| Abdomen 2 views (74019) |
$47.20 |
$59 |
0.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$664.80 |
$831 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$4,061.30 |
$5,076.62 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$3,842.80 |
$4,803.50 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,570.40 |
$3,213 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,586.20 |
$1,982.75 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,485.40 |
$4,356.75 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,222.80 |
$1,528.50 |
0.4× |
| Ankle 2 views (73600) |
$103.20 |
$129 |
1.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$520.40 |
$650.50 |
1.5× |
| Aortogram thoracic (75605) |
$3,626 |
$4,532.50 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,119.80 |
$3,899.75 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$3,266.10 |
$4,082.62 |
1.0× |
| Arthrogram shoulder (73040) |
$777 |
$971.25 |
2.2× |
| Arthrography knee lt (73580) |
$361.80 |
$452.25 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,009.10 |
$1,261.38 |
2.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,082.40 |
$1,353 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$1,568.10 |
$1,960.12 |
3.9× |
| Bone age studies (77072) |
$293.40 |
$366.75 |
2.8× |
| Bone Imaging 3 Phase (78315) |
$1,775.60 |
$2,219.50 |
4.4× |
| Bone survey complete (77075) |
$579.50 |
$724.38 |
5.5× |
| Brain Imaging Minimum 4 Static Views (78605) |
$881.60 |
$1,102 |
1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,859.80 |
$7,324.75 |
4.1× |
| Cervical spine 2 or 3 views (72040) |
$274.30 |
$342.88 |
3.1× |
| Chest 1 view (71045) |
$243.80 |
$304.75 |
2.8× |
| Chest 3 views (71047) |
$54.40 |
$68 |
0.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$387.10 |
$483.88 |
2.2× |
| Clavicle complete (73000) |
$108.80 |
$136 |
1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,215.60 |
$1,519.50 |
11.6× |
| Corpora cavernosography (74445) |
$512.20 |
$640.25 |
4.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,640 |
$7,050 |
16.1× |
| CT abdomen and pelvis without contrast (74176) |
$4,074.10 |
$5,092.62 |
17.0× |
| CT abdomen w contrast (74160) |
$2,730.60 |
$3,413.25 |
15.5× |
| CT abdomen w wo contrast (74170) |
$3,269 |
$4,086.25 |
18.6× |
| CT abdomen w/o contrast (74150) |
$2,172.20 |
$2,715.25 |
20.7× |
| CT angio hrt w/3d image (75574) |
$1,633.50 |
$2,041.88 |
4.7× |
| CT angiography upper extremity lt (73206) |
$2,819.20 |
$3,524 |
16.0× |
| CT c-spine w/o contrast (72125) |
$2,506.80 |
$3,133.50 |
23.9× |
| CT cervical spine w&w/o contrast (72127) |
$2,154.40 |
$2,693 |
12.3× |
| CT cervical spine with contrast (72126) |
$2,735.60 |
$3,419.50 |
7.8× |
| CT chest w/wo contrast (71270) |
$3,254 |
$4,067.50 |
18.5× |
| CT chest with contrast (71260) |
$2,582.80 |
$3,228.50 |
14.7× |
| CT head/brain with contrast (70460) |
$2,109.80 |
$2,637.25 |
12.0× |
| CT head/brain without and with contrast (70470) |
$2,839.80 |
$3,549.75 |
16.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$58.82 |
$73.53 |
0.7× |
| CT iac w contrast (70481) |
$2,157.40 |
$2,696.75 |
12.3× |
| CT limited/localized follow up study (76380) |
$770.60 |
$963.25 |
8.8× |
| CT lower ext w/o (73700) |
$2,007.40 |
$2,509.25 |
19.2× |
| CT lower extremity w wo contrast (73702) |
$1,879.80 |
$2,349.75 |
10.7× |
| CT lower extremity with contrast (73701) |
$2,265 |
$2,831.25 |
12.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,537.60 |
$3,172 |
14.4× |
| CT lumbar spine w/o contrast (72131) |
$2,368.20 |
$2,960.25 |
22.6× |
| CT lumbar spine with contrast (72132) |
$2,766 |
$3,457.50 |
7.9× |
| CT maxillofacial w contrast (70487) |
$2,365.90 |
$2,957.38 |
13.5× |
| CT maxillofacial w/o contrast (70486) |
$2,025.70 |
$2,532.12 |
