| Abdomen 2 views (74019) |
$107.18 |
$466 |
1.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$357.42 |
$1,554 |
1.0× |
| Angiography extremity bilateral rs&i (75716) |
$1,810.79 |
$7,873 |
0.6× |
| Angiography extremity unilateral rs&i (75710) |
$1,259.02 |
$5,474 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726) unusually low: confirm this is the full procedure |
$1,795.15 |
$7,805 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$437 |
$1,900 |
0.2× |
| Ankle 2 views (73600) |
$75.67 |
$329 |
1.0× |
Aortogram thoracic (75605) unusually low: confirm this is the full procedure |
$1,862.08 |
$8,096 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,810.79 |
$7,873 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,810.79 |
$7,873 |
0.6× |
| Arthrogram shoulder (73040) |
$304.75 |
$1,325 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$357.42 |
$1,554 |
1.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$287.96 |
$1,252 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$557.29 |
$2,423 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$681.49 |
$2,963 |
1.9× |
| Bone survey complete (77075) |
$229.31 |
$997 |
2.4× |
| Cervical spine 2 or 3 views (72040) |
$112.24 |
$488 |
1.4× |
| Chest 1 view (71045) |
$92 |
$400 |
1.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$186.53 |
$811 |
1.2× |
| Clavicle complete (73000) |
$103.04 |
$448 |
1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$51.06 |
$222 |
0.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,815.85 |
$7,895 |
5.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,414.50 |
$6,150 |
6.5× |
| CT abdomen w contrast (74160) |
$808.68 |
$3,516 |
5.1× |
| CT abdomen w wo contrast (74170) |
$915.86 |
$3,982 |
5.8× |
| CT abdomen w/o contrast (74150) |
$717.60 |
$3,120 |
7.6× |
| CT angio hrt w/3d image (75574) |
$888.72 |
$3,864 |
2.8× |
| CT angiography upper extremity lt (73206) |
$853.99 |
$3,713 |
5.4× |
| CT c-spine w/o contrast (72125) |
$770.73 |
$3,351 |
8.1× |
| CT cervical spine w&w/o contrast (72127) |
$861.81 |
$3,747 |
5.4× |
| CT cervical spine with contrast (72126) |
$808.68 |
$3,516 |
2.6× |
| CT chest w/wo contrast (71270) |
$900.22 |
$3,914 |
5.7× |
| CT chest with contrast (71260) |
$808.68 |
$3,516 |
5.1× |
| CT head/brain with contrast (70460) |
$808.68 |
$3,516 |
5.1× |
| CT head/brain without and with contrast (70470) |
$887.57 |
$3,859 |
5.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$61.87 |
$269 |
0.8× |
| CT iac w contrast (70481) |
$777.63 |
$3,381 |
4.9× |
| CT limited/localized follow up study (76380) |
$342.93 |
$1,491 |
4.3× |
| CT lower ext w/o (73700) |
$688.16 |
$2,992 |
7.3× |
| CT lower extremity w wo contrast (73702) |
$700.12 |
$3,044 |
4.4× |
| CT lower extremity with contrast (73701) |
$983.48 |
$4,276 |
6.2× |
| CT lumbar spine w & w/o contrast (72133) |
$900.22 |
$3,914 |
5.7× |
| CT lumbar spine w/o contrast (72131) |
$790.51 |
$3,437 |
8.3× |
| CT lumbar spine with contrast (72132) |
$827.08 |
$3,596 |
2.6× |
| CT maxillofacial w contrast (70487) |
$696.90 |
$3,030 |
4.4× |
| CT maxillofacial w/o contrast (70486) |
$688.16 |
$2,992 |
7.3× |
| CT maxillofacial w/wo contrast (70488) |
$884.35 |
$3,845 |
5.6× |
| CT neck soft tissue w contrast (70491) |
$808.68 |
$3,516 |
5.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$853.53 |
$3,711 |
5.4× |
| CT orbits w/o contrast (70480) |
$476.79 |
$2,073 |
5.0× |
| CT pelvis w & w/o contrast (72194) |
$900.22 |
$3,914 |
5.7× |
| CT pelvis w/o contrast (72192) |
$684.71 |
$2,977 |
7.2× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$173.65 |
$755 |
2.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,029.71 |
$4,477 |
6.5× |
| CT soft tissue neck w/o contrast (70490) |
$712.54 |
$3,098 |
7.5× |
| CT thoracic spine w/contrast (72129) |
$868.25 |
$3,775 |
5.5× |
| CT thoracic spine w/o contrast (72128) |
$727.26 |
$3,162 |
7.7× |
| CT thoracic spine w/wo contrast (72130) |
$900.22 |
$3,914 |
5.7× |
| CT thorax w/o contrast (71250) |
$392.26 |
$1,705.50 |
4.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$812.36 |
$3,532 |
5.1× |
