| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,679.52 |
$6,998 |
1.3× |
| Abdomen 2 views (74019) |
$111.84 |
$466 |
1.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$380.64 |
$1,586 |
1.0× |
| Ankle 2 views (73600) |
$66.24 |
$276 |
0.8× |
| Basic radiation dosimetry calculation (77300) |
$158.64 |
$661 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$237.84 |
$991 |
0.6× |
| Bone &/joint imaging whole body (78306) |
$345.36 |
$1,439 |
0.9× |
| Bone age studies (77072) |
$250.80 |
$1,045 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$460.56 |
$1,919 |
1.2× |
| Bone survey complete (77075) |
$228.72 |
$953 |
2.4× |
| Cervical spine 2 or 3 views (72040) |
$116.64 |
$486 |
1.4× |
| Chest 1 view (71045) |
$96 |
$400 |
1.2× |
| Chest 3 views (71047) |
$113.76 |
$474 |
1.4× |
| Clavicle complete (73000) |
$79.20 |
$330 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$53.28 |
$222 |
0.6× |
| Continuing medical physics consltj pr wk (77336) |
$300.72 |
$1,253 |
2.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,416.80 |
$10,070 |
7.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,544.64 |
$6,436 |
7.0× |
| CT abdomen w contrast (74160) |
$1,067.28 |
$4,447 |
6.6× |
| CT abdomen w wo contrast (74170) |
$1,209.12 |
$5,038 |
7.4× |
| CT abdomen w/o contrast (74150) |
$786.72 |
$3,278 |
8.1× |
| CT angiography upper extremity lt (73206) |
$891.12 |
$3,713 |
5.5× |
| CT c-spine w/o contrast (72125) |
$842.64 |
$3,511 |
8.7× |
| CT cervical spine w&w/o contrast (72127) |
$944.40 |
$3,935 |
5.8× |
| CT cervical spine with contrast (72126) |
$906 |
$3,775 |
2.8× |
| CT chest w/wo contrast (71270) |
$1,209.12 |
$5,038 |
7.4× |
| CT chest with contrast (71260) |
$1,067.28 |
$4,447 |
6.6× |
| CT head/brain with contrast (70460) |
$1,067.28 |
$4,447 |
6.6× |
| CT head/brain without and with contrast (70470) |
$1,209.12 |
$5,038 |
7.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$64.56 |
$269 |
0.8× |
| CT iac w contrast (70481) |
$940.56 |
$3,919 |
5.8× |
| CT limited/localized follow up study (76380) |
$383.40 |
$1,597.50 |
4.8× |
| CT lower ext w/o (73700) |
$779.04 |
$3,246 |
8.0× |
| CT lower extremity w wo contrast (73702) |
$849.12 |
$3,538 |
5.2× |
| CT lower extremity with contrast (73701) |
$1,067.28 |
$4,447 |
6.6× |
| CT lumbar spine w & w/o contrast (72133) |
$944.40 |
$3,935 |
5.8× |
| CT lumbar spine w/o contrast (72131) |
$842.64 |
$3,511 |
8.7× |
| CT lumbar spine with contrast (72132) |
$906 |
$3,775 |
2.8× |
| CT maxillofacial w contrast (70487) |
$870.72 |
$3,628 |
5.4× |
| CT maxillofacial w/o contrast (70486) |
$542.40 |
$2,260 |
5.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,209.12 |
$5,038 |
7.4× |
| CT neck soft tissue w contrast (70491) |
$1,067.28 |
$4,447 |
6.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,154.40 |
$4,810 |
7.1× |
| CT orbits w/o contrast (70480) |
$656.88 |
$2,737 |
6.8× |
| CT pelvis w & w/o contrast (72194) |
$1,209.12 |
$5,038 |
7.4× |
| CT pelvis w/o contrast (72192) |
$729.96 |
$3,041.50 |
7.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,209.12 |
$5,038 |
7.4× |
| CT soft tissue neck w/o contrast (70490) |
$758.88 |
$3,162 |
7.8× |
| CT thoracic spine w/contrast (72129) |
$906 |
$3,775 |
5.6× |
| CT thoracic spine w/o contrast (72128) |
$803.04 |
$3,346 |
8.3× |
| CT thoracic spine w/wo contrast (72130) |
$944.40 |
$3,935 |
5.8× |
| CT thorax w/o contrast (71250) |
$418.92 |
$1,745.50 |
4.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$847.68 |
$3,532 |
5.2× |
| CT upper extremity w/o contrast rt (73200) |
$779.04 |
$3,246 |
8.0× |
| CT upper extremity with contrast (73201) |
$878.40 |
$3,660 |
2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,027.92 |
$4,283 |
6.3× |
| Cta Abdomen (74175) |
$1,027.92 |
$4,283 |
6.3× |
| CTA abdomen pelvis (74174) |
$2,057.76 |
$8,574 |
6.4× |
| CTA chest (71275) |
$1,027.92 |
$4,283 |
6.3× |
| Cta Head (70496) |
$994.32 |
$4,143 |
6.1× |
| CTA lwr ext w&w/o contrast (73706) |
$891.12 |
$3,713 |
5.5× |
| Cta Neck (70498) |
$828 |
$3,450 |
5.1× |
| Cta Pelvis (72191) |
$1,027.92 |
$4,283 |
6.3× |
| Cystography minimum 3 views rs&i (74430) |
$135.36 |
$564 |
0.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$119.76 |
$499 |
1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$47.04 |
$196 |
0.6× |
| Dxa bone density study axial skeleton (77085) |
$57.84 |
$241 |
0.6× |
| Echoencephalography real time imaging (76506) |
$184.56 |
$769 |
1.9× |