19.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,944.20 |
$3,680.25 |
16.8× |
| CT neck soft tissue w contrast (70491) |
$2,515.20 |
$3,144 |
14.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,020.30 |
$3,775.38 |
17.2× |
| CT orbits w/o contrast (70480) |
$2,019.20 |
$2,524 |
19.3× |
| CT pelvis w & w/o contrast (72194) |
$3,386.90 |
$4,233.62 |
19.3× |
| CT pelvis w/o contrast (72192) |
$2,178.40 |
$2,723 |
20.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,155.60 |
$3,944.50 |
18.0× |
| CT soft tissue neck w/o contrast (70490) |
$2,115.60 |
$2,644.50 |
20.2× |
| CT thoracic spine w/contrast (72129) |
$2,711.60 |
$3,389.50 |
15.4× |
| CT thoracic spine w/o contrast (72128) |
$2,427.20 |
$3,034 |
23.2× |
| CT thoracic spine w/wo contrast (72130) |
$2,006.20 |
$2,507.75 |
11.4× |
| CT thorax w/o contrast (71250) |
$2,278.60 |
$2,848.25 |
21.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,353.40 |
$4,191.75 |
19.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,971.80 |
$2,464.75 |
18.8× |
| CT upper extremity with contrast (73201) |
$2,224.20 |
$2,780.25 |
6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,952.80 |
$4,941 |
22.5× |
| Cta Abdomen (74175) |
$2,469.20 |
$3,086.50 |
14.1× |
| CTA abdomen pelvis (74174) |
$5,014.10 |
$6,267.62 |
14.3× |
| CTA chest (71275) |
$2,476 |
$3,095 |
14.1× |
| Cta Head (70496) |
$2,789.10 |
$3,486.38 |
15.9× |
| CTA lwr ext w&w/o contrast (73706) |
$2,508 |
$3,135 |
14.3× |
| Cta Neck (70498) |
$2,798.40 |
$3,498 |
15.9× |
| Cystography minimum 3 views rs&i (74430) |
$487 |
$608.75 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$495.50 |
$619.38 |
4.7× |
| Echo exam of fetal heart (76825) |
$1,053.60 |
$1,317 |
1.9× |
| Echoencephalography real time imaging (76506) |
$392.20 |
$490.25 |
3.7× |
| Esophagus (74220) |
$348.70 |
$435.88 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$313.10 |
$391.38 |
3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$160 |
$200 |
1.5× |
| Fluoroscopy up to 1 hr (76000) |
$620.60 |
$775.75 |
2.6× |
| Foot 2 views (73620) |
$103.20 |
$129 |
1.2× |
| Forearm 2 views (73090) |
$340.20 |
$425.25 |
3.9× |
| Gastric mucosa imaging (78261) |
$971 |
$1,213.75 |
2.4× |
| Gated Heart Planar Single (78472) |
$1,608.60 |
$2,010.75 |
4.0× |
| Hand 2 views (73120) |
$103.20 |
$129 |
1.0× |
| Hand 3 views (73130) |
$109.60 |
$137 |
1.3× |
| Heart Infarct Image (78466) |
$777.60 |
$972 |
1.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,094.50 |
$2,618.12 |
3.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,050.80 |
$2,563.50 |
5.1× |
| Humerus Min 2 Views Left (73060) |
$116.80 |
$146 |
1.3× |
| Hysterosalpingogram (74740) |
$711.80 |
$889.75 |
3.0× |
| Kidney funcj study non-img radioisotopic study (78725) |
$454.80 |
$568.50 |
1.1× |
| Kidney imaging morphology (78700) |
$866 |
$1,082.50 |
2.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,295.60 |
$1,619.50 |
2.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,745.60 |
$2,182 |
3.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,620 |
$3,275 |
4.8× |
| Knee 3 views (73562) |
$120.80 |
$151 |
1.4× |
| Liver & spleen imaging static only (78215) |
$958.60 |
$1,198.25 |
2.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,027.60 |
$1,284.50 |
2.6× |
| Liver imaging static only (78201) |
$646.80 |
$808.50 |
1.2× |
| Lung perfusion differential (78597) |
$1,878.60 |
$2,348.25 |
4.7× |
| Lung Ventilation Imaging (78579) |
$829.60 |
$1,037 |
2.1× |
| Lymphoscintigraphy (78195) |
$1,878.20 |
$2,347.75 |
3.5× |
| Meckels Diverticulum (78290) |
$933.40 |
$1,166.75 |
2.3× |
| MRA head w & w/o contrast (70546) |
$1,868.60 |
$2,335.75 |
5.3× |
| MRA head w/o contrast (70544) |
$2,613.40 |
$3,266.75 |
10.9× |
| MRA head with contrast (70545) |
$1,717 |
