| Abdomen 1 View (74018) |
$253.80 |
$423 |
3.1× |
| Abdomen 2 views (74019) |
$162.60 |
$271 |
1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$297 |
$495 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$3,343.80 |
$5,573 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$3,343.80 |
$5,573 |
1.1× |
| Ankle 2 views (73600) |
$368.40 |
$614 |
4.4× |
| Aortography thoracic serialography rs&i (75605) |
$4,158 |
$6,930 |
0.8× |
| Aortography thoracic w/o serialography rs&i (75600) |
$3,363 |
$5,605 |
1.1× |
| Arthrogram hip (73525) |
$442.80 |
$738 |
1.3× |
| Arthrogram Wrist (73115) |
$451.80 |
$753 |
1.4× |
| Bone age studies (77072) |
$134.40 |
$224 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$1,788.60 |
$2,981 |
4.7× |
| Bone Imaging Limited Area (78300) |
$1,192.20 |
$1,987 |
3.1× |
| Bone Imaging Whole Body (78306) |
$1,569 |
$2,615 |
4.1× |
| Bone survey infant (77076) |
$427.80 |
$713 |
4.3× |
| Brain Image W/Flow < 4 Views (78601) |
$403.80 |
$673 |
1.1× |
| Brain Imaging Minimum 4 Static Views (78605) |
$323.40 |
$539 |
0.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,518 |
$2,530 |
4.6× |
| Cat Scan Follow-Up Study (76380) |
$79.20 |
$132 |
1.0× |
| Cerebrospinal Fluid Scan (78630) |
$454.80 |
$758 |
0.9× |
| Chest 1 view (71045) |
$151.80 |
$253 |
1.8× |
| Chest 2 views (71046) |
$232.20 |
$387 |
2.8× |
| Chest 3 views (71047) |
$297.60 |
$496 |
3.6× |
| Chest 4 or more views (71048) |
$318.60 |
$531 |
3.2× |
| Clavicle complete (73000) |
$388.80 |
$648 |
4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$120 |
$200 |
1.2× |
| Contrast Exam Abdominl Aorta (75625) |
$3,343.80 |
$5,573 |
1.1× |
| Contrast X-Ray Bladder (74430) |
$156 |
$260 |
0.5× |
| Contrast X-Ray Of Elbow (73085) |
$355.20 |
$592 |
1.1× |
| Contrast X-Ray Of Knee Joint (73580) |
$315 |
$525 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,232.40 |
$7,054 |
12.7× |
| CT abdomen and pelvis without contrast (74176) |
$2,397 |
$3,995 |
10.5× |
| CT abdomen w contrast (74160) |
$2,259.60 |
$3,766 |
13.5× |
| CT abdomen w wo contrast (74170) |
$2,575.80 |
$4,293 |
15.4× |
| CT abdomen w/o contrast (74150) |
$1,468.80 |
$2,448 |
14.7× |
| CT Angio Abdomen and Pelvis (74174) |
$1,525.80 |
$2,543 |
4.6× |
| CT Angio Chest (71275) |
$2,387.40 |
$3,979 |
14.2× |
| CT Angio Head (70496) |
$2,398.80 |
$3,998 |
14.3× |
| CT angio hrt w/3d image (75574) |
$1,633.80 |
$2,723 |
4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$813 |
$1,355 |
4.8× |
| CT Angio Neck (70498) |
$1,639.20 |
$2,732 |
9.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$898.80 |
$1,498 |
5.4× |
| CT cervical spine w/ contrast (72126) |
$2,344.80 |
$3,908 |
7.0× |
| CT cervical spine w/o contrast (72125) |
$1,891.20 |
$3,152 |
18.9× |
| CT cervical spine w/wo cont (72127) |
$2,779.80 |
$4,633 |
16.6× |
| CT chest w contrast (71260) |
$1,606.20 |
$2,677 |
9.6× |
| CT chest w/wo contrast (71270) |
$1,927.20 |
$3,212 |
11.5× |
| CT head/brain with contrast (70460) |
$2,245.20 |
$3,742 |
13.4× |
| CT head/brain without and with contrast (70470) |
$2,627.40 |
$4,379 |
15.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,633.80 |
$2,723 |
4.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,389 |
$2,315 |
16.7× |
| CT hrt w/3d image congen (75573) |
$1,633.80 |
$2,723 |
4.9× |
| CT iac w contrast (70481) |
$1,521 |
$2,535 |
9.1× |
| CT l-spine w&w/o contrast (72133) |
$2,258.40 |
$3,764 |
13.5× |
| CT lower ext w/o (73700) |
$1,081.80 |
$1,803 |
10.8× |
| CT lower extremity w/contrast material (73701) |
$1,363.20 |
$2,272 |
8.1× |
| CT lumbar spine w contrast (72132) |
$1,912.20 |
$3,187 |
5.7× |
| CT lumbar spine w/o contrast (72131) |
$1,505.40 |
$2,509 |
15.1× |
| CT maxillofacial w contrast (70487) |
$1,760.40 |
