| Abdomen 2 views (74019) |
$184.80 |
$528 |
1.8× |
| Acute gi blood loss imaging (78278) |
$757.40 |
$2,164 |
1.9× |
| Ankle 2 views (73600) |
$236.25 |
$675 |
2.8× |
| Arthrogram shoulder (73040) |
$563.15 |
$1,609 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$859.25 |
$2,455 |
2.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$938.35 |
$2,681 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$974.75 |
$2,785 |
2.5× |
| Bone age studies (77072) |
$170.10 |
$486 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$1,237.95 |
$3,537 |
3.2× |
| Bone Marrow Imaging Limited Area (78102) |
$498.40 |
$1,424 |
1.3× |
| Bone survey complete (77075) |
$482.30 |
$1,378 |
4.7× |
| Bone survey infant (77076) |
$153.65 |
$439 |
1.5× |
| Bowel imaging (78290) |
$521.15 |
$1,489 |
1.3× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$931.70 |
$2,662 |
2.4× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) |
$1,236.20 |
$3,532 |
2.3× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$693.70 |
$1,982 |
1.8× |
| Cardiac shunt detection (78428) |
$726.25 |
$2,075 |
1.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$667.80 |
$1,908 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$374.85 |
$1,071 |
4.4× |
| Chest 1 view (71045) |
$127.40 |
$364 |
1.5× |
| Chest xray 3 views (71047) |
$145.25 |
$415 |
1.7× |
| Clavicle complete (73000) |
$287.35 |
$821 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$539.70 |
$1,542 |
5.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,153.90 |
$6,154 |
6.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,132.25 |
$3,235 |
4.9× |
| CT abdomen w contrast (74160) |
$1,149.75 |
$3,285 |
6.7× |
| CT abdomen w wo contrast (74170) |
$1,233.05 |
$3,523 |
7.2× |
| CT abdomen w/o contrast (74150) |
$795.55 |
$2,273 |
7.8× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,385.65 |
$3,959 |
8.1× |
| CT angiography upper extremity lt (73206) |
$1,160.60 |
$3,316 |
6.8× |
| CT c-spine w/contrast (72126) |
$2,105.95 |
$6,017 |
6.2× |
| CT c-spine w/o contrast (72125) |
$1,004.15 |
$2,869 |
9.8× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$1,017.10 |
$2,906 |
5.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,405.25 |
$4,015 |
8.2× |
| CT chest w contrast (71260) |
$1,028.65 |
$2,939 |
6.0× |
| CT chest w/wo contrast (71270) |
$1,373.40 |
$3,924 |
8.0× |
| CT head/brain with contrast (70460) |
$1,029 |
$2,940 |
6.0× |
| CT head/brain without and with contrast (70470) |
$1,261.40 |
$3,604 |
7.4× |
| CT iac w contrast (70481) |
$1,097.25 |
$3,135 |
6.4× |
| CT limited/localized follow up study (76380) |
$513.10 |
$1,466 |
6.0× |
| CT lower ext w/o (73700) |
$841.40 |
$2,404 |
8.2× |
| CT lower extremity w wo contrast (73702) |
$1,332.45 |
$3,807 |
7.8× |
| CT lower extremity w/contrast material (73701) |
$1,090.60 |
$3,116 |
6.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,271.55 |
$3,633 |
7.4× |
| CT lumbar spine w/contrast (72132) |
$1,205.05 |
$3,443 |
3.5× |
| CT lumbar spine w/o contrast (72131) |
$1,026.55 |
$2,933 |
10.1× |
| CT maxillofacial w contrast (70487) |
$1,011.15 |
$2,889 |
5.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,286.60 |
$3,676 |
7.5× |
| CT maxillofacial wo contrast (70486) |
$775.60 |
$2,216 |
7.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,316 |
$3,760 |
7.7× |
| CT orbits w/o contrast (70480) |
$952 |
$2,720 |
9.3× |
| CT pelvis w/o contrast (72192) |
$700.35 |
$2,001 |
6.9× |
| CT pelvis w/wo contrast (72194) |
$1,221.85 |
$3,491 |
7.1× |
| CT scan of arm combo (73202) |
$1,088.85 |
$3,111 |
6.4× |
| CT soft tissue neck w contrast (70491) |
$1,016.40 |
$2,904 |
5.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,405.95 |
$4,017 |
8.2× |
| CT soft tissue neck w/o contrast (70490) |
$527.80 |
$1,508 |
5.2× |
| CT thoracic spine w/contrast (72129) |
$1,291.15 |
$3,689 |
7.5× |
| CT thoracic spine w/o contrast (72128) |
$724.85 |
$2,071 |
7.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,090.95 |
$3,117 |
6.4× |
| CT thorax w/o contrast (71250) |
$868.70 |
$2,482 |
8.5× |
| CT upper ext wo (73200) |
$873.60 |
$2,496 |
8.6× |
| CT upper extremity with contrast (73201) |
$1,301.30 |
$3,718 |
3.8× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,125.25 |
$3,215 |
6.6× |
| Cta Abdomen (74175) |
$1,004.50 |
$2,870 |
5.9× |
| CTA abdomen pelvis (74174) |
$1,985.55 |
$5,673 |
5.8× |
| CTA chest (71275) |
$1,095.15 |
$3,129 |
6.4× |
| Cta Head (70496) |
$1,354.85 |
$3,871 |
7.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,543.10 |
$7,266 |
7.5× |
