| Abdomen 2 views (74019) |
$192 |
$192 |
2.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$569.44 |
$569.44 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$7,893 |
$7,893 |
2.7× |
| Angiography extremity unilateral rs&i (75710) |
$4,113 |
$4,113 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$2,890 |
$2,890 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,890 |
$2,890 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,113 |
$4,113 |
1.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,369 |
$4,369 |
0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,169 |
$2,169 |
0.7× |
| Ankle 2 views (73600) |
$40.45 |
$40.45 |
0.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$565 |
$565 |
1.7× |
| Aortogram thoracic (75605) |
$2,940.50 |
$2,940.50 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,534.37 |
$1,534.37 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$7,471 |
$7,471 |
2.5× |
| Aortography thoracic w/o serialography rs&i (75600) |
$5,812 |
$5,812 |
2.0× |
| Arthrogram elbow (73085) |
$497 |
$497 |
1.5× |
| Arthrogram hip (73525) |
$565 |
$565 |
1.7× |
| Arthrogram shoulder (73040) |
$544 |
$544 |
1.7× |
| Arthrogram wrist (73115) |
$753.16 |
$753.16 |
2.3× |
| Arthrography knee lt (73580) |
$497 |
$497 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$359.68 |
$359.68 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$1,397 |
$1,397 |
3.8× |
| Bone age studies (77072) |
$84.02 |
$84.02 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$618.57 |
$618.57 |
1.7× |
| Bone survey complete (77075) |
$246 |
$246 |
2.5× |
| Brain image w/flow 4 + views (78606) |
$857.80 |
$857.80 |
1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,725 |
$2,725 |
2.0× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$218 |
$218 |
19.7× |
| Cervical spine 2 or 3 views (72040) |
$54 |
$54 |
0.7× |
| Chest 1 view (71045) |
$43.61 |
$43.61 |
0.5× |
| Chest 3 views (71047) |
$53.74 |
$53.74 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$242.55 |
$242.55 |
1.5× |
| Clavicle complete (73000) |
$48.76 |
$48.76 |
0.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$337 |
$337 |
3.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,385 |
$7,385 |
22.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,501 |
$1,501 |
6.8× |
| CT abdomen w contrast (74160) |
$1,067 |
$1,067 |
6.5× |
| CT abdomen w wo contrast (74170) |
$1,229 |
$1,229 |
7.5× |
| CT abdomen w/o contrast (74150) |
$751 |
$751 |
7.7× |
| CT angio hrt w/3d image (75574) |
$968.34 |
$968.34 |
3.0× |
| CT angiography upper extremity lt (73206) |
$1,024 |
$1,024 |
6.3× |
| CT c-spine w/o contrast (72125) |
$874 |
$874 |
9.0× |
| CT cervical spine w&w/o contrast (72127) |
$991 |
$991 |
6.1× |
| CT cervical spine with contrast (72126) |
$674 |
$674 |
2.1× |
| CT chest w/wo contrast (71270) |
$1,229 |
$1,229 |
7.5× |
| CT chest with contrast (71260) |
$1,909.50 |
$1,909.50 |
11.7× |
| CT head/brain with contrast (70460) |
$1,034 |
$1,034 |
6.3× |
| CT head/brain without and with contrast (70470) |
$1,229 |
$1,229 |
7.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$412.79 |
$412.79 |
1.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$145.78 |
$145.78 |
1.8× |
| CT hrt w/3d image congen (75573) |
$409.95 |
$409.95 |
1.3× |
| CT iac w contrast (70481) |
$861 |
$861 |
5.3× |
| CT limited/localized follow up study (76380) |
$583 |
$583 |
7.2× |
| CT lower ext w/o (73700) |
$2,251 |
$2,251 |
23.1× |
| CT lower extremity w wo contrast (73702) |
$871 |
$871 |
5.3× |
| CT lower extremity with contrast (73701) |
$456 |
$456 |
2.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,743 |
$1,743 |
10.7× |
| CT lumbar spine w/o contrast (72131) |
$930 |
$930 |
9.6× |
| CT lumbar spine with contrast (72132) |
$861 |
$861 |
2.7× |
| CT maxillofacial w contrast (70487) |
$876 |
$876 |
5.4× |
| CT maxillofacial w/o contrast (70486) |
$930 |
$930 |
9.6× |
