| Abdomen 2 views (74019) |
$598 |
$598 |
6.0× |
| Acute gi blood loss imaging (78278) |
$2,239 |
$2,239 |
5.8× |
Angiography Spinal Selective Rs&I (75705)
likely a partial charge, not the full procedure |
$549 |
$549 |
0.1× |
| Ankle 2 views (73600) |
$495 |
$495 |
5.9× |
| Arthrogram shoulder (73040) |
$2,745 |
$2,745 |
8.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,239 |
$2,239 |
5.8× |
| Bone &/joint imaging whole body (78306) |
$2,239 |
$2,239 |
5.8× |
| Bone age studies (77072) |
$598 |
$598 |
6.0× |
| Bone Imaging 3 Phase (78315) |
$2,239 |
$2,239 |
5.8× |
| Bone survey complete (77075) |
$771 |
$771 |
7.7× |
| Bone survey infant (77076) |
$667 |
$667 |
6.7× |
| Bowel imaging (78290) |
$2,239 |
$2,239 |
5.8× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$2,324 |
$2,324 |
6.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,225 |
$1,225 |
3.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$3,016 |
$3,016 |
5.8× |
| Cervical spine 2 or 3 views (72040) |
$495 |
$495 |
5.9× |
| Chest 1 view (71045) |
$267 |
$267 |
3.2× |
| Chest xray 3 views (71047) |
$495 |
$495 |
5.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$998 |
$998 |
5.9× |
| Clavicle complete (73000) |
$742 |
$742 |
8.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$598 |
$598 |
6.0× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$579 |
$579 |
3.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,595 |
$5,595 |
16.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,294 |
$3,294 |
14.4× |
| CT abdomen w contrast (74160) |
$2,384 |
$2,384 |
14.2× |
| CT abdomen w wo contrast (74170) |
$2,802 |
$2,802 |
16.7× |
| CT abdomen w/o contrast (74150) |
$1,647 |
$1,647 |
16.4× |
| CT angio hrt w/3d image (75574) |
$998 |
$998 |
3.0× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,825 |
$2,825 |
16.8× |
| CT angiography upper extremity lt (73206) |
$1,405 |
$1,405 |
8.4× |
| CT c-spine w/contrast (72126) |
$2,384 |
$2,384 |
7.1× |
| CT c-spine w/o contrast (72125) |
$1,647 |
$1,647 |
16.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,802 |
$2,802 |
16.7× |
| CT chest w contrast (71260) |
$2,384 |
$2,384 |
14.2× |
| CT chest w/wo contrast (71270) |
$2,802 |
$2,802 |
16.7× |
| CT head/brain with contrast (70460) |
$2,384 |
$2,384 |
14.2× |
| CT head/brain without and with contrast (70470) |
$3,229 |
$3,229 |
19.2× |
| CT iac w contrast (70481) |
$2,384 |
$2,384 |
14.2× |
| CT limited/localized follow up study (76380) |
$495 |
$495 |
5.9× |
| CT lower ext w/o (73700) |
$1,647 |
$1,647 |
16.4× |
| CT lower extremity w wo contrast (73702) |
$2,939 |
$2,939 |
17.5× |
| CT lower extremity w/contrast material (73701) |
$2,384 |
$2,384 |
14.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,183 |
$1,183 |
7.0× |
| CT lumbar spine w/contrast (72132) |
$2,384 |
$2,384 |
7.1× |
| CT lumbar spine w/o contrast (72131) |
$1,647 |
$1,647 |
16.4× |
| CT maxillofacial w contrast (70487) |
$2,384 |
$2,384 |
14.2× |
| CT maxillofacial w/wo contrast (70488) |
$2,802 |
$2,802 |
16.7× |
| CT maxillofacial wo contrast (70486) |
$1,647 |
$1,647 |
16.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,802 |
$2,802 |
16.7× |
| CT orbits w/o contrast (70480) |
$1,647 |
$1,647 |
16.4× |
| CT pelvis w/o contrast (72192) |
$1,647 |
$1,647 |
16.4× |
| CT pelvis w/wo contrast (72194) |
$2,802 |
$2,802 |
16.7× |
| CT scan of arm combo (73202) |
$2,802 |
$2,802 |
16.7× |
| CT soft tissue neck w contrast (70491) |
$2,384 |
$2,384 |
14.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,647.50 |
$2,647.50 |
15.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,647 |
$1,647 |
16.4× |
