| Abdomen 2 views (74019) |
— |
$672 |
— |
| Acute gastrointestinal blood loss imaging (78278) |
— |
$1,751 |
— |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
— |
$7,408 |
— |
| Angiography extremity bilateral rs&i (75716) |
— |
$10,663 |
— |
| Angiography extremity unilateral rs&i (75710) |
— |
$7,180 |
— |
| Angiography internal mammary rs&i (75756) |
— |
$6,157 |
— |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
— |
$9,537 |
— |
| Angiography pulmonary bilateral slctv rs&i (75743) |
— |
$8,624 |
— |
| Angiography pulmonary unilateral slctv rs&i (75741) |
— |
$8,684 |
— |
| Angiography visceral slctv/supraslctv rs&i (75726) |
— |
$10,959 |
— |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
— |
$4,034 |
— |
| Ankle 2 views (73600) |
— |
$537 |
— |
| Antegrade urography radiological supvj & interpj (74425) |
— |
$1,253 |
— |
| Aortogram thoracic (75605) |
— |
$8,941 |
— |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
— |
$5,646 |
— |
| Aortography abdominal serialography rs&i (75625) |
— |
$8,666 |
— |
| Aortography thoracic w/o serialography rs&i (75600) |
— |
$10,401 |
— |
| Artery X-Rays Adrenal Gland (75731) |
— |
$4,676 |
— |
| Arthrogram elbow (73085) |
— |
$1,136 |
— |
| Arthrogram hip (73525) |
— |
$1,299 |
— |
| Arthrogram shoulder (73040) |
— |
$1,306 |
— |
| Arthrogram wrist (73115) |
— |
$1,145 |
— |
| Arthrography knee lt (73580) |
— |
$1,232 |
— |
| Bone &/Joint Imaging Limited Area (78300) |
— |
$1,006 |
— |
| Bone &/Joint Imaging Multiple Areas (78305) |
— |
$1,625 |
— |
| Bone &/joint imaging whole body (78306) |
— |
$3,170 |
— |
| Bone age studies (77072) |
— |
$522 |
— |
| Bone Imaging 3 Phase (78315) |
— |
$3,002 |
— |
| Bone Marrow Imaging Limited Area (78102) |
— |
$1,360 |
— |
| Bone survey complete (77075) |
— |
$1,540 |
— |
| Brain image w/flow 4 + views (78606) |
— |
$2,221 |
— |
| Brain Imaging Minimum 4 Static Views (78605) |
— |
$2,023 |
— |
| Brain Imaging Vascular Flow Only (78610) |
— |
$1,104 |
— |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
— |
$2,279 |
— |
| Cardiac MRI w/w/o contrast & further seq (75561) |
— |
$5,102 |
— |
| Cervical spine 2 or 3 views (72040) |
— |
$664 |
— |
| Chest 1 view (71045) |
— |
$537 |
— |
| Chest 3 views (71047) |
— |
$785 |
— |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
— |
$1,178 |
— |
| Clavicle complete (73000) |
— |
$602 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$4,793 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$5,176 |
— |
| CT abdomen w contrast (74160) |
— |
$4,694 |
— |
| CT abdomen w wo contrast (74170) |
— |
$5,383 |
— |
| CT abdomen w/o contrast (74150) |
— |
$3,069 |
— |
| CT angio hrt w/3d image (75574) |
— |
$3,092 |
— |
| CT angiography upper extremity lt (73206) |
— |
$4,513 |
— |
| CT c-spine w/o contrast (72125) |
— |
$3,858 |
— |
| CT cervical spine with contrast (72126) |
— |
$3,879 |
— |
| CT chest w/wo contrast (71270) |
— |
$4,560 |
— |
| CT chest with contrast (71260) |
— |
$4,184 |
— |
| CT head/brain with contrast (70460) |
— |
$3,705 |
— |
| CT head/brain without and with contrast (70470) |
— |
$4,439 |
— |
| CT heart contrast eval cardiac structure&morph (75572) |
— |
$2,843 |
— |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$455 |
— |
| CT hrt w/3d image congen (75573) |
— |
$2,678 |
— |
| CT iac w contrast (70481) |
— |
$4,158 |
— |
| CT limited/localized follow up study (76380) |
— |
$3,443 |
— |
| CT lower ext w/o (73700) |
— |
$3,794 |
— |
| CT lower extremity with contrast (73701) |
— |
$4,009 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$3,694 |
— |
| CT lumbar spine with contrast (72132) |
— |
$3,887 |