| Esophagus (74220) |
$142.56 |
$594 |
0.9× |
| Fetal biophysical profile non-stress testing (76818) |
$361.92 |
$1,508 |
3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$296.64 |
$1,236 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$289.68 |
$1,207 |
1.3× |
| Foot 2 views (73620) |
$63.24 |
$263.50 |
0.8× |
| Forearm 2 views (73090) |
$67.56 |
$281.50 |
0.8× |
| Gated Heart Planar Single (78472) |
$457.20 |
$1,905 |
1.2× |
| Hand 2 views (73120) |
$57.12 |
$238 |
0.6× |
| Hand 3 views (73130) |
$79.20 |
$330 |
1.0× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,648.08 |
$6,867 |
2.6× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,782.72 |
$7,428 |
2.8× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$2,253.60 |
$9,390 |
3.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$458.40 |
$1,910 |
0.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$409.44 |
$1,706 |
1.1× |
| Ht muscle image spect sing (78451) |
$1,502.64 |
$6,261 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$74.76 |
$311.50 |
0.9× |
| Hysterosalpingogram (74740) |
$197.52 |
$823 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$519.36 |
$2,164 |
1.0× |
| Knee 3 views (73562) |
$119.28 |
$497 |
1.5× |
| Liver & spleen imaging static only (78215) |
$279.12 |
$1,163 |
0.8× |
| Lung perf&ventilat diferentl (78598) |
$767.76 |
$3,199 |
1.5× |
| Lung perfusion differential (78597) |
$502.08 |
$2,092 |
1.4× |
| Lymphoscintigraphy (78195) |
$447.84 |
$1,866 |
0.9× |
| Meckels Diverticulum (78290) |
$380.16 |
$1,584 |
1.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$852 |
$3,550 |
2.5× |
| MRA head w/o contrast (70544) |
$979.92 |
$4,083 |
4.4× |
| MRA head with contrast (70545) |
$1,153.20 |
$4,805 |
3.6× |
| MRA neck w/o contrast (70547) |
$979.92 |
$4,083 |
4.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,544.16 |
$6,434 |
4.8× |
| MRI abdomen w/o contrast (74181) |
$975.36 |
$4,064 |
4.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,030.08 |
$4,292 |
1.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,030.08 |
$4,292 |
1.4× |
| MRI c-spine with contrast (72142) |
$1,014.96 |
$4,229 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$975.36 |
$4,064 |
4.4× |
| MRI chest w/o & w/contrast material (71552) |
$1,449.12 |
$6,038 |
4.5× |
| MRI chest w/o contrast (71550) |
$898.56 |
$3,744 |
4.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$979.92 |
$4,083 |
4.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$670.68 |
$2,794.50 |
3.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,275.48 |
$5,314.50 |
3.9× |
| MRI pelvis w contrast (72196) |
$1,183.20 |
$4,930 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,520.88 |
$6,337 |
4.7× |
| MRI pelvis w/o contrast (72195) |
$975.36 |
$4,064 |
4.4× |
| MRI scan of arm joint before and after contrast (73223) |
$1,075.44 |
$4,481 |
3.3× |
| MRI scan of leg joint before and after contrast (73723) |
$1,256.16 |
$5,234 |
3.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,533.84 |
$6,391 |
4.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,153.20 |
$4,805 |
3.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,533.84 |
$6,391 |
4.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,030.08 |
$4,292 |
3.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,533.84 |
$6,391 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$975.36 |
$4,064 |
4.4× |
| MRI upper ext joint w/o contrast (73221) |
$975.36 |
$4,064 |
4.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,183.20 |
$4,930 |
3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$979.92 |
$4,083 |
4.4× |
| Myocardial Spect Multiple Studies (78452) |
$1,733.52 |
$7,223 |
1.4× |
| Neck soft tissue (70360) |
$93.12 |
$388 |
1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$166.32 |
$693 |
0.4× |
| Nm gastric emptying study (78264) |
$660.24 |
$2,751 |
1.8× |
| Nm gastroesophageal reflux study (78262) |
$239.76 |
$999 |
0.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,321.20 |
$5,505 |
1.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$173.04 |
$721 |
1.8× |
| Osseous survey infant (77076) |
$160.80 |
$670 |
1.7× |
| Osseous survey limited (77074) |
$220.08 |
$917 |
2.3× |
| Parathyrd planar w/wo subtrj (78071) |
$358.08 |
$1,492 |
1.0× |
| Parathyroid imaging (78070) |
$283.68 |
$1,182 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$85.68 |
$357 |
0.9× |
| PET image w/CT, skull-thigh (78815) |
$3,114.48 |
$12,977 |
2.4× |
