| Abdomen 2 views (74019) |
$180 |
$180 |
1.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,973 |
$1,973 |
4.8× |
| Ankle 2 views (73600) |
$175.50 |
$175.50 |
1.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$838 |
$838 |
2.3× |
| Arthrogram hip (73525) |
$407 |
$407 |
1.1× |
| Arthrogram shoulder (73040) |
$861 |
$861 |
2.4× |
| Arthrogram wrist (73115) |
$813 |
$813 |
2.2× |
| Arthrography knee lt (73580) |
$1,686 |
$1,686 |
4.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,235 |
$1,235 |
3.0× |
| Bone &/joint imaging whole body (78306) |
$1,903 |
$1,903 |
4.6× |
| Bone age studies (77072) |
$314 |
$314 |
2.9× |
| Bone Imaging 3 Phase (78315) |
$2,207 |
$2,207 |
5.3× |
| Bone survey complete (77075) |
$788 |
$788 |
7.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,607 |
$2,607 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$119 |
$119 |
1.3× |
| Chest 1 view (71045) |
$135 |
$135 |
1.5× |
| Chest 3 views (71047) |
$433 |
$433 |
4.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$610 |
$610 |
3.3× |
| Clavicle complete (73000) |
$236 |
$236 |
2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$380 |
$380 |
3.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$605 |
$605 |
3.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,700 |
$5,700 |
15.7× |
| CT abdomen and pelvis without contrast (74176) |
$4,200 |
$4,200 |
17.0× |
| CT abdomen w contrast (74160) |
$2,786 |
$2,786 |
15.3× |
| CT abdomen w wo contrast (74170) |
$3,339 |
$3,339 |
18.3× |
| CT abdomen w/o contrast (74150) |
$2,725 |
$2,725 |
25.1× |
| CT c-spine w/o contrast (72125) |
$2,670 |
$2,670 |
24.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,909 |
$2,909 |
16.0× |
| CT cervical spine with contrast (72126) |
$2,728 |
$2,728 |
7.5× |
| CT chest w/wo contrast (71270) |
$3,701 |
$3,701 |
20.3× |
| CT chest with contrast (71260) |
$2,794 |
$2,794 |
15.3× |
| CT head/brain with contrast (70460) |
$2,612 |
$2,612 |
14.3× |
| CT head/brain without and with contrast (70470) |
$2,933 |
$2,933 |
16.1× |
| CT iac w contrast (70481) |
$2,410 |
$2,410 |
13.2× |
| CT limited/localized follow up study (76380) |
$1,020 |
$1,020 |
11.3× |
| CT lower ext w/o (73700) |
$3,260.50 |
$3,260.50 |
30.0× |
| CT lower extremity w wo contrast (73702) |
$3,999 |
$3,999 |
22.0× |
| CT lower extremity with contrast (73701) |
$3,313.50 |
$3,313.50 |
18.2× |
| CT lumbar spine w & w/o contrast (72133) |
$3,359 |
$3,359 |
18.4× |
| CT lumbar spine w/o contrast (72131) |
$2,635 |
$2,635 |
24.3× |
| CT lumbar spine with contrast (72132) |
$2,973 |
$2,973 |
8.2× |
| CT maxillofacial w contrast (70487) |
$2,318 |
$2,318 |
12.7× |
| CT maxillofacial w/o contrast (70486) |
$1,932 |
$1,932 |
17.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,796 |
$2,796 |
15.4× |
| CT neck soft tissue w contrast (70491) |
$2,414 |
$2,414 |
13.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,909 |
$2,909 |
16.0× |
| CT orbits w/o contrast (70480) |
$2,372 |
$2,372 |
21.8× |
| CT pelvis w & w/o contrast (72194) |
$3,546 |
$3,546 |
19.5× |
| CT pelvis w/o contrast (72192) |
$2,725 |
$2,725 |
25.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,489 |
$2,489 |
13.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,177 |
$2,177 |
20.1× |
| CT thoracic spine w/contrast (72129) |
$2,979 |
$2,979 |
16.4× |
| CT thoracic spine w/o contrast (72128) |
$2,767 |
$2,767 |
25.5× |
| CT thoracic spine w/wo contrast (72130) |
$3,332 |
$3,332 |
18.3× |
| CT thorax w/o contrast (71250) |
$2,638 |
$2,638 |
24.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,909 |
$2,909 |
16.0× |
| CT upper extremity w/o contrast rt (73200) |
$2,283 |
$2,283 |
21.0× |
| CT upper extremity with contrast (73201) |
$2,551 |
$2,551 |
7.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,586 |
$4,586 |
25.2× |
| Cta Abdomen (74175) |
$3,856 |
$3,856 |
21.2× |
| CTA abdomen pelvis (74174) |
$7,033 |
$7,033 |
19.4× |
| CTA chest (71275) |
$3,600 |
$3,600 |
19.8× |
| Cta Head (70496) |
$3,167 |
$3,167 |
17.4× |
| CTA lwr ext w&w/o contrast (73706) |
