| Abdomen 2 views (74019) |
$75.28 |
$75.28 |
0.7× |
| Ankle 2 views (73600) |
$75 |
$75 |
0.9× |
| Bone age studies (77072) |
$184 |
$184 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$35 |
$35 |
0.4× |
| Chest 1 view (71045) |
$65.65 |
$65.65 |
0.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$35 |
$35 |
0.2× |
| Clavicle complete (73000) |
$68.55 |
$68.55 |
0.8× |
| Foot 2 views (73620) |
$55 |
$55 |
0.6× |
| Forearm 2 views (73090) |
$60.75 |
$60.75 |
0.7× |
| Hand 2 views (73120) |
$72.08 |
$72.08 |
0.7× |
| Hand 3 views (73130) |
$90 |
$90 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$66.22 |
$66.22 |
0.8× |
| Knee 3 views (73562) |
$72.08 |
$72.08 |
0.8× |
| Neck soft tissue (70360) |
$35 |
$35 |
0.4× |
| Pelvis 1 or 2 views (72170) |
$35 |
$35 |
0.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$279 |
$279 |
2.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$31.49 |
$31.49 |
0.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$142.40 |
$142.40 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$97.78 |
$97.78 |
0.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$35 |
$35 |
0.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$35 |
$35 |
0.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$35 |
$35 |
0.4× |
| Ribs bilateral 3 views (71110) |
$35 |
$35 |
0.3× |
| Scanogram (77073) |
$261.30 |
$261.30 |
2.5× |
| Scapula complete (73010) |
$35 |
$35 |
0.3× |
| Tmj unilateral (70328) |
$85.65 |
$85.65 |
1.0× |
| Ultrasound, abdomen limited (76705) |
$292.10 |
$292.10 |
2.8× |
| Unlisted Ultrasound Procedure (76999) |
$181.50 |
$181.50 |
2.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$274 |
$274 |
1.6× |
| Us breast unilateral complete (76641) |
$202.85 |
$202.85 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$260 |
$260 |
2.5× |
| Us ob transvaginal (76817) |
$380 |
$380 |
3.6× |
| Us pelvic non ob complete (76856) |
$300.45 |
$300.45 |
2.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$183.60 |
$183.60 |
1.7× |
| Us retroperitoneal complete (76770) |
$315.88 |
$315.88 |
3.0× |
| Us retroperitoneal limited (76775) |
$280 |
$280 |
2.7× |
| Us scrotum and contents (76870) |
$273.50 |
$273.50 |
2.6× |
| Us soft tissue head/neck (76536) |
$270.18 |
$270.18 |
2.6× |
| Wrist 2 views (73100) |
$96 |
$96 |
1.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$65.65 |
$65.65 |
0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$66.40 |
$66.40 |
0.8× |
| X-ray exam hip uni 1 view (73501) |
$62.45 |
$62.45 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$75.28 |
$75.28 |
0.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$35 |
$35 |
0.3× |
| X-ray exam of femur 1 (73551) |
$76.48 |
$76.48 |
0.9× |
| X-ray eye for foreign body (70030) |
$126.40 |
$126.40 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$120.22 |
$120.22 |
1.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$57.40 |
$57.40 |
0.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$67.48 |
$67.48 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$65.65 |
$65.65 |
0.8× |
| X-ray IV pyelogram+drip infusn (74410) |
$100 |
$100 |
0.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$35 |
$35 |
0.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$35 |
$35 |
0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$35 |
$35 |
0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$35 |
$35 |
0.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$35 |
$35 |
0.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$82.82 |
$82.82 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$73 |
$73 |
0.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$182.65 |
$182.65 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$62.50 |
$62.50 |
0.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$88.12 |
$88.12 |
0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$35 |
$35 |
0.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$35 |
$35 |
0.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$35 |
$35 |
0.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$35 |
$35 |
0.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$35 |
$35 |
0.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$105.92 |
$105.92 |
1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$164.55 |
$164.55 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$35 |
$35 |
0.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$68.18 |
$68.18 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$35 |
$35 |
0.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$35 |
$35 |
0.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$133.55 |
$133.55 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$96 |
$96 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$35 |
$35 |
0.3× |
| Xr finger(s) 2+ views (73140) |
$83.45 |
$83.45 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$127.10 |
$127.10 |
1.2× |
| Xr optic foramina (70190) |
$35 |
$35 |
0.4× |
| Xr shoulder 1 view (73020) |
$56.02 |
$56.02 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$35 |
$35 |
0.3× |
| Xr tibia/fibula 2 views (73590) |
$35 |
$35 |
0.4× |
| Xray knee 1 or 2 views rt (73560) |
$56.02 |
$56.02 |
0.6× |