| Abdomen 2 views (74019) |
$132.07 |
$600.32 |
1.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$281.42 |
$1,279.17 |
0.7× |
| Angiography extremity bilateral rs&i (75716) |
$1,526.85 |
$6,940.24 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,416.13 |
$6,436.96 |
0.5× |
Angiography pelvic slctv/supraslctv rs&i (75736) unusually low: confirm this is the full procedure |
$2,529.07 |
$5,997.88 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,526.85 |
$6,940.24 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,526.85 |
$6,940.24 |
0.5× |
Angiography visceral slctv/supraslctv rs&i (75726) unusually low: confirm this is the full procedure |
$2,479.35 |
$11,269.76 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,471.55 |
$163 |
0.5× |
| Ankle 2 views (73600) |
$93.21 |
$423.70 |
1.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$214.65 |
$975.68 |
0.7× |
Aortogram thoracic (75605) unusually low: confirm this is the full procedure |
$2,385.72 |
$10,844.19 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,526.85 |
$6,940.24 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,526.85 |
$6,940.24 |
0.5× |
| Arthrogram elbow (73085) |
$182.40 |
$829.08 |
0.6× |
| Arthrogram hip (73525) |
$206.17 |
$937.13 |
0.6× |
| Arthrogram shoulder (73040) |
$223.63 |
$1,016.51 |
0.7× |
| Arthrogram wrist (73115) |
$156.24 |
$710.16 |
0.5× |
| Arthrography knee lt (73580) |
$164.46 |
$747.54 |
0.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$213.49 |
$970.42 |
0.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$466.28 |
$2,119.45 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$523.64 |
$2,380.17 |
1.4× |
| Bone age studies (77072) |
$54.06 |
$245.73 |
0.6× |
| Bone Imaging 3 Phase (78315) |
$607.62 |
$2,761.93 |
1.6× |
| Bone survey complete (77075) |
$127.54 |
$579.73 |
1.3× |
| Brain image w/flow 4 + views (78606) |
$222.64 |
$1,012 |
0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$983.61 |
$4,470.94 |
0.7× |
| Brain Imaging Vascular Flow Only (78610) |
$222.92 |
$1,013.27 |
0.4× |
| Cervical spine 2 or 3 views (72040) |
$26.66 |
$121.18 |
0.3× |
| Chest 1 view (71045) |
$99.69 |
$453.13 |
1.2× |
| Chest 3 views (71047) |
$108.18 |
$491.72 |
1.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$112.29 |
$510.39 |
0.7× |
| Clavicle complete (73000) |
$43.14 |
$196.07 |
0.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$46.04 |
$209.27 |
0.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$995.43 |
$4,524.66 |
3.0× |
| CT abdomen and pelvis without contrast (74176) |
$751.96 |
$3,418.01 |
3.4× |
| CT abdomen w contrast (74160) |
$590.20 |
$2,682.74 |
3.6× |
| CT abdomen w wo contrast (74170) |
$707.17 |
$3,214.39 |
4.3× |
| CT abdomen w/o contrast (74150) |
$487.14 |
$2,214.26 |
5.0× |
| CT angio hrt w/3d image (75574) |
$272.91 |
$1,240.51 |
0.8× |
| CT angiography upper extremity lt (73206) |
$520.63 |
$2,366.52 |
3.2× |
| CT c-spine w/o contrast (72125) |
$454.16 |
$2,064.38 |
4.6× |
| CT cervical spine w&w/o contrast (72127) |
$613.23 |
$2,787.39 |
3.7× |
| CT cervical spine with contrast (72126) |
$485.27 |
$2,205.78 |
1.5× |
| CT chest w/wo contrast (71270) |
$638.73 |
$2,903.32 |
3.9× |
| CT chest with contrast (71260) |
$549.56 |
$2,497.99 |
3.3× |
| CT head/brain with contrast (70460) |
$652.21 |
$2,964.60 |
4.0× |
| CT head/brain without and with contrast (70470) |
$804.84 |
$3,658.38 |
4.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$62.70 |
$285.01 |
0.8× |
| CT iac w contrast (70481) |
$836.16 |
$3,800.71 |
5.1× |
| CT limited/localized follow up study (76380) |
$207.94 |
$945.20 |
2.5× |
| CT lower ext w/o (73700) |
$291.86 |
$1,326.64 |
3.0× |
| CT lower extremity w wo contrast (73702) |
$387.48 |
$1,761.25 |
