| Abdomen 2 views (74019) |
$406.80 |
$678 |
4.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$854.40 |
$1,424 |
2.4× |
| Ankle 2 views (73600) |
$43.80 |
$73 |
0.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$348 |
$580 |
1.1× |
| Aortography thoracic w/o serialography rs&i (75600) |
$732.60 |
$1,221 |
0.3× |
| Arthrogram hip (73525) |
$420.60 |
$701 |
1.3× |
| Arthrography knee lt (73580) |
$1,366.20 |
$2,277 |
4.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$616.80 |
$1,028 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$1,486.80 |
$2,478 |
4.1× |
| Bone age studies (77072) |
$243.60 |
$406 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$1,732.20 |
$2,887 |
4.8× |
| Bone survey complete (77075) |
$445.20 |
$742 |
4.7× |
| Brain image w/flow 4 + views (78606) |
$989.40 |
$1,649 |
2.0× |
| Brain imaging < 4 static views w vascular flow (78601) |
$795.60 |
$1,326 |
2.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,362.60 |
$2,271 |
4.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$836.40 |
$1,394 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$273 |
$455 |
3.5× |
| Chest 1 view (71045) |
$252 |
$420 |
3.2× |
| Chest 3 views (71047) |
$324 |
$540 |
4.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$348 |
$580 |
2.2× |
| Clavicle complete (73000) |
$243.60 |
$406 |
3.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,230.60 |
$7,051 |
13.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,848.20 |
$4,747 |
13.2× |
| CT abdomen w contrast (74160) |
$2,390.40 |
$3,984 |
15.0× |
| CT abdomen w wo contrast (74170) |
$2,961.60 |
$4,936 |
18.6× |
| CT abdomen w/o contrast (74150) |
$1,982.40 |
$3,304 |
20.9× |
| CT angio hrt w/3d image (75574) |
$2,353.20 |
$3,922 |
7.4× |
| CT angiography upper extremity lt (73206) |
$1,314.60 |
$2,191 |
8.3× |
| CT c-spine w/o contrast (72125) |
$1,142.40 |
$1,904 |
12.0× |
| CT cervical spine w&w/o contrast (72127) |
$2,284.20 |
$3,807 |
14.4× |
| CT cervical spine with contrast (72126) |
$1,785 |
$2,975 |
5.6× |
| CT chest w/wo contrast (71270) |
$2,434.80 |
$4,058 |
15.3× |
| CT chest with contrast (71260) |
$2,097 |
$3,495 |
13.2× |
| CT head/brain with contrast (70460) |
$4,109.40 |
$6,849 |
25.8× |
| CT head/brain without and with contrast (70470) |
$4,644.60 |
$7,741 |
29.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,353.20 |
$3,922 |
7.4× |
| CT hrt w/3d image congen (75573) |
$2,353.20 |
$3,922 |
7.4× |
| CT iac w contrast (70481) |
$1,725.60 |
$2,876 |
10.8× |
| CT lower ext w/o (73700) |
$1,824.60 |
$3,041 |
19.2× |
| CT lower extremity w wo contrast (73702) |
$2,728.20 |
$4,547 |
17.1× |
| CT lower extremity with contrast (73701) |
$2,179.20 |
$3,632 |
13.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,434.80 |
$4,058 |
15.3× |
| CT lumbar spine w/o contrast (72131) |
$1,632.60 |
$2,721 |
17.2× |
| CT lumbar spine with contrast (72132) |
$1,948.80 |
$3,248 |
6.2× |
| CT maxillofacial w contrast (70487) |
$1,725.60 |
$2,876 |
10.8× |
| CT maxillofacial w/o contrast (70486) |
$1,440 |
$2,400 |
15.2× |
| CT maxillofacial w/wo contrast (70488) |
$2,153.40 |
$3,589 |
13.5× |
| CT neck soft tissue w contrast (70491) |
$1,159.80 |
$1,933 |
7.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,153.40 |
$3,589 |
13.5× |
| CT orbits w/o contrast (70480) |
$1,440 |
$2,400 |
15.2× |
| CT pelvis w & w/o contrast (72194) |
$2,853.60 |
$4,756 |
17.9× |
| CT pelvis w/o contrast (72192) |
$1,996.80 |
$3,328 |
21.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,446 |
$2,410 |
9.1× |
| CT soft tissue neck w/o contrast (70490) |
$969 |
$1,615 |
10.2× |
| CT thoracic spine w/contrast (72129) |
$2,360.40 |
$3,934 |
14.8× |
| CT thoracic spine w/o contrast (72128) |
$1,978.20 |
$3,297 |
20.9× |
| CT thoracic spine w/wo contrast (72130) |
$2,947.20 |
$4,912 |
18.5× |
| CT thorax w/o contrast (71250) |
$1,632.60 |
$2,721 |
17.2× |
| CT unlisted procedure (76497) |
$253.20 |
$422 |
3.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,044.80 |
$3,408 |
12.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,368.60 |
$2,281 |
14.4× |
| CT upper extremity with contrast (73201) |
$1,632.60 |
$2,721 |
5.2× |
| Cta Abdomen (74175) |
$2,353.20 |
$3,922 |
