| Abdomen 2 views (74019) |
$186.90 |
$267 |
1.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$883.40 |
$1,262 |
2.4× |
| Ankle 2 views (73600) |
$166.25 |
$237.50 |
2.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$224.70 |
$321 |
0.7× |
| Arthrogram shoulder (73040) |
$561.40 |
$802 |
1.7× |
| Arthrography knee lt (73580) |
$499.10 |
$713 |
1.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$781.90 |
$1,117 |
2.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$883.40 |
$1,262 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$873.60 |
$1,248 |
2.4× |
| Bone age studies (77072) |
$170.80 |
$244 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$883.40 |
$1,262 |
2.4× |
| Bone survey complete (77075) |
$1,789.90 |
$2,557 |
18.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,899.10 |
$2,713 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$186.90 |
$267 |
2.3× |
| Chest 1 view (71045) |
$170.80 |
$244 |
2.1× |
| Chest 3 views (71047) |
$236.25 |
$337.50 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$525 |
$750 |
3.3× |
| Clavicle complete (73000) |
$212.80 |
$304 |
2.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,184 |
$3,120 |
6.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,709.40 |
$2,442 |
7.8× |
| CT abdomen w contrast (74160) |
$1,094.10 |
$1,563 |
6.8× |
| CT abdomen w wo contrast (74170) |
$1,233.40 |
$1,762 |
7.6× |
| CT abdomen w/o contrast (74150) |
$958.30 |
$1,369 |
10.0× |
| CT angiography upper extremity lt (73206) |
$1,709.40 |
$2,442 |
10.6× |
| CT c-spine w/o contrast (72125) |
$958.30 |
$1,369 |
10.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,233.40 |
$1,762 |
7.6× |
| CT cervical spine with contrast (72126) |
$1,094.10 |
$1,563 |
3.4× |
| CT chest w/wo contrast (71270) |
$1,233.40 |
$1,762 |
7.6× |
| CT chest with contrast (71260) |
$1,094.10 |
$1,563 |
6.8× |
| CT head/brain with contrast (70460) |
$1,094.10 |
$1,563 |
6.8× |
| CT head/brain without and with contrast (70470) |
$1,094.10 |
$1,563 |
6.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$72.10 |
$103 |
0.9× |
| CT iac w contrast (70481) |
$1,094.10 |
$1,563 |
6.8× |
| CT lower ext w/o (73700) |
$1,196.65 |
$1,709.50 |
12.4× |
| CT lower extremity w wo contrast (73702) |
$1,542.80 |
$2,204 |
9.6× |
| CT lower extremity with contrast (73701) |
$1,366.75 |
$1,952.50 |
8.5× |
| CT lumbar spine w & w/o contrast (72133) |
$1,233.40 |
$1,762 |
7.6× |
| CT lumbar spine w/o contrast (72131) |
$958.30 |
$1,369 |
10.0× |
| CT lumbar spine with contrast (72132) |
$1,094.10 |
$1,563 |
3.4× |
| CT maxillofacial w contrast (70487) |
$1,094.10 |
$1,563 |
6.8× |
| CT maxillofacial w/o contrast (70486) |
$958.30 |
$1,369 |
10.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,233.40 |
$1,762 |
7.6× |
| CT neck soft tissue w contrast (70491) |
$1,094.10 |
$1,563 |
6.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,233.40 |
$1,762 |
7.6× |
| CT orbits w/o contrast (70480) |
$958.30 |
$1,369 |
10.0× |
| CT pelvis w & w/o contrast (72194) |
$1,233.40 |
$1,762 |
7.6× |
| CT pelvis w/o contrast (72192) |
$958.30 |
$1,369 |
10.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,233.40 |
$1,762 |
7.6× |
| CT soft tissue neck w/o contrast (70490) |
$958.30 |
$1,369 |
10.0× |
| CT thoracic spine w/contrast (72129) |
$1,094.10 |
$1,563 |
6.8× |
| CT thoracic spine w/o contrast (72128) |
$958.30 |
$1,369 |
10.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,233.40 |
$1,762 |
7.6× |
| CT thorax w/o contrast (71250) |
$958.30 |
$1,369 |
10.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,542.80 |
$2,204 |
9.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,196.65 |
$1,709.50 |
12.4× |
| CT upper extremity with contrast (73201) |
$1,366.75 |
$1,952.50 |
4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,709.40 |
$2,442 |
10.6× |
| Cta Abdomen (74175) |
$1,425.20 |
$2,036 |
8.8× |
| CTA abdomen pelvis (74174) |
$1,709.40 |
$2,442 |
5.3× |
| CTA chest (71275) |
$1,425.20 |
$2,036 |
8.8× |
| Cta Head (70496) |
$1,425.20 |
$2,036 |
8.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,709.40 |
$2,442 |
10.6× |
