| Abdomen 2 views (74019) |
$241.49 |
$402.48 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$905.06 |
$1,508.44 |
2.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,885.40 |
$4,809 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,515.38 |
$4,192.30 |
0.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,530.36 |
$5,883.93 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,582.34 |
$2,637.23 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,344.80 |
$3,908 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,726.49 |
$6,210.82 |
0.7× |
| Ankle 2 views (73600) |
$155.10 |
$258.50 |
1.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$538.64 |
$897.74 |
1.5× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,587.55 |
$4,312.58 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,601.46 |
$4,335.77 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,587.55 |
$4,312.58 |
0.8× |
| Arthrogram elbow (73085) |
$495.58 |
$825.96 |
1.4× |
| Arthrogram hip (73525) |
$495.58 |
$825.96 |
1.4× |
| Arthrogram shoulder (73040) |
$242.27 |
$403.79 |
0.7× |
| Arthrogram wrist (73115) |
$209.29 |
$348.81 |
0.6× |
| Bone &/joint imaging whole body (78306) |
$1,157.02 |
$1,928.37 |
2.9× |
| Bone age studies (77072) |
$133.64 |
$222.74 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$1,211.69 |
$2,019.48 |
3.0× |
| Bone survey complete (77075) |
$562.62 |
$937.70 |
5.4× |
| Brain image w/flow 4 + views (78606) |
$974.27 |
$1,623.79 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$260.59 |
$434.31 |
3.0× |
| Chest 1 view (71045) |
$168 |
$280 |
1.9× |
| Chest 3 views (71047) |
$219.24 |
$365.40 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$386.17 |
$643.61 |
2.2× |
| Clavicle complete (73000) |
$180.41 |
$300.68 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$210 |
$350 |
2.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,127.90 |
$5,213.16 |
8.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,106.05 |
$3,510.08 |
8.8× |
| CT abdomen w contrast (74160) |
$1,567.23 |
$2,612.05 |
8.9× |
| CT abdomen w wo contrast (74170) |
$1,815.25 |
$3,025.41 |
10.3× |
| CT abdomen w/o contrast (74150) |
$1,296.68 |
$2,161.14 |
12.3× |
| CT angio hrt w/3d image (75574) |
$2,400 |
$4,000 |
6.8× |
| CT angiography upper extremity lt (73206) |
$1,484.71 |
$2,474.51 |
8.4× |
| CT c-spine w/o contrast (72125) |
$1,385.99 |
$2,309.99 |
13.2× |
| CT cervical spine w&w/o contrast (72127) |
$1,796.31 |
$2,993.85 |
10.2× |
| CT cervical spine with contrast (72126) |
$1,569.94 |
$2,616.57 |
4.5× |
| CT chest w/wo contrast (71270) |
$1,792.80 |
$2,988 |
10.2× |
| CT chest with contrast (71260) |
$1,548.14 |
$2,580.23 |
8.8× |
| CT head/brain with contrast (70460) |
$1,378.57 |
$2,297.61 |
7.8× |
| CT head/brain without and with contrast (70470) |
$1,633.20 |
$2,722 |
9.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,400 |
$4,000 |
6.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,200 |
$2,000 |
13.7× |
| CT hrt w/3d image congen (75573) |
$2,400 |
$4,000 |
6.8× |
| CT iac w contrast (70481) |
$1,455.26 |
$2,425.43 |
8.3× |
| CT limited/localized follow up study (76380) |
$601.30 |
$1,002.17 |
6.9× |
| CT lower ext w/o (73700) |
$1,186.65 |
$1,977.75 |
11.3× |
| CT lower extremity w wo contrast (73702) |
$1,496.25 |
$2,493.75 |
8.5× |
| CT lower extremity with contrast (73701) |
$1,366.33 |
$2,277.21 |
7.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,805.40 |
$3,009 |
10.2× |
| CT lumbar spine w/o contrast (72131) |
$1,335.76 |
$2,226.26 |
12.7× |
| CT lumbar spine with contrast (72132) |
$1,537.20 |
$2,562 |
4.4× |
| CT maxillofacial w contrast (70487) |
$1,404.68 |
$2,341.14 |
8.0× |
| CT maxillofacial w/o contrast (70486) |
$1,156.88 |
$1,928.13 |
11.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,662.65 |
$2,771.09 |
9.4× |