14.8× |
| CTA abdomen pelvis (74174) |
$2,353.20 |
$3,922 |
7.4× |
| CTA chest (71275) |
$2,353.20 |
$3,922 |
14.8× |
| Cta Head (70496) |
$1,151.40 |
$1,919 |
7.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,440 |
$2,400 |
9.0× |
| Cta Neck (70498) |
$1,746 |
$2,910 |
11.0× |
| Cta Pelvis (72191) |
$2,353.20 |
$3,922 |
14.8× |
| Cystography minimum 3 views rs&i (74430) |
$271.80 |
$453 |
0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$388.20 |
$647 |
4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,320 |
$2,200 |
13.9× |
| Dxa bone density study axial skeleton (77085) |
$142.80 |
$238 |
1.5× |
| Echo exam of fetal heart (76825) |
$492 |
$820 |
1.0× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,320 |
$2,200 |
6.1× |
| Echoencephalography real time imaging (76506) |
$526.20 |
$877 |
5.5× |
| Esophageal motility (78258) |
$902.40 |
$1,504 |
2.5× |
| Esophagus (74220) |
$348 |
$580 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$651 |
$1,085 |
3.0× |
| Foot 2 views (73620) |
$38.40 |
$64 |
0.5× |
| Forearm 2 views (73090) |
$243.60 |
$406 |
3.1× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$225.60 |
$376 |
1.0× |
| Gated Heart Planar Single (78472) |
$1,345.80 |
$2,243 |
3.7× |
| Hand 2 views (73120) |
$42 |
$70 |
0.4× |
| Hand 3 views (73130) |
$103.80 |
$173 |
1.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,353.80 |
$3,923 |
4.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,177.20 |
$1,962 |
3.2× |
| Ht muscle image spect sing (78451) |
$2,868.60 |
$4,781 |
2.4× |
| Humerus Min 2 Views Left (73060) |
$268.20 |
$447 |
3.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$325.80 |
$543 |
3.4× |
| Kidney imaging morphology (78700) |
$436.80 |
$728 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,518 |
$2,530 |
3.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,518 |
$2,530 |
3.1× |
| Knee 3 views (73562) |
$168.30 |
$280.50 |
2.1× |
| Liver & spleen imaging static only (78215) |
$880.80 |
$1,468 |
2.4× |
| Lung perfusion differential (78597) |
$1,720.20 |
$2,867 |
4.7× |
| Lymphoscintigraphy (78195) |
$579.60 |
$966 |
1.2× |
| Meckels Diverticulum (78290) |
$1,444.80 |
$2,408 |
4.0× |
| MRA head w & w/o contrast (70546) |
$3,274.80 |
$5,458 |
10.3× |
| MRA head w/o contrast (70544) |
$1,475.40 |
$2,459 |
6.8× |
| MRA neck w contrast (70548) |
$1,475.40 |
$2,459 |
4.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,582.40 |
$4,304 |
8.2× |
| MRA neck w/o contrast (70547) |
$1,404 |
$2,340 |
6.5× |
| MRI abdomen w contrast (74182) |
$2,364 |
$3,940 |
7.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,383.40 |
$5,639 |
10.7× |
| MRI abdomen w/o contrast (74181) |
$1,524.60 |
$2,541 |
7.0× |
| MRI any jnt lwr ext with con lt (73722) |
$2,657.40 |
$4,429 |
3.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,657.40 |
$4,429 |
3.7× |
| MRI bone marrow blood supply (77084) |
$1,524.60 |
$2,541 |
7.0× |
| MRI breast w/o contrast bilateral (77047) |
$819 |
$1,365 |
3.8× |
| MRI breast w/o contrast unilat (77046) |
$824.40 |
$1,374 |
3.8× |
| MRI c-spine with contrast (72142) |
$1,997.40 |
$3,329 |
6.3× |
| MRI cardiac w/o contrast (75557) |
$1,425 |
$2,375 |
6.6× |
| MRI cervical spine w/o contrast (72141) |
$1,665 |
$2,775 |
7.7× |
| MRI chest w/o & w/contrast material (71552) |
$2,120.40 |
$3,534 |
6.7× |
| MRI chest w/o contrast (71550) |
$1,524.60 |
$2,541 |
7.0× |
| MRI chest with contrast (71551) |
$1,606.20 |
$2,677 |
2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,589 |
$4,315 |
8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,818 |
$3,030 |
8.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,120 |
$5,200 |
14.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,052 |
$3,420 |
6.5× |
| MRI orbit/face/neck w/contrast (70542) |
$1,554.60 |
$2,591 |
4.9× |
| MRI pelvis w contrast (72196) |
$1,606.20 |
$2,677 |
5.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,383.40 |
$5,639 |
10.7× |
| MRI pelvis w/o contrast (72195) |
$1,524.60 |
$2,541 |
7.0× |
| MRI scan of arm joint before and after contrast (73223) |
$3,000 |
$5,000 |
9.5× |
| MRI scan of leg joint before and after contrast (73723) |
$3,000 |
$5,000 |
9.5× |
| MRI spectroscopy (76390) |
$1,700.40 |