— |
| CT maxillofacial w contrast (70487) |
— |
$3,737 |
— |
| CT maxillofacial w/o contrast (70486) |
— |
$3,014 |
— |
| CT maxillofacial w/wo contrast (70488) |
— |
$3,532 |
— |
| CT neck soft tissue w contrast (70491) |
— |
$4,197 |
— |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
— |
$3,578 |
— |
| CT orbits w/o contrast (70480) |
— |
$3,723 |
— |
| CT pelvis w & w/o contrast (72194) |
— |
$4,526 |
— |
| CT pelvis w/o contrast (72192) |
— |
$3,266 |
— |
| CT soft tissue neck w/o & w/contrast material (70492) |
— |
$4,155 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$3,320 |
— |
| CT thoracic spine w/contrast (72129) |
— |
$3,844 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$3,812 |
— |
| CT thoracic spine w/wo contrast (72130) |
— |
$4,212 |
— |
| CT thorax w/o contrast (71250) |
— |
$3,412 |
— |
| CT upper extremity w/o contrast rt (73200) |
— |
$3,371 |
— |
| CT upper extremity with contrast (73201) |
— |
$3,463 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$4,829 |
— |
| Cta Abdomen (74175) |
— |
$5,071 |
— |
| CTA abdomen pelvis (74174) |
— |
$5,686 |
— |
| CTA chest (71275) |
— |
$5,366 |
— |
| Cta Head (70496) |
— |
$4,599 |
— |
| CTA lwr ext w&w/o contrast (73706) |
— |
$3,832 |
— |
| Cta Neck (70498) |
— |
$4,862 |
— |
| Cta Pelvis (72191) |
— |
$4,599 |
— |
| Cystography minimum 3 views rs&i (74430) |
— |
$1,141 |
— |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
— |
$634 |
— |
| Doppler Echo Fetal Spectral Display Complete (76827) |
— |
$729 |
— |
| Dxa bone density study 1/> sites axial skel (77080) |
— |
$982 |
— |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
— |
$490 |
— |
| Echo exam of fetal heart (76825) |
— |
$2,226 |
— |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
— |
$2,305 |
— |
| Echoencephalography real time imaging (76506) |
— |
$1,088 |
— |
| Esophageal motility (78258) |
— |
$1,118 |
— |
| Esophagus (74220) |
— |
$1,059 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$1,092 |
— |
| Foot 2 views (73620) |
— |
$496 |
— |
| Forearm 2 views (73090) |
— |
$622 |
— |
| Functional MRI brain by phys/psych (70555) |
— |
$3,532 |
— |
| Functional MRI brain by tech (70554) |
— |
$4,051 |
— |
| Gated Heart Planar Single (78472) |
— |
$2,551 |
— |
| Hand 2 views (73120) |
— |
$515 |
— |
| Hand 3 views (73130) |
— |
$628 |
— |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
— |
$4,520 |
— |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
— |
$2,678 |
— |
| Hepatobiliary syst imaging including gallbladder (78226) |
— |
$2,890 |
— |
| Humerus Min 2 Views Left (73060) |
— |
$623 |
— |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
— |
$661 |
— |
| Kidney imaging morphology (78700) |
— |
$1,060 |
— |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
— |
$2,604 |
— |
| Kidney img morphology vascular flow 1 w/rx (78708) |
— |
$3,241 |
— |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
— |
$2,559 |
— |
| Knee 3 views (73562) |
— |
$665 |
— |
| Liver & spleen imaging static only (78215) |
— |
$1,980 |
— |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
— |
$2,656 |
— |
| Lymphoscintigraphy (78195) |
— |
$2,843 |
— |
| Meckels Diverticulum (78290) |
— |
$2,707 |
— |
| Mr elastography (76391) |
— |
$1,583 |
— |
| MRA head w & w/o contrast (70546) |
— |
$6,514 |
— |
| MRA head w/o contrast (70544) |
— |
$5,806 |
— |
| MRA head with contrast (70545) |
— |
$6,227 |
— |
| MRA neck w contrast (70548) |
— |
$6,369 |
— |
| Mra Neck W/O &W/Contrast Material (70549) |
— |
$6,751 |
— |
| MRA neck w/o contrast (70547) |
— |
$6,228 |
— |
| MRI abdomen w contrast (74182) |
— |
$7,986 |
— |
