| Abdomen 1 View (74018) |
$158.40 |
$225 |
1.8× |
| Abdomen 2 views (74019) |
$286.53 |
$407 |
2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,134.11 |
$1,786 |
2.8× |
| Ankle 2 views (73600) |
$186.56 |
$265 |
2.1× |
| Arthrogram ankle (73615) |
$457.15 |
$637 |
1.3× |
| Arthrogram hip (73525) |
$693.98 |
$967 |
1.9× |
| Arthrogram Wrist (73115) |
$490.88 |
$684 |
1.4× |
| Bone age studies (77072) |
$168.96 |
$240 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,760.86 |
$2,773 |
4.3× |
| Bone Imaging Limited Area (78300) |
$712.47 |
$1,122 |
1.7× |
| Bone Imaging Multiple Areas (78305) |
$845.82 |
$1,332 |
2.1× |
| Bone Imaging Whole Body (78306) |
$1,531.62 |
$2,412 |
3.8× |
| Bone survey infant (77076) |
$349.89 |
$497 |
3.3× |
| Cat Scan Follow-Up Study (76380) |
$493.52 |
$993 |
5.6× |
| Chest 1 view (71045) |
$134.20 |
$220 |
1.5× |
| Chest 2 views (71046) |
$281.82 |
$462 |
3.2× |
| Chest 3 views (71047) |
$290.36 |
$476 |
3.3× |
| Chest 4 or more views (71048) |
$328.18 |
$538 |
3.1× |
| Clavicle complete (73000) |
$249.22 |
$354 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$329.40 |
$549 |
3.1× |
| Contrast X-Ray Bladder (74430) |
$379.46 |
$539 |
1.1× |
| Contrast X-Ray Of Elbow (73085) |
$431.31 |
$601 |
1.2× |
| Contrast X-Ray Of Knee Joint (73580) |
$400.45 |
$558 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,911.60 |
$3,186 |
5.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,274.40 |
$2,124 |
5.2× |
| CT abdomen w contrast (74160) |
$1,022.40 |
$1,704 |
5.7× |
| CT abdomen w wo contrast (74170) |
$1,227 |
$2,045 |
6.8× |
| CT abdomen w/o contrast (74150) |
$817.80 |
$1,363 |
7.7× |
| CT Angio Abdomen and Pelvis (74174) |
$2,007.60 |
$3,346 |
5.6× |
| CT Angio Chest (71275) |
$1,435.80 |
$2,393 |
8.0× |
| CT Angio Head (70496) |
$1,419.56 |
$2,362 |
7.9× |
| CT angio hrt w/3d image (75574) |
$1,611.27 |
$3,242 |
4.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,549.20 |
$2,582 |
8.6× |
| CT Angio Neck (70498) |
$1,559.60 |
$2,595 |
8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,139.60 |
$3,566 |
11.9× |
| CT bone density (77078) |
$390 |
$650 |
4.4× |
| CT cervical spine w/ contrast (72126) |
$2,221.80 |
$3,703 |
6.2× |
| CT cervical spine w/o contrast (72125) |
$1,777.20 |
$2,962 |
16.6× |
| CT cervical spine w/wo cont (72127) |
$2,665.80 |
$4,443 |
14.9× |
| CT chest w contrast (71260) |
$1,139.40 |
$1,899 |
6.4× |
| CT chest w/wo contrast (71270) |
$1,367.40 |
$2,279 |
7.6× |
| CT colonography screening (74263) |
$873.23 |
$1,757 |
3.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$1,081.97 |
$2,177 |
6.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$865.28 |
$1,741 |
8.1× |
| CT head/brain with contrast (70460) |
$1,126.27 |
$1,874 |
6.3× |
| CT head/brain without and with contrast (70470) |
$1,351.65 |
$2,249 |
7.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$82.50 |
$166 |
0.9× |
| CT iac w contrast (70481) |
$1,837.26 |
$3,057 |
10.3× |
| CT l-spine w&w/o contrast (72133) |
$2,813.40 |
$4,689 |
15.7× |
| CT lower ext w/o (73700) |
$983.40 |
$1,639 |
9.2× |
| CT lower extremity w/contrast material (73701) |
$1,229.40 |
$2,049 |
6.9× |
| CT lumbar spine w contrast (72132) |
$2,344.80 |
$3,908 |
6.6× |
| CT lumbar spine w/o contrast (72131) |
$1,875.60 |
$3,126 |
17.6× |
| CT maxillofacial w contrast (70487) |
$1,845.07 |
$3,070 |
10.3× |
| CT maxillofacial wo contrast (70486) |
$1,476.06 |
$2,456 |
13.8× |
| CT neck tissue combo (70492) |
$1,485.07 |
$2,471 |
8.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,204.47 |
$3,668 |
12.3× |
| CT orbits w/o contrast (70480) |
$1,469.44 |
$2,445 |
13.8× |