| CT upper extremity w/o contrast rt (73200) |
$688.16 |
$2,992 |
7.3× |
| CT upper extremity with contrast (73201) |
$755.78 |
$3,286 |
2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$985.09 |
$4,283 |
6.2× |
| Cta Abdomen (74175) |
$1,022.58 |
$4,446 |
6.4× |
| CTA abdomen pelvis (74174) |
$2,008.59 |
$8,733 |
6.3× |
| CTA chest (71275) |
$1,015.91 |
$4,417 |
6.4× |
| Cta Head (70496) |
$1,029.71 |
$4,477 |
6.5× |
| CTA lwr ext w&w/o contrast (73706) |
$727.03 |
$3,161 |
4.6× |
| Cta Neck (70498) |
$1,029.71 |
$4,477 |
6.5× |
| Cta Pelvis (72191) |
$985.09 |
$4,283 |
6.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$114.77 |
$499 |
1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$45.08 |
$196 |
0.6× |
| Esophagus (74220) |
$165.60 |
$720 |
1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$284.28 |
$1,236 |
3.0× |
| Fluoroscopy up to 1 hr (76000) |
$130.18 |
$566 |
0.6× |
| Foot 2 views (73620) |
$91.54 |
$398 |
1.2× |
| Forearm 2 views (73090) |
$66.58 |
$289.50 |
0.8× |
| Gated Heart Planar Single (78472) |
$349.60 |
$1,520 |
1.0× |
| Hand 2 views (73120) |
$46.80 |
$203.50 |
0.5× |
| Hand 3 views (73130) |
$97.29 |
$423 |
1.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$641.47 |
$2,789 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$507.38 |
$2,206 |
1.4× |
| Ht muscle image spect sing (78451) |
$1,027.64 |
$4,468 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$72.22 |
$314 |
0.9× |
| Hysterosalpingogram (74740) |
$180.78 |
$786 |
0.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$537.74 |
$2,338 |
1.1× |
| Knee 3 views (73562) |
$112.24 |
$488 |
1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$379.96 |
$1,652 |
1.0× |
| Lung perf&ventilat diferentl (78598) |
$735.77 |
$3,199 |
1.5× |
| Lung perfusion differential (78597) |
$481.16 |
$2,092 |
1.3× |
| Lung Ventilation Imaging (78579) |
$255.07 |
$1,109 |
0.7× |
| Lymphoscintigraphy (78195) |
$220.11 |
$957 |
0.4× |
| Meckels Diverticulum (78290) |
$350.29 |
$1,523 |
1.0× |
| MRA head w/o contrast (70544) |
$922.07 |
$4,009 |
4.3× |
| MRA neck w contrast (70548) |
$985.55 |
$4,285 |
3.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,422.09 |
$6,183 |
4.5× |
| MRA neck w/o contrast (70547) |
$881.82 |
$3,834 |
4.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,457.51 |
$6,337 |
4.6× |
| MRI abdomen w/o contrast (74181) |
$856.06 |
$3,722 |
4.0× |
| MRI any jnt lwr ext with con lt (73722) |
$1,073.87 |
$4,669 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,034.08 |
$4,496 |
1.5× |
| MRI c-spine with contrast (72142) |
$972.67 |
$4,229 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$939.55 |
$4,085 |
4.3× |
| MRI chest w/o & w/contrast material (71552) |
$1,479.82 |
$6,434 |
4.7× |
| MRI chest w/o contrast (71550) |
$784.76 |
$3,412 |
3.6× |
| MRI chest with contrast (71551) |
$939.55 |
$4,085 |
1.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,020.74 |
$4,438 |
3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,020.74 |
$4,438 |
3.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$786.14 |
$3,418 |
3.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$604.56 |
$2,628.50 |
2.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,109.52 |
$4,824 |
3.5× |
| MRI pelvis w contrast (72196) |
$1,124.93 |
$4,891 |
3.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,140.80 |
$4,960 |
3.6× |
| MRI pelvis w/o contrast (72195) |
$1,119.64 |
$4,868 |
5.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,109.52 |
$4,824 |
3.5× |
| MRI scan of leg joint before and after contrast (73723) |
$1,109.52 |
$4,824 |
3.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,382.07 |
$6,009 |
4.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,020.74 |
$4,438 |
3.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,302.49 |
$5,663 |
4.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,090.20 |
$4,740 |
3.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,109.52 |
$4,824 |
3.5× |
| MRI thoracic spine w/o contrast (72146) |
$686.09 |
$2,983 |
3.2× |
| MRI tmj (70336) |
$910.80 |
$3,960 |
4.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,034.08 |
