| 3-D radiotherapy plan dose-volume histograms (77295) |
$9,228 |
$9,228 |
6.7× |
| Abdomen 1 View (74018) |
$232 |
$232 |
2.7× |
| Abdomen 2 views (74019) |
$267 |
$267 |
2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$657 |
$657 |
1.6× |
| Ankle 2 views (73600) |
$429 |
$429 |
4.9× |
| Basic radiation dosimetry calculation (77300) |
$709 |
$709 |
5.3× |
| Bone age studies (77072) |
$468 |
$468 |
4.5× |
| Bone Imaging 3 Phase (78315) |
$972 |
$972 |
2.4× |
| Bone Imaging Limited Area (78300) |
$639 |
$639 |
1.6× |
| Bone Imaging Whole Body (78306) |
$845 |
$845 |
2.1× |
| Bone marrow imaging limited area (78102) |
$579 |
$579 |
1.5× |
| Bone survey infant (77076) |
$361 |
$361 |
3.5× |
| Cat Scan Follow-Up Study (76380) |
$943 |
$943 |
10.9× |
| Chest 1 view (71045) |
$313 |
$313 |
3.6× |
| Chest 2 views (71046) |
$362 |
$362 |
4.2× |
| Chest 3 views (71047) |
$416 |
$416 |
4.8× |
| Chest 4 or more views (71048) |
$478 |
$478 |
4.6× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$714 |
$714 |
6.9× |
| Clavicle complete (73000) |
$311 |
$311 |
3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$820 |
$820 |
7.9× |
| Continuing medical physics consltj pr wk (77336) |
$709 |
$709 |
5.3× |
| Contrast X-Ray Bladder (74430) |
$395 |
$395 |
1.1× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$686 |
$686 |
3.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,497 |
$4,497 |
12.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,431 |
$2,431 |
10.2× |
| CT abdomen w contrast (74160) |
$1,786 |
$1,786 |
10.2× |
| CT abdomen w wo contrast (74170) |
$2,131 |
$2,131 |
12.2× |
| CT abdomen w/o contrast (74150) |
$1,151 |
$1,151 |
11.0× |
| CT Angio Abdomen and Pelvis (74174) |
$4,289 |
$4,289 |
12.3× |
| CT Angio Chest (71275) |
$2,080 |
$2,080 |
11.9× |
| CT Angio Head (70496) |
$2,080 |
$2,080 |
11.9× |
| CT angio hrt w/3d image (75574) |
$1,316 |
$1,316 |
3.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$2,080 |
$2,080 |
11.9× |
| CT Angio Neck (70498) |
$2,080 |
$2,080 |
11.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,080 |
$2,080 |
11.9× |
| CT cervical spine w/ contrast (72126) |
$1,786 |
$1,786 |
5.1× |
| CT cervical spine w/o contrast (72125) |
$1,151 |
$1,151 |
11.0× |
| CT cervical spine w/wo cont (72127) |
$2,131 |
$2,131 |
12.2× |
| CT chest w contrast (71260) |
$1,786 |
$1,786 |
10.2× |
| CT chest w/wo contrast (71270) |
$2,131 |
$2,131 |
12.2× |
| CT colonography screening (74263) |
$1,455 |
$1,455 |
6.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$1,896 |
$1,896 |
10.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$1,223 |
$1,223 |
11.7× |
| CT head/brain with contrast (70460) |
$1,786 |
$1,786 |
10.2× |
| CT head/brain without and with contrast (70470) |
$2,131 |
$2,131 |
12.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,018 |
$2,018 |
5.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$150 |
$150 |
1.7× |
| CT iac w contrast (70481) |
$1,786 |
$1,786 |
10.2× |
| CT l-spine w&w/o contrast (72133) |
$2,131 |
$2,131 |
12.2× |
| CT lower ext w/o (73700) |
$1,151 |
$1,151 |
11.0× |
| CT lower extremity w/contrast material (73701) |
$1,786 |
$1,786 |
10.2× |
| CT lumbar spine w contrast (72132) |
$1,786 |
$1,786 |
5.1× |
| CT lumbar spine w/o contrast (72131) |
$1,151 |
$1,151 |
11.0× |
| CT maxillofacial w contrast (70487) |
$1,786 |
$1,786 |
10.2× |
| CT maxillofacial wo contrast (70486) |
$1,151 |
$1,151 |
11.0× |
| CT neck tissue combo (70492) |
$2,131 |
$2,131 |
12.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,131 |
$2,131 |
12.2× |
| CT orbits w/o contrast (70480) |
$1,151 |
$1,151 |
11.0× |
