| Abdomen 2 views (74019) |
$27 |
$240.50 |
0.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$108.75 |
$1,000 |
0.3× |
| Angiography extremity bilateral rs&i (75716) |
$217.50 |
$4,427.50 |
0.1× |
| Angiography extremity unilateral rs&i (75710) |
$202.50 |
$4,217.50 |
0.1× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$127.50 |
$13,525 |
0.0× |
| Ankle 2 views (73600) |
$19.50 |
$220.50 |
0.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$232.50 |
$4,437.50 |
0.1× |
| Aortography abdominal serialography rs&i (75625) |
$161.25 |
$4,390 |
0.1× |
| Arthrogram hip (73525) |
$67.50 |
$665 |
0.2× |
| Arthrogram shoulder (73040) |
$63.75 |
$867.50 |
0.2× |
| Arthrogram wrist (73115) |
$63.75 |
$632.50 |
0.2× |
| Arthrography knee lt (73580) |
$67.50 |
$972.50 |
0.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$71.25 |
$1,027.50 |
0.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$90 |
$607.50 |
0.2× |
| Bone &/joint imaging whole body (78306) |
$93.75 |
$1,300 |
0.2× |
| Bone age studies (77072) |
$23.25 |
$213 |
0.2× |
| Bone Imaging 3 Phase (78315) |
$108.75 |
$1,310 |
0.3× |
| Bone survey complete (77075) |
$63.75 |
$507.50 |
0.6× |
| Brain image w/flow 4 + views (78606) |
$71.25 |
$970 |
0.1× |
| Brain Imaging Minimum 4 Static Views (78605) |
$60 |
$745 |
0.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$127.50 |
$857.50 |
0.3× |
| Cervical spine 2 or 3 views (72040) |
$27 |
$225.50 |
0.3× |
| Chest 1 view (71045) |
$23.25 |
$193 |
0.3× |
| Chest 3 views (71047) |
$33.75 |
$140 |
0.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$63.75 |
$405 |
0.4× |
| Clavicle complete (73000) |
$19.50 |
$190.50 |
0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$120 |
$595 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$221.25 |
$2,930 |
0.6× |
| CT abdomen and pelvis without contrast (74176) |
$191.25 |
$2,240 |
0.8× |
| CT abdomen w contrast (74160) |
$142.50 |
$1,640 |
0.8× |
| CT abdomen w wo contrast (74170) |
$157.50 |
$2,422.50 |
0.9× |
| CT abdomen w/o contrast (74150) |
$135 |
$1,172.50 |
1.3× |
| CT angiography upper extremity lt (73206) |
$157.50 |
$1,755 |
0.9× |
| CT c-spine w/o contrast (72125) |
$108.75 |
$1,360 |
1.0× |
| CT cervical spine w&w/o contrast (72127) |
$142.50 |
$1,745 |
0.8× |
| CT cervical spine with contrast (72126) |
$138.75 |
$1,637.50 |
0.4× |
| CT chest w/wo contrast (71270) |
$142.50 |
$1,537.50 |
0.8× |
| CT chest with contrast (71260) |
$127.50 |
$1,477.50 |
0.7× |
| CT head/brain with contrast (70460) |
$123.75 |
$1,320 |
0.7× |
| CT head/brain without and with contrast (70470) |
$142.50 |
$1,640 |
0.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$55 |
— |
| CT iac w contrast (70481) |
$123.75 |
$1,320 |
0.7× |
| CT lower ext w/o (73700) |
$108.75 |
$1,102.50 |
1.0× |
| CT lower extremity w wo contrast (73702) |
$138.75 |
$1,485 |
0.8× |
| CT lower extremity with contrast (73701) |
$127.50 |
$1,220 |
0.7× |
| CT lumbar spine w & w/o contrast (72133) |
$142.50 |
$1,745 |
0.8× |
| CT lumbar spine w/o contrast (72131) |
$108.75 |
$1,360 |
1.0× |
| CT lumbar spine with contrast (72132) |
$138.75 |
$1,637.50 |
0.4× |
| CT maxillofacial w contrast (70487) |
$123.75 |
$1,320 |
0.7× |
| CT maxillofacial w/o contrast (70486) |
$93.75 |
$1,197.50 |
0.9× |
| CT maxillofacial w/wo contrast (70488) |
$142.50 |
$1,590 |
0.8× |
| CT neck soft tissue w contrast (70491) |
$153.75 |
$1,442.50 |
0.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$142.50 |
$1,590 |
0.8× |
| CT orbits w/o contrast (70480) |
$142.50 |
$1,230 |
1.4× |
| CT pelvis w & w/o contrast (72194) |
$138.75 |
$1,895 |
0.8× |
| CT pelvis w/o contrast (72192) |
$120 |
$1,215 |
1.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$180 |
$1,512.50 |
1.0× |
| CT soft tissue neck w/o contrast (70490) |
$142.50 |
$1,125 |
1.4× |
| CT thoracic spine w/contrast (72129) |
$138.75 |
$1,637.50 |
0.8× |
| CT thoracic spine w/o contrast (72128) |
$108.75 |
$1,360 |
1.0× |
| CT thoracic spine w/wo contrast (72130) |
$142.50 |
$1,745 |
0.8× |
| CT thorax w/o contrast (71250) |
$120 |
$1,162.50 |
1.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$138.75 |