| CT neck soft tissue w contrast (70491) |
$1,422.54 |
$2,370.90 |
8.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,697.40 |
$2,829 |
9.6× |
| CT orbits w/o contrast (70480) |
$1,219.97 |
$2,033.29 |
11.6× |
| CT pelvis w & w/o contrast (72194) |
$1,819.79 |
$3,032.98 |
10.3× |
| CT pelvis w/o contrast (72192) |
$1,235.45 |
$2,059.08 |
11.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,681.80 |
$2,803 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,138.65 |
$1,897.75 |
10.8× |
| CT thoracic spine w/contrast (72129) |
$1,497.41 |
$2,495.69 |
8.5× |
| CT thoracic spine w/o contrast (72128) |
$1,315.60 |
$2,192.66 |
12.5× |
| CT thoracic spine w/wo contrast (72130) |
$1,770.68 |
$2,951.14 |
10.0× |
| CT thorax w/o contrast (71250) |
$1,225.51 |
$2,042.52 |
11.7× |
| CT unlisted procedure (76497) |
$1,468.32 |
$2,447.20 |
16.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,567.07 |
$2,611.78 |
8.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,171.47 |
$1,952.45 |
11.2× |
| CT upper extremity with contrast (73201) |
$1,354.27 |
$2,257.11 |
3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,854.60 |
$3,091 |
10.5× |
| Cta Abdomen (74175) |
$1,791.42 |
$2,985.70 |
10.2× |
| CTA abdomen pelvis (74174) |
$2,745.61 |
$4,576.02 |
7.8× |
| CTA chest (71275) |
$1,739.48 |
$2,899.14 |
9.9× |
| Cta Head (70496) |
$1,672.28 |
$2,787.14 |
9.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,343.80 |
$5,573 |
9.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,149.13 |
$1,915.22 |
6.5× |
| Cta Neck (70498) |
$1,671.64 |
$2,786.07 |
9.5× |
| Cta Pelvis (72191) |
$1,668.19 |
$2,780.31 |
9.5× |
| Cystography minimum 3 views rs&i (74430) |
$248.96 |
$414.93 |
0.7× |
| Diskogram cervical (72285) |
$2,050.91 |
$3,418.19 |
1.0× |
| Diskography lumbar (72295) |
$1,886.23 |
$3,143.71 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$176.04 |
$293.40 |
1.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$75 |
$125 |
0.9× |
| Echoencephalography real time imaging (76506) |
$317.52 |
$529.20 |
3.0× |
| Esophagus (74220) |
$372.87 |
$621.45 |
2.1× |
| Fetal biophysical profile non-stress testing (76818) |
$426.01 |
$710.01 |
4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$270 |
$450 |
2.6× |
| Fluoroscopy up to 1 hr (76000) |
$370.97 |
$618.29 |
1.5× |
| Foot 2 views (73620) |
$201.60 |
$336 |
2.3× |
| Forearm 2 views (73090) |
$217.01 |
$361.68 |
2.5× |
| Gated Heart Planar Single (78472) |
$1,232.70 |
$2,054.50 |
3.1× |
| Hand 2 views (73120) |
$200.40 |
$334 |
1.9× |
| Hand 3 views (73130) |
$228.22 |
$380.36 |
2.6× |
| Heart Infarct Image (78466) |
$840.74 |
$1,401.23 |
2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,169.53 |
$1,949.22 |
2.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,053.91 |
$1,756.52 |
2.6× |
| Ht muscle image spect sing (78451) |
$1,800 |
$3,000 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$215.67 |
$359.45 |
2.5× |
| Hysterosalpingogram (74740) |
$572.67 |
$954.45 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,103.44 |
$1,839.06 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,102.84 |
$1,838.06 |
2.0× |
| Knee 3 views (73562) |
$237.71 |
$396.18 |
2.7× |
| Lung perf&ventilat diferentl (78598) |
$1,210.83 |
$2,018.05 |
2.2× |
| Mammary ductogram or galactogram multiple (77054) |
$301.41 |
$502.35 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$260.81 |
$434.68 |
1.1× |
| MRA head w & w/o contrast (70546) |
$2,233.93 |
$3,723.22 |
6.4× |
| MRA head w/o contrast (70544) |
$1,483.74 |
$2,472.90 |
6.2× |
| MRA neck w contrast (70548) |
$1,709.72 |
$2,849.53 |
4.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,133.67 |
$3,556.12 |
6.1× |
| MRA neck w/o contrast (70547) |
$1,565.68 |
$2,609.47 |
6.5× |
| MRI abdomen w contrast (74182) |
$1,826.35 |
$3,043.92 |