| Cta Neck (70498) |
$1,204.35 |
$3,441 |
7.0× |
| Cta Pelvis (72191) |
$990.50 |
$2,830 |
5.8× |
| Cystography minimum 3 views rs&i (74430) |
$443.10 |
$1,266 |
1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$607.60 |
$1,736 |
6.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$351.40 |
$1,004 |
3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$166.25 |
$475 |
2.0× |
| Dxa bone density study axial skeleton (77085) |
$269.85 |
$771 |
2.6× |
| Esophagus (74220) |
$301.35 |
$861 |
1.8× |
| Facial bones min 3 views (70150) |
$210.70 |
$602 |
2.1× |
| Fetal biophysical profile non-stress testing (76818) |
$621.95 |
$1,777 |
6.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$281.05 |
$803 |
2.8× |
| Fluoroscopy up to 1 hr (76000) |
$421.75 |
$1,205 |
1.8× |
| Foot 2 views (73620) |
$176.05 |
$503 |
2.1× |
| Forearm 2 views (73090) |
$204.75 |
$585 |
2.4× |
| Hand 2 views (73120) |
$324.45 |
$927 |
3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,735.65 |
$4,959 |
3.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$748.65 |
$2,139 |
1.9× |
| Hysterosalpingogram (74740) |
$591.85 |
$1,691 |
2.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$187.25 |
$535 |
1.8× |
| Kidney imaging morphology (78700) |
$842.10 |
$2,406 |
2.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$992.95 |
$2,837 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$667.80 |
$1,908 |
1.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,353.10 |
$3,866 |
2.6× |
| Knee 3 views (73562) |
$311.50 |
$890 |
3.7× |
| Liver & spleen imaging static only (78215) |
$720.30 |
$2,058 |
1.8× |
| Liver imaging static only (78201) |
$911.75 |
$2,605 |
1.7× |
| Lung perfusion differential (78597) |
$498.40 |
$1,424 |
1.3× |
| Lung ventilation imaging (78579) |
$498.40 |
$1,424 |
1.3× |
| Lymphoscintigraphy (78195) |
$987.70 |
$2,822 |
1.9× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,031.75 |
$5,805 |
2.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,885.10 |
$5,386 |
5.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,271.15 |
$6,489 |
6.7× |
| MRA head w & w/o contrast (70546) |
$1,326.85 |
$3,791 |
3.9× |
| MRA head w/o contrast (70544) |
$1,156.05 |
$3,303 |
5.0× |
| MRA head with contrast (70545) |
$938.70 |
$2,682 |
2.8× |
| MRA neck w contrast (70548) |
$983.15 |
$2,809 |
2.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,827.70 |
$5,222 |
5.4× |
| MRA neck w/o contrast (70547) |
$815.15 |
$2,329 |
3.5× |
| MRI abdomen w contrast (74182) |
$1,265.95 |
$3,617 |
3.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,989.40 |
$5,684 |
5.8× |
| MRI abdomen w/o contrast (74181) |
$1,137.85 |
$3,251 |
4.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,591.80 |
$4,548 |
2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,424.10 |
$6,926 |
7.1× |
| MRI c-spine with contrast (72142) |
$1,981.70 |
$5,662 |
5.8× |
| MRI cervical spine w/o contrast (72141) |
$1,349.95 |
$3,857 |
5.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,987.65 |
$5,679 |
5.8× |
| MRI chest w/o contrast (71550) |
$1,455.65 |
$4,159 |
6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,894.20 |
$5,412 |
5.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,417.10 |
$6,906 |
7.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,623.65 |
$4,639 |
7.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,394.40 |
$3,984 |
6.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,073.75 |
$5,925 |
6.1× |
| MRI pelvis w/contrast (72196) |
$1,923.25 |
$5,495 |
5.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,877 |
$8,220 |
8.5× |
| MRI pelvis w/o contrast (72195) |
$1,744.40 |
$4,984 |
7.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,256.80 |
$6,448 |
6.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,169.35 |
$3,341 |
3.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,249.80 |
$6,428 |
6.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,256.45 |
$6,447 |
6.6× |
| MRI temporomandibular joint (70336) |
$1,004.15 |
$2,869 |
4.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,228.50 |
$3,510 |
5.3× |
| MRI up ext w/o contrast (73218) |
$1,744.05 |
$4,983 |
7.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,689.10 |
$4,826 |
7.3× |
| MRI, joint upper extrem combo (73223) |
$2,315.25 |
$6,615 |
6.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,742.60 |
$7,836 |
2.2× |
| Myocardial spect single study at rest or stress (78451) |
$2,242.80 |
$6,408 |
1.8× |
| Neck soft tissue (70360) |
$151.55 |
$433 |
1.8× |
| Nm adrenal scan (78075) |
$2,098.95 |
$5,997 |
