| 3-D radiotherapy plan dose-volume histograms (77295) |
$8,684.29 |
$10,463 |
6.0× |
| Abdomen 2 views (74019) |
$155.21 |
$187 |
1.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,474.91 |
$1,777 |
3.6× |
| Ankle 2 views (73600) |
$111.64 |
$134.50 |
1.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$535.35 |
$645 |
1.5× |
| Arthrogram hip (73525) |
$626.65 |
$755 |
1.7× |
| Arthrogram shoulder (73040) |
$716.29 |
$863 |
2.0× |
| Arthrogram wrist (73115) |
$516.26 |
$622 |
1.4× |
| Arthrography knee lt (73580) |
$960.31 |
$1,157 |
2.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$932.92 |
$1,124 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$1,794.46 |
$2,162 |
4.3× |
| Bone age studies (77072) |
$195.05 |
$235 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$2,153.02 |
$2,594 |
5.2× |
| Bone survey complete (77075) |
$639.93 |
$771 |
5.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,520.18 |
$5,446 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$136.12 |
$164 |
1.5× |
| Chest 1 view (71045) |
$142.76 |
$172 |
1.6× |
| Chest 3 views (71047) |
$291.33 |
$351 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$795.14 |
$958 |
4.4× |
| Clavicle complete (73000) |
$155.62 |
$187.50 |
1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$345.28 |
$416 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,073.11 |
$7,317 |
16.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,980.68 |
$4,796 |
16.1× |
| CT abdomen w contrast (74160) |
$2,591.26 |
$3,122 |
14.2× |
| CT abdomen w wo contrast (74170) |
$3,316.68 |
$3,996 |
18.2× |
| CT abdomen w/o contrast (74150) |
$2,151.36 |
$2,592 |
19.8× |
| CT c-spine w/o contrast (72125) |
$2,454.31 |
$2,957 |
22.6× |
| CT cervical spine with contrast (72126) |
$2,601.22 |
$3,134 |
7.2× |
| CT chest w/wo contrast (71270) |
$3,406.32 |
$4,104 |
18.7× |
| CT chest with contrast (71260) |
$2,543.95 |
$3,065 |
14.0× |
| CT head/brain with contrast (70460) |
$1,965.44 |
$2,368 |
10.8× |
| CT head/brain without and with contrast (70470) |
$2,499.13 |
$3,011 |
13.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$105.41 |
$127 |
1.2× |
| CT iac w contrast (70481) |
$2,402.02 |
$2,894 |
13.2× |
| CT limited/localized follow up study (76380) |
$880.63 |
$1,061 |
9.7× |
| CT lower ext w/o (73700) |
$2,332.30 |
$2,810 |
21.5× |
| CT lower extremity w wo contrast (73702) |
$2,915.79 |
$3,513 |
16.0× |
| CT lower extremity with contrast (73701) |
$2,775.52 |
$3,344 |
15.2× |
| CT lumbar spine w/o contrast (72131) |
$2,133.10 |
$2,570 |
19.6× |
| CT lumbar spine with contrast (72132) |
$2,431.07 |
$2,929 |
6.7× |
| CT maxillofacial w contrast (70487) |
$2,255.94 |
$2,718 |
12.4× |
| CT maxillofacial w/o contrast (70486) |
$1,834.30 |
$2,210 |
16.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,806.23 |
$3,381 |
15.4× |
| CT neck soft tissue w contrast (70491) |
$2,621.97 |
$3,159 |
14.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,579.64 |
$3,108 |
14.2× |
| CT orbits w/o contrast (70480) |
$2,333.13 |
$2,811 |
21.5× |
| CT pelvis w & w/o contrast (72194) |
$3,040.29 |
$3,663 |
16.7× |
| CT pelvis w/o contrast (72192) |
$1,985.36 |
$2,392 |
18.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,936.54 |
$3,538 |
16.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,940.54 |
$2,338 |
17.9× |
| CT thoracic spine w/contrast (72129) |
$2,330.64 |
$2,808 |
12.8× |
| CT thoracic spine w/o contrast (72128) |
$2,177.92 |
$2,624 |
20.1× |
| CT thorax w/o contrast (71250) |
$2,155.51 |
$2,597 |
19.9× |
| CT upper extremity w/o contrast rt (73200) |
$2,109.86 |
$2,542 |
19.4× |
| CT upper extremity with contrast (73201) |
$2,468.42 |
$2,974 |
6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,138.91 |
$2,577 |
11.7× |
| Cta Abdomen (74175) |
$3,376.44 |
$4,068 |
18.5× |
| CTA abdomen pelvis (74174) |
$7,183.65 |
$8,655 |
19.8× |
| CTA chest (71275) |
$3,665.28 |
$4,416 |
20.1× |
| Cta Head (70496) |
$3,422.09 |
$4,123 |
18.8× |
| Cta Neck (70498) |
$3,473.55 |
$4,185 |
19.1× |
| Cta Pelvis (72191) |
$3,228.70 |
$3,890 |
17.7× |
| Cystography minimum 3 views rs&i (74430) |
$502.15 |
$605 |
1.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$288.84 |
$348 |
2.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$92.96 |
$112 |