| CT maxillofacial w/wo contrast (70488) |
$991 |
$991 |
6.1× |
| CT neck soft tissue w contrast (70491) |
$991 |
$991 |
6.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$943 |
$943 |
5.8× |
| CT orbits w/o contrast (70480) |
$855 |
$855 |
8.8× |
| CT pelvis w & w/o contrast (72194) |
$2,456 |
$2,456 |
15.1× |
| CT pelvis w/o contrast (72192) |
$2,257 |
$2,257 |
23.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,067 |
$1,067 |
6.5× |
| CT soft tissue neck w/o contrast (70490) |
$922 |
$922 |
9.5× |
| CT thoracic spine w/contrast (72129) |
$1,514 |
$1,514 |
9.3× |
| CT thoracic spine w/o contrast (72128) |
$751 |
$751 |
7.7× |
| CT thoracic spine w/wo contrast (72130) |
$991 |
$991 |
6.1× |
| CT thorax w/o contrast (71250) |
$2,257 |
$2,257 |
23.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,979 |
$1,979 |
12.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,857 |
$1,857 |
19.1× |
| CT upper extremity with contrast (73201) |
$1,885 |
$1,885 |
5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$889 |
$889 |
5.4× |
| Cta Abdomen (74175) |
$889 |
$889 |
5.4× |
| CTA abdomen pelvis (74174) |
$1,865.50 |
$1,865.50 |
5.7× |
| CTA chest (71275) |
$1,024 |
$1,024 |
6.3× |
| Cta Head (70496) |
$1,971 |
$1,971 |
12.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,207 |
$3,207 |
9.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,888 |
$1,888 |
11.6× |
| Cta Neck (70498) |
$1,455 |
$1,455 |
8.9× |
| Cta Pelvis (72191) |
$889 |
$889 |
5.4× |
| Cystography minimum 3 views rs&i (74430) |
$1,297 |
$1,297 |
4.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$323 |
$323 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$96 |
$96 |
1.2× |
| Esophagus (74220) |
$187 |
$187 |
1.1× |
| Fetal biophysical profile non-stress testing (76818) |
$185 |
$185 |
1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$174.96 |
$174.96 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$367.50 |
$367.50 |
1.7× |
| Foot 2 views (73620) |
$49.60 |
$49.60 |
0.6× |
| Forearm 2 views (73090) |
$29.87 |
$29.87 |
0.4× |
| Gated Heart Planar Single (78472) |
$457.86 |
$457.86 |
1.2× |
| Hand 2 views (73120) |
$50.28 |
$50.28 |
0.5× |
| Hand 3 views (73130) |
$41.80 |
$41.80 |
0.5× |
| Heart Infarct Image (78466) |
$514.54 |
$514.54 |
1.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,980 |
$2,980 |
1.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$697.66 |
$697.66 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$581.20 |
$581.20 |
1.6× |
| Ht muscle image spect sing (78451) |
$66.28 |
$66.28 |
0.1× |
| Humerus Min 2 Views Left (73060) |
$37.04 |
$37.04 |
0.5× |
| Hysterosalpingogram (74740) |
$248 |
$248 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$811.40 |
$811.40 |
1.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$418.91 |
$418.91 |
0.8× |
| Knee 3 views (73562) |
$28.26 |
$28.26 |
0.3× |
| Liver & spleen imaging static only (78215) |
$415.20 |
$415.20 |
1.1× |
| Lung perf&ventilat diferentl (78598) |
$585.80 |
$585.80 |
1.2× |
| Lymphoscintigraphy (78195) |
$830.06 |
$830.06 |
1.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$99.32 |
$99.32 |
1.2× |
| Meckels Diverticulum (78290) |
$597.30 |
$597.30 |
1.6× |
| MRA head w & w/o contrast (70546) |
$1,069 |
$1,069 |
3.3× |
| MRA head w/o contrast (70544) |
$752.88 |
$752.88 |
3.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,276 |
$1,276 |
3.9× |
| MRA neck w/o contrast (70547) |
$1,300 |
$1,300 |
5.9× |
| MRI abdomen w contrast (74182) |
$1,637 |
$1,637 |
5.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,075.54 |
$3,075.54 |
9.5× |
| MRI abdomen w/o contrast (74181) |
$1,101.31 |
$1,101.31 |
5.0× |
| MRI any jnt lwr ext with con lt (73722) |
$1,571 |
$1,571 |
2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,582 |
$1,582 |
2.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,820 |
$1,820 |
8.2× |
| MRI breast w/o contrast unilat (77046) |
$792 |
