| Abdomen 2 views (74019) |
$137.70 |
$510 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$649.89 |
$2,407 |
1.8× |
| Angiography extremity bilateral rs&i (75716) |
$3,436.42 |
$12,727.50 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$3,072.87 |
$11,381 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$3,006.45 |
$11,135 |
1.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$2,857.68 |
$10,584 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,185.73 |
$11,799 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,185.73 |
$11,799 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,306.69 |
$12,247 |
0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,123.09 |
$11,567 |
1.1× |
| Ankle 2 views (73600) |
$238.82 |
$884.50 |
3.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$449.82 |
$1,666 |
1.4× |
| Aortogram thoracic (75605) |
$5,648.40 |
$20,920 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,215.56 |
$11,909.50 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$3,164.13 |
$11,719 |
1.1× |
| Artery X-Rays Adrenal Gland (75731) |
$3,358.26 |
$12,438 |
1.2× |
| Arthrogram elbow (73085) |
$363.69 |
$1,347 |
1.2× |
| Arthrogram hip (73525) |
$430.78 |
$1,595.50 |
1.4× |
| Arthrogram shoulder (73040) |
$471.15 |
$1,745 |
1.5× |
| Arthrogram wrist (73115) |
$291.60 |
$1,080 |
0.9× |
| Arthrography knee lt (73580) |
$443.07 |
$1,641 |
1.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,155.33 |
$4,279 |
3.2× |
| Bone &/joint imaging whole body (78306) |
$1,404 |
$5,200 |
3.9× |
| Bone age studies (77072) |
$44.55 |
$165 |
0.5× |
| Bone Imaging 3 Phase (78315) |
$797.04 |
$2,952 |
2.2× |
| Bone Marrow Imaging Limited Area (78102) |
$371.79 |
$1,377 |
1.0× |
| Bone survey complete (77075) |
$255.96 |
$948 |
2.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,350.97 |
$12,411 |
2.6× |
| Cervical spine 2 or 3 views (72040) |
$215.19 |
$797 |
2.8× |
| Chest 1 view (71045) |
$129.20 |
$478.50 |
1.7× |
| Chest 3 views (71047) |
$69.93 |
$259 |
0.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$279.45 |
$1,035 |
1.8× |
| Clavicle complete (73000) |
$233.01 |
$863 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$978.75 |
$3,625 |
10.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,791.26 |
$10,338 |
9.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,959.66 |
$7,258 |
9.2× |
| CT abdomen w contrast (74160) |
$1,094.85 |
$4,055 |
7.0× |
| CT abdomen w wo contrast (74170) |
$1,728.81 |
$6,403 |
11.1× |
| CT abdomen w/o contrast (74150) |
$574.83 |
$2,129 |
6.2× |
| CT angio hrt w/3d image (75574) |
$1,543.05 |
$5,715 |
5.0× |
| CT angiography upper extremity lt (73206) |
$1,424.52 |
$5,276 |
9.1× |
| CT c-spine w/o contrast (72125) |
$1,675.48 |
$6,205.50 |
18.0× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$193.32 |
$716 |
1.2× |
| CT cervical spine w&w/o contrast (72127) |
$532.17 |
$1,971 |
3.4× |
| CT cervical spine with contrast (72126) |
$537.57 |
$1,991 |
1.7× |
| CT chest w/wo contrast (71270) |
$1,851.93 |
$6,859 |
11.9× |
| CT chest with contrast (71260) |
$1,675.08 |
$6,204 |
10.7× |
| CT head/brain with contrast (70460) |
$2,016.36 |
$7,468 |
12.9× |
| CT head/brain without and with contrast (70470) |
$2,453.22 |
$9,086 |
15.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$74.79 |
$277 |
1.0× |
| CT iac w contrast (70481) |
$2,110.86 |
$7,818 |
13.5× |
| CT lower ext w/o (73700) |
$1,651.05 |
$6,115 |
17.7× |
| CT lower extremity w wo contrast (73702) |
$2,145.42 |
$7,946 |
13.7× |
| CT lower extremity with contrast (73701) |
$2,191.59 |
$8,117 |
14.0× |
| CT lumbar spine w & w/o contrast (72133) |
$532.17 |
$1,971 |
3.4× |
| CT lumbar spine w/o contrast (72131) |
$1,628.10 |
$6,030 |
17.5× |
| CT lumbar spine with contrast (72132) |
$1,072.44 |
$3,972 |
3.5× |
| CT maxillofacial w contrast (70487) |
$1,286.82 |
$4,766 |
8.2× |
| CT maxillofacial w/o contrast (70486) |
$944.46 |
$3,498 |
10.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,197.26 |
$8,138 |
14.1× |
| CT neck soft tissue w contrast (70491) |
$1,722.87 |
$6,381 |
11.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,406.51 |
$8,913 |
15.4× |
| CT orbits w/o contrast (70480) |
$1,339.74 |
$4,962 |
14.4× |
| CT pelvis w & w/o contrast (72194) |
$1,744.47 |
$6,461 |
11.2× |
| CT pelvis w/o contrast (72192) |
$1,368.36 |
$5,068 |
14.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,666.52 |
$9,876 |
17.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,550.61 |
$5,743 |
16.7× |
| CT thoracic spine w/contrast (72129) |
$1,067.58 |
$3,954 |
6.8× |
