| Abdomen 2 views (74019) |
$389.02 |
$864.50 |
3.5× |
| Angiography extremity bilateral rs&i (75716) |
$903.60 |
$2,008 |
0.3× |
| Angiography extremity unilateral rs&i (75710) |
$847.35 |
$1,883 |
0.3× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$785.25 |
$1,745 |
0.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$832.50 |
$1,850 |
0.2× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$732.15 |
$1,627 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$746.55 |
$1,659 |
0.2× |
| Ankle 2 views (73600) |
$326.25 |
$725 |
3.5× |
| Aortography abdominal serialography rs&i (75625) |
$668.25 |
$1,485 |
0.2× |
| Arthrogram hip (73525) |
$449.55 |
$999 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$1,539.22 |
$3,420.50 |
3.6× |
| Bone age studies (77072) |
$146.02 |
$324.50 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$1,801.80 |
$4,004 |
4.2× |
| Bone survey complete (77075) |
$560.70 |
$1,246 |
5.0× |
| Cervical spine 2 or 3 views (72040) |
$367.42 |
$816.50 |
4.0× |
| Chest 1 view (71045) |
$205.50 |
$537.50 |
2.2× |
| Chest 3 views (71047) |
$323.32 |
$718.50 |
3.5× |
| Clavicle complete (73000) |
$371.92 |
$826.50 |
4.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$798.30 |
$1,774 |
7.2× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$1,102.50 |
$2,450 |
5.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,233.12 |
$8,973 |
8.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,915.98 |
$5,109 |
7.5× |
| CT abdomen w contrast (74160) |
$2,805.45 |
$7,281.50 |
15.0× |
| CT abdomen w wo contrast (74170) |
$2,105.48 |
$5,893.50 |
11.2× |
| CT abdomen w/o contrast (74150) |
$2,358.55 |
$5,820 |
21.1× |
| CT angiography upper extremity lt (73206) |
$1,119.55 |
$3,848.50 |
6.0× |
| CT c-spine w/o contrast (72125) |
$1,691.20 |
$4,294.50 |
15.2× |
| CT cervical spine w&w/o contrast (72127) |
$6,228.45 |
$13,841 |
33.3× |
| CT cervical spine with contrast (72126) |
$1,382.55 |
$3,728 |
3.7× |
| CT chest w/wo contrast (71270) |
$2,073.35 |
$5,257.50 |
11.1× |
| CT chest with contrast (71260) |
$1,947.30 |
$4,972 |
10.4× |
| CT colonography screening (74263) |
$2,240.70 |
$8,518 |
8.8× |
| CT colonography w/o cntrst (74261) |
$1,429.30 |
$5,415.50 |
12.8× |
| CT head/brain with contrast (70460) |
$2,204.48 |
$5,432 |
11.8× |
| CT head/brain without and with contrast (70470) |
$1,961.08 |
$4,933 |
10.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$523.80 |
$1,164 |
5.6× |
| CT iac w contrast (70481) |
$2,614.88 |
$6,538 |
14.0× |
| CT limited/localized follow up study (76380) |
$736.65 |
$1,637 |
7.9× |
| CT lower ext w/o (73700) |
$1,684.68 |
$4,278.50 |
15.1× |
| CT lower extremity w wo contrast (73702) |
$1,722.35 |
$4,528 |
9.2× |
| CT lower extremity with contrast (73701) |
$2,768.78 |
$6,797.50 |
14.8× |
| CT lumbar spine w & w/o contrast (72133) |
$2,435.60 |
$6,600.50 |
13.0× |
| CT lumbar spine w/o contrast (72131) |
$1,995.18 |
$4,966.50 |
17.9× |
| CT lumbar spine with contrast (72132) |
$2,509.80 |
$6,235 |
6.7× |
| CT maxillofacial w contrast (70487) |
$1,844.92 |
$4,657.50 |
9.9× |
| CT maxillofacial w/o contrast (70486) |
$2,092.38 |
$5,178.50 |
18.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,206.88 |
$3,323 |
6.4× |
| CT neck soft tissue w contrast (70491) |
$2,571.90 |
$6,465.50 |
13.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,223.20 |
$5,733.50 |
11.9× |
| CT orbits w/o contrast (70480) |
$1,310.72 |
$3,619.50 |
11.7× |
| CT pelvis w & w/o contrast (72194) |
$2,818.78 |
$7,314.50 |
15.1× |
| CT pelvis w/o contrast (72192) |
$2,982.48 |
$7,185.50 |
26.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,624.72 |
$3,610.50 |
8.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,144.22 |
$3,200.50 |
10.3× |
| CT thoracic spine w/contrast (72129) |
$2,614.88 |
$6,474.50 |
14.0× |
| CT thoracic spine w/o contrast (72128) |
$2,414.35 |
$5,901.50 |
21.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,108.32 |
$2,589 |
5.9× |
| CT thorax w/o contrast (71250) |
$2,294.42 |
$5,656.50 |
20.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,031.38 |
$3,316 |
5.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,616.95 |
$4,319.50 |
14.5× |
| CT upper extremity with contrast (73201) |
$1,062.15 |
$3,211.50 |
2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,360.52 |
$5,036 |
7.3× |
| Cta Abdomen (74175) |
$1,851.70 |
$5,530 |
9.9× |
| CTA abdomen pelvis (74174) |
$1,303.35 |
$4,800.50 |
3.5× |
