| Angiography extremity bilateral rs&i (75716) |
$5,263.20 |
$7,740 |
1.9× |
| Angiography extremity unilateral rs&i (75710) |
$3,015.12 |
$4,434 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$5,420.96 |
$7,972 |
2.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,420.96 |
$7,972 |
2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,420.96 |
$7,972 |
2.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$9,374.48 |
$13,786 |
1.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,165.40 |
$4,655 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,165.40 |
$4,655 |
1.1× |
| Ankle 2 views (73600) |
$255.68 |
$376 |
3.4× |
| Aortogram thoracic (75605) |
$5,082.32 |
$7,474 |
1.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,263.20 |
$7,740 |
1.9× |
| Aortography abdominal serialography rs&i (75625) |
$5,263.20 |
$7,740 |
1.9× |
| Arthrogram elbow (73085) |
$603.16 |
$887 |
2.0× |
| Arthrogram hip (73525) |
$462.40 |
$680 |
1.5× |
| Arthrogram shoulder (73040) |
$930.92 |
$1,369 |
3.0× |
| Arthrogram wrist (73115) |
$824.84 |
$1,213 |
2.7× |
| Arthrography knee lt (73580) |
$603.16 |
$887 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$761.60 |
$1,120 |
2.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,283.84 |
$1,888 |
3.7× |
| Bone &/joint imaging whole body (78306) |
$1,520.48 |
$2,236 |
4.3× |
| Bone age studies (77072) |
$290.36 |
$427 |
3.2× |
| Bone Imaging 3 Phase (78315) |
$1,559.92 |
$2,294 |
4.5× |
| Bone survey complete (77075) |
$841.16 |
$1,237 |
9.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,468.28 |
$6,571 |
3.6× |
| Cervical spine 2 or 3 views (72040) |
$350.88 |
$516 |
4.6× |
| Chest 1 view (71045) |
$221 |
$325 |
2.9× |
| Chest 3 views (71047) |
$247.52 |
$364 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$586.16 |
$862 |
3.8× |
| Clavicle complete (73000) |
$347.48 |
$511 |
4.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$673.20 |
$990 |
7.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,543.08 |
$6,681 |
14.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,949.84 |
$4,338 |
14.1× |
| CT abdomen w contrast (74160) |
$2,721.36 |
$4,002 |
17.7× |
| CT abdomen w wo contrast (74170) |
$2,868.92 |
$4,219 |
18.7× |
| CT abdomen w/o contrast (74150) |
$1,969.28 |
$2,896 |
21.5× |
| CT angio hrt w/3d image (75574) |
$1,504.16 |
$2,212 |
4.9× |
| CT angiography upper extremity lt (73206) |
$2,564.28 |
$3,771 |
16.7× |
| CT c-spine w/o contrast (72125) |
$1,934.60 |
$2,845 |
21.1× |
| CT cervical spine w&w/o contrast (72127) |
$2,405.16 |
$3,537 |
15.6× |
| CT cervical spine with contrast (72126) |
$2,180.08 |
$3,206 |
7.1× |
| CT chest w/wo contrast (71270) |
$2,178.38 |
$3,203.50 |
14.2× |
| CT chest with contrast (71260) |
$1,718.70 |
$2,527.50 |
11.2× |
| CT head/brain without and with contrast (70470) |
$2,006 |
$2,950 |
13.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,504.16 |
$2,212 |
4.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$187 |
$275 |
2.5× |
| CT hrt w/3d image congen (75573) |
$1,504.16 |
$2,212 |
4.9× |
| CT iac w contrast (70481) |
$1,558.22 |
$2,291.50 |
10.1× |
| CT limited/localized follow up study (76380) |
$397.46 |
$584.50 |
5.2× |
| CT lower ext w/o (73700) |
$1,141.72 |
$1,679 |
12.5× |
| CT lower extremity w wo contrast (73702) |
$1,295.40 |
$1,905 |
8.4× |
| CT lower extremity with contrast (73701) |
$1,174.36 |
$1,727 |
7.6× |
| CT lumbar spine w & w/o contrast (72133) |
$2,339.88 |
$3,441 |
15.2× |
| CT lumbar spine w/o contrast (72131) |
$1,630.64 |
$2,398 |
17.8× |
| CT lumbar spine with contrast (72132) |
$2,120.92 |
$3,119 |
6.9× |
| CT maxillofacial w contrast (70487) |
$1,471.52 |
$2,164 |
9.6× |
| CT maxillofacial w/o contrast (70486) |
$1,274.32 |
$1,874 |
13.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,046.80 |
$3,010 |
13.3× |
| CT neck soft tissue w contrast (70491) |
$2,026.40 |
$2,980 |
13.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,608.48 |
$3,836 |
17.0× |
| CT orbits w/o contrast (70480) |
$1,048.90 |
$1,542.50 |
11.4× |
| CT pelvis w & w/o contrast (72194) |
$2,047.48 |
$3,011 |
13.3× |
| CT pelvis w/o contrast (72192) |
$1,279.76 |
$1,882 |
14.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,531.64 |
$3,723 |
16.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,485.12 |
$2,184 |
16.2× |
| CT thoracic spine w/contrast (72129) |
$1,893.80 |
