| Abdomen 1 View (74018) |
$303.55 |
$467 |
3.7× |
| Abdomen 2 views (74019) |
$352.30 |
$542 |
3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$2,314 |
$3,560 |
6.1× |
| Angiography extremity bilateral rs&i (75716) |
$2,720.90 |
$4,186 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,720.90 |
$4,186 |
0.9× |
| Ankle 2 views (73600) |
$224.25 |
$345 |
2.7× |
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure |
$1,986.40 |
$3,056 |
0.4× |
| Bone age studies (77072) |
$249.60 |
$384 |
2.5× |
| Bone Imaging 3 Phase (78315) |
$2,921.10 |
$4,494 |
7.7× |
| Bone Imaging Limited Area (78300) |
$865.15 |
$1,331 |
2.3× |
| Bone Imaging Multiple Areas (78305) |
$1,462.50 |
$2,250 |
3.9× |
| Bone Imaging Whole Body (78306) |
$1,784.90 |
$2,746 |
4.7× |
| Bone survey infant (77076) |
$417.30 |
$642 |
4.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,869.50 |
$9,030 |
4.3× |
| Cerebrospinal Fluid Scan (78630) |
$2,577.90 |
$3,966 |
5.0× |
| Chest 1 view (71045) |
$173.55 |
$267 |
2.1× |
| Chest 2 views (71046) |
$257.40 |
$396 |
3.1× |
| Chest 4 or more views (71048) |
$344.50 |
$530 |
3.5× |
| Clavicle complete (73000) |
$244.40 |
$376 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$477.75 |
$735 |
4.8× |
| Contrast Exam Abdominl Aorta (75625) |
$4,817.80 |
$7,412 |
1.6× |
| Contrast X-Ray Bladder (74430) |
$689.65 |
$1,061 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,103.10 |
$4,774 |
9.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,540.85 |
$3,909 |
11.3× |
| CT abdomen w contrast (74160) |
$1,269.45 |
$1,953 |
7.7× |
| CT abdomen w wo contrast (74170) |
$1,550.90 |
$2,386 |
9.3× |
| CT abdomen w/o contrast (74150) |
$1,269.45 |
$1,953 |
12.8× |
| CT Angio Abdomen and Pelvis (74174) |
$3,103.10 |
$4,774 |
9.4× |
| CT Angio Chest (71275) |
$1,550.90 |
$2,386 |
9.3× |
| CT Angio Head (70496) |
$1,816.10 |
$2,794 |
10.9× |
| CT angio hrt w/3d image (75574) |
$2,633.15 |
$4,051 |
8.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,284.40 |
$1,976 |
7.7× |
| CT Angio Neck (70498) |
$1,751.10 |
$2,694 |
10.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,550.90 |
$2,386 |
9.3× |
| CT cervical spine w/ contrast (72126) |
$1,384.50 |
$2,130 |
4.2× |
| CT cervical spine w/o contrast (72125) |
$1,384.50 |
$2,130 |
14.0× |
| CT cervical spine w/wo cont (72127) |
$1,412.45 |
$2,173 |
8.5× |
| CT chest w contrast (71260) |
$1,269.45 |
$1,953 |
7.7× |
| CT chest w/wo contrast (71270) |
$1,550.90 |
$2,386 |
9.3× |
| CT colonography screening (74263) |
$549.90 |
$846 |
2.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$1,089.40 |
$1,676 |
11.0× |
| CT head/brain with contrast (70460) |
$1,485.25 |
$2,285 |
9.0× |
| CT head/brain without and with contrast (70470) |
$1,816.10 |
$2,794 |
10.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$434.85 |
$669 |
5.3× |
| CT iac w contrast (70481) |
$1,485.25 |
$2,285 |
9.0× |
| CT l-spine w&w/o contrast (72133) |
$1,412.45 |
$2,173 |
8.5× |
| CT lower ext w/o (73700) |
$1,269.45 |
$1,953 |
12.8× |
| CT lower extremity w/contrast material (73701) |
$1,269.45 |
$1,953 |
7.7× |
| CT lumbar spine w contrast (72132) |
$1,269.45 |
$1,953 |
3.8× |
| CT lumbar spine w/o contrast (72131) |
$1,269.45 |
$1,953 |
12.8× |
| CT maxillofacial w contrast (70487) |
$1,485.25 |
$2,285 |
9.0× |
| CT maxillofacial wo contrast (70486) |
$1,485.25 |
$2,285 |
15.0× |
| CT neck tissue combo (70492) |
