| 3-D radiotherapy plan dose-volume histograms (77295) |
$9,958.73 |
$11,065.25 |
6.9× |
| Abdomen 2 views (74019) |
$165.26 |
$183.62 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,812.38 |
$2,013.75 |
4.4× |
| Ankle 2 views (73600) |
$183.82 |
$204.25 |
2.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$571.28 |
$634.75 |
1.6× |
| Arthrogram hip (73525) |
$848.25 |
$942.50 |
2.3× |
| Arthrogram shoulder (73040) |
$847.80 |
$942 |
2.3× |
| Arthrogram wrist (73115) |
$949.73 |
$1,055.25 |
2.6× |
| Arthrography knee lt (73580) |
$910.35 |
$1,011.50 |
2.5× |
| Basic radiation dosimetry calculation (77300) |
$905.18 |
$1,005.75 |
6.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,254.60 |
$1,394 |
3.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,679.85 |
$1,866.50 |
4.0× |
| Bone &/joint imaging whole body (78306) |
$1,962.90 |
$2,181 |
4.7× |
| Bone age studies (77072) |
$159.30 |
$177 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$2,336.63 |
$2,596.25 |
5.6× |
| Bone survey complete (77075) |
$922.50 |
$1,025 |
8.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,084 |
$6,760 |
4.1× |
| Cervical spine 2 or 3 views (72040) |
$107.44 |
$119.38 |
1.2× |
| Chest 1 view (71045) |
$72.68 |
$80.75 |
0.8× |
| Chest 3 views (71047) |
$398.93 |
$443.25 |
4.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$608.85 |
$676.50 |
3.3× |
| Clavicle complete (73000) |
$202.05 |
$224.50 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,862.33 |
$2,069.25 |
17.2× |
| Continuing medical physics consltj pr wk (77336) |
$957.15 |
$1,063.50 |
6.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,308.65 |
$5,898.50 |
14.7× |
| CT abdomen and pelvis without contrast (74176) |
$4,162.95 |
$4,625.50 |
16.8× |
| CT abdomen w contrast (74160) |
$2,683.13 |
$2,981.25 |
14.7× |
| CT abdomen w wo contrast (74170) |
$3,343.73 |
$3,715.25 |
18.4× |
| CT abdomen w/o contrast (74150) |
$2,446.65 |
$2,718.50 |
22.5× |
| CT angiography upper extremity lt (73206) |
$3,310.20 |
$3,678 |
18.2× |
| CT c-spine w/o contrast (72125) |
$2,450.93 |
$2,723.25 |
22.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,852.55 |
$3,169.50 |
15.7× |
| CT cervical spine with contrast (72126) |
$3,036.83 |
$3,374.25 |
8.4× |
| CT chest w/wo contrast (71270) |
$3,125.48 |
$3,472.75 |
17.2× |
| CT chest with contrast (71260) |
$2,578.73 |
$2,865.25 |
14.2× |
| CT colonography screening (74263) |
$2,324.48 |
$2,582.75 |
9.4× |
| CT colonography w/dye (74262) |
$2,652.75 |
$2,947.50 |
14.6× |
| CT colonography w/o cntrst (74261) |
$2,394 |
$2,660 |
22.1× |
| CT head/brain with contrast (70460) |
$2,351.25 |
$2,612.50 |
12.9× |
| CT head/brain without and with contrast (70470) |
$2,679.75 |
$2,977.50 |
14.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$347.52 |
$386.12 |
3.8× |
| CT iac w contrast (70481) |
$2,863.80 |
$3,182 |
15.7× |
| CT limited/localized follow up study (76380) |
$1,393.65 |
$1,548.50 |
15.4× |
| CT lower ext w/o (73700) |
$2,296.58 |
$2,551.75 |
21.2× |
| CT lower extremity w wo contrast (73702) |
$2,619.23 |
$2,910.25 |
14.4× |
| CT lower extremity with contrast (73701) |
$2,580.98 |
$2,867.75 |
14.2× |
| CT lumbar spine w & w/o contrast (72133) |
$3,017.03 |
$3,352.25 |
16.6× |
| CT lumbar spine w/o contrast (72131) |
$2,379.83 |
$2,644.25 |
21.9× |
| CT lumbar spine with contrast (72132) |
$2,895.75 |
$3,217.50 |
8.0× |
| CT maxillofacial w contrast (70487) |
$2,316.83 |
$2,574.25 |
12.7× |
| CT maxillofacial w/o contrast (70486) |
$1,942.65 |
$2,158.50 |
17.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,627.10 |
$2,919 |
14.4× |
| CT neck soft tissue w contrast (70491) |
$2,464.20 |
$2,738 |
13.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,861.10 |
$3,179 |
15.7× |
| CT orbits w/o contrast (70480) |
