| Abdomen 2 views (74019) |
$200.79 |
$466.95 |
2.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,381.99 |
$7,865.09 |
9.2× |
| Angiography extremity bilateral rs&i (75716) |
$6,404.73 |
$14,894.73 |
2.2× |
| Angiography extremity unilateral rs&i (75710) |
$6,404.73 |
$14,894.73 |
2.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,292.84 |
$19,285.67 |
1.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,443.43 |
$14,984.73 |
2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,404.73 |
$14,894.73 |
2.2× |
| Angiography Spinal Selective Rs&I (75705) |
$14,439.26 |
$33,579.68 |
2.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,775.70 |
$13,431.87 |
1.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,954.84 |
$6,871.72 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$6,404.73 |
$14,894.73 |
2.2× |
| Ankle 2 views (73600) |
$200.79 |
$466.95 |
2.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$423.38 |
$984.60 |
1.3× |
| Aortogram thoracic (75605) |
$14,439.26 |
$33,579.68 |
2.8× |
| Aortography abdominal serialography rs&i (75625) |
$6,404.73 |
$14,894.73 |
2.2× |
| Aortography thoracic w/o serialography rs&i (75600) |
$6,404.73 |
$14,894.73 |
2.2× |
| Arthrogram elbow (73085) |
$423.38 |
$984.60 |
1.3× |
| Bone &/joint imaging whole body (78306) |
$1,345.80 |
$3,129.76 |
3.7× |
| Bone age studies (77072) |
$200.79 |
$466.95 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$1,345.80 |
$3,129.76 |
3.7× |
| Bone survey complete (77075) |
$200.79 |
$466.95 |
2.1× |
| Brain image w/flow 4 + views (78606) |
$1,345.80 |
$3,129.76 |
2.7× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,345.80 |
$3,129.76 |
2.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,591.97 |
$10,678.99 |
3.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,565.03 |
$3,639.60 |
4.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$3,381.99 |
$7,865.09 |
6.8× |
| Cervical spine 2 or 3 views (72040) |
$200.79 |
$466.95 |
2.5× |
| Chest 1 view (71045) |
$200.79 |
$466.95 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$423.38 |
$984.60 |
2.6× |
| Clavicle complete (73000) |
$200.79 |
$466.95 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,108.32 |
$2,577.50 |
3.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,108.32 |
$2,577.50 |
5.1× |
| CT abdomen w contrast (74160) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT abdomen w wo contrast (74170) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT abdomen w/o contrast (74150) |
$409.12 |
$951.45 |
4.3× |
| CT angio hrt w/3d image (75574) |
$1,356.90 |
$3,155.59 |
4.3× |
| CT angiography upper extremity lt (73206) |
$1,356.90 |
$3,155.59 |
8.5× |
| CT c-spine w/o contrast (72125) |
$409.12 |
$951.45 |
4.3× |
| CT cervical spine with contrast (72126) |
$1,108.32 |
$2,577.50 |
3.5× |
| CT chest w/wo contrast (71270) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT chest with contrast (71260) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT head/brain with contrast (70460) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT head/brain without and with contrast (70470) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,108.32 |
$2,577.50 |
3.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,108.32 |
$2,577.50 |
13.9× |
| CT hrt w/3d image congen (75573) |
$1,108.32 |
$2,577.50 |
3.5× |
| CT iac w contrast (70481) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT lower ext w/o (73700) |
$409.12 |
$951.45 |
4.3× |
| CT lower extremity w wo contrast (73702) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT lower extremity with contrast (73701) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT lumbar spine w/o contrast (72131) |
$409.12 |
$951.45 |
4.3× |