| CTA chest (71275) |
$1,947.32 |
$5,590 |
10.4× |
| Cta Head (70496) |
$1,459.98 |
$4,477 |
7.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,975.68 |
$5,903.50 |
10.6× |
| Cta Neck (70498) |
$2,037.55 |
$5,758.50 |
10.9× |
| Cta Pelvis (72191) |
$1,741.22 |
$5,275 |
9.3× |
| Diskogram cervical (72285) |
$595.80 |
$1,324 |
0.3× |
| Diskography lumbar (72295) |
$520.20 |
$1,156 |
0.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$354.15 |
$787 |
3.2× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$508.95 |
$1,131 |
4.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$212.85 |
$473 |
1.9× |
| Dxa bone density study axial skeleton (77085) |
$289.58 |
$643.50 |
2.6× |
| Esophagus (74220) |
$707.62 |
$1,572.50 |
3.8× |
| Fluoroscopy up to 1 hr (76000) |
$238.50 |
$530 |
0.9× |
| Foot 2 views (73620) |
$270.45 |
$601 |
2.9× |
| Forearm 2 views (73090) |
$256.28 |
$569.50 |
2.8× |
| Gated Heart Planar Single (78472) |
$1,189.35 |
$2,643 |
2.8× |
| Hand 2 views (73120) |
$288.45 |
$641 |
2.6× |
| Hand 3 views (73130) |
$309.82 |
$688.50 |
3.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,513.60 |
$7,808 |
6.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,614.50 |
$5,810 |
6.1× |
| Humerus Min 2 Views Left (73060) |
$320.62 |
$712.50 |
3.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$963.90 |
$2,142 |
8.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,221.08 |
$2,713.50 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,773.68 |
$3,941.50 |
3.1× |
| Knee 3 views (73562) |
$373.50 |
$830 |
4.0× |
| Liver & spleen imaging static only (78215) |
$1,591.65 |
$3,537 |
3.7× |
| Meckels Diverticulum (78290) |
$2,654.55 |
$5,899 |
6.2× |
| Mr elastography (76391) |
$1,826.78 |
$4,059.50 |
7.2× |
| MRA head w & w/o contrast (70546) |
$1,921.05 |
$4,269 |
5.2× |
| MRA head w/o contrast (70544) |
$1,254.82 |
$2,788.50 |
4.9× |
| MRA head with contrast (70545) |
$1,326.15 |
$2,947 |
3.6× |
| MRA neck w contrast (70548) |
$1,120.50 |
$2,490 |
3.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,014.65 |
$4,477 |
5.4× |
| MRA neck w/o contrast (70547) |
$1,256.62 |
$2,792.50 |
4.9× |
| MRI abdomen w contrast (74182) |
$2,135.90 |
$6,094.50 |
5.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,412.25 |
$6,807 |
6.5× |
| MRI abdomen w/o contrast (74181) |
$1,399.88 |
$3,935 |
5.5× |
| MRI any jnt lwr ext with con lt (73722) |
$2,203.62 |
$6,308 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,201.60 |
$6,301.50 |
2.6× |
| MRI breast w/o contrast bilateral (77047) |
$1,550.40 |
$4,408.50 |
6.1× |
| MRI breast w/o contrast unilat (77046) |
$1,501.12 |
$4,253.50 |
5.9× |
| MRI c-spine with contrast (72142) |
$1,954.55 |
$5,523.50 |
5.3× |
| MRI cervical spine w/o contrast (72141) |
$1,361.40 |
$3,813.50 |
5.3× |
| MRI chest w/o & w/contrast material (71552) |
$3,271.75 |
$9,513 |
8.8× |
| MRI chest w/o contrast (71550) |
$2,314.50 |
$6,814 |
9.1× |
| MRI chest with contrast (71551) |
$2,592.88 |
$7,533 |
3.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,324 |
$6,687 |
6.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,874.68 |
$5,272 |
5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,576.28 |
$4,490 |
6.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$871.12 |
$2,938 |
3.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,332.02 |
$4,408.50 |
3.6× |
| MRI pelvis w contrast (72196) |
$1,915.85 |
$5,402 |
5.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,404.15 |
$6,781.50 |
6.5× |
| MRI pelvis w/o contrast (72195) |
$1,611.15 |
$4,600 |
6.3× |
| MRI scan of arm joint before and after contrast (73223) |
$2,729.05 |
$7,804.50 |
7.3× |
| MRI scan of leg joint before and after contrast (73723) |
$2,720.95 |
$7,779 |
7.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,290.75 |
$6,424.50 |
6.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,924.18 |
$5,428 |
5.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,286.70 |
$6,412 |
6.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,940.38 |
$5,479 |
5.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,294.80 |
$6,437.50 |
6.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,361.40 |
$3,813.50 |
5.3× |
| MRI tmj (70336) |
$1,551.82 |
$3,448.50 |
6.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,438.12 |
$4,055 |
5.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,875.30 |
$8,265 |
7.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,094.68 |
