| Abdomen 2 views (74019) |
$205.97 |
$562 |
2.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$507.58 |
$1,385 |
1.3× |
| Ankle 2 views (73600) |
$133.77 |
$365 |
1.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$448.21 |
$1,223 |
1.3× |
| Arthrogram hip (73525) |
$413.39 |
$1,128 |
1.2× |
| Arthrogram shoulder (73040) |
$432.82 |
$1,181 |
1.3× |
| Arthrogram wrist (73115) |
$413.39 |
$1,128 |
1.2× |
| Arthrography knee lt (73580) |
$413.39 |
$1,128 |
1.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$668.47 |
$1,824 |
1.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$487.79 |
$1,331 |
1.3× |
| Bone &/joint imaging whole body (78306) |
$786.47 |
$2,146 |
2.0× |
| Bone age studies (77072) |
$79.90 |
$218 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$888.72 |
$2,425 |
2.3× |
| Bone survey complete (77075) |
$409 |
$1,116 |
4.0× |
| Brain imaging < 4 static views w vascular flow (78601) |
$463.97 |
$1,266 |
1.2× |
| Cervical spine 2 or 3 views (72040) |
$183.25 |
$500 |
2.2× |
| Chest 1 view (71045) |
$157.96 |
$431 |
1.9× |
| Chest 3 views (71047) |
$286.96 |
$783 |
3.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$292.46 |
$798 |
1.7× |
| Clavicle complete (73000) |
$199.74 |
$545 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$633.65 |
$1,729 |
6.3× |
| Continuing medical physics consltj pr wk (77336) |
$188.38 |
$514 |
1.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,965.07 |
$5,362 |
5.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,432.21 |
$3,908 |
6.2× |
| CT abdomen w contrast (74160) |
$733.70 |
$2,002 |
4.3× |
| CT abdomen w wo contrast (74170) |
$868.38 |
$2,369.50 |
5.1× |
| CT abdomen w/o contrast (74150) |
$630.35 |
$1,720 |
6.2× |
| CT angiography upper extremity lt (73206) |
$958.16 |
$2,614.50 |
5.6× |
| CT c-spine w/o contrast (72125) |
$918.04 |
$2,505 |
9.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,165.78 |
$3,181 |
6.9× |
| CT cervical spine with contrast (72126) |
$1,156.62 |
$3,156 |
3.4× |
| CT chest w/wo contrast (71270) |
$845.11 |
$2,306 |
5.0× |
| CT chest with contrast (71260) |
$782.44 |
$2,135 |
4.6× |
| CT head/brain with contrast (70460) |
$770.71 |
$2,103 |
4.5× |
| CT head/brain without and with contrast (70470) |
$948.82 |
$2,589 |
5.6× |
| CT iac w contrast (70481) |
$738.83 |
$2,016 |
4.4× |
| CT limited/localized follow up study (76380) |
$358.06 |
$977 |
4.3× |
| CT lower ext w/o (73700) |
$710.61 |
$1,939 |
7.0× |
| CT lower extremity w wo contrast (73702) |
$888.35 |
$2,424 |
5.2× |
| CT lower extremity with contrast (73701) |
$742.68 |
$2,026.50 |
4.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,147.45 |
$3,131 |
6.8× |
| CT lumbar spine w/o contrast (72131) |
$918.04 |
$2,505 |
9.1× |
| CT lumbar spine with contrast (72132) |
$1,156.62 |
$3,156 |
3.4× |
| CT maxillofacial w contrast (70487) |
$945.16 |
$2,579 |
5.6× |
| CT maxillofacial w/o contrast (70486) |
$859.03 |
$2,344 |
8.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,022.12 |
$2,789 |
6.0× |
| CT neck soft tissue w contrast (70491) |
$760.82 |
$2,076 |
4.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$805.53 |
$2,198 |
4.7× |
| CT orbits w/o contrast (70480) |
$642.81 |
$1,754 |
6.4× |
| CT pelvis w & w/o contrast (72194) |
$845.84 |
$2,308 |
5.0× |
| CT pelvis w/o contrast (72192) |
$640.61 |
$1,748 |
6.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$233.45 |
$637 |
2.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$844.38 |
$2,304 |
5.0× |
| CT soft tissue neck w/o contrast (70490) |
$639.15 |
$1,744 |
6.3× |
| CT thoracic spine w/contrast (72129) |
$835.95 |
$2,281 |
4.9× |
| CT thoracic spine w/o contrast (72128) |
$819.46 |
$2,236 |
8.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,024.32 |
$2,795 |
6.0× |
| CT thorax w/o contrast (71250) |
$633.65 |
$1,729 |
6.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$931.23 |
$2,541 |
5.5× |
| CT upper extremity w/o contrast rt (73200) |
$745.06 |
$2,033 |
7.4× |
| CT upper extremity with contrast (73201) |
$856.84 |
$2,338 |
2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,418.65 |
$3,871 |
8.4× |
| Cta Abdomen (74175) |
$1,114.11 |
$3,040 |
6.6× |
| CTA abdomen pelvis (74174) |
$1,114.11 |
$3,040 |
3.3× |
| CTA chest (71275) |
$1,343.52 |
$3,666 |
7.9× |
| Cta Head (70496) |
$1,130.60 |
$3,085 |
6.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,154.78 |
$3,151 |
6.8× |
| Cta Neck (70498) |
$1,130.60 |
$3,085 |
6.7× |
| Cta Pelvis (72191) |
$1,231.01 |
$3,359 |
7.3× |
| Cystography minimum 3 views rs&i (74430) |
$171.88 |
$469 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$249.58 |
$681 |
2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$122.41 |
$334 |
1.5× |
| Dxa bone density study axial skeleton (77085) |
