| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,124.05 |
$6,804.50 |
4.3× |
| Abdomen 1 View (74018) |
$212.40 |
$236 |
2.4× |
| Abdomen 2 views (74019) |
$292.50 |
$325 |
2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,285.20 |
$1,428 |
3.1× |
| Angiography extremity unilateral rs&i (75710) |
$3,465 |
$3,850 |
1.1× |
| Ankle 2 views (73600) |
$175.50 |
$195 |
2.0× |
| Aortography thoracic serialography rs&i (75605) |
$7,774.20 |
$8,638 |
1.4× |
| Arthrogram hip (73525) |
$675 |
$750 |
1.9× |
| Arthrogram Wrist (73115) |
$444.60 |
$494 |
1.2× |
| Basic radiation dosimetry calculation (77300) |
$405 |
$450 |
2.9× |
| Bone age studies (77072) |
$117 |
$130 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$1,393.20 |
$1,548 |
3.4× |
| Bone Imaging Limited Area (78300) |
$997.20 |
$1,108 |
2.4× |
| Bone Imaging Multiple Areas (78305) |
$1,340.10 |
$1,489 |
3.3× |
| Bone Imaging Whole Body (78306) |
$1,170 |
$1,300 |
2.9× |
| Bone survey infant (77076) |
$191.25 |
$212.50 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,464 |
$4,960 |
3.1× |
| Chest 1 view (71045) |
$182.70 |
$203 |
2.1× |
| Chest 2 views (71046) |
$225 |
$250 |
2.5× |
| Chest 3 views (71047) |
$261.90 |
$291 |
2.9× |
| Chest 4 or more views (71048) |
$352.80 |
$392 |
3.3× |
| Clavicle complete (73000) |
$182.70 |
$203 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$315 |
$350 |
2.9× |
| Continuing medical physics consltj pr wk (77336) |
$615.60 |
$684 |
4.5× |
| Contrast X-Ray Bladder (74430) |
$427.50 |
$475 |
1.2× |
| Contrast X-Ray Of Elbow (73085) |
$675 |
$750 |
1.9× |
| Contrast X-Ray Of Knee Joint (73580) |
$565.65 |
$628.50 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,041.90 |
$4,491 |
11.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,150.90 |
$3,501 |
12.9× |
| CT abdomen w contrast (74160) |
$1,926 |
$2,140 |
10.7× |
| CT abdomen w wo contrast (74170) |
$2,205 |
$2,450 |
12.3× |
| CT abdomen w/o contrast (74150) |
$1,665 |
$1,850 |
15.6× |
| CT Angio Abdomen and Pelvis (74174) |
$2,651.40 |
$2,946 |
7.4× |
| CT Angio Chest (71275) |
$1,855.80 |
$2,062 |
10.4× |
| CT Angio Head (70496) |
$1,715.40 |
$1,906 |
9.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,645.20 |
$1,828 |
9.2× |
| CT Angio Neck (70498) |
$1,730.70 |
$1,923 |
9.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$450 |
$500 |
2.5× |
| CT cervical spine w/ contrast (72126) |
$1,777.50 |
$1,975 |
5.0× |
| CT cervical spine w/o contrast (72125) |
$1,639.80 |
$1,822 |
15.4× |
| CT chest w contrast (71260) |
$1,771.20 |
$1,968 |
9.9× |
| CT chest w/wo contrast (71270) |
$2,051.10 |
$2,279 |
11.4× |
| CT head/brain with contrast (70460) |
$1,689.30 |
$1,877 |
9.4× |
| CT head/brain without and with contrast (70470) |
$1,967.40 |
$2,186 |
11.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$180 |
$200 |
2.0× |
| CT iac w contrast (70481) |
$1,332.90 |
$1,481 |
7.4× |
| CT l-spine w&w/o contrast (72133) |
$450 |
$500 |
2.5× |
| CT lower ext w/o (73700) |
$1,800 |
$2,000 |
16.9× |
| CT lower extremity w/contrast material (73701) |
$1,464.30 |
$1,627 |
8.2× |
| CT lumbar spine w contrast (72132) |
$1,867.50 |
$2,075 |
5.2× |
| CT lumbar spine w/o contrast (72131) |
$1,728 |
$1,920 |
16.2× |
| CT maxillofacial w contrast (70487) |
$1,755 |
$1,950 |
9.8× |
| CT maxillofacial wo contrast (70486) |
$1,471.50 |
$1,635 |
13.8× |
| CT neck tissue combo (70492) |
$1,883.25 |
$2,092.50 |
10.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,963.80 |