$2,934 |
10.5× |
| CT maxillofacial wo contrast (70486) |
$1,467 |
$2,445 |
14.7× |
| CT neck tissue combo (70492) |
$2,458.80 |
$4,098 |
14.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,661.40 |
$2,769 |
9.9× |
| CT orbits w/o contrast (70480) |
$1,278 |
$2,130 |
12.8× |
| CT pelvis w&w/o contrast (72194) |
$901.80 |
$1,503 |
5.4× |
| CT pelvis w/o contrast (72192) |
$501 |
$835 |
5.0× |
| CT scan of leg combo (73702) |
$1,655.40 |
$2,759 |
9.9× |
| CT scans face/jaw combo (70488) |
$2,156.40 |
$3,594 |
12.9× |
| CT soft tissue neck w contrast (70491) |
$2,032.20 |
$3,387 |
12.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,686.60 |
$2,811 |
16.9× |
| CT thoracic spine w contrast (72129) |
$1,557.60 |
$2,596 |
9.3× |
| CT thoracic spine w/o contrast (72128) |
$731.40 |
$1,219 |
7.3× |
| CT thoracic spine w/wo cont (72130) |
$1,557.60 |
$2,596 |
9.3× |
| CT thorax w/o contrast (71250) |
$1,333.20 |
$2,222 |
13.3× |
| CT upper ext wo (73200) |
$1,796.40 |
$2,994 |
18.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,784.60 |
$4,641 |
16.6× |
| CT upper extremity with contrast (73201) |
$2,227.20 |
$3,712 |
6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$527.40 |
$879 |
3.1× |
| Cta Abdomen (74175) |
$1,205.40 |
$2,009 |
7.2× |
| CTA pelvis (72191) |
$1,133.40 |
$1,889 |
6.8× |
| Dxa Bone Density Axial (77080) |
$443.40 |
$739 |
4.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$231 |
$385 |
2.8× |
| Esophagram (74220) |
$459 |
$765 |
2.7× |
| Fetal Biophys Profile W/Nst (76818) |
$227.40 |
$379 |
2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$165.60 |
$276 |
1.7× |
| Fluoroscopy up to 1 hr (76000) |
$474 |
$790 |
2.1× |
| Foot 2 views (73620) |
$323.40 |
$539 |
3.9× |
| Forearm 2 views (73090) |
$408.60 |
$681 |
4.9× |
| Gastric emptying imaging study (78264) |
$1,462.20 |
$2,437 |
3.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$978 |
$1,630 |
2.6× |
| Gated Heart Planar Single (78472) |
$1,200.60 |
$2,001 |
3.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$978 |
$1,630 |
1.9× |
| Hand 2 views (73120) |
$359.40 |
$599 |
3.6× |
| Hepatobil Syst Image W/Drug (78227) |
$2,269.80 |
$3,783 |
4.4× |
| Hepatobiliary System Imaging (78226) |
$1,656.60 |
$2,761 |
4.3× |
| Ht Muscle Image Spect Sing (78451) |
$3,392.40 |
$5,654 |
2.7× |
| Hysterosalpingogram (74740) |
$422.40 |
$704 |
1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$124.80 |
$208 |
1.5× |
| Infant hip ultrasound, limited static exam (76886) |
$91.20 |
$152 |
1.1× |
| Joint Survey Single View (77077) |
$122.40 |
$204 |
1.2× |
| K Flow/Funct Image Multiple (78709) |
$2,554.80 |
$4,258 |
4.9× |
| K Flow/Funct Image W/Drug (78708) |
$1,216.20 |
$2,027 |
2.3× |
| K Flow/Funct Image W/O Drug (78707) |
$1,618.20 |
$2,697 |
3.1× |
| Kidney Imaging Morphol (78700) |
$1,204.20 |
$2,007 |
3.2× |
| Knee 3 Views (73562) |
$387.60 |
$646 |
4.7× |
| Liver & Spleen Imaging Static Only (78215) |
$795.60 |
$1,326 |
2.1× |
| Lung Perf&Ventilat Diferentl (78598) |
$309 |
$515 |
0.6× |
| Lung perfusion differential (78597) |
$201 |
$335 |
0.5× |
| Lung Ventilat&Perfus Imaging (78582) |
$861.60 |
$1,436 |
1.7× |
| Lung Ventilation Imaging (78579) |
$482.40 |
$804 |
1.3× |
| Lymph System Imaging (78195) |
$876.60 |
$1,461 |
1.7× |
| Magnetic Image Jaw Joint (70336) |
$931.80 |
$1,553 |
4.1× |
| Meckels Divert Exam (78290) |
$196.80 |
$328 |
0.5× |
| Mra Head W/O & W/Contrast Material (70546) |
$1,849.20 |
$3,082 |
5.5× |
| MRA head w/o contrast (70544) |
$994.20 |
$1,657 |
4.4× |
| MRA head with contrast (70545) |
$1,024.20 |
$1,707 |
3.1× |
| MRA neck w contrast (70548) |
$1,401.60 |
$2,336 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,056.20 |
$3,427 |
6.2× |
| MRA neck w/o contrast (70547) |
$1,335 |
