| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,157.68 |
$4,476 |
1.7× |
| Abdomen 2 views (74019) |
$170.65 |
$354 |
1.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$461.33 |
$957 |
1.2× |
| Ankle 2 views (73600) |
$140.76 |
$292 |
1.7× |
| Arthrogram elbow (73085) |
$558.71 |
$1,159 |
1.7× |
| Arthrogram hip (73525) |
$246.33 |
$511 |
0.8× |
| Arthrogram shoulder (73040) |
$246.33 |
$511 |
0.8× |
| Arthrogram wrist (73115) |
$558.71 |
$1,159 |
1.7× |
| Arthrography knee lt (73580) |
$224.16 |
$465 |
0.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$637.28 |
$1,322 |
1.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$704.29 |
$1,461 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$838.30 |
$1,739 |
2.2× |
| Bone age studies (77072) |
$175.47 |
$364 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$955.92 |
$1,983 |
2.5× |
| Bone survey complete (77075) |
$370.22 |
$768 |
3.8× |
| Brain image w/flow 4 + views (78606) |
$655.12 |
$1,359 |
1.3× |
| Brain imaging < 4 static views (78600) |
$400.59 |
$831 |
1.1× |
| Brain imaging < 4 static views w vascular flow (78601) |
$214.04 |
$444 |
0.6× |
| Brain Imaging Minimum 4 Static Views (78605) |
$556.78 |
$1,155 |
1.1× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$185.60 |
$385 |
16.8× |
| Cervical spine 2 or 3 views (72040) |
$240.07 |
$498 |
2.9× |
| Chest 1 view (71045) |
$173.06 |
$359 |
2.1× |
| Chest 3 views (71047) |
$165.35 |
$343 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$355.76 |
$738 |
2.2× |
| Clavicle complete (73000) |
$192.10 |
$398.50 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$439.64 |
$912 |
4.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$973.27 |
$2,019 |
3.0× |
| CT abdomen and pelvis without contrast (74176) |
$935.67 |
$1,941 |
4.2× |
| CT abdomen w contrast (74160) |
$595.34 |
$1,235 |
3.6× |
| CT abdomen w wo contrast (74170) |
$654.15 |
$1,357 |
4.0× |
| CT abdomen w/o contrast (74150) |
$386.13 |
$801 |
3.9× |
| CT angiography upper extremity lt (73206) |
$760.20 |
$1,577 |
4.6× |
| CT c-spine w/o contrast (72125) |
$528.34 |
$1,096 |
5.4× |
| CT cervical spine w&w/o contrast (72127) |
$860.95 |
$1,786 |
5.2× |
| CT cervical spine with contrast (72126) |
$681.63 |
$1,414 |
2.1× |
| CT chest w/wo contrast (71270) |
$870.59 |
$1,806 |
5.3× |
| CT chest with contrast (71260) |
$755.87 |
$1,568 |
4.6× |
| CT head/brain with contrast (70460) |
$742.85 |
$1,541 |
4.5× |
| CT head/brain without and with contrast (70470) |
$835.40 |
$1,733 |
5.1× |
| CT iac w contrast (70481) |
$701.39 |
$1,455 |
4.3× |
| CT limited/localized follow up study (76380) |
$297.91 |
$618 |
3.6× |
| CT lower ext w/o (73700) |
$423.25 |
$878 |
4.3× |
| CT lower extremity w wo contrast (73702) |
$714.89 |
$1,483 |
4.3× |
| CT lower extremity with contrast (73701) |
$825.28 |
$1,712 |
5.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,494.37 |
$3,100 |
9.1× |
| CT lumbar spine w/o contrast (72131) |
$583.77 |
$1,211 |
6.0× |
| CT lumbar spine with contrast (72132) |
$940.01 |
$1,950 |
2.9× |
| CT maxillofacial w contrast (70487) |
$905.78 |
$1,879 |
5.5× |
| CT maxillofacial w/o contrast (70486) |
$823.35 |
$1,708 |
8.4× |
| CT maxillofacial w/wo contrast (70488) |
$740.92 |
$1,537 |
4.5× |
| CT neck soft tissue w contrast (70491) |
$658.49 |
$1,366 |
4.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$562.08 |
$1,166 |
3.4× |
| CT orbits w/o contrast (70480) |
$515.80 |
$1,070 |
5.3× |
| CT pelvis w & w/o contrast (72194) |
$714.89 |
$1,483 |
4.3× |
| CT pelvis w/o contrast (72192) |
$591 |
$1,226 |
6.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$494.11 |
$1,025 |
3.0× |
| CT soft tissue neck w/o contrast (70490) |
$421.32 |
$874 |
4.3× |
| CT thoracic spine w/contrast (72129) |
$680.18 |
$1,411 |
4.1× |
| CT thoracic spine w/o contrast (72128) |
$586.18 |
$1,216 |
6.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,805.30 |
$3,745 |
11.0× |
| CT thorax w/o contrast (71250) |
$439.64 |
$912 |
4.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$610.29 |
$1,266 |
3.7× |
| CT upper extremity w/o contrast rt (73200) |
$417.95 |
$867 |
4.3× |
| CT upper extremity with contrast (73201) |
$463.74 |
$962 |
1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$612.21 |
$1,270 |
3.7× |
| Cta Abdomen (74175) |
$611.25 |
$1,268 |
3.7× |
| CTA abdomen pelvis (74174) |
$885.54 |
$1,837 |
2.7× |
| CTA chest (71275) |
$676.81 |
$1,404 |
4.1× |
| Cta Head (70496) |
$865.77 |
$1,796 |
5.3× |
| CTA lwr ext w&w/o contrast (73706) |
$674.88 |
$1,400 |
4.1× |
| Cta Neck (70498) |
$738.99 |
$1,533 |
4.5× |
| Cta Pelvis (72191) |
$508.57 |
$1,055 |
3.1× |
| Cystography minimum 3 views rs&i (74430) |
$289.24 |
$600 |
0.9× |
| Diskography lumbar (72295) |
$1,764.32 |
