| Abdomen 2 views (74019) |
$195.64 |
$730 |
1.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$705.65 |
$2,633 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$2,956.58 |
$11,032 |
0.9× |
| Angiography internal mammary rs&i (75756) |
$2,454.08 |
$9,157 |
0.7× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,370.73 |
$8,846 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,521.52 |
$13,140 |
1.0× |
| Angiography Spinal Selective Rs&I (75705) |
$5,220.91 |
$19,481 |
0.9× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,482.76 |
$9,264 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,539.57 |
$9,476 |
0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,817.22 |
$10,512 |
0.8× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,138.64 |
$7,980 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,526.98 |
$9,429 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,552.44 |
$9,524 |
0.8× |
| Basic radiation dosimetry calculation (77300) |
$160.27 |
$598 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$790.34 |
$2,949 |
1.9× |
| Bone age studies (77072) |
$152.76 |
$570 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$1,082.72 |
$4,040 |
2.5× |
| Bone survey complete (77075) |
$184.39 |
$688 |
1.7× |
| Brain image w/flow 4 + views (78606) |
$730.57 |
$2,726 |
1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$907.45 |
$3,386 |
2.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$417.28 |
$1,557 |
0.7× |
| Cervical spine 2 or 3 views (72040) |
$158.66 |
$592 |
1.7× |
| Chest 1 view (71045) |
$101.84 |
$380 |
1.1× |
| Chest 3 views (71047) |
$109.75 |
$409.50 |
1.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$406.02 |
$1,515 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$148.48 |
$554 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,089.06 |
$7,795 |
5.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,081.12 |
$4,034 |
4.2× |
| CT abdomen w contrast (74160) |
$1,052.44 |
$3,927 |
5.6× |
| CT abdomen w wo contrast (74170) |
$1,178.67 |
$4,398 |
6.3× |
| CT abdomen w/o contrast (74150) |
$957.57 |
$3,573 |
8.6× |
| CT angio hrt w/3d image (75574) |
$917.37 |
$3,423 |
2.5× |
| CT c-spine w/o contrast (72125) |
$1,207.61 |
$4,506 |
10.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,871.98 |
$6,985 |
10.0× |
| CT cervical spine with contrast (72126) |
$1,473.47 |
$5,498 |
4.0× |
| CT chest w/wo contrast (71270) |
$1,370.02 |
$5,112 |
7.3× |
| CT chest with contrast (71260) |
$1,141.68 |
$4,260 |
6.1× |
| CT head/brain with contrast (70460) |
$1,208.95 |
$4,511 |
6.5× |
| CT head/brain without and with contrast (70470) |
$1,425.50 |
$5,319 |
7.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$917.37 |
$3,423 |
2.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$669.74 |
$2,499 |
7.2× |
| CT hrt w/3d image congen (75573) |
$917.37 |
$3,423 |
2.5× |
| CT iac w contrast (70481) |
$1,293.37 |
$4,826 |
6.9× |
| CT limited/localized follow up study (76380) |
$149.42 |
$557.50 |
1.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,937.91 |
$7,231 |
10.4× |
| CT lumbar spine w/o contrast (72131) |
$1,250.22 |
$4,665 |
11.2× |
| CT lumbar spine with contrast (72132) |
$1,525.46 |
$5,692 |
4.1× |
| CT maxillofacial w contrast (70487) |
$965.34 |
$3,602 |
5.2× |
| CT maxillofacial w/o contrast (70486) |
$797.57 |
$2,976 |
7.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,132.84 |
$4,227 |
6.1× |
| CT neck soft tissue w contrast (70491) |
$996.16 |
$3,717 |
5.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,396.82 |
$5,212 |
7.5× |
| CT orbits w/o contrast (70480) |
$1,099.34 |
$4,102 |
9.9× |
| CT pelvis w & w/o contrast (72194) |
$1,221.82 |
$4,559 |
6.5× |
| CT pelvis w/o contrast (72192) |
$1,001.52 |
$3,737 |
9.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,125.60 |
$4,200 |
6.0× |
| CT soft tissue neck w/o contrast (70490) |
$727.09 |
$2,713 |
6.5× |
| CT thoracic spine w/contrast (72129) |
$1,459.26 |
$5,445 |
7.8× |
| CT thoracic spine w/o contrast (72128) |
$1,196.09 |
$4,463 |
10.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,854.03 |
$6,918 |
9.9× |
| CT thorax w/o contrast (71250) |
$582.37 |
$2,173 |
5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$804 |
$3,000 |
4.3× |
| Cta Abdomen (74175) |
$1,158.57 |
$4,323 |
6.2× |
| CTA abdomen pelvis (74174) |
$1,466.50 |
$5,472 |
3.9× |
| CTA chest (71275) |
$1,006.88 |
$3,757 |
5.4× |
| Cta Head (70496) |
$1,078.97 |
$4,026 |
5.8× |
| Cta Neck (70498) |
$1,142.76 |
$4,264 |
6.1× |
| Cta Pelvis (72191) |
$359.39 |
$1,341 |
1.9× |
| Cystography minimum 3 views rs&i (74430) |
$325.89 |
$1,216 |
0.9× |
| Diskography lumbar (72295) |
$728.96 |
$2,720 |
0.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$135.61 |
$506 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$209.04 |
$780 |
1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$106.67 |
$398 |
1.1× |
| Echoencephalography real time imaging (76506) |
$161.07 |
$601 |
1.4× |
| Esophagus (74220) |
$447.56 |
$1,670 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$623.91 |
$2,328 |
5.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$455.34 |
$1,699 |
4.1× |
| Fluoroscopy up to 1 hr (76000) |
$344.38 |
$1,285 |
1.4× |
