| 3-D radiotherapy plan dose-volume histograms (77295) |
— |
$4,919 |
— |
| Abdomen 2 views (74019) |
— |
$210 |
— |
| Acute gastrointestinal blood loss imaging (78278) |
— |
$2,206 |
— |
| Angiography extremity bilateral rs&i (75716) |
— |
$6,831 |
— |
| Angiography extremity unilateral rs&i (75710) |
— |
$9,426 |
— |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
— |
$10,089 |
— |
| Angiography pulmonary bilateral slctv rs&i (75743) |
— |
$10,444 |
— |
| Angiography pulmonary unilateral slctv rs&i (75741) |
— |
$10,763 |
— |
| Ankle 2 views (73600) |
— |
$208 |
— |
| Aortogram thoracic (75605) |
— |
$9,426 |
— |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
— |
$9,426 |
— |
| Aortography abdominal serialography rs&i (75625) |
— |
$9,426 |
— |
| Aortography thoracic w/o serialography rs&i (75600) |
— |
$7,570 |
— |
| Arthrogram elbow (73085) |
— |
$906 |
— |
| Arthrogram hip (73525) |
— |
$1,187 |
— |
| Arthrogram shoulder (73040) |
— |
$1,187 |
— |
| Arthrogram wrist (73115) |
— |
$906 |
— |
| Arthrography knee lt (73580) |
— |
$906 |
— |
| Basic radiation dosimetry calculation (77300) |
— |
$501 |
— |
| Bone &/Joint Imaging Limited Area (78300) |
— |
$1,632 |
— |
| Bone &/Joint Imaging Multiple Areas (78305) |
— |
$1,632 |
— |
| Bone &/joint imaging whole body (78306) |
— |
$1,910 |
— |
| Bone age studies (77072) |
— |
$335.50 |
— |
| Bone Imaging 3 Phase (78315) |
— |
$2,177 |
— |
| Bone survey complete (77075) |
— |
$492 |
— |
| Cardiac shunt detection (78428) |
— |
$1,795 |
— |
| Cervical spine 2 or 3 views (72040) |
— |
$339 |
— |
| Chest 1 view (71045) |
— |
$143 |
— |
| Chest 3 views (71047) |
— |
$258 |
— |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
— |
$566 |
— |
| Clavicle complete (73000) |
— |
$208 |
— |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
— |
$536 |
— |
| Continuing medical physics consltj pr wk (77336) |
— |
$692 |
— |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
— |
$403 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$1,949 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$1,193 |
— |
| CT abdomen w contrast (74160) |
— |
$2,057 |
— |
| CT abdomen w wo contrast (74170) |
— |
$2,437 |
— |
| CT abdomen w/o contrast (74150) |
— |
$1,574 |
— |
| CT angio hrt w/3d image (75574) |
— |
$3,012 |
— |
| CT angiography upper extremity lt (73206) |
— |
$2,322 |
— |
| CT c-spine w/o contrast (72125) |
— |
$1,193 |
— |
| CT cervical spine w&w/o contrast (72127) |
— |
$2,385 |
— |
| CT cervical spine with contrast (72126) |
— |
$2,057 |
— |
| CT chest w/wo contrast (71270) |
— |
$2,489 |
— |
| CT chest with contrast (71260) |
— |
$1,441 |
— |
| CT head/brain with contrast (70460) |
— |
$2,057 |
— |
| CT head/brain without and with contrast (70470) |
— |
$2,437 |
— |
| CT heart contrast eval cardiac structure&morph (75572) |
— |
$1,314 |
— |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$467 |
— |
| CT hrt w/3d image congen (75573) |
— |
$1,868 |
— |
| CT iac w contrast (70481) |
— |
$1,971 |
— |
| CT limited/localized follow up study (76380) |
— |
$1,934 |
— |
| CT lower ext w/o (73700) |
— |
$1,104 |
— |
| CT lower extremity w wo contrast (73702) |
— |
$2,437 |
— |
| CT lower extremity with contrast (73701) |
— |
$1,971 |
— |
| CT lumbar spine w & w/o contrast (72133) |
— |
$2,489 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$1,193 |
— |
| CT lumbar spine with contrast (72132) |
— |
$1,971 |
— |
| CT maxillofacial w contrast (70487) |
— |
$2,057 |
— |
| CT maxillofacial w/o contrast (70486) |
— |
$1,028 |
— |
| CT maxillofacial w/wo contrast (70488) |
— |
$2,437 |
— |
| CT neck soft tissue w contrast (70491) |
— |
$2,057 |
— |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
