| Abdomen 2 views (74019) |
$45.85 |
$180 |
0.5× |
| Ankle 2 views (73600) |
$86.60 |
$340 |
1.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$132.07 |
$518.50 |
0.4× |
| Arthrogram elbow (73085) |
$203.51 |
$799 |
0.6× |
| Arthrogram hip (73525) |
$182.12 |
$715 |
0.6× |
| Arthrogram shoulder (73040) |
$236.36 |
$928 |
0.7× |
| Arthrogram wrist (73115) |
$186.95 |
$734 |
0.6× |
| Arthrography knee lt (73580) |
$243.63 |
$956.50 |
0.8× |
| Bone age studies (77072) |
$100.61 |
$395 |
1.1× |
| Bone survey complete (77075) |
$169.64 |
$666 |
1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$985.95 |
$3,871 |
3.1× |
| Cervical spine 2 or 3 views (72040) |
$116.66 |
$458 |
1.5× |
| Chest 1 view (71045) |
$96.03 |
$377 |
1.2× |
| Chest 3 views (71047) |
$134.23 |
$527 |
1.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$130.41 |
$512 |
0.8× |
| Clavicle complete (73000) |
$99.08 |
$389 |
1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$72.85 |
$286 |
0.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,699.62 |
$6,673 |
5.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,485.42 |
$5,832 |
6.8× |
| CT abdomen w contrast (74160) |
$840.77 |
$3,301 |
5.3× |
| CT abdomen w wo contrast (74170) |
$916.67 |
$3,599 |
5.7× |
| CT abdomen w/o contrast (74150) |
$790.34 |
$3,103 |
8.3× |
| CT angio hrt w/3d image (75574) |
$290.36 |
$1,140 |
0.9× |
| CT angiography upper extremity lt (73206) |
$761.68 |
$2,990.50 |
4.8× |
| CT c-spine w/o contrast (72125) |
$700.68 |
$2,751 |
7.4× |
| CT cervical spine w&w/o contrast (72127) |
$819.88 |
$3,219 |
5.1× |
| CT cervical spine with contrast (72126) |
$735.83 |
$2,889 |
2.3× |
| CT chest w/wo contrast (71270) |
$845.35 |
$3,319 |
5.3× |
| CT chest with contrast (71260) |
$728.70 |
$2,861 |
4.6× |
| CT colonography w/dye (74262) |
$639.05 |
$2,509 |
4.0× |
| CT colonography w/o cntrst (74261) |
$569 |
$2,234 |
6.0× |
| CT head/brain with contrast (70460) |
$792.63 |
$3,112 |
5.0× |
| CT head/brain without and with contrast (70470) |
$1,003.52 |
$3,940 |
6.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$580.72 |
$2,280 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$58.08 |
$228 |
0.7× |
| CT hrt w/3d image congen (75573) |
$366.01 |
$1,437 |
1.2× |
| CT iac w contrast (70481) |
$631.92 |
$2,481 |
4.0× |
| CT limited/localized follow up study (76380) |
$315.32 |
$1,238 |
4.0× |
| CT lower ext w/o (73700) |
$565.18 |
$2,219 |
5.9× |
| CT lower extremity w wo contrast (73702) |
$706.54 |
$2,774 |
4.4× |
| CT lower extremity with contrast (73701) |
$642.10 |
$2,521 |
4.0× |
| CT lumbar spine w & w/o contrast (72133) |
$844.34 |
$3,315 |
5.3× |
| CT lumbar spine w/o contrast (72131) |
$721.82 |
$2,834 |
7.6× |
| CT lumbar spine with contrast (72132) |
$757.74 |
$2,975 |
2.4× |
| CT maxillofacial w contrast (70487) |
$830.58 |
$3,261 |
5.2× |
| CT maxillofacial w/o contrast (70486) |
$761.81 |
$2,991 |
8.0× |
| CT maxillofacial w/wo contrast (70488) |
$899.10 |
$3,530 |
5.6× |
| CT neck soft tissue w contrast (70491) |
$738.38 |
$2,899 |
4.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$727.17 |
$2,855 |
4.6× |
| CT orbits w/o contrast (70480) |
$596 |
$2,340 |
6.3× |
| CT pelvis w & w/o contrast (72194) |
$732.27 |
$2,875 |
4.6× |
| CT pelvis w/o contrast (72192) |
$546.34 |
$2,145 |
5.7× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$115.64 |
$454 |
1.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$856.56 |
$3,363 |
5.4× |
| CT soft tissue neck w/o contrast (70490) |
$686.68 |
$2,696 |
7.2× |
| CT thoracic spine w/contrast (72129) |
$757.74 |
$2,975 |
4.7× |
| CT thoracic spine w/o contrast (72128) |
$721.82 |
$2,834 |
7.6× |
| CT thoracic spine w/wo contrast (72130) |
$844.34 |
$3,315 |
5.3× |
| CT thorax w/o contrast (71250) |
$597.53 |
$2,346 |
6.3× |
| CT unlisted procedure (76497) |
$522.14 |
$2,050 |
6.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$670.63 |
$2,633 |
4.2× |
| CT upper extremity w/o contrast rt (73200) |
$563.66 |
$2,213 |
5.9× |
| CT upper extremity with contrast (73201) |
$656.50 |
$2,577.50 |