$2,182 |
11.0× |
| CT orbits w/o contrast (70480) |
$1,210.50 |
$1,345 |
11.3× |
| CT pelvis w&w/o contrast (72194) |
$1,935.90 |
$2,151 |
10.8× |
| CT pelvis w/o contrast (72192) |
$1,633.50 |
$1,815 |
15.3× |
| CT scan of leg combo (73702) |
$1,646.10 |
$1,829 |
9.2× |
| CT scans face/jaw combo (70488) |
$1,723.95 |
$1,915.50 |
9.6× |
| CT soft tissue neck w contrast (70491) |
$1,651.50 |
$1,835 |
9.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,271.70 |
$1,413 |
11.9× |
| CT thoracic spine w contrast (72129) |
$1,866.60 |
$2,074 |
10.4× |
| CT thoracic spine w/o contrast (72128) |
$1,395 |
$1,550 |
13.1× |
| CT thorax w/o contrast (71250) |
$1,516.50 |
$1,685 |
14.2× |
| CT upper ext wo (73200) |
$1,710 |
$1,900 |
16.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,646.10 |
$1,829 |
9.2× |
| CT upper extremity with contrast (73201) |
$967.50 |
$1,075 |
2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,380.50 |
$2,645 |
13.3× |
| Cta Abdomen (74175) |
$2,110.50 |
$2,345 |
11.8× |
| CTA pelvis (72191) |
$2,110.50 |
$2,345 |
11.8× |
| Dxa Bone Density Axial (77080) |
$461.25 |
$512.50 |
4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$290.70 |
$323 |
3.3× |
| Esophagram (74220) |
$574.20 |
$638 |
3.2× |
| Fetal Biophys Profile W/Nst (76818) |
$393.30 |
$437 |
3.7× |
| Fluoroscopy up to 1 hr (76000) |
$489.60 |
$544 |
2.0× |
| Foot 2 views (73620) |
$226.80 |
$252 |
2.6× |
| Forearm 2 views (73090) |
$220.50 |
$245 |
2.5× |
| Gastric emptying imaging study (78264) |
$1,170 |
$1,300 |
2.9× |
| Hand 2 views (73120) |
$211.50 |
$235 |
2.0× |
| Hepatobil Syst Image W/Drug (78227) |
$1,305 |
$1,450 |
2.4× |
| Hepatobiliary System Imaging (78226) |
$1,175.85 |
$1,306.50 |
2.9× |
| Ht Muscle Image Spect Sing (78451) |
$3,006 |
$3,340 |
2.3× |
| Hysterosalpingogram (74740) |
$509.40 |
$566 |
2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$256.95 |
$285.50 |
2.9× |
| K Flow/Funct Image Multiple (78709) |
$1,486.80 |
$1,652 |
2.7× |
| K Flow/Funct Image W/Drug (78708) |
$1,486.80 |
$1,652 |
2.7× |
| K Flow/Funct Image W/O Drug (78707) |
$1,486.80 |
$1,652 |
2.7× |
| Knee 3 Views (73562) |
$220.50 |
$245 |
2.5× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,486.80 |
$1,652 |
2.7× |
| Lymph System Imaging (78195) |
$1,305 |
$1,450 |
2.4× |
| Meckels Divert Exam (78290) |
$778.95 |
$865.50 |
1.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$4,010.40 |
$4,456 |
10.5× |
| MRA head w/o contrast (70544) |
$1,215 |
$1,350 |
5.0× |
| MRA neck w contrast (70548) |
$1,080 |
$1,200 |
3.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,719 |
$1,910 |
4.8× |
| MRA neck w/o contrast (70547) |
$1,035 |
$1,150 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$1,668.60 |
$1,854 |
6.8× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,155.50 |
$2,395 |
2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,313 |
$2,570 |
6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,155.50 |
$2,395 |
2.7× |
| MRI Breast W/O Contrast Bilateral (77047) |
$1,832.40 |
$2,036 |
7.5× |
| MRI cervical spine w contrast (72142) |
$2,062.80 |
$2,292 |
5.8× |
| MRI cervical spine w/o cont (72141) |
$1,941.75 |
$2,157.50 |
8.0× |
| MRI chest w/o contrast (71550) |
$1,602 |
$1,780 |
6.6× |
| MRI chest wo w contrast (71552) |
$2,246.40 |
$2,496 |
6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$652.50 |
$725 |
1.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,312.55 |
