337 |
3.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$996.50 |
$1,993 |
2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$38.50 |
$77 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$144 |
$288 |
1.5× |
| MRA head w & w/o contrast (70546) |
$1,471 |
$2,942 |
4.3× |
| MRA head w/o contrast (70544) |
$692 |
$1,384 |
3.0× |
| MRA head with contrast (70545) |
$797.50 |
$1,595 |
2.3× |
| MRA neck w contrast (70548) |
$713 |
$1,426 |
2.1× |
| MRA neck w/o contrast (70547) |
$641.50 |
$1,283 |
2.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,758 |
$3,516 |
5.2× |
| MRI abdomen w/o contrast (74181) |
$824.50 |
$1,649 |
3.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$803.50 |
$1,607 |
1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,504 |
$3,008 |
4.4× |
| MRI c-spine with contrast (72142) |
$2,119.50 |
$4,239 |
6.2× |
| MRI cervical spine w/o contrast (72141) |
$1,545.50 |
$3,091 |
6.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,249 |
$2,498 |
3.7× |
| MRI chest w/o contrast (71550) |
$637 |
$1,274 |
2.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,078 |
$2,156 |
3.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,132 |
$2,264 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$694 |
$1,388 |
3.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$679 |
$1,358 |
2.9× |
| MRI orbit face neck w contrast (70542) |
$841 |
$1,682 |
2.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,610 |
$3,220 |
4.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,317.50 |
$2,635 |
3.9× |
| MRI pelvis w/o contrast (72195) |
$624 |
$1,248 |
2.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,744 |
$5,488 |
8.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$967 |
$1,934 |
2.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,792 |
$3,584 |
5.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,481.50 |
$2,963 |
4.3× |
| MRI temporomandibular joint (70336) |
$924.50 |
$1,849 |
4.0× |
| MRI thoracic spine w/o contrast (72146) |
$766.50 |
$1,533 |
3.3× |
| MRI up ext w/o contrast (73218) |
$884 |
$1,768 |
3.8× |
| MRI upper ext joint w/o contrast (73221) |
$1,044.50 |
$2,089 |
4.5× |
| MRI, joint upper extrem combo (73223) |
$1,653.50 |
$3,307 |
4.8× |
| Myocardial Spect Multiple Studies (78452) |
$800.50 |
$1,601 |
0.6× |
| Myocardial spect single study at rest or stress (78451) |
$621 |
$1,242 |
0.5× |
| Neck soft tissue (70360) |
$204 |
$408 |
2.4× |
| Nm cisternogram (78630) |
$714 |
$1,428 |
1.3× |
| Nm gastric emptying study (78264) |
$461 |
$922 |
1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,016 |
$8,032 |
3.0× |
| Nuclear Rx Oral Admin (79005) |
$430 |
$860 |
1.9× |
| Orthopantogram (70355) |
$203.50 |
$407 |
2.4× |
| Osseous survey limited (77074) |
$233.50 |
$467 |
2.3× |
| Parathyrd planar w/spect&CT (78072) |
$1,091 |
$2,182 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$275 |
$550 |
2.7× |
| PET image w/CT, skull-thigh (78815) |
$4,261.50 |
$8,523 |
3.0× |
| PET imaging CT for attenuation limited area (78814) |
$4,261.50 |
$8,523 |
3.0× |
| PET imaging for CT attenuation whole body (78816) |
$4,261.50 |
$8,523 |
3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$317 |
$634 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$825 |
$1,650 |
1.6× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$226 |
$452 |
2.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$203.50 |
$407 |
2.4× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$226 |
$452 |
2.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$303.50 |
$607 |
3.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$332.50 |
$665 |
3.3× |
| Radex fingr minimum 2 views (73140) |
$203.50 |
$407 |
2.4× |
| Radex Foot Compl Minimum 3 Views (73630) |
$226 |
$452 |
2.7× |
| Radex Hand Minimum 3 Views (73130) |
$226 |
$452 |
2.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$203.50 |
$407 |
2.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$275 |
$550 |
2.7× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$332.50 |
$665 |
3.3× |
| Radex Humerus Minimum 2 Views (73060) |
$203.50 |
$407 |
2.4× |
| Radex Kne 1/2 Views (73560) |
$203.50 |
$407 |
2.4× |
| Radex Kne Compl 4/More Views (73564) |
$332.50 |
$665 |
3.3× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$303.50 |
$607 |
3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$203.50 |
$407 |
2.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$303.50 |
$607 |
3.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$226 |
$452 |
2.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$203.50 |
$407 |
2.4× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$275 |
$550 |
2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$226 |
$452 |
2.7× |
| Radex Toe Minimum 2 Views (73660) |
$203.50 |
$407 |
2.4× |
| Radex upper extremity infant minimum 2 views (73092) |
$275 |
$550 |
2.7× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$226 |
$452 |
2.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$16,863 |
$33,726 |
2.3× |
| Radiation treatment delivery level 1 (77402) |
$254 |
$508 |
2.5× |
| Radiation treatment delivery level 3 (77412) |
$381.50 |
$763 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$204 |
$408 |
2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$333.50 |
$667 |
3.3× |
| Radiologic exam chest 2 views (71046) |
$176 |
$352 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$451.50 |
$903 |
2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$499.50 |
$999 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$451.50 |
$903 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$451.50 |
$903 |
2.6× |
| Radiologic examination femur 1 view (73551) |