2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$623.77 |
$2,449 |
3.9× |
| Cta Abdomen (74175) |
$653.82 |
$2,567 |
4.1× |
| CTA abdomen pelvis (74174) |
$975.76 |
$3,831 |
3.1× |
| CTA chest (71275) |
$687.44 |
$2,699 |
4.3× |
| Cta Head (70496) |
$664.52 |
$2,609 |
4.2× |
| CTA lwr ext w&w/o contrast (73706) |
$761.05 |
$2,988 |
4.8× |
| Cta Neck (70498) |
$829.31 |
$3,256 |
5.2× |
| Cta Pelvis (72191) |
$841.53 |
$3,304 |
5.3× |
| Cystography minimum 3 views rs&i (74430) |
$169.89 |
$667 |
0.5× |
| Diskogram cervical (72285) |
$1,545.78 |
$6,069 |
0.9× |
| Diskography lumbar (72295) |
$937.56 |
$3,681 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$91.32 |
$358.50 |
1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$33.24 |
$130.50 |
0.4× |
| Echoencephalography real time imaging (76506) |
$162.76 |
$639 |
1.7× |
| Esophagus (74220) |
$146.96 |
$577 |
0.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$125.32 |
$492 |
1.3× |
| Fluoroscopy up to 1 hr (76000) |
$154.61 |
$607 |
0.7× |
| Foot 2 views (73620) |
$78.20 |
$307 |
1.0× |
| Forearm 2 views (73090) |
$114.11 |
$448 |
1.4× |
| Functional MRI brain by phys/psych (70555) |
$233.31 |
$916 |
1.1× |
| Functional MRI brain by tech (70554) |
$233.31 |
$916 |
1.1× |
| Hand 2 views (73120) |
$102.14 |
$401 |
1.1× |
| Hand 3 views (73130) |
$119.71 |
$470 |
1.5× |
| Humerus Min 2 Views Left (73060) |
$118.19 |
$464 |
1.5× |
| Hysterosalpingogram (74740) |
$260.05 |
$1,021 |
1.2× |
| Knee 3 views (73562) |
$64.70 |
$254 |
0.8× |
| Mammary ductogram or galactogram multiple (77054) |
$185.81 |
$729.50 |
0.9× |
| Mammary ductogram or galactogram single (77053) |
$228.47 |
$897 |
1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$18.60 |
$73 |
0.7× |
| MRA head w & w/o contrast (70546) |
$1,240.14 |
$4,869 |
3.9× |
| MRA head w/o contrast (70544) |
$932.46 |
$3,661 |
4.3× |
| MRA head with contrast (70545) |
$1,240.14 |
$4,869 |
3.9× |
| MRA neck w contrast (70548) |
$838.73 |
$3,293 |
2.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$949.27 |
$3,727 |
3.0× |
| MRA neck w/o contrast (70547) |
$650.25 |
$2,553 |
3.0× |
| MRI abdomen w contrast (74182) |
$1,195.06 |
$4,692 |
3.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$699.16 |
$2,745 |
2.2× |
| MRI abdomen w/o contrast (74181) |
$1,195.06 |
$4,692 |
5.5× |
| MRI any jnt lwr ext with con lt (73722) |
$1,119.66 |
$4,396 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,163.60 |
$4,568.50 |
1.6× |
| MRI bone marrow blood supply (77084) |
$919.98 |
$3,612 |
4.2× |
| MRI c-spine with contrast (72142) |
$1,201.68 |
$4,718 |
3.8× |
| MRI cardiac w/o cont stress (75559) |
$769.20 |
$3,020 |
1.5× |
| MRI cardiac w/o contrast (75557) |
$710.11 |
$2,788 |
3.3× |
| MRI cervical spine w/o contrast (72141) |
$1,044.78 |
$4,102 |
4.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,251.35 |
$4,913 |
3.9× |
| MRI chest w/o contrast (71550) |
$788.56 |
$3,096 |
3.6× |
| MRI chest with contrast (71551) |
$963.79 |
$3,784 |
1.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$805.75 |
$3,163.50 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,071.78 |
$4,208 |
3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$985.44 |
$3,869 |
4.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$570.79 |
$2,241 |
2.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,057.01 |
$4,150 |
3.3× |
| MRI orbit/face/neck w/contrast (70542) |
$866.75 |
$3,403 |
2.7× |
| MRI pelvis w contrast (72196) |
$1,007.34 |
$3,955 |
3.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,243.45 |
$4,882 |
3.9× |
| MRI pelvis w/o contrast (72195) |
$932.72 |
$3,662 |
4.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,215.56 |
$4,772.50 |
3.8× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$808.68 |
$3,175 |
1.1× |
| MRI scan of leg joint before and after contrast (73723) |
$1,259.75 |
$4,946 |
4.0× |
| MRI spectroscopy (76390) |
$575.88 |
$2,261 |
7.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,431.42 |
$5,620 |
4.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,166.53 |
$4,580 |
