| Abdomen 2 views (74019) |
$206.65 |
$529.86 |
2.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$476.31 |
$1,221.30 |
1.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,455.05 |
$6,295 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$3,689.21 |
$9,459.51 |
1.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,066.53 |
$10,427 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,455.05 |
$6,295 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,455.05 |
$6,295 |
0.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,986.58 |
$10,222 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,459.47 |
$6,306.34 |
0.9× |
| Ankle 2 views (73600) |
$165.24 |
$423.70 |
2.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$437.31 |
$1,121.31 |
1.4× |
| Aortogram thoracic (75605) |
$3,836.04 |
$9,836 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,455.05 |
$6,295 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$3,689.21 |
$9,459.51 |
1.3× |
| Arthrogram elbow (73085) |
$437.31 |
$1,121.31 |
1.4× |
| Arthrogram hip (73525) |
$437.31 |
$1,121.31 |
1.4× |
| Arthrogram shoulder (73040) |
$437.31 |
$1,121.31 |
1.4× |
| Arthrogram wrist (73115) |
$437.31 |
$1,121.31 |
1.4× |
| Arthrography knee lt (73580) |
$437.31 |
$1,121.31 |
1.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$343.28 |
$880.20 |
0.9× |
| Bone &/joint imaging whole body (78306) |
$886.28 |
$2,272.50 |
2.4× |
| Bone age studies (77072) |
$124.37 |
$318.90 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$1,028.43 |
$2,637 |
2.8× |
| Bone survey complete (77075) |
$237.99 |
$610.24 |
2.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,664.79 |
$4,268.70 |
1.3× |
| Brain Imaging Vascular Flow Only (78610) |
$355.31 |
$911.04 |
0.7× |
| Cervical spine 2 or 3 views (72040) |
$155.18 |
$397.90 |
2.0× |
| Chest 1 view (71045) |
$176.72 |
$453.13 |
2.2× |
| Chest 3 views (71047) |
$182.64 |
$468.30 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$205.63 |
$527.25 |
1.3× |
| Clavicle complete (73000) |
$102.45 |
$262.68 |
1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$124.37 |
$318.90 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,857.49 |
$4,762.80 |
5.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,403.18 |
$3,597.90 |
6.5× |
| CT abdomen w contrast (74160) |
$1,101.34 |
$2,823.94 |
6.9× |
| CT abdomen w wo contrast (74170) |
$1,319.59 |
$3,383.57 |
8.3× |
| CT abdomen w/o contrast (74150) |
$909.01 |
$2,330.80 |
9.5× |
| CT angio hrt w/3d image (75574) |
$461.92 |
$1,184.40 |
1.5× |
| CT angiography upper extremity lt (73206) |
$837.14 |
$2,146.50 |
5.2× |
| CT c-spine w/o contrast (72125) |
$847.48 |
$2,173.03 |
8.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,037.91 |
$2,661.30 |
6.5× |
| CT cervical spine with contrast (72126) |
$821.34 |
$2,106 |
2.6× |
| CT chest w/wo contrast (71270) |
$1,191.89 |
$3,056.13 |
7.5× |
| CT chest with contrast (71260) |
$1,025.49 |
$2,629.46 |
6.4× |
| CT head/brain with contrast (70460) |
$1,103.90 |
$2,830.50 |
6.9× |
| CT head/brain without and with contrast (70470) |
$1,501.86 |
$3,850.93 |
9.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$117 |
$300.01 |
1.5× |
| CT iac w contrast (70481) |
$1,415.23 |
$3,628.80 |
8.9× |
| CT limited/localized follow up study (76380) |
$342.93 |
$879.30 |
4.3× |
| CT lower ext w/o (73700) |
$517.39 |
$1,326.64 |
5.4× |
| CT lower extremity w wo contrast (73702) |
$623.02 |
$1,597.50 |
3.9× |
| CT lower extremity with contrast (73701) |
$634.64 |
$1,627.29 |
4.0× |
| CT lumbar spine w & w/o contrast (72133) |
$873.99 |
$2,241 |
5.5× |
| CT lumbar spine w/o contrast (72131) |
$847.48 |
$2,173.03 |
8.9× |
| CT lumbar spine with contrast (72132) |
$1,006.14 |
$2,579.85 |
3.2× |
| CT maxillofacial w contrast (70487) |
$1,447.30 |
$3,711.02 |
9.1× |
| CT maxillofacial w/o contrast (70486) |
$1,218.20 |
$3,123.60 |
12.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,286.77 |
$3,299.40 |
8.1× |
| CT neck soft tissue w contrast (70491) |
$851.35 |
$2,182.95 |
5.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,455.95 |
$3,733.20 |
9.1× |
| CT orbits w/o contrast (70480) |
$1,353.56 |
$3,470.67 |
14.2× |
| CT pelvis w & w/o contrast (72194) |
$845.21 |
$2,167.20 |
5.3× |
| CT pelvis w/o contrast (72192) |
$819.62 |
$2,101.59 |