| CT pelvis w&w/o contrast (72194) |
$2,131 |
$2,131 |
12.2× |
| CT pelvis w/o contrast (72192) |
$1,151 |
$1,151 |
11.0× |
| CT scan of leg combo (73702) |
$2,131 |
$2,131 |
12.2× |
| CT scans face/jaw combo (70488) |
$2,131 |
$2,131 |
12.2× |
| CT soft tissue neck w contrast (70491) |
$1,786 |
$1,786 |
10.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,151 |
$1,151 |
11.0× |
| CT thoracic spine w contrast (72129) |
$1,786 |
$1,786 |
10.2× |
| CT thoracic spine w/o contrast (72128) |
$1,151 |
$1,151 |
11.0× |
| CT thoracic spine w/wo cont (72130) |
$2,131 |
$2,131 |
12.2× |
| CT thorax w/o contrast (71250) |
$1,151 |
$1,151 |
11.0× |
| CT unlisted procedure (76497) |
$175 |
$175 |
2.0× |
| CT upper ext wo (73200) |
$1,151 |
$1,151 |
11.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,131 |
$2,131 |
12.2× |
| CT upper extremity with contrast (73201) |
$1,786 |
$1,786 |
5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,080 |
$2,080 |
11.9× |
| Cta Abdomen (74175) |
$2,808 |
$2,808 |
16.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,944 |
$1,944 |
5.6× |
| CTA pelvis (72191) |
$2,080 |
$2,080 |
11.9× |
| Dxa Bone Density Axial (77080) |
$371 |
$371 |
3.6× |
| Dxa bone density study (77085) |
$429 |
$429 |
4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$158 |
$158 |
1.8× |
| Echo exam uterus (76831) |
$991 |
$991 |
4.2× |
| Esophagram (74220) |
$320 |
$320 |
1.8× |
| Fetal Biophys Profile W/Nst (76818) |
$1,248 |
$1,248 |
12.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$820 |
$820 |
7.9× |
| Fluoroscopy up to 1 hr (76000) |
$349 |
$349 |
1.5× |
| Foot 2 views (73620) |
$301 |
$301 |
3.5× |
| Forearm 2 views (73090) |
$308 |
$308 |
3.6× |
| Gastric emptying imaging study (78264) |
$814 |
$814 |
2.0× |
| Gated Heart Planar Single (78472) |
$1,040 |
$1,040 |
2.6× |
| Hand 2 views (73120) |
$266 |
$266 |
2.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$6,086 |
$6,086 |
8.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$5,292 |
$5,292 |
7.6× |
| Hepatobil Syst Image W/Drug (78227) |
$1,586 |
$1,586 |
2.9× |
| Hepatobiliary System Imaging (78226) |
$669 |
$669 |
1.7× |
| Ht Muscle Image Spect Sing (78451) |
$1,150 |
$1,150 |
0.9× |
| Hysterosalpingogram (74740) |
$434 |
$434 |
1.8× |
| Image fusion (77399) |
$709 |
$709 |
5.3× |
| Infant hip ultrasound, limited static exam (76886) |
$474 |
$474 |
5.5× |
| Joint Survey Single View (77077) |
$380 |
$380 |
3.6× |
| K Flow/Funct Image W/Drug (78708) |
$1,180 |
$1,180 |
2.2× |
| K Flow/Funct Image W/O Drug (78707) |
$806 |
$806 |
1.5× |
| Knee 3 Views (73562) |
$432 |
$432 |
5.0× |
| Lung perfusion differential (78597) |
$1,318 |
$1,318 |
3.3× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,030 |
$1,030 |
1.9× |
| Lymph System Imaging (78195) |
$548 |
$548 |
1.0× |
| Magnetic Image Jaw Joint (70336) |
$2,097 |
$2,097 |
8.8× |
| Meckels Divert Exam (78290) |
$387 |
$387 |
1.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,878 |
$1,878 |
5.0× |
| Mra Head W/O & W/Contrast Material (70546) |
$3,520 |
$3,520 |
10.1× |
| MRA head w/o contrast (70544) |
$1,902 |
$1,902 |
8.0× |
| MRA head with contrast (70545) |
$2,949 |
$2,949 |
8.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,520 |
$3,520 |
10.1× |
| MRA neck w/o contrast (70547) |
$1,902 |
$1,902 |
8.0× |
| MRI abdomen w contrast (74182) |
$3,321 |
$3,321 |
9.6× |
| MRI abdomen w/o contrast (74181) |
$1,902 |
$1,902 |
8.0× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,949 |
$2,949 |
3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,520 |
$3,520 |
10.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,949 |
$2,949 |
3.8× |