— |
$2,437 |
— |
| CT orbits w/o contrast (70480) |
— |
$1,574 |
— |
| CT pelvis w & w/o contrast (72194) |
— |
$2,437 |
— |
| CT pelvis w/o contrast (72192) |
— |
$1,703 |
— |
| CT soft tissue neck w/o & w/contrast material (70492) |
— |
$2,437 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$1,574 |
— |
| CT thoracic spine w/contrast (72129) |
— |
$2,057 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$1,703 |
— |
| CT thoracic spine w/wo contrast (72130) |
— |
$2,489 |
— |
| CT thorax w/o contrast (71250) |
— |
$1,193 |
— |
| CT upper extremity w/o & w/contrast material (73202) |
— |
$2,437 |
— |
| CT upper extremity w/o contrast rt (73200) |
— |
$1,574 |
— |
| CT upper extremity with contrast (73201) |
— |
$2,057 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$2,425 |
— |
| Cta Abdomen (74175) |
— |
$2,425 |
— |
| CTA abdomen pelvis (74174) |
— |
$2,052 |
— |
| CTA chest (71275) |
— |
$1,697 |
— |
| Cta Head (70496) |
— |
$2,425 |
— |
| Cta Neck (70498) |
— |
$2,425 |
— |
| Cta Pelvis (72191) |
— |
$2,425 |
— |
| Cystography minimum 3 views rs&i (74430) |
— |
$761 |
— |
| Diskography lumbar (72295) |
— |
$3,024 |
— |
| Doppler Echo Fetal Spectral Display Complete (76827) |
— |
$375 |
— |
| Dxa bone density study 1/> sites axial skel (77080) |
— |
$341 |
— |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
— |
$210 |
— |
| Esophageal motility (78258) |
— |
$1,544 |
— |
| Esophagus (74220) |
— |
$513 |
— |
| Fetal biophysical profile non-stress testing (76818) |
— |
$379 |
— |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
— |
$567 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$621 |
— |
| Foot 2 views (73620) |
— |
$208 |
— |
| Forearm 2 views (73090) |
— |
$208 |
— |
| Gated Heart Planar Single (78472) |
— |
$1,876 |
— |
| Hand 2 views (73120) |
— |
$339 |
— |
| Hand 3 views (73130) |
— |
$208 |
— |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
— |
$1,860 |
— |
| Ht muscle image spect sing (78451) |
— |
$1,834 |
— |
| Humerus Min 2 Views Left (73060) |
— |
$208 |
— |
| Hysterosalpingogram (74740) |
— |
$877 |
— |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
— |
$1,532 |
— |
| Kidney img morphology vascular flow 1 w/rx (78708) |
— |
$1,808 |
— |
| Knee 3 views (73562) |
— |
$167 |
— |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
— |
$1,783 |
— |
| Lung perf&ventilat diferentl (78598) |
— |
$2,171 |
— |
| Lymphoscintigraphy (78195) |
— |
$2,250 |
— |
| Mammary ductogram or galactogram single (77053) |
— |
$753 |
— |
| Meckels Diverticulum (78290) |
— |
$2,184 |
— |
| Mlc imrt design & construction per imrt plan (77338) |
— |
$2,257 |
— |
| MRA head w & w/o contrast (70546) |
— |
$2,392 |
— |
| MRA head w/o contrast (70544) |
— |
$1,797 |
— |
| MRA neck w contrast (70548) |
— |
$2,752 |
— |
| MRA neck w/o contrast (70547) |
— |
$1,797 |
— |
| MRI abdomen w/o & w/contrast material (74183) |
— |
$3,720 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$2,568 |
— |
| MRI any jnt lwr ext with con lt (73722) |
— |
$2,636 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$2,579 |
— |
| MRI bone marrow blood supply (77084) |
— |
$2,341 |
— |
| MRI c-spine with contrast (72142) |
— |
$2,752 |
— |
| MRI cervical spine w/o contrast (72141) |
— |
$1,797 |
— |
| MRI chest w/o & w/contrast material (71552) |
— |
$4,266 |
— |
| MRI chest w/o contrast (71550) |
— |
$2,460 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$1,392 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$2,568 |
— |
| MRI orbit/face/neck w&w/o cont (70543) |
— |
$3,720 |
— |
| MRI orbit/face/neck w/contrast (70542) |
— |
$2,636 |
— |
| MRI pelvis w contrast (72196) |
— |
$2,636 |
— |
