| Abdomen 2 views (74019) |
$493.68 |
$1,452 |
4.6× |
| Acute gi blood loss imaging (78278) |
$810.22 |
$2,383 |
2.0× |
| Ankle 2 views (73600) |
$199.92 |
$588 |
2.2× |
| Arthrogram shoulder (73040) |
$358.70 |
$1,055 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$415.14 |
$1,221 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$1,223.66 |
$3,599 |
3.0× |
| Bone age studies (77072) |
$109.48 |
$322 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$2,225.30 |
$6,545 |
5.4× |
| Bone survey complete (77075) |
$1,441.94 |
$4,241 |
13.4× |
| Bone survey infant (77076) |
$572.22 |
$1,683 |
5.3× |
| Bowel imaging (78290) |
$1,052.30 |
$3,095 |
2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,234.20 |
$3,630 |
0.8× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$850 |
$2,500 |
2.1× |
| Cervical spine 2 or 3 views (72040) |
$279.82 |
$823 |
3.1× |
| Chest 1 view (71045) |
$197.88 |
$582 |
2.2× |
| Chest xray 3 views (71047) |
$237.32 |
$698 |
2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$477.02 |
$1,403 |
2.6× |
| Clavicle complete (73000) |
$380.12 |
$1,118 |
4.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$405.96 |
$1,194 |
3.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,576.18 |
$7,577 |
7.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,576.18 |
$7,577 |
10.5× |
| CT abdomen w contrast (74160) |
$1,786.70 |
$5,255 |
9.9× |
| CT abdomen w wo contrast (74170) |
$2,493.90 |
$7,335 |
13.8× |
| CT abdomen w/o contrast (74150) |
$1,681.64 |
$4,946 |
15.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,527.22 |
$7,433 |
14.0× |
| CT angiography upper extremity lt (73206) |
$1,803.02 |
$5,303 |
10.0× |
| CT c-spine w/contrast (72126) |
$1,726.86 |
$5,079 |
4.8× |
| CT c-spine w/o contrast (72125) |
$1,675.52 |
$4,928 |
15.5× |
| CT cervical spine w&w/o contrast (72127) |
$272.68 |
$802 |
1.5× |
| CT chest w contrast (71260) |
$2,086.24 |
$6,136 |
11.5× |
| CT chest w/wo contrast (71270) |
$2,077.74 |
$6,111 |
11.5× |
| CT colonography screening (74263) |
$1,803.36 |
$5,304 |
7.3× |
| CT colonography w/dye (74262) |
$1,803.36 |
$5,304 |
10.0× |
| CT colonography w/o cntrst (74261) |
$1,803.36 |
$5,304 |
16.7× |
| CT head/brain with contrast (70460) |
$1,627.92 |
$4,788 |
9.0× |
| CT head/brain without and with contrast (70470) |
$1,786.70 |
$5,255 |
9.9× |
| CT iac w contrast (70481) |
$1,968.26 |
$5,789 |
10.9× |
| CT limited/localized follow up study (76380) |
$1,062.84 |
$3,126 |
11.8× |
| CT lower ext w/o (73700) |
$1,575.22 |
$4,633 |
14.6× |
| CT lower extremity w wo contrast (73702) |
$1,726.86 |
$5,079 |
9.5× |
| CT lower extremity w/contrast material (73701) |
$1,726.86 |
$5,079 |
9.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,000.56 |
$5,884 |
11.1× |
| CT lumbar spine w/contrast (72132) |
$2,231.08 |
$6,562 |
6.2× |
| CT lumbar spine w/o contrast (72131) |
$2,007.70 |
$5,905 |
18.6× |
| CT maxillofacial w contrast (70487) |
$1,660.90 |
$4,885 |
9.2× |
| CT maxillofacial w/wo contrast (70488) |
$1,958.74 |
$5,761 |
10.8× |
| CT maxillofacial wo contrast (70486) |
$1,681.64 |
$4,946 |
15.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,726.86 |
$5,079 |
9.5× |
| CT orbits w/o contrast (70480) |
$1,861.84 |
$5,476 |
17.3× |
| CT pelvis w/o contrast (72192) |
$1,968.26 |
$5,789 |
18.2× |
| CT pelvis w/wo contrast (72194) |
$2,401.42 |
$7,063 |
13.3× |
| CT scan of arm combo (73202) |
$1,681.64 |
$4,946 |
9.3× |
| CT soft tissue neck w contrast (70491) |
$1,701.02 |
$5,003 |
9.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,726.86 |
$5,079 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,612.28 |