8.6× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$138.45 |
$355.01 |
1.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$913.27 |
$2,341.71 |
5.7× |
| CT soft tissue neck w/o contrast (70490) |
$732.68 |
$1,878.66 |
7.7× |
| CT thoracic spine w/contrast (72129) |
$909.44 |
$2,331.90 |
5.7× |
| CT thoracic spine w/o contrast (72128) |
$847.48 |
$2,173.03 |
8.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,050.19 |
$2,692.80 |
6.6× |
| CT thorax w/o contrast (71250) |
$894.69 |
$2,294.08 |
9.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$686.91 |
$1,761.30 |
4.3× |
| CT upper extremity w/o contrast rt (73200) |
$704.30 |
$1,805.90 |
7.4× |
| CT upper extremity with contrast (73201) |
$725.58 |
$1,860.47 |
2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,034.78 |
$2,653.28 |
6.5× |
| Cta Abdomen (74175) |
$919.85 |
$2,358.58 |
5.8× |
| CTA abdomen pelvis (74174) |
$1,411.72 |
$3,619.80 |
4.4× |
| CTA chest (71275) |
$1,025.49 |
$2,629.46 |
6.4× |
| Cta Head (70496) |
$948.09 |
$2,431.01 |
5.9× |
| CTA lwr ext w&w/o contrast (73706) |
$977.77 |
$2,507.09 |
6.1× |
| Cta Neck (70498) |
$948.09 |
$2,431.01 |
5.9× |
| Cystography minimum 3 views rs&i (74430) |
$437.31 |
$1,121.31 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$161.11 |
$413.10 |
1.7× |
| Echoencephalography real time imaging (76506) |
$205.69 |
$527.40 |
2.2× |
| Esophagus (74220) |
$244.57 |
$627.10 |
1.5× |
| Fluoroscopy up to 1 hr (76000) |
$786.65 |
$2,017.05 |
3.6× |
| Foot 2 views (73620) |
$137.47 |
$352.49 |
1.7× |
| Forearm 2 views (73090) |
$156.73 |
$401.87 |
2.0× |
| Gated Heart Planar Single (78472) |
$498.77 |
$1,278.90 |
1.4× |
| Hand 2 views (73120) |
$135.44 |
$347.29 |
1.4× |
| Hand 3 views (73130) |
$158.66 |
$406.82 |
2.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,323.23 |
$5,957 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$726.57 |
$1,863 |
1.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$373.11 |
$956.70 |
1.0× |
| Ht muscle image spect sing (78451) |
$1,028.43 |
$2,637 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$153.24 |
$392.93 |
1.9× |
| Hysterosalpingogram (74740) |
$281.16 |
$720.93 |
1.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$433.48 |
$1,111.50 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$651.10 |
$1,669.50 |
1.3× |
| Knee 3 views (73562) |
$147.05 |
$377.06 |
1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$479.85 |
$1,230.39 |
1.3× |
| Lymphoscintigraphy (78195) |
$555.98 |
$1,425.60 |
1.1× |
| Meckels Diverticulum (78290) |
$270.27 |
$693 |
0.7× |
| MRA head w & w/o contrast (70546) |
$1,185.33 |
$3,039.30 |
3.7× |
| MRA head w/o contrast (70544) |
$937.26 |
$2,403.23 |
4.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,185.33 |
$3,039.30 |
3.7× |
| MRA neck w/o contrast (70547) |
$850.12 |
$2,179.80 |
3.9× |
| MRI abdomen w contrast (74182) |
$1,486.42 |
$3,811.34 |
4.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,475.32 |
$3,782.88 |
4.6× |
| MRI abdomen w/o contrast (74181) |
$1,189.19 |
$3,049.20 |
5.5× |
| MRI any jnt lwr ext with con lt (73722) |
$1,106.68 |
$2,837.64 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,293.95 |
$3,317.81 |
1.8× |
| MRI breast w/o contrast bilateral (77047) |
$621.27 |
$1,593.01 |
2.9× |
| MRI breast w/o contrast unilat (77046) |
$418.05 |
$1,071.93 |
1.9× |
| MRI cervical spine w/o contrast (72141) |
$1,097.08 |
$2,813.03 |
5.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,098.55 |
$2,816.80 |
3.5× |
| MRI chest w/o contrast (71550) |
$1,092.36 |
$2,800.92 |
5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,098.92 |
$2,817.74 |
5.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$948.09 |
$2,431.01 |
4.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,185.33 |
$3,039.30 |
3.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,452.02 |
$3,723.14 |
4.6× |
| MRI pelvis w contrast (72196) |
$1,479.54 |
$3,793.70 |
4.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,468.49 |
$3,765.37 |
4.6× |
| MRI pelvis w/o contrast (72195) |
$1,113.85 |
$2,856.03 |
5.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,191.84 |
$3,056 |
3.8× |
| MRI scan of leg joint before and after contrast (73723) |
$1,332.74 |
$3,417.28 |
4.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,782.81 |
$4,571.30 |