$4,050 |
$4,050 |
22.2× |
| Cta Neck (70498) |
$2,796 |
$2,796 |
15.4× |
| Cta Pelvis (72191) |
$3,962 |
$3,962 |
21.8× |
| Cystography minimum 3 views rs&i (74430) |
$838 |
$838 |
2.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$472 |
$472 |
4.3× |
| Esophagus (74220) |
$711 |
$711 |
3.9× |
| Fetal biophysical profile non-stress testing (76818) |
$514 |
$514 |
4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$314.50 |
$314.50 |
2.9× |
| Fluoroscopy up to 1 hr (76000) |
$850 |
$850 |
3.4× |
| Foot 2 views (73620) |
$242 |
$242 |
2.7× |
| Forearm 2 views (73090) |
$194 |
$194 |
2.1× |
| Gated Heart Planar Single (78472) |
$1,989 |
$1,989 |
4.8× |
| Hand 2 views (73120) |
$239 |
$239 |
2.2× |
| Hand 3 views (73130) |
$320 |
$320 |
3.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,662 |
$1,662 |
2.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,282 |
$1,282 |
3.1× |
| Ht muscle image spect sing (78451) |
$3,075 |
$3,075 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$242 |
$242 |
2.7× |
| Hysterosalpingogram (74740) |
$730 |
$730 |
2.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,849 |
$1,849 |
3.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,339 |
$2,339 |
4.1× |
| Knee 3 views (73562) |
$339 |
$339 |
3.8× |
| Liver & spleen imaging static only (78215) |
$1,940 |
$1,940 |
4.7× |
| Lymphoscintigraphy (78195) |
$1,747 |
$1,747 |
3.1× |
| Meckels Diverticulum (78290) |
$1,457 |
$1,457 |
3.5× |
| MRA head w & w/o contrast (70546) |
$3,707 |
$3,707 |
10.2× |
| MRA head w/o contrast (70544) |
$3,357 |
$3,357 |
13.5× |
| MRA head with contrast (70545) |
$3,533 |
$3,533 |
9.8× |
| MRA neck w contrast (70548) |
$3,235 |
$3,235 |
8.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,693 |
$3,693 |
10.2× |
| MRA neck w/o contrast (70547) |
$3,072 |
$3,072 |
12.4× |
| MRI abdomen w contrast (74182) |
$3,627 |
$3,627 |
10.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,145 |
$4,145 |
11.4× |
| MRI abdomen w/o contrast (74181) |
$4,044 |
$4,044 |
16.3× |
| MRI any jnt lwr ext with con lt (73722) |
$3,422 |
$3,422 |
4.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,422 |
$3,422 |
4.2× |
| MRI breast w/o contrast bilateral (77047) |
$3,472 |
$3,472 |
14.0× |
| MRI breast w/o contrast unilat (77046) |
$2,938 |
$2,938 |
11.9× |
| MRI c-spine with contrast (72142) |
$4,197 |
$4,197 |
11.6× |
| MRI cervical spine w/o contrast (72141) |
$3,500 |
$3,500 |
14.1× |
| MRI chest w/o & w/contrast material (71552) |
$4,664 |
$4,664 |
12.9× |
| MRI chest w/o contrast (71550) |
$3,348 |
$3,348 |
13.5× |
| MRI chest with contrast (71551) |
$3,525 |
$3,525 |
4.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,921.50 |
$3,921.50 |
10.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,705.50 |
$4,705.50 |
13.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,664 |
$4,664 |
18.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,202 |
$3,202 |
12.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,693 |
$3,693 |
10.2× |
| MRI orbit/face/neck w/contrast (70542) |
$3,370 |
$3,370 |
9.3× |
| MRI pelvis w contrast (72196) |
$3,370 |
$3,370 |
9.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,716 |
$3,716 |
10.3× |
| MRI pelvis w/o contrast (72195) |
$2,954 |
$2,954 |
11.9× |
| MRI scan of arm joint before and after contrast (73223) |
$4,239 |
$4,239 |
11.7× |
| MRI scan of leg joint before and after contrast (73723) |
$3,731 |
$3,731 |
10.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,664 |
$4,664 |
12.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,447 |
$3,447 |
9.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,420 |
$4,420 |
12.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,627 |
$3,627 |
10.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,588 |
$4,588 |
12.7× |
| MRI thoracic spine w/o contrast (72146) |
$3,788 |
$3,788 |
15.3× |
| MRI tmj (70336) |
$2,852 |
$2,852 |
11.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,884 |
$2,884 |
11.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,130 |
$5,130 |