| CT thoracic spine w/o contrast (72128) |
$930.42 |
$3,446 |
10.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,153.04 |
$4,270.50 |
7.4× |
| CT thorax w/o contrast (71250) |
$1,109.97 |
$4,111 |
11.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,789.56 |
$6,628 |
11.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,137.24 |
$4,212 |
12.2× |
| CT upper extremity with contrast (73201) |
$1,241.19 |
$4,597 |
4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,147.77 |
$4,251 |
7.3× |
| Cta Abdomen (74175) |
$1,085.40 |
$4,020 |
6.9× |
| CTA abdomen pelvis (74174) |
$3,118.90 |
$11,551.50 |
10.0× |
| CTA chest (71275) |
$1,674.81 |
$6,203 |
10.7× |
| Cta Head (70496) |
$690.93 |
$2,559 |
4.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$385.02 |
$1,426 |
1.2× |
| CTA lwr ext w&w/o contrast (73706) |
$3,138.75 |
$11,625 |
20.1× |
| Cta Neck (70498) |
$690.93 |
$2,559 |
4.4× |
| Cta Pelvis (72191) |
$1,647 |
$6,100 |
10.5× |
| Cystography minimum 3 views rs&i (74430) |
$246.51 |
$913 |
0.8× |
| Diskography lumbar (72295) |
$605.34 |
$2,242 |
0.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$509.49 |
$1,887 |
5.5× |
| Echoencephalography real time imaging (76506) |
$262.44 |
$972 |
2.8× |
| Esophagus (74220) |
$293.49 |
$1,087 |
1.9× |
| Fetal biophysical profile non-stress testing (76818) |
$618.57 |
$2,291 |
6.6× |
| Fluoroscopy up to 1 hr (76000) |
$408.10 |
$1,511.50 |
1.9× |
| Foot 2 views (73620) |
$187.24 |
$693.50 |
2.4× |
| Forearm 2 views (73090) |
$314.28 |
$1,164 |
4.1× |
| Gated Heart Planar Single (78472) |
$1,178.55 |
$4,365 |
3.3× |
| Hand 2 views (73120) |
$223.02 |
$826 |
2.4× |
| Hand 3 views (73130) |
$317.79 |
$1,177 |
4.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,704.51 |
$6,313 |
3.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,704.51 |
$6,313 |
4.8× |
| Ht muscle image spect sing (78451) |
$844.56 |
$3,128 |
0.7× |
| Humerus Min 2 Views Left (73060) |
$209.79 |
$777 |
2.7× |
| Hysterosalpingogram (74740) |
$380.97 |
$1,411 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,190.97 |
$4,411 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,033.83 |
$3,829 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,033.83 |
$3,829 |
2.1× |
| Knee 3 views (73562) |
$276.21 |
$1,023 |
3.6× |
| Liver & spleen imaging static only (78215) |
$721.44 |
$2,672 |
2.0× |
| Lung perf&ventilat diferentl (78598) |
$704.97 |
$2,611 |
1.5× |
| Lung perfusion differential (78597) |
$412.56 |
$1,528 |
1.2× |
| Lymphoscintigraphy (78195) |
$940.14 |
$3,482 |
1.9× |
| Mammary ductogram or galactogram single (77053) |
$211.68 |
$784 |
1.0× |
| Meckels Diverticulum (78290) |
$568.89 |
$2,107 |
1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$27.54 |
$102 |
1.1× |
| MRA head w & w/o contrast (70546) |
$1,733.40 |
$6,420 |
5.6× |
| MRA head w/o contrast (70544) |
$1,274.40 |
$4,720 |
6.0× |
| MRA head with contrast (70545) |
$861.30 |
$3,190 |
2.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,335.31 |
$12,353 |
10.7× |
| MRA neck w/o contrast (70547) |
$1,569.78 |
$5,814 |
7.4× |
| MRI abdomen w contrast (74182) |
$2,310.93 |
$8,559 |
7.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,335.31 |
$12,353 |
10.7× |
| MRI abdomen w/o contrast (74181) |
$1,967.22 |
$7,286 |
9.3× |
| MRI any jnt lwr ext with con lt (73722) |
$2,705.67 |
$10,021 |
3.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,705.67 |
$10,021 |
3.9× |
| MRI breast w/o contrast bilateral (77047) |
$1,949.13 |
$7,219 |
9.2× |
| MRI c-spine with contrast (72142) |
$1,603.53 |
$5,939 |
5.2× |
| MRI cervical spine w/o contrast (72141) |
$1,403.19 |
$5,197 |
6.6× |
| MRI chest w/o & w/contrast material (71552) |
$2,393.01 |
$8,863 |
7.7× |
| MRI chest w/o contrast (71550) |
$1,408.05 |
$5,215 |
6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$657.45 |
$2,435 |
3.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,740.15 |
$6,445 |
8.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,335.31 |
$12,353 |
10.7× |
| MRI pelvis w contrast (72196) |
$1,914.30 |
$7,090 |
6.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,335.31 |
$12,353 |
10.7× |
| MRI pelvis w/o contrast (72195) |
$1,548.99 |
$5,737 |
7.3× |
| MRI scan of arm joint before and after contrast (73223) |
$948.24 |
$3,512 |
3.1× |
| MRI scan of leg joint before and after contrast (73723) |
$941.76 |
$3,488 |
3.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,572.56 |
$9,528 |
8.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,914.30 |
$7,090 |
6.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,170.74 |
$11,743.50 |
