| Abdomen 2 views (74019) |
$292.88 |
$546.49 |
3.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$603.08 |
$1,123.93 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$4,835.33 |
$9,016.70 |
1.7× |
| Angiography extremity unilateral rs&i (75710) |
$3,288.45 |
$6,132.32 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$1,316.70 |
$2,455.14 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,317.23 |
$8,050.63 |
1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,404.88 |
$4,485 |
0.8× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,404.88 |
$4,485 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$379.50 |
$707.78 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,316.70 |
$2,455.14 |
0.5× |
| Ankle 2 views (73600) |
$165 |
$313.25 |
2.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$575.03 |
$1,072.47 |
1.8× |
| Aortogram thoracic (75605) |
$4,835.33 |
$9,016.70 |
1.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,835.33 |
$9,016.70 |
1.7× |
| Aortography abdominal serialography rs&i (75625) |
$5,844.30 |
$10,898.60 |
2.0× |
| Arthrogram elbow (73085) |
$500.78 |
$934.13 |
1.6× |
| Arthrogram hip (73525) |
$538.73 |
$1,004.84 |
1.7× |
| Arthrogram shoulder (73040) |
$777.98 |
$316.12 |
2.5× |
| Arthrogram wrist (73115) |
$631.13 |
$1,176.56 |
2.0× |
| Arthrography knee lt (73580) |
$447.15 |
$834.05 |
1.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$839.85 |
$1,566.92 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,407.45 |
$2,623.86 |
3.9× |
| Bone age studies (77072) |
$84.98 |
$157.72 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$1,301.85 |
$2,428.11 |
3.6× |
| Bone survey complete (77075) |
$372.90 |
$694.85 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$266.48 |
$496.68 |
3.4× |
| Chest 1 view (71045) |
$136.13 |
$253.82 |
1.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$282.98 |
$527.78 |
1.8× |
| Clavicle complete (73000) |
$198.83 |
$350.68 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,635.15 |
$3,049.07 |
17.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,588.03 |
$4,826.55 |
8.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,074.88 |
$3,869.45 |
9.6× |
| CT abdomen w contrast (74160) |
$1,605.45 |
$2,994.38 |
10.1× |
| CT abdomen w wo contrast (74170) |
$1,972.58 |
$3,678.03 |
12.4× |
| CT abdomen w/o contrast (74150) |
$1,459.43 |
$2,720.92 |
15.4× |
| CT angio hrt w/3d image (75574) |
$532.13 |
$992.21 |
1.7× |
| CT angiography upper extremity lt (73206) |
$1,603.80 |
$2,990.01 |
10.1× |
| CT c-spine w/o contrast (72125) |
$1,454.48 |
$2,712.02 |
15.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,967.63 |
$3,669.14 |
12.4× |
| CT cervical spine with contrast (72126) |
$1,601.33 |
$2,985.50 |
5.1× |
| CT chest w/wo contrast (71270) |
$2,148.30 |
$4,006.18 |
13.5× |
| CT chest with contrast (71260) |
$1,782 |
$3,322.53 |
11.2× |
| CT head/brain with contrast (70460) |
$1,657.43 |
$3,090.07 |
10.4× |
| CT head/brain without and with contrast (70470) |
$2,023.73 |
$3,773.72 |
12.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$90.75 |
$170 |
1.2× |
| CT iac w contrast (70481) |
$1,687.95 |
$3,147.52 |
10.6× |
| CT lower ext w/o (73700) |
$1,191.30 |
$2,221.86 |
12.6× |
| CT lower extremity w wo contrast (73702) |
$1,704.45 |
$3,178.96 |
10.7× |
| CT lower extremity with contrast (73701) |
$1,338.15 |
$2,495.32 |
8.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,799.33 |
$3,355.34 |
11.3× |
| CT lumbar spine w/o contrast (72131) |
$1,286.18 |
$2,398.23 |
13.6× |
| CT lumbar spine with contrast (72132) |
$1,433.03 |
$2,671.69 |
4.5× |
| CT maxillofacial w contrast (70487) |
$1,825.73 |
$3,404.57 |
11.5× |
| CT maxillofacial w/o contrast (70486) |
$1,678.88 |
$3,131.11 |
17.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,192.03 |
$4,088.22 |
13.8× |
| CT neck soft tissue w contrast (70491) |
$1,475.93 |
$2,752.53 |
9.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,054.25 |
$3,831.16 |
12.9× |
| CT orbits w/o contrast (70480) |
$1,541.10 |
$2,874.06 |
16.3× |
| CT pelvis w & w/o contrast (72194) |
$1,972.58 |
$3,678.03 |
12.4× |
| CT pelvis w/o contrast (72192) |
$1,459.43 |
$2,720.92 |
15.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,843.05 |
$3,436.18 |
11.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,329.08 |
$2,479.06 |
14.0× |
| CT thoracic spine w/contrast (72129) |
$1,597.20 |
$2,978.05 |
10.0× |
| CT thoracic spine w/o contrast (72128) |
$1,450.35 |
$2,704.58 |
15.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,963.50 |
$3,661.70 |
12.4× |
| CT thorax w/o contrast (71250) |
$1,635.15 |
$3,049.07 |