5.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,425.47 |
$3,655.05 |
4.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,966.10 |
$5,041.28 |
6.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,507.74 |
$3,866 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,184.27 |
$5,600.70 |
6.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,219.26 |
$3,126.31 |
5.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,279.86 |
$3,281.70 |
5.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,323.89 |
$3,394.60 |
4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,307.60 |
$3,352.83 |
6.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,070.55 |
$2,745 |
0.9× |
| Neck soft tissue (70360) |
$111.06 |
$284.78 |
1.4× |
| Nm cisternogram (78630) |
$2,093.01 |
$5,366.70 |
4.2× |
| Nm gastric emptying study (78264) |
$755.35 |
$1,936.80 |
2.1× |
| Nuclear Rx Oral Admin (79005) |
$1,142.15 |
$2,928.60 |
5.4× |
| Osseous survey infant (77076) |
$185.75 |
$476.28 |
2.0× |
| Parathyroid imaging (78070) |
$891.89 |
$2,286.90 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$124.37 |
$318.90 |
1.3× |
| Peritoneogram rs&i (74190) |
$251.55 |
$645 |
0.5× |
| PET image w/CT, skull-thigh (78815) |
$1,737.45 |
$4,455 |
1.3× |
| PET imaging for CT attenuation whole body (78816) |
$1,812.21 |
$4,646.70 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,038.08 |
$2,661.75 |
3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$270.27 |
$693 |
0.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$737.45 |
$1,890.90 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$637.47 |
$1,634.55 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$126.93 |
$325.46 |
1.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$181.10 |
$464.37 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$124.37 |
$318.90 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$124.37 |
$318.90 |
1.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$145.89 |
$374.08 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$181.45 |
$465.26 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$337.83 |
$866.24 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$566.46 |
$1,452.47 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$392.87 |
$1,007.37 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$110.67 |
$283.78 |
1.4× |
| Radiological examination surgical specimen (76098) |
$419.25 |
$1,075 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,455.05 |
$6,295 |
0.9× |
| Ribs bilateral 3 views (71110) |
$124.37 |
$318.90 |
1.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,146.72 |
$2,940.30 |
2.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,362.23 |
$3,492.90 |
1.2× |
| Sacroiliac Joints < 3 Views (72200) |
$124.37 |
$318.90 |
1.3× |
| Scanogram (77073) |
$914.28 |
$2,344.30 |
9.6× |
| Scapula complete (73010) |
$124.37 |
$318.90 |
1.3× |
| Screening digital breast tomosynthesis (77063) |
$35.49 |
$91 |
1.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$124.37 |
$318.90 |
1.3× |
| Small bowel series (74250) |
$433.03 |
$1,110.33 |
2.7× |
| Spine thoracic 3 views (72072) |
$190.54 |
$488.57 |
2.0× |
| Therapeutic Enema (74283) |
$142.35 |
$365 |
0.9× |
| Thoracolumbar 2 views (72080) |
$102.45 |
$262.68 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$538.08 |
$1,379.70 |
1.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$931.55 |
$2,388.60 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$337.83 |
$866.24 |
3.5× |
| Upper Extremity Infant (73092) |
$78.27 |
$200.70 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$208.14 |
$533.70 |
1.0× |
| Urethrocystography voiding (74455) |
$281.16 |
$720.93 |
1.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$479.49 |
$1,229.45 |
3.0× |
| Us breast unilateral complete (76641) |
$206.39 |
$529.20 |
2.2× |
| Us breast unilateral limited (76642) |
$156.51 |
$401.31 |
2.0× |
| Us chest (76604) |
$124.37 |
$318.90 |
1.3× |
| Us compl joint r-t w/image documentation (76881) |
$270.02 |
$692.37 |
2.8× |
| Us guided compression repair (76936) |
$210.99 |
$541 |
1.1× |
| Us infant hips dynamic (76885) |
$133.73 |
$342.90 |
1.7× |
| Us infant hips limited static (76886) |
$57.92 |
$148.50 |
0.7× |
| Us pelvic non ob complete (76856) |
$378.85 |
$971.42 |
4.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$81.78 |
