| Abdomen 1 View (74018) |
$144 |
$144 |
1.6× |
| Abdomen 2 views (74019) |
$181 |
$181 |
1.7× |
| Ankle 2 views (73600) |
$144 |
$144 |
1.6× |
Bone age studies (77072) range across 2 matching MRF lines |
$212–$340 |
$212–$340 |
varies |
| Chest 1 view (71045) |
$144 |
$144 |
1.6× |
| Chest 2 views (71046) |
$181 |
$181 |
2.1× |
| Chest 3 views (71047) |
$212 |
$212 |
2.4× |
| Chest 4 or more views (71048) |
$327 |
$327 |
3.1× |
| Clavicle complete (73000) |
$159 |
$159 |
1.8× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$273 |
$273 |
1.5× |
| Echo Guide For Artery Repair (76936) |
$367 |
$367 |
1.7× |
| Foot 2 views (73620) |
$144 |
$144 |
1.6× |
| Forearm 2 views (73090) |
$144 |
$144 |
1.6× |
| Hand 2 views (73120) |
$144 |
$144 |
1.4× |
| Knee 3 Views (73562) |
$181 |
$181 |
2.1× |
| Neck soft tissue (70360) |
$159 |
$159 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$144 |
$144 |
1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$269 |
$269 |
2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$159 |
$159 |
1.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$122 |
$122 |
1.4× |
| Radex elbow complete minimum 3 views (73080) |
$159 |
$159 |
1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$236 |
$236 |
2.2× |
| Radex fingr minimum 2 views (73140) |
$122 |
$122 |
1.4× |
| Radex foot complete minimum 3 views (73630) |
$159 |
$159 |
1.8× |
| Radex Hand Minimum 3 Views (73130) |
$159 |
$159 |
1.8× |
| Radex lower extremity infant minimum 2 views (73592) |
$181 |
$181 |
2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$244 |
$244 |
2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$159 |
$159 |
1.8× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) |
$159 |
$159 |
1.8× |
| Radex Ribs Unilateral 2 Views (71100) |
$181 |
$181 |
2.1× |
| Radex shoulder complete minimum 2 views (73030) |
$185 |
$185 |
2.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$187 |
$187 |
2.1× |
| Radex Spine 1 View Specify Level (72020) |
$144 |
$144 |
1.6× |
| Radex Sternum Minimum 2 Views (71120) |
$212 |
$212 |
2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$244 |
$244 |
2.8× |
| Radex Toe Minimum 2 Views (73660) |
$122 |
$122 |
1.4× |
| Radex upper extremity infant minimum 2 views (73092) |
$181 |
$181 |
1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$181 |
$181 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$212 |
$212 |
2.0× |
| Radiologic exam knee complete 4/more views (73564) |
$212 |
$212 |
2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$212 |
$212 |
2.0× |
| Radiologic examination femur 1 view (73551) |
$144 |
$144 |
1.6× |
| Radiologic examination femur minimum 2 views (73552) |
$144 |
$144 |
1.6× |
| Radiologic examination knee 1/2 views (73560) |
$159 |
$159 |
1.8× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$212 |
$212 |
2.4× |
| Radiologic examination tibia & fibula 2 views (73590) |
$159 |
$159 |
1.8× |
| Radiologic examination, teeth; single view Non-Facility (70300) |
$69 |
$69 |
0.8× |
| Ribs bilateral 3 views (71110) |
$194 |
$194 |
1.8× |
| Scapula (73010) |
$181 |
$181 |
1.7× |
| Sella turcica (70240) |
$144 |
$144 |
1.6× |
| Shoulder 1 view (73020) |
$122 |
$122 |
1.4× |
| Skull less than 4 views (70250) |
$159 |
$159 |
1.5× |
| Sternoclavicular joints (71130) |
$212 |
$212 |
2.4× |
| Thoracic spine 2 views (72070) |
$181 |
$181 |
1.7× |
| Thoracic spine 3 views (72072) |
$212 |
$212 |
2.0× |
Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$106–$181 |
$106–$181 |
varies |
| Ultrasound Breast Limited (76642) |
$100 |
$100 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$382 |
$382 |
3.6× |
| Us bone density measurement (76977) |
$183 |
$183 |
1.7× |
| Us breast unilateral complete (76641) |
$175 |
$175 |
1.7× |
| Us chest (76604) |
$382 |
$382 |
3.6× |
Us complete joint (76881) range across 2 matching MRF lines |
$122–$347 |
$122–$347 |
varies |
Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$186–$382 |
$186–$382 |
varies |
| Us ob transvaginal (76817) |
$700 |
$700 |
6.7× |
| Us pelvic non ob complete (76856) |
$458 |
$458 |
4.4× |
| Us retroperitoneal complete (76770) |
$382 |
$382 |
3.6× |
Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$188–$382 |
$188–$382 |
varies |
Us scrotum and contents (76870) range across 2 matching MRF lines |
$200–$268 |
$200–$268 |
varies |
| Us thyroid (76536) |
$337 |
$337 |
3.2× |
| Wrist 2 views (73100) |
$144 |
$144 |
1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$212 |
$212 |
2.4× |
| X-Ray Bend Only L-S Spine (72120) |
$212 |
$212 |
2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$144 |
$144 |
1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$269 |
$269 |
2.6× |
| X-Ray Exam Hip Uni 1 View (73501) |
$159 |
$159 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$181 |
$181 |
2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$298 |
$298 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$269 |
$269 |
2.6× |
| X-Ray Exam L-S Spine Bending (72114) |
$297 |
$297 |
2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$159 |
$159 |
1.8× |
X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$314–$350 |
$314–$350 |
varies |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$212 |
$212 |
2.0× |
| X-ray eye for foreign body (70030) |
$122 |
$122 |
1.4× |
| X-ray humerus (73060) |
$159 |
$159 |
1.8× |
| X-ray IV pyelogram (ivp) (74400) |
$447 |
$447 |
2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$181 |
$181 |
2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$244 |
$244 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$212 |
$212 |
2.0× |
| X-ray nose-rectum child f.b. (76010) |
$144 |
$144 |
1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$362 |
$362 |
3.4× |
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$210–$212 |
$210–$212 |
varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$184 |
$184 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$144 |
$144 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$212 |
$212 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$297 |
$297 |
2.8× |
| X-ray thoracic spine 4 vw (72074) |
$269 |
$269 |
2.6× |
| X-Ray Tmj Unilat (70328) |
$159 |
$159 |
1.8× |
| Xr c-spine 4 or 5 views (72050) |
$212 |
$212 |
2.0× |
| Xr facial bones less than 3 views (70140) |
$159 |
$159 |
1.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$159 |
$159 |
1.5× |
| Xr orbits complete 4 views (70200) |
$212 |
$212 |
2.0× |