17.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,445.40 |
$2,695.32 |
9.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,191.30 |
$2,221.86 |
12.6× |
| CT upper extremity with contrast (73201) |
$1,338.15 |
$2,495.32 |
4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,202.85 |
$2,242.64 |
7.6× |
| Cta Abdomen (74175) |
$1,590.60 |
$2,965.92 |
10.0× |
| CTA abdomen pelvis (74174) |
$2,433.75 |
$4,538.98 |
7.7× |
| CTA chest (71275) |
$1,539.45 |
$2,871.32 |
9.7× |
| Cta Head (70496) |
$1,603.80 |
$2,990.01 |
10.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,414.88 |
$2,637.85 |
8.9× |
| Cta Neck (70498) |
$1,630.20 |
$3,039.77 |
10.3× |
| Cta Pelvis (72191) |
$1,317.53 |
$2,457.05 |
8.3× |
| Cystography minimum 3 views rs&i (74430) |
$554.40 |
$1,033.41 |
1.8× |
| Diskography lumbar (72295) |
$1,851.30 |
$3,452 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$267.30 |
$499.09 |
2.8× |
| Dxa bone density study axial skeleton (77085) |
$237.60 |
$442.63 |
2.5× |
| Echoencephalography real time imaging (76506) |
$316.80 |
$590.44 |
3.3× |
| Esophagus (74220) |
$282.98 |
$527.78 |
1.8× |
| Fetal biophysical profile non-stress testing (76818) |
$316.80 |
$591.07 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$369.60 |
$688.53 |
3.9× |
| Fluoroscopy up to 1 hr (76000) |
$380.33 |
$477.66 |
1.8× |
| Foot 2 views (73620) |
$165.83 |
$309.19 |
2.1× |
| Forearm 2 views (73090) |
$170.78 |
$332.96 |
2.2× |
| Gated Heart Planar Single (78472) |
$998.25 |
$1,861.60 |
2.8× |
| Hand 2 views (73120) |
$135.30 |
$253.04 |
1.4× |
| Hand 3 views (73130) |
$235.13 |
$438.91 |
3.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,145.10 |
$2,134.97 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$567.60 |
$1,596.98 |
1.6× |
| Humerus Min 2 Views Left (73060) |
$223.58 |
$394.68 |
2.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,051.05 |
$1,959.43 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$775.50 |
$1,446.62 |
1.6× |
| Knee 3 views (73562) |
$282.98 |
$527.77 |
3.6× |
| Liver & spleen imaging static only (78215) |
$669.08 |
$1,248.36 |
1.8× |
| Lymphoscintigraphy (78195) |
$1,034.55 |
$1,928.84 |
2.1× |
| Meckels Diverticulum (78290) |
$823.35 |
$1,535.86 |
2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$19.80 |
$41.50 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$75.90 |
$450 |
0.9× |
| MRA head w & w/o contrast (70546) |
$1,979.18 |
$3,690.84 |
6.3× |
| MRA head w/o contrast (70544) |
$1,442.93 |
$2,690.84 |
6.7× |
| MRA neck w contrast (70548) |
$1,389.30 |
$2,591.04 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,756.43 |
$3,274.68 |
5.6× |
| MRA neck w/o contrast (70547) |
$1,242.45 |
$2,317.57 |
5.7× |
| MRI abdomen w contrast (74182) |
$1,650.83 |
$3,077.78 |
5.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,017.13 |
$3,761.43 |
6.4× |
| MRI abdomen w/o contrast (74181) |
$1,503.98 |
$2,804.32 |
7.0× |
| MRI any jnt lwr ext with con lt (73722) |
$1,612.05 |
$3,006.69 |
2.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,532.03 |
$2,857.63 |
2.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,966.80 |
$3,667.77 |
9.1× |
| MRI breast w/o contrast unilat (77046) |
$983.40 |
$1,833.89 |
4.5× |
| MRI c-spine with contrast (72142) |
$1,650.83 |
$3,077.78 |
5.2× |
| MRI cervical spine w/o contrast (72141) |
$1,503.98 |
$2,804.32 |
7.0× |
| MRI chest w/o & w/contrast material (71552) |
$2,131.80 |
$3,274.68 |
6.7× |
| MRI chest w/o contrast (71550) |
$1,765.50 |
$2,317.56 |
8.2× |
| MRI chest with contrast (71551) |
$1,532.03 |
$2,857.63 |
2.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$813.45 |
$1,516.46 |
2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,536.15 |
$2,864.49 |
4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,389.30 |
$2,591.03 |
6.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,814.18 |
$3,383.36 |
8.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,181.30 |
$4,067.02 |
6.9× |
| MRI orbit/face/neck w/contrast (70542) |
$1,948.65 |
$3,633.36 |
6.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,953.60 |
$3,642.47 |
6.2× |
| MRI pelvis w/o contrast (72195) |
$1,586.48 |
$2,958.83 |
7.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,756.43 |
$3,541.30 |
5.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,979.18 |
$3,690.34 |
6.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,545.95 |
$4,747.92 |
8.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,650.83 |
$3,077.78 |
5.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,842.95 |
$5,301.01 |
9.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,414.88 |
$2,638.77 |
4.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,736.53 |