5.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,448.67 |
$4,081.11 |
7.0× |
| MRI abdomen w/o contrast (74181) |
$1,703.60 |
$2,839.33 |
7.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,019.89 |
$3,366.48 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,359.16 |
$2,265.26 |
1.7× |
| MRI breast w/o contrast bilateral (77047) |
$1,818.91 |
$3,031.52 |
7.6× |
| MRI c-spine with contrast (72142) |
$1,944.19 |
$3,240.32 |
5.5× |
| MRI cervical spine w/o contrast (72141) |
$1,817.70 |
$3,029.50 |
7.6× |
| MRI chest w/o & w/contrast material (71552) |
$2,086.57 |
$3,477.62 |
6.0× |
| MRI chest w/o contrast (71550) |
$1,535.03 |
$2,558.38 |
6.4× |
| MRI chest with contrast (71551) |
$1,670.90 |
$2,784.84 |
2.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,447.90 |
$2,413.16 |
4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,541.64 |
$2,569.40 |
4.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,496.73 |
$2,494.55 |
6.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,355.09 |
$2,258.49 |
5.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,229.54 |
$3,715.90 |
6.4× |
| MRI orbit/face/neck w/contrast (70542) |
$1,375.42 |
$2,292.36 |
3.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,189.39 |
$3,648.98 |
6.2× |
| MRI pelvis w/o contrast (72195) |
$1,549.42 |
$2,582.37 |
6.5× |
| MRI scan of arm joint before and after contrast (73223) |
$1,958.03 |
$3,263.39 |
5.6× |
| MRI scan of leg joint before and after contrast (73723) |
$2,363.92 |
$3,939.86 |
6.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,585.95 |
$4,309.92 |
7.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,900.81 |
$3,168.01 |
5.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,557.26 |
$4,262.10 |
7.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,972.92 |
$3,288.20 |
5.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,617.04 |
$4,361.74 |
7.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,689.76 |
$2,816.27 |
7.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,703.15 |
$2,838.59 |
7.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,279.94 |
$3,799.90 |
6.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,405.72 |
$2,342.87 |
5.9× |
| Myelogram Cervical (72240) |
$875.35 |
$1,458.91 |
1.1× |
| Myelogram Lumbar (72265) |
$1,075.88 |
$1,793.13 |
1.4× |
| Myelography 2 or more regions (72270) |
$1,271.34 |
$2,118.90 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,662.06 |
$4,436.76 |
2.0× |
| Neck soft tissue (70360) |
$153.20 |
$255.34 |
1.8× |
| Nm cisternogram (78630) |
$1,010.46 |
$1,684.10 |
1.9× |
| Nm csf leak detection (78650) |
$378.62 |
$631.03 |
0.3× |
| Nm gastric emptying study (78264) |
$1,073.80 |
$1,789.67 |
2.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$318.11 |
$530.19 |
3.0× |
| Osseous survey limited (77074) |
$271.21 |
$452.01 |
2.6× |
| Parathyrd planar w/wo subtrj (78071) |
$1,224.38 |
$2,040.63 |
3.0× |
| Parathyroid imaging (78070) |
$876.45 |
$1,460.75 |
2.2× |
| Pelvis 1 or 2 views (72170) |
$206.78 |
$344.64 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,210.26 |
$3,683.77 |
6.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$801.80 |
$1,336.33 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,148.67 |
$1,914.45 |
2.1× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,710 |
$2,850 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$452.42 |
$754.04 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$183.40 |
$305.67 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$354.99 |
$591.65 |
3.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$266.57 |
$444.29 |
2.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$577.37 |
$962.28 |
5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$138.37 |
$230.61 |
1.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$189.07 |
