| Abdomen 2 views (74019) |
$401.63 |
$401.63 |
4.0× |
| Ankle 2 views (73600) |
$435.07 |
$435.07 |
5.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,305.21 |
$1,305.21 |
3.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,781.30 |
$2,781.30 |
7.3× |
| Bone &/joint imaging whole body (78306) |
$3,232.22 |
$3,232.22 |
8.5× |
| Bone age studies (77072) |
$415.69 |
$415.69 |
4.2× |
| Bone Imaging 3 Phase (78315) |
$3,743.04 |
$3,743.04 |
9.8× |
| Bone survey complete (77075) |
$1,185.44 |
$1,185.44 |
11.9× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$931.80 |
$931.80 |
84.2× |
| Cervical spine 2 or 3 views (72040) |
$982.88 |
$982.88 |
11.8× |
| Chest 1 view (71045) |
$308.26 |
$308.26 |
3.7× |
| Chest 3 views (71047) |
$597.11 |
$597.11 |
7.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$875.43 |
$875.43 |
5.2× |
| Clavicle complete (73000) |
$435.07 |
$435.07 |
5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$463.24 |
$463.24 |
4.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,653.42 |
$7,653.42 |
23.0× |
| CT abdomen and pelvis without contrast (74176) |
$7,709.77 |
$7,709.77 |
33.8× |
| CT abdomen w contrast (74160) |
$4,570.92 |
$4,570.92 |
27.3× |
| CT abdomen w wo contrast (74170) |
$5,578.46 |
$5,578.46 |
33.3× |
| CT abdomen w/o contrast (74150) |
$3,824.05 |
$3,824.05 |
38.3× |
| CT angiography upper extremity lt (73206) |
$5,007.77 |
$5,007.77 |
29.9× |
| CT c-spine w/o contrast (72125) |
$4,267.95 |
$4,267.95 |
42.7× |
| CT cervical spine w&w/o contrast (72127) |
$6,048.76 |
$6,048.76 |
36.1× |
| CT cervical spine with contrast (72126) |
$5,781.01 |
$5,781.01 |
17.3× |
| CT chest w/wo contrast (71270) |
$5,578.46 |
$5,578.46 |
33.3× |
| CT chest with contrast (71260) |
$4,570.92 |
$4,570.92 |
27.3× |
| CT head/brain with contrast (70460) |
$4,273.24 |
$4,273.24 |
25.5× |
| CT head/brain without and with contrast (70470) |
$5,731.70 |
$5,731.70 |
34.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$369.90 |
$369.90 |
4.4× |
| CT iac w contrast (70481) |
$5,289.58 |
$5,289.58 |
31.6× |
| CT limited/localized follow up study (76380) |
$1,173.11 |
$1,173.11 |
14.1× |
| CT lower ext w/o (73700) |
$3,563.36 |
$3,563.36 |
35.7× |
| CT lower extremity w wo contrast (73702) |
$4,391.25 |
$4,391.25 |
26.2× |
| CT lower extremity with contrast (73701) |
$4,572.67 |
$4,572.67 |
27.3× |
| CT lumbar spine w & w/o contrast (72133) |
$5,600.70 |
$5,600.70 |
33.4× |
| CT lumbar spine w/o contrast (72131) |
$3,824.05 |
$3,824.05 |
38.3× |
| CT lumbar spine with contrast (72132) |
$5,802.16 |
$5,802.16 |
17.4× |
| CT maxillofacial w contrast (70487) |
$4,585.01 |
$4,585.01 |
27.3× |
| CT maxillofacial w/o contrast (70486) |
$3,959.69 |
$3,959.69 |
39.6× |
| CT maxillofacial w/wo contrast (70488) |
$5,125.77 |
$5,125.77 |
30.6× |
| CT neck soft tissue w contrast (70491) |
$4,570.92 |
$4,570.92 |
27.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$5,448.10 |
$5,448.10 |
32.5× |
| CT orbits w/o contrast (70480) |
$4,570.92 |
$4,570.92 |
45.7× |
| CT pelvis w & w/o contrast (72194) |
$5,139.87 |
$5,139.87 |
30.7× |
| CT pelvis w/o contrast (72192) |
$3,824.05 |
$3,824.05 |
38.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,578.46 |
$5,578.46 |
33.3× |
| CT soft tissue neck w/o contrast (70490) |
$3,824.05 |
$3,824.05 |
38.3× |
| CT thoracic spine w/contrast (72129) |
$5,802.16 |
$5,802.16 |
34.6× |
| CT thoracic spine w/o contrast (72128) |
$3,824.05 |
$3,824.05 |
38.3× |
| CT thoracic spine w/wo contrast (72130) |
$6,048.76 |
$6,048.76 |
36.1× |
| CT thorax w/o contrast (71250) |
$3,824.05 |
$3,824.05 |
38.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,744.67 |
$3,744.67 |
22.3× |
| CT upper extremity w/o contrast rt (73200) |
$3,563.36 |
$3,563.36 |
35.7× |
| CT upper extremity with contrast (73201) |
$4,570.92 |
$4,570.92 |
13.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$6,649.40 |