| CT lumbar spine with contrast (72132) |
$1,108.32 |
$2,577.50 |
3.5× |
| CT maxillofacial w contrast (70487) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT maxillofacial w/o contrast (70486) |
$409.12 |
$951.45 |
4.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT neck soft tissue w contrast (70491) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT orbits w/o contrast (70480) |
$409.12 |
$951.45 |
4.3× |
| CT pelvis w/o contrast (72192) |
$409.12 |
$951.45 |
4.3× |
| CT soft tissue neck w/o contrast (70490) |
$409.12 |
$951.45 |
4.3× |
| CT thoracic spine w/contrast (72129) |
$1,108.32 |
$2,577.50 |
6.9× |
| CT thoracic spine w/o contrast (72128) |
$409.12 |
$951.45 |
4.3× |
| CT thorax w/o contrast (71250) |
$409.12 |
$951.45 |
4.3× |
| CT upper extremity w/o contrast rt (73200) |
$409.12 |
$951.45 |
4.3× |
| CT upper extremity with contrast (73201) |
$1,108.32 |
$2,577.50 |
3.5× |
| Cta Abdomen (74175) |
$1,356.90 |
$3,155.59 |
8.5× |
| CTA abdomen pelvis (74174) |
$1,356.90 |
$3,155.59 |
4.3× |
| CTA chest (71275) |
$1,356.90 |
$3,155.59 |
8.5× |
| Cta Head (70496) |
$1,356.90 |
$3,155.59 |
8.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,155.42 |
$2,687.02 |
3.6× |
| CTA lwr ext w&w/o contrast (73706) |
$1,356.90 |
$3,155.59 |
8.5× |
| Cta Neck (70498) |
$1,356.90 |
$3,155.59 |
8.5× |
| Cta Pelvis (72191) |
$1,356.90 |
$3,155.59 |
8.5× |
| Cystography minimum 3 views rs&i (74430) |
$423.38 |
$984.60 |
1.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$423.38 |
$984.60 |
4.4× |
| Echoencephalography real time imaging (76506) |
$387.95 |
$902.22 |
4.1× |
| Esophagus (74220) |
$200.79 |
$466.95 |
1.3× |
| Fluoroscopy up to 1 hr (76000) |
$423.38 |
$984.60 |
1.9× |
| Foot 2 views (73620) |
$200.79 |
$466.95 |
2.5× |
| Forearm 2 views (73090) |
$200.79 |
$466.95 |
2.5× |
| Functional MRI brain by phys/psych (70555) |
$893.08 |
$2,076.92 |
4.1× |
| Gated Heart Planar Single (78472) |
$1,345.80 |
$3,129.76 |
3.7× |
| Hand 2 views (73120) |
$200.79 |
$466.95 |
2.1× |
| Hand 3 views (73130) |
$200.79 |
$466.95 |
2.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,404.73 |
$14,894.73 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,345.80 |
$3,129.76 |
2.7× |
| Humerus Min 2 Views Left (73060) |
$200.79 |
$466.95 |
2.5× |
| Hysterosalpingogram (74740) |
$353.24 |
$821.50 |
1.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$278.34 |
$647.30 |
2.9× |
| Kidney imaging morphology (78700) |
$1,345.80 |
$3,129.76 |
3.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,345.80 |
$3,129.76 |
2.7× |
| Knee 3 views (73562) |
$200.79 |
$466.95 |
2.5× |
| Liver & spleen imaging static only (78215) |
$3,381.99 |
$7,865.09 |
9.2× |
| Lung Ventilation Imaging (78579) |
$3,381.99 |
$7,865.09 |
9.2× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$6,404.73 |
$14,894.73 |
2.2× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$2,954.84 |
$6,871.72 |
2.1× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$2,954.84 |
$6,871.72 |
1.0× |
| Lymphoscintigraphy (78195) |
$3,381.99 |
$7,865.09 |
6.8× |
| Meckels Diverticulum (78290) |
$1,345.80 |
$3,129.76 |
3.7× |
| Mr safety determination physician/other qhp (76016) |
$893.08 |
$2,076.92 |
11.2× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$893.08 |
$2,076.92 |
16.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$893.08 |
$2,076.92 |
33.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$893.08 |
$2,076.92 |
10.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$893.08 |
$2,076.92 |
4.1× |
| MRA head w & w/o contrast (70546) |
$1,751.15 |
$4,072.44 |
5.5× |
| MRA head w/o contrast (70544) |
$1,751.15 |
$4,072.44 |
8.0× |
| MRA head with contrast (70545) |
$1,751.15 |
$4,072.44 |
5.5× |
