| Abdomen 2 views (74019) |
$187.52 |
$197.39 |
2.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$527.54 |
$555.30 |
1.5× |
| Ankle 2 views (73600) |
$187.95 |
$197.84 |
2.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$527.66 |
$555.44 |
1.7× |
| Arthrogram elbow (73085) |
$341.05 |
$359 |
1.1× |
| Arthrogram hip (73525) |
$798.40 |
$840.42 |
2.6× |
| Arthrogram shoulder (73040) |
$705.50 |
$742.63 |
2.3× |
| Arthrogram wrist (73115) |
$399.58 |
$420.61 |
1.3× |
| Arthrography knee lt (73580) |
$666.90 |
$702 |
2.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$849.86 |
$894.59 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,112.35 |
$1,170.89 |
3.2× |
| Bone age studies (77072) |
$185.89 |
$195.67 |
2.0× |
| Bone survey complete (77075) |
$522.81 |
$550.33 |
5.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,142.13 |
$3,307.50 |
2.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,046.87 |
$2,154.60 |
6.7× |
| Cervical spine 2 or 3 views (72040) |
$237.21 |
$249.69 |
3.1× |
| Chest 1 view (71045) |
$193.56 |
$203.75 |
2.5× |
| Chest 3 views (71047) |
$184.01 |
$193.69 |
2.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$378.06 |
$397.96 |
2.5× |
| Clavicle complete (73000) |
$212.80 |
$224 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$828.29 |
$871.88 |
9.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,451.10 |
$5,738 |
17.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,281.82 |
$3,454.55 |
15.7× |
| CT abdomen w contrast (74160) |
$2,451.95 |
$2,581 |
16.0× |
| CT abdomen w wo contrast (74170) |
$2,809.15 |
$2,957 |
18.3× |
| CT abdomen w/o contrast (74150) |
$1,257.71 |
$1,323.90 |
13.7× |
| CT angio hrt w/3d image (75574) |
$2,727.45 |
$2,871 |
8.9× |
| CT angiography upper extremity lt (73206) |
$2,382.89 |
$2,508.30 |
15.5× |
| CT c-spine w/o contrast (72125) |
$1,972.05 |
$2,075.84 |
21.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,189.63 |
$2,304.87 |
14.2× |
| CT cervical spine with contrast (72126) |
$2,515.11 |
$2,647.48 |
8.2× |
| CT chest w/wo contrast (71270) |
$2,528.24 |
$2,661.30 |
16.4× |
| CT chest with contrast (71260) |
$2,369.20 |
$2,493.89 |
15.4× |
| CT head/brain with contrast (70460) |
$1,964.28 |
$2,067.66 |
12.8× |
| CT head/brain without and with contrast (70470) |
$2,528.24 |
$2,661.30 |
16.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$237.50 |
$250 |
3.1× |
| CT iac w contrast (70481) |
$1,898.80 |
$1,998.74 |
12.4× |
| CT limited/localized follow up study (76380) |
$1,084.14 |
$1,141.20 |
14.2× |
| CT lower ext w/o (73700) |
$1,690.91 |
$1,779.91 |
18.5× |
| CT lower extremity w wo contrast (73702) |
$1,870.74 |
$1,969.20 |
12.2× |
| CT lower extremity with contrast (73701) |
$2,151.48 |
$2,264.72 |
14.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,870.74 |
$1,969.20 |
12.2× |
| CT lumbar spine w/o contrast (72131) |
$1,786.40 |
$1,880.42 |
19.5× |
| CT lumbar spine with contrast (72132) |
$2,879.30 |
$3,030.84 |
9.4× |
| CT maxillofacial w contrast (70487) |
$2,441.01 |
$2,569.48 |
15.9× |
| CT maxillofacial w/o contrast (70486) |
$1,690.91 |
$1,779.91 |
18.5× |
| CT maxillofacial w/wo contrast (70488) |
$2,809.15 |
$2,957 |
18.3× |
| CT neck soft tissue w contrast (70491) |
$1,870.74 |
$1,969.20 |
12.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,870.74 |
$1,969.20 |
12.2× |
| CT orbits w/o contrast (70480) |
$1,742.59 |
$1,834.30 |
19.0× |
| CT pelvis w & w/o contrast (72194) |
$1,870.74 |
$1,969.20 |
12.2× |
| CT pelvis w/o contrast (72192) |
$1,483.02 |
$1,561.07 |
16.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,870.74 |
$1,969.20 |
12.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,339.41 |
$1,409.91 |
14.6× |
| CT thoracic spine w/contrast (72129) |
$2,081.01 |
$2,190.54 |
13.5× |
| CT thoracic spine w/o contrast (72128) |
$1,788.36 |
$1,882.48 |
19.5× |
| CT thorax w/o contrast (71250) |
$1,339.80 |
$1,410.32 |
14.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,870.74 |
$1,969.20 |
