| Abdomen 2 views (74019) |
$487.58 |
$1,218.95 |
4.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$742.74 |
$1,856.87 |
1.9× |
| Angiography extremity unilateral rs&i (75710) |
$819 |
$2,047.50 |
0.3× |
| Ankle 2 views (73600) |
$282.68 |
$706.70 |
3.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$208.32 |
$520.80 |
0.6× |
| Arthrogram shoulder (73040) |
$736.86 |
$1,842.16 |
2.2× |
| Arthrogram wrist (73115) |
$196.14 |
$490.35 |
0.6× |
| Arthrography knee lt (73580) |
$293.16 |
$732.90 |
0.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$834.78 |
$2,086.94 |
2.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,194 |
$2,985 |
3.1× |
| Bone &/joint imaging whole body (78306) |
$1,461.95 |
$3,654.88 |
3.7× |
| Bone age studies (77072) |
$198.76 |
$496.90 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,459 |
$3,647.51 |
3.7× |
| Bone Marrow Imaging Limited Area (78102) |
$387.24 |
$968.10 |
1.0× |
| Bone survey complete (77075) |
$674.30 |
$1,685.73 |
6.6× |
| Brain image w/flow 4 + views (78606) |
$478.38 |
$1,195.95 |
0.9× |
| Brain Imaging Minimum 4 Static Views (78605) |
$284.34 |
$710.85 |
0.5× |
| Brain Imaging Vascular Flow Only (78610) |
$177.24 |
$443.10 |
0.3× |
| Cervical spine 2 or 3 views (72040) |
$329.06 |
$822.64 |
3.9× |
| Chest 1 view (71045) |
$202.87 |
$507.18 |
2.4× |
| Chest 3 views (71047) |
$212 |
$530 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$450.52 |
$1,126.29 |
2.6× |
| Clavicle complete (73000) |
$270.90 |
$677.26 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$110.42 |
$276.06 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,089.92 |
$10,224.80 |
12.0× |
| CT abdomen and pelvis without contrast (74176) |
$3,249.27 |
$8,123.17 |
13.9× |
| CT abdomen w contrast (74160) |
$1,864.60 |
$4,661.50 |
10.9× |
| CT abdomen w wo contrast (74170) |
$2,239.31 |
$5,598.26 |
13.1× |
| CT abdomen w/o contrast (74150) |
$1,609.92 |
$4,024.78 |
15.8× |
| CT angiography upper extremity lt (73206) |
$1,485.51 |
$3,713.78 |
8.7× |
| CT c-spine w/o contrast (72125) |
$1,426.62 |
$3,566.54 |
14.0× |
| CT chest w/wo contrast (71270) |
$1,902.15 |
$4,755.36 |
11.1× |
| CT chest with contrast (71260) |
$1,802.77 |
$4,506.93 |
10.5× |
| CT head/brain with contrast (70460) |
$1,595.92 |
$3,989.82 |
9.3× |
| CT head/brain without and with contrast (70470) |
$1,673.96 |
$4,184.90 |
9.8× |
| CT iac w contrast (70481) |
$1,891.85 |
$4,729.63 |
11.0× |
| CT limited/localized follow up study (76380) |
$335.58 |
$838.95 |
3.9× |
| CT lower ext w/o (73700) |
$368.06 |
$920.16 |
3.6× |
| CT lower extremity w wo contrast (73702) |
$262.08 |
$655.20 |
1.5× |
| CT lower extremity with contrast (73701) |
$392.36 |
$980.91 |
2.3× |
| CT lumbar spine w/o contrast (72131) |
$1,801.31 |
$4,503.27 |
17.6× |
| CT lumbar spine with contrast (72132) |
$853.44 |
$2,133.60 |
2.5× |
| CT maxillofacial w contrast (70487) |
$1,350.39 |
$3,375.98 |
7.9× |
| CT maxillofacial w/o contrast (70486) |
$1,340.48 |
$3,351.20 |
13.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,450.42 |
$3,626.04 |
8.5× |
| CT neck soft tissue w contrast (70491) |
$1,884.49 |
$4,711.22 |
11.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,168.86 |
$2,922.15 |
6.8× |
| CT orbits w/o contrast (70480) |
$1,353.74 |
$3,384.34 |
13.3× |
| CT pelvis w & w/o contrast (72194) |
$2,048.64 |
$5,121.60 |
12.0× |
| CT pelvis w/o contrast (72192) |
$1,549.03 |
$3,872.58 |
15.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,103.86 |
$5,259.64 |
12.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,724.75 |
$4,311.87 |
16.9× |
| CT thoracic spine w/o contrast (72128) |
$1,712.98 |
$4,282.43 |
16.8× |
| CT thorax w/o contrast (71250) |
$1,691.62 |
$4,229.04 |
16.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$262.08 |
$655.20 |
1.5× |
| CT upper extremity w/o contrast rt (73200) |
$368.06 |
$920.16 |
3.6× |
| CT upper extremity with contrast (73201) |
$410.02 |
$1,025.05 |
1.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,246.66 |
$5,616.64 |
13.1× |
| Cta Abdomen (74175) |
$2,239.31 |
$5,598.26 |
13.1× |
| CTA chest (71275) |
$1,690.16 |
$4,225.40 |
9.9× |
| Cta Head (70496) |
$1,673.96 |
$4,184.90 |
9.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,690.16 |
$4,225.40 |
9.9× |
| Cta Neck (70498) |