$792 |
3.6× |
| MRI c-spine with contrast (72142) |
$1,582 |
$1,582 |
4.9× |
| MRI cervical spine w/o contrast (72141) |
$997.24 |
$997.24 |
4.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,525.74 |
$1,525.74 |
4.7× |
| MRI chest w/o contrast (71550) |
$1,178.92 |
$1,178.92 |
5.3× |
| MRI chest with contrast (71551) |
$1,012.88 |
$1,012.88 |
1.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,580 |
$1,580 |
4.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,582 |
$1,582 |
4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,580 |
$1,580 |
7.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,562 |
$1,562 |
7.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,935.50 |
$1,935.50 |
6.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,582 |
$1,582 |
4.9× |
| MRI pelvis w contrast (72196) |
$1,276 |
$1,276 |
3.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,773.50 |
$1,773.50 |
5.5× |
| MRI pelvis w/o contrast (72195) |
$1,276 |
$1,276 |
5.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,936 |
$1,936 |
6.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,765 |
$1,765 |
5.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,402 |
$1,402 |
4.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,099.92 |
$1,099.92 |
3.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,334.20 |
$1,334.20 |
4.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,480 |
$3,480 |
10.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,336.23 |
$1,336.23 |
4.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,562 |
$1,562 |
7.0× |
| MRI tmj (70336) |
$1,089.50 |
$1,089.50 |
4.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,518.50 |
$1,518.50 |
6.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,406 |
$3,406 |
10.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,580 |
$1,580 |
7.1× |
| Myocardial infarct spect (78469) |
$452.87 |
$452.87 |
0.9× |
| Myocardial Spect Multiple Studies (78452) |
$939.03 |
$939.03 |
0.8× |
| Neck soft tissue (70360) |
$83.87 |
$83.87 |
1.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$515.22 |
$515.22 |
1.4× |
| Nm cisternogram (78630) |
$896 |
$896 |
1.8× |
| Nm csf leak detection (78650) |
$324 |
$324 |
0.3× |
| Nm gastric emptying study (78264) |
$669.52 |
$669.52 |
1.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$877.46 |
$877.46 |
0.7× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$93 |
$93 |
0.1× |
| Nuclear Rx Oral Admin (79005) |
$411.72 |
$411.72 |
1.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$305.32 |
$305.32 |
3.1× |
| Osseous survey infant (77076) |
$134.88 |
$134.88 |
1.4× |
| Osseous survey limited (77074) |
$382.96 |
$382.96 |
3.9× |
| Parathyroid imaging (78070) |
$573.38 |
$573.38 |
1.5× |
| Pelvis 1 or 2 views (72170) |
$43.12 |
$43.12 |
0.4× |
| PET image w/CT, skull-thigh (78815) |
$2,974 |
$2,974 |
2.2× |
| PET imaging CT for attenuation limited area (78814) |
$2,155 |
$2,155 |
1.6× |
| PET imaging for CT attenuation whole body (78816) |
$3,078 |
$3,078 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,142 |
$3,142 |
9.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$740.26 |
$740.26 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,136.60 |
$1,136.60 |
2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$378 |
$378 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$337 |
$337 |
4.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$151 |
$151 |
1.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$52.58 |
$52.58 |
0.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$77.60 |
$77.60 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$280.63 |
$280.63 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$130 |
$130 |
1.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$54.07 |
$54.07 |
0.7× |
| Radiologic exam colon single contrast study (74270) |
$288.70 |
$288.70 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$242.52 |