$2,146.25 |
4.9× |
| MRA neck w contrast (70548) |
$2,328.40 |
$2,910.50 |
6.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,486.20 |
$3,107.75 |
7.1× |
| MRA neck w/o contrast (70547) |
$2,538.40 |
$3,173 |
10.6× |
| MRI abdomen w contrast (74182) |
$3,039.80 |
$3,799.75 |
8.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,048.20 |
$5,060.25 |
11.6× |
| MRI abdomen w/o contrast (74181) |
$2,726.80 |
$3,408.50 |
11.4× |
| MRI any jnt lwr ext with con lt (73722) |
$3,125.60 |
$3,907 |
4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,325.80 |
$4,157.25 |
4.2× |
| MRI bone marrow blood supply (77084) |
$2,269 |
$2,836.25 |
9.5× |
| MRI breast w/o contrast bilateral (77047) |
$2,394 |
$2,992.50 |
10.0× |
| MRI c-spine with contrast (72142) |
$3,332.20 |
$4,165.25 |
9.5× |
| MRI cardiac w/o contrast (75557) |
$1,856.20 |
$2,320.25 |
7.8× |
| MRI cervical spine w/o contrast (72141) |
$3,000.20 |
$3,750.25 |
12.6× |
| MRI chest w/o & w/contrast material (71552) |
$4,384.80 |
$5,481 |
12.5× |
| MRI chest w/o contrast (71550) |
$2,540.20 |
$3,175.25 |
10.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,614 |
$3,267.50 |
7.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,874.40 |
$3,593 |
8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,202.70 |
$5,253.38 |
17.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,304.20 |
$2,880.25 |
9.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,050.20 |
$5,062.75 |
11.6× |
| MRI orbit/face/neck w/contrast (70542) |
$2,614 |
$3,267.50 |
7.5× |
| MRI pelvis w contrast (72196) |
$2,614 |
$3,267.50 |
7.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,889 |
$4,861.25 |
11.1× |
| MRI pelvis w/o contrast (72195) |
$3,015.10 |
$3,768.88 |
12.6× |
| MRI scan of arm joint before and after contrast (73223) |
$3,873.80 |
$4,842.25 |
11.1× |
| MRI scan of leg joint before and after contrast (73723) |
$6,225.20 |
$7,781.50 |
17.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,031.60 |
$5,039.50 |
11.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,482.40 |
$4,353 |
10.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,870 |
$4,837.50 |
11.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,520.40 |
$4,400.50 |
10.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,968.80 |
$4,961 |
11.4× |
| MRI thoracic spine w/o contrast (72146) |
$3,129.40 |
$3,911.75 |
13.1× |
| MRI tmj (70336) |
$3,081.80 |
$3,852.25 |
12.9× |
| MRI upper ext joint w/o contrast (73221) |
$2,945 |
$3,681.25 |
12.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,515 |
$4,393.75 |
10.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,777.80 |
$3,472.25 |
11.6× |
| Myelogram Lumbar (72265) |
$1,444.40 |
$1,805.50 |
1.8× |
| Myocardial infarct spect (78469) |
$2,353.20 |
$2,941.50 |
4.3× |
| Myocardial Spect Multiple Studies (78452) |
$4,598.20 |
$5,747.75 |
3.5× |
| Neck soft tissue (70360) |
$64 |
$80 |
0.7× |
| Nm gastric emptying study (78264) |
$1,593.50 |
$1,991.88 |
4.0× |
| Nuclear Rx Oral Admin (79005) |
$1,115.70 |
$1,394.62 |
4.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$245.60 |
$307 |
2.3× |
| Osseous survey infant (77076) |
$424.60 |
$530.75 |
4.1× |
| Osseous survey limited (77074) |
$664.40 |
$830.50 |
6.3× |
| Parathyroid imaging (78070) |
$1,000 |
$1,250 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$319.60 |
$399.50 |
3.1× |
| PET image w/CT, skull-thigh (78815) |
$6,958.20 |
$8,697.75 |
4.9× |
| PET imaging CT for attenuation limited area (78814) |
$1,520 |
$1,900 |
1.1× |
| PET imaging for CT attenuation whole body (78816) |
$6,985 |
$8,731.25 |
4.9× |
| Pr heart first pass single,planar (78481) |
$1,422.80 |
$1,778.50 |
2.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$7,369.40 |
$9,211.75 |
21.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$881.60 |
