| Abdomen 2 views (74019) |
$164.16 |
$684 |
1.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$433.20 |
$1,805 |
1.3× |
| Ankle 2 views (73600) |
$79.44 |
$331 |
1.1× |
| Arthrogram elbow (73085) |
$356.40 |
$1,485 |
1.2× |
| Arthrogram hip (73525) |
$302.88 |
$1,262 |
1.0× |
| Arthrogram shoulder (73040) |
$300.48 |
$1,252 |
1.0× |
| Arthrogram wrist (73115) |
$286.32 |
$1,193 |
1.0× |
| Arthrography knee lt (73580) |
$372.24 |
$1,551 |
1.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$541.20 |
$2,255 |
1.6× |
| Bone &/joint imaging whole body (78306) |
$574.56 |
$2,394 |
1.7× |
| Bone age studies (77072) |
$111.60 |
$465 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$607.44 |
$2,531 |
1.8× |
| Bone Marrow Imaging Limited Area (78102) |
$173.28 |
$722 |
0.5× |
| Bone survey complete (77075) |
$384.48 |
$1,602 |
4.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,628.24 |
$10,951 |
2.1× |
| Cervical spine 2 or 3 views (72040) |
$136.08 |
$567 |
1.8× |
| Chest 1 view (71045) |
$96 |
$400 |
1.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$151.44 |
$631 |
1.0× |
| Clavicle complete (73000) |
$92.52 |
$385.50 |
1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$53.28 |
$222 |
0.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,568.40 |
$6,535 |
5.2× |
| CT abdomen and pelvis without contrast (74176) |
$1,381.20 |
$5,755 |
6.7× |
| CT abdomen w contrast (74160) |
$934.32 |
$3,893 |
6.2× |
| CT abdomen w wo contrast (74170) |
$974.16 |
$4,059 |
6.4× |
| CT abdomen w/o contrast (74150) |
$894.48 |
$3,727 |
9.9× |
| CT angio hrt w/3d image (75574) |
$927.36 |
$3,864 |
3.1× |
| CT angiography upper extremity lt (73206) |
$1,007.52 |
$4,198 |
6.7× |
| CT c-spine w/o contrast (72125) |
$894.48 |
$3,727 |
9.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,003.20 |
$4,180 |
6.6× |
| CT cervical spine with contrast (72126) |
$913.44 |
$3,806 |
3.0× |
| CT chest w/wo contrast (71270) |
$962.40 |
$4,010 |
6.4× |
| CT chest with contrast (71260) |
$934.32 |
$3,893 |
6.2× |
| CT head/brain with contrast (70460) |
$934.32 |
$3,893 |
6.2× |
| CT head/brain without and with contrast (70470) |
$962.40 |
$4,010 |
6.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$927.36 |
$3,864 |
3.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$64.56 |
$269 |
0.9× |
| CT iac w contrast (70481) |
$868.08 |
$3,617 |
5.7× |
| CT limited/localized follow up study (76380) |
$402.96 |
$1,679 |
5.4× |
| CT lower ext w/o (73700) |
$711.12 |
$2,963 |
7.9× |
| CT lower extremity w wo contrast (73702) |
$849.12 |
$3,538 |
5.6× |
| CT lower extremity with contrast (73701) |
$777.36 |
$3,239 |
5.1× |
| CT lumbar spine w & w/o contrast (72133) |
$944.40 |
$3,935 |
6.2× |
| CT lumbar spine w/o contrast (72131) |
$890.16 |
$3,709 |
9.9× |
| CT lumbar spine with contrast (72132) |
$922.80 |
$3,845 |
3.1× |
| CT maxillofacial w contrast (70487) |
$962.40 |
$4,010 |
6.4× |
| CT maxillofacial w/o contrast (70486) |
$902.88 |
$3,762 |
10.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,092.48 |
$4,552 |
7.2× |
| CT neck soft tissue w contrast (70491) |
$920.16 |
$3,834 |
6.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$925.44 |
$3,856 |
6.1× |
| CT orbits w/o contrast (70480) |
$826.08 |
$3,442 |
9.2× |
| CT pelvis w & w/o contrast (72194) |
$962.40 |
$4,010 |
6.4× |
| CT pelvis w/o contrast (72192) |
$805.20 |
$3,355 |
8.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,051.20 |
$4,380 |
7.0× |
| CT soft tissue neck w/o contrast (70490) |
$779.28 |
$3,247 |
8.6× |
| CT thoracic spine w/contrast (72129) |
$863.04 |
$3,596 |
5.7× |
| CT thoracic spine w/o contrast (72128) |
$890.16 |
$3,709 |
9.9× |
| CT thoracic spine w/wo contrast (72130) |
$944.40 |
$3,935 |
6.2× |
| CT thorax w/o contrast (71250) |
$494.16 |
$2,059 |
5.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$849.12 |
$3,538 |
5.6× |
| CT upper extremity w/o contrast rt (73200) |
$711.12 |
$2,963 |
7.9× |
| CT upper extremity with contrast (73201) |
$777.36 |
$3,239 |
2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,027.92 |
$4,283 |
6.8× |
| Cta Abdomen (74175) |
$1,007.52 |
$4,198 |
6.7× |
| CTA abdomen pelvis (74174) |
$2,013.84 |
$8,391 |
6.7× |
| CTA chest (71275) |
$979.44 |
$4,081 |
6.5× |
| Cta Head (70496) |
$1,007.52 |
$4,198 |
6.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,007.52 |
$4,198 |
6.7× |
| Cta Neck (70498) |
$1,007.52 |
$4,198 |
6.7× |
| Cta Pelvis (72191) |
$1,007.52 |
$4,198 |
6.7× |
| Cystography minimum 3 views rs&i (74430) |
$145.20 |
$605 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$241.44 |
$1,006 |
2.7× |
| Echoencephalography real time imaging (76506) |
$142.80 |
$595 |
1.6× |