10.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,185.92 |
$8,096 |
7.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,176.82 |
$11,766 |
10.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,047.14 |
$7,582 |
9.6× |
| MRI tmj (70336) |
$1,949 |
$7,218.50 |
9.2× |
| MRI upper ext joint w/o contrast (73221) |
$663.39 |
$2,457 |
3.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$800.55 |
$2,965 |
2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$663.39 |
$2,457 |
3.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,487.24 |
$9,212 |
2.2× |
| Neck soft tissue (70360) |
$201.42 |
$746 |
2.6× |
| Nm cisternogram (78630) |
$621.81 |
$2,303 |
1.3× |
| Nm gastric emptying study (78264) |
$721.44 |
$2,672 |
2.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$119.34 |
$442 |
1.3× |
| Osseous survey infant (77076) |
$192.78 |
$714 |
2.1× |
| Osseous survey limited (77074) |
$547.29 |
$2,027 |
5.9× |
| Parathyroid imaging (78070) |
$437.94 |
$1,622 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$179.55 |
$665 |
1.9× |
| PET image w/CT, skull-thigh (78815) |
$3,350.97 |
$12,411 |
2.6× |
| PET imaging CT for attenuation limited area (78814) |
$3,350.97 |
$12,411 |
2.6× |
| PET imaging for CT attenuation whole body (78816) |
$3,350.97 |
$12,411 |
2.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$979.42 |
$3,627.50 |
3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$613.71 |
$2,273 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,117.53 |
$4,139 |
2.3× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,026.54 |
$3,802 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$397.71 |
$1,473 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$265.95 |
$985 |
3.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$265.95 |
$985 |
2.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$271.08 |
$1,004 |
2.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$531.90 |
$1,970 |
5.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$177.39 |
$657 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$223.29 |
$827 |
2.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$181.98 |
$674 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$435.51 |
$1,613 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$534.33 |
$1,979 |
3.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$441.18 |
$1,634 |
2.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$263.66 |
$976.50 |
3.4× |
| Radiological examination surgical specimen (76098) |
$419.04 |
$1,552 |
0.9× |
| Ribs bilateral 3 views (71110) |
$64.26 |
$238 |
0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,274.13 |
$4,719 |
3.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$865.35 |
$3,205 |
1.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,314.90 |
$4,870 |
2.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,534.68 |
$5,684 |
1.3× |
| Scanogram (77073) |
$100.84 |
$373.50 |
1.1× |
| Scapula complete (73010) |
$267.03 |
$989 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$35.91 |
$133 |
1.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$126.09 |
$467 |
1.4× |
| Small bowel series (74250) |
$459 |
$1,700 |
2.9× |
| Spine thoracic 3 views (72072) |
$252.72 |
$936 |
2.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$407.70 |
$1,510 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$395.01 |
$1,463 |
1.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,762.29 |
$6,527 |
3.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,171.53 |
$4,339 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$340.47 |
$1,261 |
3.7× |
| Unlisted Ultrasound Procedure (76999) |
$405.81 |
$1,503 |
5.2× |
| Upper Extremity Infant (73092) |
$135.81 |
$503 |
1.5× |
| Urethrocystography voiding (74455) |
$393.93 |
$1,459 |
1.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$718.20 |
$2,660 |
4.6× |
| Us abdl aorta screen aaa (76706) |
$223.29 |
$827 |
2.4× |
| Us breast unilateral complete (76641) |
$278.91 |
$1,033 |
3.0× |
| Us breast unilateral limited (76642) |
$229.23 |
$849 |
3.0× |
| Us chest (76604) |
$456.03 |
$1,689 |
4.9× |
| Us compl joint r-t w/image documentation (76881) |
$164.84 |
$610.50 |
1.8× |
| Us infant hips dynamic (76885) |
$92.61 |
$343 |
1.2× |
| Us infant hips limited static (76886) |
$109.08 |
$404 |
1.4× |
| Us kidney transplant (76776) |
$446.31 |
$1,653 |
4.8× |
| Us ob transvaginal (76817) |
$409.86 |
$1,518 |
4.4× |
| Us pelvic non ob complete (76856) |
$605.34 |
$2,242 |
6.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$511.65 |
$1,895 |
5.5× |
| Us pregnancy ltd (76815) |