1.7× |
| Nm bone marrow multi (78103) |
$609.35 |
$1,741 |
1.6× |
| Nm bone marrow wb (78104) |
$709.80 |
$2,028 |
1.8× |
| Nm cardiac blood pool multiple (78473) |
$1,231.65 |
$3,519 |
3.2× |
| Nm cisternogram (78630) |
$690.90 |
$1,974 |
1.3× |
| Nm gastric emptying study (78264) |
$1,370.95 |
$3,917 |
3.5× |
| Nm kidney scan w/flow (78701) |
$2,226.35 |
$6,361 |
5.7× |
| Nm peritoneal-venous shunt patency (78291) |
$749.35 |
$2,141 |
1.9× |
| Nuclear Rx Oral Admin (79005) |
$1,524.25 |
$4,355 |
6.7× |
| Osseous survey limited (77074) |
$153.65 |
$439 |
1.5× |
| Parathyrd planar w/spect&CT (78072) |
$856.10 |
$2,446 |
1.6× |
| Parathyroid Planar Imaging (78070) |
$498.40 |
$1,424 |
1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$537.60 |
$1,536 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$187.25 |
$535 |
1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$508.20 |
$1,452 |
1.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$990.50 |
$2,830 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$680.40 |
$1,944 |
1.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$310.45 |
$887 |
3.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$128.10 |
$366 |
1.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$262.85 |
$751 |
3.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$122.85 |
$351 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$388.15 |
$1,109 |
3.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$511.35 |
$1,461 |
5.0× |
| Radex fingr minimum 2 views (73140) |
$237.30 |
$678 |
2.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$179.55 |
$513 |
2.1× |
| Radex Hand Minimum 3 Views (73130) |
$392.35 |
$1,121 |
4.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$109.55 |
$313 |
1.3× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$299.25 |
$855 |
2.9× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$165.90 |
$474 |
1.6× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$406 |
$1,160 |
4.0× |
| Radex Humerus Minimum 2 Views (73060) |
$188.30 |
$538 |
2.2× |
| Radex Kne 1/2 Views (73560) |
$148.40 |
$424 |
1.7× |
| Radex Kne Compl 4/More Views (73564) |
$341.60 |
$976 |
3.3× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$229.25 |
$655 |
2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$285.25 |
$815 |
3.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$230.65 |
$659 |
2.3× |
| Radex Sho Compl Minimum 2 Views (73030) |
$323.40 |
$924 |
3.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$109.55 |
$313 |
1.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$355.60 |
$1,016 |
3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$135.45 |
$387 |
1.6× |
| Radex Toe Minimum 2 Views (73660) |
$138.60 |
$396 |
1.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$185.85 |
$531 |
1.8× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$334.25 |
$955 |
3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$536.90 |
$1,534 |
5.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$106.40 |
$304 |
1.3× |
| Radiologic exam chest 2 views (71046) |
$145.25 |
$415 |
1.7× |
| Radiologic exam colon single contrast study (74270) |
$595.70 |
$1,702 |
3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$283.50 |
$810 |
1.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$493.85 |
$1,411 |
2.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$486.85 |
$1,391 |
2.8× |
| Radiologic examination femur 1 view (73551) |
$109.55 |
$313 |
1.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$306.60 |
$876 |
3.6× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$153.65 |
$439 |
1.5× |
| Radiological examination surgical specimen (76098) |
$680.40 |
$1,944 |
1.3× |
| Ribs bilateral 3 views (71110) |
$349.30 |
$998 |
3.4× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$603.75 |
$1,725 |
1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$855.05 |
$2,443 |
2.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,619.45 |
$4,627 |
3.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,654.45 |
$4,727 |
3.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,654.45 |
$4,727 |
1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,025.80 |
$5,788 |
1.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,654.45 |
$4,727 |
1.3× |
| Sacroiliac Joints < 3 Views (72200) |
$153.65 |
$439 |
1.5× |
| Scapula (73010) |
$159.60 |
$456 |
1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$29.75 |
$85 |
1.3× |
| Shoulder 1 view (73020) |
$138.60 |
$396 |
1.6× |
| Small bowel series (74250) |
$305.55 |
$873 |
1.8× |
