| Abdomen 2 views (74019) |
$263.79 |
$977 |
2.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$818.37 |
$3,031 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$2,397.06 |
$8,878 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$2,767.50 |
$10,250 |
0.9× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,398.68 |
$8,884 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,398.41 |
$8,883 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,126.06 |
$11,578 |
1.0× |
| Ankle 2 views (73600) |
$238.41 |
$883 |
2.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$215.19 |
$797 |
0.6× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,398.68 |
$8,884 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,397.06 |
$8,878 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,397.06 |
$8,878 |
0.8× |
| Arthrogram elbow (73085) |
$318.60 |
$1,180 |
0.9× |
| Arthrogram hip (73525) |
$384.48 |
$1,424 |
1.1× |
| Arthrogram shoulder (73040) |
$360.99 |
$1,337 |
1.1× |
| Arthrogram wrist (73115) |
$276.48 |
$1,024 |
0.8× |
| Arthrography knee lt (73580) |
$279.99 |
$1,037 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$1,068.12 |
$3,956 |
2.7× |
| Bone age studies (77072) |
$146.34 |
$542 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$1,018.98 |
$3,774 |
2.6× |
| Bone survey complete (77075) |
$755.19 |
$2,797 |
7.4× |
| Brain image w/flow 4 + views (78606) |
$630.99 |
$2,337 |
1.2× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,018.71 |
$3,773 |
2.6× |
| Cervical spine 2 or 3 views (72040) |
$276.21 |
$1,023 |
3.3× |
| Chest 1 view (71045) |
$127.17 |
$471 |
1.5× |
| Chest 3 views (71047) |
$196.83 |
$729 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$312.93 |
$1,159 |
1.8× |
| Clavicle complete (73000) |
$230.58 |
$854 |
2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$708.75 |
$2,625 |
7.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,714.04 |
$10,052 |
8.0× |
| CT abdomen and pelvis without contrast (74176) |
$2,199.69 |
$8,147 |
9.5× |
| CT abdomen w contrast (74160) |
$1,529.28 |
$5,664 |
9.0× |
| CT abdomen w wo contrast (74170) |
$1,424.79 |
$5,277 |
8.4× |
| CT abdomen w/o contrast (74150) |
$1,118.07 |
$4,141 |
11.0× |
| CT angiography upper extremity lt (73206) |
$973.89 |
$3,607 |
5.7× |
| CT c-spine w/o contrast (72125) |
$1,129.68 |
$4,184 |
11.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,113.21 |
$4,123 |
6.5× |
| CT cervical spine with contrast (72126) |
$1,337.31 |
$4,953 |
3.9× |
| CT chest w/wo contrast (71270) |
$2,042.28 |
$7,564 |
12.0× |
| CT chest with contrast (71260) |
$1,279.53 |
$4,739 |
7.5× |
| CT head/brain with contrast (70460) |
$1,117.80 |
$4,140 |
6.6× |
| CT head/brain without and with contrast (70470) |
$1,368.36 |
$5,068 |
8.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$186.57 |
$691 |
2.2× |
| CT iac w contrast (70481) |
$1,095.66 |
$4,058 |
6.4× |
| CT lower ext w/o (73700) |
$1,108.35 |
$4,105 |
10.9× |
| CT lower extremity w wo contrast (73702) |
$1,132.38 |
$4,194 |
6.6× |
| CT lower extremity with contrast (73701) |
$1,141.02 |
$4,226 |
6.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,264.95 |
$4,685 |
7.4× |
| CT lumbar spine w/o contrast (72131) |
$1,147.23 |
$4,249 |
11.3× |
| CT lumbar spine with contrast (72132) |
$1,379.97 |
$5,111 |
4.1× |
| CT maxillofacial w contrast (70487) |
$916.38 |
$3,394 |
5.4× |
| CT maxillofacial w/o contrast (70486) |
$891.81 |
$3,303 |
8.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,099.17 |
$4,071 |
6.4× |
| CT neck soft tissue w contrast (70491) |
$1,112.13 |
$4,119 |
6.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,139.94 |
$4,222 |
6.7× |
| CT orbits w/o contrast (70480) |
$1,139.94 |
$4,222 |
11.2× |
| CT pelvis w & w/o contrast (72194) |
$1,457.46 |
$5,398 |
8.6× |
| CT pelvis w/o contrast (72192) |
$1,124.82 |
$4,166 |
11.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,210.41 |
$4,483 |
7.1× |
| CT soft tissue neck w/o contrast (70490) |
$940.14 |
$3,482 |
9.3× |
| CT thoracic spine w/contrast (72129) |
$646.92 |
$2,396 |
3.8× |
| CT thoracic spine w/o contrast (72128) |
$643.41 |
$2,383 |
6.3× |
| CT thoracic spine w/wo contrast (72130) |
$925.29 |
$3,427 |
5.4× |
| CT thorax w/o contrast (71250) |
$1,340.55 |
$4,965 |
13.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,159.65 |
$4,295 |
6.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,063.26 |
$3,938 |
10.5× |
| CT upper extremity with contrast (73201) |
$1,083.24 |
$4,012 |