$6,649.40 |
39.7× |
| Cta Abdomen (74175) |
$6,203.76 |
$6,203.76 |
37.0× |
| CTA abdomen pelvis (74174) |
$12,307.12 |
$12,307.12 |
36.9× |
| CTA chest (71275) |
$6,203.76 |
$6,203.76 |
37.0× |
| Cta Head (70496) |
$6,203.76 |
$6,203.76 |
37.0× |
| CTA lwr ext w&w/o contrast (73706) |
$5,331.86 |
$5,331.86 |
31.8× |
| Cta Neck (70498) |
$5,976.53 |
$5,976.53 |
35.6× |
| Cta Pelvis (72191) |
$5,148.65 |
$5,148.65 |
30.7× |
| Cystography minimum 3 views rs&i (74430) |
$1,365.11 |
$1,365.11 |
4.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$695.77 |
$695.77 |
7.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$283.60 |
$283.60 |
2.8× |
| Esophagus (74220) |
$863.09 |
$863.09 |
5.1× |
| Fetal biophysical profile non-stress testing (76818) |
$958.22 |
$958.22 |
9.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$914.19 |
$914.19 |
9.1× |
| Fluoroscopy up to 1 hr (76000) |
$792.66 |
$792.66 |
3.5× |
| Foot 2 views (73620) |
$435.07 |
$435.07 |
5.2× |
| Forearm 2 views (73090) |
$435.07 |
$435.07 |
5.2× |
| Hand 2 views (73120) |
$435.07 |
$435.07 |
4.4× |
| Hand 3 views (73130) |
$530.19 |
$530.19 |
6.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,502.21 |
$4,502.21 |
8.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,987.89 |
$3,987.89 |
10.4× |
| Ht muscle image spect sing (78451) |
$6,020.57 |
$6,020.57 |
4.9× |
| Humerus Min 2 Views Left (73060) |
$415.69 |
$415.69 |
5.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$376.93 |
$376.93 |
3.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,691.47 |
$2,691.47 |
5.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,232.22 |
$3,232.22 |
6.2× |
| Knee 3 views (73562) |
$583.03 |
$583.03 |
7.0× |
| Liver & spleen imaging static only (78215) |
$3,130.07 |
$3,130.07 |
8.2× |
| Lymphoscintigraphy (78195) |
$2,497.71 |
$2,497.71 |
4.8× |
| Meckels Diverticulum (78290) |
$2,474.80 |
$2,474.80 |
6.5× |
| Mr safety determination physician/other qhp (76016) |
$285.28 |
$285.28 |
3.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$192.46 |
$192.46 |
3.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$79.35 |
$79.35 |
2.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$297.40 |
$297.40 |
3.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$783.17 |
$783.17 |
3.4× |
| MRA head w/o contrast (70544) |
$5,432.25 |
$5,432.25 |
23.8× |
| MRA neck w contrast (70548) |
$5,976.53 |
$5,976.53 |
17.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$7,542.43 |
$7,542.43 |
22.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$8,453.10 |
$8,453.10 |
25.3× |
| MRI abdomen w/o contrast (74181) |
$6,221.37 |
$6,221.37 |
27.3× |
| MRI any jnt lwr ext with con lt (73722) |
$6,283.02 |
$6,283.02 |
8.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,980.05 |
$5,980.05 |
8.0× |
| MRI cervical spine w/o contrast (72141) |
$5,913.12 |
$5,913.12 |
25.9× |
| MRI chest w/o & w/contrast material (71552) |
$7,223.63 |
$7,223.63 |
21.7× |
| MRI chest w/o contrast (71550) |
$4,754.01 |
$4,754.01 |
20.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,763.39 |
$5,763.39 |
25.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,660.26 |
$3,660.26 |
16.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,709.77 |
$7,709.77 |
23.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$8,366.79 |
$8,366.79 |
25.1× |
| MRI pelvis w/o contrast (72195) |
$5,363.56 |
$5,363.56 |
23.5× |
| MRI scan of arm joint before and after contrast (73223) |
$7,169.03 |
$7,169.03 |
21.5× |
| MRI scan of leg joint before and after contrast (73723) |
$8,146.61 |
$8,146.61 |
24.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,105.61 |
$7,105.61 |
21.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$6,283.02 |
$6,283.02 |
18.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$8,384.40 |
$8,384.40 |
25.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$6,283.02 |