$1,816.10 |
$2,794 |
10.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,709.50 |
$2,630 |
10.3× |
| CT orbits w/o contrast (70480) |
$1,485.25 |
$2,285 |
15.0× |
| CT pelvis w&w/o contrast (72194) |
$1,426.10 |
$2,194 |
8.6× |
| CT pelvis w/o contrast (72192) |
$1,269.45 |
$1,953 |
12.8× |
| CT scan of leg combo (73702) |
$1,438.45 |
$2,213 |
8.7× |
| CT scans face/jaw combo (70488) |
$1,816.10 |
$2,794 |
10.9× |
| CT soft tissue neck w contrast (70491) |
$1,485.25 |
$2,285 |
9.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,485.25 |
$2,285 |
15.0× |
| CT thoracic spine w contrast (72129) |
$1,269.45 |
$1,953 |
7.7× |
| CT thoracic spine w/o contrast (72128) |
$1,269.45 |
$1,953 |
12.8× |
| CT thorax w/o contrast (71250) |
$1,269.45 |
$1,953 |
12.8× |
| CT unlisted procedure (76497) |
$247.65 |
$381 |
3.0× |
| CT upper ext wo (73200) |
$1,269.45 |
$1,953 |
12.8× |
| CT upper extremity with contrast (73201) |
$1,269.45 |
$1,953 |
3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,732.90 |
$2,666 |
10.4× |
| Cta Abdomen (74175) |
$1,550.90 |
$2,386 |
9.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$579.15 |
$891 |
1.8× |
| CTA pelvis (72191) |
$1,426.10 |
$2,194 |
8.6× |
| Dxa Bone Density Axial (77080) |
$607.10 |
$934 |
6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$360.75 |
$555 |
4.4× |
| Echo exam of fetal heart (76825) |
$1,341.60 |
$2,064 |
2.6× |
| Esophagram (74220) |
$533 |
$820 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$696.80 |
$1,072 |
7.0× |
| Fluoroscopy up to 1 hr (76000) |
$403.65 |
$621 |
1.8× |
| Foot 2 views (73620) |
$224.25 |
$345 |
2.7× |
| Forearm 2 views (73090) |
$224.25 |
$345 |
2.7× |
| Gastric emptying imaging study (78264) |
$1,545.05 |
$2,377 |
4.1× |
| Gated Heart Planar Single (78472) |
$1,708.85 |
$2,629 |
4.5× |
| Hand 2 views (73120) |
$224.25 |
$345 |
2.3× |
| Hepatobil Syst Image W/Drug (78227) |
$1,819.35 |
$2,799 |
3.5× |
| Hepatobiliary System Imaging (78226) |
$1,523.60 |
$2,344 |
4.0× |
| Ht Muscle Image Spect Sing (78451) |
$3,679.65 |
$5,661 |
3.0× |
| Hysterosalpingogram (74740) |
$686.40 |
$1,056 |
3.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$537.55 |
$827 |
6.5× |
| Infant hip ultrasound, limited static exam (76886) |
$537.55 |
$827 |
6.5× |
| Joint Survey Single View (77077) |
$557.05 |
$857 |
5.6× |
| K Flow/Funct Image W/Drug (78708) |
$1,756.95 |
$2,703 |
3.4× |
| K Flow/Funct Image W/O Drug (78707) |
$2,098.85 |
$3,229 |
4.1× |
| Knee 3 Views (73562) |
$256.75 |
$395 |
3.1× |
| Liver & Spleen Imaging Static Only (78215) |
$1,214.20 |
$1,868 |
3.2× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,764.75 |
$2,715 |
3.4× |
| Lymph System Imaging (78195) |
$932.75 |
$1,435 |
1.8× |
| Mammary ductogram or galactogram single (77053) |
$1,386.45 |
$2,133 |
6.1× |
| Meckels Divert Exam (78290) |
$887.90 |
$1,366 |
2.3× |
| Mr safety determination physician/other qhp (76016) |
$120.90 |
$186 |
1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$34.45 |
$53 |
1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$126.10 |
$194 |
1.4× |
| Mr safety implt pos&/immoblj (76019) |
$81.90 |
$126 |
1.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$331.50 |
$510 |
1.5× |
| Mra Head W/O & W/Contrast Material (70546) |
$3,095.95 |
$4,763 |
9.4× |
| MRA head w/o contrast (70544) |
$2,235.35 |
$3,439 |
9.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,154.45 |
$4,853 |