$2,569.50 |
6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,786.50 |
$1,985 |
7.3× |
| MRI lumbar spine w contrast (72149) |
$2,255.40 |
$2,506 |
6.3× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,811.60 |
$3,124 |
7.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,337.85 |
$1,486.50 |
5.5× |
| MRI orbit face neck w contrast (70542) |
$1,080 |
$1,200 |
3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,465.10 |
$2,739 |
6.9× |
| MRI pelvis w contrast (72196) |
$2,726.10 |
$3,029 |
7.6× |
| MRI pelvis w/o & w contrast (72197) |
$2,726.10 |
$3,029 |
7.6× |
| MRI pelvis w/o contrast (72195) |
$1,687.50 |
$1,875 |
6.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,827 |
$2,030 |
7.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$652.50 |
$725 |
1.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,310.40 |
$1,456 |
5.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,009.70 |
$2,233 |
5.6× |
| MRI, abdomen, combo (74183) |
$1,942.20 |
$2,158 |
5.4× |
| MRI, dorsal spine combo (72157) |
$2,811.60 |
$3,124 |
7.9× |
| MRI, dorsal spine contrast (72147) |
$2,061.90 |
$2,291 |
5.8× |
| MRI, joint upper extrem (73221) |
$1,957.50 |
$2,175 |
8.0× |
| MRI, joint upper extrem combo (73223) |
$2,313 |
$2,570 |
6.5× |
| MRI, lumbar spine combo (72158) |
$2,848.50 |
$3,165 |
8.0× |
| Myocardial Spect Multiple Studies (78452) |
$3,433.50 |
$3,815 |
2.6× |
| N-invas est c ffr sw aly CTA (75580) |
$2,893.05 |
$3,214.50 |
3.3× |
| Neck soft tissue (70360) |
$103.50 |
$115 |
1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,581.70 |
$7,313 |
4.7× |
| Nuclear Rx Oral Admin (79005) |
$747 |
$830 |
3.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$1,484.10 |
$1,649 |
2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,945.80 |
$2,162 |
4.8× |
| Pelvis 1 or 2 views (72170) |
$211.50 |
$235 |
2.0× |
| PET image w/CT, full body (78816) |
$6,632.10 |
$7,369 |
4.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,978.70 |
$6,643 |
4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,159.20 |
$1,288 |
2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$349.20 |
$388 |
3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$549.45 |
$610.50 |
1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$226.80 |
$252 |
2.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$171 |
$190 |
1.9× |
| Radex elbow complete minimum 3 views (73080) |
$247.50 |
$275 |
2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$249.30 |
$277 |
2.3× |
| Radex fingr minimum 2 views (73140) |
$198 |
$220 |
2.2× |
| Radex foot complete minimum 3 views (73630) |
$226.80 |
$252 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$231.30 |
$257 |
2.6× |
| Radex lower extremity infant minimum 2 views (73592) |
$145.35 |
$161.50 |
1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$168.75 |
$187.50 |
1.9× |
| Radex Ribs Unilateral 2 Views (71100) |
$193.50 |
$215 |
2.2× |
| Radex shoulder complete minimum 2 views (73030) |
$230.40 |
$256 |
2.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$172.35 |
$191.50 |
1.9× |
| Radex Spine 1 View Specify Level (72020) |
$139.50 |
$155 |
1.6× |
| Radex Sternum Minimum 2 Views (71120) |
$207 |
$230 |
2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$208.80 |
$232 |
2.3× |
| Radex Toe Minimum 2 Views (73660) |
$177.30 |
$197 |
2.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$140.85 |
$156.50 |
1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$220.50 |