| MRA neck w contrast (70548) |
$1,751.15 |
$4,072.44 |
5.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,751.15 |
$4,072.44 |
5.5× |
| MRA neck w/o contrast (70547) |
$1,751.15 |
$4,072.44 |
8.0× |
| MRI abdomen w contrast (74182) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$893.08 |
$2,076.92 |
4.1× |
| MRI c-spine with contrast (72142) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI cardiac w/o contrast (75557) |
$893.08 |
$2,076.92 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$893.08 |
$2,076.92 |
4.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI chest w/o contrast (71550) |
$893.08 |
$2,076.92 |
4.1× |
| MRI fetal sngl/1st gestation (74712) |
$748.64 |
$1,741.02 |
3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$893.08 |
$2,076.92 |
4.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$893.08 |
$2,076.92 |
4.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI orbit/face/neck w/contrast (70542) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI pelvis w/o contrast (72195) |
$893.08 |
$2,076.92 |
4.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI spectroscopy (76390) |
$189.21 |
$440.03 |
2.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,565.03 |
$3,639.60 |
4.9× |
| MRI thoracic spine w/o contrast (72146) |
$893.08 |
$2,076.92 |
4.1× |
| MRI tmj (70336) |
$893.08 |
$2,076.92 |
4.1× |
| MRI upper ext joint w/o contrast (73221) |
$893.08 |
$2,076.92 |
4.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,565.03 |
$3,639.60 |
4.9× |
| Neck soft tissue (70360) |
$200.79 |
$466.95 |
2.5× |
| Nm gastric emptying study (78264) |
$1,345.80 |
$3,129.76 |
3.7× |
| Nuclear Rx Oral Admin (79005) |
$1,095.54 |
$2,547.77 |
5.1× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$387.95 |
$902.22 |
4.1× |
| Orthopantogram (70355) |
$200.79 |
$466.95 |
2.5× |
| Osseous survey limited (77074) |
$200.79 |
$466.95 |
2.1× |
| Parathyrd planar w/wo subtrj (78071) |
$1,345.80 |
$3,129.76 |
3.7× |
| Pelvis 1 or 2 views (72170) |
$200.79 |
$466.95 |
2.1× |
| Peritoneogram rs&i (74190) |
$441.36 |
$1,026.42 |
0.9× |
| PET image w/CT, skull-thigh (78815) |
$4,591.97 |
$10,678.99 |
3.5× |
| PET imaging for CT attenuation whole body (78816) |
$4,591.97 |
$10,678.99 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,565.03 |
$3,639.60 |
4.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$6,404.73 |
$14,894.73 |
2.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,954.84 |
$6,871.72 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,381.99 |
$7,865.09 |
9.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$423.38 |
$984.60 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$200.79 |
$466.95 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$200.79 |
$466.95 |
2.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$200.79 |
$466.95 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$200.79 |
$466.95 |
2.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$200.79 |
$466.95 |
2.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$200.79 |
$466.95 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$423.38 |
$984.60 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$423.38 |
$984.60 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$200.79 |
$466.95 |
2.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$6,404.73 |
$14,894.73 |
2.2× |
| Ribs bilateral 3 views (71110) |
$200.79 |
$466.95 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,381.99 |
$7,865.09 |
6.8× |
| Scanogram (77073) |
$189.21 |
$440.03 |
2.0× |
| Scapula complete (73010) |
$200.79 |
$466.95 |
2.1× |
| Small bowel series (74250) |
$423.38 |
$984.60 |
2.6× |
| Splenoportograpy rs&i (75810) |
$2,954.84 |
$6,871.72 |
1.0× |