$2,439.23 |
$2,710.25 |
22.5× |
| CT pelvis w & w/o contrast (72194) |
$3,146.85 |
$3,496.50 |
17.3× |
| CT pelvis w/o contrast (72192) |
$2,406.38 |
$2,673.75 |
22.2× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$480.15 |
$533.50 |
5.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,818.80 |
$3,132 |
15.5× |
| CT soft tissue neck w/o contrast (70490) |
$2,215.58 |
$2,461.75 |
20.4× |
| CT thoracic spine w/contrast (72129) |
$2,527.43 |
$2,808.25 |
13.9× |
| CT thoracic spine w/o contrast (72128) |
$2,450.93 |
$2,723.25 |
22.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,879.55 |
$3,199.50 |
15.8× |
| CT thorax w/o contrast (71250) |
$2,374.43 |
$2,638.25 |
21.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,949.98 |
$3,277.75 |
16.2× |
| CT upper extremity w/o contrast rt (73200) |
$2,147.63 |
$2,386.25 |
19.8× |
| CT upper extremity with contrast (73201) |
$2,435.63 |
$2,706.25 |
6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,604.73 |
$4,005.25 |
19.8× |
| Cta Abdomen (74175) |
$3,352.95 |
$3,725.50 |
18.4× |
| CTA abdomen pelvis (74174) |
$5,745.15 |
$6,383.50 |
15.9× |
| CTA chest (71275) |
$3,420.45 |
$3,800.50 |
18.8× |
| Cta Head (70496) |
$3,120.75 |
$3,467.50 |
17.1× |
| CTA lwr ext w&w/o contrast (73706) |
$3,371.85 |
$3,746.50 |
18.5× |
| Cta Neck (70498) |
$3,118.28 |
$3,464.75 |
17.1× |
| Cta Pelvis (72191) |
$3,009.38 |
$3,343.75 |
16.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$499.28 |
$554.75 |
4.6× |
| Esophagus (74220) |
$711.90 |
$791 |
3.9× |
| Fetal biophysical profile non-stress testing (76818) |
$519.86 |
$577.62 |
4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$234 |
$260 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$705.60 |
$784 |
2.8× |
| Foot 2 views (73620) |
$175.96 |
$195.50 |
1.9× |
| Forearm 2 views (73090) |
$192.49 |
$213.88 |
2.1× |
| Gated Heart Planar Single (78472) |
$2,106 |
$2,340 |
5.1× |
| Hand 2 views (73120) |
$87.98 |
$97.75 |
0.8× |
| Hand 3 views (73130) |
$102.60 |
$114 |
1.1× |
| Heart Infarct Image (78466) |
$2,033.10 |
$2,259 |
4.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,998 |
$2,220 |
3.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,998 |
$2,220 |
4.8× |
| Humerus Min 2 Views Left (73060) |
$89.10 |
$99 |
1.0× |
| Hysterosalpingogram (74740) |
$718.88 |
$798.75 |
2.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$251.10 |
$279 |
2.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,292.40 |
$1,436 |
2.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,737 |
$1,930 |
3.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,370.60 |
$2,634 |
4.2× |
| Knee 3 views (73562) |
$244.58 |
$271.75 |
2.7× |
| Liver & spleen imaging static only (78215) |
$1,898.10 |
$2,109 |
4.6× |
| Lymphoscintigraphy (78195) |
$1,832.63 |
$2,036.25 |
3.3× |
| Meckels Diverticulum (78290) |
$1,710 |
$1,900 |
4.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,312.23 |
$3,680.25 |
8.5× |
| MRA head w & w/o contrast (70546) |
$4,126.28 |
$4,584.75 |
11.4× |
| MRA head w/o contrast (70544) |
$3,484.58 |
$3,871.75 |
14.1× |
| MRA head with contrast (70545) |
$3,915.23 |
$4,350.25 |
10.8× |
| MRA neck w contrast (70548) |
$3,481.20 |
$3,868 |
9.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,136.40 |
$4,596 |
11.4× |
| MRA neck w/o contrast (70547) |
$3,318.30 |
$3,687 |
13.4× |
| MRI abdomen w contrast (74182) |
$3,690.68 |
$4,100.75 |
10.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,336.20 |
$4,818 |
12.0× |
| MRI abdomen w/o contrast (74181) |
$3,257.33 |
$3,619.25 |
13.1× |
| MRI any jnt lwr ext with con lt (73722) |
$3,386.03 |
$3,762.25 |
4.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,249 |
$3,610 |
4.0× |
| MRI breast w/o contrast bilateral (77047) |
$2,313.90 |
$2,571 |
9.3× |