$3,660 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$313.82 |
$651 |
3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$209.22 |
$434 |
2.6× |
| Echoencephalography real time imaging (76506) |
$479.17 |
$994 |
4.9× |
| Esophagus (74220) |
$334.55 |
$694 |
2.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$140.76 |
$292 |
1.4× |
| Fluoroscopy up to 1 hr (76000) |
$218.86 |
$454 |
1.0× |
| Foot 2 views (73620) |
$285.38 |
$592 |
3.5× |
| Forearm 2 views (73090) |
$220.79 |
$458 |
2.7× |
| Gated Heart Planar Single (78472) |
$755.87 |
$1,568 |
2.0× |
| Hand 2 views (73120) |
$194.27 |
$403 |
2.0× |
| Hand 3 views (73130) |
$248.74 |
$516 |
3.0× |
| Heart infarct image w ef (78468) |
$662.35 |
$1,374 |
1.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,076.91 |
$2,234 |
2.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$689.34 |
$1,430 |
1.8× |
| Ht muscle image spect sing (78451) |
$1,105.36 |
$2,293 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$337.68 |
$700.50 |
4.1× |
| Hysterosalpingogram (74740) |
$245.85 |
$510 |
1.1× |
| Interstitial radiation source applic complex (77778) |
$422.77 |
$877 |
0.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$328.28 |
$681 |
3.3× |
| Kidney imaging morphology (78700) |
$526.41 |
$1,092 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$605.47 |
$1,256 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$964.11 |
$2,000 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$714.89 |
$1,483 |
1.4× |
| Knee 3 views (73562) |
$187.52 |
$389 |
2.3× |
| Liver & spleen imaging static only (78215) |
$522.07 |
$1,083 |
1.4× |
| Liver imaging static only (78201) |
$438.19 |
$909 |
0.9× |
| Liver imaging w/vascular flow (78202) |
$522.07 |
$1,083 |
1.0× |
| Lung perf&ventilat diferentl (78598) |
$542.32 |
$1,125 |
1.1× |
| Lung perfusion differential (78597) |
$604.98 |
$1,255 |
1.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$94.97 |
$197 |
1.2× |
| Meckels Diverticulum (78290) |
$558.22 |
$1,158 |
1.5× |
| Mr safety determination physician/other qhp (76016) |
$107.50 |
$223 |
1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$29.89 |
$62 |
1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$112.32 |
$233 |
1.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$295.02 |
$612 |
1.3× |
| MRA head w & w/o contrast (70546) |
$1,494.86 |
$3,101 |
4.6× |
| MRA head w/o contrast (70544) |
$1,037.87 |
$2,153 |
4.6× |
| MRA head with contrast (70545) |
$1,048.47 |
$2,175 |
3.2× |
| MRA neck w contrast (70548) |
$754.90 |
$1,566 |
2.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,078.36 |
$2,237 |
3.3× |
| MRA neck w/o contrast (70547) |
$750.56 |
$1,557 |
3.4× |
| MRI abdomen w contrast (74182) |
$1,527.63 |
$3,169 |
4.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,607.66 |
$3,335 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$1,045.10 |
$2,168 |
4.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,241.29 |
$2,575 |
1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,372.90 |
$2,848 |
1.9× |
| MRI c-spine with contrast (72142) |
$1,292.39 |
$2,681 |
3.9× |
| MRI cervical spine w/o contrast (72141) |
$929.89 |
$1,929 |
4.2× |
| MRI chest w/o & w/contrast material (71552) |
$848.90 |
$1,761 |
2.6× |
| MRI chest w/o contrast (71550) |
$711.52 |
$1,476 |
3.2× |
| MRI chest with contrast (71551) |
$798.29 |
$1,656 |
1.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,040.28 |
$2,158 |
3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,301.07 |
$2,699 |
4.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$922.66 |
$1,914 |
4.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$747.19 |
$1,550 |
3.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,193.57 |
$2,476 |
3.6× |
| MRI orbit/face/neck w/contrast (70542) |
$990.63 |
$2,055 |
3.0× |
| MRI pelvis w contrast (72196) |
$718.75 |
$1,491 |
2.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,183.93 |
$2,456 |
3.6× |
| MRI pelvis w/o contrast (72195) |
$738.51 |
$1,532 |
3.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,312.16 |
$2,722 |
4.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,644.77 |
$3,412 |
5.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,589.82 |
$3,298 |
4.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$998.82 |
$2,072 |
3.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,614.40 |
$3,349 |
4.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,169.95 |
$2,427 |
3.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,615.85 |
$3,352 |
4.9× |
| MRI thoracic spine w/o contrast (72146) |
$928.44 |
$1,926 |
4.1× |
| MRI tmj (70336) |
$711.52 |
$1,476 |
3.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,566.20 |
$3,249 |
7.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,267.33 |
$2,629 |