9.6× |
| MRA neck w/o contrast (70547) |
$2,235.35 |
$3,439 |
9.9× |
| MRI abdomen w contrast (74182) |
$2,281.50 |
$3,510 |
6.9× |
| MRI abdomen w/o contrast (74181) |
$2,281.50 |
$3,510 |
10.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,281.50 |
$3,510 |
3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,218.15 |
$4,951 |
9.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,281.50 |
$3,510 |
3.1× |
| MRI cervical spine w/o cont (72141) |
$2,281.50 |
$3,510 |
10.1× |
| MRI chest w/o contrast (71550) |
$2,281.50 |
$3,510 |
10.1× |
| MRI chest wo w contrast (71552) |
$3,218.15 |
$4,951 |
9.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,218.15 |
$4,951 |
9.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,281.50 |
$3,510 |
10.1× |
| Mri Neck Spine W/O & W/Dye (72156) |
$3,218.15 |
$4,951 |
9.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,105.35 |
$3,239 |
9.3× |
| MRI orbit face neck w contrast (70542) |
$2,235.35 |
$3,439 |
6.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,154.45 |
$4,853 |
9.6× |
| MRI pelvis w/o & w contrast (72197) |
$3,218.15 |
$4,951 |
9.8× |
| MRI pelvis w/o contrast (72195) |
$2,281.50 |
$3,510 |
10.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,281.50 |
$3,510 |
10.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,281.50 |
$3,510 |
10.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,218.15 |
$4,951 |
9.8× |
| MRI, abdomen, combo (74183) |
$3,218.15 |
$4,951 |
9.8× |
| MRI, dorsal spine combo (72157) |
$3,218.15 |
$4,951 |
9.8× |
| MRI, joint upper extrem (73221) |
$2,281.50 |
$3,510 |
10.1× |
| MRI, joint upper extrem combo (73223) |
$3,218.15 |
$4,951 |
9.8× |
| MRI, lumbar spine combo (72158) |
$3,218.15 |
$4,951 |
9.8× |
| Myocardial Spect Multiple Studies (78452) |
$5,593.25 |
$8,605 |
4.6× |
| Neck soft tissue (70360) |
$247 |
$380 |
3.0× |
| Parathyroid Planar Imaging (78070) |
$3,884.40 |
$5,976 |
10.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$3,884.40 |
$5,976 |
10.3× |
| Pelvis 1 or 2 views (72170) |
$224.25 |
$345 |
2.3× |
| Peritoneogram Rs&I (74190) |
$1,089.40 |
$1,676 |
2.1× |
| PET image w/CT, full body (78816) |
$5,869.50 |
$9,030 |
4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,869.50 |
$9,030 |
4.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,177.15 |
$1,811 |
3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$622.70 |
$958 |
6.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$413.40 |
$636 |
0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$344.50 |
$530 |
4.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$256.75 |
$395 |
3.1× |
| Radex elbow complete minimum 3 views (73080) |
$319.80 |
$492 |
3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$344.50 |
$530 |
3.5× |
| Radex fingr minimum 2 views (73140) |
$256.75 |
$395 |
3.1× |
| Radex foot complete minimum 3 views (73630) |
$344.50 |
$530 |
4.2× |
| Radex Hand Minimum 3 Views (73130) |
$344.50 |
$530 |
4.2× |
| Radex lower extremity infant minimum 2 views (73592) |
$256.75 |
$395 |
3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$257.40 |
$396 |
3.1× |
| Radex Ribs Unilateral 2 Views (71100) |
$224.25 |
$345 |
2.7× |
| Radex shoulder complete minimum 2 views (73030) |
$256.75 |
$395 |
3.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$224.25 |
$345 |
2.7× |
| Radex Spine 1 View Specify Level (72020) |
$173.55 |
$267 |
2.1× |
| Radex Sternum Minimum 2 Views (71120) |