14.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,275 |
$4,275 |
17.3× |
| Myelogram Lumbar (72265) |
$471 |
$471 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,638 |
$4,638 |
3.4× |
| Neck soft tissue (70360) |
$135 |
$135 |
1.5× |
| Nm gastric emptying study (78264) |
$1,815 |
$1,815 |
4.4× |
| Nuclear medicine of heart pumping function (78473) |
$2,825 |
$2,825 |
6.8× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$442 |
$442 |
0.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$360 |
$360 |
3.3× |
| Osseous survey infant (77076) |
$551 |
$551 |
5.1× |
| Osseous survey limited (77074) |
$631 |
$631 |
5.8× |
| Parathyrd planar w/wo subtrj (78071) |
$1,776 |
$1,776 |
4.3× |
| Parathyroid imaging (78070) |
$1,340 |
$1,340 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$148 |
$148 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$5,003.50 |
$5,003.50 |
3.4× |
| PET imaging for CT attenuation whole body (78816) |
$4,257 |
$4,257 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,130 |
$5,130 |
14.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,358 |
$1,358 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,330 |
$2,330 |
4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$951 |
$951 |
1.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$346 |
$346 |
3.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$652 |
$652 |
6.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$480.50 |
$480.50 |
4.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$433 |
$433 |
4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$290 |
$290 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$154 |
$154 |
1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$148 |
$148 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$163 |
$163 |
1.8× |
| Radiologic exam colon single contrast study (74270) |
$849 |
$849 |
4.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$711 |
$711 |
3.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$711 |
$711 |
3.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$711 |
$711 |
3.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$246 |
$246 |
2.7× |
| Radiological examination surgical specimen (76098) |
$291 |
$291 |
0.5× |
| Ribs bilateral 3 views (71110) |
$172 |
$172 |
1.6× |
| Sacroiliac Joints < 3 Views (72200) |
$143 |
$143 |
1.3× |
| Scanogram (77073) |
$327 |
$327 |
3.0× |
| Scapula complete (73010) |
$239 |
$239 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$115 |
$115 |
4.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$862 |
$862 |
7.9× |
| Small bowel series (74250) |
$649 |
$649 |
3.6× |
| Spine thoracic 3 views (72072) |
$131 |
$131 |
1.2× |
| Therapeutic Enema (74283) |
$695 |
$695 |
3.8× |
| Thoracolumbar 2 views (72080) |
$176 |
$176 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,079 |
$1,079 |
2.6× |
| Thyroid uptake measurement (78012) |
$617 |
$617 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,342 |
$1,342 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$706 |
$706 |
6.5× |
| Umbilical-artery Doppler (OB) (76820) |
$340 |
$340 |
3.1× |
| Unlisted magnetic resonance procedure (76498) |
$2,000 |
$2,000 |
22.1× |
| Unlisted Ultrasound Procedure (76999) |
$399 |
$399 |
4.4× |
| Upper Extremity Infant (73092) |
$308 |
$308 |
2.8× |
| Urethrocystography retrograde rs&i (74450) |
$838 |
$838 |
3.4× |
| Urethrocystography voiding (74455) |
$792 |
$792 |
3.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$933 |
$933 |
5.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$924 |
$924 |
5.1× |
| Us abdl aorta screen aaa (76706) |
$491 |
$491 |
4.5× |
| Us breast unilateral complete (76641) |
$926.50 |
$926.50 |
8.5× |
| Us breast unilateral limited (76642) |
$545.50 |
$545.50 |
6.0× |
| Us chest (76604) |
$671 |
$671 |
6.2× |
| Us compl joint r-t w/image documentation (76881) |
$603 |
$603 |
5.6× |
| Us infant hips dynamic (76885) |
$530 |
$530 |
5.9× |
| Us ob detailed single fetus (76811) |
$848 |
$848 |
3.4× |
| Us ob transvaginal (76817) |
$350 |
$350 |
3.2× |