$5,102.75 |
8.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,268.03 |
$2,365.31 |
5.9× |
| MRI tmj (70336) |
$1,594.73 |
$2,973.87 |
7.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,242.45 |
$2,584.17 |
5.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,756.43 |
$3,274.68 |
5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,242.45 |
$2,317.56 |
5.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,625.05 |
$6,759.97 |
3.1× |
| Neck soft tissue (70360) |
$152.63 |
$284.40 |
1.9× |
| Nm bone marrow wb (78104) |
$711.98 |
$1,327.01 |
2.0× |
| Nm cisternogram (78630) |
$1,601.33 |
$2,985.52 |
3.3× |
| Nm gastric emptying study (78264) |
$1,176.45 |
$2,193.29 |
3.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,999.70 |
$5,593.52 |
2.6× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,234.20 |
$2,302.29 |
3.4× |
| Nuclear Rx Oral Admin (79005) |
$622.88 |
$1,161.71 |
2.9× |
| Osseous survey infant (77076) |
$249.98 |
$466.03 |
2.6× |
| Osseous survey limited (77074) |
$335.78 |
$626.27 |
3.5× |
| Parathyrd planar w/wo subtrj (78071) |
$331.65 |
$1,004.58 |
0.9× |
| Parathyroid imaging (78070) |
$710.33 |
$1,324.92 |
2.0× |
| Pelvis 1 or 2 views (72170) |
$142.73 |
$266.62 |
1.5× |
| Pr heart first pass single,planar (78481) |
$982.58 |
$1,832.02 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,902.45 |
$3,548.14 |
6.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$508.20 |
$948.45 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,029.60 |
$1,919.60 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$312.68 |
$583.56 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$627.83 |
$1,170.74 |
8.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$827.48 |
$1,542.91 |
8.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$175.73 |
$327.27 |
1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$886.05 |
$1,651.91 |
9.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$286.28 |
$533.23 |
3.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$215.33 |
$401.12 |
2.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$212.85 |
$397.38 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$396.83 |
$740.46 |
2.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$492.53 |
$862.77 |
3.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$477.68 |
$891.48 |
3.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$223.58 |
$417.02 |
2.8× |
| Radiological examination surgical specimen (76098) |
$953.70 |
$1,778.77 |
1.9× |
| Ribs bilateral 3 views (71110) |
$311.03 |
$580.49 |
3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,895.75 |
$5,399.50 |
8.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,870.18 |
$4,408.88 |
5.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,181.40 |
$4,258.88 |
2.4× |
| Scanogram (77073) |
$218.63 |
$407.59 |
2.3× |
| Scapula complete (73010) |
$187.28 |
$348.57 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$54.45 |
$76.38 |
2.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$87.45 |
$225 |
0.9× |
| Small bowel series (74250) |
$401.78 |
$748.74 |
2.5× |
| Spine thoracic 3 views (72072) |
$304.43 |
$567.43 |
3.2× |
| Testicular Imaging With Vascular Flow (78761) |
$1,106.33 |
$2,063.03 |
3.1× |
| Thoracolumbar 2 views (72080) |
$349.80 |
$651.93 |
4.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$471.08 |
$879.12 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$952.05 |
$1,775.09 |
2.6× |
| Tmj unilateral (70328) |
$66.83 |
$125 |
0.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,689.60 |
$3,150.27 |
3.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$783.75 |
$1,461.78 |
2.2× |
| Ultrasound, abdomen limited (76705) |
$362.18 |
$675.12 |
3.8× |
| Unlisted Ultrasound Procedure (76999) |
$113.85 |
$212.54 |
1.4× |
| Upper Extremity Infant (73092) |
$159.23 |
$296.99 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$697.95 |
$1,300.84 |
3.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$831.60 |
$1,550 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$362.18 |
$675.12 |
3.8× |
| Us breast unilateral complete (76641) |
$306.90 |
$571.63 |
3.2× |
| Us breast unilateral limited (76642) |
$240.90 |
$449.55 |
3.1× |
| Us chest (76604) |
$328.35 |
$612.93 |
3.5× |
| Us compl joint r-t w/image documentation (76881) |
$248.33 |
$462.67 |
2.6× |
| Us guided compression repair (76936) |
$237.60 |
$443.14 |
1.2× |
| Us infant hips limited static (76886) |
$253.28 |
$472.34 |
3.2× |
| Us ob transvaginal (76817) |
$464.48 |
$865.47 |
4.9× |
| Us pelvic non ob complete (76856) |
$622.05 |
$1,159.45 |
6.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$137.78 |