$286.47 |
$1,061 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$400.41 |
$1,483 |
4.3× |
| Us retroperitoneal complete (76770) |
$314.28 |
$1,164 |
3.4× |
| Us retroperitoneal limited (76775) |
$528.66 |
$1,958 |
5.7× |
| Us scrotum and contents (76870) |
$539.73 |
$1,999 |
5.8× |
| Us soft tissue head/neck (76536) |
$349.92 |
$1,296 |
3.8× |
| Us spinal canal and contents (76800) |
$374.76 |
$1,388 |
4.0× |
| Us xtr non-vasc lmtd (76882) |
$224.78 |
$832.50 |
2.4× |
| Venogram extremity bilateral (75822) |
$983.34 |
$3,642 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$2,918.30 |
$10,808.50 |
1.0× |
| Venography caval superior serialography rs&i (75827) |
$2,062.26 |
$7,638 |
1.5× |
| Venography extremity unilateral rs&i (75820) |
$946.76 |
$3,506.50 |
0.7× |
| Venography Renal Bilateral (75833) |
$3,072.87 |
$11,381 |
1.1× |
| Venography renal unilateral selective rs&i (75831) |
$3,072.87 |
$11,381 |
1.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,096.09 |
$11,467 |
1.1× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$2,857.68 |
$10,584 |
0.6× |
| Wrist 2 views (73100) |
$271.62 |
$1,006 |
3.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$273.24 |
$1,012 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$196.29 |
$727 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$440.37 |
$1,631 |
5.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$695.79 |
$2,577 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$312.12 |
$1,156 |
4.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$405.27 |
$1,501 |
5.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$531.90 |
$1,970 |
5.7× |
| X-ray exam hip uni 1 view (73501) |
$112.59 |
$417 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$167.94 |
$622 |
2.2× |
| X-ray exam hip uni 4/> views (73503) |
$251.91 |
$933 |
2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$271.08 |
$1,004 |
2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$541.89 |
$2,007 |
5.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$179.82 |
$666 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$53.46 |
$198 |
0.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$310.23 |
$1,149 |
4.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,082.78 |
$7,714 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$259.34 |
$960.50 |
3.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$449.28 |
$1,664 |
2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$223.02 |
$826 |
2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$246.51 |
$913 |
3.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$85.32 |
$316 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$264.87 |
$981 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$619.65 |
$2,295 |
6.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$240.84 |
$892 |
3.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$228.42 |
$846 |
2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$179.55 |
$665 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$86.94 |
$322 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$181.58 |
$672.50 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$169.56 |
$628 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$137.97 |
$511 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$216 |
$800 |
2.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$269.46 |
$998 |
3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$297.27 |
$1,101 |
3.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$136.62 |
$506 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$414.45 |
$1,535 |
4.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$211.14 |
$782 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$123.12 |
$456 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$92.07 |
$341 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$132.84 |
$492 |
1.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$228.96 |
$848 |
2.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$158.22 |
$586 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$406.08 |
$1,504 |
5.2× |
| Xr c-spine 6 or more views (72052) |
$375.57 |
$1,391 |
4.0× |
| Xr chest 4+ views (71048) |
$128.79 |
$477 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$226.80 |
$840 |
2.9× |
| Xr shoulder 1 view (73020) |
$169.96 |
$629.50 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$375.57 |
$1,391 |
4.0× |
| Xr tibia/fibula 2 views (73590) |
$352.89 |
$1,307 |
4.6× |
| Xr tmj bilateral (70330) |
$227.61 |
$843 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$181.71 |
$673 |
2.3× |