$275.23 |
$751 |
2.7× |
| Echoencephalography real time imaging (76506) |
$245.55 |
$670 |
2.4× |
| Esophagus (74220) |
$343.94 |
$938.50 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$301.25 |
$822 |
3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$107.02 |
$292 |
1.1× |
| Fluoroscopy up to 1 hr (76000) |
$309.68 |
$845 |
1.3× |
| Foot 2 views (73620) |
$181.78 |
$496 |
2.2× |
| Forearm 2 views (73090) |
$179.58 |
$490 |
2.1× |
| Gated Heart Planar Single (78472) |
$969.71 |
$2,646 |
2.5× |
| Hand 2 views (73120) |
$132.85 |
$362.50 |
1.3× |
| Hand 3 views (73130) |
$168.76 |
$460.50 |
2.0× |
| Heart Infarct Image (78466) |
$323.61 |
$883 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$885.42 |
$2,416 |
1.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$505.01 |
$1,378 |
1.3× |
| Ht muscle image spect sing (78451) |
$865.27 |
$2,361 |
0.7× |
| Humerus Min 2 Views Left (73060) |
$229.97 |
$627.50 |
2.7× |
| Hysterosalpingogram (74740) |
$199.74 |
$545 |
0.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$794.17 |
$2,167 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$930.13 |
$2,538 |
1.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$543.50 |
$1,483 |
1.0× |
| Knee 3 views (73562) |
$191.67 |
$523 |
2.3× |
| Liver & spleen imaging static only (78215) |
$460.30 |
$1,256 |
1.2× |
| Lung perfusion differential (78597) |
$333.50 |
$910 |
0.9× |
| Lung Ventilation Imaging (78579) |
$611.29 |
$1,668 |
1.6× |
| Mammary ductogram or galactogram single (77053) |
$270.10 |
$737 |
1.2× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$72.20 |
$197 |
0.9× |
| Meckels Diverticulum (78290) |
$731.13 |
$1,995 |
1.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,047.90 |
$5,588 |
5.7× |
| Mr safety determination physician/other qhp (76016) |
$82.46 |
$225 |
1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$23.09 |
$63 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$86.49 |
$236 |
0.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$226.49 |
$618 |
1.0× |
| MRA head w & w/o contrast (70546) |
$981.81 |
$2,679 |
2.9× |
| MRA head w/o contrast (70544) |
$755.32 |
$2,061 |
3.3× |
| MRA head with contrast (70545) |
$891.29 |
$2,432 |
2.6× |
| MRA neck w contrast (70548) |
$779.88 |
$2,128 |
2.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$860.13 |
$2,347 |
2.5× |
| MRA neck w/o contrast (70547) |
$768.15 |
$2,096 |
3.3× |
| MRI abdomen w contrast (74182) |
$1,136.46 |
$3,101 |
3.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,386.03 |
$3,782 |
4.1× |
| MRI abdomen w/o contrast (74181) |
$1,081.12 |
$2,950 |
4.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,132.80 |
$3,091 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,020.65 |
$2,785 |
1.3× |
| MRI c-spine with contrast (72142) |
$1,086.25 |
$2,964 |
3.2× |
| MRI cervical spine w/o contrast (72141) |
$1,097.25 |
$2,994 |
4.8× |
| MRI chest w/o & w/contrast material (71552) |
$937.46 |
$2,558 |
2.8× |
| MRI chest w/o contrast (71550) |
$869.66 |
$2,373 |
3.8× |
| MRI chest with contrast (71551) |
$902.65 |
$2,463 |
1.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,012.59 |
$2,763 |
3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$891.29 |
$2,432 |
2.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$856.84 |
$2,338 |
3.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,021.75 |
$2,788 |
4.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,062.80 |
$2,900 |
3.1× |
| MRI orbit/face/neck w/contrast (70542) |
$937.46 |
$2,558 |
2.8× |
| MRI pelvis w contrast (72196) |
$1,036.04 |
$2,827 |
3.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,177.14 |
$3,212 |
3.5× |
| MRI pelvis w/o contrast (72195) |
$953.59 |
$2,602 |
4.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,020.65 |
$2,785 |
3.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,065.55 |
$2,907.50 |
3.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,558.28 |
$4,252 |
4.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,053.27 |
$2,874 |
3.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,558.28 |
$4,252 |
4.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,100.55 |
$3,003 |
3.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,554.25 |
$4,241 |
4.6× |
| MRI thoracic spine w/o contrast (72146) |
$839.98 |
$2,292 |
3.6× |
| MRI tmj (70336) |
$1,021.75 |
$2,788 |
4.4× |
| MRI upper ext joint w/o contrast (73221) |
$990.23 |
$2,702 |
4.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,051.80 |
$2,870 |
3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$973.74 |
$2,657 |
4.2× |
| Myelogram Lumbar (72265) |
$703.28 |
$1,919 |
0.9× |
| Myelography 2 or more regions (72270) |
$616.42 |
$1,682 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,622.17 |