| Cta Neck (70498) |
$1,425.20 |
$2,036 |
8.8× |
| Cystography minimum 3 views rs&i (74430) |
$291.20 |
$416 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$254.80 |
$364 |
2.7× |
| Esophagus (74220) |
$338.10 |
$483 |
2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$472.50 |
$675 |
4.9× |
| Fluoroscopy up to 1 hr (76000) |
$291.20 |
$416 |
1.3× |
| Foot 2 views (73620) |
$169.05 |
$241.50 |
2.1× |
| Forearm 2 views (73090) |
$213.15 |
$304.50 |
2.7× |
| Gated Heart Planar Single (78472) |
$1,180.90 |
$1,687 |
3.2× |
| Hand 2 views (73120) |
$169.05 |
$241.50 |
1.8× |
| Hand 3 views (73130) |
$213.15 |
$304.50 |
2.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$883.40 |
$1,262 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$883.40 |
$1,262 |
2.4× |
| Humerus Min 2 Views Left (73060) |
$213.15 |
$304.50 |
2.7× |
| Hysterosalpingogram (74740) |
$508.20 |
$726 |
2.3× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,320.90 |
$1,887 |
3.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$883.40 |
$1,262 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$883.40 |
$1,262 |
1.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,320.90 |
$1,887 |
2.6× |
| Knee 3 views (73562) |
$213.15 |
$304.50 |
2.7× |
| Liver & spleen imaging static only (78215) |
$781.90 |
$1,117 |
2.1× |
| Liver imaging static only (78201) |
$876.40 |
$1,252 |
1.8× |
| Lymphoscintigraphy (78195) |
$911.40 |
$1,302 |
1.8× |
| Meckels Diverticulum (78290) |
$781.90 |
$1,117 |
2.1× |
| MRA head w & w/o contrast (70546) |
$1,498.70 |
$2,141 |
4.7× |
| MRA head w/o contrast (70544) |
$1,226.40 |
$1,752 |
5.6× |
| MRA head with contrast (70545) |
$1,361.50 |
$1,945 |
4.2× |
| MRA neck w contrast (70548) |
$1,361.50 |
$1,945 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,498.70 |
$2,141 |
4.7× |
| MRA neck w/o contrast (70547) |
$1,226.40 |
$1,752 |
5.6× |
| MRI abdomen w contrast (74182) |
$1,361.50 |
$1,945 |
4.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,498.70 |
$2,141 |
4.7× |
| MRI abdomen w/o contrast (74181) |
$1,226.40 |
$1,752 |
5.6× |
| MRI any jnt lwr ext with con lt (73722) |
$1,702.40 |
$2,432 |
2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,702.40 |
$2,432 |
2.4× |
| MRI bone marrow blood supply (77084) |
$1,226.40 |
$1,752 |
5.6× |
| MRI breast w/o contrast bilateral (77047) |
$1,835.40 |
$2,622 |
8.4× |
| MRI breast w/o contrast unilat (77046) |
$1,223.60 |
$1,748 |
5.6× |
| MRI c-spine with contrast (72142) |
$1,361.50 |
$1,945 |
4.2× |
| MRI cervical spine w/o contrast (72141) |
$1,226.40 |
$1,752 |
5.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,498.70 |
$2,141 |
4.7× |
| MRI chest w/o contrast (71550) |
$1,226.40 |
$1,752 |
5.6× |
| MRI chest with contrast (71551) |
$1,361.50 |
$1,945 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,702.40 |
$2,432 |
5.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,702.40 |
$2,432 |
5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,533.35 |
$2,190.50 |
7.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,226.40 |
$1,752 |
5.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,498.70 |
$2,141 |
4.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,361.50 |
$1,945 |
4.2× |
| MRI pelvis w contrast (72196) |
$1,365.70 |
$1,951 |
4.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,506.40 |
$2,152 |
4.7× |
| MRI pelvis w/o contrast (72195) |
$1,226.05 |
$1,751.50 |
5.6× |
| MRI scan of arm joint before and after contrast (73223) |
$1,872.15 |
$2,674.50 |
5.8× |
| MRI scan of leg joint before and after contrast (73723) |
$1,872.15 |
$2,674.50 |
5.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,498.70 |
$2,141 |
4.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,361.50 |
$1,945 |
4.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,498.70 |
$2,141 |
4.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,361.50 |
$1,945 |
4.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,498.70 |
$2,141 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,226.40 |
$1,752 |
5.6× |
| MRI tmj (70336) |
$1,226.40 |
$1,752 |
5.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,533.35 |
