| Abdomen 2 views (74019) |
$134.40 |
$320 |
1.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$448.98 |
$1,069 |
1.2× |
| Ankle 2 views (73600) |
$134.40 |
$320 |
1.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$448.98 |
$1,069 |
1.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$448.98 |
$1,069 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$1,196.58 |
$2,849 |
3.2× |
| Bone age studies (77072) |
$299.46 |
$713 |
3.1× |
| Bone Imaging 3 Phase (78315) |
$448.98 |
$1,069 |
1.2× |
| Bone survey complete (77075) |
$299.46 |
$713 |
3.1× |
| Brain image w/flow 4 + views (78606) |
$706.86 |
$1,683 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$164.64 |
$392 |
2.0× |
| Chest 1 view (71045) |
$119.70 |
$285 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$263.97 |
$628.50 |
1.6× |
| Clavicle complete (73000) |
$134.40 |
$320 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$243.18 |
$579 |
2.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$183.12 |
$436 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,093.28 |
$4,984 |
6.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,196.58 |
$2,849 |
5.3× |
| CT abdomen w contrast (74160) |
$1,136.52 |
$2,706 |
6.9× |
| CT abdomen w wo contrast (74170) |
$1,316.28 |
$3,134 |
8.0× |
| CT abdomen w/o contrast (74150) |
$1,076.04 |
$2,562 |
11.0× |
| CT angio hrt w/3d image (75574) |
$1,417.92 |
$3,376 |
4.3× |
| CT angiography upper extremity lt (73206) |
$1,495.62 |
$3,561 |
9.1× |
| CT c-spine w/o contrast (72125) |
$1,076.04 |
$2,562 |
11.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,316.28 |
$3,134 |
8.0× |
| CT cervical spine with contrast (72126) |
$1,082.76 |
$2,578 |
3.3× |
| CT chest w/wo contrast (71270) |
$1,316.28 |
$3,134 |
8.0× |
| CT chest with contrast (71260) |
$1,109.64 |
$2,642 |
6.7× |
| CT head/brain with contrast (70460) |
$1,136.52 |
$2,706 |
6.9× |
| CT head/brain without and with contrast (70470) |
$1,316.28 |
$3,134 |
8.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$41.58 |
$99 |
0.5× |
| CT iac w contrast (70481) |
$1,082.76 |
$2,578 |
6.6× |
| CT limited/localized follow up study (76380) |
$435.96 |
$1,038 |
5.3× |
| CT lower ext w/o (73700) |
$897.12 |
$2,136 |
9.1× |
| CT lower extremity w wo contrast (73702) |
$1,253.28 |
$2,984 |
7.6× |
| CT lower extremity with contrast (73701) |
$1,025.22 |
$2,441 |
6.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,253.28 |
$2,984 |
7.6× |
| CT lumbar spine w/o contrast (72131) |
$1,076.04 |
$2,562 |
11.0× |
| CT lumbar spine with contrast (72132) |
$1,136.52 |
$2,706 |
3.5× |
| CT maxillofacial w contrast (70487) |
$1,082.76 |
$2,578 |
6.6× |
| CT maxillofacial w/o contrast (70486) |
$1,076.04 |
$2,562 |
11.0× |
| CT maxillofacial w/wo contrast (70488) |
$790.02 |
$1,881 |
4.8× |
| CT neck soft tissue w contrast (70491) |
$1,136.52 |
$2,706 |
6.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,181.88 |
$2,814 |
7.2× |
| CT orbits w/o contrast (70480) |
$945.84 |
$2,252 |
9.6× |
| CT pelvis w & w/o contrast (72194) |
$1,316.28 |
$3,134 |
8.0× |
| CT pelvis w/o contrast (72192) |
$1,076.04 |
$2,562 |
11.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,253.28 |
$2,984 |
7.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,076.04 |
$2,562 |
11.0× |
| CT thoracic spine w/contrast (72129) |
$1,136.52 |
$2,706 |
6.9× |
| CT thoracic spine w/o contrast (72128) |
$1,076.04 |
$2,562 |
11.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,253.28 |
$2,984 |
7.6× |
| CT thorax w/o contrast (71250) |
$1,076.04 |
$2,562 |
11.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,025.22 |
$2,441 |
6.2× |
| CT upper extremity w/o contrast rt (73200) |
$897.12 |
$2,136 |
9.1× |
| CT upper extremity with contrast (73201) |
$1,025.22 |
$2,441 |
3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$664.44 |
$1,582 |
4.0× |
| Cta Abdomen (74175) |
$1,196.58 |
$2,849 |
7.3× |
| CTA abdomen pelvis (74174) |
$1,196.58 |
$2,849 |
3.7× |