$315.12 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$186.68 |
$311.14 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$210 |
$350 |
2.4× |
| Radiologic exam colon single contrast study (74270) |
$506.75 |
$844.59 |
2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$372.87 |
$621.45 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$537.09 |
$895.15 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$365.83 |
$609.72 |
2.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$228.96 |
$381.60 |
2.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,477.58 |
$4,129.30 |
0.8× |
| Ribs bilateral 3 views (71110) |
$304.77 |
$507.95 |
2.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,356.44 |
$2,260.72 |
2.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,406.65 |
$2,344.41 |
2.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,513.45 |
$4,189.09 |
1.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,810.13 |
$3,016.89 |
1.4× |
| Sacroiliac Joints < 3 Views (72200) |
$124.24 |
$207.07 |
1.2× |
| Scanogram (77073) |
$238.90 |
$398.17 |
2.3× |
| Scapula complete (73010) |
$160.19 |
$266.99 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$124.88 |
$208.13 |
5.3× |
| Sella turcica (70240) |
$92.48 |
$154.13 |
1.1× |
| Small bowel series (74250) |
$428.83 |
$714.72 |
2.4× |
| Spine thoracic 3 views (72072) |
$302.30 |
$503.84 |
2.9× |
| Therapeutic Enema (74283) |
$186.25 |
$310.41 |
1.1× |
| Thoracolumbar 2 views (72080) |
$238.82 |
$398.04 |
2.7× |
| Tmj unilateral (70328) |
$92.48 |
$154.13 |
1.1× |
| Tomogram (76100) |
$300 |
$500 |
2.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,710 |
$2,850 |
3.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,098 |
$1,830 |
2.7× |
| Ultrasound, abdomen limited (76705) |
$447.83 |
$746.39 |
4.3× |
| Unlisted magnetic resonance procedure (76498) |
$1,680 |
$2,800 |
19.2× |
| Unlisted Ultrasound Procedure (76999) |
$214.50 |
$357.50 |
2.5× |
| Upper Extremity Infant (73092) |
$92.48 |
$154.13 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$489.60 |
$816 |
2.0× |
| Urethrocystography voiding (74455) |
$562.26 |
$937.10 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$525.13 |
$875.22 |
3.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$673.90 |
$1,123.16 |
3.8× |
| Us abdl aorta screen aaa (76706) |
$489.60 |
$816 |
4.7× |
| Us breast unilateral complete (76641) |
$229.32 |
$382.20 |
2.2× |
| Us breast unilateral limited (76642) |
$212.94 |
$354.90 |
2.4× |
| Us chest (76604) |
$317.48 |
$529.13 |
3.0× |
| Us compl joint r-t w/image documentation (76881) |
$376.44 |
$627.40 |
3.6× |
| Us ob transvaginal (76817) |
$380 |
$633.33 |
3.6× |
| Us pelvic non ob complete (76856) |
$517.96 |
$863.26 |
4.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$404.72 |
$674.54 |
3.9× |
| Us pregnancy ltd (76815) |
$225 |
$375 |
2.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$387.97 |
$646.62 |
3.7× |
| Us retroperitoneal complete (76770) |
$470.68 |
$784.46 |
4.5× |
| Us retroperitoneal limited (76775) |
$470.68 |
$784.46 |
4.5× |
| Us scrotum and contents (76870) |
$404.72 |
$674.54 |
3.9× |
| Us soft tissue head/neck (76536) |
$429.10 |
$715.17 |
4.1× |
| Us spinal canal and contents (76800) |
$282.33 |
$470.55 |
2.7× |
| Us xtr non-vasc lmtd (76882) |
$241.46 |
$402.44 |
2.3× |
| Venogram extremity bilateral (75822) |
$1,150.20 |
$1,917 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$2,359.60 |
$3,932.67 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$1,547.40 |
$2,579 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$940.20 |
$1,567 |
0.6× |
| Venography Renal Bilateral (75833) |
$2,453.40 |
$4,089 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$2,453.40 |
$4,089 |
0.8× |
| Wrist 2 views (73100) |
$207.08 |
$345.14 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$342.20 |