12.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,690.91 |
$1,779.91 |
18.5× |
| CT upper extremity with contrast (73201) |
$1,926.87 |
$2,028.28 |
6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,843.58 |
$5,098.50 |
31.5× |
| Cta Abdomen (74175) |
$2,454.71 |
$2,583.90 |
16.0× |
| CTA abdomen pelvis (74174) |
$3,400.34 |
$3,579.30 |
11.1× |
| CTA chest (71275) |
$2,454.71 |
$2,583.90 |
16.0× |
| Cta Head (70496) |
$3,199.16 |
$3,367.54 |
20.8× |
| CTA lwr ext w&w/o contrast (73706) |
$2,937.74 |
$3,092.36 |
19.1× |
| Cta Neck (70498) |
$3,053.59 |
$3,214.30 |
19.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$343.78 |
$361.87 |
3.8× |
| Echoencephalography real time imaging (76506) |
$469.40 |
$494.10 |
5.1× |
| Esophagus (74220) |
$364.96 |
$384.17 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$766.46 |
$806.80 |
8.4× |
| Fluoroscopy up to 1 hr (76000) |
$582.25 |
$612.89 |
2.8× |
| Foot 2 views (73620) |
$187.95 |
$197.84 |
2.5× |
| Forearm 2 views (73090) |
$252.10 |
$265.37 |
3.3× |
| Gated Heart Planar Single (78472) |
$1,562.66 |
$1,644.91 |
4.5× |
| Hand 2 views (73120) |
$198.65 |
$209.11 |
2.2× |
| Hand 3 views (73130) |
$212.80 |
$224 |
2.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$851.21 |
$896.01 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$752.26 |
$791.85 |
2.1× |
| Ht muscle image spect sing (78451) |
$3,616.33 |
$3,806.66 |
3.2× |
| Humerus Min 2 Views Left (73060) |
$269.73 |
$283.93 |
3.5× |
| Hysterosalpingogram (74740) |
$869.20 |
$914.95 |
4.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$600.23 |
$631.82 |
1.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$752.96 |
$792.59 |
1.6× |
| Knee 3 views (73562) |
$184.79 |
$194.52 |
2.4× |
| Lymphoscintigraphy (78195) |
$764.42 |
$804.65 |
1.6× |
| Mammary ductogram or galactogram single (77053) |
$522.41 |
$549.90 |
2.5× |
| Meckels Diverticulum (78290) |
$541.22 |
$569.70 |
1.5× |
| MRA head w & w/o contrast (70546) |
$3,621.40 |
$3,812 |
11.8× |
| MRA head w/o contrast (70544) |
$2,698.30 |
$2,840.32 |
12.9× |
| MRA neck w contrast (70548) |
$2,401.49 |
$2,527.88 |
7.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,621.40 |
$3,812 |
11.8× |
| MRA neck w/o contrast (70547) |
$3,348.75 |
$3,525 |
16.0× |
| MRI abdomen w contrast (74182) |
$2,751.90 |
$2,896.74 |
9.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,883.47 |
$4,087.86 |
12.7× |
| MRI abdomen w/o contrast (74181) |
$1,861.34 |
$1,959.30 |
8.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,252.07 |
$3,423.23 |
4.7× |
| MRI c-spine with contrast (72142) |
$2,804.29 |
$2,951.88 |
9.2× |
| MRI cervical spine w/o contrast (72141) |
$2,740.62 |
$2,884.86 |
13.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,804.40 |
$2,952 |
9.2× |
| MRI chest w/o contrast (71550) |
$2,046.87 |
$2,154.60 |
9.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,935.50 |
$3,090 |
9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,780.42 |
$2,926.76 |
13.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,046.87 |
$2,154.60 |
9.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,342.53 |
$2,465.82 |
7.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,817.73 |
$1,913.40 |
5.9× |
| MRI pelvis w contrast (72196) |
$2,751.90 |
$2,896.74 |
9.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,826.92 |
$4,028.33 |
12.5× |
| MRI pelvis w/o contrast (72195) |
$2,108.28 |
$2,219.24 |
10.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,843.24 |
$4,045.52 |
12.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,074.91 |
$3,236.75 |
10.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,889.05 |
$3,041.10 |
9.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,287.13 |
$2,407.50 |
7.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,889.05 |
$3,041.10 |
9.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,046.87 |
$2,154.60 |
9.8× |
| MRI tmj (70336) |
$2,793.18 |
$2,940.19 |
13.4× |
| MRI upper ext joint w/o contrast (73221) |