| CT thoracic spine w/contrast (72129) |
$2,384 |
$2,384 |
14.2× |
| CT thoracic spine w/o contrast (72128) |
$1,647 |
$1,647 |
16.4× |
| CT thoracic spine w/wo contrast (72130) |
$2,802 |
$2,802 |
16.7× |
| CT thorax w/o contrast (71250) |
$1,647 |
$1,647 |
16.4× |
| CT unlisted procedure (76497) |
$455 |
$455 |
5.5× |
| CT upper ext wo (73200) |
$1,647 |
$1,647 |
16.4× |
| CT upper extremity with contrast (73201) |
$2,384 |
$2,384 |
7.1× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,825 |
$2,825 |
16.8× |
| Cta Abdomen (74175) |
$2,825 |
$2,825 |
16.8× |
| CTA abdomen pelvis (74174) |
$5,646 |
$5,646 |
16.9× |
| CTA chest (71275) |
$2,825 |
$2,825 |
16.8× |
| Cta Head (70496) |
$2,825 |
$2,825 |
16.8× |
| Cta Neck (70498) |
$2,825 |
$2,825 |
16.8× |
| Cta Pelvis (72191) |
$3,758 |
$3,758 |
22.3× |
| Cystography minimum 3 views rs&i (74430) |
$1,677 |
$1,677 |
5.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$174 |
$174 |
0.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$356.50 |
$356.50 |
3.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$362.50 |
$362.50 |
3.6× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$597 |
$597 |
6.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$597 |
$597 |
6.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$494 |
$494 |
5.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,331 |
$1,331 |
5.8× |
| Esophagus (74220) |
$998 |
$998 |
5.9× |
| Facial bones min 3 views (70150) |
$598 |
$598 |
6.0× |
| Fetal biophysical profile non-stress testing (76818) |
$229 |
$229 |
2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$597 |
$597 |
6.0× |
| Fetal Echo (76825) |
$2,994 |
$2,994 |
5.7× |
| Fluoroscopy up to 1 hr (76000) |
$1,331 |
$1,331 |
5.8× |
| Foot 2 views (73620) |
$495 |
$495 |
5.9× |
| Forearm 2 views (73090) |
$495 |
$495 |
5.9× |
| Hand 2 views (73120) |
$598 |
$598 |
6.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,586.50 |
$2,586.50 |
5.0× |
| Hysterosalpingogram (74740) |
$1,073.50 |
$1,073.50 |
4.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,934 |
$2,934 |
5.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,934 |
$2,934 |
5.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,934 |
$2,934 |
5.6× |
| Knee 3 views (73562) |
$495 |
$495 |
5.9× |
| Liver imaging static only (78201) |
$2,934 |
$2,934 |
5.6× |
| Liver imaging w/vascular flow (78202) |
$2,934 |
$2,934 |
5.6× |
| Lung perf&ventilat diferentl (78598) |
$3,937 |
$3,937 |
7.6× |
| Lymphoscintigraphy (78195) |
$2,934 |
$2,934 |
5.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$6,682 |
$6,682 |
20.0× |
| Mammary ductogram or galactogram multiple (77054) |
$1,160 |
$1,160 |
5.1× |
| MRA head w & w/o contrast (70546) |
$4,512 |
$4,512 |
13.5× |
| MRA head w/o contrast (70544) |
$2,949 |
$2,949 |
12.9× |
| MRA neck w contrast (70548) |
$3,413 |
$3,413 |
10.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,512 |
$4,512 |
13.5× |
| MRA neck w/o contrast (70547) |
$2,758 |
$2,758 |
12.0× |
| MRI abdomen w contrast (74182) |
$4,512 |
$4,512 |
13.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,512 |
$4,512 |
13.5× |
| MRI abdomen w/o contrast (74181) |
$2,949 |
$2,949 |
12.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,346 |
$4,346 |
5.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,512 |
$4,512 |
13.5× |
| MRI c-spine with contrast (72142) |
$3,908 |
$3,908 |
11.7× |
| MRI cervical spine w/o contrast (72141) |
$2,949 |
$2,949 |
12.9× |
| MRI chest w/o & w/contrast material (71552) |
$6,682 |
$6,682 |
20.0× |
| MRI chest w/o contrast (71550) |
$2,949 |
$2,949 |
12.9× |
| MRI chest with contrast (71551) |
$5,305 |