$2,225 |
5.9× |
| MRI abdomen w contrast (74182) |
$3,910.20 |
$6,517 |
11.7× |
| MRI abdomen w/o contrast (74181) |
$2,111.40 |
$3,519 |
9.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$8,023.80 |
$13,373 |
10.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,368.20 |
$8,947 |
16.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$7,704.60 |
$12,841 |
10.3× |
| MRI Breast W/O Contrast Bilateral (77047) |
$844.80 |
$1,408 |
3.7× |
| MRI cardiac w/o contrast (75557) |
$238.20 |
$397 |
1.0× |
| MRI cervical spine w contrast (72142) |
$5,466 |
$9,110 |
16.4× |
| MRI cervical spine w/o cont (72141) |
$2,938.80 |
$4,898 |
12.9× |
| MRI chest w/o contrast (71550) |
$1,687.80 |
$2,813 |
7.4× |
| MRI chest with contrast (71551) |
$1,881 |
$3,135 |
2.5× |
| MRI chest wo w contrast (71552) |
$2,409.60 |
$4,016 |
7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,736.40 |
$2,894 |
5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,157.20 |
$5,262 |
9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,705.20 |
$2,842 |
7.5× |
| MRI lumbar spine w contrast (72149) |
$5,040 |
$8,400 |
15.1× |
| Mri Neck Spine W/O & W/Dye (72156) |
$5,466 |
$9,110 |
16.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,140 |
$1,900 |
5.0× |
| MRI orbit face neck w contrast (70542) |
$2,111.40 |
$3,519 |
6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,111.40 |
$3,519 |
6.3× |
| MRI pelvis w contrast (72196) |
$3,922.20 |
$6,537 |
11.8× |
| MRI pelvis w/o & w contrast (72197) |
$3,922.20 |
$6,537 |
11.8× |
| MRI pelvis w/o contrast (72195) |
$2,118 |
$3,530 |
9.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,820.40 |
$3,034 |
8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$2,755.80 |
$4,593 |
8.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,488 |
$2,480 |
6.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,755.80 |
$4,593 |
8.3× |
| MRI, abdomen, combo (74183) |
$3,910.20 |
$6,517 |
11.7× |
| MRI, dorsal spine combo (72157) |
$3,371.40 |
$5,619 |
10.1× |
| MRI, dorsal spine contrast (72147) |
$3,371.40 |
$5,619 |
10.1× |
| MRI, joint upper extrem (73221) |
$2,771.40 |
$4,619 |
12.2× |
| MRI, joint upper extrem combo (73223) |
$5,154.60 |
$8,591 |
15.5× |
| MRI, lumbar spine combo (72158) |
$5,040 |
$8,400 |
15.1× |
| Myelogram cervical (72240) |
$481.80 |
$803 |
0.6× |
| Myelogram Lumbar (72265) |
$828.60 |
$1,381 |
1.1× |
| Myelography thoracic (72255) |
$365.40 |
$609 |
0.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,087.80 |
$6,813 |
3.3× |
| Neck soft tissue (70360) |
$289.20 |
$482 |
3.5× |
| Nuclear Rx Oral Admin (79005) |
$1,336.80 |
$2,228 |
6.0× |
| Parathyroid Planar Imaging (78070) |
$385.20 |
$642 |
1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$537 |
$895 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$214.80 |
$358 |
2.1× |
| Pet Image Skull-Thigh (78812) |
$4,349.40 |
$7,249 |
3.2× |
| Pet Image W/Ct Lmtd (78814) |
$4,768.20 |
$7,947 |
3.5× |
| PET image w/CT, full body (78816) |
$4,296 |
$7,160 |
3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$4,296 |
$7,160 |
3.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$2,558.40 |
$4,264 |
2.1× |
| PET whole body (78813) |
$4,221.60 |
$7,036 |
3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$612 |
$1,020 |
1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$487.20 |
$812 |
4.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$192.60 |
$321 |
0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$391.80 |
$653 |
4.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$222 |
$370 |
2.7× |
| Radex elbow complete minimum 3 views (73080) |
$394.80 |
$658 |
4.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$206.40 |
$344 |
2.1× |
| Radex fingr minimum 2 views (73140) |