$2,785 |
12.3× |
| CT thoracic spine w/o contrast (72128) |
$1,702.04 |
$2,503 |
18.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,324.24 |
$3,418 |
15.1× |
| CT thorax w/o contrast (71250) |
$1,396.04 |
$2,053 |
15.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,639.48 |
$2,411 |
10.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,141.72 |
$1,679 |
12.5× |
| CT upper extremity with contrast (73201) |
$1,474.92 |
$2,169 |
4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,192.32 |
$3,224 |
14.3× |
| Cta Abdomen (74175) |
$2,479.28 |
$3,646 |
16.1× |
| CTA abdomen pelvis (74174) |
$3,477.52 |
$5,114 |
11.4× |
| CTA chest (71275) |
$3,253.12 |
$4,784 |
21.2× |
| Cta Head (70496) |
$3,663.84 |
$5,388 |
23.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$4,543.08 |
$6,681 |
14.9× |
| CTA lwr ext w&w/o contrast (73706) |
$2,564.28 |
$3,771 |
16.7× |
| Cta Neck (70498) |
$1,842.80 |
$2,710 |
12.0× |
| Cta Pelvis (72191) |
$2,600.32 |
$3,824 |
16.9× |
| Cystography minimum 3 views rs&i (74430) |
$639.20 |
$940 |
2.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$418.88 |
$616 |
4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$303.96 |
$447 |
4.0× |
| Dxa bone density study axial skeleton (77085) |
$356.32 |
$524 |
3.9× |
| Echoencephalography real time imaging (76506) |
$490.96 |
$722 |
5.4× |
| Esophagus (74220) |
$567.80 |
$835 |
3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$247.18 |
$363.50 |
2.7× |
| Fluoroscopy up to 1 hr (76000) |
$602.48 |
$886 |
2.9× |
| Foot 2 views (73620) |
$255.68 |
$376 |
3.4× |
| Forearm 2 views (73090) |
$214.20 |
$315 |
2.8× |
| Gated Heart Planar Single (78472) |
$1,103.64 |
$1,623 |
3.2× |
| Hand 2 views (73120) |
$314.84 |
$463 |
3.4× |
| Hand 3 views (73130) |
$257.04 |
$378 |
3.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,066.52 |
$3,039 |
4.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,659.88 |
$2,441 |
4.7× |
| Ht muscle image spect sing (78451) |
$737.80 |
$1,085 |
0.7× |
| Humerus Min 2 Views Left (73060) |
$193.80 |
$285 |
2.5× |
| Hysterosalpingogram (74740) |
$930.92 |
$1,369 |
4.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,302.20 |
$1,915 |
2.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,474.24 |
$2,168 |
3.1× |
| Liver & spleen imaging static only (78215) |
$815.32 |
$1,199 |
2.3× |
| Lymphoscintigraphy (78195) |
$925.48 |
$1,361 |
1.9× |
| Mammary ductogram or galactogram multiple (77054) |
$255.68 |
$376 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$484.84 |
$713 |
2.3× |
| Meckels Diverticulum (78290) |
$678.64 |
$998 |
1.9× |
| MRA head w & w/o contrast (70546) |
$2,960.72 |
$4,354 |
9.7× |
| MRA head w/o contrast (70544) |
$2,305.20 |
$3,390 |
11.0× |
| MRA neck w contrast (70548) |
$3,070.20 |
$4,515 |
10.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,233.68 |
$6,226 |
13.8× |
| MRA neck w/o contrast (70547) |
$2,337.16 |
$3,437 |
11.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,429.92 |
$5,044 |
11.2× |
| MRI abdomen w/o contrast (74181) |
$2,791.40 |
$4,105 |
13.4× |
| MRI any jnt lwr ext with con lt (73722) |
$3,532.60 |
$5,195 |
5.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,920.60 |
$4,295 |
4.3× |
| MRI breast w/o contrast bilateral (77047) |
$1,073.72 |
$1,579 |
5.1× |
| MRI breast w/o contrast unilat (77046) |
$665.72 |
$979 |
3.2× |
| MRI cardiac w/o contrast (75557) |
$1,821.72 |
$2,679 |
8.7× |
| MRI cervical spine w/o contrast (72141) |
$2,909.72 |
$4,279 |
13.9× |
| MRI chest w/o & w/contrast material (71552) |
$2,346.68 |
$3,451 |
7.7× |
| MRI chest w/o contrast (71550) |
$2,004.64 |
$2,948 |
9.6× |
| MRI chest with contrast (71551) |
$2,175.32 |
$3,199 |
3.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,814.24 |
$2,668 |
5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,070.20 |
$4,515 |
10.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,913.80 |
$4,285 |
13.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,666 |
$2,450 |
8.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,218.44 |
$4,733 |
10.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,176.68 |
$3,201 |
7.1× |
| MRI pelvis w contrast (72196) |
$2,681.24 |
$3,943 |
8.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,262.92 |
$6,269 |
13.9× |
| MRI pelvis w/o contrast (72195) |
$2,274.60 |
$3,345 |
10.9× |
| MRI scan of arm joint before and after contrast (73223) |