3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$812.27 |
$1,685 |
3.6× |
| Myelogram Lumbar (72265) |
$925.07 |
$1,919 |
1.3× |
| Myelogram thoracic (72255) |
$692.72 |
$1,437 |
0.9× |
| Myelography 2 or more regions (72270) |
$810.82 |
$1,682 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,255.54 |
$4,679 |
1.9× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,200.32 |
$2,490 |
1.5× |
| Neck soft tissue (70360) |
$197.65 |
$410 |
2.4× |
| Nm cisternogram (78630) |
$959.29 |
$1,990 |
1.9× |
| Nm gastric emptying study (78264) |
$991.11 |
$2,056 |
2.6× |
| Nm gastroesophageal reflux study (78262) |
$537.98 |
$1,116 |
1.4× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,195.50 |
$2,480 |
1.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$459.40 |
$953 |
1.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$708.62 |
$1,470 |
1.9× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$445.91 |
$925 |
0.9× |
| Osseous survey infant (77076) |
$165.35 |
$343 |
1.7× |
| Osseous survey limited (77074) |
$370.22 |
$768 |
3.8× |
| Parathyrd planar w/wo subtrj (78071) |
$209.70 |
$435 |
0.6× |
| Parathyroid imaging (78070) |
$676.33 |
$1,403 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$180.29 |
$374 |
1.8× |
| Perineogram (74775) |
$262.72 |
$545 |
1.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,633.20 |
$3,388 |
5.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$427.59 |
$887 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$795.39 |
$1,650 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$284.42 |
$590 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$207.29 |
$430 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$420.84 |
$873 |
4.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$191.38 |
$397 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$172.10 |
$357 |
1.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$184.63 |
$383 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$137.39 |
$285 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$183.67 |
$381 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$192.83 |
$400 |
2.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$265.62 |
$551 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$381.79 |
$792 |
2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$309.97 |
$643 |
1.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$365.40 |
$758 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$263.69 |
$547 |
1.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$240.07 |
$498 |
2.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$80.03 |
$166 |
1.0× |
| Ribs bilateral 3 views (71110) |
$291.89 |
$605.50 |
3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,392.18 |
$2,888 |
3.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,002.68 |
$2,080 |
2.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,365.66 |
$2,833 |
2.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$654.15 |
$1,357 |
0.5× |
| Sacroiliac Joints < 3 Views (72200) |
$211.14 |
$438 |
2.2× |
| Scapula complete (73010) |
$165.35 |
$343 |
1.7× |
| Screening digital breast tomosynthesis (77063) |
$44.35 |
$92 |
1.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$271.40 |
$563 |
2.8× |
| Small bowel series (74250) |
$397.94 |
$825.50 |
2.4× |
| Spine thoracic 3 views (72072) |
$245.13 |
$508.50 |
2.5× |
| Testicular Imaging With Vascular Flow (78761) |
$441.57 |
$916 |
1.2× |
| Thoracolumbar 2 views (72080) |
$138.35 |
$287 |
1.7× |
| Thyroid uptake measurement (78012) |
$606.43 |
$1,258 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$416.02 |
$863 |
1.1× |
| Tmj unilateral (70328) |
$92.08 |
$191 |
1.1× |
| Tomogram (76100) |
$583.78 |
$1,211 |
6.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,289.50 |
$2,675 |
3.4× |
| Tx devices design & construction complex (77334) |
$476.27 |
$988 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$554.37 |
$1,150 |
5.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$546.65 |
$1,134 |
6.7× |
| Upper Extremity Infant (73092) |
$175.47 |
$364 |
1.8× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$276.22 |
$573 |
2.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$449.76 |
$933 |
1.2× |
| Urethrocystography retrograde rs&i (74450) |
$255.01 |
$529 |
1.1× |
| Urethrocystography voiding (74455) |
$255.01 |
$529 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$294.54 |
$611 |
1.8× |
| Us abdl aorta screen aaa (76706) |
$248.74 |
$516 |
2.5× |
| Us breast unilateral complete (76641) |
$356.48 |
$739.50 |
3.6× |
| Us breast unilateral limited (76642) |
$169.20 |
$351 |
2.1× |
| Us chest (76604) |
$255.98 |
$531 |
2.6× |
| Us compl joint r-t w/image documentation (76881) |
$469.04 |
$973 |
4.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$140.76 |