| CT pelvis w&w/o contrast (72194) |
$2,685 |
$4,475 |
15.0× |
| CT pelvis w/o contrast (72192) |
$1,789.80 |
$2,983 |
16.8× |
| CT scan of leg combo (73702) |
$1,475.40 |
$2,459 |
8.2× |
| CT scans face/jaw combo (70488) |
$2,214.08 |
$3,684 |
12.4× |
| CT soft tissue neck w contrast (70491) |
$1,237.46 |
$2,059 |
6.9× |
| CT soft tissue neck w/o contrast (70490) |
$989.85 |
$1,647 |
9.3× |
| CT thoracic spine w contrast (72129) |
$2,362.80 |
$3,938 |
13.2× |
| CT thoracic spine w/o contrast (72128) |
$1,890 |
$3,150 |
17.7× |
| CT thoracic spine w/wo cont (72130) |
$2,835 |
$4,725 |
15.8× |
| CT thorax w/o contrast (71250) |
$911.40 |
$1,519 |
8.5× |
| CT upper ext wo (73200) |
$1,358.40 |
$2,264 |
12.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,037.60 |
$3,396 |
11.4× |
| CT upper extremity with contrast (73201) |
$1,698 |
$2,830 |
4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,484.54 |
$2,987 |
8.3× |
| Cta Abdomen (74175) |
$1,288.80 |
$2,148 |
7.2× |
| CTA pelvis (72191) |
$2,819.40 |
$4,699 |
15.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$426.87 |
$510 |
4.0× |
| Dxa Bone Density Axial (77080) |
$319.62 |
$454 |
3.0× |
| Dxa bone density study (77085) |
$356.93 |
$507 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$332.99 |
$473 |
3.7× |
| Echo exam of fetal heart (76825) |
$903.96 |
$1,080 |
1.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$415.99 |
$497 |
1.7× |
| Esophagram (74220) |
$307.65 |
$437 |
1.7× |
| Fetal Biophys Profile W/Nst (76818) |
$709.78 |
$848 |
6.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$653.70 |
$781 |
6.1× |
| Fluoroscopy up to 1 hr (76000) |
$528 |
$750 |
2.2× |
| Foot 2 views (73620) |
$218.24 |
$310 |
2.5× |
| Forearm 2 views (73090) |
$226.69 |
$322 |
2.5× |
| Gastric emptying imaging study (78264) |
$1,363.98 |
$2,148 |
3.3× |
| Gastric Mucosa Imaging (78261) |
$513.08 |
$808 |
1.3× |
| Gated Heart Planar Single (78472) |
$1,206.50 |
$1,900 |
3.0× |
| Hand 2 views (73120) |
$161.22 |
$229 |
1.5× |
| Hepatobil Syst Image W/Drug (78227) |
$1,645.29 |
$2,591 |
3.0× |
| Hepatobiliary System Imaging (78226) |
$1,201.42 |
$1,892 |
2.9× |
| Ht Muscle Image Spect Sing (78451) |
$2,619.38 |
$4,125 |
2.0× |
| K Flow/Funct Image Multiple (78709) |
$1,054.10 |
$1,660 |
1.9× |
| K Flow/Funct Image W/Drug (78708) |
$506.10 |
$797 |
0.9× |
| K Flow/Funct Image W/O Drug (78707) |
$664.84 |
$1,047 |
1.2× |
| Kidney Imaging Morphol (78700) |
$485.78 |
$765 |
1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$513.08 |
$808 |
1.3× |
| Knee 3 Views (73562) |
$270.34 |
$384 |
3.0× |
| Liver & Spleen Imaging Static Only (78215) |
$916.94 |
$1,444 |
2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$434.98 |
$685 |
1.1× |
| Lung Perf&Ventilat Diferentl (78598) |
$986.79 |
$1,554 |
1.8× |
| Lung perfusion differential (78597) |
$603.25 |
$950 |
1.5× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,156.97 |
$1,822 |
2.1× |
| Lung Ventilation Imaging (78579) |
$518.16 |
$816 |
1.3× |
Magnetic Image Jaw Joint (70336)
range across 3 matching MRF lines |
$2,400.18–$3,600.65 |
$3,097–$4,646 |
varies |
| Mammary ductogram or galactogram single (77053) |
$290.05 |
$412 |
1.2× |
| Meckels Divert Exam (78290) |
$1,077.60 |
$1,697 |
2.6× |
| Mr safety determination physician/other qhp (76016) |
$93.63 |
$133 |
1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$26.75 |
$38 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$144.32 |
$205 |
1.5× |
| Mr safety implt pos&/immoblj (76019) |
$220.35 |
$313 |
3.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$342.85 |
$487 |
1.4× |
| Mra Head W/O & W/Contrast Material (70546) |