$245 |
2.5× |
| Radiation treatment delivery level 1 (77402) |
$294.30 |
$327 |
2.8× |
| Radiation treatment delivery level 3 (77412) |
$646.20 |
$718 |
1.1× |
| Radiologic exam colon double contrast study (74280) |
$713.70 |
$793 |
4.0× |
| Radiologic exam colon single contrast study (74270) |
$437.40 |
$486 |
2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$574.20 |
$638 |
3.2× |
| Radiologic exam knee complete 4/more views (73564) |
$229.50 |
$255 |
2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$193.50 |
$215 |
1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$437.40 |
$486 |
2.4× |
| Radiologic exam swallow function contrast study (74230) |
$400.50 |
$445 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$574.20 |
$638 |
3.2× |
| Radiologic examination femur 1 view (73551) |
$238.50 |
$265 |
2.7× |
| Radiologic examination femur minimum 2 views (73552) |
$202.50 |
$225 |
2.3× |
| Radiologic examination knee 1/2 views (73560) |
$202.50 |
$225 |
2.3× |
| Radiologic Examination Osseous Survey Limited (77074) |
$238.50 |
$265 |
2.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$175.50 |
$195 |
2.0× |
| Ribs bilateral 3 views (71110) |
$301.50 |
$335 |
2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,800 |
$2,000 |
3.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,745.90 |
$3,051 |
1.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$2,448 |
$2,720 |
1.9× |
| Scapula (73010) |
$225 |
$250 |
2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$77.40 |
$86 |
3.3× |
| Shoulder 1 view (73020) |
$148.50 |
$165 |
1.7× |
| Shoulder Arthrography (73040) |
$675 |
$750 |
1.9× |
| Skull less than 4 views (70250) |
$148.50 |
$165 |
1.4× |
| Special dosimetry (77331) |
$397.80 |
$442 |
2.9× |
| Special Physics Consult (77370) |
$600.75 |
$667.50 |
4.4× |
| Special treatment procedure (77470) |
$1,800 |
$2,000 |
3.2× |
| Sternoclavicular joints (71130) |
$181.35 |
$201.50 |
2.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,536.20 |
$2,818 |
6.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,077.65 |
$2,308.50 |
5.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,190.70 |
$1,323 |
3.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,642.50 |
$1,825 |
12.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$735.75 |
$817.50 |
4.1× |
| Thoracic spine 2 views (72070) |
$352.80 |
$392 |
3.3× |
| Thoracic spine 3 views (72072) |
$2,285.10 |
$2,539 |
21.4× |
| Thoracolumbar 2 views (72080) |
$229.50 |
$255 |
2.6× |
| Thyroid Met Imaging Body (78018) |
$913.05 |
$1,014.50 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,170 |
$1,300 |
2.9× |
| Tx Devices Design & Construction Complex (77334) |
$1,190.70 |
$1,323 |
3.1× |
| Tx devices design & construction intermediate (77333) |
$1,030.50 |
$1,145 |
7.5× |
| Tx devices design & construction simple (77332) |
$495 |
$550 |
3.6× |
| Ultrasound Breast Limited (76642) |
$337.50 |
$375 |
3.8× |
| Ultrasound Exam Aaa Screen (76706) |
$364.50 |
$405 |
3.4× |
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines |
$440.10–$579.60 |
$489–$644 |
varies |
| Unlisted fluoroscopic procedure (76496) |
$278.10 |
$309 |
3.1× |
| Unlisted us procedure (76999) |
$252 |
$280 |
2.8× |
| Upper gi w/o kub (74240) |
$544.50 |
$605 |
3.0× |
| Urethrocystogram voiding (74455) |
$436.50 |
$485 |
1.8× |
| Urethrocystography retrograde (74450) |
$436.50 |
$485 |
1.8× |
| Us breast unilateral complete (76641) |
$270 |
$300 |