| PET imaging for CT attenuation whole body (78816) |
$3,114.48 |
$12,977 |
2.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,256.16 |
$5,234 |
3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$279.12 |
$1,163 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$767.76 |
$3,199 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$165.84 |
$691 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$95.28 |
$397 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$105.60 |
$440 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$119.52 |
$498 |
1.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$174.72 |
$728 |
1.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$300.72 |
$1,253 |
0.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$131.88 |
$549.50 |
1.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$195.12 |
$813 |
0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$131.28 |
$547 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$96 |
$400 |
1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$108.48 |
$452 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$109.92 |
$458 |
1.4× |
| Radiologic exam colon single contrast study (74270) |
$194.64 |
$811 |
1.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$344.40 |
$1,435 |
2.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$282 |
$1,175 |
1.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$102.24 |
$426 |
1.3× |
| Radiological examination surgical specimen (76098) |
$353.04 |
$1,471 |
0.7× |
| Ribs bilateral 3 views (71110) |
$125.04 |
$521 |
1.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$437.76 |
$1,824 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$92.88 |
$387 |
1.0× |
| Scapula complete (73010) |
$111.12 |
$463 |
1.1× |
| Screening digital breast tomosynthesis (77063) |
$48 |
$200 |
2.1× |
| Simulation intermediate (77285) |
$297.12 |
$1,238 |
0.9× |
| Small bowel series (74250) |
$226.80 |
$945 |
1.4× |
| Spec medical radj physics consltj (77370) |
$334.56 |
$1,394 |
2.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$401.28 |
$1,672 |
1.2× |
| Special dosimetry (77331) |
$89.04 |
$371 |
0.7× |
| Special treatment procedure (77470) |
$1,039.44 |
$4,331 |
2.0× |
| Spine thoracic 3 views (72072) |
$130.56 |
$544 |
1.3× |
| Stereotactic body radiation delivery (77373) |
$3,068.88 |
$12,787 |
1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$521.64 |
$2,173.50 |
1.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$328.56 |
$1,369 |
0.9× |
| Testicular Imaging With Vascular Flow (78761) |
$336.72 |
$1,403 |
0.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$532.56 |
$2,219 |
1.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$196.08 |
$817 |
1.6× |
| Thoracolumbar 2 views (72080) |
$124.08 |
$517 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$179.52 |
$748 |
0.5× |
| Thyroid uptake measurement (78012) |
$256.56 |
$1,069 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$238.08 |
$992 |
0.6× |
| Tmj unilateral (70328) |
$41.52 |
$173 |
0.5× |
| Treatment device intermediate (77333) |
$194.64 |
$811 |
1.6× |
| Treatment devices simple (77332) |
$116.64 |
$486 |
0.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$379.44 |
$1,581 |
1.0× |
| Tx devices design & construction complex (77334) |
$395.52 |
$1,648 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$164.40 |
$685 |
1.7× |
| Umbilical-artery Doppler (OB) (76820) |
$135.36 |
$564 |
1.4× |
| Unlisted magnetic resonance procedure (76498) |
$460.44 |
$1,918.50 |
5.7× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$251.52 |
$1,048 |
2.7× |
| Upper Extremity Infant (73092) |
$71.04 |
$296 |
0.7× |
| Urethrocystography retrograde rs&i (74450) |
$121.20 |
$505 |
0.5× |
| Urethrocystography voiding (74455) |
$230.64 |
$961 |
1.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$435.84 |
$1,816 |
2.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$527.04 |
$2,196 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$100.80 |
$420 |
1.0× |
| Us breast unilateral complete (76641) |
$151.44 |
$631 |
1.6× |
| Us breast unilateral limited (76642) |
$102 |
$425 |
1.3× |
| Us chest (76604) |
$124.08 |
$517 |
1.3× |
| Us compl joint r-t w/image documentation (76881) |
$184.56 |
$769 |
1.9× |
| Us guided compression repair (76936) |
$194.64 |
$811 |
1.0× |
| Us ob detailed single fetus (76811) |
$488.64 |
$2,036 |
2.2× |
| Us ob transvaginal (76817) |
$88.08 |
$367 |
0.9× |
| Us pelvic non ob complete (76856) |