| CTA chest (71275) |
$1,076.04 |
$2,562 |
6.5× |
| Cta Head (70496) |
$1,196.58 |
$2,849 |
7.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,495.62 |
$3,561 |
9.1× |
| Cta Neck (70498) |
$1,196.58 |
$2,849 |
7.3× |
| Cystography minimum 3 views rs&i (74430) |
$383.46 |
$913 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$179.34 |
$427 |
1.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$179.34 |
$427 |
2.2× |
| Echoencephalography real time imaging (76506) |
$219.66 |
$523 |
2.2× |
| Esophageal motility (78258) |
$427.98 |
$1,019 |
1.1× |
| Esophagus (74220) |
$188.58 |
$449 |
1.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$308.28 |
$734 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$233.94 |
$557 |
1.0× |
| Foot 2 views (73620) |
$134.40 |
$320 |
1.6× |
| Forearm 2 views (73090) |
$134.40 |
$320 |
1.6× |
| Gastric mucosa imaging (78261) |
$427.98 |
$1,019 |
1.1× |
| Gated Heart Planar Single (78472) |
$415.59 |
$989.50 |
1.1× |
| Hand 2 views (73120) |
$134.40 |
$320 |
1.4× |
| Hand 3 views (73130) |
$134.40 |
$320 |
1.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,196.58 |
$2,849 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,196.58 |
$2,849 |
3.2× |
| Ht muscle image spect sing (78451) |
$1,559.04 |
$3,712 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$134.40 |
$320 |
1.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$481.74 |
$1,147 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$523.32 |
$1,246 |
1.0× |
| Knee 3 views (73562) |
$153.30 |
$365 |
1.9× |
| Liver & spleen imaging static only (78215) |
$448.98 |
$1,069 |
1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$427.98 |
$1,019 |
1.1× |
| Liver imaging static only (78201) |
$1,358.28 |
$3,234 |
2.7× |
| Meckels Diverticulum (78290) |
$448.98 |
$1,069 |
1.2× |
| MRA head w & w/o contrast (70546) |
$1,025.22 |
$2,441 |
3.1× |
| MRA head w/o contrast (70544) |
$1,076.04 |
$2,562 |
4.8× |
| MRA neck w contrast (70548) |
$1,025.22 |
$2,441 |
3.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,025.22 |
$2,441 |
3.1× |
| MRA neck w/o contrast (70547) |
$1,025.22 |
$2,441 |
4.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,369.20 |
$3,260 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$1,138.62 |
$2,711 |
5.1× |
| MRI c-spine with contrast (72142) |
$1,025.22 |
$2,441 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$1,076.04 |
$2,562 |
4.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,309.98 |
$3,119 |
4.0× |
| MRI chest w/o contrast (71550) |
$1,309.98 |
$3,119 |
5.9× |
| MRI chest with contrast (71551) |
$1,309.98 |
$3,119 |
1.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,138.62 |
$2,711 |
3.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,196.58 |
$2,849 |
5.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,196.58 |
$2,849 |
5.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,674.12 |
$3,986 |
5.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,187.76 |
$2,828 |
3.6× |
| MRI pelvis w/o contrast (72195) |
$1,076.04 |
$2,562 |
4.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,454.46 |
$3,463 |
4.4× |
| MRI scan of leg joint before and after contrast (73723) |
$1,594.32 |
$3,796 |
4.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,674.12 |
$3,986 |
5.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,076.04 |
$2,562 |
3.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,674.12 |
$3,986 |
5.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,025.22 |
$2,441 |
3.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,674.12 |
$3,986 |
5.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,076.04 |
$2,562 |
4.8× |
| MRI tmj (70336) |
$1,093.26 |
$2,603 |
4.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,196.58 |
$2,849 |
5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,196.58 |
$2,849 |
5.3× |
| Myocardial Spect Multiple Studies (78452) |
$947.52 |
$2,256 |
0.8× |
| Neck soft tissue (70360) |
$105 |
$250 |
1.3× |