$1,102 |
2.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,578.30 |
$1,972.88 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$594.40 |
$743 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$234.20 |
$292.75 |
2.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$101.60 |
$127 |
1.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$205.70 |
$257.12 |
2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$73.60 |
$92 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$203.30 |
$254.12 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$204.60 |
$255.75 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$933.60 |
$1,167 |
5.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$860.80 |
$1,076 |
4.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$792.80 |
$991 |
4.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$107.60 |
$134.50 |
1.2× |
| Radiological examination surgical specimen (76098) |
$231.10 |
$288.88 |
0.4× |
| Ribs bilateral 3 views (71110) |
$82.40 |
$103 |
0.8× |
| Sacroiliac Joints < 3 Views (72200) |
$87.20 |
$109 |
0.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$108.80 |
$136 |
0.5× |
| Scanogram (77073) |
$249.30 |
$311.62 |
2.4× |
| Scapula complete (73010) |
$250.90 |
$313.62 |
2.4× |
| Screening digital breast tomosynthesis (77063) |
$114.20 |
$142.75 |
4.9× |
| Small bowel series (74250) |
$664.60 |
$830.75 |
3.8× |
| Spine thoracic 3 views (72072) |
$63.20 |
$79 |
0.6× |
| Thoracolumbar 2 views (72080) |
$345.80 |
$432.25 |
4.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,745.60 |
$2,182 |
3.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$585.40 |
$731.75 |
1.5× |
| Thyroid uptake measurement (78012) |
$538.20 |
$672.75 |
1.3× |
| Tomogram (76100) |
$1,067.40 |
$1,334.25 |
10.2× |
| Ultrasound scan to determine eye length and lens power (76519) |
$128.80 |
$161 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$422.70 |
$528.38 |
4.0× |
| Unlisted Ultrasound Procedure (76999) |
$533.80 |
$667.25 |
6.1× |
| Upper Extremity Infant (73092) |
$204.20 |
$255.25 |
2.0× |
| Urethrocystography voiding (74455) |
$931.40 |
$1,164.25 |
3.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,174.20 |
$1,467.75 |
6.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$766.40 |
$958 |
4.4× |
| Us abdl aorta screen aaa (76706) |
$525.40 |
$656.75 |
5.0× |
| Us breast unilateral limited (76642) |
$812.60 |
$1,015.75 |
9.3× |
| Us chest (76604) |
$610.20 |
$762.75 |
5.8× |
| Us elastography parenchyma (76981) |
$385.20 |
$481.50 |
3.7× |
| Us infant hips dynamic (76885) |
$880.80 |
$1,101 |
10.1× |
| Us ob detailed single fetus (76811) |
$1,087.80 |
$1,359.75 |
4.6× |
| Us ob transvaginal (76817) |
$158.40 |
$198 |
1.5× |
| Us pelvic non ob complete (76856) |
$662 |
$827.50 |
6.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$106.40 |
$133 |
1.0× |
| Us pregnancy ltd (76815) |
$285.80 |
$357.25 |
2.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$314.40 |
$393 |
3.0× |
| Us retroperitoneal complete (76770) |
$537 |
$671.25 |
5.1× |
| Us retroperitoneal limited (76775) |
$366.90 |
$458.62 |
3.5× |
| Us scrotum and contents (76870) |
$892.80 |
$1,116 |
8.5× |
| Us soft tissue head/neck (76536) |
$807.60 |
$1,009.50 |
7.7× |
| Us spinal canal and contents (76800) |
$519.40 |
$649.25 |
5.0× |
| Us transrectal (76872) |
$507.90 |
$634.88 |
4.9× |
| Us xtr non-vasc lmtd (76882) |
$533.80 |
$667.25 |
5.1× |
| Us, eye b-scan (76512) |
$261.20 |
$326.50 |
2.5× |
| Vascular flow imaging (78445) |
$511 |
$638.75 |
1.3× |
| Venogram extremity bilateral (75822) |
$3,014.05 |
$3,767.56 |
1.9× |
| Venography extremity unilateral rs&i (75820) |
$1,007 |
$1,258.75 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,057.40 |
$2,571.75 |