$2,534.03 |
$2,667.40 |
12.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,678.58 |
$3,872.19 |
12.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,210.05 |
$3,379 |
15.4× |
| Myocardial Spect Multiple Studies (78452) |
$4,877.06 |
$5,133.75 |
4.3× |
| Neck soft tissue (70360) |
$195.18 |
$205.45 |
2.6× |
| Nm adrenal scan (78075) |
$1,232.07 |
$1,296.92 |
1.1× |
| Nm gastric emptying study (78264) |
$753.24 |
$792.88 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$581.52 |
$612.13 |
6.3× |
| Osseous survey limited (77074) |
$370.22 |
$389.70 |
4.0× |
| Parathyrd planar w/spect&CT (78072) |
$1,353.75 |
$1,425 |
2.8× |
| Parathyroid imaging (78070) |
$559.53 |
$588.98 |
1.6× |
| Pelvis 1 or 2 views (72170) |
$237.21 |
$249.69 |
2.6× |
| PET image w/CT, skull-thigh (78815) |
$4,561.97 |
$4,802.07 |
3.6× |
| PET imaging CT for attenuation limited area (78814) |
$3,868.88 |
$4,072.50 |
3.1× |
| PET imaging for CT attenuation whole body (78816) |
$4,475.46 |
$4,711.01 |
3.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,571.56 |
$3,759.54 |
11.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$633 |
$666.32 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$772.11 |
$812.75 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$507.39 |
$534.10 |
1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$168.03 |
$176.87 |
2.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$222.92 |
$234.65 |
2.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$260.24 |
$273.94 |
2.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$243.68 |
$256.50 |
2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$244.63 |
$257.50 |
2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$386.29 |
$406.62 |
4.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$180.36 |
$189.84 |
2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$317.26 |
$333.96 |
3.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$240.47 |
$253.13 |
3.2× |
| Radiologic exam colon single contrast study (74270) |
$346.78 |
$365.04 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$431.27 |
$453.97 |
2.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$424.48 |
$446.82 |
2.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$246.68 |
$259.66 |
3.2× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$566.87 |
$596.70 |
7.4× |
| Radiological examination surgical specimen (76098) |
$577.50 |
$607.88 |
1.2× |
| Scanogram (77073) |
$271.44 |
$285.73 |
3.0× |
| Scapula complete (73010) |
$263.42 |
$277.28 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$103.12 |
$108.54 |
4.4× |
| Sella turcica (70240) |
$243.68 |
$256.50 |
3.2× |
| Sialogram (70390) |
$566.87 |
$596.70 |
2.7× |
| Small bowel series (74250) |
$349.70 |
$368.10 |
2.3× |
| Spine thoracic 3 views (72072) |
$269.95 |
$284.16 |
2.9× |
| Thoracolumbar 2 views (72080) |
$225.26 |
$237.12 |
3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$935.24 |
$984.46 |
2.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,781.73 |
$1,875.50 |
5.1× |
| Ultrasound, abdomen limited (76705) |
$659.21 |
$693.90 |
7.2× |
| Umbilical-artery Doppler (OB) (76820) |
$289.75 |
$305 |
3.2× |
| Unlisted Ultrasound Procedure (76999) |
$537.20 |
$565.47 |
7.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$307.80 |
$324 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$392.07 |
$412.70 |
1.9× |
| Urethrocystography voiding (74455) |
$574.70 |
$604.95 |
2.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$399.58 |
$420.61 |
2.6× |
| Us abdl aorta screen aaa (76706) |
$483.08 |
$508.50 |
5.3× |
| Us breast unilateral complete (76641) |
$476.75 |
$501.84 |
5.2× |
| Us chest (76604) |
$483.08 |
$508.50 |
5.3× |
| Us compl joint r-t w/image documentation (76881) |
$687.08 |
$723.25 |
7.5× |
| Us ob transvaginal (76817) |
$653.44 |
$687.83 |
7.1× |
| Us pelvic non ob complete (76856) |
$599.88 |
$631.46 |
6.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$667.86 |
$703.01 |
7.3× |