0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$238.21 |
$287 |
2.6× |
| Dxa bone density study axial skeleton (77085) |
$441.56 |
$532 |
4.1× |
| Echoencephalography real time imaging (76506) |
$472.27 |
$569 |
4.4× |
| Esophagus (74220) |
$776.05 |
$935 |
4.3× |
| Fetal biophysical profile non-stress testing (76818) |
$576.85 |
$695 |
5.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$533.28 |
$642.50 |
4.9× |
| Fluoroscopy up to 1 hr (76000) |
$524.56 |
$632 |
2.1× |
| Foot 2 views (73620) |
$91.30 |
$110 |
1.0× |
| Forearm 2 views (73090) |
$151.06 |
$182 |
1.7× |
| Gated Heart Planar Single (78472) |
$1,758.77 |
$2,119 |
4.2× |
| Hand 2 views (73120) |
$104.58 |
$126 |
1.0× |
| Hand 3 views (73130) |
$178.45 |
$215 |
2.0× |
| Heart Infarct Image (78466) |
$705.50 |
$850 |
1.7× |
| Heart infarct image w ef (78468) |
$935.41 |
$1,127 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,777.86 |
$2,142 |
3.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,026.86 |
$2,442 |
4.9× |
| Ht muscle image spect sing (78451) |
$2,300.76 |
$2,772 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$171.40 |
$206.50 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,296.46 |
$1,562 |
2.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,791.14 |
$2,158 |
3.2× |
| Knee 3 views (73562) |
$207.92 |
$250.50 |
2.3× |
| Liver & spleen imaging static only (78215) |
$1,689.88 |
$2,036 |
4.1× |
| Lung perfusion differential (78597) |
$2,199.50 |
$2,650 |
5.3× |
| Lung Ventilation Imaging (78579) |
$993.51 |
$1,197 |
2.4× |
| Meckels Diverticulum (78290) |
$1,050.78 |
$1,266 |
2.5× |
| MRA head w/o contrast (70544) |
$2,882.59 |
$3,473 |
11.6× |
| MRA neck w contrast (70548) |
$2,683.39 |
$3,233 |
7.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,848.56 |
$3,432 |
7.9× |
| MRA neck w/o contrast (70547) |
$2,503.28 |
$3,016 |
10.1× |
| MRI abdomen w contrast (74182) |
$2,751.45 |
$3,315 |
7.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,584.92 |
$5,524 |
12.7× |
| MRI abdomen w/o contrast (74181) |
$3,393.04 |
$4,088 |
13.7× |
| MRI any jnt lwr ext with con lt (73722) |
$3,338.26 |
$4,022 |
4.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,403.83 |
$4,101 |
4.2× |
| MRI c-spine with contrast (72142) |
$3,014.56 |
$3,632 |
8.3× |
| MRI cervical spine w/o contrast (72141) |
$3,349.05 |
$4,035 |
13.5× |
| MRI chest w/o & w/contrast material (71552) |
$3,715.91 |
$4,477 |
10.3× |
| MRI chest w/o contrast (71550) |
$2,724.89 |
$3,283 |
11.0× |
| MRI chest with contrast (71551) |
$1,845.09 |
$2,223 |
2.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,065.04 |
$2,488 |
5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,675.92 |
$3,224 |
7.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,649.36 |
$3,192 |
10.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,499.13 |
$3,011 |
10.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,811.21 |
$3,387 |
7.8× |
| MRI orbit/face/neck w/contrast (70542) |
$1,753.79 |
$2,113 |
4.8× |
| MRI pelvis w contrast (72196) |
$2,771.37 |
$3,339 |
7.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,947.33 |
$3,551 |
8.1× |
| MRI pelvis w/o contrast (72195) |
$2,363.01 |
$2,847 |
9.5× |
| MRI scan of arm joint before and after contrast (73223) |
$3,861.99 |
$4,653 |
10.7× |
| MRI scan of leg joint before and after contrast (73723) |
$3,910.96 |
$4,712 |
10.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,186.52 |
$5,044 |
11.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,992.15 |
$3,605 |
8.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,927.56 |
$4,732 |
10.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,697.50 |
$3,250 |
7.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,142.53 |
$4,991 |
11.4× |
| MRI thoracic spine w/o contrast (72146) |
$3,211.27 |
$3,869 |
13.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,413.64 |
$2,908 |
9.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,130.76 |
$3,772 |
8.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,387.91 |
$2,877 |
9.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$4,520.18 |
$5,446 |
3.4× |
| Myocardial infarct spect (78469) |
$1,266.58 |
$1,526 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,220.66 |
$2,675.50 |
1.7× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$2,018.56 |