$2,431.94 |
$3,179 |
6.8× |
| MRA head w/o contrast (70544) |
$1,621.04 |
$2,119 |
6.6× |
| MRA head with contrast (70545) |
$2,026.49 |
$2,649 |
5.7× |
| MRA neck w contrast (70548) |
$3,513.64 |
$4,593 |
9.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,215.92 |
$5,511 |
11.8× |
| MRA neck w/o contrast (70547) |
$2,810.61 |
$3,674 |
11.5× |
| MRI abdomen w contrast (74182) |
$3,084.50 |
$3,980 |
8.7× |
| MRI abdomen w/o contrast (74181) |
$2,467.60 |
$3,184 |
10.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,315.70 |
$2,988 |
2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,778.38 |
$3,585 |
7.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,839.85 |
$2,374 |
2.3× |
| MRI bone marrow blood supply (77084) |
$1,818.92 |
$2,347 |
7.5× |
| MRI Breast W/O Contrast Bilateral (77047) |
$1,393.45 |
$1,798 |
5.7× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$885.05 |
$1,142 |
3.6× |
| MRI cervical spine w contrast (72142) |
$1,534.19 |
$2,170 |
4.3× |
| MRI cervical spine w/o cont (72141) |
$1,227.35 |
$1,736 |
5.0× |
| MRI chest w/o contrast (71550) |
$2,236.65 |
$2,886 |
9.2× |
| MRI chest with contrast (71551) |
$2,796.20 |
$3,608 |
3.5× |
| MRI chest wo w contrast (71552) |
$3,354.98 |
$4,329 |
9.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,722.05 |
$2,222 |
4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,066.15 |
$2,666 |
5.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,377.17 |
$1,777 |
5.6× |
| MRI lumbar spine w contrast (72149) |
$1,534.19 |
$2,170 |
4.3× |
| Mri Neck Spine W/O & W/Dye (72156) |
$1,841.03 |
$2,604 |
5.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,044.51 |
$2,976 |
8.4× |
| MRI orbit face neck w contrast (70542) |
$2,555.64 |
$3,720 |
7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,066.77 |
$4,464 |
8.6× |
| MRI pelvis w contrast (72196) |
$2,002.60 |
$2,584 |
5.6× |
| MRI pelvis w/o & w contrast (72197) |
$2,403.28 |
$3,101 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$1,601.92 |
$2,067 |
6.6× |
| MRI thoracic spine w/o contrast (72146) |
$1,227.35 |
$1,736 |
5.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$2,247.50 |
$2,900 |
6.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,798 |
$2,320 |
7.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,697 |
$3,480 |
7.6× |
| MRI, abdomen, combo (74183) |
$3,701.40 |
$4,776 |
10.4× |
| MRI, dorsal spine combo (72157) |
$1,841.03 |
$2,604 |
5.2× |
| MRI, dorsal spine contrast (72147) |
$1,534.19 |
$2,170 |
4.3× |
| MRI, joint upper extrem (73221) |
$1,471.73 |
$1,899 |
6.0× |
| MRI, joint upper extrem combo (73223) |
$2,207.98 |
$2,849 |
6.2× |
| MRI, lumbar spine combo (72158) |
$1,841.03 |
$2,604 |
5.2× |
| Myelogram cervical (72240) |
$1,526.98 |
$2,169 |
1.9× |
| Myelogram Lumbar (72265) |
$1,548.10 |
$2,199 |
1.9× |
| Myelography thoracic (72255) |
$1,217.22 |
$1,729 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$3,383.92 |
$5,329 |
2.6× |
| N-invas est c ffr sw aly CTA (75580) |
$4,604.51 |
$6,416 |
5.2× |
| Neck soft tissue (70360) |
$218.94 |
$311 |
2.5× |
| Optic foramina (70190) |
$197.12 |
$280 |
2.2× |
| Parathyroid Planar Imaging (78070) |
$730.88 |
$1,151 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$173.89 |
$247 |
1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$730.88 |
$1,151 |
1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$347.07 |
$493 |
3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$503.36 |
$715 |
0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$331.58 |
$471 |
3.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$164.74 |
$234 |
1.9× |
| Radex elbow complete minimum 3 views (73080) |