| Us pregnancy ltd (76815) |
$406.63 |
$428.03 |
4.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$724.76 |
$762.90 |
7.9× |
| Us retroperitoneal complete (76770) |
$525.95 |
$553.63 |
5.7× |
| Us scrotum and contents (76870) |
$669.01 |
$704.22 |
7.3× |
| Us soft tissue head/neck (76536) |
$649.47 |
$683.65 |
7.1× |
| Us spinal canal and contents (76800) |
$538.17 |
$566.49 |
5.9× |
| Us transrectal (76872) |
$483.08 |
$508.50 |
5.3× |
| Us xtr non-vasc lmtd (76882) |
$585.68 |
$616.50 |
6.4× |
| Venogram extremity bilateral (75822) |
$1,165.55 |
$1,226.89 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$760.52 |
$800.55 |
0.6× |
| Wrist 2 views (73100) |
$195.18 |
$205.45 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$278.25 |
$292.89 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$98.22 |
$103.39 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$215.51 |
$226.85 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$669.82 |
$705.07 |
4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$145.18 |
$152.82 |
1.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$212.80 |
$224 |
2.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$215.27 |
$226.60 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$187.52 |
$197.39 |
2.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$374.49 |
$394.20 |
2.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$286.89 |
$301.99 |
3.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$212.80 |
$224 |
2.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$195.18 |
$205.45 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$304.53 |
$320.56 |
3.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$153.90 |
$162 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$246.68 |
$259.66 |
2.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$374.10 |
$393.79 |
4.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$214.16 |
$225.43 |
2.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$162.45 |
$171 |
2.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$258.30 |
$271.89 |
2.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$732.28 |
$770.82 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$260.24 |
$273.94 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$252.04 |
$265.31 |
2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$217.76 |
$229.22 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$366.08 |
$385.34 |
4.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$307.28 |
$323.45 |
4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$300.03 |
$315.82 |
3.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$168.44 |
$177.30 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$386.29 |
$406.62 |
4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$188.51 |
$198.43 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$127.70 |
$134.42 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$177.84 |
$187.20 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$300.03 |
$315.82 |
3.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$247.75 |
$260.79 |
2.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$296 |
$311.58 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$173.49 |
$182.62 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$237.21 |
$249.69 |
3.1× |
| Xr arthrogram ankle (73615) |
$544.35 |
$573 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$379.53 |
$399.50 |
4.1× |
| Xr chest 4+ views (71048) |
$159.03 |
$167.40 |
1.7× |
| Xr finger(s) 2+ views (73140) |
$170.79 |
$179.78 |
2.2× |
| Xr internal auditory meati complete (70134) |
$445.78 |
$469.24 |
0.9× |
| Xr optic foramina (70190) |
$243.68 |
$256.50 |
3.2× |
| Xr shoulder 1 view (73020) |
$200.63 |
$211.19 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$374.10 |
$393.79 |
4.1× |
| Xr tibia/fibula 2 views (73590) |
$252.10 |
$265.37 |
3.3× |
| Xr tmj bilateral (70330) |
$243.68 |
$256.50 |
3.2× |
| Xray knee 1 or 2 views rt (73560) |
$242.63 |
$255.40 |
3.2× |