$7,155 |
2.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$912.54 |
$2,490 |
1.1× |
| Neck soft tissue (70360) |
$137.44 |
$375 |
1.6× |
| Nm cisternogram (78630) |
$1,152.22 |
$3,144 |
2.2× |
| Nm gastric emptying study (78264) |
$1,098.71 |
$2,998 |
2.8× |
| Nm peritoneal-venous shunt patency (78291) |
$677.99 |
$1,850 |
1.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,562.31 |
$4,263 |
1.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,022.85 |
$2,791 |
0.8× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$533.23 |
$1,455 |
1.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$131.57 |
$359 |
1.3× |
| Osseous survey infant (77076) |
$200.47 |
$547 |
2.0× |
| Osseous survey limited (77074) |
$278.16 |
$759 |
2.7× |
| Parathyroid imaging (78070) |
$957.25 |
$2,612 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$139.63 |
$381 |
1.4× |
| Perineogram (74775) |
$199.74 |
$545 |
0.9× |
| Peritoneogram rs&i (74190) |
$246.28 |
$672 |
0.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$882.86 |
$2,409 |
2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$555.59 |
$1,516 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$955.79 |
$2,608 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$329.47 |
$899 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$127.17 |
$347 |
1.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$215.50 |
$588 |
2.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$177.75 |
$485 |
1.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$277.06 |
$756 |
2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$225.57 |
$615.50 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$120.58 |
$329 |
1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$170.78 |
$466 |
1.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$211.46 |
$577 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$280.55 |
$765.50 |
1.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$254.34 |
$694 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$335.70 |
$916 |
2.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$336.80 |
$919 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$246.10 |
$671.50 |
2.9× |
| Radiological examination surgical specimen (76098) |
$71.10 |
$194 |
0.1× |
| Ribs bilateral 3 views (71110) |
$225.94 |
$616.50 |
2.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,058.40 |
$2,888 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,093.22 |
$2,983 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$956.70 |
$2,610.50 |
1.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$497.32 |
$1,357 |
0.4× |
| Sacroiliac Joints < 3 Views (72200) |
$115.45 |
$315 |
1.1× |
| Scanogram (77073) |
$254.34 |
$694 |
2.5× |
| Scapula complete (73010) |
$105.55 |
$288 |
1.0× |
| Screening digital breast tomosynthesis (77063) |
$25.29 |
$69 |
1.1× |
| Sella turcica (70240) |
$74.40 |
$203 |
0.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$484.13 |
$1,321 |
4.8× |
| Sialogram (70390) |
$193.87 |
$529 |
0.8× |
| Small bowel series (74250) |
$485.22 |
$1,324 |
2.9× |
| Spine thoracic 3 views (72072) |
$308.58 |
$842 |
3.0× |
| Thoracolumbar 2 views (72080) |
$262.77 |
$717 |
3.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$281.10 |
$767 |
0.7× |
| Thyroid uptake measurement (78012) |
$461.04 |
$1,258 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$427.69 |
$1,167 |
1.1× |
| Tmj unilateral (70328) |
$120.21 |
$328 |
1.4× |
| Tomogram (76100) |
$443.82 |
$1,211 |
4.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$721.97 |
$1,970 |
1.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$684.22 |
$1,867 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$573.55 |
$1,565 |
5.7× |
| Upper Extremity Infant (73092) |
$115.81 |
$316 |
1.1× |
| Urethrocystography retrograde rs&i (74450) |
$211.83 |
$578 |
0.9× |
| Urethrocystography voiding (74455) |
$171.88 |
$469 |
0.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$387.74 |
$1,058 |
2.3× |
| Us abdl aorta screen aaa (76706) |
$130.11 |
$355 |
1.3× |
| Us breast unilateral complete (76641) |
$205.60 |
$561 |
2.0× |
| Us breast unilateral limited (76642) |
$349.99 |
$955 |
4.2× |
| Us chest (76604) |
$346.33 |
$945 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$340.10 |
$928 |
3.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$158.69 |
$433 |
1.6× |
| Us infant hips dynamic (76885) |
$293.92 |
$802 |
3.5× |
| Us ob detailed single fetus (76811) |
$405.33 |
$1,106 |
1.8× |
| Us ob transvaginal (76817) |
$424.76 |
$1,159 |
4.2× |
| Us pelvic non ob complete (76856) |
$548.63 |
$1,497 |
5.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$263.50 |
$719 |
2.6× |
| Us pregnancy ltd (76815) |
$216.59 |
$591 |