$6,122 |
8.2× |
| Myelogram Lumbar (72265) |
$2,009.92 |
$4,466.50 |
2.4× |
| Myelogram thoracic (72255) |
$1,809 |
$4,020 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,446.42 |
$5,436.50 |
1.8× |
| Neck soft tissue (70360) |
$434.70 |
$966 |
4.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$715.95 |
$1,591 |
1.7× |
| Nm adrenal scan (78075) |
$2,466.45 |
$5,481 |
1.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$615.15 |
$1,367 |
5.5× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$44.10 |
$98 |
0.4× |
| Osseous survey infant (77076) |
$1,126.35 |
$2,503 |
10.1× |
| Osseous survey limited (77074) |
$408.15 |
$907 |
3.7× |
| Parathyrd planar w/wo subtrj (78071) |
$2,820.60 |
$6,268 |
6.6× |
| Parathyroid imaging (78070) |
$2,361.38 |
$5,247.50 |
5.5× |
| Pelvis 1 or 2 views (72170) |
$317.25 |
$705 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,250.82 |
$8,665 |
8.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$226.80 |
$504 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$454.95 |
$1,011 |
4.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$286.20 |
$636 |
2.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$351.45 |
$781 |
3.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$514.35 |
$1,143 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$474.52 |
$1,054.50 |
4.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$271.20 |
$706 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$325.12 |
$722.50 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$355.50 |
$790 |
3.8× |
| Radiologic exam colon single contrast study (74270) |
$872.10 |
$1,938 |
4.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$792 |
$1,760 |
4.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$698.62 |
$1,552.50 |
3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$583.42 |
$1,296.50 |
6.3× |
| Ribs bilateral 3 views (71110) |
$376.65 |
$837 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,982.48 |
$4,405.50 |
3.4× |
| Sacroiliac Joints < 3 Views (72200) |
$734.40 |
$1,632 |
6.6× |
| Scanogram (77073) |
$252.45 |
$561 |
2.3× |
| Scapula complete (73010) |
$269.55 |
$599 |
2.4× |
| Screening digital breast tomosynthesis (77063) |
$457.42 |
$1,016.50 |
19.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$429.75 |
$955 |
3.9× |
| Small bowel series (74250) |
$695.02 |
$1,544.50 |
3.7× |
| Spine thoracic 3 views (72072) |
$382.05 |
$849 |
3.4× |
| Therapeutic Enema (74283) |
$1,267.20 |
$2,816 |
6.8× |
| Thoracolumbar 2 views (72080) |
$181.58 |
$403.50 |
2.0× |
| Thyroid uptake measurement (78012) |
$698.62 |
$1,552.50 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,919.92 |
$4,266.50 |
4.5× |
| Tmj unilateral (70328) |
$287.32 |
$638.50 |
3.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,361.50 |
$7,470 |
5.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,315.58 |
$2,923.50 |
3.1× |
| Ultrasound, abdomen limited (76705) |
$816.22 |
$1,981 |
7.3× |
| Unlisted Ultrasound Procedure (76999) |
$866.25 |
$1,925 |
9.3× |
| Upper Extremity Infant (73092) |
$173.70 |
$386 |
1.6× |
| Urethrocystography retrograde rs&i (74450) |
$171.90 |
$382 |
0.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$976.95 |
$2,171 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$607.28 |
$1,349.50 |
5.4× |
| Us breast unilateral complete (76641) |
$740.02 |
$1,644.50 |
6.6× |
| Us breast unilateral limited (76642) |
$625.28 |
$1,389.50 |
6.7× |
| Us chest (76604) |
$618.08 |
$1,373.50 |
5.5× |
| Us compl joint r-t w/image documentation (76881) |
$487.12 |
$1,082.50 |
4.4× |
| Us elastography parenchyma (76981) |
$469.05 |
$1,299.50 |
4.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,122.30 |
$2,494 |
10.1× |
| Us kidney transplant (76776) |
$832.95 |
$1,851 |
7.5× |
| Us ob transvaginal (76817) |
$627.52 |
$1,394.50 |
5.6× |
| Us pelvic non ob complete (76856) |
$814.28 |
$1,809.50 |
7.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$578.25 |
$1,285 |
5.2× |
| Us pregnancy ltd (76815) |
$615.38 |
$1,367.50 |
5.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$551.42 |
$1,505 |
4.9× |
| Us retroperitoneal complete (76770) |
$818.10 |
$1,818 |
7.3× |
| Us retroperitoneal limited (76775) |
$636.98 |
$1,415.50 |
5.7× |
| Us scrotum and contents (76870) |
$752.62 |
$1,672.50 |
6.7× |
| Us soft tissue head/neck (76536) |
$801.90 |
$1,782 |
7.2× |
| Us xtr non-vasc lmtd (76882) |
$248.85 |
$553 |
2.2× |
| Us, eye b-scan (76512) |