| MRI breast w/o contrast unilat (77046) |
$1,690.65 |
$1,878.50 |
6.8× |
| MRI c-spine with contrast (72142) |
$3,850.88 |
$4,278.75 |
10.6× |
| MRI cervical spine w/o contrast (72141) |
$3,581.78 |
$3,979.75 |
14.5× |
| MRI chest w/o & w/contrast material (71552) |
$4,003.65 |
$4,448.50 |
11.1× |
| MRI chest w/o contrast (71550) |
$3,682.35 |
$4,091.50 |
14.9× |
| MRI chest with contrast (71551) |
$3,398.85 |
$3,776.50 |
4.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,782.25 |
$4,202.50 |
10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,912.63 |
$3,236.25 |
8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,036.38 |
$3,373.75 |
12.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,037.05 |
$3,374.50 |
12.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,891.83 |
$4,324.25 |
10.7× |
| MRI orbit/face/neck w/contrast (70542) |
$3,300.08 |
$3,666.75 |
9.1× |
| MRI pelvis w contrast (72196) |
$3,455.10 |
$3,839 |
9.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,289.63 |
$4,766.25 |
11.8× |
| MRI pelvis w/o contrast (72195) |
$3,771.79 |
$4,190.88 |
15.2× |
| MRI scan of arm joint before and after contrast (73223) |
$3,962.70 |
$4,403 |
10.9× |
| MRI scan of leg joint before and after contrast (73723) |
$3,761.55 |
$4,179.50 |
10.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,401.23 |
$4,890.25 |
12.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,583.70 |
$5,093 |
12.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,236.53 |
$4,707.25 |
11.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,850.88 |
$4,278.75 |
10.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,468.28 |
$4,964.75 |
12.3× |
| MRI thoracic spine w/o contrast (72146) |
$3,697.65 |
$4,108.50 |
14.9× |
| MRI tmj (70336) |
$2,526.08 |
$2,806.75 |
10.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,667.60 |
$2,964 |
10.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,961.13 |
$4,401.25 |
10.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,436.65 |
$3,818.50 |
13.9× |
| Myelogram Lumbar (72265) |
$1,337.85 |
$1,486.50 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,393.80 |
$4,882 |
3.3× |
| Neck soft tissue (70360) |
$127.35 |
$141.50 |
1.4× |
| Nm gastric emptying study (78264) |
$2,037.15 |
$2,263.50 |
4.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$9,958.50 |
$11,065 |
6.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$2,081.03 |
$2,312.25 |
5.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$355.05 |
$394.50 |
3.3× |
| Osseous survey infant (77076) |
$535.50 |
$595 |
4.9× |
| Osseous survey limited (77074) |
$758.25 |
$842.50 |
7.0× |
| Parathyrd planar w/wo subtrj (78071) |
$1,706.18 |
$1,895.75 |
4.1× |
| Parathyroid imaging (78070) |
$1,359 |
$1,510 |
3.3× |
| Pelvis 1 or 2 views (72170) |
$78.53 |
$87.25 |
0.7× |
| PET image w/CT, skull-thigh (78815) |
$6,931.35 |
$7,701.50 |
4.7× |
| PET imaging for CT attenuation whole body (78816) |
$7,996.05 |
$8,884.50 |
5.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,643.65 |
$4,048.50 |
10.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,292.40 |
$1,436 |
3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,515.60 |
$1,684 |
2.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$115.54 |
$128.38 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$191.59 |
$212.88 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$305.55 |
$339.50 |
2.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$625.05 |
$694.50 |
5.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$268.88 |
$298.75 |
2.5× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,823.18 |
$2,025.75 |
3.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$875.03 |
$972.25 |
8.3× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,881.45 |
$2,090.50 |