$185.40 |
$309 |
2.2× |
| Radex foot complete minimum 3 views (73630) |
$363.60 |
$606 |
4.4× |
| Radex Hand Minimum 3 Views (73130) |
$403.80 |
$673 |
4.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$70.80 |
$118 |
0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$373.20 |
$622 |
4.5× |
| Radex Ribs Unilateral 2 Views (71100) |
$318.60 |
$531 |
3.8× |
| Radex shoulder complete minimum 2 views (73030) |
$415.80 |
$693 |
5.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$157.80 |
$263 |
1.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) |
$469.20 |
$782 |
2.8× |
| Radex Spine 1 View Specify Level (72020) |
$70.80 |
$118 |
0.9× |
| Radex Sternum Minimum 2 Views (71120) |
$107.40 |
$179 |
1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$34.80 |
$58 |
0.4× |
| Radex Toe Minimum 2 Views (73660) |
$97.20 |
$162 |
1.2× |
| Radex upper extremity infant minimum 2 views (73092) |
$122.40 |
$204 |
1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$424.80 |
$708 |
5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$289.80 |
$483 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$350.40 |
$584 |
3.5× |
| Radiologic exam colon double contrast study (74280) |
$831.60 |
$1,386 |
5.0× |
| Radiologic exam colon single contrast study (74270) |
$590.40 |
$984 |
3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$452.40 |
$754 |
2.7× |
| Radiologic exam knee complete 4/more views (73564) |
$430.20 |
$717 |
4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$255.60 |
$426 |
2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$469.20 |
$782 |
2.8× |
| Radiologic exam swallow function contrast study (74230) |
$176.40 |
$294 |
1.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$728.40 |
$1,214 |
4.3× |
| Radiologic examination femur 1 view (73551) |
$240.60 |
$401 |
2.9× |
| Radiologic examination femur minimum 2 views (73552) |
$225 |
$375 |
2.7× |
| Radiologic examination knee 1/2 views (73560) |
$340.20 |
$567 |
4.1× |
| Radiologic Examination Osseous Survey Limited (77074) |
$288 |
$480 |
2.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$381 |
$635 |
4.6× |
| Ribs bilateral 3 views (71110) |
$382.20 |
$637 |
3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$963.60 |
$1,606 |
2.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,011.60 |
$1,686 |
1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,023.80 |
$3,373 |
3.9× |
| Scapula (73010) |
$238.80 |
$398 |
2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$69.60 |
$116 |
3.0× |
| Shoulder 1 view (73020) |
$324 |
$540 |
3.9× |
| Sialogram (70390) |
$192.60 |
$321 |
0.8× |
| Skull less than 4 views (70250) |
$247.80 |
$413 |
2.5× |
| Sternoclavicular joints (71130) |
$131.40 |
$219 |
1.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$232.80 |
$388 |
1.4× |
| Thoracic spine 2 views (72070) |
$173.40 |
$289 |
1.7× |
| Thoracic spine 3 views (72072) |
$221.40 |
$369 |
2.2× |
| Thoracolumbar 2 views (72080) |
$70.80 |
$118 |
0.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$899.40 |
$1,499 |
2.4× |
| Thyroid Met Imaging Body (78018) |
$1,303.20 |
$2,172 |
2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,124.40 |
$1,874 |
2.9× |
| Ultrasound Breast Limited (76642) |
$570.60 |
$951 |
6.9× |
| Ultrasound Exam Aaa Screen (76706) |
$143.40 |
$239 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$730.80 |
$1,218 |
7.3× |
| Umbilical-artery Doppler (OB) (76820) |
$268.80 |
$448 |
2.7× |
| Upper gi w/o kub (74240) |
$333 |
$555 |
2.0× |
| Ureteral Reflux Study (78740) |
$252.60 |
$421 |
0.7× |
| Urethrocystogram voiding (74455) |
$190.20 |
$317 |
0.8× |
| Urethrocystography retrograde (74450) |
$156 |
$260 |
0.7× |
| Us breast unilateral complete (76641) |
$696 |
$1,160 |
7.0× |
| Us chest (76604) |