| MRI pelvis w/o & w/contrast material (72197) |
— |
$4,453 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$2,568 |
— |
| MRI scan of arm joint before and after contrast (73223) |
— |
$4,266 |
— |
| MRI scan of leg joint before and after contrast (73723) |
— |
$3,564 |
— |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
— |
$4,453 |
— |
| MRI spinal canal lumbar w/contrast material (72149) |
— |
$2,636 |
— |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
— |
$4,453 |
— |
| MRI spinal canal thoracic w/contrast matrl (72147) |
— |
$2,636 |
— |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
— |
$4,453 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$2,568 |
— |
| MRI tmj (70336) |
— |
$2,347 |
— |
| MRI upper ext joint w/o contrast (73221) |
— |
$1,797 |
— |
| MRI upper extrem other than jt w/o & w/contras (73220) |
— |
$1,856 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$1,856 |
— |
| Myelogram Cervical (72240) |
— |
$2,389 |
— |
| Myelogram Lumbar (72265) |
— |
$2,321 |
— |
| Myelogram thoracic (72255) |
— |
$2,389 |
— |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
— |
$2,842 |
— |
| Myocardial Spect Multiple Studies (78452) |
— |
$2,654 |
— |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
— |
$4,429 |
— |
| Neck soft tissue (70360) |
— |
$208 |
— |
| Nm adrenal scan (78075) |
— |
$1,281 |
— |
| Nm gastric emptying study (78264) |
— |
$2,175 |
— |
| Nm gastroesophageal reflux study (78262) |
— |
$1,544 |
— |
| Nm peritoneal-venous shunt patency (78291) |
— |
$1,544 |
— |
| Ntsty modul radthx pln dose-vol histos (77301) |
— |
$12,925 |
— |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
— |
$2,842 |
— |
| Nuclear medicine of heart muscle at rest with stress (78454) |
— |
$2,042 |
— |
| Nuclear medicine study from skull base to mid-thigh (78812) |
— |
$9,519 |
— |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
— |
$2,842 |
— |
| Nuclear Rx Oral Admin (79005) |
— |
$275 |
— |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
— |
$303.50 |
— |
| Osseous survey infant (77076) |
— |
$332 |
— |
| Osseous survey limited (77074) |
— |
$335.50 |
— |
| Parathyrd planar w/spect&CT (78072) |
— |
$2,893 |
— |
| Parathyroid imaging (78070) |
— |
$1,908 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$339 |
— |
| Peritoneogram rs&i (74190) |
— |
$880 |
— |
| PET image w/CT, skull-thigh (78815) |
— |
$10,813 |
— |
| PET imaging CT for attenuation limited area (78814) |
— |
$3,567 |
— |
| PET imaging for CT attenuation whole body (78816) |
— |
$10,645 |
— |
| PET imaging limited area chest head/neck (78811) |
— |
$3,260 |
— |
| PET whole body (78813) |
— |
$9,519 |
— |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
— |
$1,392 |
— |
| Pr non-imaging heart function (78414) |
— |
$1,795 |
— |
| Pulmonary Perfusion Imaging Particulate (78580) |
— |
$1,484 |
— |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
— |
$1,410 |
— |
| Radex abscess/fistula/sinus tract rs&i (76080) |
— |
$383 |
— |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
— |
$342.50 |
— |
| Radex mastoids compl minimum 3 views pr side (70130) |
— |
$253 |
— |
| Radiation treatment delivery 1 mev >= complex (77412) |
— |
$2,187 |
— |
| Radiation treatment delivery 1 mev >= simple (77402) |
— |
$1,270 |
— |
| Radiation tx delivery 1 mev >= intermediate (77407) |
— |
$2,303 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$339 |
— |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
— |
$210 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$210 |
— |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
— |
$147 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$712 |
— |
| Radiologic exam upr gi trc double contrast study (74246) |