$4,742 |
14.9× |
| CT thoracic spine w/contrast (72129) |
$1,858.10 |
$5,465 |
10.3× |
| CT thoracic spine w/o contrast (72128) |
$1,696.94 |
$4,991 |
15.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,000.56 |
$5,884 |
11.1× |
| CT thorax w/o contrast (71250) |
$1,803.36 |
$5,304 |
16.7× |
| CT upper ext wo (73200) |
$1,505.18 |
$4,427 |
13.9× |
| CT upper extremity with contrast (73201) |
$1,681.64 |
$4,946 |
4.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,434.06 |
$7,159 |
13.4× |
| Cta Abdomen (74175) |
$2,212.04 |
$6,506 |
12.2× |
| CTA abdomen pelvis (74174) |
$1,743.52 |
$5,128 |
4.8× |
| CTA chest (71275) |
$2,527.22 |
$7,433 |
14.0× |
| Cta Head (70496) |
$1,912.84 |
$5,626 |
10.6× |
| Cta Neck (70498) |
$2,527.22 |
$7,433 |
14.0× |
| Cta Pelvis (72191) |
$1,743.52 |
$5,128 |
9.6× |
| Cystography minimum 3 views rs&i (74430) |
$1,123.53 |
$3,304.50 |
3.1× |
| Diskogram cervical (72285) |
$113.56 |
$334 |
0.1× |
| Diskography lumbar (72295) |
$380.12 |
$1,118 |
0.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$124.78 |
$367 |
1.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$116.62 |
$343 |
1.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$148.75 |
$437.50 |
1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$123.42 |
$363 |
1.4× |
| Dxa bone density study axial skeleton (77085) |
$123.42 |
$363 |
1.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$185.98 |
$547 |
0.8× |
| Esophagus (74220) |
$212.16 |
$624 |
1.2× |
| Facial bones min 3 views (70150) |
$520.20 |
$1,530 |
4.8× |
| Fetal biophysical profile non-stress testing (76818) |
$537.03 |
$1,579.50 |
5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$535.16 |
$1,574 |
5.0× |
| Fetal Echo (76825) |
$502.01 |
$1,476.50 |
0.9× |
| Fluoroscopy up to 1 hr (76000) |
$302.94 |
$891 |
1.2× |
| Foot 2 views (73620) |
$199.92 |
$588 |
2.2× |
| Forearm 2 views (73090) |
$295.80 |
$870 |
3.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$392.70 |
$1,155 |
1.0× |
| Gastric mucosa imaging (78261) |
$208.08 |
$612 |
0.5× |
| Hand 2 views (73120) |
$295.80 |
$870 |
2.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$619.14 |
$1,821 |
1.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$457.30 |
$1,345 |
1.1× |
| Hysterosalpingogram (74740) |
$856.46 |
$2,519 |
3.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$392.70 |
$1,155 |
3.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$802.74 |
$2,361 |
1.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$802.74 |
$2,361 |
1.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$378.08 |
$1,112 |
0.7× |
| Knee 3 views (73562) |
$233.24 |
$686 |
2.6× |
| Lung perf&ventilat diferentl (78598) |
$320.28 |
$942 |
0.6× |
| Lung perfusion differential (78597) |
$990.42 |
$2,913 |
2.4× |
| Lung ventilation imaging (78579) |
$1,183.88 |
$3,482 |
2.9× |
| Lymphoscintigraphy (78195) |
$448.80 |
$1,320 |
0.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,844.84 |
$5,426 |
2.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,844.84 |
$5,426 |
5.1× |
| Mammary ductogram or galactogram multiple (77054) |
$679.66 |
$1,999 |
2.8× |
| Mammary ductogram or galactogram single (77053) |
$679.66 |
$1,999 |
2.8× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$76.50 |
$225 |
0.9× |
| MRA head w & w/o contrast (70546) |
$1,844.84 |
$5,426 |
5.1× |
| MRA head w/o contrast (70544) |
$2,212.04 |
$6,506 |
9.0× |
| MRA head with contrast (70545) |
$1,844.84 |
$5,426 |
5.1× |
| MRA neck w contrast (70548) |
$1,844.84 |
$5,426 |
5.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,212.04 |
$6,506 |
6.1× |