$257.05 |
1.5× |
| Us pregnancy ltd (76815) |
$339.08 |
$632.60 |
3.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$165 |
$307 |
1.7× |
| Us retroperitoneal complete (76770) |
$362.18 |
$675.12 |
3.8× |
| Us retroperitoneal limited (76775) |
$377.03 |
$702.79 |
4.0× |
| Us scrotum and contents (76870) |
$463.65 |
$864.82 |
4.9× |
| Us soft tissue head/neck (76536) |
$380.33 |
$708.51 |
4.0× |
| Us spinal canal and contents (76800) |
$253.28 |
$472.34 |
2.7× |
| Us xtr non-vasc lmtd (76882) |
$248.33 |
$708.51 |
2.6× |
| Vascular flow imaging (78445) |
$886.05 |
$1,652.88 |
2.4× |
| Venogram extremity bilateral (75822) |
$1,157.48 |
$2,159 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$4,317.23 |
$8,050.63 |
1.5× |
| Venography caval superior serialography rs&i (75827) |
$1,392.60 |
$2,596.75 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$1,392.60 |
$2,596.75 |
1.0× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,404.88 |
$4,485 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$155.93 |
$291.16 |
2.0× |
| Wrist 2 views (73100) |
$184.80 |
$344.56 |
2.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$53.63 |
$691.86 |
0.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$155.10 |
$289.94 |
2.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$233.48 |
$434.80 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$467.78 |
$872.33 |
2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$136.13 |
$264.92 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$221.93 |
$414.29 |
2.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$856.35 |
$1,597.41 |
9.0× |
| X-ray exam hip uni 1 view (73501) |
$218.63 |
$412.72 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$232.65 |
$440.34 |
3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$286.28 |
$534.20 |
3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$477.68 |
$890.34 |
5.0× |
| X-ray exam of femur 1 (73551) |
$205.43 |
$382.59 |
2.6× |
| X-ray eye for foreign body (70030) |
$72.60 |
$130 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$286.28 |
$533.25 |
3.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$253.28 |
$471.62 |
3.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$231 |
$431.43 |
2.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$174.90 |
$307.98 |
2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$194.70 |
$362.58 |
2.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$297 |
$554.16 |
3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$151.80 |
$283.03 |
1.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$136.13 |
$253.13 |
1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$278.85 |
$520.24 |
2.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$273.90 |
$510.81 |
3.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$155.93 |
$291.16 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$248.33 |
$463.51 |
2.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$383.63 |
$714.75 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$304.43 |
$567.44 |
3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$330 |
$615.08 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$322.58 |
$601.59 |
3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$235.95 |
$440.26 |
2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$219.45 |
$408.83 |
2.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$222.75 |
$416.12 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$238.43 |
$445.06 |
3.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$142.73 |
$266.27 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$360.53 |
$672.73 |
3.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$286.28 |
$336.62 |
3.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$150.98 |
$281.44 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$220.28 |
$411.41 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$179.85 |
$335.51 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$192.23 |
$358.33 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$311.85 |
$581.11 |
3.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$161.70 |
$301.78 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$288.75 |
$538.70 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$376.20 |
$701.96 |
4.0× |
| Xr finger(s) 2+ views (73140) |
$146.03 |
$291.88 |
1.9× |
| Xr shoulder 1 view (73020) |
$155.10 |
$289.86 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$296.18 |
$552.95 |
3.1× |
| Xr tibia/fibula 2 views (73590) |
$200.48 |
$373.27 |
2.5× |
| Xr tmj bilateral (70330) |
$80.85 |
$150 |
1.0× |
| Xray knee 1 or 2 views rt (73560) |
$215.33 |
$401.12 |
2.7× |