$6,283.02 |
18.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$8,065.60 |
$8,065.60 |
24.2× |
| MRI thoracic spine w/o contrast (72146) |
$5,913.12 |
$5,913.12 |
25.9× |
| MRI upper ext joint w/o contrast (73221) |
$5,497.42 |
$5,497.42 |
24.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,738.74 |
$5,738.74 |
17.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,914.88 |
$5,914.88 |
25.9× |
| Myocardial Spect Multiple Studies (78452) |
$8,583.45 |
$8,583.45 |
6.9× |
| Neck soft tissue (70360) |
$435.07 |
$435.07 |
5.2× |
| Nm gastric emptying study (78264) |
$3,323.82 |
$3,323.82 |
8.7× |
| Nuclear Rx Oral Admin (79005) |
$2,497.71 |
$2,497.71 |
11.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$894.81 |
$894.81 |
9.0× |
| Osseous survey infant (77076) |
$764.46 |
$764.46 |
7.6× |
| Pelvis 1 or 2 views (72170) |
$651.73 |
$651.73 |
6.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$6,739.23 |
$6,739.23 |
20.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,534.71 |
$2,534.71 |
6.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,521.09 |
$3,521.09 |
6.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$938.84 |
$938.84 |
1.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$863.09 |
$863.09 |
10.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$752.14 |
$752.14 |
7.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$792.66 |
$792.66 |
7.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$477.34 |
$477.34 |
5.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$477.34 |
$477.34 |
4.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$655.25 |
$655.25 |
7.9× |
| Radiologic exam colon single contrast study (74270) |
$1,368.64 |
$1,368.64 |
8.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,123.79 |
$1,123.79 |
6.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,240.06 |
$1,240.06 |
7.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$477.34 |
$477.34 |
5.7× |
| Radiological examination surgical specimen (76098) |
$780.32 |
$780.32 |
1.5× |
| Ribs bilateral 3 views (71110) |
$820.83 |
$820.83 |
8.2× |
| Rp Therapy Intravenous Administration (79101) |
$2,286.33 |
$2,286.33 |
10.3× |
| Sacroiliac Joints < 3 Views (72200) |
$580.10 |
$580.10 |
5.8× |
| Scapula complete (73010) |
$415.69 |
$415.69 |
4.2× |
| Screening digital breast tomosynthesis (77063) |
$66.93 |
$66.93 |
2.9× |
| Small bowel series (74250) |
$952.93 |
$952.93 |
5.7× |
| Spine thoracic 3 views (72072) |
$833.14 |
$833.14 |
8.3× |
| Thoracolumbar 2 views (72080) |
$479.11 |
$479.11 |
5.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,838.17 |
$3,838.17 |
7.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,599.38 |
$1,599.38 |
4.2× |
| Tmj unilateral (70328) |
$270.73 |
$270.73 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$1,254.15 |
$1,254.15 |
12.6× |
| Umbilical-artery Doppler (OB) (76820) |
$1,028.68 |
$1,028.68 |
10.3× |
| Urethrocystography retrograde rs&i (74450) |
$1,224.19 |
$1,224.19 |
5.4× |
| Urethrocystography voiding (74455) |
$1,592.33 |
$1,592.33 |
7.0× |
| Us abdl aorta screen aaa (76706) |
$435.07 |
$435.07 |
4.4× |
| Us breast unilateral limited (76642) |
$655.25 |
$655.25 |
7.9× |
| Us chest (76604) |
$965.26 |
$965.26 |
9.7× |
| Us fetal nuchal translucency 1st gestation (76813) |
$366.54 |
$366.54 |
3.7× |
| Us ob detailed single fetus (76811) |
$1,430.28 |
$1,430.28 |
6.3× |
| Us ob transvaginal (76817) |
$1,114.98 |
$1,114.98 |
11.2× |
| Us pelvic non ob complete (76856) |
$1,551.81 |
$1,551.81 |
15.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$741.56 |
$741.56 |
7.4× |
| Us pregnancy ltd (76815) |
$658.78 |
$658.78 |
6.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$611.22 |
$611.22 |
6.1× |
| Us retroperitoneal complete (76770) |
$1,382.72 |
$1,382.72 |
13.8× |
| Us retroperitoneal limited (76775) |
$1,203.04 |
$1,203.04 |
12.0× |
| Us scrotum and contents (76870) |