$835.65 |
$1,857 |
7.5× |
| Venogram extremity bilateral (75822) |
$660.15 |
$1,467 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$659.70 |
$1,466 |
0.2× |
| Venography caval superior serialography rs&i (75827) |
$684.45 |
$1,521 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$564.75 |
$1,255 |
0.3× |
| Venography Renal Bilateral (75833) |
$814.95 |
$1,811 |
0.2× |
| Venography renal unilateral selective rs&i (75831) |
$688.50 |
$1,530 |
0.2× |
| Wrist 2 views (73100) |
$282.60 |
$628 |
3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$325.65 |
$873 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$265.72 |
$590.50 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$345.60 |
$768 |
3.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,256.85 |
$2,793 |
6.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$317.70 |
$706 |
3.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$232.42 |
$516.50 |
2.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$441.45 |
$981 |
4.0× |
| X-ray exam hip uni 1 view (73501) |
$271.20 |
$723 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$355.95 |
$791 |
3.8× |
| X-ray exam hip uni 4/> views (73503) |
$446.18 |
$991.50 |
4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$583.20 |
$1,296 |
5.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$349.20 |
$776 |
3.1× |
| X-ray exam of femur 1 (73551) |
$296.10 |
$658 |
3.2× |
| X-ray eye for foreign body (70030) |
$183.15 |
$407 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$417.60 |
$928 |
3.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$309.15 |
$687 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$366.08 |
$813.50 |
3.9× |
| X-ray head for orthodontia (70350) |
$310.05 |
$689 |
3.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$281.25 |
$625 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$241.88 |
$537.50 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$322.88 |
$717.50 |
2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$103.95 |
$231 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$205.65 |
$457 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$404.55 |
$899 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$460.58 |
$1,023.50 |
4.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$382.05 |
$849 |
3.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$340.65 |
$757 |
3.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$165.68 |
$471.50 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$355.05 |
$789 |
3.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$299.25 |
$665 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$367.65 |
$817 |
4.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$442.12 |
$982.50 |
4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$501.98 |
$1,115.50 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$220.72 |
$490.50 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$267.30 |
$594 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$341.55 |
$759 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$415.35 |
$923 |
4.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$287.78 |
$639.50 |
3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$438.98 |
$975.50 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$310.05 |
$689 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$233.85 |
$572 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$936.68 |
$2,081.50 |
10.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$350.32 |
$778.50 |
3.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$365.40 |
$812 |
3.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$368.55 |
$819 |
3.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$226.12 |
$502.50 |
2.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$342.22 |
$760.50 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$594.68 |
$1,321.50 |
5.3× |
| Xr chest 4+ views (71048) |
$303.30 |
$674 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$281.48 |
$625.50 |
3.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$318.60 |
$708 |
2.9× |
| Xr optic foramina (70190) |
$199.35 |
$443 |
2.1× |
| Xr shoulder 1 view (73020) |
$179.85 |
$420.50 |
1.9× |
| Xr spine cervical 4 or 5 views (72050) |
$644.40 |
$1,432 |
5.8× |
| Xr tibia/fibula 2 views (73590) |
$327.38 |
$727.50 |
3.5× |
| Xr tmj bilateral (70330) |
$400.05 |
$889 |
4.3× |
| Xray knee 1 or 2 views rt (73560) |
$290.25 |
$645 |
3.1× |