$203.50 |
$407 |
2.4× |
| Radiologic examination tibia & fibula 2 views (73590) |
$203.50 |
$407 |
2.4× |
| Radiological examination surgical specimen (76098) |
$950 |
$1,900 |
1.8× |
| Ribs bilateral 3 views (71110) |
$275 |
$550 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$569.50 |
$1,139 |
1.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$752 |
$1,504 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,009.50 |
$2,019 |
0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,335 |
$2,670 |
1.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$995 |
$1,990 |
0.8× |
| Scapula (73010) |
$275 |
$550 |
2.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$130.50 |
$261 |
5.6× |
| Shoulder 1 view (73020) |
$203.50 |
$407 |
2.4× |
| Small bowel series (74250) |
$451.50 |
$903 |
2.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$287.50 |
$575 |
0.8× |
| Special dosimetry (77331) |
$151.50 |
$303 |
1.2× |
| Special Physics Consult (77370) |
$634 |
$1,268 |
4.8× |
| Special treatment procedure (77470) |
$1,825 |
$3,650 |
3.4× |
| Spine thoracic 3 views (72072) |
$303.50 |
$607 |
3.0× |
| Stereotactic Body Radiation Delivery (77373) |
$10,841 |
$21,682 |
6.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$429.50 |
$859 |
1.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,009 |
$2,018 |
2.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$529.50 |
$1,059 |
4.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$848 |
$1,696 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$767.50 |
$1,535 |
2.0× |
| Treatment device complex (77334) |
$520 |
$1,040 |
1.4× |
| Treatment device intermediate (77333) |
$387 |
$774 |
2.9× |
| Treatment devices simple (77332) |
$254.50 |
$509 |
1.9× |
| Ultrasound breast complete (76641) |
$598 |
$1,196 |
5.9× |
| Ultrasound Exam Aaa Screen (76706) |
$297 |
$594 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$859.50 |
$1,719 |
8.4× |
| Umbilical-artery Doppler (OB) (76820) |
$192.50 |
$385 |
1.9× |
| Urethrocystography retrograde rs&i (74450) |
$582 |
$1,164 |
2.5× |
| Us breast unilateral limited (76642) |
$183.50 |
$367 |
2.2× |
| Us chest (76604) |
$328 |
$656 |
3.2× |
| Us elastography parenchyma (76981) |
$159.50 |
$319 |
1.6× |
| Us encephalogram (76506) |
$868 |
$1,736 |
8.5× |
| Us infant hips w manipulation (76885) |
$808.50 |
$1,617 |
9.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$478.50 |
$957 |
4.7× |
| Us ob limited (76815) |
$350 |
$700 |
3.4× |
| Us ob transvaginal (76817) |
$983.50 |
$1,967 |
9.6× |
| Us pelvic non ob complete (76856) |
$734 |
$1,468 |
7.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$345.50 |
$691 |
3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$172.50 |
$345 |
1.7× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$172.50 |
$345 |
1.7× |
| Us retroperitoneal complete (76770) |
$262.50 |
$525 |
2.6× |
| Us retroperitoneal limited (76775) |
$231.50 |
$463 |
2.3× |
| Us scrotum and contents (76870) |
$788.50 |
$1,577 |
7.7× |
| Us soft tissue head/neck (76536) |
$461.50 |
$923 |
4.5× |
| Us spinal canal and contents (76800) |
$201 |
$402 |
2.0× |
| Us, eye b-scan (76512) |
$262 |
$524 |
2.6× |
| Venogram extremity bilateral (75822) |
$3,513 |
$7,026 |
2.3× |
| Venogram Extremity Unilateral (75820) |
$3,178.50 |
$6,357 |
2.1× |
| Venography caval inferior serialography rs&i (75825) |
$6,190 |
$12,380 |
2.0× |
| Wrist 2 views (73100) |
$203.50 |
$407 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$362.50 |
$725 |
3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$203.50 |
$407 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$519 |
$1,038 |
3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$203.50 |
$407 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$226 |
$452 |
2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$303.50 |
$607 |
3.0× |
| X-ray exam of femur 2/> (73552) |
$226 |
$452 |
2.7× |
| X-ray eye for foreign body (70030) |
$204 |
$408 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$203.50 |
$407 |
2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$203.50 |
$407 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$203.50 |
$407 |
2.4× |
| X-ray leg, infant (73592) |
$203.50 |
$407 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$275 |
$550 |
2.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$332.50 |
$665 |
3.3× |
| X-ray nose-rectum child f.b. (76010) |
$204 |
$408 |
2.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$303.50 |
$607 |
3.0× |
| X-ray retrograde pyelogram (74420) |
$931.50 |
$1,863 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$203.50 |
$407 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$303.50 |
$607 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$303.50 |
$607 |
3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$303.50 |
$607 |
3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$203.50 |
$407 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$226 |
$452 |
2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$303.50 |
$607 |
3.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$275 |
$550 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$203.50 |
$407 |
2.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$203.50 |
$407 |
2.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$203.50 |
$407 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$275 |
$550 |
2.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$332.50 |
$665 |
3.3× |
| Xr bone length studies (77073) |
$275 |
$550 |
2.7× |
| Xr c-spine 4 or 5 views (72050) |
$303.50 |
$607 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$332.50 |
$665 |
3.3× |