$1,330 |
0.8× |
| CT upper extremity w/o contrast rt (73200) |
$108.75 |
$1,000 |
1.0× |
| CT upper extremity with contrast (73201) |
$127.50 |
$1,115 |
0.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$262.50 |
$1,977.50 |
1.5× |
| Cta Abdomen (74175) |
$198.75 |
$1,627.50 |
1.1× |
| CTA abdomen pelvis (74174) |
$240 |
$2,477.50 |
0.7× |
| CTA chest (71275) |
$198.75 |
$1,730 |
1.1× |
| Cta Head (70496) |
$191.25 |
$1,827.50 |
1.1× |
| Cta Neck (70498) |
$191.25 |
$1,880 |
1.1× |
| Cystography minimum 3 views rs&i (74430) |
$37.50 |
$297.50 |
0.1× |
| Diskogram cervical (72285) |
$127.50 |
$2,282.50 |
0.1× |
| Diskography lumbar (72295) |
$93.75 |
$2,720 |
0.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$23.25 |
$285.50 |
0.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$23.25 |
$120.50 |
0.3× |
| Esophagus (74220) |
$67.50 |
$490 |
0.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$86.25 |
$420 |
0.8× |
| Fluoroscopy up to 1 hr (76000) |
— |
$775 |
— |
| Foot 2 views (73620) |
$19.50 |
$195.50 |
0.2× |
| Forearm 2 views (73090) |
$19.50 |
$195.50 |
0.2× |
| Gastric mucosa imaging (78261) |
$67.50 |
$972.50 |
0.2× |
| Gated Heart Planar Single (78472) |
$108.75 |
$1,617.50 |
0.3× |
| Hand 2 views (73120) |
$19.50 |
$195.50 |
0.2× |
| Hand 3 views (73130) |
$19.50 |
$220.50 |
0.2× |
| Heart infarct image w ef (78468) |
$90 |
$1,090 |
0.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$97.50 |
$1,352.50 |
0.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$82.50 |
$1,190 |
0.2× |
| Humerus Min 2 Views Left (73060) |
$19.50 |
$138 |
0.2× |
| Kidney imaging morphology (78700) |
$52.50 |
$640 |
0.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$101.25 |
$995 |
0.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$135 |
$1,120 |
0.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$153.75 |
$807.50 |
0.3× |
| Knee 3 views (73562) |
$23.25 |
$238 |
0.3× |
| Liver & spleen imaging static only (78215) |
$56.25 |
$707.50 |
0.1× |
| Liver imaging static only (78201) |
$48.75 |
$2,350 |
0.1× |
| Liver imaging w/vascular flow (78202) |
$56.25 |
$447.50 |
0.1× |
| Lung perf&ventilat diferentl (78598) |
$93.75 |
$1,350 |
0.2× |
| Lung Ventilation Imaging (78579) |
$56.25 |
$915 |
0.1× |
| Meckels Diverticulum (78290) |
$67.50 |
$640 |
0.2× |
| MRA head w & w/o contrast (70546) |
$165 |
$2,532.50 |
0.5× |
| MRA head w/o contrast (70544) |
$135 |
$1,585 |
0.6× |
| MRA neck w contrast (70548) |
$168.75 |
$1,555 |
0.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$198.75 |
$1,730 |
0.6× |
| MRA neck w/o contrast (70547) |
$135 |
$1,377.50 |
0.6× |
| MRI abdomen w contrast (74182) |
$191.25 |
$1,982.50 |
0.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$240 |
$2,582.50 |
0.7× |
| MRI abdomen w/o contrast (74181) |
$161.25 |
$1,602.50 |
0.7× |
| MRI any jnt lwr ext with con lt (73722) |
$180 |
$1,562.50 |
0.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$180 |
$1,562.50 |
0.2× |
| MRI c-spine with contrast (72142) |
$198.75 |
$1,730 |
0.6× |
| MRI cervical spine w/o contrast (72141) |
$165 |
$1,605 |
0.7× |
| MRI chest w/o & w/contrast material (71552) |
$243.75 |
$1,915 |
0.7× |
| MRI chest w/o contrast (71550) |
$161.25 |
$1,550 |
0.7× |
| MRI chest with contrast (71551) |
$191.25 |
$1,672.50 |
0.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$180 |
$1,512.50 |
0.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$180 |
$1,975 |
0.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$150 |
$1,542.50 |
0.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$150 |
$1,440 |
0.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$232.50 |
$2,782.50 |
0.7× |
| MRI orbit/face/neck w/contrast (70542) |
$180 |
$2,180 |
0.5× |
| MRI pelvis w contrast (72196) |
$191.25 |
$1,930 |
0.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$240 |
$2,170 |
0.7× |
| MRI pelvis w/o contrast (72195) |
$165 |
$1,450 |
0.7× |
| MRI scan of arm joint before and after contrast (73223) |
$236.25 |
$2,167.50 |
0.7× |
| MRI scan of leg joint before and after contrast (73723) |
$232.50 |
$2,165 |