$5,305 |
7.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,941 |
$1,941 |
5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,512 |
$4,512 |
13.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,949 |
$2,949 |
12.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,949 |
$2,949 |
12.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,512 |
$4,512 |
13.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,512 |
$4,512 |
13.5× |
| MRI pelvis w/o contrast (72195) |
$2,949 |
$2,949 |
12.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,512 |
$4,512 |
13.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,413 |
$3,413 |
10.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,512 |
$4,512 |
13.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,739 |
$2,739 |
8.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,512 |
$4,512 |
13.5× |
| MRI temporomandibular joint (70336) |
$2,671 |
$2,671 |
11.7× |
| MRI thoracic spine w/o contrast (72146) |
$2,949 |
$2,949 |
12.9× |
| MRI up ext w/o contrast (73218) |
$2,949 |
$2,949 |
12.9× |
| MRI upper ext joint w/o contrast (73221) |
$2,949 |
$2,949 |
12.9× |
| MRI, joint upper extrem combo (73223) |
$3,253 |
$3,253 |
9.7× |
| Myelogram Cervical (72240) |
$4,345 |
$4,345 |
5.8× |
| Myelogram Lumbar (72265) |
$4,673 |
$4,673 |
6.2× |
| Myelogram thoracic (72255) |
$4,673 |
$4,673 |
6.2× |
| Myelography 2 or more regions (72270) |
$4,346 |
$4,346 |
5.8× |
| Myocardial Spect Multiple Studies (78452) |
$4,457.50 |
$4,457.50 |
3.6× |
| Myocardial spect single study at rest or stress (78451) |
$4,001 |
$4,001 |
3.2× |
| Neck soft tissue (70360) |
$495 |
$495 |
5.9× |
| Nm bone marrow wb (78104) |
$2,109 |
$2,109 |
5.5× |
| Nm gastric emptying study (78264) |
$2,239 |
$2,239 |
5.8× |
| Nm gastroesophageal reflux study (78262) |
$2,239 |
$2,239 |
5.8× |
| Nonvascular shunt X-ray (75809) |
$790 |
$790 |
7.9× |
| Nuclear Rx Oral Admin (79005) |
$1,503 |
$1,503 |
6.7× |
| Ob us nuchal meas 1 gest (76813) |
$425 |
$425 |
4.2× |
| Ophthalmic biometry by ultrasound echography, A-scan; Non-Facility (76516) |
$325.50 |
$325.50 |
3.2× |
| Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Non-Facility (76519) |
$343 |
$343 |
3.4× |
| Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) |
$141 |
$141 |
5.1× |
| Osseous survey limited (77074) |
$666 |
$666 |
6.6× |
| Parathyroid Planar Imaging (78070) |
$2,239 |
$2,239 |
5.8× |
| Pelvis 1 or 2 views (72170) |
$598 |
$598 |
6.0× |
| PET image w/CT, skull-thigh (78815) |
$7,925 |
$7,925 |
5.8× |
| PET imaging for CT attenuation whole body (78816) |
$7,925 |
$7,925 |
5.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,239 |
$2,239 |
5.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,934 |
$2,934 |
5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,994 |
$2,994 |
5.7× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$495 |
$495 |
5.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$495 |
$495 |
5.9× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$495 |
$495 |
5.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$717 |
$717 |
8.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$717 |
$717 |
7.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$1,433 |
$1,433 |
14.3× |
| Radex fingr minimum 2 views (73140) |
$495 |
$495 |
5.9× |
| Radex Foot Compl Minimum 3 Views (73630) |
$495 |
$495 |
5.9× |
| Radex Hand Minimum 3 Views (73130) |
$495 |
$495 |
5.9× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$495 |
$495 |
5.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$649 |
$649 |
6.5× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$717 |
$717 |
