| Abdomen 2 views (74019) |
$1,143 |
$1,143 |
10.0× |
| Acute gi blood loss imaging (78278) |
$3,196 |
$3,196 |
7.3× |
| Angiography extremity bilateral rs&i (75716) |
$21,428 |
$21,428 |
6.2× |
| Angiography extremity unilateral rs&i (75710) |
$7,397 |
$7,397 |
2.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$15,347 |
$15,347 |
2.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$20,226.50 |
$20,226.50 |
5.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$14,998 |
$14,998 |
4.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$15,347 |
$15,347 |
2.5× |
| Ankle 2 views (73600) |
$927.50 |
$927.50 |
9.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,538 |
$7,538 |
2.2× |
| Aortography abdominal serialography rs&i (75625) |
$17,001 |
$17,001 |
4.9× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$14,959 |
$14,959 |
4.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,829 |
$2,829 |
6.5× |
| Bone &/joint imaging whole body (78306) |
$3,357 |
$3,357 |
7.7× |
| Bone age studies (77072) |
$434 |
$434 |
3.8× |
| Bone Imaging 3 Phase (78315) |
$3,496 |
$3,496 |
8.0× |
| Bone survey infant (77076) |
$1,049 |
$1,049 |
9.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$5,062 |
$5,062 |
8.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$9,550 |
$9,550 |
6.1× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) |
$2,948 |
$2,948 |
5.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$3,587 |
$3,587 |
8.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$6,913 |
$6,913 |
18.1× |
| Cervical spine 2 or 3 views (72040) |
$816 |
$816 |
8.6× |
| Chest 1 view (71045) |
$747 |
$747 |
7.9× |
| Chest xray 3 views (71047) |
$908 |
$908 |
9.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,086 |
$1,086 |
5.7× |
| Clavicle complete (73000) |
$572 |
$572 |
6.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,604 |
$2,604 |
22.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$8,166 |
$8,166 |
21.4× |
| CT abdomen and pelvis without contrast (74176) |
$6,211 |
$6,211 |
23.8× |
| CT abdomen w contrast (74160) |
$3,990 |
$3,990 |
20.8× |
| CT abdomen w wo contrast (74170) |
$4,081 |
$4,081 |
21.3× |
| CT abdomen w/o contrast (74150) |
$2,402 |
$2,402 |
21.0× |
| CT angio hrt w/3d image (75574) |
$2,417 |
$2,417 |
6.3× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,794 |
$2,794 |
14.6× |
| CT angiography upper extremity lt (73206) |
$4,102 |
$4,102 |
21.4× |
| CT c-spine w/contrast (72126) |
$3,763 |
$3,763 |
9.9× |
| CT c-spine w/o contrast (72125) |
$2,694 |
$2,694 |
23.6× |
| CT chest w contrast (71260) |
$3,169 |
$3,169 |
16.5× |
| CT chest w/wo contrast (71270) |
$4,058 |
$4,058 |
21.2× |
| CT colonography screening (74263) |
$5,019 |
$5,019 |
19.3× |
| CT colonography w/dye (74262) |
$4,270 |
$4,270 |
22.3× |
| CT colonography w/o cntrst (74261) |
$1,817 |
$1,817 |
15.9× |
| CT head/brain with contrast (70460) |
$3,370 |
$3,370 |
17.6× |
| CT head/brain without and with contrast (70470) |
$3,500 |
$3,500 |
18.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,417 |
$2,417 |
6.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$758 |
$758 |
8.0× |
| CT iac w contrast (70481) |
$3,689 |
$3,689 |
19.3× |
| CT limited/localized follow up study (76380) |
$1,359 |
$1,359 |
14.3× |
| CT lower ext w/o (73700) |
$3,129 |
$3,129 |
27.4× |
| CT lower extremity w/contrast material (73701) |
$3,502 |
$3,502 |
18.3× |
| CT lumbar spine w & w/o contrast (72133) |
$3,907 |
$3,907 |
20.4× |
| CT lumbar spine w/contrast (72132) |
$3,907 |
$3,907 |
10.3× |
| CT lumbar spine w/o contrast (72131) |
$2,984 |
$2,984 |
26.1× |
| CT maxillofacial w contrast (70487) |
$3,741 |
$3,741 |
19.5× |
| CT maxillofacial w/wo contrast (70488) |
$2,514 |
$2,514 |
13.1× |
| CT maxillofacial wo contrast (70486) |
$2,356 |
$2,356 |
20.6× |
| CT orbits w/o contrast (70480) |
$2,669 |
$2,669 |
23.4× |
| CT pelvis w/o contrast (72192) |
$2,356 |
$2,356 |
20.6× |
| CT pelvis w/wo contrast (72194) |
$3,011 |
$3,011 |
15.7× |
| CT soft tissue neck w contrast (70491) |
$3,140 |
$3,140 |
16.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$828 |
$828 |
4.3× |
| CT soft tissue neck w/o contrast (70490) |
$2,891 |
$2,891 |
25.3× |
| CT thoracic spine w/o contrast (72128) |
$2,827 |
$2,827 |
24.8× |