$4,496 |
4.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,109.52 |
$4,824 |
3.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$784.76 |
$3,412 |
3.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,612.76 |
$7,012 |
1.4× |
| Neck soft tissue (70360) |
$85.56 |
$372 |
1.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$159.39 |
$693 |
0.4× |
| Nm gastric emptying study (78264) |
$590.64 |
$2,568 |
1.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,260.17 |
$5,479 |
1.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$379.04 |
$1,648 |
1.0× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$570.86 |
$2,482 |
1.6× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$531.30 |
$2,310 |
1.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$172.96 |
$752 |
1.8× |
| Osseous survey infant (77076) |
$125.12 |
$544 |
1.3× |
| Parathyroid imaging (78070) |
$272.78 |
$1,186 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$89.93 |
$391 |
0.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,109.52 |
$4,824 |
3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$406.64 |
$1,768 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$735.77 |
$3,199 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$166.52 |
$724 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$91.31 |
$397 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$101.20 |
$440 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$114.54 |
$498 |
1.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$167.44 |
$728 |
1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$136.16 |
$592 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$89.70 |
$390 |
1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$136.85 |
$595 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$105.34 |
$458 |
1.3× |
| Radiologic exam colon single contrast study (74270) |
$199.64 |
$868 |
1.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$383.18 |
$1,666 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$290.26 |
$1,262 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$97.98 |
$426 |
1.2× |
| Radiological examination surgical specimen (76098) |
$337.06 |
$1,465.50 |
0.7× |
| Ribs bilateral 3 views (71110) |
$141.68 |
$616 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$97.75 |
$425 |
1.0× |
| Scapula complete (73010) |
$107.18 |
$466 |
1.1× |
| Screening digital breast tomosynthesis (77063) |
$24.15 |
$105 |
1.0× |
| Small bowel series (74250) |
$269.79 |
$1,173 |
1.7× |
| Spine thoracic 3 views (72072) |
$137.08 |
$596 |
1.4× |
| Thoracolumbar 2 views (72080) |
$106.49 |
$463 |
1.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$322.69 |
$1,403 |
0.9× |
| Thyroid uptake measurement (78012) |
$292.33 |
$1,271 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$378.81 |
$1,647 |
1.0× |
| Tmj unilateral (70328) |
$34.50 |
$150 |
0.4× |
| Ultrasound, abdomen limited (76705) |
$157.55 |
$685 |
1.7× |
| Unlisted magnetic resonance procedure (76498) |
$24.15 |
$105 |
0.3× |
| Upper Extremity Infant (73092) |
$68.08 |
$296 |
0.7× |
| Urethrocystography voiding (74455) |
$267.72 |
$1,164 |
1.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$256.68 |
$1,116 |
1.6× |
| Us abdl aorta screen aaa (76706) |
$92 |
$400 |
1.0× |
| Us breast unilateral complete (76641) |
$189.52 |
$824 |
2.0× |
| Us breast unilateral limited (76642) |
$112.24 |
$488 |
1.4× |
| Us chest (76604) |
$61.64 |
$268 |
0.6× |
| Us compl joint r-t w/image documentation (76881) |
$176.87 |
$769 |
1.9× |
| Us ob detailed single fetus (76811) |
$468.28 |
$2,036 |
2.2× |
| Us ob transvaginal (76817) |
$180.78 |
$786 |
1.9× |
| Us pelvic non ob complete (76856) |
$287.96 |
$1,252 |
3.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$146.74 |
$638 |
1.5× |
| Us pregnancy ltd (76815) |
$228.62 |
$994 |
2.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$288.19 |
$1,253 |
3.0× |
| Us retroperitoneal complete (76770) |
$280.83 |
$1,221 |
3.0× |
| Us retroperitoneal limited (76775) |
$232.53 |
$1,011 |
2.5× |
| Us scrotum and contents (76870) |
$320.62 |
$1,394 |
3.4× |
| Us soft tissue head/neck (76536) |
