| Abdomen 2 views (74019) |
$141.27 |
$215.50 |
1.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$546.52 |
$943.50 |
1.3× |
| Ankle 2 views (73600) |
$175.96 |
$265 |
1.9× |
| Arthrogram elbow (73085) |
$61.44 |
$120 |
0.2× |
| Arthrogram hip (73525) |
$62.46 |
$122 |
0.2× |
| Arthrogram shoulder (73040) |
$58.37 |
$114 |
0.2× |
| Arthrogram wrist (73115) |
$59.39 |
$116 |
0.2× |
| Arthrography knee lt (73580) |
$61.44 |
$120 |
0.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$343.49 |
$593 |
0.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$410.34 |
$708.50 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$724.38 |
$1,250 |
1.7× |
| Bone age studies (77072) |
$84.80 |
$130 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$833.60 |
$1,438.50 |
2.0× |
| Bone survey complete (77075) |
$178.52 |
$275.50 |
1.6× |
| Cervical spine 2 or 3 views (72040) |
$162.18 |
$247 |
1.8× |
| Chest 1 view (71045) |
$68.78 |
$119.50 |
0.7× |
| Chest 3 views (71047) |
$145.70 |
$252.50 |
1.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$218.26 |
$335 |
1.2× |
| Clavicle complete (73000) |
$18.43 |
$36 |
0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$191.50 |
$329 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,001.91 |
$1,695.50 |
2.7× |
| CT abdomen and pelvis without contrast (74176) |
$678.78 |
$1,151.50 |
2.7× |
| CT abdomen w contrast (74160) |
$541.32 |
$917.50 |
2.9× |
| CT abdomen w wo contrast (74170) |
$646.28 |
$1,094.50 |
3.5× |
| CT abdomen w/o contrast (74150) |
$437.40 |
$742.50 |
4.0× |
| CT angio hrt w/3d image (75574) |
$1,092.90 |
$1,742 |
3.0× |
| CT angiography upper extremity lt (73206) |
$1,109.78 |
$1,875 |
6.0× |
| CT c-spine w/o contrast (72125) |
$909.04 |
$1,532.50 |
8.2× |
| CT cervical spine w&w/o contrast (72127) |
$1,357.30 |
$2,286.50 |
7.3× |
| CT cervical spine with contrast (72126) |
$1,135.50 |
$1,914 |
3.1× |
| CT chest w/wo contrast (71270) |
$715.24 |
$1,210 |
3.9× |
| CT chest with contrast (71260) |
$598.67 |
$1,013.50 |
3.2× |
| CT head/brain with contrast (70460) |
$561.91 |
$995 |
3.0× |
| CT head/brain without and with contrast (70470) |
$672 |
$1,189.50 |
3.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$815.13 |
$1,299 |
2.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$68.15 |
$113 |
0.7× |
| CT iac w contrast (70481) |
$897.88 |
$1,586.50 |
4.9× |
| CT lower ext w/o (73700) |
$105.47 |
$206 |
1.0× |
| CT lower extremity w wo contrast (73702) |
$128 |
$250 |
0.7× |
| CT lower extremity with contrast (73701) |
$121.86 |
$238 |
0.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,430.60 |
$2,409.50 |
7.7× |
| CT lumbar spine w/o contrast (72131) |
$957.92 |
$1,614.50 |
8.7× |
| CT lumbar spine with contrast (72132) |
$1,196.58 |
$2,016.50 |
3.3× |
| CT maxillofacial w contrast (70487) |
$901.58 |
$1,593 |
4.9× |
| CT maxillofacial w/o contrast (70486) |
$720.29 |
$1,272.50 |
6.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,079.54 |
$1,907 |
5.8× |
| CT neck soft tissue w contrast (70491) |
$621.10 |
$1,100.50 |
3.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,074.99 |
$1,899 |
5.8× |
| CT orbits w/o contrast (70480) |
$727.92 |
$1,288 |
6.6× |
| CT pelvis w & w/o contrast (72194) |
$1,365.55 |
$2,300 |
7.4× |
| CT pelvis w/o contrast (72192) |
$917.60 |
$1,547.50 |
8.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$744.52 |
$1,319 |
4.0× |
| CT soft tissue neck w/o contrast (70490) |
$501.54 |
$889.50 |
4.5× |
| CT thoracic spine w/contrast (72129) |
$1,205.52 |
$2,031.50 |
6.5× |
| CT thoracic spine w/o contrast (72128) |
$965.07 |
$1,626.50 |
8.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,441.33 |
$2,427.50 |
7.8× |
| CT thorax w/o contrast (71250) |
$483.12 |
$819 |
4.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$128 |
$250 |
0.7× |
| CT upper extremity w/o contrast rt (73200) |
$105.47 |
$206 |
1.0× |
| CT upper extremity with contrast (73201) |
$121.86 |
$238 |
0.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,011.82 |
$1,614.50 |
5.5× |
| Cta Abdomen (74175) |
$687.72 |
$1,167 |
3.7× |
| CTA abdomen pelvis (74174) |
$1,054.46 |
$1,785 |
2.9× |
| CTA chest (71275) |
$760.98 |
$1,290 |
4.1× |
| Cta Head (70496) |
$716.89 |
$1,271 |
3.9× |
| CTA lwr ext w&w/o contrast (73706) |
$196.61 |
$384 |
1.1× |
| Cta Neck (70498) |
$783.06 |
$1,387.50 |
4.2× |
| Cta Pelvis (72191) |
$1,447.40 |
$2,441.50 |
7.8× |
| Cystography minimum 3 views rs&i (74430) |
$357.90 |