| CT thorax w/o contrast (71250) |
$2,854 |
$2,854 |
25.0× |
| CT upper ext wo (73200) |
$3,276 |
$3,276 |
28.7× |
| CT upper extremity with contrast (73201) |
$3,932 |
$3,932 |
10.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$4,512 |
$4,512 |
23.5× |
| Cta Abdomen (74175) |
$3,922 |
$3,922 |
20.5× |
| CTA abdomen pelvis (74174) |
$7,348 |
$7,348 |
19.3× |
| CTA chest (71275) |
$5,508 |
$5,508 |
28.7× |
| Cta Head (70496) |
$3,656 |
$3,656 |
19.1× |
| Cta Neck (70498) |
$3,554 |
$3,554 |
18.5× |
| Cta Pelvis (72191) |
$4,660 |
$4,660 |
24.3× |
| Cystography minimum 3 views rs&i (74430) |
$1,481 |
$1,481 |
3.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$942 |
$942 |
8.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$621 |
$621 |
6.5× |
| Esophagus (74220) |
$1,079 |
$1,079 |
5.6× |
| Facial bones min 3 views (70150) |
$813 |
$813 |
7.1× |
| Fetal biophysical profile non-stress testing (76818) |
$1,248 |
$1,248 |
10.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,248 |
$1,248 |
10.9× |
| Fluoroscopy up to 1 hr (76000) |
$961 |
$961 |
3.7× |
| Foot 2 views (73620) |
$676 |
$676 |
7.1× |
| Forearm 2 views (73090) |
$572 |
$572 |
6.0× |
| Hand 2 views (73120) |
$582 |
$582 |
5.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,517 |
$4,517 |
7.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,329 |
$3,329 |
7.6× |
| Hysterosalpingogram (74740) |
$2,794 |
$2,794 |
10.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,942 |
$2,942 |
5.0× |
| Knee 3 views (73562) |
$1,053 |
$1,053 |
11.1× |
| Lung ventilation imaging (78579) |
$2,381 |
$2,381 |
5.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$31,649 |
$31,649 |
9.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$5,704 |
$5,704 |
6.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$4,702 |
$4,702 |
12.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$6,690 |
$6,690 |
17.6× |
| Magnetic Resonance Elastography (76391) |
$2,788 |
$2,788 |
10.7× |
| Mr safety determination physician/other qhp (76016) |
$444 |
$444 |
4.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$124 |
$124 |
3.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$463 |
$463 |
4.5× |
| Mr safety implt pos&/immoblj (76019) |
$300 |
$300 |
4.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$1,219 |
$1,219 |
4.7× |
| MRA head w & w/o contrast (70546) |
$6,884 |
$6,884 |
18.1× |
| MRA head w/o contrast (70544) |
$4,687 |
$4,687 |
18.0× |
| MRA head with contrast (70545) |
$5,704 |
$5,704 |
15.0× |
| MRA neck w contrast (70548) |
$4,937 |
$4,937 |
13.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$6,930 |
$6,930 |
18.2× |
| MRA neck w/o contrast (70547) |
$4,388 |
$4,388 |
16.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,693 |
$7,693 |
20.2× |
| MRI abdomen w/o contrast (74181) |
$5,137 |
$5,137 |
19.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$5,704 |
$5,704 |
6.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$6,682 |
$6,682 |
17.5× |
| MRI breast w/o contrast bilateral (77047) |
$2,762 |
$2,762 |
10.6× |
| MRI c-spine with contrast (72142) |
$5,704 |
$5,704 |
15.0× |
| MRI cardiac w/o contrast (75557) |
$2,786 |
$2,786 |
10.7× |
| MRI cervical spine w/o contrast (72141) |
$5,399 |
$5,399 |
20.7× |
| MRI chest w/o & w/contrast material (71552) |
$7,149 |
$7,149 |
18.8× |
| MRI chest w/o contrast (71550) |
$4,400 |
$4,400 |
16.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,702 |
$4,702 |
12.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$6,898 |
$6,898 |
18.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,467 |
$4,467 |
17.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,222 |
$1,222 |
4.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,708 |
$6,708 |
17.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$7,149 |
$7,149 |
18.8× |
| MRI pelvis w/o contrast (72195) |
$4,694 |
$4,694 |
18.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,218 |
$7,218 |
18.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,704 |
$5,704 |
15.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$8,996 |
$8,996 |
23.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,704 |
$5,704 |
15.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,149 |
$7,149 |
18.8× |
| MRI temporomandibular joint (70336) |
$3,574 |