$235.06 |
$1,022 |
2.5× |
| Us spinal canal and contents (76800) |
$118.91 |
$517 |
1.3× |
| Us xtr non-vasc lmtd (76882) |
$112.01 |
$487 |
1.2× |
| Venogram extremity bilateral (75822) |
$586.73 |
$2,551 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$1,810.79 |
$7,873 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$641.47 |
$2,789 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$558.67 |
$2,429 |
0.4× |
| Wrist 2 views (73100) |
$78.89 |
$343 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$148.35 |
$645 |
1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$111.78 |
$486 |
1.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$103.04 |
$448 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$230 |
$1,000 |
1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$71.99 |
$313 |
0.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$106.49 |
$463 |
1.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$145.13 |
$631 |
1.5× |
| X-ray exam hip uni 1 view (73501) |
$60.49 |
$263 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$118.22 |
$514 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$130.87 |
$569 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$130.87 |
$569 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$151.57 |
$659 |
1.6× |
| X-ray exam of femur 1 (73551) |
$54.28 |
$236 |
0.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$180.55 |
$785 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$189.29 |
$823 |
2.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$99.82 |
$434 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$100.05 |
$435 |
1.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$256.68 |
$1,116 |
1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$89.24 |
$388 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$131.56 |
$572 |
1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$68.08 |
$296 |
0.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$73.83 |
$321 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$137.08 |
$596 |
1.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$159.16 |
$692 |
1.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$137.08 |
$596 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$100.97 |
$439 |
1.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$101.20 |
$440 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$132.94 |
$578 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$126.50 |
$550 |
1.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$114.31 |
$497 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$173.65 |
$755 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$232.53 |
$1,011 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$131.56 |
$572 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$97.75 |
$425 |
1.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$112.24 |
$488 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$126.50 |
$550 |
1.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$55.89 |
$243 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$148.35 |
$645 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$99.94 |
$434.50 |
1.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$50.14 |
$218 |
0.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$85.56 |
$372 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$123.51 |
$537 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$127.65 |
$555 |
1.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$154.33 |
$671 |
1.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$69 |
$300 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$100.05 |
$435 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$173.65 |
$755 |
1.8× |
| Xr chest 4+ views (71048) |
$118.22 |
$514 |
1.2× |
| Xr finger(s) 2+ views (73140) |
$78.66 |
$342 |
1.0× |
| Xr shoulder 1 view (73020) |
$47.61 |
$207 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$136.16 |
$592 |
1.4× |
| Xr tibia/fibula 2 views (73590) |
$99.82 |
$434 |
1.3× |
| Xr tmj bilateral (70330) |
$136.16 |
$592 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$99.59 |
$433 |
1.3× |