$256.75 |
$395 |
3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$519.35 |
$799 |
6.3× |
| Radex Toe Minimum 2 Views (73660) |
$256.75 |
$395 |
3.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$256.75 |
$395 |
2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$344.50 |
$530 |
4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$344.50 |
$530 |
3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$534.95 |
$823 |
5.4× |
| Radiologic exam colon double contrast study (74280) |
$1,133.60 |
$1,744 |
6.8× |
| Radiologic exam colon single contrast study (74270) |
$792.35 |
$1,219 |
4.8× |
| Radiologic exam knee complete 4/more views (73564) |
$344.50 |
$530 |
3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$310.70 |
$478 |
3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$622.70 |
$958 |
3.8× |
| Radiologic exam swallow function contrast study (74230) |
$533 |
$820 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,004.90 |
$1,546 |
6.1× |
| Radiologic examination femur 1 view (73551) |
$154.70 |
$238 |
1.9× |
| Radiologic examination femur minimum 2 views (73552) |
$471.90 |
$726 |
5.7× |
| Radiologic examination knee 1/2 views (73560) |
$224.25 |
$345 |
2.7× |
| Radiologic Examination Osseous Survey Limited (77074) |
$607.10 |
$934 |
6.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$224.25 |
$345 |
2.7× |
| Ribs bilateral 3 views (71110) |
$256.75 |
$395 |
2.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$3,093.35 |
$4,759 |
8.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,093.35 |
$4,759 |
8.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$3,844.75 |
$5,915 |
7.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$3,093.35 |
$4,759 |
6.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$3,138.20 |
$4,828 |
6.1× |
| Scapula (73010) |
$244.40 |
$376 |
2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$44.20 |
$68 |
1.9× |
| Shoulder 1 view (73020) |
$173.55 |
$267 |
2.1× |
| Skull less than 4 views (70250) |
$226.20 |
$348 |
2.3× |
| Sternoclavicular joints (71130) |
$344.50 |
$530 |
4.2× |
| Thoracic spine 2 views (72070) |
$224.25 |
$345 |
2.3× |
| Thoracic spine 3 views (72072) |
$299 |
$460 |
3.0× |
| Thoracolumbar 2 views (72080) |
$209.95 |
$323 |
2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,697.80 |
$2,612 |
4.5× |
| Ultrasound Breast Limited (76642) |
$547.95 |
$843 |
6.7× |
| Ultrasound Elastography Parenchyma (76981) |
$208 |
$320 |
2.1× |
| Ultrasound Exam Aaa Screen (76706) |
$315.90 |
$486 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$804.70 |
$1,238 |
8.1× |
| Unlisted fluoroscopic procedure (76496) |
$490.10 |
$754 |
6.0× |
| Upper gi w/o kub (74240) |
$764.40 |
$1,176 |
4.6× |
| Urethrocystogram voiding (74455) |
$1,006.85 |
$1,549 |
4.5× |
| Urethrocystography retrograde (74450) |
$1,002.95 |
$1,543 |
4.4× |
| Us breast unilateral complete (76641) |
$596.05 |
$917 |
6.0× |
| Us chest (76604) |
$526.50 |
$810 |
5.3× |
| Us complete joint (76881) |
$728.65 |
$1,121 |
7.4× |
| Us exam, pelvic, limited (76857) |
$624.65 |
$961 |
6.3× |
| Us kidney transplant (76776) |
$804.70 |
$1,238 |
8.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$537.55 |
$827 |
5.4× |
| Us ob limited 1 or more fetuses (76815) |
$537.55 |
$827 |
5.4× |
| Us ob transvaginal (76817) |
$537.55 |
$827 |
5.4× |
| Us pelvic non ob complete (76856) |
$804.70 |
$1,238 |