| MRI Breast W/O Contrast Bilateral (77047) |
$1,902 |
$1,902 |
8.0× |
| MRI cardiac w/o cont stress (75559) |
$4,402 |
$4,402 |
8.1× |
| MRI cervical spine w contrast (72142) |
$2,949 |
$2,949 |
8.5× |
| MRI cervical spine w/o cont (72141) |
$1,902 |
$1,902 |
8.0× |
| MRI chest w/o contrast (71550) |
$1,902 |
$1,902 |
8.0× |
| MRI chest wo w contrast (71552) |
$3,520 |
$3,520 |
10.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,949 |
$2,949 |
8.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,520 |
$3,520 |
10.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,902 |
$1,902 |
8.0× |
| MRI lumbar spine w contrast (72149) |
$2,949 |
$2,949 |
8.5× |
| Mri Neck Spine W/O & W/Dye (72156) |
$3,520 |
$3,520 |
10.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,902 |
$1,902 |
8.0× |
| MRI orbit face neck w contrast (70542) |
$3,032 |
$3,032 |
8.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,520 |
$3,520 |
10.1× |
| MRI pelvis w contrast (72196) |
$2,866 |
$2,866 |
8.2× |
| MRI pelvis w/o & w contrast (72197) |
$3,520 |
$3,520 |
10.1× |
| MRI pelvis w/o contrast (72195) |
$1,902 |
$1,902 |
8.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,902 |
$1,902 |
8.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,902 |
$1,902 |
8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,520 |
$3,520 |
10.1× |
| MRI, abdomen, combo (74183) |
$3,520 |
$3,520 |
10.1× |
| MRI, dorsal spine combo (72157) |
$3,520 |
$3,520 |
10.1× |
| MRI, dorsal spine contrast (72147) |
$2,949 |
$2,949 |
8.5× |
| MRI, joint upper extrem (73221) |
$1,902 |
$1,902 |
8.0× |
| MRI, joint upper extrem combo (73223) |
$3,520 |
$3,520 |
10.1× |
| MRI, lumbar spine combo (72158) |
$3,520 |
$3,520 |
10.1× |
| Myocardial Spect Multiple Studies (78452) |
$4,086 |
$4,086 |
3.2× |
| N-invas est c ffr sw aly CTA (75580) |
$4,637 |
$4,637 |
5.4× |
| Neck soft tissue (70360) |
$230 |
$230 |
2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,891 |
$8,891 |
6.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$623 |
$623 |
6.0× |
| Optic foramina (70190) |
$317 |
$317 |
3.7× |
| Pelvis 1 or 2 views (72170) |
$486 |
$486 |
4.7× |
| Perineogram (74775) |
$298 |
$298 |
1.3× |
| Pet Image W/Ct Lmtd (78814) |
$6,247 |
$6,247 |
4.4× |
| PET image w/CT, full body (78816) |
$7,712 |
$7,712 |
5.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$6,941 |
$6,941 |
4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$483 |
$483 |
1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$353 |
$353 |
3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$491 |
$491 |
0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$493 |
$493 |
5.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$312 |
$312 |
3.6× |
| Radex elbow complete minimum 3 views (73080) |
$307 |
$307 |
3.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$489 |
$489 |
4.7× |
| Radex fingr minimum 2 views (73140) |
$304 |
$304 |
3.5× |
| Radex foot complete minimum 3 views (73630) |
$306 |
$306 |
3.5× |
| Radex Hand Minimum 3 Views (73130) |
$307 |
$307 |
3.5× |
| Radex lower extremity infant minimum 2 views (73592) |
$190 |
$190 |
2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$272 |
$272 |
2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$303 |
$303 |
3.5× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) |
$377 |
$377 |
4.3× |
| Radex Ribs Unilateral 2 Views (71100) |
$302 |
$302 |
3.5× |
| Radex shoulder complete minimum 2 views (73030) |
$488 |
$488 |
5.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$282 |
$282 |
3.3× |
| Radex Spine 1 View Specify Level (72020) |
$269 |
$269 |
3.1× |
| Radex Sternum Minimum 2 Views (71120) |