| Spine thoracic 3 views (72072) |
$403.20 |
$1,152 |
4.0× |
| Thoracolumbar 2 views (72080) |
$313.95 |
$897 |
3.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,428.35 |
$4,081 |
2.7× |
| Thyroid imaging w/blood flow (78013) |
$498.40 |
$1,424 |
1.3× |
| Thyroid uptake measurement (78012) |
$498.40 |
$1,424 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$728 |
$2,080 |
1.9× |
| Tmj unilateral (70328) |
$109.55 |
$313 |
1.3× |
| Ultrasound breast complete (76641) |
$386.40 |
$1,104 |
3.8× |
| Ultrasound Exam Aaa Screen (76706) |
$203.35 |
$581 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$653.80 |
$1,868 |
6.4× |
| Umbilical-artery Doppler (OB) (76820) |
$330.75 |
$945 |
3.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$67.90 |
$194 |
0.8× |
| Unlisted gastrointestinal px dx nuclear medicine (78299) |
$647.15 |
$1,849 |
1.7× |
| Urethrocystogram voiding (74455) |
$653.80 |
$1,868 |
2.8× |
| Us breast unilateral limited (76642) |
$271.25 |
$775 |
3.2× |
| Us chest (76604) |
$406.35 |
$1,161 |
4.0× |
| Us compl joint r-t w/image documentation (76881) |
$602.35 |
$1,721 |
5.9× |
| Us elastography parenchyma (76981) |
$220.85 |
$631 |
2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$290.50 |
$830 |
2.8× |
| Us ob detailed single fetus (76811) |
$431.20 |
$1,232 |
1.9× |
| Us ob limited (76815) |
$283.15 |
$809 |
2.8× |
| Us ob transvaginal (76817) |
$355.95 |
$1,017 |
3.5× |
| Us pelvic non ob complete (76856) |
$715.40 |
$2,044 |
7.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$298.20 |
$852 |
2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$311.15 |
$889 |
3.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$249.20 |
$712 |
2.4× |
| Us retroperitoneal complete (76770) |
$394.80 |
$1,128 |
3.9× |
| Us retroperitoneal limited (76775) |
$262.50 |
$750 |
2.6× |
| Us scrotum and contents (76870) |
$603.75 |
$1,725 |
5.9× |
| Us soft tissue head/neck (76536) |
$556.15 |
$1,589 |
5.5× |
| Us spinal canal and contents (76800) |
$390.60 |
$1,116 |
3.8× |
| Us, eye b-scan (76512) |
$219.45 |
$627 |
2.2× |
| Venogram extremity bilateral (75822) |
$1,926.75 |
$5,505 |
1.3× |
| Vertebral fracture assessment via dxa (77086) |
$158.90 |
$454 |
1.9× |
| Wrist 2 views (73100) |
$269.50 |
$770 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$286.30 |
$818 |
2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$306.60 |
$876 |
3.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$519.40 |
$1,484 |
3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$232.40 |
$664 |
2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$142.10 |
$406 |
1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$362.95 |
$1,037 |
3.6× |
| X-ray exam of femur 2/> (73552) |
$170.45 |
$487 |
2.0× |
| X-ray eye for foreign body (70030) |
$141.05 |
$403 |
1.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$141.05 |
$403 |
1.7× |
| X-ray IV pyelogram (ivp) (74400) |
$429.10 |
$1,226 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$156.10 |
$446 |
1.8× |
| X-ray leg, infant (73592) |
$170.80 |
$488 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$337.75 |
$965 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$558.25 |
$1,595 |
5.5× |
| X-ray nose-rectum child f.b. (76010) |
$292.25 |
$835 |
3.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$255.85 |
$731 |
2.5× |
| X-ray retrograde pyelogram (74420) |
$493.85 |
$1,411 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$161.35 |
$461 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$202.65 |
$579 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$442.75 |
$1,265 |
4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$220.85 |
$631 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$304.85 |
$871 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$263.90 |
$754 |
3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$430.15 |
$1,229 |
4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$223.30 |
$638 |
2.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$176.40 |
$504 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$275.45 |
$787 |
3.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$234.15 |
$669 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$324.45 |
$927 |
3.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$466.90 |
$1,334 |
4.6× |
| Xr bone length studies (77073) |
$150.85 |
$431 |
1.5× |
| Xr c-spine 4 or 5 views (72050) |
$519.05 |
$1,483 |
5.1× |
| Xr c-spine 6 or more views (72052) |
$627.20 |
$1,792 |
6.1× |
| Xr chest 4+ views (71048) |
$166.95 |
$477 |
1.6× |