$2,432 |
1.4× |
| Neck soft tissue (70360) |
$257.30 |
$310 |
2.8× |
| Nm gastric emptying study (78264) |
$1,787.82 |
$2,154 |
4.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$824.19 |
$993 |
2.0× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$689.73 |
$831 |
1.7× |
| Nuclear Rx Oral Admin (79005) |
$1,579.49 |
$1,903 |
6.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$423.30 |
$510 |
3.9× |
| Osseous survey infant (77076) |
$590.13 |
$711 |
5.4× |
| Parathyrd planar w/wo subtrj (78071) |
$1,346.26 |
$1,622 |
3.2× |
| Parathyroid imaging (78070) |
$1,318.87 |
$1,589 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$165.17 |
$199 |
1.5× |
| PET image w/CT, skull-thigh (78815) |
$6,723.42 |
$8,100.50 |
4.5× |
| PET imaging CT for attenuation limited area (78814) |
$5,379.23 |
$6,481 |
3.6× |
| PET imaging for CT attenuation whole body (78816) |
$7,356.29 |
$8,863 |
5.0× |
| Pr MRI brain w/o dye (70557) |
$676.45 |
$815 |
1.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,629.59 |
$4,373 |
10.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,208.48 |
$1,456 |
2.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,131.44 |
$2,568 |
3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,591.94 |
$1,918 |
2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$133.63 |
$161 |
1.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$133.63 |
$161 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$380.97 |
$459 |
3.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$205.84 |
$248 |
1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$149.40 |
$180 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$192.56 |
$232 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$116.20 |
$140 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$330.34 |
$398 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$159.78 |
$192.50 |
1.8× |
| Radiologic exam colon single contrast study (74270) |
$1,004.30 |
$1,210 |
5.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$255.64 |
$308 |
1.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,098.92 |
$1,324 |
6.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$749.08 |
$902.50 |
4.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$291.33 |
$351 |
3.2× |
| Radiological examination surgical specimen (76098) |
$163.51 |
$197 |
0.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,067.53 |
$2,491 |
3.7× |
| Sacroiliac Joints < 3 Views (72200) |
$49.80 |
$60 |
0.5× |
| Scanogram (77073) |
$216.63 |
$261 |
2.0× |
| Scapula complete (73010) |
$239.87 |
$289 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$54.78 |
$66 |
2.3× |
| Small bowel series (74250) |
$869.84 |
$1,048 |
4.8× |
| Spec medical radj physics consltj (77370) |
$1,088.96 |
$1,312 |
7.8× |
| Speech evaluation complex (70371) |
$489.70 |
$590 |
2.0× |
| Spine thoracic 3 views (72072) |
$308.34 |
$371.50 |
2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,983.85 |
$3,595 |
7.7× |
| Thoracolumbar 2 views (72080) |
$148.57 |
$179 |
1.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,727.23 |
$2,081 |
3.1× |
| Thyroid uptake measurement (78012) |
$474.76 |
$572 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,140.42 |
$1,374 |
2.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$795.97 |
$959 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$470.61 |
$567 |
4.3× |
| Umbilical-artery Doppler (OB) (76820) |
$332 |
$400 |
3.1× |
| Upper Extremity Infant (73092) |
$192.56 |
$232 |
1.8× |
| Urethrocystography voiding (74455) |
$590.13 |
$711 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$798.46 |
$962 |
4.4× |
| Us abdl aorta screen aaa (76706) |
$448.20 |
$540 |
4.1× |
| Us breast unilateral complete (76641) |
$485.55 |
$585 |
4.5× |
| Us breast unilateral limited (76642) |
$425.79 |
$513 |
4.7× |
| Us chest (76604) |
$451.52 |
$544 |
4.2× |
| Us compl joint r-t w/image documentation (76881) |
$665.66 |
$802 |
6.1× |
| Us infant hips dynamic (76885) |
$413.34 |
$498 |
4.6× |
| Us kidney transplant (76776) |
$585.15 |
$705 |
5.4× |
| Us ob detailed single fetus (76811) |
$1,339.62 |
$1,614 |
5.4× |
| Us ob transvaginal (76817) |
$742.02 |
$894 |
6.8× |
| Us pelvic non ob complete (76856) |
$761.94 |
$918 |