$2,834 |
21.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,696 |
$6,160 |
11.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,828.80 |
$3,048 |
5.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,383.40 |
$5,639 |
10.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,828.80 |
$3,048 |
5.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,383.40 |
$5,639 |
10.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,688.40 |
$2,814 |
7.8× |
| MRI tmj (70336) |
$1,524.60 |
$2,541 |
7.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,524.60 |
$2,541 |
7.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,292.20 |
$5,487 |
10.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,524.60 |
$2,541 |
7.0× |
| Myelogram Cervical (72240) |
$1,121.40 |
$1,869 |
1.6× |
| Myelogram Lumbar (72265) |
$961.80 |
$1,603 |
1.4× |
| Myelogram thoracic (72255) |
$961.80 |
$1,603 |
1.4× |
| Myelography 2 or more regions (72270) |
$1,438.20 |
$2,397 |
2.0× |
| Myocardial Spect Multiple Studies (78452) |
$2,868.60 |
$4,781 |
2.4× |
| Neck soft tissue (70360) |
$210 |
$350 |
2.7× |
| Nm cisternogram (78630) |
$1,554.60 |
$2,591 |
3.2× |
| Nm csf leak detection (78650) |
$1,130.40 |
$1,884 |
1.0× |
| Nm gastric emptying study (78264) |
$1,431.60 |
$2,386 |
3.9× |
| Nm gastroesophageal reflux study (78262) |
$1,033.80 |
$1,723 |
2.9× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$54 |
$90 |
0.4× |
| Osseous survey infant (77076) |
$231.60 |
$386 |
2.4× |
| Parathyroid imaging (78070) |
$451.20 |
$752 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$127.80 |
$213 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$2,162.40 |
$3,604 |
1.7× |
| PET imaging for CT attenuation whole body (78816) |
$2,162.40 |
$3,604 |
1.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,147 |
$5,245 |
9.9× |
| Proton tx delivery simple w/o compensation (77520) |
$5,802.60 |
$9,671 |
11.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,068.60 |
$1,781 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$285.60 |
$476 |
0.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$300.60 |
$501 |
3.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$242.40 |
$404 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$194.40 |
$324 |
2.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$307.20 |
$512 |
3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$230.70 |
$384.50 |
2.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$288 |
$480 |
3.6× |
| Radiologic exam colon single contrast study (74270) |
$549.60 |
$916 |
3.5× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$88.80 |
$148 |
0.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$438.60 |
$731 |
2.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$428.40 |
$714 |
2.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$268.20 |
$447 |
3.4× |
| Ribs bilateral 3 views (71110) |
$242.40 |
$404 |
2.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,714.40 |
$4,524 |
5.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,081 |
$5,135 |
6.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,300 |
$5,500 |
2.8× |
| Sacroiliac Joints < 3 Views (72200) |
$163.20 |
$272 |
1.7× |
| Salivary gland imaging (78230) |
$897.60 |
$1,496 |
2.5× |
| Scanogram (77073) |
$363 |
$605 |
3.8× |
| Scapula complete (73010) |
$243.60 |
$406 |
2.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$475.80 |
$793 |
5.0× |
| Small bowel series (74250) |
$520.20 |
$867 |
3.3× |
| Speech evaluation complex (70371) |
$348 |
$580 |
1.6× |
| Spine thoracic 3 views (72072) |
$17.40 |
$29 |
0.2× |
| Testicular Imaging With Vascular Flow (78761) |
$414.60 |
$691 |
1.1× |
| Therapeutic Enema (74283) |
$726.60 |
$1,211 |
4.6× |
| Thoracolumbar 2 views (72080) |
$283.20 |
$472 |
3.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$583.20 |
$972 |
1.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,853.60 |
$4,756 |
5.8× |
| Ultrasound, abdomen limited (76705) |
$828.60 |
$1,381 |
8.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$6.60 |
$11 |
0.1× |
| Unlisted magnetic resonance procedure (76498) |
$2,700 |
$4,500 |
34.2× |
| Upper Extremity Infant (73092) |
$156.60 |
$261 |
1.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,304.40 |