$302 |
$302 |
3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$606 |
$606 |
7.0× |
| Radex Toe Minimum 2 Views (73660) |
$305 |
$305 |
3.5× |
| Radex upper extremity infant minimum 2 views (73092) |
$190 |
$190 |
1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$306 |
$306 |
3.5× |
| Radiation treatment delivery level 1 (77402) |
$2,551 |
$2,551 |
25.1× |
| Radiation treatment delivery level 2 (77407) |
$2,655 |
$2,655 |
6.9× |
| Radiation treatment delivery level 3 (77412) |
$3,150 |
$3,150 |
5.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$483 |
$483 |
4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$442 |
$442 |
4.2× |
| Radiologic exam colon single contrast study (74270) |
$378 |
$378 |
2.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$742 |
$742 |
4.2× |
| Radiologic exam knee complete 4/more views (73564) |
$497 |
$497 |
4.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$500 |
$500 |
4.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$310 |
$310 |
1.8× |
| Radiologic exam swallow function contrast study (74230) |
$393 |
$393 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$297 |
$297 |
1.7× |
| Radiologic examination femur 1 view (73551) |
$286 |
$286 |
3.3× |
| Radiologic examination femur minimum 2 views (73552) |
$337 |
$337 |
3.9× |
| Radiologic examination knee 1/2 views (73560) |
$288 |
$288 |
3.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$309 |
$309 |
3.6× |
| Ribs bilateral 3 views (71110) |
$481 |
$481 |
4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,031 |
$1,031 |
2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,150 |
$1,150 |
2.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$5,949 |
$5,949 |
4.6× |
| Scapula (73010) |
$310 |
$310 |
3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$134 |
$134 |
5.7× |
| Shoulder 1 view (73020) |
$310 |
$310 |
3.6× |
| Skull less than 4 views (70250) |
$485 |
$485 |
4.7× |
| Special dosimetry (77331) |
$815 |
$815 |
6.1× |
| Special Physics Consult (77370) |
$709 |
$709 |
5.3× |
| Special teletherapy port plan (77321) |
$1,878 |
$1,878 |
5.0× |
| Special treatment procedure (77470) |
$3,353 |
$3,353 |
6.1× |
| Stereotactic Body Radiation Delivery (77373) |
$9,949 |
$9,949 |
5.6× |
| Sternoclavicular joints (71130) |
$314 |
$314 |
3.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,878 |
$1,878 |
5.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,878 |
$1,878 |
5.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$1,860.45 |
$1,860.45 |
5.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$709 |
$709 |
5.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$343 |
$343 |
2.0× |
| Thoracic spine 2 views (72070) |
$225 |
$225 |
2.2× |
| Thoracic spine 3 views (72072) |
$259 |
$259 |
2.5× |
| Thoracolumbar 2 views (72080) |
$312 |
$312 |
3.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$442 |
$442 |
1.1× |
| Thyroid Met Imaging Body (78018) |
$998 |
$998 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$565 |
$565 |
1.4× |
| Tx Devices Design & Construction Complex (77334) |
$1,878 |
$1,878 |
5.0× |
| Tx devices design & construction intermediate (77333) |
$896 |
$896 |
6.7× |
| Tx devices design & construction simple (77332) |
$709 |
$709 |
5.3× |
| Ultrasound Breast Limited (76642) |
$615 |
$615 |
7.1× |
| Ultrasound Exam Aaa Screen (76706) |
$661 |
$661 |
6.3× |
| Ultrasound, abdomen limited (76705) |
$849 |
$849 |
8.2× |
| Umbilical-artery Doppler (OB) (76820) |
$603 |
$603 |
5.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) |
$332 |
$332 |
0.8× |
| Upper gi w/o kub (74240) |
$480 |
$480 |
2.7× |