$570.33 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$176.15 |
$293.58 |
2.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$180 |
$300 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$600.10 |
$1,000.16 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$205.34 |
$342.23 |
2.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$233.51 |
$389.18 |
2.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$457.85 |
$763.08 |
4.4× |
| X-ray exam hip uni 1 view (73501) |
$150 |
$250 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$236.80 |
$394.66 |
2.7× |
| X-ray exam hip uni 4/> views (73503) |
$300 |
$500 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$333 |
$555 |
3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$436.43 |
$727.38 |
4.2× |
| X-ray exam of femur 1 (73551) |
$140.53 |
$234.21 |
1.6× |
| X-ray eye for foreign body (70030) |
$92.48 |
$154.13 |
1.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$225.40 |
$375.66 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$92.48 |
$154.13 |
1.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$253.59 |
$422.65 |
2.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,525.03 |
$2,541.71 |
0.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$88.80 |
$148 |
1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$92.48 |
$154.13 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$278.30 |
$463.84 |
2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$212.46 |
$354.10 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$92.48 |
$154.13 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$270.59 |
$450.99 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$428.65 |
$714.42 |
4.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$301.72 |
$502.87 |
2.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$206.27 |
$343.79 |
2.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$92.48 |
$154.13 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$124.24 |
$207.07 |
1.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$284.65 |
$474.41 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$226.24 |
$377.06 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$280.20 |
$467 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$420.30 |
$700.50 |
4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$130.50 |
$217.50 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$232.43 |
$387.39 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$229.04 |
$381.73 |
2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$250.46 |
$417.43 |
2.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$115.91 |
$193.19 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$302.85 |
$504.75 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$211.90 |
$353.16 |
2.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$206.40 |
$344 |
2.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$176.15 |
$293.58 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$176.08 |
$293.46 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$238.82 |
$398.04 |
2.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$330 |
$550 |
3.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$141.61 |
$236.02 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$227.67 |
$379.45 |
2.6× |
| Xr arthrogram ankle (73615) |
$209.29 |
$348.81 |
0.6× |
| Xr c-spine 6 or more views (72052) |
$364.67 |
$607.78 |
3.5× |
| Xr chest 4+ views (71048) |
$314.78 |
$524.64 |
3.0× |
| Xr finger(s) 2+ views (73140) |
$166.46 |
$277.44 |
1.9× |
| Xr shoulder 1 view (73020) |
$175.80 |
$293 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$345.89 |
$576.49 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$229.14 |
$381.90 |
2.6× |
| Xr tmj bilateral (70330) |
$474.01 |
$790.02 |
5.4× |
| Xray knee 1 or 2 views rt (73560) |
$202.12 |
$336.87 |
2.3× |