| Nm adrenal scan (78075) |
$1,351.56 |
$3,218 |
1.1× |
| Nm cisternogram (78630) |
$706.86 |
$1,683 |
1.4× |
| Nm gastric emptying study (78264) |
$448.98 |
$1,069 |
1.2× |
| Nm gastroesophageal reflux study (78262) |
$427.98 |
$1,019 |
1.1× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$819.42 |
$1,951 |
0.7× |
| Nuclear medicine of heart pumping function (78473) |
$689.22 |
$1,641 |
1.8× |
| Nuclear medicine study of kidney and blood flow (78701) |
$396.06 |
$943 |
1.1× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$427.98 |
$1,019 |
1.1× |
| Osseous survey infant (77076) |
$299.46 |
$713 |
3.1× |
| Osseous survey limited (77074) |
$299.46 |
$713 |
3.1× |
| Parathyroid imaging (78070) |
$448.98 |
$1,069 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$134.40 |
$320 |
1.4× |
| PET imaging for CT attenuation whole body (78816) |
$2,771.58 |
$6,599 |
2.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,196.58 |
$2,849 |
3.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$380.10 |
$905 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$598.08 |
$1,424 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$128.94 |
$307 |
1.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$134.40 |
$320 |
1.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$131.88 |
$314 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$152.88 |
$364 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$134.40 |
$320 |
1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$134.40 |
$320 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$179.34 |
$427 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$194.88 |
$464 |
1.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$186.69 |
$444.50 |
1.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$247.80 |
$590 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$134.40 |
$320 |
1.6× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$80.22 |
$191 |
1.0× |
| Radiological examination surgical specimen (76098) |
$484.26 |
$1,153 |
0.9× |
| Ribs bilateral 3 views (71110) |
$179.34 |
$427 |
1.8× |
| Sacroiliac Joints < 3 Views (72200) |
$119.70 |
$285 |
1.2× |
| Salivary gland imaging (78230) |
$427.98 |
$1,019 |
1.1× |
| Salivary gland imaging serial images (78231) |
$427.98 |
$1,019 |
1.1× |
| Scanogram (77073) |
$299.46 |
$713 |
3.1× |
| Scapula complete (73010) |
$134.40 |
$320 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$25.20 |
$60 |
1.1× |
| Sella turcica (70240) |
$97.44 |
$232 |
1.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$191.52 |
$456 |
2.0× |
| Small bowel series (74250) |
$183.12 |
$436 |
1.1× |
| Spine thoracic 3 views (72072) |
$177.24 |
$422 |
1.8× |
| Spleen imaging only (78185) |
$427.98 |
$1,019 |
1.1× |
| Thoracolumbar 2 views (72080) |
$85.68 |
$204 |
1.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$448.98 |
$1,069 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$448.98 |
$1,069 |
1.2× |
| Tomogram (76100) |
$166.32 |
$396 |
1.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$369.60 |
$880 |
1.0× |
| Ultrasound, abdomen limited (76705) |
$239.40 |
$570 |
2.4× |
| Unlisted Ultrasound Procedure (76999) |
$105 |
$250 |
1.3× |
| Upper Extremity Infant (73092) |
$134.40 |
$320 |
1.4× |
| Urethrocystography voiding (74455) |
$332.22 |
$791 |
1.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$290.22 |
$691 |
1.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$284.76 |
$678 |
1.7× |
| Us abdl aorta screen aaa (76706) |
$239.40 |
$570 |
2.4× |
| Us breast unilateral complete (76641) |
$239.40 |
$570 |
2.4× |
| Us breast unilateral limited (76642) |
$239.40 |
$570 |
2.9× |
| Us chest (76604) |
$233.52 |
$556 |
2.4× |
| Us ob detailed single fetus (76811) |
$460.74 |
$1,097 |
2.1× |
| Us ob transvaginal (76817) |
$409.92 |
$976 |
4.2× |
| Us pelvic non ob complete (76856) |
$270.06 |
$643 |
2.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$179.34 |
$427 |
1.8× |
| Us pregnancy ltd (76815) |