$424.80 |
$708 |
4.3× |
| Us complete joint (76881) |
$546.60 |
$911 |
5.5× |
| Us exam, pelvic, limited (76857) |
$515.40 |
$859 |
5.2× |
| Us head (76506) |
$133.20 |
$222 |
1.3× |
| Us kidney transplant (76776) |
$133.20 |
$222 |
1.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$248.40 |
$414 |
2.5× |
| Us ob detailed single fetus (76811) |
$385.20 |
$642 |
1.7× |
| Us ob limited 1 or more fetuses (76815) |
$375 |
$625 |
3.8× |
| Us ob transvaginal (76817) |
$416.40 |
$694 |
4.2× |
| Us pelvic non ob complete (76856) |
$817.80 |
$1,363 |
8.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$440.40 |
$734 |
4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$508.20 |
$847 |
5.1× |
| Us retroperitoneal complete (76770) |
$736.80 |
$1,228 |
7.4× |
| Us retroperitoneal limited (76775) |
$375.60 |
$626 |
3.8× |
| Us scrotum and contents (76870) |
$632.40 |
$1,054 |
6.3× |
| Us spinal canal and contents (76800) |
$132 |
$220 |
1.3× |
| Us thyroid (76536) |
$627 |
$1,045 |
6.3× |
| Venography caval inferior serialography rs&i (75825) |
$3,022.20 |
$5,037 |
1.0× |
| Venography extremity bilateral rs&i (75822) |
$1,452 |
$2,420 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$561 |
$935 |
0.4× |
| Venography Renal Unilateral (75831) |
$2,142.60 |
$3,571 |
0.7× |
| Vertebral fracture assessment via dxa (77086) |
$328.20 |
$547 |
3.9× |
| Wrist 2 views (73100) |
$382.20 |
$637 |
4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$159 |
$265 |
1.9× |
| X-ray antegrade pyelogram tube (74425) |
$156 |
$260 |
0.5× |
| X-Ray Aorta Leg Arteries (75630) |
$3,343.80 |
$5,573 |
1.1× |
| X-Ray Bend Only L-S Spine (72120) |
$565.20 |
$942 |
5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$339.60 |
$566 |
4.1× |
| X-Ray Exam Breast Specimen (76098) |
$745.80 |
$1,243 |
1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$253.20 |
$422 |
3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$408.60 |
$681 |
4.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$494.40 |
$824 |
4.9× |
| X-Ray Exam Hip Uni 1 View (73501) |
$247.20 |
$412 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$271.80 |
$453 |
3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$310.20 |
$517 |
3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$402.60 |
$671 |
4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$465 |
$775 |
4.7× |
| X-Ray Exam L-S Spine Bending (72114) |
$856.20 |
$1,427 |
8.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$430.20 |
$717 |
5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$730.80 |
$1,218 |
7.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$293.40 |
$489 |
2.9× |
| X-ray eye for foreign body (70030) |
$70.80 |
$118 |
0.9× |
| X-ray humerus (73060) |
$294 |
$490 |
3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$52.20 |
$87 |
0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$283.80 |
$473 |
3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$415.80 |
$693 |
4.2× |
| X-ray nose-rectum child f.b. (76010) |
$147.60 |
$246 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$449.40 |
$749 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$403.20 |
$672 |
4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$348 |
$580 |
4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$200.40 |
$334 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$316.80 |
$528 |
3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$156 |
$260 |
0.5× |
| X-Rays Bone Length Studies (77073) |
$52.20 |
$87 |
0.5× |
| X-Rays Bone Survey Complete (77075) |
$389.40 |
$649 |
3.9× |
| Xr c-spine 4 or 5 views (72050) |
$589.20 |
$982 |
5.9× |
| Xr facial bones less than 3 views (70140) |
$146.40 |
$244 |
1.8× |
| Xr orbits complete 4 views (70200) |
$129.60 |
$216 |
1.3× |