| MRA neck w/o contrast (70547) |
$2,043.06 |
$6,009 |
8.3× |
| MRI abdomen w contrast (74182) |
$2,212.04 |
$6,506 |
6.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,212.04 |
$6,506 |
6.1× |
| MRI abdomen w/o contrast (74181) |
$1,844.84 |
$5,426 |
7.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,844.84 |
$5,426 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,844.84 |
$5,426 |
5.1× |
| MRI breast w/o contrast bilateral (77047) |
$1,844.84 |
$5,426 |
7.5× |
| MRI breast wo contrast unilateral (77046) |
$1,844.84 |
$5,426 |
7.5× |
| MRI c-spine with contrast (72142) |
$1,844.84 |
$5,426 |
5.1× |
| MRI cervical spine w/o contrast (72141) |
$1,844.84 |
$5,426 |
7.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,212.04 |
$6,506 |
6.1× |
| MRI chest w/o contrast (71550) |
$1,844.84 |
$5,426 |
7.5× |
| MRI chest with contrast (71551) |
$1,844.84 |
$5,426 |
2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,844.84 |
$5,426 |
5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,212.04 |
$6,506 |
6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,844.84 |
$5,426 |
7.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,844.84 |
$5,426 |
7.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,844.84 |
$5,426 |
5.1× |
| MRI pelvis w/contrast (72196) |
$1,844.84 |
$5,426 |
5.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,844.84 |
$5,426 |
5.1× |
| MRI pelvis w/o contrast (72195) |
$1,844.84 |
$5,426 |
7.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,844.84 |
$5,426 |
5.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,844.84 |
$5,426 |
5.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,844.84 |
$5,426 |
5.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,844.84 |
$5,426 |
5.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,844.84 |
$5,426 |
5.1× |
| MRI temporomandibular joint (70336) |
$1,844.84 |
$5,426 |
7.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,844.84 |
$5,426 |
7.5× |
| MRI up ext w/o contrast (73218) |
$1,844.84 |
$5,426 |
7.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,844.84 |
$5,426 |
7.5× |
| MRI, joint upper extrem combo (73223) |
$1,844.84 |
$5,426 |
5.1× |
| Myocardial infarct spect (78469) |
$710.60 |
$2,090 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$1,441.60 |
$4,240 |
1.1× |
| Myocardial spect single study at rest or stress (78451) |
$356.66 |
$1,049 |
0.3× |
| Neck soft tissue (70360) |
$124.10 |
$365 |
1.4× |
| Nm gastric emptying study (78264) |
$571.88 |
$1,682 |
1.4× |
| Nm gastroesophageal reflux study (78262) |
$273.36 |
$804 |
0.7× |
| Nuclear Rx Oral Admin (79005) |
$137.36 |
$404 |
0.6× |
| Ob us nuchal meas 1 gest (76813) |
$175.78 |
$517 |
1.6× |
| Osseous survey limited (77074) |
$273.70 |
$805 |
2.5× |
| Parathyroid Planar Imaging (78070) |
$185.64 |
$546 |
0.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$329.12 |
$968 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$221 |
$650 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$2,555.44 |
$7,516 |
1.7× |
| PET imaging CT for attenuation limited area (78814) |
$1,220.94 |
$3,591 |
0.8× |
| PET imaging for CT attenuation whole body (78816) |
$1,986.96 |
$5,844 |
1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$772.14 |
$2,271 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$990.42 |
$2,913 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$711.28 |
$2,092 |
1.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$320.28 |
$942 |
3.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$199.92 |
$588 |
2.2× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$337.96 |
$994 |