| MRI abdomen w/o & w/contrast material (74183) |
— |
$6,757 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$5,336 |
— |
| MRI any jnt lwr ext with con lt (73722) |
— |
$4,600 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$5,284 |
— |
| MRI bone marrow blood supply (77084) |
— |
$3,354 |
— |
| MRI c-spine with contrast (72142) |
— |
$5,881 |
— |
| MRI cardiac w/o cont stress (75559) |
— |
$3,047 |
— |
| MRI cardiac w/o contrast (75557) |
— |
$3,641 |
— |
| MRI cervical spine w/o contrast (72141) |
— |
$5,331 |
— |
| MRI chest w/o & w/contrast material (71552) |
— |
$7,084 |
— |
| MRI chest w/o contrast (71550) |
— |
$5,335 |
— |
| MRI chest with contrast (71551) |
— |
$5,602 |
— |
| MRI fetal sngl/1st gestation (74712) |
— |
$5,336 |
— |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
— |
$5,393 |
— |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
— |
$4,422 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$4,642 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$6,263 |
— |
| MRI orbit/face/neck w&w/o cont (70543) |
— |
$7,693 |
— |
| MRI orbit/face/neck w/contrast (70542) |
— |
$6,385 |
— |
| MRI pelvis w contrast (72196) |
— |
$5,882 |
— |
| MRI pelvis w/o & w/contrast material (72197) |
— |
$7,077 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$4,904.50 |
— |
| MRI scan of arm joint before and after contrast (73223) |
— |
$6,138 |
— |
| MRI scan of heart before and after contrast with stress imaging (75563) |
— |
$3,928 |
— |
| MRI scan of leg joint before and after contrast (73723) |
— |
$6,293 |
— |
| MRI spectroscopy (76390) |
— |
$3,221 |
— |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
— |
$7,432 |
— |
| MRI spinal canal lumbar w/contrast material (72149) |
— |
$5,578 |
— |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
— |
$7,282 |
— |
| MRI spinal canal thoracic w/contrast matrl (72147) |
— |
$6,135 |
— |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
— |
$7,413 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$5,627 |
— |
| MRI tmj (70336) |
— |
$6,138 |
— |
| MRI upper ext joint w/o contrast (73221) |
— |
$4,381 |
— |
| MRI upper extrem other than jt w/o & w/contras (73220) |
— |
$6,588 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$5,136 |
— |
| Neck soft tissue (70360) |
— |
$470 |
— |
| Nm cisternogram (78630) |
— |
$1,858 |
— |
| Nm csf leak detection (78650) |
— |
$2,213 |
— |
| Nm gastric emptying study (78264) |
— |
$2,895 |
— |
| Nm gastroesophageal reflux study (78262) |
— |
$1,238 |
— |
| Nuclear Rx Oral Admin (79005) |
— |
$1,997 |
— |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
— |
$636 |
— |
| Orthopantogram (70355) |
— |
$756 |
— |
| Osseous survey infant (77076) |
— |
$1,119 |
— |
| Osseous survey limited (77074) |
— |
$833 |
— |
| Parathyrd planar w/spect&CT (78072) |
— |
$2,501 |
— |
| Parathyrd planar w/wo subtrj (78071) |
— |
$1,097 |
— |
| Parathyroid imaging (78070) |
— |
$1,838 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$571 |
— |
| Perineogram (74775) |
— |
$1,119 |
— |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
— |
$6,018 |
— |
| Pulmonary Perfusion Imaging Particulate (78580) |
— |
$2,043 |
— |
| Radex abscess/fistula/sinus tract rs&i (76080) |
— |
$1,075 |
— |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
— |
$393 |
— |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
— |
$529 |
— |
| Radex hips bilateral with pelvis 2 views (73521) |
— |
$789 |
— |
| Radex mastoids compl minimum 3 views pr side (70130) |
— |
$833 |
— |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
— |
$934 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$840 |