2.4× |
| CT lower extremity with contrast (73701) |
$358 |
$1,627.29 |
2.2× |
| CT lumbar spine w & w/o contrast (72133) |
$516.38 |
$2,347.17 |
3.1× |
| CT lumbar spine w/o contrast (72131) |
$454.16 |
$2,064.38 |
4.6× |
| CT lumbar spine with contrast (72132) |
$485.27 |
$2,205.78 |
1.5× |
| CT maxillofacial w contrast (70487) |
$698.04 |
$3,172.91 |
4.2× |
| CT maxillofacial w/o contrast (70486) |
$652.83 |
$2,967.42 |
6.6× |
| CT maxillofacial w/wo contrast (70488) |
$760.26 |
$3,455.71 |
4.6× |
| CT neck soft tissue w contrast (70491) |
$456.24 |
$2,073.80 |
2.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$882.85 |
$4,012.96 |
5.4× |
| CT orbits w/o contrast (70480) |
$652.83 |
$2,967.42 |
6.6× |
| CT pelvis w & w/o contrast (72194) |
$499.37 |
$2,269.87 |
3.0× |
| CT pelvis w/o contrast (72192) |
$68.86 |
$313 |
0.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$489.42 |
$2,224.62 |
3.0× |
| CT soft tissue neck w/o contrast (70490) |
$353.38 |
$1,606.25 |
3.6× |
| CT thoracic spine w/contrast (72129) |
$511.30 |
$2,324.08 |
3.1× |
| CT thoracic spine w/o contrast (72128) |
$454.16 |
$2,064.38 |
4.6× |
| CT thoracic spine w/wo contrast (72130) |
$636.81 |
$2,894.59 |
3.9× |
| CT thorax w/o contrast (71250) |
$479.46 |
$2,179.38 |
4.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$416.52 |
$1,893.30 |
2.5× |
| CT upper extremity w/o contrast rt (73200) |
$397.30 |
$1,805.90 |
4.0× |
| CT upper extremity with contrast (73201) |
$409.30 |
$1,860.47 |
1.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$554.54 |
$2,520.62 |
3.4× |
| Cta Abdomen (74175) |
$492.94 |
$2,240.65 |
3.0× |
| CTA abdomen pelvis (74174) |
$834.08 |
$3,791.29 |
2.5× |
| CTA chest (71275) |
$549.56 |
$2,497.99 |
3.3× |
| Cta Head (70496) |
$508.08 |
$2,309.46 |
3.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,016.16 |
$4,618.92 |
3.1× |
| CTA lwr ext w&w/o contrast (73706) |
$496.40 |
$2,256.38 |
3.0× |
| Cta Neck (70498) |
$508.08 |
$2,309.46 |
3.1× |
| Cystography minimum 3 views rs&i (74430) |
$186.33 |
$846.95 |
0.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$95.19 |
$432.68 |
1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$38.53 |
$175.12 |
0.5× |
| Dxa bone density study axial skeleton (77085) |
$47.03 |
$213.75 |
0.5× |
| Echoencephalography real time imaging (76506) |
$137.42 |
$624.62 |
1.4× |
| Esophagus (74220) |
$147.14 |
$668.80 |
0.9× |
| Fluoroscopy up to 1 hr (76000) |
$465.94 |
$2,117.90 |
2.1× |
| Foot 2 views (73620) |
$77.35 |
$351.60 |
0.9× |
| Forearm 2 views (73090) |
$86.20 |
$381.78 |
1.1× |
| Gated Heart Planar Single (78472) |
$294.69 |
$1,339.49 |
0.8× |
| Hand 2 views (73120) |
$72.58 |
$329.93 |
0.7× |
| Hand 3 views (73130) |
$89.50 |
$406.82 |
1.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,444.87 |
$6,567.59 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$429.28 |
$1,951.26 |
0.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$220.45 |
$1,002.03 |
0.6× |
| Ht muscle image spect sing (78451) |
$607.62 |
$2,761.93 |
0.5× |
| Humerus Min 2 Views Left (73060) |
$59.36 |
$166.36 |
0.7× |
| Hysterosalpingogram (74740) |
$175.10 |
$795.93 |
0.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$256.12 |
$1,164.16 |
0.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$394.82 |
$1,794.62 |
0.8× |
| Knee 3 views (73562) |
$78.81 |
$358.21 |
1.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$273.26 |
$1,242.05 |
0.7× |
| Lymphoscintigraphy (78195) |
$328.49 |
$1,493.13 |
0.6× |
| Meckels Diverticulum (78290) |
$175.91 |
$799.58 |
0.5× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$232.07 |
$1,054.88 |
0.7× |
| Mr safety determination physician/other qhp (76016) |
$34.87 |
$158.48 |