| Gated Heart Planar Single (78472) |
$871.81 |
$3,253 |
2.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,539.57 |
$9,476 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,115.42 |
$4,162 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$814.19 |
$3,038 |
1.9× |
| Ht muscle image spect sing (78451) |
$1,807.40 |
$6,744 |
1.3× |
| Hysterosalpingogram (74740) |
$329.11 |
$1,228 |
1.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$677.24 |
$2,527 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$857.34 |
$3,199 |
1.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,594.60 |
$5,950 |
2.8× |
| Liver & spleen imaging static only (78215) |
$489.10 |
$1,825 |
1.1× |
| Liver imaging static only (78201) |
$1,397.62 |
$5,215 |
2.4× |
| Liver imaging w/vascular flow (78202) |
$754.69 |
$2,816 |
1.3× |
| Lung perf&ventilat diferentl (78598) |
$542.70 |
$2,025 |
0.9× |
| Lung perfusion differential (78597) |
$542.70 |
$2,025 |
1.3× |
| Lung Ventilation Imaging (78579) |
$472.76 |
$1,764 |
1.1× |
| Lymphoscintigraphy (78195) |
$1,243.26 |
$4,639 |
2.1× |
| Meckels Diverticulum (78290) |
$506.79 |
$1,891 |
1.2× |
| Mr safety determination physician/other qhp (76016) |
$62.98 |
$235 |
0.7× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$42.35 |
$158 |
0.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$17.42 |
$65 |
0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$65.66 |
$245 |
0.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$172.60 |
$644 |
0.7× |
| MRA head w & w/o contrast (70546) |
$1,787.83 |
$6,671 |
4.8× |
| MRA head w/o contrast (70544) |
$1,057.80 |
$3,947 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,475.88 |
$5,507 |
4.0× |
| MRA neck w/o contrast (70547) |
$873.42 |
$3,259 |
3.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,895.84 |
$7,074 |
5.1× |
| MRI abdomen w/o contrast (74181) |
$1,115.15 |
$4,161 |
4.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,367.61 |
$5,103 |
5.4× |
| MRI c-spine with contrast (72142) |
$1,266.30 |
$4,725 |
3.4× |
| MRI cardiac w/o contrast (75557) |
$789.53 |
$2,946 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$907.99 |
$3,388 |
3.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,091.03 |
$4,071 |
2.9× |
| MRI chest w/o contrast (71550) |
$654.73 |
$2,443 |
2.6× |
| MRI chest with contrast (71551) |
$982.22 |
$3,665 |
1.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$828.39 |
$3,091 |
3.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,840.63 |
$6,868 |
4.9× |
| MRI orbit/face/neck w/contrast (70542) |
$1,233.34 |
$4,602 |
3.3× |
| MRI pelvis w contrast (72196) |
$1,611.49 |
$6,013 |
4.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,895.84 |
$7,074 |
5.1× |
| MRI pelvis w/o contrast (72195) |
$1,118.64 |
$4,174 |
4.4× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$907.45 |
$3,386 |
1.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,389.49 |
$8,916 |
6.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,266.30 |
$4,725 |
3.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,389.49 |
$8,916 |
6.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,266.30 |
$4,725 |
3.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,389.49 |
$8,916 |
6.4× |
| MRI thoracic spine w/o contrast (72146) |
$907.99 |
$3,388 |
3.6× |
| MRI tmj (70336) |
$453.19 |
$1,691 |
1.8× |
| Myelogram Lumbar (72265) |
$902.63 |
$3,368 |
1.1× |
| Myelography 2 or more regions (72270) |
$511.35 |
$1,908 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,177.77 |
$8,126 |
1.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,000.62 |
$7,465 |
2.2× |
| Neck soft tissue (70360) |
$133.46 |
$498 |
1.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$568.16 |
$2,120 |
1.3× |
| Nm bone marrow wb (78104) |
$789.53 |
$2,946 |
1.9× |
| Nm gastric emptying study (78264) |
$990.53 |
$3,696 |
2.3× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,633.46 |
$6,095 |
1.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$848.76 |
$3,167 |
2.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$414.87 |
$1,548 |
3.7× |
| Osseous survey limited (77074) |
$134.54 |
$502 |
1.2× |
| Parathyroid imaging (78070) |
$628.73 |
$2,346 |
1.5× |
| Pelvis 1 or 2 views (72170) |
$146.46 |
$546.50 |
1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,539.57 |
$9,476 |
0.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$728.96 |
$2,720 |
0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$497.68 |
$1,857 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$681.80 |
$2,544 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$439.52 |
$1,640 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$216.01 |
$806 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$296.41 |
$1,106 |
2.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$168.84 |
$630 |
1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$190.02 |
$709 |
1.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$131.72 |
$491.50 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$106.26 |
$396.50 |
1.1× |
| Radiologic exam colon single contrast study (74270) |
$382.17 |
$1,426 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$383.78 |
$1,432 |
2.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$284.89 |