3.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,354.24 |
$5,317 |
4.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,166.53 |
$4,580 |
3.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,389.78 |
$5,456.50 |
4.4× |
| MRI thoracic spine w/o contrast (72146) |
$963.79 |
$3,784 |
4.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,012.95 |
$3,977 |
4.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,139.28 |
$4,473 |
3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$866.24 |
$3,401 |
4.0× |
| Neck soft tissue (70360) |
$60.24 |
$236.50 |
0.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$110.29 |
$433 |
1.2× |
| Osseous survey limited (77074) |
$185.81 |
$729.50 |
2.0× |
| Pelvis 1 or 2 views (72170) |
$83.04 |
$326 |
0.9× |
| Perineogram (74775) |
$138.56 |
$544 |
0.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,231.73 |
$4,836 |
3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$209.88 |
$824 |
0.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$240.18 |
$943 |
2.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$183.39 |
$720 |
1.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$106.98 |
$420 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$152.19 |
$597.50 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$92.72 |
$364 |
1.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$121.50 |
$477 |
1.5× |
| Radiologic exam colon single contrast study (74270) |
$181.86 |
$714 |
1.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$225.41 |
$885 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$173.71 |
$682 |
1.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$122.26 |
$480 |
1.5× |
| Radiological examination surgical specimen (76098) |
$258.27 |
$1,014 |
0.5× |
| Ribs bilateral 3 views (71110) |
$90.68 |
$356 |
1.0× |
| Sacroiliac Joints < 3 Views (72200) |
$80.88 |
$317.50 |
0.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$146.97 |
$577 |
0.7× |
| Scanogram (77073) |
$109.53 |
$430 |
1.2× |
| Scapula complete (73010) |
$88 |
$345.50 |
0.9× |
| Screening digital breast tomosynthesis (77063) |
$28.53 |
$112 |
1.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$272.02 |
$1,068 |
2.9× |
| Small bowel series (74250) |
$160.21 |
$629 |
1.0× |
| Therapeutic Enema (74283) |
$221.59 |
$870 |
1.4× |
| Thoracolumbar 2 views (72080) |
$115.89 |
$455 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$216.50 |
$850 |
2.3× |
| Umbilical-artery Doppler (OB) (76820) |
$113.09 |
$444 |
1.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$78.96 |
$310 |
1.0× |
| Unlisted magnetic resonance procedure (76498) |
$576.90 |
$2,265 |
7.3× |
| Unlisted Ultrasound Procedure (76999) |
$97.56 |
$383 |
1.2× |
| Upper Extremity Infant (73092) |
$53.75 |
$211 |
0.6× |
| Urethrocystography retrograde rs&i (74450) |
$161.36 |
$633.50 |
0.7× |
| Urethrocystography voiding (74455) |
$248.21 |
$974.50 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$177.78 |
$698 |
1.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$326.02 |
$1,280 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$141.11 |
$554 |
1.5× |
| Us breast unilateral complete (76641) |
$87.62 |
$344 |
0.9× |
| Us breast unilateral limited (76642) |
$87.62 |
$344 |
1.1× |
| Us chest (76604) |
$149.26 |
$586 |
1.6× |
| Us compl joint r-t w/image documentation (76881) |
$154.35 |
$606 |
1.6× |
| Us guided compression repair (76936) |
$117.93 |
$463 |
0.6× |
| Us infant hips dynamic (76885) |
$131.18 |
$515 |
1.7× |
| Us infant hips limited static (76886) |
$114.62 |
$450 |
1.4× |
| Us kidney transplant (76776) |
$222.87 |
$875 |
2.3× |
| Us ob detailed single fetus (76811) |
$202.75 |
$796 |
0.9× |
| Us ob transvaginal (76817) |
$153.08 |
$601 |
1.6× |
| Us pelvic non ob complete (76856) |
$257.12 |
$1,009.50 |
2.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$79.98 |
$314 |
0.8× |
| Us pregnancy ltd (76815) |
$107.23 |
$421 |
1.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$95.52 |
$375 |
1.0× |
| Us retroperitoneal complete (76770) |
$198.54 |
$779.50 |
2.1× |
| Us scrotum and contents (76870) |