4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$331.76 |
$368.62 |
3.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$85.05 |
$94.50 |
0.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$90.56 |
$100.62 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$844.65 |
$938.50 |
4.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$647.10 |
$719 |
3.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$99.45 |
$110.50 |
1.1× |
| Radiological examination surgical specimen (76098) |
$287.33 |
$319.25 |
0.5× |
| Ribs bilateral 3 views (71110) |
$119.59 |
$132.88 |
1.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,423.48 |
$2,692.75 |
4.3× |
| Sacroiliac Joints < 3 Views (72200) |
$240.76 |
$267.50 |
2.2× |
| Scanogram (77073) |
$481.28 |
$534.75 |
4.4× |
| Scapula complete (73010) |
$206.22 |
$229.12 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$76.95 |
$85.50 |
3.3× |
| Simulation intermediate (77285) |
$2,736 |
$3,040 |
7.0× |
| Small bowel series (74250) |
$760.05 |
$844.50 |
4.2× |
| Spec medical radj physics consltj (77370) |
$1,035.68 |
$1,150.75 |
7.4× |
| Special dosimetry (77331) |
$990 |
$1,100 |
7.1× |
| Special treatment procedure (77470) |
$3,858.98 |
$4,287.75 |
6.7× |
| Spine thoracic 3 views (72072) |
$312.53 |
$347.25 |
2.9× |
| Stereotactic body radiation delivery (77373) |
$11,021.40 |
$12,246 |
5.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,871.45 |
$3,190.50 |
7.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,689.20 |
$2,988 |
6.9× |
| Testicular Imaging With Vascular Flow (78761) |
$1,993.50 |
$2,215 |
4.8× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,689.20 |
$2,988 |
6.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,530.23 |
$1,700.25 |
11.0× |
| Tomogram (76100) |
$575.78 |
$639.75 |
5.3× |
| Treatment device intermediate (77333) |
$1,075.73 |
$1,195.25 |
7.7× |
| Treatment devices simple (77332) |
$1,029.38 |
$1,143.75 |
7.4× |
| Tx devices design & construction complex (77334) |
$2,509.20 |
$2,788 |
6.5× |
| Ultrasound, abdomen limited (76705) |
$484.54 |
$538.38 |
4.5× |
| Unlisted magnetic resonance procedure (76498) |
$1,223.55 |
$1,359.50 |
13.5× |
| Urethrocystography retrograde rs&i (74450) |
$648 |
$720 |
2.6× |
| Urethrocystography voiding (74455) |
$753.98 |
$837.75 |
3.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$863.33 |
$959.25 |
4.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$950.18 |
$1,055.75 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$469.12 |
$521.25 |
4.3× |
| Us breast unilateral complete (76641) |
$624.15 |
$693.50 |
5.7× |
| Us breast unilateral limited (76642) |
$439.20 |
$488 |
4.9× |
| Us chest (76604) |
$604.58 |
$671.75 |
5.6× |
| Us compl joint r-t w/image documentation (76881) |
$673.88 |
$748.75 |
6.2× |
| Us elastography parenchyma (76981) |
$223.43 |
$248.25 |
2.1× |
| Us kidney transplant (76776) |
$805.05 |
$894.50 |
7.4× |
| Us ob detailed single fetus (76811) |
$662.40 |
$736 |
2.7× |
| Us ob transvaginal (76817) |
$439.32 |
$488.12 |
4.0× |
| Us pelvic non ob complete (76856) |
$560.02 |
$622.25 |
5.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$344.70 |
$383 |
3.2× |
| Us pregnancy ltd (76815) |
$355.06 |
$394.50 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$532.80 |
$592 |
4.9× |
| Us retroperitoneal complete (76770) |
$567.56 |
$630.62 |
5.2× |
| Us retroperitoneal limited (76775) |
$415.69 |
$461.88 |
3.8× |
| Us scrotum and contents (76870) |
$505.36 |
$561.50 |
4.7× |
| Us soft tissue head/neck (76536) |
$658.35 |
$731.50 |
6.1× |
| Us spinal canal and contents (76800) |
$712.58 |
$791.75 |
6.6× |
| Us xtr non-vasc lmtd (76882) |
$587.03 |
$652.25 |
5.4× |
| Venography extremity unilateral rs&i (75820) |
$952.65 |
$1,058.50 |
0.6× |
| Wrist 2 views (73100) |