3.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$413.44 |
$1,216 |
4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$528.02 |
$1,553 |
4.9× |
| Radex fingr minimum 2 views (73140) |
$233.24 |
$686 |
2.6× |
| Radex Foot Compl Minimum 3 Views (73630) |
$317.56 |
$934 |
3.5× |
| Radex Hand Minimum 3 Views (73130) |
$295.80 |
$870 |
3.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$221.34 |
$651 |
2.5× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$479.40 |
$1,410 |
4.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$479.40 |
$1,410 |
4.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$479.40 |
$1,410 |
4.4× |
| Radex Humerus Minimum 2 Views (73060) |
$253.64 |
$746 |
2.8× |
| Radex Kne 1/2 Views (73560) |
$131.24 |
$386 |
1.5× |
| Radex Kne Compl 4/More Views (73564) |
$399.84 |
$1,176 |
3.7× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$447.44 |
$1,316 |
4.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$301.58 |
$887 |
3.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$301.58 |
$887 |
2.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$358.70 |
$1,055 |
4.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$151.98 |
$447 |
1.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$127.84 |
$376 |
1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$477.02 |
$1,403 |
5.3× |
| Radex Toe Minimum 2 Views (73660) |
$233.24 |
$686 |
2.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$212.16 |
$624 |
2.0× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$301.58 |
$887 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$229.50 |
$675 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$229.50 |
$675 |
2.1× |
| Radiologic exam chest 2 views (71046) |
$237.32 |
$698 |
2.6× |
| Radiologic exam colon single contrast study (74270) |
$533.80 |
$1,570 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$705.16 |
$2,074 |
3.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$564.40 |
$1,660 |
3.1× |
| Radiologic examination femur 1 view (73551) |
$225.76 |
$664 |
2.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$295.80 |
$870 |
3.3× |
| Radiological examination surgical specimen (76098) |
$93.84 |
$276 |
0.2× |
| Ribs bilateral 3 views (71110) |
$442.68 |
$1,302 |
4.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$670.14 |
$1,971 |
2.7× |
| Scapula (73010) |
$317.56 |
$934 |
2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$68.34 |
$201 |
2.9× |
| Shoulder 1 view (73020) |
$349.86 |
$1,029 |
3.9× |
| Small bowel series (74250) |
$403.92 |
$1,188 |
2.2× |
| Spine thoracic 3 views (72072) |
$534.14 |
$1,571 |
5.0× |
| Tbs technical calculation only (77091) |
$36.72 |
$108 |
0.4× |
| Thoracolumbar 2 views (72080) |
$413.44 |
$1,216 |
4.6× |
| Thyroid imaging w/blood flow (78013) |
$998.58 |
$2,937 |
2.4× |
| Thyroid uptake measurement (78012) |
$84.32 |
$248 |
0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,215.84 |
$3,576 |
2.9× |
| Tmj unilateral (70328) |
$151.98 |
$447 |
1.7× |
| Ultrasound breast complete (76641) |
$958.80 |
$2,820 |
8.9× |
| Ultrasound Exam Aaa Screen (76706) |
$343.06 |
$1,009 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$560.66 |
$1,649 |
5.2× |
| Umbilical-artery Doppler (OB) (76820) |
$224.74 |
$661 |
2.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$166.26 |
$489 |
1.9× |
| Unlisted magnetic resonance procedure (76498) |
$185.98 |
$547 |
2.1× |
| Unlisted ultrasound procedure (76999) |
$575.62 |
$1,693 |
6.4× |
| Ureteral reflux study (78740) |
$229.16 |
$674 |
0.6× |
| Urethrocystogram voiding (74455) |
$753.78 |
$2,217 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$87.72 |