| Us pelvic non ob complete (76856) |
$841 |
$841 |
7.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$389 |
$389 |
3.6× |
| Us pregnancy ltd (76815) |
$487 |
$487 |
4.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$623.50 |
$623.50 |
5.7× |
| Us retroperitoneal complete (76770) |
$861 |
$861 |
7.9× |
| Us retroperitoneal limited (76775) |
$670 |
$670 |
6.2× |
| Us scrotum and contents (76870) |
$666 |
$666 |
6.1× |
| Us soft tissue head/neck (76536) |
$592 |
$592 |
5.5× |
| Us spinal canal and contents (76800) |
$759 |
$759 |
7.0× |
| Us xtr non-vasc lmtd (76882) |
$453 |
$453 |
4.2× |
| Wrist 2 views (73100) |
$176.50 |
$176.50 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$584 |
$584 |
5.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$119 |
$119 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$271 |
$271 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,092 |
$1,092 |
6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$208 |
$208 |
2.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$247 |
$247 |
2.7× |
| X-ray exam hip uni 1 view (73501) |
$157.50 |
$157.50 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$250 |
$250 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$608 |
$608 |
5.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$482 |
$482 |
4.4× |
| X-ray exam of femur 1 (73551) |
$189 |
$189 |
2.1× |
| X-ray eye for foreign body (70030) |
$165 |
$165 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$170 |
$170 |
1.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$339 |
$339 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$381 |
$381 |
4.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$185 |
$185 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$167 |
$167 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$245 |
$245 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$335 |
$335 |
3.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$334 |
$334 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$186 |
$186 |
1.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$643 |
$643 |
5.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$140 |
$140 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$140 |
$140 |
1.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$339 |
$339 |
3.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$475 |
$475 |
4.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$244 |
$244 |
2.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$838 |
$838 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$138 |
$138 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$134 |
$134 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$569 |
$569 |
5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$115 |
$115 |
1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$144 |
$144 |
1.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$268.50 |
$268.50 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$198 |
$198 |
2.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$151 |
$151 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$520 |
$520 |
4.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$156 |
$156 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$291 |
$291 |
3.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$110 |
$110 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$148 |
$148 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$166 |
$166 |
1.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$186.50 |
$186.50 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$220 |
$220 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$201 |
$201 |
1.9× |
| Xr chest 4+ views (71048) |
$497 |
$497 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$186.50 |
$186.50 |
2.1× |
| Xr shoulder 1 view (73020) |
$196.50 |
$196.50 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$161 |
$161 |
1.5× |
| Xr tibia/fibula 2 views (73590) |
$251.50 |
$251.50 |
2.8× |
| Xr tmj bilateral (70330) |
$475 |
$475 |
5.3× |
| Xray knee 1 or 2 views rt (73560) |
$344 |
$344 |
3.8× |