$183.16 |
$203.50 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$141.75 |
$157.50 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$77.74 |
$86.38 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$222.98 |
$247.75 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,060.43 |
$1,178.25 |
5.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$190.46 |
$211.62 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$353.70 |
$393 |
3.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$214.32 |
$238.12 |
2.0× |
| X-ray exam hip uni 1 view (73501) |
$184.73 |
$205.25 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$132.53 |
$147.25 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$167.18 |
$185.75 |
1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$375.98 |
$417.75 |
3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$465.86 |
$517.62 |
4.3× |
| X-ray exam of femur 1 (73551) |
$205.76 |
$228.62 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$294.53 |
$327.25 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$91.13 |
$101.25 |
1.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$97.65 |
$108.50 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$173.26 |
$192.50 |
1.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$553.28 |
$614.75 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$213.42 |
$237.12 |
2.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$411.98 |
$457.75 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$173.48 |
$192.75 |
1.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$91.80 |
$102 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$112.95 |
$125.50 |
1.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$491.40 |
$546 |
4.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$228.38 |
$253.75 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$77.63 |
$86.25 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$298.24 |
$331.38 |
2.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$271.02 |
$301.12 |
2.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$841.05 |
$934.50 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$100.69 |
$111.88 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$279.12 |
$310.12 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$336.83 |
$374.25 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$242.22 |
$269.12 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$212.96 |
$236.62 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$227.82 |
$253.12 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$102.60 |
$114 |
1.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$87.64 |
$97.38 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$127.35 |
$141.50 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$100.58 |
$111.75 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$68.18 |
$75.75 |
0.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$192.38 |
$213.75 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$219.16 |
$243.50 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$115.54 |
$128.38 |
1.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$81.68 |
$90.75 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$115.20 |
$128 |
1.3× |
| Xr arthrogram ankle (73615) |
$871.43 |
$968.25 |
2.4× |
| Xr chest 4+ views (71048) |
$267.30 |
$297 |
2.5× |
| Xr Cholecystography Oral Contrast (74290) |
$531.68 |
$590.75 |
2.9× |
| Xr finger(s) 2+ views (73140) |
$178.66 |
$198.50 |
2.0× |
| Xr shoulder 1 view (73020) |
$169.54 |
$188.38 |
1.9× |
| Xr spine cervical 4 or 5 views (72050) |
$187.99 |
$208.88 |
1.7× |
| Xr tibia/fibula 2 views (73590) |
$204.30 |
$227 |
2.3× |
| Xr tmj bilateral (70330) |
$435.60 |
$484 |
4.8× |
| Xray knee 1 or 2 views rt (73560) |
$218.59 |
$242.88 |
2.4× |