$2,190.50 |
7.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,872.15 |
$2,674.50 |
5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,533.35 |
$2,190.50 |
7.0× |
| Myelogram Cervical (72240) |
$478.10 |
$683 |
0.7× |
| Myelogram Lumbar (72265) |
$478.10 |
$683 |
0.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,899.10 |
$2,713 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,359.40 |
$1,942 |
1.1× |
| Neck soft tissue (70360) |
$170.80 |
$244 |
2.1× |
| Nm gastric emptying study (78264) |
$883.40 |
$1,262 |
2.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$368.20 |
$526 |
3.8× |
| Osseous survey infant (77076) |
$338.10 |
$483 |
3.5× |
| Parathyroid imaging (78070) |
$883.40 |
$1,262 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$170.80 |
$244 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$1,899.10 |
$2,713 |
1.4× |
| PET imaging for CT attenuation whole body (78816) |
$1,899.10 |
$2,713 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,872.15 |
$2,674.50 |
5.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$261.80 |
$374 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$192.50 |
$275 |
2.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$294 |
$420 |
3.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$328.65 |
$469.50 |
3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$263.90 |
$377 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$170.80 |
$244 |
2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$224.70 |
$321 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$192.50 |
$275 |
2.4× |
| Radiologic exam colon single contrast study (74270) |
$914.20 |
$1,306 |
5.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$393.40 |
$562 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$424.90 |
$607 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$213.15 |
$304.50 |
2.7× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$213.15 |
$304.50 |
2.7× |
| Radiological examination surgical specimen (76098) |
$107.45 |
$153.50 |
0.2× |
| Ribs bilateral 3 views (71110) |
$235.90 |
$337 |
2.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,180.90 |
$1,687 |
2.4× |
| Sacroiliac Joints < 3 Views (72200) |
$170.80 |
$244 |
1.8× |
| Scanogram (77073) |
$101.50 |
$145 |
1.1× |
| Scapula complete (73010) |
$213.15 |
$304.50 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$43.40 |
$62 |
1.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$224.70 |
$321 |
2.3× |
| Small bowel series (74250) |
$449.40 |
$642 |
2.8× |
| Spine thoracic 3 views (72072) |
$235.90 |
$337 |
2.5× |
| Testicular Imaging With Vascular Flow (78761) |
$781.90 |
$1,117 |
2.1× |
| Thoracolumbar 2 views (72080) |
$214.90 |
$307 |
2.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$883.40 |
$1,262 |
2.4× |
| Thyroid uptake measurement (78012) |
$781.90 |
$1,117 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,330 |
$1,900 |
3.6× |
| Tmj unilateral (70328) |
$186.90 |
$267 |
2.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$715.40 |
$1,022 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$347.20 |
$496 |
3.6× |
| Umbilical-artery Doppler (OB) (76820) |
$165.90 |
$237 |
1.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$36.40 |
$52 |
0.5× |
| Unlisted Ultrasound Procedure (76999) |
$218.40 |
$312 |
2.7× |
| Upper Extremity Infant (73092) |
$170.80 |
$244 |
1.8× |
| Urethrocystography retrograde rs&i (74450) |
$294 |
$420 |
1.3× |
| Urethrocystography voiding (74455) |
$407.40 |
$582 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$471.10 |
$673 |
2.9× |
| Us abdl aorta screen aaa (76706) |
$399.70 |
$571 |
4.2× |
| Us breast unilateral complete (76641) |
$383.60 |
$548 |
4.0× |
| Us breast unilateral limited (76642) |
$383.60 |
$548 |
4.8× |
| Us chest (76604) |
$280.70 |
$401 |
2.9× |
| Us compl joint r-t w/image documentation (76881) |
$570.15 |
$814.50 |
5.9× |
| Us ob transvaginal (76817) |
$406 |
$580 |
4.2× |
| Us pelvic non ob complete (76856) |
$379.40 |
$542 |
3.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$312.90 |
$447 |
3.3× |
| Us pregnancy ltd (76815) |