$230.64 |
$961 |
2.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$153.12 |
$638 |
1.6× |
| Us pregnancy ltd (76815) |
$195.84 |
$816 |
2.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$137.28 |
$572 |
1.4× |
| Us retroperitoneal complete (76770) |
$231.12 |
$963 |
2.4× |
| Us retroperitoneal limited (76775) |
$245.52 |
$1,023 |
2.5× |
| Us scrotum and contents (76870) |
$242.64 |
$1,011 |
2.5× |
| Us soft tissue head/neck (76536) |
$180.48 |
$752 |
1.9× |
| Us spinal canal and contents (76800) |
$124.08 |
$517 |
1.3× |
| Us transrectal (76872) |
$251.04 |
$1,046 |
2.6× |
| Us xtr non-vasc lmtd (76882) |
$116.88 |
$487 |
1.2× |
| Vascular flow imaging (78445) |
$345.36 |
$1,439 |
0.9× |
| Vertebral fracture assessment via dxa (77086) |
$39.12 |
$163 |
0.5× |
| Wrist 2 views (73100) |
$66.24 |
$276 |
0.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$181.44 |
$756 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$92.88 |
$387 |
1.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$101.52 |
$423 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$302.40 |
$1,260 |
1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$67.56 |
$281.50 |
0.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$88.80 |
$370 |
1.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$151.44 |
$631 |
1.6× |
| 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 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$136.56 |
$569 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$136.56 |
$569 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$158.16 |
$659 |
1.6× |
| X-ray exam of femur 1 (73551) |
$56.64 |
$236 |
0.7× |
| X-ray eye for foreign body (70030) |
$131.28 |
$547 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$104.16 |
$434 |
1.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$50.88 |
$212 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$101.52 |
$423 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$60.72 |
$253 |
0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$89.04 |
$371 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$128.88 |
$537 |
1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$71.04 |
$296 |
0.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$77.04 |
$321 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$121.20 |
$505 |
1.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$130.56 |
$544 |
1.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$96.48 |
$402 |
1.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$93.84 |
$391 |
1.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$105.60 |
$440 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$88.80 |
$370 |
0.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$99.36 |
$414 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$220.08 |
$917 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$111.12 |
$463 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$117.36 |
$489 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$128.88 |
$537 |
1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$85.68 |
$357 |
0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$97.20 |
$405 |
1.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$111.12 |
$463 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$126 |
$525 |
1.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$71.04 |
$296 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$133.92 |
$558 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$65.64 |
$273.50 |
0.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$66.24 |
$276 |
0.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$89.28 |
$372 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$79.92 |
$333 |
1.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$131.28 |
$547 |
1.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$161.04 |
$671 |
1.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$69.60 |
$290 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$99.36 |
$414 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$181.20 |
$755 |
1.9× |
| Xr chest 4+ views (71048) |
$123.36 |
$514 |
1.3× |
| Xr finger(s) 2+ views (73140) |
$79.20 |
$330 |
1.0× |
| Xr shoulder 1 view (73020) |
$66.24 |
$276 |
0.8× |
| Xr spine cervical 4 or 5 views (72050) |
$150 |
$625 |
1.5× |
| Xr tibia/fibula 2 views (73590) |
$92.64 |
$386 |
1.1× |
| Xr tmj bilateral (70330) |
$112.08 |
$467 |
1.4× |
| Xray knee 1 or 2 views rt (73560) |
$103.92 |
$433 |
1.3× |