$1,792.48 |
$4,481.19 |
10.5× |
| Cta Pelvis (72191) |
$1,850.62 |
$4,626.55 |
10.8× |
| Cystography minimum 3 views rs&i (74430) |
$528.54 |
$1,321.36 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$374.68 |
$936.72 |
3.7× |
| Esophagus (74220) |
$252.89 |
$632.23 |
1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$304.50 |
$761.25 |
3.0× |
| Fluoroscopy up to 1 hr (76000) |
$398.25 |
$995.62 |
1.7× |
| Foot 2 views (73620) |
$280.46 |
$701.16 |
3.3× |
| Forearm 2 views (73090) |
$259.85 |
$649.62 |
3.1× |
| Gated Heart Planar Single (78472) |
$1,164.55 |
$2,911.37 |
3.0× |
| Hand 2 views (73120) |
$259.12 |
$647.82 |
2.5× |
| Hand 3 views (73130) |
$298.14 |
$745.34 |
3.5× |
| Heart Infarct Image (78466) |
$227.64 |
$569.10 |
0.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,035 |
$2,587.50 |
2.0× |
| Ht muscle image spect sing (78451) |
$1,740.90 |
$4,352.25 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$206.12 |
$515.30 |
2.4× |
| Hysterosalpingogram (74740) |
$282.66 |
$706.65 |
1.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$192.86 |
$482.16 |
1.9× |
| Kidney imaging morphology (78700) |
$1,148.36 |
$2,870.90 |
2.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$987.61 |
$2,469.02 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$811.44 |
$2,028.60 |
1.5× |
| Knee 3 views (73562) |
$326.84 |
$817.10 |
3.8× |
| Liver & spleen imaging static only (78215) |
$500.22 |
$1,250.55 |
1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,309.58 |
$3,273.96 |
3.4× |
| Liver imaging static only (78201) |
$825.94 |
$2,064.84 |
1.6× |
| Liver imaging w/vascular flow (78202) |
$337.68 |
$844.20 |
0.6× |
| Meckels Diverticulum (78290) |
$703.74 |
$1,759.35 |
1.8× |
| MRA head w & w/o contrast (70546) |
$2,177.46 |
$5,443.66 |
6.4× |
| MRA head w/o contrast (70544) |
$1,997.11 |
$4,992.77 |
8.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,083.63 |
$7,709.08 |
9.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,293.77 |
$5,734.42 |
6.7× |
| MRI abdomen w/o contrast (74181) |
$2,076.60 |
$5,191.51 |
8.9× |
| MRI any jnt lwr ext with con lt (73722) |
$2,376.20 |
$5,940.52 |
3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,334.99 |
$5,837.48 |
3.0× |
| MRI cervical spine w/o contrast (72141) |
$2,365.17 |
$5,912.92 |
10.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,220.16 |
$5,550.38 |
6.5× |
| MRI chest w/o contrast (71550) |
$1,310.30 |
$3,275.76 |
5.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,376.20 |
$5,940.52 |
7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,314.38 |
$5,785.94 |
6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,391.78 |
$5,979.45 |
10.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,985.33 |
$4,963.32 |
8.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,652.87 |
$6,632.18 |
7.8× |
| MRI orbit/face/neck w/contrast (70542) |
$2,269.67 |
$5,674.17 |
6.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,489.59 |
$6,223.97 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$2,056 |
$5,140.01 |
8.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,427.74 |
$6,069.36 |
7.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,494.74 |
$6,236.84 |
7.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,761.22 |
$6,903.04 |
8.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,835.56 |
$7,088.90 |
8.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,761.22 |
$6,903.04 |
8.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,313.65 |
$5,784.12 |
9.9× |
| MRI tmj (70336) |
$1,890.38 |
$4,725.95 |
8.1× |
| MRI upper ext joint w/o contrast (73221) |
$2,262.12 |
$5,655.31 |
9.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,539.64 |
$6,349.10 |
7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,265.06 |
$5,662.66 |
9.7× |
| Myelogram Cervical (72240) |
$491.40 |
$1,228.50 |
0.6× |
| Myelogram Lumbar (72265) |
$546.84 |
$1,367.10 |
0.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,314.78 |
$8,286.96 |
2.6× |
| Neck soft tissue (70360) |
$234.09 |
$585.23 |
2.8× |
| Nm bone marrow multiple (78103) |
$370.86 |
$927.15 |
0.9× |
| Nm bone marrow wb (78104) |
$925.32 |
$2,313.28 |
2.4× |
| Nm gastric emptying study (78264) |
$1,361.10 |
$3,402.75 |
3.5× |
| Nm gastroesophageal reflux study (78262) |
$403.40 |