$3,574 |
13.7× |
| MRI thoracic spine w/o contrast (72146) |
$4,994 |
$4,994 |
19.2× |
| MRI up ext w/o contrast (73218) |
$4,467 |
$4,467 |
17.1× |
| MRI upper ext joint w/o contrast (73221) |
$5,137 |
$5,137 |
19.7× |
| MRI, joint upper extrem combo (73223) |
$6,349 |
$6,349 |
16.7× |
| Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall… (78429) |
$11,584 |
$11,584 |
7.4× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78431) |
$12,058 |
$12,058 |
5.0× |
| Myocardial Spect Multiple Studies (78452) |
$10,372 |
$10,372 |
7.3× |
| Myocardial spect single study at rest or stress (78451) |
$4,359 |
$4,359 |
3.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$6,573 |
$6,573 |
4.2× |
| Neck soft tissue (70360) |
$572 |
$572 |
6.0× |
| Nm gastric emptying study (78264) |
$3,268 |
$3,268 |
7.5× |
| Nonvascular shunt X-ray (75809) |
$872 |
$872 |
7.6× |
| Nuclear Rx Oral Admin (79005) |
$2,372 |
$2,372 |
9.3× |
| Orthopantogram (70355) |
$573 |
$573 |
6.0× |
| Osseous survey limited (77074) |
$942 |
$942 |
8.2× |
| Parathyrd planar w/spect&CT (78072) |
$3,749 |
$3,749 |
6.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,829 |
$2,829 |
6.5× |
| Pelvis 1 or 2 views (72170) |
$488 |
$488 |
4.3× |
| PET image w/CT, skull-thigh (78815) |
$14,857 |
$14,857 |
9.5× |
| PET imaging for CT attenuation whole body (78816) |
$14,857 |
$14,857 |
9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,012 |
$3,012 |
6.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,694 |
$2,694 |
4.5× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$651 |
$651 |
6.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$570 |
$570 |
6.0× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$650 |
$650 |
6.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$506 |
$506 |
5.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$707 |
$707 |
6.2× |
| Radex fingr minimum 2 views (73140) |
$496 |
$496 |
5.2× |
| Radex Foot Compl Minimum 3 Views (73630) |
$570 |
$570 |
6.0× |
| Radex Hand Minimum 3 Views (73130) |
$874 |
$874 |
9.2× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$496 |
$496 |
5.2× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$1,349 |
$1,349 |
11.8× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$1,050 |
$1,050 |
9.2× |
| Radex Humerus Minimum 2 Views (73060) |
$572 |
$572 |
6.0× |
| Radex Kne 1/2 Views (73560) |
$702 |
$702 |
7.4× |
| Radex Kne Compl 4/More Views (73564) |
$1,349 |
$1,349 |
11.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$730 |
$730 |
6.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$572 |
$572 |
6.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$572 |
$572 |
6.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$747 |
$747 |
7.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$650 |
$650 |
5.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,448 |
$1,448 |
15.2× |
| Radex Toe Minimum 2 Views (73660) |
$570 |
$570 |
6.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$169 |
$169 |
1.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$572 |
$572 |
6.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$572 |
$572 |
6.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,716 |
$1,716 |
15.0× |
| Radiologic exam chest 2 views (71046) |
$999 |
$999 |
10.5× |
| Radiologic exam colon single contrast study (74270) |
$1,266 |
$1,266 |
6.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,173 |
$1,173 |
6.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,532 |
$1,532 |
8.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,266 |
$1,266 |
6.6× |
| Radiologic examination femur 1 view (73551) |
$582 |
$582 |
6.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$661 |
$661 |
7.0× |
| Radiological examination surgical specimen (76098) |
$5,961 |
$5,961 |
10.0× |
| Ribs bilateral 3 views (71110) |
$816 |
$816 |
7.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,132 |
$4,132 |
7.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,114 |
$4,114 |
6.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$5,208 |
$5,208 |
3.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,742 |
$1,742 |
6.7× |
| Scapula (73010) |
$498 |
$498 |
4.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$174 |
$174 |
7.4× |
| Shoulder 1 view (73020) |
$517 |
$517 |
5.4× |