| Esophagus (74220) |
$171.36 |
$714 |
1.1× |
| Fetal biophysical profile non-stress testing (76818) |
$278.64 |
$1,161 |
3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$296.64 |
$1,236 |
3.3× |
| Fluoroscopy up to 1 hr (76000) |
$222 |
$925 |
1.1× |
| Foot 2 views (73620) |
$97.20 |
$405 |
1.3× |
| Forearm 2 views (73090) |
$78.48 |
$327 |
1.0× |
| Gated Heart Planar Single (78472) |
$398.40 |
$1,660 |
1.2× |
| Hand 2 views (73120) |
$72.60 |
$302.50 |
0.8× |
| Hand 3 views (73130) |
$111.12 |
$463 |
1.5× |
| Heart Infarct Image (78466) |
$365.76 |
$1,524 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$650.16 |
$2,709 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$650.16 |
$2,709 |
1.9× |
| Ht muscle image spect sing (78451) |
$1,391.04 |
$5,796 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$84.72 |
$353 |
1.1× |
| Hysterosalpingogram (74740) |
$219.12 |
$913 |
1.1× |
| Kidney imaging morphology (78700) |
$688.56 |
$2,869 |
2.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$561.84 |
$2,341 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$561.84 |
$2,341 |
1.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$766.32 |
$3,193 |
1.6× |
| Knee 3 views (73562) |
$108.48 |
$452 |
1.4× |
| Liver & spleen imaging static only (78215) |
$650.16 |
$2,709 |
1.9× |
| Lung perf&ventilat diferentl (78598) |
$767.76 |
$3,199 |
1.6× |
| Lung perfusion differential (78597) |
$502.08 |
$2,092 |
1.5× |
| Lung Ventilation Imaging (78579) |
$457.68 |
$1,907 |
1.3× |
| Lymphoscintigraphy (78195) |
$579.36 |
$2,414 |
1.2× |
| Mammary ductogram or galactogram multiple (77054) |
$243.12 |
$1,013 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$155.28 |
$647 |
0.8× |
| Meckels Diverticulum (78290) |
$433.20 |
$1,805 |
1.3× |
| MRA head w & w/o contrast (70546) |
$1,451.76 |
$6,049 |
4.8× |
| MRA head w/o contrast (70544) |
$947.28 |
$3,947 |
4.6× |
| MRA neck w contrast (70548) |
$1,056.96 |
$4,404 |
3.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,520.88 |
$6,337 |
5.1× |
| MRA neck w/o contrast (70547) |
$947.28 |
$3,947 |
4.6× |
| MRI abdomen w contrast (74182) |
$1,030.08 |
$4,292 |
3.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,501.92 |
$6,258 |
5.0× |
| MRI abdomen w/o contrast (74181) |
$1,058.40 |
$4,410 |
5.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,228.32 |
$5,118 |
1.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,030.08 |
$4,292 |
1.5× |
| MRI breast w/o contrast bilateral (77047) |
$1,056.96 |
$4,404 |
5.1× |
| MRI breast w/o contrast unilat (77046) |
$827.28 |
$3,447 |
4.0× |
| MRI c-spine with contrast (72142) |
$1,228.32 |
$5,118 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$721.32 |
$3,005.50 |
3.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,521.12 |
$6,338 |
5.1× |
| MRI chest w/o contrast (71550) |
$947.28 |
$3,947 |
4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,030.08 |
$4,292 |
3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,058.40 |
$4,410 |
5.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,026.24 |
$4,276 |
5.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,279.92 |
$5,333 |
4.3× |
| MRI pelvis w contrast (72196) |
$1,051.20 |
$4,380 |
3.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,529.76 |
$6,374 |
5.1× |
| MRI pelvis w/o contrast (72195) |
$1,024.80 |
$4,270 |
5.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,183.20 |
$4,930 |
3.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,501.92 |
$6,258 |
5.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,501.92 |
$6,258 |
5.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,228.32 |
$5,118 |
4.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,501.92 |
$6,258 |
5.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,445.04 |
$6,021 |
4.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,308 |
$5,450 |
4.3× |
| MRI thoracic spine w/o contrast (72146) |
$922.56 |
$3,844 |
4.5× |
| MRI tmj (70336) |
$882.48 |
$3,677 |
4.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,024.80 |
$4,270 |
5.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,034.40 |
$4,310 |
3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$891.60 |
$3,715 |
4.3× |
| Myelogram Lumbar (72265) |
$451.92 |
$1,883 |
0.7× |
| Myocardial infarct spect (78469) |
$672.72 |
$2,803 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$1,630.80 |
$6,795 |
1.5× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$1,107.12 |
$4,613 |
0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$1,107.12 |
$4,613 |
0.9× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$1,726.80 |
$7,195 |
0.9× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$2,110.08 |