$1,008.49 |
1.0× |
| Nm red cell sequestration (78140) |
$402.78 |
$1,006.95 |
1.0× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$25.20 |
$63 |
0.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$561.96 |
$1,404.90 |
1.4× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,633.50 |
$4,083.76 |
4.2× |
| Nuclear Rx Oral Admin (79005) |
$775.88 |
$1,939.70 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$368.80 |
$922 |
3.6× |
| Orthopantogram (70355) |
$123.90 |
$309.75 |
1.5× |
| Osseous survey infant (77076) |
$57.96 |
$144.90 |
0.6× |
| Osseous survey limited (77074) |
$415.91 |
$1,039.76 |
4.1× |
| Parathyroid imaging (78070) |
$632.34 |
$1,580.86 |
1.6× |
| Pelvis 1 or 2 views (72170) |
$273.10 |
$682.76 |
2.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,356.34 |
$5,890.86 |
6.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$616.14 |
$1,540.35 |
1.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$850.22 |
$2,125.56 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$360.66 |
$901.65 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$203.32 |
$508.28 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$700.37 |
$1,750.93 |
6.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$508.97 |
$1,272.42 |
5.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$197.28 |
$493.22 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$351.13 |
$877.82 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$237.78 |
$594.44 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$276.05 |
$690.13 |
3.2× |
| Radiologic exam colon single contrast study (74270) |
$627.91 |
$1,569.78 |
3.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$542.52 |
$1,356.30 |
3.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$658.10 |
$1,645.26 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$369.46 |
$923.66 |
4.3× |
| Radiological examination surgical specimen (76098) |
$231.14 |
$577.86 |
0.4× |
| Ribs bilateral 3 views (71110) |
$238.98 |
$597.45 |
2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$177.24 |
$443.10 |
0.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$836.97 |
$2,092.42 |
1.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,298.52 |
$3,246.32 |
2.4× |
| Scanogram (77073) |
$190.66 |
$476.66 |
1.9× |
| Scapula complete (73010) |
$304.02 |
$760.06 |
3.0× |
| Screening digital breast tomosynthesis (77063) |
$42.01 |
$105.02 |
1.8× |
| Sella turcica (70240) |
$163.42 |
$408.54 |
1.9× |
| Small bowel series (74250) |
$596.26 |
$1,490.65 |
3.5× |
| Spine thoracic 3 views (72072) |
$429.89 |
$1,074.73 |
4.2× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$246.12 |
$615.30 |
1.1× |
| Testicular Imaging With Vascular Flow (78761) |
$453.65 |
$1,134.13 |
1.2× |
| Thoracolumbar 2 views (72080) |
$320.21 |
$800.54 |
3.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,503.18 |
$3,757.94 |
2.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$826.68 |
$2,066.70 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$655.88 |
$1,639.72 |
1.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$633.80 |
$1,584.50 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$604.76 |
$1,511.91 |
5.9× |
| Upper Extremity Infant (73092) |
$171.52 |
$428.78 |
1.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$709.62 |
$1,774.06 |
1.8× |
| Urethrocystography retrograde rs&i (74450) |
$208.32 |
$520.80 |
0.9× |
| Urethrocystography voiding (74455) |
$485.11 |
$1,212.76 |
2.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$459.06 |
$1,147.65 |
2.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$498.96 |
$1,247.40 |
2.9× |
| Us breast unilateral complete (76641) |
$406.95 |
$1,017.37 |
4.0× |
| Us breast unilateral limited (76642) |
$208.74 |
$521.85 |
2.5× |
| Us chest (76604) |
$279.74 |
$699.34 |
2.7× |
| Us compl joint r-t w/image documentation (76881) |
$477 |
$1,192.51 |
4.7× |
| Us guided compression repair (76936) |
$559.46 |
$1,398.64 |
2.7× |
| Us infant hips dynamic (76885) |
$672.08 |
$1,680.20 |
7.9× |
| Us ob detailed single fetus (76811) |
$309.96 |
$774.90 |
1.3× |
| Us pelvic non ob complete (76856) |
$622.78 |
$1,556.94 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$359.26 |
$898.15 |
3.5× |
| Us pregnancy ltd (76815) |
$200.23 |
$500.58 |
2.0× |