| Small bowel series (74250) |
$1,477 |
$1,477 |
7.7× |
| Thoracolumbar 2 views (72080) |
$498 |
$498 |
5.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,784 |
$2,784 |
6.4× |
| Tmj unilateral (70328) |
$726 |
$726 |
7.6× |
| Ultrasound breast complete (76641) |
$611 |
$611 |
5.3× |
| Ultrasound Exam Aaa Screen (76706) |
$1,259 |
$1,259 |
11.0× |
| Ultrasound, abdomen limited (76705) |
$1,399.50 |
$1,399.50 |
12.3× |
| Umbilical-artery Doppler (OB) (76820) |
$864 |
$864 |
7.6× |
| Urethrocystogram voiding (74455) |
$1,666 |
$1,666 |
6.4× |
| Us breast unilateral limited (76642) |
$438 |
$438 |
4.6× |
| Us chest (76604) |
$890 |
$890 |
7.8× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$3,051 |
$3,051 |
12.9× |
| Us compl joint r-t w/image documentation (76881) |
$1,014 |
$1,014 |
8.9× |
| Us elastography parenchyma (76981) |
$984 |
$984 |
8.6× |
| Us encephalogram (76506) |
$939 |
$939 |
8.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$960 |
$960 |
8.4× |
| Us ob limited (76815) |
$1,081 |
$1,081 |
9.5× |
| Us ob transvaginal (76817) |
$1,172 |
$1,172 |
10.3× |
| Us pelvic non ob complete (76856) |
$1,657 |
$1,657 |
14.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,031 |
$1,031 |
9.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,729 |
$1,729 |
15.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$940 |
$940 |
8.2× |
| Us retroperitoneal complete (76770) |
$1,391 |
$1,391 |
12.2× |
| Us retroperitoneal limited (76775) |
$1,323 |
$1,323 |
11.6× |
| Us scrotum and contents (76870) |
$1,439 |
$1,439 |
12.6× |
| Us soft tissue head/neck (76536) |
$1,439 |
$1,439 |
12.6× |
| Us spinal canal and contents (76800) |
$942 |
$942 |
8.2× |
| Venogram extremity bilateral (75822) |
$8,839.50 |
$8,839.50 |
5.1× |
| Venogram Extremity Unilateral (75820) |
$4,803 |
$4,803 |
2.8× |
| Venography caval inferior serialography rs&i (75825) |
$6,210 |
$6,210 |
1.8× |
| Venography caval superior serialography rs&i (75827) |
$5,461 |
$5,461 |
3.2× |
| Venography renal unilateral selective rs&i (75831) |
$4,942 |
$4,942 |
1.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$7,303 |
$7,303 |
2.1× |
| Wrist 2 views (73100) |
$582 |
$582 |
6.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$853 |
$853 |
7.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,270 |
$1,270 |
13.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$656 |
$656 |
6.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$572 |
$572 |
6.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$816 |
$816 |
7.1× |
| X-ray exam of femur 2/> (73552) |
$747 |
$747 |
7.9× |
| X-ray eye for foreign body (70030) |
$572 |
$572 |
6.0× |
| X-ray IV pyelogram (ivp) (74400) |
$1,276 |
$1,276 |
6.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$611 |
$611 |
6.4× |
| X-ray leg, infant (73592) |
$498 |
$498 |
5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$790 |
$790 |
6.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$942 |
$942 |
8.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$784 |
$784 |
6.9× |
| X-ray retrograde pyelogram (74420) |
$2,850 |
$2,850 |
7.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$617 |
$617 |
6.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$772 |
$772 |
6.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$942 |
$942 |
8.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$488 |
$488 |
4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$572 |
$572 |
6.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$676 |
$676 |
7.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$588 |
$588 |
5.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$636 |
$636 |
5.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$570 |
$570 |
6.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$550 |
$550 |
5.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$676 |
$676 |
7.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$704 |
$704 |
6.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$707 |
$707 |
6.2× |
| Xr bone length studies (77073) |
$766 |
$766 |
6.7× |
| Xr c-spine 4 or 5 views (72050) |
$942 |
$942 |
8.2× |
| Xr c-spine 6 or more views (72052) |
$942 |
$942 |
8.2× |
| Xr chest 4+ views (71048) |
$927 |
$927 |
8.1× |
| Xr urogram antegrade (74425) |
$1,674 |
$1,674 |
4.4× |