0.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$247.50 |
$2,122.50 |
0.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$195 |
$1,727.50 |
0.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$247.50 |
$2,122.50 |
0.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$195 |
$1,727.50 |
0.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$247.50 |
$2,122.50 |
0.7× |
| MRI thoracic spine w/o contrast (72146) |
$165 |
$1,605 |
0.7× |
| MRI tmj (70336) |
$165 |
$1,245 |
0.7× |
| MRI upper ext joint w/o contrast (73221) |
$153.75 |
$1,442.50 |
0.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$236.25 |
$1,807.50 |
0.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$153.75 |
$1,390 |
0.6× |
| Myocardial infarct spect (78469) |
$101.25 |
$1,870 |
0.2× |
| Myocardial Spect Multiple Studies (78452) |
— |
$5,665 |
— |
| Neck soft tissue (70360) |
$23.25 |
$193 |
0.3× |
| Nm gastric emptying study (78264) |
$86.25 |
$1,140 |
0.2× |
| Nuclear medicine of heart pumping function (78473) |
$161.25 |
$655 |
0.4× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$161.25 |
$2,167.50 |
0.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$56.25 |
$607.50 |
0.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$93.75 |
$312.50 |
0.9× |
| Osseous survey infant (77076) |
$78.75 |
$260 |
0.8× |
| Osseous survey limited (77074) |
$52.50 |
$320 |
0.5× |
| Parathyroid imaging (78070) |
$86.25 |
$727.50 |
0.2× |
| Pelvis 1 or 2 views (72170) |
$19.50 |
$26 |
0.2× |
| Pr heart first pass single,planar (78481) |
$108.75 |
$845 |
0.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$232.50 |
$2,267.50 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$82.50 |
$827.50 |
0.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$82.50 |
$760 |
0.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$60 |
$812.50 |
0.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$37.50 |
$282.50 |
0.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$27 |
$328 |
0.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$41.25 |
$105 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$27 |
$275.50 |
0.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$23.25 |
$185.50 |
0.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$33.75 |
$210 |
0.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$27 |
$225.50 |
0.3× |
| Radiologic exam colon single contrast study (74270) |
$112.50 |
$540 |
0.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$101.25 |
$635 |
0.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$90 |
$525 |
0.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$23.25 |
$208 |
0.3× |
| Radiological examination surgical specimen (76098) |
$60 |
$80 |
0.1× |
| Ribs bilateral 3 views (71110) |
$37.50 |
$167.50 |
0.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$116.25 |
$1,880 |
0.2× |
| Sacroiliac Joints < 3 Views (72200) |
$19.50 |
$190.50 |
0.2× |
| Scanogram (77073) |
$33.75 |
$435 |
0.3× |
| Scapula complete (73010) |
$23.25 |
$223 |
0.2× |
| Screening digital breast tomosynthesis (77063) |
$78.75 |
$105 |
3.4× |
| Small bowel series (74250) |
$90 |
$575 |
0.5× |
| Spine thoracic 3 views (72072) |
$27 |
$275.50 |
0.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$45 |
$700 |
0.1× |
| Thyroid uptake measurement (78012) |
$23.25 |
$635.50 |
0.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$56.25 |
$552.50 |
0.1× |
| Tmj unilateral (70328) |
$23.25 |
$85.50 |
0.3× |
| Ultrasound, abdomen limited (76705) |
$67.50 |
$510 |
0.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
— |
$140 |
— |
| Unlisted Ultrasound Procedure (76999) |
$60 |
$207.50 |
0.7× |
| Upper Extremity Infant (73092) |
$19.50 |
$138 |
0.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$56.25 |
$315 |
0.3× |
| Us abdl aorta screen aaa (76706) |
$63.75 |
$342.50 |
0.6× |
| Us breast unilateral complete (76641) |
$82.50 |
$570 |
0.8× |
| Us breast unilateral limited (76642) |
$78.75 |
$620 |
0.9× |
| Us chest (76604) |
$60 |
$207.50 |
0.6× |
| Us ob detailed single fetus (76811) |
$210 |
$940 |
0.9× |
| Us ob transvaginal (76817) |
$86.25 |
$825 |