— |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
— |
$546 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$764 |
— |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
— |
$660 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$1,357 |
— |
| Radiologic exam teeth prtl exam < full mouth (70310) |
— |
$268 |
— |
| Radiologic exam upr gi trc double contrast study (74246) |
— |
$1,221 |
— |
| Radiologic exam upr gi trc single contrast study (74240) |
— |
$1,024 |
— |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
— |
$566 |
— |
| Review by radiologist of adrenal gland vein image (75840) |
— |
$5,021 |
— |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
— |
$9,179 |
— |
| Ribs bilateral 3 views (71110) |
— |
$824 |
— |
| Rp loclzj tum plnr whole body single day imaging (78802) |
— |
$4,009 |
— |
| Rp loclzj tum spect 1 area single day imaging (78803) |
— |
$3,141 |
— |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
— |
$4,927 |
— |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
— |
$4,131 |
— |
| Scanogram (77073) |
— |
$534 |
— |
| Scapula complete (73010) |
— |
$603 |
— |
| Sella turcica (70240) |
— |
$351 |
— |
| Sialogram (70390) |
— |
$1,142 |
— |
| Small bowel series (74250) |
— |
$1,100 |
— |
| Spleen imaging only (78185) |
— |
$1,209 |
— |
| Splenoportograpy rs&i (75810) |
— |
$4,966 |
— |
| Superior sagittal sinus venogram (75870) |
— |
$2,856 |
— |
| Temporomandble Jt Arthrography Rs&I (70332) |
— |
$823 |
— |
| Testicular Imaging With Vascular Flow (78761) |
— |
$1,298 |
— |
| Therapeutic Enema (74283) |
— |
$1,795 |
— |
| Thyroid carcinoma metastases img whole body (78018) |
— |
$2,836 |
— |
| Thyroid Imaging With Vascular Flow (78013) |
— |
$1,065 |
— |
| Thyroid uptake measurement (78012) |
— |
$448 |
— |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
— |
$1,477 |
— |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
— |
$3,000 |
— |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
— |
$682 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$1,118 |
— |
| Umbilical-artery Doppler (OB) (76820) |
— |
$500 |
— |
| Unlisted Diagnostic Radiographic Procedure (76499) |
— |
$988 |
— |
| Unlisted fluoroscopic procedure (76496) |
— |
$550 |
— |
| Unlisted magnetic resonance procedure (76498) |
— |
$3,555 |
— |
| Unlisted Ultrasound Procedure (76999) |
— |
$589 |
— |
| Upper Extremity Infant (73092) |
— |
$497 |
— |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
— |
$820 |
— |
| Urethrocystography retrograde rs&i (74450) |
— |
$1,155 |
— |
| Urethrocystography voiding (74455) |
— |
$1,516 |
— |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
— |
$1,309 |
— |
| Us chest (76604) |
— |
$1,181 |
— |
| Us compl joint r-t w/image documentation (76881) |
— |
$1,285 |
— |
| Us infant hips dynamic (76885) |
— |
$1,438 |
— |
| Us infant hips limited static (76886) |
— |
$1,010 |
— |
| Us ob detailed single fetus (76811) |
— |
$1,230 |
— |
| Us ob transvaginal (76817) |
— |
$863 |
— |
| Us pelvic non ob complete (76856) |
— |
$1,260 |
— |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
— |
$1,045 |
— |
| Us pregnancy ltd (76815) |
— |
$719 |
— |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
— |
$888 |
— |
| Us retroperitoneal complete (76770) |
— |
$1,363 |
— |
| Us scrotum and contents (76870) |
— |
$1,061 |
— |
| Us soft tissue head/neck (76536) |
— |
$1,095 |
— |
| Us spinal canal and contents (76800) |
— |
$1,214 |
— |
| Us xtr non-vasc lmtd (76882) |
— |
$842 |
— |
| Us, eye b-scan (76512) |
— |
$477 |
— |
| Venogram extremity bilateral (75822) |
— |
$4,009 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$8,906 |
— |