2.5× |
| Us chest (76604) |
$270 |
$300 |
2.5× |
| Us exam, pelvic, limited (76857) |
$472.50 |
$525 |
4.4× |
| Us head (76506) |
$417.15 |
$463.50 |
3.9× |
| Us kidney transplant (76776) |
$1,149.30 |
$1,277 |
10.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$355.50 |
$395 |
3.3× |
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines |
$225–$282.60 |
$250–$314 |
varies |
| Us ob transvaginal (76817) |
$558 |
$620 |
5.2× |
| Us pelvic non ob complete (76856) |
$560.70 |
$623 |
5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$536.85 |
$596.50 |
5.0× |
| Us retroperitoneal complete (76770) |
$972.90 |
$1,081 |
9.1× |
Us retroperitoneal limited (76775)
range across 2 matching MRF lines |
$364.50–$519.30 |
$405–$577 |
varies |
| Us scrotum and contents (76870) |
$541.80 |
$602 |
5.1× |
| Us thyroid (76536) |
$486 |
$540 |
4.6× |
| Vein X-Ray Chest (75827) |
$2,011.95 |
$2,235.50 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$3,589.29 |
$3,988.10 |
1.1× |
| Venography extremity bilateral rs&i (75822) |
$2,547.45 |
$2,830.50 |
1.6× |
| Venography extremity unilateral rs&i (75820) |
$1,987.65 |
$2,208.50 |
1.2× |
| Wrist 2 views (73100) |
$198 |
$220 |
2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$179.55 |
$199.50 |
2.0× |
| X-ray antegrade pyelogram tube (74425) |
$404.10 |
$449 |
1.1× |
| X-Ray Bend Only L-S Spine (72120) |
$256.50 |
$285 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$193.50 |
$215 |
2.2× |
| X-Ray Exam Breast Specimen (76098) |
$553.50 |
$615 |
1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$130.50 |
$145 |
1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$355.50 |
$395 |
3.3× |
| X-Ray Exam Hip Uni 1 View (73501) |
$180 |
$200 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$198 |
$220 |
2.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$215.10 |
$239 |
2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$238.50 |
$265 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$301.50 |
$335 |
2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$522 |
$580 |
4.9× |
| X-Ray Exam L-S Spine Bending (72114) |
$387.90 |
$431 |
3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$292.50 |
$325 |
3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$553.50 |
$615 |
5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$274.50 |
$305 |
2.6× |
| X-ray eye for foreign body (70030) |
$306 |
$340 |
3.4× |
| X-ray humerus (73060) |
$198 |
$220 |
2.2× |
| X-ray IV pyelogram (ivp) (74400) |
$552.60 |
$614 |
3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$274.50 |
$305 |
2.6× |
| X-ray nose-rectum child f.b. (76010) |
$152.55 |
$169.50 |
1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$301.50 |
$335 |
2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$292.50 |
$325 |
2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$202.50 |
$225 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$180 |
$200 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$267.30 |
$297 |
3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$346.95 |
$385.50 |
3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$659.70 |
$733 |
1.9× |
| X-Rays Bone Length Studies (77073) |
$261 |
$290 |
2.4× |
| X-Rays Bone Survey Complete (77075) |
$495 |
$550 |
4.6× |
| Xr c-spine 4 or 5 views (72050) |
$367.20 |
$408 |
3.4× |
| Xr facial bones less than 3 views (70140) |
$133.20 |
$148 |
1.5× |
| Xr orbits complete 4 views (70200) |
$225.45 |
$250.50 |
2.1× |