3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$819.99 |
$3,037 |
4.8× |
| Cta Abdomen (74175) |
$428.76 |
$1,588 |
2.5× |
| CTA abdomen pelvis (74174) |
$511.38 |
$1,894 |
1.5× |
| CTA chest (71275) |
$732.78 |
$2,714 |
4.3× |
| Cta Head (70496) |
$954.45 |
$3,535 |
5.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,912.95 |
$7,085 |
5.6× |
| CTA lwr ext w&w/o contrast (73706) |
$973.89 |
$3,607 |
5.7× |
| Cta Neck (70498) |
$958.50 |
$3,550 |
5.6× |
| Cta Pelvis (72191) |
$422.01 |
$1,563 |
2.5× |
| Cystography minimum 3 views rs&i (74430) |
$462.78 |
$1,714 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$136.35 |
$505 |
1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$167.13 |
$619 |
2.0× |
| Echoencephalography real time imaging (76506) |
$356.67 |
$1,321 |
3.5× |
| Esophagus (74220) |
$175.50 |
$650 |
1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$450.63 |
$1,669 |
4.4× |
| Fluoroscopy up to 1 hr (76000) |
$254.61 |
$943 |
1.1× |
| Foot 2 views (73620) |
$191.97 |
$711 |
2.3× |
| Forearm 2 views (73090) |
$242.19 |
$897 |
2.9× |
| Gated Heart Planar Single (78472) |
$823.50 |
$3,050 |
2.1× |
| Hand 2 views (73120) |
$102.60 |
$380 |
1.0× |
| Hand 3 views (73130) |
$246.51 |
$913 |
2.9× |
| Heart Infarct Image (78466) |
$684.18 |
$2,534 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,099.98 |
$4,074 |
2.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$756.27 |
$2,801 |
1.9× |
| Humerus Min 2 Views Left (73060) |
$251.37 |
$931 |
3.0× |
| Hysterosalpingogram (74740) |
$471.42 |
$1,746 |
2.0× |
| Interstitial radiation source applic complex (77778) |
$1,159.92 |
$4,296 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$672.84 |
$2,492 |
1.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$623.97 |
$2,311 |
1.2× |
| Knee 3 views (73562) |
$289.17 |
$1,071 |
3.4× |
| Liver & spleen imaging static only (78215) |
$537.30 |
$1,990 |
1.4× |
| Lung perf&ventilat diferentl (78598) |
$389.61 |
$1,443 |
0.7× |
| Lung perfusion differential (78597) |
$227.34 |
$842 |
0.6× |
| Lung Ventilation Imaging (78579) |
$949.05 |
$3,515 |
2.4× |
| Lymphoscintigraphy (78195) |
$744.66 |
$2,758 |
1.4× |
| Mammary ductogram or galactogram multiple (77054) |
$313.47 |
$1,161 |
1.4× |
| Mammary ductogram or galactogram single (77053) |
$326.43 |
$1,209 |
1.4× |
| Meckels Diverticulum (78290) |
$669.33 |
$2,479 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$25.11 |
$93 |
0.9× |
| MRA head w & w/o contrast (70546) |
$1,485 |
$5,500 |
4.4× |
| MRA head w/o contrast (70544) |
$1,283.85 |
$4,755 |
5.5× |
| MRA head with contrast (70545) |
$1,485 |
$5,500 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,662.93 |
$6,159 |
4.9× |
| MRA neck w/o contrast (70547) |
$1,720.71 |
$6,373 |
7.4× |
| MRI abdomen w contrast (74182) |
$1,276.29 |
$4,727 |
3.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,409.94 |
$5,222 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$1,795.77 |
$6,651 |
7.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,361.88 |
$5,044 |
1.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,362.42 |
$5,046 |
1.8× |
| MRI breast w/o contrast bilateral (77047) |
$626.13 |
$2,319 |
2.7× |
| MRI c-spine with contrast (72142) |
$1,484.73 |
$5,499 |
4.4× |
| MRI cervical spine w/o contrast (72141) |
$1,177.74 |
$4,362 |
5.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,564.38 |
$5,794 |
4.6× |
| MRI chest w/o contrast (71550) |
$1,128.06 |
$4,178 |
4.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,249.02 |
$4,626 |
3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$352.08 |
$1,304 |
1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,238.49 |
$4,587 |
5.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,431 |
$5,300 |
6.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,409.94 |
$5,222 |
4.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,488.78 |
$5,514 |
4.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,495.69 |
$12,947 |
10.3× |
| MRI pelvis w/o contrast (72195) |
$969.84 |
$3,592 |
4.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,094.58 |
$4,054 |
3.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,362.42 |
$5,046 |
4.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,392.66 |
$5,158 |
4.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,435.59 |
$5,317 |
4.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,321.65 |
$4,895 |
3.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,460.16 |
$5,408 |