$3,722.32 |
$5,474 |
12.2× |
| MRI scan of leg joint before and after contrast (73723) |
$4,111.96 |
$6,047 |
13.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,201.44 |
$4,708 |
10.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,451 |
$5,075 |
11.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,062.72 |
$4,504 |
10.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,012 |
$5,900 |
13.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,658.80 |
$3,910 |
12.7× |
| MRI tmj (70336) |
$1,821.72 |
$2,679 |
8.7× |
| MRI upper ext joint w/o contrast (73221) |
$2,592.16 |
$3,812 |
12.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,302.48 |
$3,386 |
7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,628.60 |
$2,395 |
7.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,847.44 |
$5,658 |
3.4× |
| Myocardial Spect Multiple Studies (78452) |
$1,706.46 |
$2,509.50 |
1.5× |
| Neck soft tissue (70360) |
$136 |
$200 |
1.8× |
| Nm gastric emptying study (78264) |
$1,528.64 |
$2,248 |
4.4× |
| Nm gastroesophageal reflux study (78262) |
$722.16 |
$1,062 |
2.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$350.88 |
$516 |
3.8× |
| Parathyroid imaging (78070) |
$1,202.92 |
$1,769 |
3.4× |
| Pelvis 1 or 2 views (72170) |
$265.20 |
$390 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$4,337.72 |
$6,379 |
3.5× |
| PET imaging for CT attenuation whole body (78816) |
$4,337.72 |
$6,379 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,374.84 |
$4,963 |
11.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$784.04 |
$1,153 |
2.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,368.84 |
$2,013 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$514.76 |
$757 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$398.48 |
$586 |
4.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$295.80 |
$435 |
3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$271.32 |
$399 |
3.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$235.28 |
$346 |
3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$273.36 |
$402 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$246.16 |
$362 |
3.2× |
| Radiologic exam colon single contrast study (74270) |
$623.56 |
$917 |
4.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$707.20 |
$1,040 |
4.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$190.40 |
$280 |
2.5× |
| Radiological examination surgical specimen (76098) |
$536.52 |
$789 |
1.1× |
| Ribs bilateral 3 views (71110) |
$533.80 |
$785 |
5.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,388.84 |
$3,513 |
6.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$745.96 |
$1,097 |
1.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$801.04 |
$1,178 |
3.8× |
| Scanogram (77073) |
$290.36 |
$427 |
3.2× |
| Scapula complete (73010) |
$265.20 |
$390 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$60.86 |
$89.50 |
2.6× |
| Sialogram (70390) |
$210.80 |
$310 |
1.0× |
| Small bowel series (74250) |
$601.80 |
$885 |
3.9× |
| Spine thoracic 3 views (72072) |
$505.24 |
$743 |
5.5× |
| Superior sagittal sinus venogram (75870) |
$4,033.76 |
$5,932 |
1.5× |
| Testicular Imaging With Vascular Flow (78761) |
$845.24 |
$1,243 |
2.4× |
| Thoracolumbar 2 views (72080) |
$398.48 |
$586 |
5.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,215.84 |
$1,788 |
3.5× |
| Tomogram (76100) |
$421.60 |
$620 |
4.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,278.40 |
$1,880 |
2.7× |
| Ultrasound, abdomen limited (76705) |
$790.16 |
$1,162 |
8.6× |
| Umbilical-artery Doppler (OB) (76820) |
$247.18 |
$363.50 |
2.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$493.34 |
$725.50 |
6.5× |
| Unlisted Ultrasound Procedure (76999) |
$238 |
$350 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$452.88 |
$666 |
2.2× |
| Urethrocystography voiding (74455) |
$531.08 |
$781 |
2.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$505.24 |
$743 |
3.3× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$539.92 |
$794 |
3.5× |
| Us abdl aorta screen aaa (76706) |
$281.52 |
$414 |
3.1× |
| Us breast unilateral complete (76641) |
$482.12 |
$709 |
5.3× |
| Us breast unilateral limited (76642) |
$417.52 |
$614 |
5.5× |
| Us chest (76604) |
$414.80 |
$610 |
4.5× |
| Us compl joint r-t w/image documentation (76881) |
$578.68 |
$851 |
6.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$226.44 |