0.8× |
| Us pelvic non ob complete (76856) |
$78.75 |
$567.50 |
0.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$56.25 |
$295 |
0.5× |
| Us pregnancy ltd (76815) |
$75 |
$385 |
0.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$108.75 |
$485 |
1.0× |
| Us retroperitoneal complete (76770) |
$82.50 |
$622.50 |
0.8× |
| Us retroperitoneal limited (76775) |
$67.50 |
$407.50 |
0.6× |
| Us scrotum and contents (76870) |
$75 |
$515 |
0.7× |
| Us soft tissue head/neck (76536) |
$69.38 |
$512.50 |
0.7× |
| Us xtr non-vasc lmtd (76882) |
$71.25 |
$350 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$82.50 |
$1,015 |
0.1× |
| Wrist 2 views (73100) |
$19.50 |
$195.50 |
0.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$37.50 |
$300 |
0.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$23.25 |
$193 |
0.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$19.50 |
$240.50 |
0.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$142.50 |
$662.50 |
0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$19.50 |
$190.50 |
0.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$19.50 |
$240.50 |
0.2× |
| X-ray exam hip uni 1 view (73501) |
$23.25 |
$193 |
0.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$27 |
$195.50 |
0.3× |
| X-ray exam of femur 1 (73551) |
$19.50 |
$163 |
0.2× |
| X-ray eye for foreign body (70030) |
$23.25 |
$170.50 |
0.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$33.75 |
$292.50 |
0.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$23.25 |
$170.50 |
0.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$19.50 |
$220.50 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$19.50 |
$168 |
0.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$23.25 |
$170.50 |
0.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$27 |
$485 |
0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$19.50 |
$153 |
0.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$19.50 |
$138 |
0.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$27 |
$36 |
0.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
— |
$355 |
— |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$19.50 |
$168 |
0.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$23.25 |
$170.50 |
0.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$33.75 |
$147.50 |
0.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$33.75 |
$45 |
0.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$27 |
$188 |
0.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$33.75 |
$270 |
0.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$37.50 |
$345 |
0.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$27 |
$215.50 |
0.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$19.50 |
$210.50 |
0.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$23.25 |
$233 |
0.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$27 |
$265.50 |
0.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$19.50 |
$168 |
0.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$33.75 |
$280 |
0.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$23.25 |
$198 |
0.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$23.25 |
$85.50 |
0.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$27 |
$215.50 |
0.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$23.25 |
$223 |
0.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$23.25 |
$223 |
0.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$15.75 |
$165.50 |
0.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$19.50 |
$220.50 |
0.2× |
| Xr c-spine 6 or more views (72052) |
$37.50 |
$50 |
0.4× |
| Xr chest 4+ views (71048) |
$37.50 |
$172.50 |
0.4× |
| Xr finger(s) 2+ views (73140) |
$15.75 |
$165.50 |
0.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$23.25 |
$85.50 |
0.2× |
| Xr optic foramina (70190) |
$27 |
$88 |
0.3× |
| Xr shoulder 1 view (73020) |
$19.50 |
$190.50 |
0.2× |
| Xr spine cervical 4 or 5 views (72050) |
$33.75 |
$332.50 |
0.3× |
| Xr tibia/fibula 2 views (73590) |
$19.50 |
$200.50 |
0.2× |
| Xr tmj bilateral (70330) |
$27 |
$288 |
0.3× |
| Xray knee 1 or 2 views rt (73560) |
$19.50 |
$220.50 |
0.2× |