0.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$23.64 |
$107.44 |
0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$11.59 |
$52.68 |
0.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$37.96 |
$172.54 |
0.4× |
| MRA head w & w/o contrast (70546) |
$823.16 |
$3,741.65 |
2.5× |
| MRA head w/o contrast (70544) |
$590.38 |
$2,683.53 |
2.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$823.16 |
$3,741.65 |
2.5× |
| MRA neck w/o contrast (70547) |
$590.38 |
$2,683.53 |
2.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$957.07 |
$4,350.31 |
2.9× |
| MRI abdomen w/o contrast (74181) |
$803.97 |
$3,654.41 |
3.6× |
| MRI any jnt lwr ext with con lt (73722) |
$688.27 |
$3,128.50 |
0.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$729.92 |
$3,317.81 |
1.0× |
| MRI breast w/o contrast bilateral (77047) |
$444.34 |
$2,019.73 |
2.0× |
| MRI breast w/o contrast unilat (77046) |
$260 |
$1,181.81 |
1.2× |
| MRI cervical spine w/o contrast (72141) |
$691.05 |
$3,141.13 |
3.1× |
| MRI chest w/o & w/contrast material (71552) |
$785.70 |
$3,571.35 |
2.4× |
| MRI chest w/o contrast (71550) |
$781.27 |
$3,551.22 |
3.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$619.90 |
$2,817.74 |
2.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$566.01 |
$2,572.78 |
2.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$823.16 |
$3,741.65 |
2.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$952.64 |
$4,330.18 |
2.9× |
| MRI pelvis w/o contrast (72195) |
$722.57 |
$3,284.43 |
3.2× |
| MRI scan of arm joint before and after contrast (73223) |
$741.23 |
$3,369.24 |
2.3× |
| MRI scan of leg joint before and after contrast (73723) |
$828.86 |
$3,767.55 |
2.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,122.98 |
$5,104.47 |
3.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$864.42 |
$3,929.18 |
2.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,275.44 |
$5,797.47 |
3.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$864.42 |
$3,929.18 |
2.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,275.44 |
$5,797.47 |
3.9× |
| MRI thoracic spine w/o contrast (72146) |
$790.96 |
$3,595.26 |
3.5× |
| MRI upper ext joint w/o contrast (73221) |
$721.97 |
$3,281.70 |
3.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$741.23 |
$3,369.24 |
2.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$737.62 |
$3,352.83 |
3.3× |
| Myocardial Spect Multiple Studies (78452) |
$609.65 |
$2,771.13 |
0.5× |
| Neck soft tissue (70360) |
$26.08 |
$118.56 |
0.3× |
| Nm cisternogram (78630) |
$1,301.69 |
$5,916.79 |
2.6× |
| Nm gastric emptying study (78264) |
$446.28 |
$2,028.55 |
1.2× |
| Nuclear Rx Oral Admin (79005) |
$674.81 |
$3,067.34 |
3.1× |
| Osseous survey infant (77076) |
$99.54 |
$452.47 |
1.0× |
| Parathyroid imaging (78070) |
$526.95 |
$2,395.24 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$30.58 |
$138.98 |
0.3× |
| Peritoneogram rs&i (74190) |
$271.62 |
$1,234.62 |
0.5× |
| PET image w/CT, skull-thigh (78815) |
$1,026.53 |
$4,666.06 |
0.8× |
| PET imaging for CT attenuation whole body (78816) |
$1,070.70 |
$4,866.84 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$915.29 |
$4,160.39 |
2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$167.11 |
$759.60 |
0.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$435.71 |
$1,980.48 |
0.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$255.68 |
$1,162.16 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$69.81 |
$317.32 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$97.05 |
$441.15 |
1.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$33.18 |
$150.80 |
0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$24.20 |
$110 |
0.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$93.24 |