7.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$1,433 |
$1,433 |
14.3× |
| Radex Humerus Minimum 2 Views (73060) |
$742 |
$742 |
8.9× |
| Radex Kne 1/2 Views (73560) |
$495 |
$495 |
5.9× |
| Radex Kne Compl 4/More Views (73564) |
$598 |
$598 |
6.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$598 |
$598 |
6.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$495 |
$495 |
5.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$598 |
$598 |
6.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$495 |
$495 |
5.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$495 |
$495 |
5.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$771 |
$771 |
7.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$495 |
$495 |
5.9× |
| Radex Toe Minimum 2 Views (73660) |
$495 |
$495 |
5.9× |
| Radex upper extremity infant minimum 2 views (73092) |
$598 |
$598 |
6.0× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$495 |
$495 |
5.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,433 |
$1,433 |
14.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$495 |
$495 |
5.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$598 |
$598 |
6.0× |
| Radiologic exam chest 2 views (71046) |
$495 |
$495 |
5.9× |
| Radiologic exam colon single contrast study (74270) |
$998 |
$998 |
5.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$998 |
$998 |
5.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$998 |
$998 |
5.9× |
| Radiologic examination femur 1 view (73551) |
$495 |
$495 |
5.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$495 |
$495 |
5.9× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$598 |
$598 |
6.0× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$598 |
$598 |
6.0× |
| Radiological examination surgical specimen (76098) |
$3,421 |
$3,421 |
6.5× |
| Ribs bilateral 3 views (71110) |
$926 |
$926 |
9.2× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$3,951 |
$3,951 |
10.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,951 |
$3,951 |
10.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$7,706 |
$7,706 |
14.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$7,930 |
$7,930 |
15.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$7,706 |
$7,706 |
14.8× |
| Sacroiliac Joints < 3 Views (72200) |
$640 |
$640 |
6.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,331 |
$1,331 |
5.8× |
| Scapula (73010) |
$742 |
$742 |
7.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$313 |
$313 |
13.4× |
| Shoulder 1 view (73020) |
$495 |
$495 |
5.9× |
| Small bowel series (74250) |
$998 |
$998 |
5.9× |
| Spine thoracic 3 views (72072) |
$598 |
$598 |
6.0× |
| Superior sagittal sinus venogram (75870) |
$278 |
$278 |
0.1× |
| Testicular Imaging With Vascular Flow (78761) |
$2,239 |
$2,239 |
5.8× |
| Thoracolumbar 2 views (72080) |
$495 |
$495 |
5.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,934 |
$2,934 |
5.6× |
| Thyroid imaging w/blood flow (78013) |
$2,239 |
$2,239 |
5.8× |
| Thyroid uptake measurement (78012) |
$2,239 |
$2,239 |
5.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,239 |
$2,239 |
5.8× |
| Tmj unilateral (70328) |
$495 |
$495 |
5.9× |
| Ultrasound breast complete (76641) |
$612 |
$612 |
6.1× |
| Ultrasound Exam Aaa Screen (76706) |
$597 |
$597 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$698 |
$698 |
7.0× |
| Umbilical-artery Doppler (OB) (76820) |
$597 |
$597 |
6.0× |
| Urethrocystogram voiding (74455) |
$1,677 |
$1,677 |
7.3× |
| Urethrocystography retrograde rs&i (74450) |
$1,797 |
$1,797 |
7.9× |
| Us breast unilateral limited (76642) |
$499 |
$499 |
6.0× |
| Us chest (76604) |
$98 |
$98 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$1,023 |