$8,792 |
1.1× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$2,110.08 |
$8,792 |
1.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$672.96 |
$2,804 |
0.9× |
| Neck soft tissue (70360) |
$111.60 |
$465 |
1.5× |
| Nm adrenal scan (78075) |
$635.04 |
$2,646 |
0.6× |
| Nm cisternogram (78630) |
$773.52 |
$3,223 |
1.7× |
| Nm gastric emptying study (78264) |
$592.56 |
$2,469 |
1.7× |
| Nm gastroesophageal reflux study (78262) |
$133.44 |
$556 |
0.4× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$2,678.64 |
$11,161 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$174.24 |
$726 |
1.9× |
| Osseous survey infant (77076) |
$116.88 |
$487 |
1.3× |
| Osseous survey limited (77074) |
$198.72 |
$828 |
2.2× |
| Parathyroid imaging (78070) |
$481.68 |
$2,007 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$111.60 |
$465 |
1.2× |
| PET image w/CT, skull-thigh (78815) |
$2,966.64 |
$12,361 |
2.4× |
| PET imaging for CT attenuation whole body (78816) |
$2,966.64 |
$12,361 |
2.4× |
| PET imaging limited area chest head/neck (78811) |
$1,920.72 |
$8,003 |
1.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,141.44 |
$4,756 |
3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$457.68 |
$1,907 |
1.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$767.76 |
$3,199 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$300.48 |
$1,252 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$95.28 |
$397 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$105.60 |
$440 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$119.52 |
$498 |
1.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$174.72 |
$728 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$137.28 |
$572 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$96 |
$400 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$164.16 |
$684 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$110.64 |
$461 |
1.5× |
| Radiologic exam colon single contrast study (74270) |
$254.16 |
$1,059 |
1.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$348.96 |
$1,454 |
2.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$308.40 |
$1,285 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$102.24 |
$426 |
1.4× |
| Radiological examination surgical specimen (76098) |
$353.04 |
$1,471 |
0.7× |
| Ribs bilateral 3 views (71110) |
$219.12 |
$913 |
2.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$848.16 |
$3,534 |
1.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$999.36 |
$4,164 |
2.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$975.84 |
$4,066 |
0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$975.84 |
$4,066 |
0.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,107.12 |
$4,613 |
1.0× |
| Scanogram (77073) |
$89.28 |
$372 |
1.0× |
| Scapula complete (73010) |
$111.60 |
$465 |
1.2× |
| Screening digital breast tomosynthesis (77063) |
$25.20 |
$105 |
1.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$78.48 |
$327 |
0.9× |
| Small bowel series (74250) |
$171.36 |
$714 |
1.1× |
| Spine thoracic 3 views (72072) |
$133.92 |
$558 |
1.5× |
| Thoracolumbar 2 views (72080) |
$119.28 |
$497 |
1.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$318.24 |
$1,326 |
0.9× |
| Thyroid uptake measurement (78012) |
$238.56 |
$994 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$481.68 |
$2,007 |
1.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,102.80 |
$4,595 |
2.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$379.44 |
$1,581 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$213.60 |
$890 |
2.4× |
| Umbilical-artery Doppler (OB) (76820) |
$62.64 |
$261 |
0.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$64.32 |
$268 |
0.9× |
| Upper Extremity Infant (73092) |
$111.60 |
$465 |
1.2× |
| Urethrocystography retrograde rs&i (74450) |
$154.80 |
$645 |
0.8× |
| Urethrocystography voiding (74455) |
$179.52 |
$748 |
0.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$433.44 |
$1,806 |
2.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$433.44 |
$1,806 |
2.9× |
| Us abdl aorta screen aaa (76706) |
$58.56 |
$244 |
0.6× |
| Us breast unilateral complete (76641) |
$158.64 |
$661 |
1.8× |
| Us breast unilateral limited (76642) |
$158.64 |
$661 |
2.1× |
| Us chest (76604) |
$124.08 |
$517 |
1.4× |
| Us compl joint r-t w/image documentation (76881) |
$184.56 |
$769 |
2.0× |
| Us elastography parenchyma (76981) |
$94.32 |
$393 |
1.0× |
| Us infant hips dynamic (76885) |
$101.52 |
$423 |
1.4× |
| Us kidney transplant (76776) |
$212.88 |
$887 |
2.4× |
| Us ob detailed single fetus (76811) |
$488.64 |
$2,036 |
2.4× |
| Us ob transvaginal (76817) |
$88.08 |
$367 |
1.0× |
| Us pelvic non ob complete (76856) |
$213.12 |