4.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,199.07 |
$4,441 |
3.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,284.39 |
$4,757 |
5.5× |
| MRI tmj (70336) |
$1,169.91 |
$4,333 |
5.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,171.26 |
$4,338 |
5.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,791.45 |
$6,635 |
5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,202.85 |
$4,455 |
5.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,018.79 |
$7,477 |
1.6× |
| Neck soft tissue (70360) |
$223.56 |
$828 |
2.6× |
| Nm cisternogram (78630) |
$818.37 |
$3,031 |
1.6× |
| Nm gastric emptying study (78264) |
$1,303.83 |
$4,829 |
3.4× |
| Nm gastroesophageal reflux study (78262) |
$574.56 |
$2,128 |
1.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,258.82 |
$8,366 |
1.8× |
| Nuclear medicine of heart pumping function (78473) |
$1,168.02 |
$4,326 |
3.0× |
| Nuclear Rx Oral Admin (79005) |
$632.61 |
$2,343 |
2.8× |
| Osseous survey infant (77076) |
$244.89 |
$907 |
2.4× |
| Parathyrd planar w/spect&CT (78072) |
$759.51 |
$2,813 |
1.4× |
| Parathyroid imaging (78070) |
$403.65 |
$1,495 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$209.52 |
$776 |
2.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,362.42 |
$5,046 |
4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$712.53 |
$2,639 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,689.39 |
$6,257 |
3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$434.16 |
$1,608 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$274.05 |
$1,015 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$182.79 |
$677 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$263.79 |
$977 |
2.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$233.82 |
$866 |
2.8× |
| Radiologic exam colon single contrast study (74270) |
$625.32 |
$2,316 |
3.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$263.25 |
$975 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$561.33 |
$2,079 |
3.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$228.42 |
$846 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$253.53 |
$939 |
3.0× |
| Radiological examination surgical specimen (76098) |
$581.04 |
$2,152 |
1.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,398.68 |
$8,884 |
0.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,252.53 |
$4,639 |
2.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,252.53 |
$4,639 |
1.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,920.51 |
$7,113 |
1.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,835 |
$10,500 |
2.3× |
| Salivary gland imaging serial images (78231) |
$576.99 |
$2,137 |
1.5× |
| Scapula complete (73010) |
$194.13 |
$719 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$112.86 |
$418 |
4.8× |
| Small bowel series (74250) |
$428.49 |
$1,587 |
2.5× |
| Spec medical radj physics consltj (77370) |
$91.80 |
$340 |
0.7× |
| Spine thoracic 3 views (72072) |
$189.54 |
$702 |
1.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$755.19 |
$2,797 |
1.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$218.70 |
$810 |
0.6× |
| Thyroid uptake measurement (78012) |
$486.54 |
$1,802 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$734.13 |
$2,719 |
1.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,252.53 |
$4,639 |
2.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$781.38 |
$2,894 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$482.22 |
$1,786 |
4.7× |
| Upper Extremity Infant (73092) |
$156.60 |
$580 |
1.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$346.68 |
$1,284 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$359.37 |
$1,331 |
1.5× |
| Urethrocystography voiding (74455) |
$423.36 |
$1,568 |
1.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$462.51 |
$1,713 |
2.7× |
| Us abdl aorta screen aaa (76706) |
$453.33 |
$1,679 |
4.5× |
| Us breast unilateral complete (76641) |
$141.48 |
$524 |
1.4× |
| Us breast unilateral limited (76642) |
$134.73 |
$499 |
1.6× |
| Us chest (76604) |
$306.99 |
$1,137 |
3.0× |
| Us compl joint r-t w/image documentation (76881) |
$147.42 |
$546 |
1.5× |
| Us guided compression repair (76936) |
$827.28 |
$3,064 |
3.9× |
| Us infant hips dynamic (76885) |
$352.62 |
$1,306 |
4.2× |
| Us ob transvaginal (76817) |
$457.11 |
$1,693 |
4.5× |
| Us pelvic non ob complete (76856) |
$484.92 |
$1,796 |
4.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$174.15 |
$645 |
1.7× |
| Us pregnancy ltd (76815) |
$335.07 |