| Superior sagittal sinus venogram (75870) |
$2,954.84 |
$6,871.72 |
1.0× |
| Therapeutic Enema (74283) |
$423.38 |
$984.60 |
2.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,345.80 |
$3,129.76 |
2.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,345.80 |
$3,129.76 |
3.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,345.80 |
$3,129.76 |
3.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,381.99 |
$7,865.09 |
6.8× |
| Ultrasound scan to determine eye length and lens power (76519) |
$387.95 |
$902.22 |
4.1× |
| Ultrasound, abdomen limited (76705) |
$387.95 |
$902.22 |
4.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$200.79 |
$466.95 |
2.5× |
| Unlisted fluoroscopic procedure (76496) |
$200.79 |
$466.95 |
2.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,345.80 |
$3,129.76 |
3.7× |
| Urethrocystography retrograde rs&i (74450) |
$423.38 |
$984.60 |
1.9× |
| Urethrocystography voiding (74455) |
$423.38 |
$984.60 |
1.9× |
| Us breast unilateral complete (76641) |
$193.98 |
$451.11 |
2.0× |
| Us breast unilateral limited (76642) |
$193.98 |
$451.11 |
2.4× |
| Us chest (76604) |
$387.95 |
$902.22 |
4.1× |
| Us compl joint r-t w/image documentation (76881) |
$387.95 |
$902.22 |
4.1× |
| Us infant hips dynamic (76885) |
$387.95 |
$902.22 |
4.9× |
| Us infant hips limited static (76886) |
$387.95 |
$902.22 |
4.9× |
| Us kidney transplant (76776) |
$387.95 |
$902.22 |
4.1× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$387.95 |
$902.22 |
4.1× |
| Us pelvic non ob complete (76856) |
$588.95 |
$1,369.66 |
6.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$387.95 |
$902.22 |
4.1× |
| Us retroperitoneal complete (76770) |
$588.95 |
$1,369.66 |
6.2× |
| Us retroperitoneal limited (76775) |
$387.95 |
$902.22 |
4.1× |
| Us scrotum and contents (76870) |
$387.95 |
$902.22 |
4.1× |
| Us soft tissue head/neck (76536) |
$387.95 |
$902.22 |
4.1× |
| Us spinal canal and contents (76800) |
$387.95 |
$902.22 |
4.1× |
| Us xtr non-vasc lmtd (76882) |
$387.95 |
$902.22 |
4.1× |
| Us, eye b-scan (76512) |
$387.95 |
$902.22 |
4.1× |
| Venogram extremity bilateral (75822) |
$2,954.84 |
$6,871.72 |
2.1× |
| Venography caval inferior serialography rs&i (75825) |
$6,404.73 |
$14,894.73 |
2.2× |
| Venography caval superior serialography rs&i (75827) |
$2,954.84 |
$6,871.72 |
2.1× |
| Venography extremity unilateral rs&i (75820) |
$2,954.84 |
$6,871.72 |
2.1× |
| Venography Renal Bilateral (75833) |
$6,404.73 |
$14,894.73 |
2.2× |
| Venography renal unilateral selective rs&i (75831) |
$5,370.40 |
$12,489.30 |
1.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,404.73 |
$14,894.73 |
2.2× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$630.45 |
$1,466.17 |
0.1× |
| Wrist 2 views (73100) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$423.38 |
$984.60 |
2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$200.79 |
$466.95 |
2.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$200.79 |
$466.95 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$200.79 |
$466.95 |
2.5× |
| X-ray head for orthodontia (70350) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$200.79 |
$466.95 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$200.79 |
$466.95 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$200.79 |
$466.95 |
2.5× |
| Xr c-spine 6 or more views (72052) |
$200.79 |
$466.95 |
2.1× |
| Xr chest 4+ views (71048) |
$200.79 |
$466.95 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$200.79 |
$466.95 |
2.5× |
| Xr shoulder 1 view (73020) |
$200.79 |
$466.95 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$200.79 |
$466.95 |
2.1× |
| Xr tibia/fibula 2 views (73590) |
$200.79 |
$466.95 |
2.5× |
| Xray knee 1 or 2 views rt (73560) |
$200.79 |
$466.95 |
2.5× |