$338.62 |
$481 |
3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$322.43 |
$458 |
3.0× |
| Radex fingr minimum 2 views (73140) |
$184.45 |
$262 |
2.1× |
| Radex foot complete minimum 3 views (73630) |
$312.58 |
$444 |
3.5× |
| Radex Hand Minimum 3 Views (73130) |
$250.62 |
$356 |
2.8× |
| Radex lower extremity infant minimum 2 views (73592) |
$130.94 |
$186 |
1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$230.91 |
$328 |
2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$242.18 |
$344 |
2.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$276.67 |
$393 |
3.1× |
| Radex shoulder complete minimum 2 views (73030) |
$312.58 |
$444 |
3.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$195.01 |
$277 |
2.2× |
| Radex Spine 1 View Specify Level (72020) |
$232.32 |
$330 |
2.6× |
| Radex Sternum Minimum 2 Views (71120) |
$163.33 |
$232 |
1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$274.56 |
$390 |
3.1× |
| Radex Toe Minimum 2 Views (73660) |
$180.93 |
$257 |
2.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$247.81 |
$352 |
2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$311.17 |
$442 |
3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$413.25 |
$587 |
3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$349.89 |
$497 |
3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$299.90 |
$426 |
2.8× |
| Radiologic exam colon double contrast study (74280) |
$713.15 |
$1,013 |
4.0× |
| Radiologic exam colon single contrast study (74270) |
$642.75 |
$913 |
3.6× |
| Radiologic exam knee complete 4/more views (73564) |
$411.84 |
$585 |
3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$260.48 |
$370 |
2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$424.51 |
$603 |
2.4× |
| Radiologic exam swallow function contrast study (74230) |
$432.96 |
$615 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$622.34 |
$884 |
3.5× |
| Radiologic examination femur 1 view (73551) |
$130.94 |
$186 |
1.5× |
| Radiologic examination femur minimum 2 views (73552) |
$194.30 |
$276 |
2.2× |
| Radiologic examination knee 1/2 views (73560) |
$221.76 |
$315 |
2.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$187.26 |
$266 |
2.1× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) |
$345.66 |
$491 |
0.6× |
| Ribs bilateral 3 views (71110) |
$321.73 |
$457 |
3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$521.34 |
$821 |
1.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$873.12 |
$1,375 |
1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,042.04 |
$1,641 |
1.9× |
| Scapula (73010) |
$188.67 |
$268 |
1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$40.82 |
$49 |
1.7× |
| Shoulder 1 view (73020) |
$226.69 |
$322 |
2.5× |
| Shoulder Arthrography (73040) |
$658.81 |
$918 |
1.8× |
| Skull less than 4 views (70250) |
$289.34 |
$411 |
2.7× |
| Sternoclavicular joints (71130) |
$259.07 |
$368 |
2.9× |
| Testicular Imaging W/Flow (78761) |
$584.20 |
$920 |
1.4× |
| Thoracic spine 2 views (72070) |
$347.07 |
$493 |
3.2× |
| Thoracic spine 3 views (72072) |
$359.74 |
$511 |
3.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$617.22 |
$972 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$840.10 |
$1,323 |
2.1× |
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines |
$486.30–$729.86 |
$581–$872 |
varies |
| Ultrasound elastography first target lesion (76982) |
$217.62 |
$260 |
2.0× |
| Ultrasound Elastography Parenchyma (76981) |
$252.77 |
$302 |
2.4× |
| Ultrasound Exam Aaa Screen (76706) |
$321.41 |
$384 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$745.77 |
$891 |
7.0× |
| Upper gi w/o kub (74240) |
$468.86 |