$1,063 |
1.5× |
| Radiological examination surgical specimen (76098) |
$439.52 |
$1,640 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,539.57 |
$9,476 |
0.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,097.73 |
$4,096 |
1.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,155.62 |
$4,312 |
2.0× |
| Rp therapy intra-arterial particulate admn (79445) |
$633.96 |
$2,365.50 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$92.20 |
$344 |
0.4× |
| Scanogram (77073) |
$91.93 |
$343 |
0.8× |
| Screening digital breast tomosynthesis (77063) |
$40.20 |
$150 |
1.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$113.77 |
$424.50 |
1.0× |
| Small bowel series (74250) |
$468.20 |
$1,747 |
2.5× |
| Spine thoracic 3 views (72072) |
$181.84 |
$678.50 |
1.6× |
| Splenoportograpy rs&i (75810) |
$3,011.79 |
$11,238 |
0.9× |
| Superior sagittal sinus venogram (75870) |
$915.22 |
$3,415 |
0.3× |
| Thoracolumbar 2 views (72080) |
$148.08 |
$552.50 |
1.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$610.78 |
$2,279 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$378.96 |
$1,414 |
0.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,925.85 |
$7,186 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$514.03 |
$1,918 |
4.6× |
| Umbilical-artery Doppler (OB) (76820) |
$135.61 |
$506 |
1.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$1,497.86 |
$5,589 |
16.1× |
| Urethrocystography retrograde rs&i (74450) |
$262.64 |
$980 |
1.0× |
| Urethrocystography voiding (74455) |
$252.19 |
$941 |
1.0× |
| Us chest (76604) |
$309.28 |
$1,154 |
2.8× |
| Us guided compression repair (76936) |
$242.28 |
$904 |
1.1× |
| Us infant hips limited static (76886) |
$142.31 |
$531 |
1.5× |
| Us kidney transplant (76776) |
$237.99 |
$888 |
2.1× |
| Us ob detailed single fetus (76811) |
$281.67 |
$1,051 |
1.1× |
| Us ob transvaginal (76817) |
$357.52 |
$1,334 |
3.2× |
| Us pelvic non ob complete (76856) |
$380.83 |
$1,421 |
3.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$270.42 |
$1,009 |
2.4× |
| Us pregnancy ltd (76815) |
$307.67 |
$1,148 |
2.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$269.08 |
$1,004 |
2.4× |
| Us retroperitoneal complete (76770) |
$371.18 |
$1,385 |
3.3× |
| Us retroperitoneal limited (76775) |
$244.96 |
$914 |
2.2× |
| Us scrotum and contents (76870) |
$379.49 |
$1,416 |
3.4× |
| Us soft tissue head/neck (76536) |
$287.84 |
$1,074 |
2.6× |
| Us spinal canal and contents (76800) |
$148.74 |
$555 |
1.3× |
| Us transrectal prostate volume (76873) |
$571.92 |
$2,134 |
5.1× |
| Venogram extremity bilateral (75822) |
$2,233.78 |
$8,335 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$2,539.57 |
$9,476 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$1,269.79 |
$4,738 |
0.8× |
| Venography epidural rs&i (75872) |
$800.25 |
$2,986 |
1.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,473.38 |
$9,229 |
0.7× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$3,570.84 |
$13,324 |
0.6× |
| Vertebral fracture assessment via dxa (77086) |
$94.88 |
$354 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$297.35 |
$1,109.50 |
2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$121.94 |
$455 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$848.22 |
$3,165 |
4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$202.21 |
$754.50 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$326.16 |
$1,217 |
2.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$213.33 |
$796 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$168.18 |
$627.50 |
1.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$524.48 |
$1,957 |
0.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$232.22 |
$866.50 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$175.41 |
$654.50 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$445.96 |
$1,664 |
4.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$192.96 |
$720 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$221.78 |
$827.50 |
2.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$81.74 |
$305 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$177.82 |
$663.50 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$194.71 |
$726.50 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$421.57 |
$1,573 |
1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$413.40 |
$1,542.50 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$231.15 |
$862.50 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$191.49 |
$714.50 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$164.56 |
$614 |
1.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$235.04 |
$877 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$102.24 |
$381.50 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$98.90 |
$369 |
1.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$198.32 |
$740 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$161.34 |
$602 |
1.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$231.29 |
$863 |
2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$329.91 |
$1,231 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$382.98 |
$1,429 |
3.4× |
| Xr spine cervical 4 or 5 views (72050) |
$124.62 |
$465 |
1.1× |
| Xr tmj bilateral (70330) |
$163.22 |
$609 |
1.8× |