| Us retroperitoneal complete (76770) |
$632.34 |
$1,580.86 |
6.2× |
| Us retroperitoneal limited (76775) |
$347.99 |
$869.97 |
3.4× |
| Us scrotum and contents (76870) |
$587.44 |
$1,468.58 |
5.8× |
| Us soft tissue head/neck (76536) |
$608.78 |
$1,521.96 |
6.0× |
| Us transrectal (76872) |
$359.96 |
$899.90 |
3.5× |
| Us transrectal prostate volume (76873) |
$304.92 |
$762.30 |
3.0× |
| Vascular flow imaging (78445) |
$177.24 |
$443.10 |
0.5× |
| Venogram extremity bilateral (75822) |
$1,190.32 |
$2,975.78 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$721.34 |
$1,803.35 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$186.97 |
$467.43 |
2.2× |
| Wrist 2 views (73100) |
$162.02 |
$405.04 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$448.31 |
$1,120.78 |
4.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$306.42 |
$766.06 |
3.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$300.34 |
$750.84 |
3.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$817.10 |
$2,042.76 |
4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$251.02 |
$627.56 |
3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$289.30 |
$723.24 |
3.4× |
| X-ray exam hip uni 1 view (73501) |
$283.78 |
$709.46 |
3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$307.26 |
$768.16 |
3.6× |
| X-ray exam of femur 1 (73551) |
$143.73 |
$359.32 |
1.7× |
| X-ray eye for foreign body (70030) |
$120.12 |
$300.30 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$393.08 |
$982.70 |
3.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$114.82 |
$287.07 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$289.30 |
$723.24 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$252.19 |
$630.48 |
3.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$686.08 |
$1,715.18 |
4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$49.14 |
$122.85 |
0.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$348.19 |
$870.48 |
3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$261.34 |
$653.34 |
3.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$185.51 |
$463.78 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$326.84 |
$817.10 |
3.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$704.46 |
$1,761.15 |
6.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$299.38 |
$748.46 |
3.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$137.36 |
$343.41 |
1.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$410.77 |
$1,026.92 |
4.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$658.84 |
$1,647.10 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$327.58 |
$818.94 |
3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$231.42 |
$578.55 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$420.32 |
$1,050.80 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$290.04 |
$725.10 |
2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$303.28 |
$758.21 |
3.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$309.95 |
$774.87 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$466.70 |
$1,166.76 |
5.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$112.01 |
$280.03 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$507.20 |
$1,268 |
5.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$298.68 |
$746.69 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$237.04 |
$592.60 |
2.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$164.16 |
$410.40 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$295.19 |
$737.97 |
3.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$357.02 |
$892.54 |
3.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$221.57 |
$553.92 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$207.60 |
$518.99 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$518.97 |
$1,297.43 |
5.1× |
| Xr chest 4+ views (71048) |
$209.62 |
$524.06 |
2.1× |
| Xr Cholecystography Oral Contrast (74290) |
$172.20 |
$430.50 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$231.14 |
$577.86 |
2.7× |
| Xr shoulder 1 view (73020) |
$238.50 |
$596.24 |
2.8× |
| Xr spine cervical 4 or 5 views (72050) |
$505 |
$1,262.48 |
4.9× |
| Xr tibia/fibula 2 views (73590) |
$295.19 |
$737.97 |
3.5× |
| Xr tmj bilateral (70330) |
$231.14 |
$577.86 |
2.7× |
| Xray knee 1 or 2 views rt (73560) |
$248.81 |
$622.02 |
2.9× |