$2,174 |
3.6× |
| Urethrocystography retrograde rs&i (74450) |
$581.40 |
$969 |
2.7× |
| Urethrocystography voiding (74455) |
$630 |
$1,050 |
2.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$397.80 |
$663 |
2.5× |
| Us breast unilateral complete (76641) |
$338.40 |
$564 |
3.6× |
| Us breast unilateral limited (76642) |
$256.80 |
$428 |
3.3× |
| Us chest (76604) |
$801.60 |
$1,336 |
8.5× |
| Us compl joint r-t w/image documentation (76881) |
$374.40 |
$624 |
3.9× |
| Us elastography parenchyma (76981) |
$374.40 |
$624 |
3.9× |
| Us infant hips dynamic (76885) |
$455.40 |
$759 |
5.8× |
| Us kidney transplant (76776) |
$387.60 |
$646 |
4.1× |
| Us pelvic non ob complete (76856) |
$451.20 |
$752 |
4.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$344.40 |
$574 |
3.6× |
| Us retroperitoneal complete (76770) |
$582 |
$970 |
6.1× |
| Us retroperitoneal limited (76775) |
$126 |
$210 |
1.3× |
| Us scrotum and contents (76870) |
$284.10 |
$473.50 |
3.0× |
| Us soft tissue head/neck (76536) |
$414 |
$690 |
4.4× |
| Us spinal canal and contents (76800) |
$526.20 |
$877 |
5.5× |
| Wrist 2 views (73100) |
$45 |
$75 |
0.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$577.80 |
$963 |
6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$298.80 |
$498 |
3.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$345.60 |
$576 |
4.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$712.80 |
$1,188 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$39.60 |
$66 |
0.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$268.20 |
$447 |
3.4× |
| X-ray exam hip uni 1 view (73501) |
$43.80 |
$73 |
0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$181.50 |
$302.50 |
2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$82.20 |
$137 |
0.9× |
| X-ray exam of femur 1 (73551) |
$40.20 |
$67 |
0.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$363 |
$605 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$248.40 |
$414 |
3.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$150.60 |
$251 |
1.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$219 |
$365 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$310.80 |
$518 |
3.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$146.70 |
$244.50 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$142.20 |
$237 |
1.8× |
| X-ray of voice box or throat (70370) |
$348 |
$580 |
4.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$349.20 |
$582 |
3.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$310.80 |
$518 |
3.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$762 |
$1,270 |
2.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$179.40 |
$299 |
2.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$57 |
$95 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$268.20 |
$447 |
3.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$268.20 |
$447 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$207 |
$345 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$290.40 |
$484 |
3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$399 |
$665 |
4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$277.80 |
$463 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$273 |
$455 |
3.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$137.70 |
$229.50 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$172.80 |
$288 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$303 |
$505 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$199.80 |
$333 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$248.40 |
$414 |
3.1× |
| Xr c-spine 6 or more views (72052) |
$549 |
$915 |
5.8× |
| Xr chest 4+ views (71048) |
$360 |
$600 |
3.8× |
| Xr Cholecystography Oral Contrast (74290) |
$201.60 |
$336 |
1.3× |
| Xr finger(s) 2+ views (73140) |
$330.60 |
$551 |
4.2× |
| Xr myelogram posterior fossa (70010) |
$1,107 |
$1,845 |
3.5× |
| Xr optic foramina (70190) |
$194.40 |
$324 |
2.5× |
| Xr shoulder 1 view (73020) |
$29.40 |
$49 |
0.4× |
| Xr spine cervical 4 or 5 views (72050) |
$503.40 |
$839 |
5.3× |
| Xr tibia/fibula 2 views (73590) |
$222 |
$370 |
2.8× |
| Xr tmj bilateral (70330) |
$262.80 |
$438 |
3.3× |
| Xray knee 1 or 2 views rt (73560) |
$243.60 |
$406 |
3.1× |