$258 |
0.4× |
| Us breast unilateral limited (76642) |
$861.56 |
$2,534 |
9.6× |
| Us chest (76604) |
$297.16 |
$874 |
2.8× |
| Us compl joint r-t w/image documentation (76881) |
$522.24 |
$1,536 |
4.8× |
| Us infant hips w manipulation (76885) |
$522.24 |
$1,536 |
5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$522.24 |
$1,536 |
4.8× |
| Us ob detailed single fetus (76811) |
$343.06 |
$1,009 |
1.4× |
| Us ob limited (76815) |
$115.26 |
$339 |
1.1× |
| Us ob transvaginal (76817) |
$196.86 |
$579 |
1.8× |
| Us pelvic non ob complete (76856) |
$583.10 |
$1,715 |
5.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$99.28 |
$292 |
0.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$548.42 |
$1,613 |
5.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$275.06 |
$809 |
2.5× |
| Us retroperitoneal complete (76770) |
$599.08 |
$1,762 |
5.6× |
| Us retroperitoneal limited (76775) |
$454.58 |
$1,337 |
4.2× |
| Us scrotum and contents (76870) |
$516.12 |
$1,518 |
4.8× |
| Us soft tissue head/neck (76536) |
$789.14 |
$2,321 |
7.3× |
| Us spinal canal and contents (76800) |
$325.38 |
$957 |
3.0× |
| Us transrectal (76872) |
$378.42 |
$1,113 |
3.5× |
| Us,transplanted kidney, real time/ doppler (76776) |
$454.58 |
$1,337 |
4.2× |
| Wrist 2 views (73100) |
$216.24 |
$636 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$90.10 |
$265 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$451.86 |
$1,329 |
5.0× |
| X-ray b.e. reductn intuss (74283) |
$226.44 |
$666 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,052.64 |
$3,096 |
5.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$210.46 |
$619 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$237.32 |
$698 |
2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$479.40 |
$1,410 |
4.4× |
| X-ray exam of femur 2/> (73552) |
$218.96 |
$644 |
2.4× |
| X-ray eye for foreign body (70030) |
$102 |
$300 |
1.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$302.94 |
$891 |
3.4× |
| X-ray IV pyelogram (ivp) (74400) |
$626.62 |
$1,843 |
3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$233.24 |
$686 |
2.6× |
| X-ray leg, infant (73592) |
$212.16 |
$624 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$396.44 |
$1,166 |
3.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$271.66 |
$799 |
2.5× |
| X-ray nose-rectum child f.b. (76010) |
$160.48 |
$472 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$514.08 |
$1,512 |
4.8× |
| X-ray retrograde pyelogram (74420) |
$256.02 |
$753 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$136.68 |
$402 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$429.42 |
$1,263 |
4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$531.76 |
$1,564 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$375.36 |
$1,104 |
3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$447.44 |
$1,316 |
5.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$447.44 |
$1,316 |
5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$442 |
$1,300 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$302.94 |
$891 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$238 |
$700 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$313.14 |
$921 |
3.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$218.11 |
$641.50 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$413.44 |
$1,216 |
3.8× |
| Xr bone length studies (77073) |
$392.70 |
$1,155 |
3.6× |
| Xr c-spine 4 or 5 views (72050) |
$494.02 |
$1,453 |
4.6× |
| Xr c-spine 6 or more views (72052) |
$477.36 |
$1,404 |
4.4× |
| Xr urogram antegrade (74425) |
$175.10 |
$515 |
0.5× |