$242.52 |
1.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$220.04 |
$220.04 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$123 |
$123 |
1.5× |
| Radiological examination surgical specimen (76098) |
$467 |
$467 |
0.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) |
$12 |
$12 |
0.0× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,094 |
$2,094 |
0.7× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$5,761 |
$5,761 |
2.0× |
| Ribs bilateral 3 views (71110) |
$72.02 |
$72.02 |
0.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$708.35 |
$708.35 |
1.4× |
| Sacroiliac Joints < 3 Views (72200) |
$37.03 |
$37.03 |
0.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$75.37 |
$75.37 |
0.3× |
| Scanogram (77073) |
$70.38 |
$70.38 |
0.7× |
| Scapula complete (73010) |
$39.76 |
$39.76 |
0.4× |
| Screening digital breast tomosynthesis (77063) |
$98 |
$98 |
4.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$150 |
$150 |
1.5× |
| Small bowel series (74250) |
$345.29 |
$345.29 |
2.1× |
| Splenoportograpy rs&i (75810) |
$4,113 |
$4,113 |
1.4× |
| Therapeutic Enema (74283) |
$333.12 |
$333.12 |
2.0× |
| Thoracolumbar 2 views (72080) |
$99.82 |
$99.82 |
1.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$567.50 |
$567.50 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$500.86 |
$500.86 |
1.3× |
| Tomogram (76100) |
$265.64 |
$265.64 |
2.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$434.45 |
$434.45 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$378 |
$378 |
3.9× |
| Umbilical-artery Doppler (OB) (76820) |
$117.59 |
$117.59 |
1.2× |
| Unlisted Ultrasound Procedure (76999) |
$498 |
$498 |
6.2× |
| Upper Extremity Infant (73092) |
$52.31 |
$52.31 |
0.5× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$257 |
$257 |
2.7× |
| Urethrocystography retrograde rs&i (74450) |
$697 |
$697 |
3.1× |
| Urethrocystography voiding (74455) |
$165 |
$165 |
0.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$426 |
$426 |
2.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$303.45 |
$303.45 |
1.9× |
| Us abdl aorta screen aaa (76706) |
$307 |
$307 |
3.2× |
| Us breast unilateral complete (76641) |
$378 |
$378 |
3.9× |
| Us breast unilateral limited (76642) |
$388 |
$388 |
4.8× |
| Us chest (76604) |
$222.46 |
$222.46 |
2.3× |
| Us compl joint r-t w/image documentation (76881) |
$325.50 |
$325.50 |
3.3× |
| Us elastography parenchyma (76981) |
$361 |
$361 |
3.7× |
| Us fetal nuchal translucency 1st gestation (76813) |
$124.20 |
$124.20 |
1.3× |
| Us guided compression repair (76936) |
$718.50 |
$718.50 |
3.6× |
| Us infant hips limited static (76886) |
$396 |
$396 |
4.9× |
| Us kidney transplant (76776) |
$341.04 |
$341.04 |
3.5× |
| Us ob detailed single fetus (76811) |
$325.34 |
$325.34 |
1.5× |
| Us ob transvaginal (76817) |
$294.98 |
$294.98 |
3.0× |
| Us pelvic non ob complete (76856) |
$300.15 |
$300.15 |
3.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$285.08 |
$285.08 |
2.9× |
| Us pregnancy ltd (76815) |
$152.59 |
$152.59 |
1.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$211.90 |
$211.90 |
2.2× |
| Us retroperitoneal complete (76770) |
$342.33 |
$342.33 |
3.5× |
| Us retroperitoneal limited (76775) |
$113.25 |
$113.25 |
1.2× |
| Us scrotum and contents (76870) |
$254.64 |
$254.64 |
2.6× |
| Us soft tissue head/neck (76536) |
$273 |
$273 |
2.8× |
| Us spinal canal and contents (76800) |
$348.78 |
$348.78 |
3.6× |
| Us xtr non-vasc lmtd (76882) |
$358 |
$358 |
3.7× |
| Venogram extremity bilateral (75822) |
$268 |
$268 |
0.2× |
| Venography caval inferior serialography rs&i (75825) |
$4,369 |
$4,369 |
1.5× |
| Venography caval superior serialography rs&i (75827) |
$1,233 |
$1,233 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,312 |
$1,312 |
0.9× |
| Venography Renal Bilateral (75833) |
$4,469 |
$4,469 |
1.5× |
| Venography renal unilateral selective rs&i (75831) |
$4,113 |
$4,113 |