$292 |
1.4× |
| Us ob transvaginal (76817) |
$245.37 |
$509 |
2.5× |
| Us pelvic non ob complete (76856) |
$479.65 |
$995 |
4.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$537.50 |
$1,115 |
5.5× |
| Us pregnancy ltd (76815) |
$429.52 |
$891 |
4.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$177.40 |
$368 |
1.8× |
| Us retroperitoneal complete (76770) |
$418.91 |
$869 |
4.3× |
| Us retroperitoneal limited (76775) |
$343.71 |
$713 |
3.5× |
| Us scrotum and contents (76870) |
$501.34 |
$1,040 |
5.1× |
| Us soft tissue head/neck (76536) |
$524.48 |
$1,088 |
5.3× |
| Us spinal canal and contents (76800) |
$317.68 |
$659 |
3.2× |
| Us transrectal (76872) |
$2,043.91 |
$4,240 |
20.8× |
| Us transrectal prostate volume (76873) |
$150.41 |
$312 |
1.5× |
| Us xtr non-vasc lmtd (76882) |
$275.26 |
$571 |
2.8× |
| Vascular flow imaging (78445) |
$606.91 |
$1,259 |
1.6× |
| Wrist 2 views (73100) |
$110.88 |
$230 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$308.52 |
$640 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$151.85 |
$315 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$242.48 |
$503 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$388.54 |
$806 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$230.43 |
$478 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$128.23 |
$266 |
1.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$403.97 |
$838 |
4.1× |
| X-ray exam hip uni 1 view (73501) |
$188.97 |
$392 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$236.21 |
$490 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$297.67 |
$617.50 |
3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$396.74 |
$823 |
4.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$348.05 |
$722 |
2.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$241.04 |
$500 |
2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$111.36 |
$231 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$221.27 |
$459 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$170.65 |
$354 |
2.1× |
| X-ray IV pyelogram+drip infusn (74410) |
$627.64 |
$1,302 |
3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$265.13 |
$550 |
3.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$302.50 |
$627.50 |
3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$225.12 |
$467 |
2.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$175.72 |
$364.50 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$229.94 |
$477 |
2.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$224.16 |
$465 |
2.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$95.45 |
$198 |
1.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$172.58 |
$358 |
2.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$116.66 |
$242 |
1.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$182.22 |
$378 |
1.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$173.06 |
$359 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$182.22 |
$378 |
2.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$293.58 |
$609 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$377.21 |
$782.50 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$222.23 |
$461 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$185.11 |
$384 |
2.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$341.54 |
$708.50 |
4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$235.73 |
$489 |
2.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$78.58 |
$163 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$264.17 |
$548 |
2.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$178.60 |
$370.50 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$106.54 |
$221 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$143.66 |
$298 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$236.21 |
$490 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$170.17 |
$353 |
1.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$190.90 |
$396 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$127.27 |
$264 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$240.07 |
$498 |
2.9× |
| Xr arthrogram ankle (73615) |
$224.16 |
$465 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$423.98 |
$879.50 |
4.3× |
| Xr chest 4+ views (71048) |
$189.45 |
$393 |
1.9× |
| Xr finger(s) 2+ views (73140) |
$150.89 |
$313 |
1.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$118.59 |
$246 |
1.2× |
| Xr optic foramina (70190) |
$84.85 |
$176 |
1.0× |
| Xr shoulder 1 view (73020) |
$213.32 |
$442.50 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$309.97 |
$643 |
3.2× |
| Xr tibia/fibula 2 views (73590) |
$205.36 |
$426 |
2.5× |
| Xr tmj bilateral (70330) |
$158.12 |
$328 |
1.9× |
| Xray knee 1 or 2 views rt (73560) |
$203.91 |
$423 |
2.5× |