$286 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$156.10 |
$237.50 |
1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$162.41 |
$247 |
1.8× |
| Esophagus (74220) |
$160.96 |
$249.50 |
0.9× |
| Fetal biophysical profile non-stress testing (76818) |
$357.68 |
$477.50 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$324.42 |
$430 |
2.9× |
| Fluoroscopy up to 1 hr (76000) |
$257.19 |
$391 |
1.0× |
| Foot 2 views (73620) |
$205.84 |
$310 |
2.2× |
| Forearm 2 views (73090) |
$213.81 |
$322 |
2.3× |
| Gated Heart Planar Single (78472) |
$579.02 |
$999.50 |
1.4× |
| Hand 2 views (73120) |
$152.06 |
$229 |
1.4× |
| Hand 3 views (73130) |
$19.46 |
$38 |
0.2× |
| Heart Infarct Image (78466) |
$315.01 |
$544 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$777.42 |
$1,341.50 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$569.90 |
$983.50 |
1.4× |
| Ht muscle image spect sing (78451) |
$1,235.30 |
$2,131.50 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$284.19 |
$428 |
3.1× |
| Hysterosalpingogram (74740) |
$185.62 |
$284 |
0.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$330.80 |
$571.50 |
0.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$265.38 |
$459 |
0.5× |
| Knee 3 views (73562) |
$20.48 |
$40 |
0.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$214.50 |
$370.50 |
0.5× |
| Lung perf&ventilat diferentl (78598) |
$474.43 |
$819 |
0.8× |
| Lung perfusion differential (78597) |
$296.16 |
$511.50 |
0.7× |
| Lung Ventilation Imaging (78579) |
$250.79 |
$433 |
0.6× |
| Lymphoscintigraphy (78195) |
$525.51 |
$907.50 |
0.9× |
| Mammary ductogram or galactogram multiple (77054) |
$191.98 |
$294.50 |
0.8× |
| Mammary ductogram or galactogram single (77053) |
$146.26 |
$224.50 |
0.6× |
| Meckels Diverticulum (78290) |
$511.38 |
$882.50 |
1.2× |
| Mr safety determination physician/other qhp (76016) |
$59.77 |
$97 |
0.7× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$119.28 |
$186.50 |
1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$25.23 |
$38 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$87.52 |
$140.50 |
0.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$181.66 |
$282.50 |
0.7× |
| MRA head w & w/o contrast (70546) |
$1,134.34 |
$1,666 |
3.1× |
| MRA head w/o contrast (70544) |
$761.48 |
$1,121 |
3.0× |
| MRA head with contrast (70545) |
$944.07 |
$1,386 |
2.6× |
| MRA neck w contrast (70548) |
$1,621.72 |
$2,373.50 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,945.90 |
$2,848 |
5.3× |
| MRA neck w/o contrast (70547) |
$1,297.44 |
$1,899 |
5.2× |
| MRI abdomen w contrast (74182) |
$2,913.36 |
$3,980 |
7.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,496.03 |
$4,776 |
9.5× |
| MRI abdomen w/o contrast (74181) |
$1,204 |
$1,667.50 |
4.8× |
| MRI any jnt lwr ext with con lt (73722) |
$172.03 |
$336 |
0.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$172.03 |
$336 |
0.2× |
| MRI c-spine with contrast (72142) |
$707.87 |
$1,177 |
1.9× |
| MRI cervical spine w/o contrast (72141) |
$567.78 |
$944.50 |
2.3× |
| MRI chest w/o & w/contrast material (71552) |
$1,643.30 |
$2,279.50 |
4.5× |
| MRI chest w/o contrast (71550) |
$1,094.93 |
$1,518.50 |
4.4× |
| MRI chest with contrast (71551) |
$1,365.84 |
$1,892.50 |
1.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$172.03 |
$336 |
0.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$171.01 |
$334 |
0.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$141.31 |
$276 |
0.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,018.90 |
$1,557 |
4.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,531.42 |
$2,341.50 |
4.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,272.21 |
$1,943.50 |
3.5× |
| MRI pelvis w contrast (72196) |
$991.32 |
$1,381 |
2.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,192.31 |
$1,662.50 |
3.2× |
| MRI pelvis w/o contrast (72195) |
$795.18 |
$1,109 |
3.2× |
| MRI scan of arm joint before and after contrast (73223) |
$225.28 |
$440 |
0.6× |
| MRI scan of leg joint before and after contrast (73723) |
$225.28 |
$440 |
0.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$853.08 |
$1,419.50 |
2.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$707.62 |
$1,176.50 |
1.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$853.08 |
$1,419.50 |
2.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$707.62 |
$1,176.50 |
1.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$853.08 |
$1,419.50 |
2.3× |
| MRI thoracic spine w/o contrast (72146) |
$567.78 |
$944.50 |
2.3× |