— |
$570 |
— |
| Radiologic exam upr gi trc single contrast study (74240) |
— |
$513 |
— |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
— |
$210 |
— |
| Radiologic Examination Salivary Gland Calculus (70380) |
— |
$227 |
— |
| Radiological examination surgical specimen (76098) |
— |
$196 |
— |
| Salivary gland imaging (78230) |
— |
$1,544 |
— |
| Scanogram (77073) |
— |
$265 |
— |
| Scapula complete (73010) |
— |
$208 |
— |
| Screening digital breast tomosynthesis (77063) |
— |
$33.60 |
— |
| Sella turcica (70240) |
— |
$203 |
— |
| Sialogram (70390) |
— |
$503 |
— |
| Small bowel series (74250) |
— |
$513 |
— |
| Spec medical radj physics consltj (77370) |
— |
$1,077 |
— |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
— |
$1,323 |
— |
| Special dosimetry (77331) |
— |
$501 |
— |
| Special treatment procedure (77470) |
— |
$2,129 |
— |
| Spine thoracic 3 views (72072) |
— |
$339 |
— |
| Spleen imaging only (78185) |
— |
$1,632 |
— |
| Stereotactic body radiation delivery (77373) |
— |
$10,490 |
— |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
— |
$1,323 |
— |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
— |
$1,323 |
— |
| Testicular Imaging With Vascular Flow (78761) |
— |
$1,532 |
— |
| Ther rad simulaj-aided field setting complex (77290) |
— |
$3,607 |
— |
| Ther rad simulaj-aided field setting simple (77280) |
— |
$2,814.50 |
— |
| Thoracolumbar 2 views (72080) |
— |
$227 |
— |
| Thyroid carcinoma metastases img whole body (78018) |
— |
$1,758 |
— |
| Thyroid uptake measurement (78012) |
— |
$907 |
— |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
— |
$1,122 |
— |
| Tomogram (76100) |
— |
$379 |
— |
| Treatment device intermediate (77333) |
— |
$610.50 |
— |
| Treatment devices simple (77332) |
— |
$407 |
— |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
— |
$4,790 |
— |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
— |
$1,633 |
— |
| Tx devices design & construction complex (77334) |
— |
$1,323 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$400 |
— |
| Umbilical-artery Doppler (OB) (76820) |
— |
$325 |
— |
| Unlisted magnetic resonance procedure (76498) |
— |
$2,347 |
— |
| Upper Extremity Infant (73092) |
— |
$339 |
— |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
— |
$1,531 |
— |
| Urethrocystography retrograde rs&i (74450) |
— |
$730 |
— |
| Urethrocystography voiding (74455) |
— |
$730 |
— |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
— |
$730 |
— |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
— |
$761 |
— |
| Us breast unilateral complete (76641) |
— |
$396 |
— |
| Us breast unilateral limited (76642) |
— |
$300 |
— |
| Us chest (76604) |
— |
$366 |
— |
| Us compl joint r-t w/image documentation (76881) |
— |
$343.50 |
— |
| Us elastography parenchyma (76981) |
— |
$486 |
— |
| Us fetal nuchal translucency 1st gestation (76813) |
— |
$167 |
— |
| Us infant hips dynamic (76885) |
— |
$531.50 |
— |
| Us ob detailed single fetus (76811) |
— |
$850.50 |
— |
| Us ob transvaginal (76817) |
— |
$572.50 |
— |
| Us pelvic non ob complete (76856) |
— |
$513 |
— |
| Us pregnancy ltd (76815) |
— |
$361 |
— |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
— |
$572.50 |
— |
| Us retroperitoneal complete (76770) |
— |
$400 |
— |
| Us retroperitoneal limited (76775) |
— |
$554 |
— |
| Us scrotum and contents (76870) |
— |
$567 |
— |
| Us soft tissue head/neck (76536) |
— |
$578 |
— |
| Us spinal canal and contents (76800) |
— |
$572.50 |
— |
| Us transrectal (76872) |
— |
$554 |
— |
| Us xtr non-vasc lmtd (76882) |
— |
$572.50 |
— |
| Venogram extremity bilateral (75822) |
— |
$1,909.50 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$7,326 |