$1,254.15 |
$1,254.15 |
12.6× |
| Us soft tissue head/neck (76536) |
$1,243.56 |
$1,243.56 |
12.4× |
| Us xtr non-vasc lmtd (76882) |
$285.36 |
$285.36 |
2.9× |
| Wrist 2 views (73100) |
$435.07 |
$435.07 |
5.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$810.27 |
$810.27 |
8.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$620.04 |
$620.04 |
7.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$530.19 |
$530.19 |
6.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,683.93 |
$1,683.93 |
10.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$477.34 |
$477.34 |
5.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$595.36 |
$595.36 |
7.2× |
| X-ray exam hip uni 1 view (73501) |
$1,109.69 |
$1,109.69 |
13.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,109.69 |
$1,109.69 |
13.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,488.41 |
$1,488.41 |
14.9× |
| X-ray eye for foreign body (70030) |
$163.81 |
$163.81 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$951.18 |
$951.18 |
9.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$456.21 |
$456.21 |
5.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$530.19 |
$530.19 |
6.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$435.07 |
$435.07 |
5.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,254.15 |
$1,254.15 |
7.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$436.83 |
$436.83 |
5.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$697.53 |
$697.53 |
7.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$584.80 |
$584.80 |
7.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$336.44 |
$336.44 |
4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$479.11 |
$479.11 |
4.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$896.57 |
$896.57 |
9.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$834.92 |
$834.92 |
8.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$524.91 |
$524.91 |
6.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$325.68 |
$325.68 |
3.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$778.55 |
$778.55 |
7.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$745.08 |
$745.08 |
7.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,837.18 |
$1,837.18 |
5.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$630.59 |
$630.59 |
7.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$838.45 |
$838.45 |
8.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,088.56 |
$1,088.56 |
10.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$718.66 |
$718.66 |
7.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$415.69 |
$415.69 |
5.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$510.82 |
$510.82 |
6.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$912.42 |
$912.42 |
11.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$965.26 |
$965.26 |
9.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$457.97 |
$457.97 |
4.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$479.11 |
$479.11 |
5.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$472.07 |
$472.07 |
5.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$415.69 |
$415.69 |
5.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$479.11 |
$479.11 |
4.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$857.83 |
$857.83 |
8.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$435.07 |
$435.07 |
5.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$634.12 |
$634.12 |
7.6× |
| Xr c-spine 6 or more views (72052) |
$1,321.08 |
$1,321.08 |
13.2× |
| Xr finger(s) 2+ views (73140) |
$435.07 |
$435.07 |
5.2× |
| Xr shoulder 1 view (73020) |
$435.07 |
$435.07 |
5.2× |
| Xr spine cervical 4 or 5 views (72050) |
$1,150.23 |
$1,150.23 |
11.5× |
| Xr tibia/fibula 2 views (73590) |
$415.69 |
$415.69 |
5.0× |
| Xr tmj bilateral (70330) |
$491.45 |
$491.45 |
5.9× |
| Xray knee 1 or 2 views rt (73560) |
$477.34 |
$477.34 |
5.7× |