| MRI tmj (70336) |
$1,172.41 |
$1,624.50 |
4.7× |
| MRI upper ext joint w/o contrast (73221) |
$144.38 |
$282 |
0.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$225.28 |
$440 |
0.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$142.34 |
$278 |
0.6× |
| Myelogram Cervical (72240) |
$773.10 |
$1,188 |
0.9× |
| Myelogram Lumbar (72265) |
$777.43 |
$1,192 |
0.9× |
| Myelogram thoracic (72255) |
$629.07 |
$972 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$1,591.26 |
$2,745.50 |
1.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$4,486 |
$3,242.50 |
5.0× |
| Neck soft tissue (70360) |
$108.12 |
$165 |
1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$176.32 |
$305 |
0.4× |
| Nm gastric emptying study (78264) |
$645.56 |
$1,114 |
1.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$423 |
$543 |
3.8× |
| Osseous survey infant (77076) |
$183.44 |
$284.50 |
1.7× |
| Osseous survey limited (77074) |
$120.34 |
$186.50 |
1.1× |
| Parathyroid imaging (78070) |
$356.43 |
$615.50 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$86.87 |
$133 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$224.26 |
$438 |
0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$355.02 |
$613 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$558.94 |
$965 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$251.20 |
$384.50 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$122.38 |
$187.50 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$174.04 |
$266 |
1.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$96.78 |
$148.50 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$171.66 |
$261.50 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$79.56 |
$122 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$148.60 |
$227 |
1.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$140.10 |
$242.50 |
1.5× |
| Radiologic exam colon single contrast study (74270) |
$330.50 |
$510 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$317.30 |
$488.50 |
1.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$242.62 |
$375 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$19.46 |
$38 |
0.2× |
| Radiological examination surgical specimen (76098) |
$94.10 |
$145.50 |
0.2× |
| Ribs bilateral 3 views (71110) |
$159.66 |
$244 |
1.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$797.50 |
$1,375 |
1.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$506.46 |
$874.50 |
0.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$262 |
$349 |
1.0× |
| Salivary gland imaging (78230) |
$274.01 |
$473 |
0.6× |
| Scanogram (77073) |
$196.34 |
$299 |
1.8× |
| Scapula complete (73010) |
$19.46 |
$38 |
0.2× |
| Screening digital breast tomosynthesis (77063) |
$35.86 |
$55.50 |
1.5× |
| Sella turcica (70240) |
$65.14 |
$100.50 |
0.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$196.04 |
$307.50 |
1.8× |
| Small bowel series (74250) |
$221.70 |
$343.50 |
1.2× |
| Spine thoracic 3 views (72072) |
$175.80 |
$267.50 |
1.6× |
| Testicular Imaging With Vascular Flow (78761) |
$287.46 |
$496.50 |
0.7× |
| Thoracolumbar 2 views (72080) |
$92.88 |
$142.50 |
1.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$292.35 |
$504.50 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$397.82 |
$686.50 |
0.9× |
| Ultrasound elastography first target lesion (76982) |
$116.88 |
$160.50 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$362.40 |
$475.50 |
3.3× |
| Umbilical-artery Doppler (OB) (76820) |
$129.77 |
$175.50 |
1.2× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$260.32 |
$449.50 |
0.6× |
| Urethrocystography voiding (74455) |
$275.96 |
$419.50 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$524.74 |
$796 |
2.8× |
| Us abdl aorta screen aaa (76706) |
$164.16 |
$220.50 |
1.5× |
| Us breast unilateral complete (76641) |
$304.70 |
$410.50 |
2.8× |
| Us breast unilateral limited (76642) |
$253.18 |
$343 |
2.8× |
| Us chest (76604) |
$246.72 |
$327 |
2.2× |
| Us compl joint r-t w/image documentation (76881) |
$370.70 |
$487 |
3.4× |
| Us elastography parenchyma (76981) |
$133.24 |
$181.50 |
1.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$194.96 |
$271 |
1.8× |
| Us infant hips dynamic (76885) |
$173.30 |
$235.50 |
1.9× |
| Us infant hips limited static (76886) |
$128.56 |
$176 |
1.4× |
| Us kidney transplant (76776) |
$204.46 |
$276 |
1.9× |
| Us ob detailed single fetus (76811) |
$292.72 |
$409 |
1.2× |
| Us ob transvaginal (76817) |
$288.08 |
$383 |
2.6× |
| Us pelvic non ob complete (76856) |
$425.20 |