| Urethrocystogram voiding (74455) |
$684 |
$684 |
2.9× |
| Urethrocystography retrograde (74450) |
$400 |
$400 |
1.7× |
| Us breast unilateral complete (76641) |
$820 |
$820 |
7.9× |
| Us chest (76604) |
$909 |
$909 |
8.7× |
| Us complete joint (76881) |
$904 |
$904 |
8.7× |
| Us exam, pelvic, limited (76857) |
$603 |
$603 |
5.8× |
| Us head (76506) |
$721 |
$721 |
6.9× |
| Us kidney transplant (76776) |
$953 |
$953 |
9.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$606 |
$606 |
5.8× |
| Us ob detailed single fetus (76811) |
$1,896 |
$1,896 |
8.0× |
| Us ob limited 1 or more fetuses (76815) |
$922 |
$922 |
8.9× |
| Us ob transvaginal (76817) |
$912 |
$912 |
8.8× |
| Us pelvic non ob complete (76856) |
$899 |
$899 |
8.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$910 |
$910 |
8.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$621 |
$621 |
6.0× |
| Us retroperitoneal complete (76770) |
$892 |
$892 |
8.6× |
| Us retroperitoneal limited (76775) |
$875 |
$875 |
8.4× |
| Us scrotum and contents (76870) |
$887 |
$887 |
8.5× |
| Us spinal canal and contents (76800) |
$723 |
$723 |
6.9× |
| Us thyroid (76536) |
$878 |
$878 |
8.4× |
| Us transrectal (76872) |
$460 |
$460 |
4.4× |
| Vertebral fracture assessment via dxa (77086) |
$212 |
$212 |
2.4× |
| Wrist 2 views (73100) |
$150 |
$150 |
1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$501 |
$501 |
5.8× |
| X-ray antegrade pyelogram tube (74425) |
$365 |
$365 |
1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$266 |
$266 |
3.1× |
| X-Ray Exam Breast Specimen (76098) |
$806 |
$806 |
1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$313 |
$313 |
3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$391 |
$391 |
3.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$450 |
$450 |
4.3× |
| X-Ray Exam Hip Uni 1 View (73501) |
$333 |
$333 |
3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$350 |
$350 |
4.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$586 |
$586 |
5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$547 |
$547 |
5.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$585 |
$585 |
5.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,076 |
$1,076 |
10.3× |
| X-Ray Exam L-S Spine Bending (72114) |
$469 |
$469 |
4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$476 |
$476 |
5.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$576 |
$576 |
5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$489 |
$489 |
4.7× |
| X-ray eye for foreign body (70030) |
$228 |
$228 |
2.6× |
| X-ray humerus (73060) |
$308 |
$308 |
3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$137 |
$137 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$293 |
$293 |
3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$476 |
$476 |
4.6× |
| X-ray nose-rectum child f.b. (76010) |
$201 |
$201 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$497 |
$497 |
4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$463 |
$463 |
4.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$302 |
$302 |
2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$302 |
$302 |
3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$483 |
$483 |
5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$485 |
$485 |
4.7× |
| X-Ray Stress View (77071) |
$220 |
$220 |
2.5× |
| X-Ray Tmj Unilat (70328) |
$412 |
$412 |
4.8× |
| X-Rays Bone Length Studies (77073) |
$160 |
$160 |
1.5× |
| X-Rays Bone Survey Complete (77075) |
$462 |
$462 |
4.4× |
| Xr c-spine 4 or 5 views (72050) |
$524 |
$524 |
5.0× |
| Xr facial bones less than 3 views (70140) |
$215 |
$215 |
2.5× |
| Xr orbits complete 4 views (70200) |
$485 |
$485 |
4.7× |