$423.83 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$102.36 |
$465.26 |
1.3× |
| Radiologic exam colon single contrast study (74270) |
$215.92 |
$981.44 |
1.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$380.14 |
$1,727.91 |
2.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$263.65 |
$1,198.41 |
1.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$59.31 |
$269.59 |
0.7× |
| Radiological examination surgical specimen (76098) |
$260.74 |
$1,185.19 |
0.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,526.85 |
$6,940.24 |
0.5× |
| Ribs bilateral 3 views (71110) |
$32 |
$145.48 |
0.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$713.17 |
$3,241.69 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$804.84 |
$3,658.38 |
0.7× |
| Sacroiliac Joints < 3 Views (72200) |
$30.86 |
$140.30 |
0.3× |
| Scanogram (77073) |
$19.14 |
$87 |
0.2× |
| Scapula complete (73010) |
$54.13 |
$246.03 |
0.6× |
| Screening digital breast tomosynthesis (77063) |
$22.07 |
$100.33 |
0.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$59.61 |
$270.94 |
0.6× |
| Small bowel series (74250) |
$276.76 |
$1,257.99 |
1.7× |
| Spine thoracic 3 views (72072) |
$110.04 |
$500.18 |
1.1× |
| Therapeutic Enema (74283) |
$88.53 |
$402.41 |
0.5× |
| Thoracolumbar 2 views (72080) |
$11.22 |
$51 |
0.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$317.91 |
$1,445.06 |
0.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$579.35 |
$2,633.43 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$218.87 |
$994.85 |
2.2× |
| Upper Extremity Infant (73092) |
$48.68 |
$221.28 |
0.5× |
| Urethrocystography retrograde rs&i (74450) |
$129.45 |
$588.41 |
0.6× |
| Urethrocystography voiding (74455) |
$146.67 |
$666.66 |
0.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$284 |
$1,290.92 |
1.7× |
| Us breast unilateral complete (76641) |
$116.42 |
$529.20 |
1.2× |
| Us breast unilateral limited (76642) |
$88.29 |
$401.31 |
1.1× |
| Us chest (76604) |
$55.66 |
$252.98 |
0.6× |
| Us elastography parenchyma (76981) |
$77.35 |
$351.61 |
0.8× |
| Us guided compression repair (76936) |
$136.69 |
$621.32 |
0.7× |
| Us infant hips dynamic (76885) |
$89.34 |
$406.12 |
1.1× |
| Us infant hips limited static (76886) |
$38.53 |
$175.12 |
0.5× |
| Us ob transvaginal (76817) |
$66.14 |
$300.63 |
0.7× |
| Us pelvic non ob complete (76856) |
$245.44 |
$1,115.64 |
2.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$58.41 |
$265.52 |
0.6× |
| Us pregnancy ltd (76815) |
$66.15 |
$300.66 |
0.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$75.97 |
$345.30 |
0.8× |
| Us retroperitoneal limited (76775) |
$246.19 |
$1,119.05 |
2.5× |
| Us scrotum and contents (76870) |
$226.89 |
$1,031.31 |
2.3× |
| Us soft tissue head/neck (76536) |
$205.08 |
$932.16 |
2.1× |
| Us spinal canal and contents (76800) |
$89.34 |
$406.12 |
0.9× |
| Us transrectal prostate volume (76873) |
$473.92 |
$2,154.18 |
4.8× |
| Us xtr non-vasc lmtd (76882) |
$165.47 |
$752.12 |
1.7× |
| Venogram extremity bilateral (75822) |
$696.60 |
$3,166.38 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,526.85 |
$6,940.24 |
0.5× |
| Venography caval superior serialography rs&i (75827) |
$696.60 |
$3,166.38 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$696.60 |
$3,166.38 |
0.5× |
| Venography renal unilateral selective rs&i (75831) |
$1,162.27 |
$5,283.04 |
0.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,526.85 |
$6,940.24 |
0.5× |
Venous sampling thru cath w/wo angiography rs& (75893) unusually low: confirm this is the full procedure |
$2,529.07 |
$11,495.77 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$38.53 |
$175.12 |
0.5× |
| Wrist 2 views (73100) |
$79.82 |
$353.50 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$35.70 |