$209.70 |
0.9× |
| Us pregnancy ltd (76815) |
$124.37 |
$318.90 |
1.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$124.37 |
$318.90 |
1.3× |
| Us retroperitoneal limited (76775) |
$380.01 |
$974.39 |
4.0× |
| Us scrotum and contents (76870) |
$350.22 |
$897.99 |
3.7× |
| Us soft tissue head/neck (76536) |
$316.55 |
$811.66 |
3.3× |
| Us spinal canal and contents (76800) |
$133.73 |
$342.90 |
1.4× |
| Us transrectal prostate volume (76873) |
$762.02 |
$1,953.90 |
8.0× |
| Us xtr non-vasc lmtd (76882) |
$255.41 |
$654.89 |
2.7× |
| Venogram extremity bilateral (75822) |
$1,120.08 |
$2,872 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,455.05 |
$6,295 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$1,120.08 |
$2,872 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,120.08 |
$2,872 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$2,060.39 |
$5,283.04 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,455.05 |
$6,295 |
0.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,066.53 |
$10,427 |
0.8× |
| Wrist 2 views (73100) |
$138.21 |
$354.38 |
1.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$261.21 |
$669.77 |
2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$176.85 |
$453.46 |
2.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$353.31 |
$905.93 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$119.19 |
$305.61 |
1.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$156.27 |
$400.68 |
2.0× |
| X-ray exam hip uni 1 view (73501) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$102.45 |
$262.68 |
1.3× |
| X-ray exam hip uni 4/> views (73503) |
$124.37 |
$318.90 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$152.47 |
$390.95 |
1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$186.12 |
$477.23 |
2.0× |
| X-ray exam of femur 1 (73551) |
$102.45 |
$262.68 |
1.3× |
| X-ray eye for foreign body (70030) |
$107.50 |
$275.63 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$128.48 |
$329.43 |
1.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$171.43 |
$439.57 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$150.37 |
$385.56 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$121.90 |
$312.56 |
1.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$177.63 |
$455.45 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$228.32 |
$585.43 |
2.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$228.32 |
$585.43 |
2.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$111.84 |
$286.77 |
1.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$140.08 |
$359.19 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$134.28 |
$344.32 |
1.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$437.31 |
$1,121.31 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$165.24 |
$423.70 |
2.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$222.51 |
$570.55 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$124.37 |
$318.90 |
1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$124.37 |
$318.90 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$146.28 |
$375.07 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$170.27 |
$436.59 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$188.07 |
$482.23 |
2.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$163.30 |
$418.73 |
1.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$124.37 |
$318.90 |
1.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$167.32 |
$429.03 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$102.45 |
$262.68 |
1.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$190.39 |
$488.19 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$203.44 |
$521.64 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$119.96 |
$307.60 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$172.59 |
$442.54 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$195.43 |
$501.09 |
2.1× |
| Xr chest 4+ views (71048) |
$191.65 |
$491.40 |
2.0× |
| Xr finger(s) 2+ views (73140) |
$102.45 |
$262.68 |
1.3× |
| Xr shoulder 1 view (73020) |
$139.31 |
$357.21 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$189.24 |
$485.22 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$164.08 |
$420.71 |
2.1× |
| Xr tmj bilateral (70330) |
$133.42 |
$342.09 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$141.63 |
$363.16 |
1.8× |