8.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$647.40 |
$996 |
6.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$537.55 |
$827 |
5.4× |
| Us retroperitoneal complete (76770) |
$804.70 |
$1,238 |
8.1× |
| Us retroperitoneal limited (76775) |
$804.70 |
$1,238 |
8.1× |
| Us scrotum and contents (76870) |
$669.50 |
$1,030 |
6.8× |
| Us spinal canal and contents (76800) |
$286 |
$440 |
2.9× |
| Us thyroid (76536) |
$546.65 |
$841 |
5.5× |
| Us transrectal (76872) |
$510.90 |
$786 |
5.2× |
| Vein X-Ray Chest (75827) |
$1,663.35 |
$2,559 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$1,961.05 |
$3,017 |
0.7× |
| Venography extremity bilateral rs&i (75822) |
$1,261 |
$1,940 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,213.55 |
$1,867 |
0.8× |
| Venography Renal Unilateral (75831) |
$4,241.90 |
$6,526 |
1.4× |
| Wrist 2 views (73100) |
$224.25 |
$345 |
2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$594.10 |
$914 |
7.2× |
| X-Ray Aorta Leg Arteries (75630) |
$3,183.70 |
$4,898 |
1.1× |
| X-Ray Bend Only L-S Spine (72120) |
$620.75 |
$955 |
6.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$224.25 |
$345 |
2.7× |
| X-Ray Exam Breast Specimen (76098) |
$1,290.90 |
$1,986 |
2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$201.50 |
$310 |
2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$201.50 |
$310 |
2.0× |
| X-Ray Exam Hip Uni 1 View (73501) |
$232.70 |
$358 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$362.05 |
$557 |
4.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$490.75 |
$755 |
5.0× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$362.05 |
$557 |
3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$471.90 |
$726 |
4.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$722.15 |
$1,111 |
7.3× |
| X-Ray Exam L-S Spine Bending (72114) |
$447.85 |
$689 |
4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$256.75 |
$395 |
3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$515.45 |
$793 |
5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$256.75 |
$395 |
2.6× |
| X-ray eye for foreign body (70030) |
$399.75 |
$615 |
4.9× |
| X-ray humerus (73060) |
$256.75 |
$395 |
3.1× |
| X-ray IV pyelogram (ivp) (74400) |
$845.65 |
$1,301 |
5.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$224.25 |
$345 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$256.75 |
$395 |
3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$256.75 |
$395 |
2.6× |
| X-ray nose-rectum child f.b. (76010) |
$173.55 |
$267 |
2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$344.50 |
$530 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$344.50 |
$530 |
3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$310.70 |
$478 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$241.15 |
$371 |
2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$344.50 |
$530 |
4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$344.50 |
$530 |
3.5× |
| X-Ray Stress View (77071) |
$152.75 |
$235 |
1.9× |
| X-ray thoracic spine 4 vw (72074) |
$344.50 |
$530 |
3.5× |
| X-Ray Tmj Unilat (70328) |
$259.35 |
$399 |
3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,072.50 |
$1,650 |
3.2× |
| X-Rays Bone Length Studies (77073) |
$438.75 |
$675 |
4.4× |
| X-Rays Bone Survey Complete (77075) |
$785.20 |
$1,208 |
7.9× |
| Xr c-spine 4 or 5 views (72050) |
$344.50 |
$530 |
3.5× |
| Xr orbits complete 4 views (70200) |
$344.50 |
$530 |
3.5× |