$182.24 |
$715.50 |
1.9× |
| Us soft tissue head/neck (76536) |
$145.44 |
$571 |
1.5× |
| Us spinal canal and contents (76800) |
$83.29 |
$327 |
0.9× |
| Us transrectal (76872) |
$119.71 |
$470 |
1.3× |
| Us xtr non-vasc lmtd (76882) |
$135.76 |
$533 |
1.4× |
| Venogram extremity bilateral (75822) |
$454.39 |
$1,784 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$395.04 |
$1,551 |
0.3× |
| Wrist 2 views (73100) |
$101.63 |
$399 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$190.39 |
$747.50 |
2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$89.28 |
$350.50 |
1.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$120.86 |
$474.50 |
1.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$234.08 |
$919 |
1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$77.69 |
$305 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$104.94 |
$412 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$36.43 |
$143 |
0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$114.87 |
$451 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$159.32 |
$625.50 |
1.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$366.52 |
$1,439 |
3.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$115.38 |
$453 |
1.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$51.46 |
$202 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$124.30 |
$488 |
1.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$85.84 |
$337 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$37.96 |
$149 |
0.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$127.86 |
$502 |
1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$77.18 |
$303 |
1.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$89.28 |
$350.50 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$117.16 |
$460 |
1.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$115.38 |
$453 |
1.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$130.92 |
$514 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$89.40 |
$351 |
1.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$61.39 |
$241 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$161.23 |
$633 |
1.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$113.60 |
$446 |
1.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$158.68 |
$623 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$68.01 |
$267 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$76.67 |
$301 |
0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$162.76 |
$639 |
1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$92.21 |
$362 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$104.81 |
$411.50 |
1.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$109.78 |
$431 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$122.90 |
$482.50 |
1.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$65.20 |
$256 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$133.85 |
$525.50 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$108.89 |
$427.50 |
1.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$99.85 |
$392 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$71.58 |
$281 |
0.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$105.71 |
$415 |
1.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$68.77 |
$270 |
0.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$90.17 |
$354 |
0.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$80.49 |
$316 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$114.87 |
$451 |
1.4× |
| Xr arthrogram ankle (73615) |
$271.52 |
$1,066 |
0.9× |
| Xr c-spine 6 or more views (72052) |
$143.66 |
$564 |
1.5× |
| Xr Cholecystography Oral Contrast (74290) |
$91.95 |
$361 |
0.6× |
| Xr finger(s) 2+ views (73140) |
$60.12 |
$236 |
0.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$31.59 |
$124 |
0.3× |
| Xr shoulder 1 view (73020) |
$51.96 |
$204 |
0.7× |
| Xr spine cervical 4 or 5 views (72050) |
$100.36 |
$394 |
1.1× |
| Xr tibia/fibula 2 views (73590) |
$101.38 |
$398 |
1.3× |
| Xr tmj bilateral (70330) |
$119.46 |
$469 |
1.5× |
| Xray knee 1 or 2 views rt (73560) |
$95.01 |
$373 |
1.2× |