| Venography caval superior serialography rs&i (75827) |
— |
$4,896 |
— |
| Venography extremity unilateral rs&i (75820) |
— |
$2,991 |
— |
| Venography Renal Bilateral (75833) |
— |
$5,860 |
— |
| Venography renal unilateral selective rs&i (75831) |
— |
$7,304 |
— |
| Venography venous sinus/jugular cath rs&i (75860) |
— |
$5,110 |
— |
| Venous sampling thru cath w/wo angiography rs& (75893) |
— |
$7,748 |
— |
| Wrist 2 views (73100) |
— |
$484 |
— |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
— |
$764 |
— |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
— |
$550 |
— |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
— |
$670 |
— |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
— |
$1,700 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$538 |
— |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
— |
$636 |
— |
| X-ray exam entire spi 4/5 vw (72083) |
— |
$794 |
— |
| X-ray exam hip uni 1 view (73501) |
— |
$324 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$565 |
— |
| X-ray exam hip uni 4/> views (73503) |
— |
$704 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$898 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$1,112 |
— |
| X-ray exam of femur 1 (73551) |
— |
$383 |
— |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
— |
$854 |
— |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
— |
$458 |
— |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
— |
$640 |
— |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
— |
$388 |
— |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
— |
$763 |
— |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
— |
$818 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$421 |
— |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
— |
$535 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$789 |
— |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
— |
$787 |
— |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
— |
$649 |
— |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
— |
$553 |
— |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
— |
$819 |
— |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
— |
$490 |
— |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
— |
$1,194 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$820 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$681 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$704 |
— |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
— |
$647 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$835 |
— |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
— |
$569 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$973 |
— |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
— |
$531 |
— |
| X-Ray Spine One View - Xr Spine (72020) |
— |
$497 |
— |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
— |
$597 |
— |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
— |
$593 |
— |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
— |
$147 |
— |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
— |
$647 |
— |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
— |
$460 |
— |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
— |
$636 |
— |
| Xr arthrogram ankle (73615) |
— |
$1,173 |
— |
| Xr c-spine 6 or more views (72052) |
— |
$1,021 |
— |
| Xr chest 4+ views (71048) |
— |
$882 |
— |
| Xr finger(s) 2+ views (73140) |
— |
$467 |
— |
| Xr shoulder 1 view (73020) |
— |
$616 |
— |
| Xr spine cervical 4 or 5 views (72050) |
— |
$855 |
— |
| Xr tibia/fibula 2 views (73590) |
— |
$604 |
— |
| Xr tmj bilateral (70330) |
— |
$621 |
— |
| Xray knee 1 or 2 views rt (73560) |
— |
$601 |
— |