$1,241 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$114.75 |
$425 |
1.1× |
| Us retroperitoneal complete (76770) |
$135.81 |
$503 |
1.3× |
| Us retroperitoneal limited (76775) |
$453.33 |
$1,679 |
4.5× |
| Us scrotum and contents (76870) |
$474.12 |
$1,756 |
4.7× |
| Us soft tissue head/neck (76536) |
$432 |
$1,600 |
4.3× |
| Us spinal canal and contents (76800) |
$125.55 |
$465 |
1.2× |
| Us transrectal (76872) |
$479.52 |
$1,776 |
4.7× |
| Us transrectal prostate volume (76873) |
$161.73 |
$599 |
1.6× |
| Us xtr non-vasc lmtd (76882) |
$128.79 |
$477 |
1.3× |
| Venogram extremity bilateral (75822) |
$774.09 |
$2,867 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$5,055.21 |
$18,723 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$1,815.21 |
$6,723 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$1,682.37 |
$6,231 |
1.1× |
| Venography Renal Bilateral (75833) |
$2,398.68 |
$8,884 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$2,398.68 |
$8,884 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,126.06 |
$11,578 |
1.0× |
| Wrist 2 views (73100) |
$232.74 |
$862 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$337.23 |
$1,249 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$182.79 |
$677 |
2.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$267.03 |
$989 |
3.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$602.10 |
$2,230 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$245.43 |
$909 |
2.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$264.33 |
$979 |
3.1× |
| X-ray exam hip uni 1 view (73501) |
$135 |
$500 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$62.10 |
$230 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$253.53 |
$939 |
2.5× |
| X-ray exam of femur 1 (73551) |
$62.10 |
$230 |
0.7× |
| X-ray eye for foreign body (70030) |
$48.60 |
$180 |
0.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$253.53 |
$939 |
2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$373.68 |
$1,384 |
4.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$243 |
$900 |
2.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,718.55 |
$6,365 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$215.73 |
$799 |
2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$235.17 |
$871 |
2.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$253.53 |
$939 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$208.17 |
$771 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$131.76 |
$488 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$210.33 |
$779 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$291.06 |
$1,078 |
2.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$253.53 |
$939 |
2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$283.50 |
$1,050 |
3.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$152.28 |
$564 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$300.24 |
$1,112 |
3.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$356.67 |
$1,321 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$281.61 |
$1,043 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$328.86 |
$1,218 |
3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$223.02 |
$826 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$273.24 |
$1,012 |
3.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$179.82 |
$666 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$307.26 |
$1,138 |
3.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$104.76 |
$388 |
1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$475.20 |
$1,760 |
4.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$253.80 |
$940 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$162.54 |
$602 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$161.19 |
$597 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$236.52 |
$876 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$189.54 |
$702 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$212.76 |
$788 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$245.70 |
$910 |
2.9× |
| Xr arthrogram ankle (73615) |
$354.24 |
$1,312 |
1.0× |
| Xr c-spine 6 or more views (72052) |
$149.85 |
$555 |
1.5× |
| Xr chest 4+ views (71048) |
$309.42 |
$1,146 |
3.0× |
| Xr finger(s) 2+ views (73140) |
$262.17 |
$971 |
3.1× |
| Xr shoulder 1 view (73020) |
$174.15 |
$645 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$175.77 |
$651 |
1.7× |
| Xr tibia/fibula 2 views (73590) |
$267.03 |
$989 |
3.2× |
| Xray knee 1 or 2 views rt (73560) |
$190.89 |
$707 |
2.3× |