$162.30 |
0.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$24.68 |
$112.18 |
0.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$94.77 |
$430.79 |
1.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$225.81 |
$1,026.41 |
1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$65.55 |
$297.97 |
0.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$87.93 |
$399.67 |
1.1× |
| X-ray exam hip uni 1 view (73501) |
$38.53 |
$175.12 |
0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$48.32 |
$219.64 |
0.6× |
| X-ray exam hip uni 4/> views (73503) |
$67.19 |
$305.42 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$81.71 |
$371.40 |
0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$107.48 |
$488.56 |
1.1× |
| X-ray exam of femur 1 (73551) |
$12.76 |
$58 |
0.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$401.66 |
$1,825.74 |
2.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$68.85 |
$312.96 |
0.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$27.62 |
$125.56 |
0.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$96.71 |
$428.58 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$36.60 |
$166.36 |
0.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$84.61 |
$384.60 |
0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$65.32 |
$296.93 |
0.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$48.68 |
$221.28 |
0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$31.24 |
$141.98 |
0.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$22.22 |
$101 |
0.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$122.36 |
$556.16 |
1.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$16.72 |
$76 |
0.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$44.94 |
$204.24 |
0.5× |
| X-ray of voice box or throat (70370) |
$71.94 |
$327 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$77.04 |
$350.21 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$71.96 |
$327.10 |
0.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$186.33 |
$846.95 |
0.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$26.66 |
$121.18 |
0.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$33.18 |
$150.80 |
0.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$50.18 |
$228.11 |
0.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$62.63 |
$284.68 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$26 |
$118.18 |
0.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$91.25 |
$414.76 |
1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$100.79 |
$458.12 |
1.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$12.54 |
$57 |
0.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$87.51 |
$397.79 |
0.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$19.58 |
$89 |
0.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$94.15 |
$427.96 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$25.98 |
$118.06 |
0.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$46.33 |
$210.58 |
0.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$31.12 |
$141.48 |
0.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$16.50 |
$75 |
0.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$26.08 |
$118.56 |
0.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$92.49 |
$420.41 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$75.75 |
$344.32 |
0.8× |
| Xr chest 4+ views (71048) |
$113.51 |
$515.97 |
1.2× |
| Xr finger(s) 2+ views (73140) |
$52.47 |
$238.49 |
0.6× |
| Xr shoulder 1 view (73020) |
$78.59 |
$357.21 |
1.0× |
| Xr spine cervical 4 or 5 views (72050) |
$46.77 |
$212.60 |
0.5× |
| Xr tibia/fibula 2 views (73590) |
$90.24 |
$399.67 |
1.1× |
| Xr tmj bilateral (70330) |
$79.02 |
$359.19 |
1.0× |
| Xray knee 1 or 2 views rt (73560) |
$75.90 |
$345 |
0.9× |