$333 |
2.5× |
| Us guided compression repair (76936) |
$534.48 |
$786 |
2.8× |
| Us infant hips dynamic (76885) |
$382.84 |
$563 |
5.0× |
| Us ob detailed single fetus (76811) |
$921.40 |
$1,355 |
4.4× |
| Us ob transvaginal (76817) |
$461.72 |
$679 |
5.0× |
| Us pelvic non ob complete (76856) |
$964.92 |
$1,419 |
10.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$454.92 |
$669 |
5.0× |
| Us pregnancy ltd (76815) |
$292.40 |
$430 |
3.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$770.44 |
$1,133 |
8.4× |
| Us retroperitoneal complete (76770) |
$276.08 |
$406 |
3.0× |
| Us retroperitoneal limited (76775) |
$496.06 |
$729.50 |
5.4× |
| Us scrotum and contents (76870) |
$739.84 |
$1,088 |
8.1× |
| Us soft tissue head/neck (76536) |
$809.88 |
$1,191 |
8.8× |
| Us spinal canal and contents (76800) |
$340.68 |
$501 |
3.7× |
| Us xtr non-vasc lmtd (76882) |
$614.72 |
$904 |
6.7× |
| Vascular flow imaging (78445) |
$1,083.24 |
$1,593 |
3.1× |
| Venogram extremity bilateral (75822) |
$1,789.08 |
$2,631 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$6,032.28 |
$8,871 |
2.2× |
| Venography caval superior serialography rs&i (75827) |
$1,907.40 |
$2,805 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,391.96 |
$2,047 |
1.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,233 |
$6,225 |
1.5× |
| Wrist 2 views (73100) |
$267.92 |
$394 |
3.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$346.12 |
$509 |
3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$322.32 |
$474 |
4.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$247.52 |
$364 |
3.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$883.32 |
$1,299 |
5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$272.68 |
$401 |
3.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$344.08 |
$506 |
4.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$344.08 |
$506 |
4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$538.56 |
$792 |
5.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$424.32 |
$624 |
2.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$257.72 |
$379 |
2.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$146.20 |
$215 |
1.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$257.72 |
$379 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$314.84 |
$463 |
4.1× |
| X-ray IV pyelogram+drip infusn (74410) |
$659.94 |
$970.50 |
4.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$342.72 |
$504 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$291.04 |
$428 |
3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$335.24 |
$493 |
3.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$244.80 |
$360 |
3.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$199.24 |
$293 |
2.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$295.80 |
$435 |
3.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$290.36 |
$427 |
3.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$962.88 |
$1,416 |
3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$551.48 |
$811 |
6.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$290.36 |
$427 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$338.64 |
$498 |
4.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$283.56 |
$417 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$459 |
$675 |
6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$257.72 |
$379 |
2.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$295.80 |
$435 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$316.88 |
$466 |
4.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$329.12 |
$484 |
4.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$329.12 |
$484 |
4.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$605.20 |
$890 |
6.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$233.92 |
$344 |
3.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$207.40 |
$305 |
2.7× |
| Xr arthrogram ankle (73615) |
$603.16 |
$887 |
2.0× |
| Xr chest 4+ views (71048) |
$327.08 |
$481 |
3.6× |
| Xr finger(s) 2+ views (73140) |
$207.40 |
$305 |
2.7× |
| Xr myelogram posterior fossa (70010) |
$1,079.84 |
$1,588 |
3.5× |
| Xr spine cervical 4 or 5 views (72050) |
$416.84 |
$613 |
4.5× |
| Xr tibia/fibula 2 views (73590) |
$359.72 |
$529 |
4.7× |
| Xr tmj bilateral (70330) |
$492.32 |
$724 |
6.5× |
| Xray knee 1 or 2 views rt (73560) |
$347.48 |
$511 |
4.6× |