— |
| Venography caval superior serialography rs&i (75827) |
— |
$5,047 |
— |
| Venography extremity unilateral rs&i (75820) |
— |
$2,519 |
— |
| Wrist 2 views (73100) |
— |
$208 |
— |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
— |
$339 |
— |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
— |
$208 |
— |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
— |
$208 |
— |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
— |
$998 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$208 |
— |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
— |
$208 |
— |
| X-ray exam entire spi 4/5 vw (72083) |
— |
$357 |
— |
| X-ray exam hip uni 1 view (73501) |
— |
$208 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$210 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$234 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$228.50 |
— |
| X-ray exam of femur 1 (73551) |
— |
$210 |
— |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
— |
$754 |
— |
| X-ray eye for foreign body (70030) |
— |
$203 |
— |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
— |
$339 |
— |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
— |
$210 |
— |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
— |
$146 |
— |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
— |
$208 |
— |
| X-ray IV pyelogram+drip infusn (74410) |
— |
$730 |
— |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
— |
$339 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$208 |
— |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
— |
$208 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$339 |
— |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
— |
$339 |
— |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
— |
$208 |
— |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
— |
$339 |
— |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
— |
$282 |
— |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
— |
$265 |
— |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
— |
$339 |
— |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
— |
$1,292 |
— |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
— |
$208 |
— |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
— |
$339 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$339 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$339 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$208 |
— |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
— |
$208 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$208 |
— |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
— |
$210 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$339 |
— |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
— |
$339 |
— |
| X-Ray Spine One View - Xr Spine (72020) |
— |
$208 |
— |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
— |
$208 |
— |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
— |
$208 |
— |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
— |
$227 |
— |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
— |
$208 |
— |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
— |
$208 |
— |
| Xr arthrogram ankle (73615) |
— |
$906 |
— |
| Xr c-spine 6 or more views (72052) |
— |
$339 |
— |
| Xr chest 4+ views (71048) |
— |
$258 |
— |
| Xr finger(s) 2+ views (73140) |
— |
$208 |
— |
| Xr internal auditory meati complete (70134) |
— |
$341 |
— |
| Xr optic foramina (70190) |
— |
$203 |
— |
| Xr shoulder 1 view (73020) |
— |
$208 |
— |
| Xr spine cervical 4 or 5 views (72050) |
— |
$339 |
— |
| Xr tibia/fibula 2 views (73590) |
— |
$208 |
— |
| Xr tmj bilateral (70330) |
— |
$208 |
— |
| Xray knee 1 or 2 views rt (73560) |
— |
$208 |
— |