$558 |
3.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$311.41 |
$408.50 |
2.8× |
| Us pregnancy ltd (76815) |
$225.14 |
$300.50 |
2.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$373.94 |
$497.50 |
3.4× |
| Us retroperitoneal complete (76770) |
$419.47 |
$551.50 |
3.8× |
| Us retroperitoneal limited (76775) |
$146.62 |
$198.50 |
1.3× |
| Us scrotum and contents (76870) |
$391.34 |
$513.50 |
3.5× |
| Us soft tissue head/neck (76536) |
$377.48 |
$494.50 |
3.4× |
| Us spinal canal and contents (76800) |
$189.24 |
$263.50 |
1.7× |
| Us xtr non-vasc lmtd (76882) |
$241.04 |
$318 |
2.2× |
| Venogram extremity bilateral (75822) |
$289.34 |
$448 |
0.2× |
| Venography extremity unilateral rs&i (75820) |
$242.28 |
$373 |
0.1× |
| Wrist 2 views (73100) |
$205.84 |
$310 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$172.12 |
$263 |
1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$130.28 |
$198.50 |
1.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$19.46 |
$38 |
0.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$369.34 |
$571 |
2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$258.96 |
$390 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$19.46 |
$38 |
0.2× |
| X-ray exam hip uni 1 view (73501) |
$78.49 |
$120.50 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$143.92 |
$219.50 |
1.6× |
| X-ray exam hip uni 4/> views (73503) |
$179.74 |
$274 |
1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$155.68 |
$238 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$242.18 |
$368.50 |
2.2× |
| X-ray exam of femur 1 (73551) |
$18.43 |
$36 |
0.2× |
| X-ray eye for foreign body (70030) |
$18.43 |
$36 |
0.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$159.22 |
$243 |
1.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$135.52 |
$206.50 |
1.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$18.43 |
$36 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$17.41 |
$34 |
0.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$160.90 |
$244.50 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$24.58 |
$48 |
0.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$179.50 |
$272.50 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$130.64 |
$199.50 |
1.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$291.06 |
$442 |
2.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$119.08 |
$181.50 |
1.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$50.02 |
$77.50 |
0.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$180.06 |
$274.50 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$129.50 |
$198 |
1.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$298.50 |
$455.50 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$136.62 |
$208.50 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$155.24 |
$237 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$194.96 |
$297.50 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$180.78 |
$275 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$110.44 |
$168.50 |
1.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$20.48 |
$40 |
0.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$150.56 |
$229.50 |
1.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$96.83 |
$148 |
1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$164.38 |
$251 |
1.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$141.82 |
$216 |
1.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$113.91 |
$173.50 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$128.32 |
$196 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$82.40 |
$126.50 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$169.05 |
$257 |
1.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$201.87 |
$307 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$14.34 |
$28 |
0.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$19.46 |
$38 |
0.2× |
| Xr c-spine 6 or more views (72052) |
$261.50 |
$397.50 |
2.4× |
| Xr chest 4+ views (71048) |
$165 |
$286 |
1.5× |
| Xr Cholecystography Oral Contrast (74290) |
$155.20 |
$237.50 |
0.8× |
| Xr finger(s) 2+ views (73140) |
$15.36 |
$30 |
0.2× |
| Xr internal auditory meati complete (70134) |
$172.48 |
$264 |
0.3× |
| Xr shoulder 1 view (73020) |
$16.38 |
$32 |
0.2× |
| Xr spine cervical 4 or 5 views (72050) |
$222.23 |
$338 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$176.62 |
$266 |
1.9× |
| Xr tmj bilateral (70330) |
$136.14 |
$208 |
1.5× |
| Xray knee 1 or 2 views rt (73560) |
$18.43 |
$36 |
0.2× |