0.7× |
| Wrist 2 views (73100) |
$304 |
$380 |
3.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$77.60 |
$97 |
0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$62.40 |
$78 |
0.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$109.60 |
$137 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,214.40 |
$1,518 |
6.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$152 |
$190 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$122.40 |
$153 |
1.4× |
| X-ray exam hip uni 1 view (73501) |
$271 |
$338.75 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$89.60 |
$112 |
1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$368.80 |
$461 |
3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$96 |
$120 |
0.9× |
| X-ray eye for foreign body (70030) |
$229 |
$286.25 |
2.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$109.60 |
$137 |
1.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$213.30 |
$266.62 |
2.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$109.60 |
$137 |
1.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$571.80 |
$714.75 |
0.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$108 |
$135 |
1.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$720.60 |
$900.75 |
4.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$482.20 |
$602.75 |
4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$73.60 |
$92 |
0.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$159 |
$198.75 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$101.60 |
$127 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$672.60 |
$840.75 |
6.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$54.40 |
$68 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$165.50 |
$206.88 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$84 |
$105 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$100.80 |
$126 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$207.20 |
$259 |
0.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$72.40 |
$90.50 |
0.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$386.80 |
$483.50 |
3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$234.50 |
$293.12 |
2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$64 |
$80 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$87.20 |
$109 |
1.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$251.80 |
$314.75 |
2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$67.20 |
$84 |
0.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$204.60 |
$255.75 |
2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$493 |
$616.25 |
4.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$352.80 |
$441 |
3.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$148.50 |
$185.62 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$97.60 |
$122 |
1.1× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$187.60 |
$234.50 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$237.60 |
$297 |
2.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$452.80 |
$566 |
4.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$280.90 |
$351.12 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$222 |
$277.50 |
2.5× |
| Xr c-spine 6 or more views (72052) |
$384.60 |
$480.75 |
3.7× |
| Xr chest 4+ views (71048) |
$58.40 |
$73 |
0.6× |
| Xr Cholecystography Oral Contrast (74290) |
$269.20 |
$336.50 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$90.40 |
$113 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$281.40 |
$351.75 |
2.7× |
| Xr shoulder 1 view (73020) |
$99.20 |
$124 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$309 |
$386.25 |
3.0× |
| Xr tibia/fibula 2 views (73590) |
$227.60 |
$284.50 |
2.6× |
| Xr tmj bilateral (70330) |
$268.40 |
$335.50 |
3.1× |
| Xray knee 1 or 2 views rt (73560) |
$324 |
$405 |
3.7× |