$1,023 |
10.2× |
| Us elastography parenchyma (76981) |
$1,240 |
$1,240 |
12.4× |
| Us hips infant static (76886) |
$1,023 |
$1,023 |
12.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$498 |
$498 |
5.0× |
| Us ob detailed single fetus (76811) |
$1,331 |
$1,331 |
5.8× |
| Us ob limited (76815) |
$294 |
$294 |
2.9× |
| Us ob transvaginal (76817) |
$125 |
$125 |
1.2× |
| Us pelvic non ob complete (76856) |
$597 |
$597 |
6.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$597 |
$597 |
6.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$403.50 |
$403.50 |
4.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$388 |
$388 |
3.9× |
| Us retroperitoneal complete (76770) |
$1,023 |
$1,023 |
10.2× |
| Us retroperitoneal limited (76775) |
$612.50 |
$612.50 |
6.1× |
| Us scrotum and contents (76870) |
$1,023 |
$1,023 |
10.2× |
| Us soft tissue head/neck (76536) |
$135 |
$135 |
1.3× |
| Us spinal canal and contents (76800) |
$1,023 |
$1,023 |
10.2× |
| Us transrectal (76872) |
$353 |
$353 |
3.5× |
| Us, eye b-scan (76512) |
$151 |
$151 |
1.5× |
| Us,transplanted kidney, real time/ doppler (76776) |
$1,023 |
$1,023 |
10.2× |
| Venography Renal Bilateral (75833) |
$318 |
$318 |
0.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$249 |
$249 |
0.1× |
| Wrist 2 views (73100) |
$495 |
$495 |
5.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$723 |
$723 |
7.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$495 |
$495 |
5.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,480 |
$1,480 |
8.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$495 |
$495 |
5.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$495 |
$495 |
5.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$717 |
$717 |
7.1× |
| X-ray exam of femur 2/> (73552) |
$598 |
$598 |
7.2× |
| X-ray eye for foreign body (70030) |
$925 |
$925 |
11.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$495 |
$495 |
5.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$495 |
$495 |
5.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$495 |
$495 |
5.9× |
| X-ray leg, infant (73592) |
$495 |
$495 |
5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$598 |
$598 |
6.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$771 |
$771 |
7.7× |
| X-ray nose-rectum child f.b. (76010) |
$495 |
$495 |
5.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$598 |
$598 |
6.0× |
| X-ray retrograde pyelogram (74420) |
$2,088 |
$2,088 |
6.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$495 |
$495 |
5.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$598 |
$598 |
6.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$771 |
$771 |
7.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$598 |
$598 |
6.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$495 |
$495 |
5.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$495 |
$495 |
5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$771 |
$771 |
7.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$598 |
$598 |
6.0× |
| X-Ray Small Bowel Enteroclysis (74251) |
$916 |
$916 |
5.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$495 |
$495 |
5.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$495 |
$495 |
5.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$495 |
$495 |
5.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$598 |
$598 |
6.0× |
| Xr bone length studies (77073) |
$598 |
$598 |
6.0× |
| Xr c-spine 4 or 5 views (72050) |
$771 |
$771 |
7.7× |
| Xr c-spine 6 or more views (72052) |
$771 |
$771 |
7.7× |
| Xr chest 4+ views (71048) |
$41 |
$41 |
0.4× |
| Xr urogram antegrade (74425) |
$2,045 |
$2,045 |
6.1× |