$666 |
2.6× |
| Ureteral Reflux Study (78740) |
$535.31 |
$843 |
1.3× |
| Urethrocystogram voiding (74455) |
$566.72 |
$805 |
2.3× |
| Urethrocystography retrograde (74450) |
$500.54 |
$711 |
2.1× |
Us breast unilateral complete (76641)
range across 3 matching MRF lines |
$592.60–$888.89 |
$708–$1,062 |
varies |
| Us chest (76604) |
$497.18 |
$594 |
4.7× |
| Us complete joint (76881) |
$760.83 |
$909 |
7.1× |
| Us exam, pelvic, limited (76857) |
$641.14 |
$766 |
6.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$490.48 |
$586 |
4.6× |
| Us ob detailed single fetus (76811) |
$522.29 |
$624 |
2.1× |
| Us ob limited 1 or more fetuses (76815) |
$446.96 |
$534 |
4.2× |
| Us ob transvaginal (76817) |
$576.69 |
$689 |
5.4× |
| Us pelvic non ob complete (76856) |
$874.66 |
$1,045 |
8.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$747.44 |
$893 |
7.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$454.49 |
$543 |
4.3× |
| Us retroperitoneal complete (76770) |
$859.60 |
$1,027 |
8.0× |
| Us retroperitoneal limited (76775) |
$282.07 |
$337 |
2.6× |
| Us scrotum and contents (76870) |
$805.19 |
$962 |
7.5× |
| Us thyroid (76536) |
$779.25 |
$931 |
7.3× |
| Venography extremity bilateral rs&i (75822) |
$555.46 |
$789 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$475.20 |
$675 |
0.3× |
| Wrist 2 views (73100) |
$218.24 |
$310 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$265.41 |
$377 |
3.0× |
| X-ray antegrade pyelogram tube (74425) |
$499.14 |
$709 |
1.4× |
| X-Ray Bend Only L-S Spine (72120) |
$516.74 |
$734 |
4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$274.56 |
$390 |
3.1× |
| X-Ray Exam Breast Specimen (76098) |
$181.63 |
$258 |
0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$244.29 |
$347 |
2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$350.59 |
$498 |
3.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$398.46 |
$566 |
3.7× |
| X-Ray Exam Hip Uni 1 View (73501) |
$155.58 |
$221 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$292.16 |
$415 |
3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$192.19 |
$273 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$313.28 |
$445 |
2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$495.62 |
$704 |
4.6× |
| X-Ray Exam L-S Spine Bending (72114) |
$599.81 |
$852 |
5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$330.88 |
$470 |
3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$537.15 |
$763 |
5.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$313.98 |
$446 |
2.9× |
| X-ray eye for foreign body (70030) |
$118.27 |
$168 |
1.3× |
| X-ray humerus (73060) |
$301.31 |
$428 |
3.4× |
| X-ray IV pyelogram (ivp) (74400) |
$1,085.57 |
$1,542 |
6.1× |
| X-ray IV pyelogram+tomography (74415) |
$980.67 |
$1,393 |
5.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$330.88 |
$470 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$264 |
$375 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$394.94 |
$561 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$370.30 |
$526 |
3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$223.87 |
$318 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$306.24 |
$435 |
3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$332.29 |
$472 |
3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$604.74 |
$859 |
1.7× |
| X-Rays Bone Length Studies (77073) |
$400.58 |
$569 |
3.8× |
| X-Rays Bone Survey Complete (77075) |
$347.07 |
$493 |
3.2× |
| Xr c-spine 4 or 5 views (72050) |
$455.49 |
$647 |
4.3× |
| Xr facial bones less than 3 views (70140) |
$275.97 |
$392 |
3.1× |
| Xr orbits complete 4 views (70200) |
$366.08 |
$520 |
3.4× |