$188.58 |
$449 |
1.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$152.88 |
$364 |
1.6× |
| Us retroperitoneal complete (76770) |
$427.98 |
$1,019 |
4.4× |
| Us retroperitoneal limited (76775) |
$299.46 |
$713 |
3.1× |
| Us scrotum and contents (76870) |
$270.06 |
$643 |
2.8× |
| Us soft tissue head/neck (76536) |
$299.46 |
$713 |
3.1× |
| Us transrectal (76872) |
$344.82 |
$821 |
3.5× |
| Us xtr non-vasc lmtd (76882) |
$119.70 |
$285 |
1.2× |
| Wrist 2 views (73100) |
$134.40 |
$320 |
1.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$210.42 |
$501 |
2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$134.40 |
$320 |
1.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$134.40 |
$320 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$263.76 |
$628 |
1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$134.40 |
$320 |
1.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$128.10 |
$305 |
1.6× |
| X-ray exam hip uni 1 view (73501) |
$134.40 |
$320 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$134.40 |
$320 |
1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$112.98 |
$269 |
1.2× |
| X-ray eye for foreign body (70030) |
$90.30 |
$215 |
1.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$150.36 |
$358 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$80.22 |
$191 |
1.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$134.40 |
$320 |
1.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$134.40 |
$320 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$210.42 |
$501 |
2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$210.42 |
$501 |
2.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$131.25 |
$312.50 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$239.40 |
$570 |
2.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$239.40 |
$570 |
2.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$239.40 |
$570 |
2.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$128.94 |
$307 |
1.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$107.52 |
$256 |
1.3× |
| X-ray of voice box or throat (70370) |
$143.22 |
$341 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$126.84 |
$302 |
1.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$159.60 |
$380 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$179.34 |
$427 |
2.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$175.35 |
$417.50 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$175.35 |
$417.50 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$119.70 |
$285 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$119.70 |
$285 |
1.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$134.40 |
$320 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$210.42 |
$501 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$123.06 |
$293 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$182.28 |
$434 |
1.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$131.88 |
$314 |
1.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$128.94 |
$307 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$179.34 |
$427 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$179.34 |
$427 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$112.98 |
$269 |
1.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$157.08 |
$374 |
1.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$80.22 |
$191 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$134.40 |
$320 |
1.6× |
| Xr c-spine 6 or more views (72052) |
$254.52 |
$606 |
2.6× |
| Xr finger(s) 2+ views (73140) |
$80.22 |
$191 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$113.82 |
$271 |
1.2× |
| Xr optic foramina (70190) |
$114.24 |
$272 |
1.4× |
| Xr shoulder 1 view (73020) |
$134.40 |
$320 |
1.6× |
| Xr spine cervical 4 or 5 views (72050) |
$179.34 |
$427 |
1.8× |
| Xr tibia/fibula 2 views (73590) |
$134.40 |
$320 |
1.6× |
| Xr tmj bilateral (70330) |
$117.18 |
$279 |
1.4× |
| Xray knee 1 or 2 views rt (73560) |
$134.40 |
$320 |
1.6× |