$888 |
2.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$153.12 |
$638 |
1.7× |
| Us pregnancy ltd (76815) |
$174.12 |
$725.50 |
1.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$137.28 |
$572 |
1.5× |
| Us retroperitoneal complete (76770) |
$217.32 |
$905.50 |
2.4× |
| Us retroperitoneal limited (76775) |
$175.20 |
$730 |
1.9× |
| Us scrotum and contents (76870) |
$130.56 |
$544 |
1.4× |
| Us soft tissue head/neck (76536) |
$205.44 |
$856 |
2.3× |
| Us spinal canal and contents (76800) |
$117.36 |
$489 |
1.3× |
| Us transrectal (76872) |
$120.24 |
$501 |
1.3× |
| Us xtr non-vasc lmtd (76882) |
$116.88 |
$487 |
1.3× |
| Venogram extremity bilateral (75822) |
$852.96 |
$3,554 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$1,363.20 |
$5,680 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$636.72 |
$2,653 |
0.5× |
| Wrist 2 views (73100) |
$97.20 |
$405 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$264.24 |
$1,101 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$111.60 |
$465 |
1.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$123.36 |
$514 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$293.04 |
$1,221 |
1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$74.04 |
$308.50 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$111.12 |
$463 |
1.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$151.44 |
$631 |
1.7× |
| X-ray exam hip uni 1 view (73501) |
$63.12 |
$263 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$123.36 |
$514 |
1.6× |
| X-ray exam hip uni 4/> views (73503) |
$136.56 |
$569 |
1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$136.56 |
$569 |
1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$158.16 |
$659 |
1.8× |
| X-ray exam of femur 1 (73551) |
$56.64 |
$236 |
0.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$137.28 |
$572 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$123.36 |
$514 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$111.12 |
$463 |
1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$111.60 |
$465 |
1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$96.48 |
$402 |
1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$111.60 |
$465 |
1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$96.48 |
$402 |
1.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$72.48 |
$302 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$123.36 |
$514 |
1.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$192 |
$800 |
2.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$111.60 |
$465 |
1.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$137.28 |
$572 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$111.60 |
$465 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$137.28 |
$572 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$137.28 |
$572 |
1.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$433.44 |
$1,806 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$93.60 |
$390 |
1.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$145.44 |
$606 |
1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$219.12 |
$913 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$111.60 |
$465 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$111.60 |
$465 |
1.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$137.28 |
$572 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$136.08 |
$567 |
1.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$96.48 |
$402 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$136.08 |
$567 |
1.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$77.64 |
$323.50 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$97.20 |
$405 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$107.52 |
$448 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$123.36 |
$514 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$123.36 |
$514 |
1.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$132 |
$550 |
1.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$97.20 |
$405 |
1.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$111.12 |
$463 |
1.5× |
| Xr arthrogram ankle (73615) |
$356.40 |
$1,485 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$190.80 |
$795 |
2.1× |
| Xr chest 4+ views (71048) |
$123.36 |
$514 |
1.4× |
| Xr Cholecystography Oral Contrast (74290) |
$137.28 |
$572 |
0.9× |
| Xr finger(s) 2+ views (73140) |
$58.32 |
$243 |
0.8× |
| Xr shoulder 1 view (73020) |
$97.20 |
$405 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$137.28 |
$572 |
1.5× |
| Xr tibia/fibula 2 views (73590) |
$111.12 |
$463 |
1.5× |
| Xr tmj bilateral (70330) |
$137.28 |
$572 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$96.48 |
$402 |
1.3× |