1.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$10,366 |
$10,366 |
3.5× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,113 |
$4,113 |
0.8× |
| Wrist 2 views (73100) |
$56.24 |
$56.24 |
0.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$123.62 |
$123.62 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$48 |
$48 |
0.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$43 |
$43 |
0.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$340.54 |
$340.54 |
2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$52.78 |
$52.78 |
0.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$49 |
$49 |
0.6× |
| X-ray exam hip uni 1 view (73501) |
$38.06 |
$38.06 |
0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$57.41 |
$57.41 |
0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$110.35 |
$110.35 |
1.1× |
| X-ray eye for foreign body (70030) |
$39.74 |
$39.74 |
0.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$74.56 |
$74.56 |
0.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$50.88 |
$50.88 |
0.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,971 |
$1,971 |
1.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$44.04 |
$44.04 |
0.5× |
| X-ray IV pyelogram+drip infusn (74410) |
$990 |
$990 |
6.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$76.15 |
$76.15 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$52.58 |
$52.58 |
0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$63.07 |
$63.07 |
0.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$33.18 |
$33.18 |
0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$43.72 |
$43.72 |
0.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$160.12 |
$160.12 |
1.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$77.50 |
$77.50 |
0.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$45 |
$45 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$40.14 |
$40.14 |
0.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$63.59 |
$63.59 |
0.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$51.28 |
$51.28 |
0.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$190 |
$190 |
0.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$63.40 |
$63.40 |
0.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$40.72 |
$40.72 |
0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$145.68 |
$145.68 |
1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$53.93 |
$53.93 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$45.06 |
$45.06 |
0.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$36.35 |
$36.35 |
0.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$116.94 |
$116.94 |
1.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$51 |
$51 |
0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$124.71 |
$124.71 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$85.56 |
$85.56 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$24.11 |
$24.11 |
0.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$69.51 |
$69.51 |
0.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$91.82 |
$91.82 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$46.98 |
$46.98 |
0.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$75.08 |
$75.08 |
0.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$45.93 |
$45.93 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$49.12 |
$49.12 |
0.6× |
| Xr arthrogram ankle (73615) |
$360 |
$360 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$171.14 |
$171.14 |
1.8× |
| Xr chest 4+ views (71048) |
$64.84 |
$64.84 |
0.7× |
| Xr finger(s) 2+ views (73140) |
$45.18 |
$45.18 |
0.6× |
| Xr internal auditory meati complete (70134) |
$99.61 |
$99.61 |
0.2× |
| Xr shoulder 1 view (73020) |
$28.21 |
$28.21 |
0.3× |
| Xr spine cervical 4 or 5 views (72050) |
$79 |
$79 |
0.8× |
| Xr tibia/fibula 2 views (73590) |
$45 |
$45 |
0.6× |
| Xr tmj bilateral (70330) |
$70.44 |
$70.44 |
0.9× |
| Xray knee 1 or 2 views rt (73560) |
$56.30 |
$56.30 |
0.7× |