2.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$171.52 |
$468 |
1.7× |
| Us retroperitoneal complete (76770) |
$345.96 |
$944 |
3.4× |
| Us retroperitoneal limited (76775) |
$345.96 |
$944 |
3.4× |
| Us scrotum and contents (76870) |
$399.47 |
$1,090 |
3.9× |
| Us soft tissue head/neck (76536) |
$308.95 |
$843 |
3.1× |
| Us spinal canal and contents (76800) |
$141.83 |
$387 |
1.4× |
| Us transrectal (76872) |
$1,553.88 |
$4,240 |
15.4× |
| Us xtr non-vasc lmtd (76882) |
$287.51 |
$784.50 |
2.8× |
| Venogram extremity bilateral (75822) |
$484.13 |
$1,321 |
0.3× |
| Venography caval inferior serialography rs&i (75825) |
$1,341.32 |
$3,660 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$329.47 |
$899 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$106.28 |
$290 |
1.3× |
| Wrist 2 views (73100) |
$128.27 |
$350 |
1.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$351.46 |
$959 |
3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$80.26 |
$219 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$151.73 |
$414 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$423.66 |
$1,156 |
2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$138.17 |
$377 |
1.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$192.04 |
$524 |
2.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$232.72 |
$635 |
2.3× |
| X-ray exam hip uni 1 view (73501) |
$119.11 |
$325 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$149.16 |
$407 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$227.77 |
$621.50 |
2.3× |
| X-ray exam of femur 1 (73551) |
$88.33 |
$241 |
1.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$616.06 |
$1,681 |
3.6× |
| X-ray eye for foreign body (70030) |
$74.77 |
$204 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$188.56 |
$514.50 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$116.18 |
$317 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$233.09 |
$636 |
2.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$75.87 |
$207 |
0.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$244.45 |
$667 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$221.73 |
$605 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$198.27 |
$541 |
2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$171.70 |
$468.50 |
2.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$187.46 |
$511.50 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$253.24 |
$691 |
2.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$503.18 |
$1,373 |
5.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$296.12 |
$808 |
2.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$149.90 |
$409 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$88.69 |
$242 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$159.06 |
$434 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$183.98 |
$502 |
1.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$263.50 |
$719 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$139.63 |
$381 |
1.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$367.22 |
$1,002 |
3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$378.22 |
$1,032 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$218.43 |
$596 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$124.24 |
$339 |
1.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$383.34 |
$1,046 |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$233.27 |
$636.50 |
2.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$68.90 |
$188 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$250.12 |
$682.50 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$159.98 |
$436.50 |
1.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$98.22 |
$268 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$80.26 |
$219 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$185.26 |
$505.50 |
2.2× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$76.23 |
$208 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$212.93 |
$581 |
2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$370.15 |
$1,010 |
3.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$123.88 |
$338 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$183.25 |
$500 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$386.28 |
$1,054 |
3.8× |
| Xr chest 4+ views (71048) |
$142.20 |
$388 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$141.83 |
$387 |
1.7× |
| XR Mastoids < 3 Views Bilateral (70120) |
$171.15 |
$467 |
1.7× |
| Xr shoulder 1 view (73020) |
$142.93 |
$390 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$298.32 |
$814 |
2.9× |
| Xr tibia/fibula 2 views (73590) |
$131.94 |
$360 |
1.6× |
| Xr tmj bilateral (70330) |
$120.21 |
$328 |
1.4× |
| Xray knee 1 or 2 views rt (73560) |
$206.70 |
$564 |
2.5× |