7.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$472.27 |
$569 |
4.4× |
| Us pregnancy ltd (76815) |
$483.06 |
$582 |
4.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,008.45 |
$1,215 |
9.3× |
| Us retroperitoneal complete (76770) |
$760.28 |
$916 |
7.0× |
| Us retroperitoneal limited (76775) |
$532.03 |
$641 |
4.9× |
| Us scrotum and contents (76870) |
$707.99 |
$853 |
6.5× |
| Us soft tissue head/neck (76536) |
$563.57 |
$679 |
5.2× |
| Us spinal canal and contents (76800) |
$508.79 |
$613 |
4.7× |
| Us transrectal (76872) |
$77.19 |
$93 |
0.7× |
| Us xtr non-vasc lmtd (76882) |
$524.56 |
$632 |
4.8× |
| Vertebral fracture assessment via dxa (77086) |
$22.41 |
$27 |
0.2× |
| Wrist 2 views (73100) |
$123.26 |
$148.50 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$445.71 |
$537 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$119.52 |
$144 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$148.98 |
$179.50 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,274.88 |
$1,536 |
7.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$144.84 |
$174.50 |
1.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$163.10 |
$196.50 |
1.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$149.40 |
$180 |
1.4× |
| X-ray exam hip uni 1 view (73501) |
$197.54 |
$238 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$162.68 |
$196 |
1.8× |
| X-ray exam hip uni 4/> views (73503) |
$319.55 |
$385 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$380.97 |
$459 |
3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$380.97 |
$459 |
3.5× |
| X-ray exam of femur 1 (73551) |
$291.33 |
$351 |
3.2× |
| X-ray eye for foreign body (70030) |
$192.56 |
$232 |
2.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$394.25 |
$475 |
3.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$260.62 |
$314 |
2.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$172.22 |
$207.50 |
1.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$65.57 |
$79 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$221.61 |
$267 |
2.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$249 |
$300 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$111.22 |
$134 |
1.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$53.12 |
$64 |
0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$166 |
$200 |
1.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$360.64 |
$434.50 |
3.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$611.71 |
$737 |
5.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$263.11 |
$317 |
2.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$194.22 |
$234 |
2.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$351.92 |
$424 |
3.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$350.26 |
$422 |
3.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$239.46 |
$288.50 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$112.88 |
$136 |
1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$494.68 |
$596 |
4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$296.31 |
$357 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$108.73 |
$131 |
1.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$69.72 |
$84 |
0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$228.66 |
$275.50 |
2.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$177.62 |
$214 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$407.53 |
$491 |
3.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$153.14 |
$184.50 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$125.33 |
$151 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$54.78 |
$66 |
0.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$153.14 |
$184.50 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$103.75 |
$125 |
1.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$165.58 |
$199.50 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$139.44 |
$168 |
1.3× |
| Xr finger(s) 2+ views (73140) |
$105.41 |
$127 |
1.2× |
| Xr optic foramina (70190) |
$195.88 |
$236 |
2.2× |
| Xr shoulder 1 view (73020) |
$173.06 |
$208.50 |
1.9× |
| Xr spine cervical 4 or 5 views (72050) |
$346.52 |
$417.50 |
3.2× |
| Xr tibia/fibula 2 views (73590) |
$162.68 |
$196 |
1.8× |
| Xr tmj bilateral (70330) |
$73.87 |
$89 |
0.8× |
| Xray knee 1 or 2 views rt (73560) |
$142.34 |
$171.50 |
1.6× |