$228.90 |
$327 |
2.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$289.80 |
$414 |
3.0× |
| Us retroperitoneal complete (76770) |
$399.70 |
$571 |
4.2× |
| Us retroperitoneal limited (76775) |
$311.50 |
$445 |
3.2× |
| Us scrotum and contents (76870) |
$387.10 |
$553 |
4.0× |
| Us soft tissue head/neck (76536) |
$441.70 |
$631 |
4.6× |
| Us transrectal (76872) |
$445.90 |
$637 |
4.6× |
| Us xtr non-vasc lmtd (76882) |
$483.70 |
$691 |
5.0× |
| Venogram extremity bilateral (75822) |
$672.70 |
$961 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$450.10 |
$643 |
0.3× |
| Wrist 2 views (73100) |
$169.05 |
$241.50 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$224.70 |
$321 |
2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$170.80 |
$244 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$213.15 |
$304.50 |
2.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$914.20 |
$1,306 |
5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$169.05 |
$241.50 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$213.15 |
$304.50 |
2.7× |
| X-ray exam hip uni 1 view (73501) |
$170.80 |
$244 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$206.50 |
$295 |
2.6× |
| X-ray exam hip uni 4/> views (73503) |
$256.20 |
$366 |
2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$320.60 |
$458 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$363.30 |
$519 |
3.8× |
| X-ray exam of femur 1 (73551) |
$191.10 |
$273 |
2.4× |
| X-ray eye for foreign body (70030) |
$115.50 |
$165 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$218.40 |
$312 |
2.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$213.15 |
$304.50 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$213.15 |
$304.50 |
2.7× |
| X-ray IV pyelogram+drip infusn (74410) |
$224.70 |
$321 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$244.30 |
$349 |
3.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$232.75 |
$332.50 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$88.90 |
$127 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$213.15 |
$304.50 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$192.50 |
$275 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$182.70 |
$261 |
1.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$170.80 |
$244 |
2.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$224.70 |
$321 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$224.70 |
$321 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$170.80 |
$244 |
2.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$192.50 |
$275 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$294 |
$420 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$170.80 |
$244 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$213.15 |
$304.50 |
2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$233.80 |
$334 |
2.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$192.50 |
$275 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$233.80 |
$334 |
2.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$170.80 |
$244 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$170.80 |
$244 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$255.50 |
$365 |
3.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$170.80 |
$244 |
2.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$192.50 |
$275 |
2.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$213.15 |
$304.50 |
2.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$213.15 |
$304.50 |
2.7× |
| Xr c-spine 6 or more views (72052) |
$338.10 |
$483 |
3.5× |
| Xr chest 4+ views (71048) |
$252.70 |
$361 |
2.6× |
| Xr Cholecystography Oral Contrast (74290) |
$294 |
$420 |
1.8× |
| Xr finger(s) 2+ views (73140) |
$169.05 |
$241.50 |
2.1× |
| XR Mastoids < 3 Views Bilateral (70120) |
$304.15 |
$434.50 |
3.2× |
| Xr shoulder 1 view (73020) |
$169.05 |
$241.50 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$249.20 |
$356 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$213.15 |
$304.50 |
2.7× |
| Xr tmj bilateral (70330) |
$224.70 |
$321 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$170.80 |
$244 |
2.1× |