| Abdomen 2 views (74019) |
$451.36 |
$806 |
4.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$327.04 |
$584 |
0.9× |
| Ankle 2 views (73600) |
$444.64 |
$794 |
5.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$464.24 |
$829 |
1.4× |
| Arthrogram elbow (73085) |
$636.16 |
$1,136 |
1.9× |
| Arthrogram hip (73525) |
$636.16 |
$1,136 |
1.9× |
| Arthrogram shoulder (73040) |
$515.20 |
$920 |
1.5× |
| Arthrogram wrist (73115) |
$511.28 |
$913 |
1.5× |
| Arthrography knee lt (73580) |
$636.16 |
$1,136 |
1.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$248.08 |
$443 |
0.6× |
| Bone &/joint imaging whole body (78306) |
$580.72 |
$1,037 |
1.5× |
| Bone age studies (77072) |
$314.72 |
$562 |
3.1× |
| Bone Imaging 3 Phase (78315) |
$593.60 |
$1,060 |
1.6× |
| Bone survey complete (77075) |
$826.56 |
$1,476 |
8.3× |
| Cervical spine 2 or 3 views (72040) |
$518 |
$925 |
6.2× |
| Chest 1 view (71045) |
$231.84 |
$414 |
2.8× |
| Chest 3 views (71047) |
$353.92 |
$632 |
4.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$579.60 |
$1,035 |
3.5× |
| Clavicle complete (73000) |
$399.84 |
$714 |
4.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$129.92 |
$232 |
1.3× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$170.80 |
$305 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,935.44 |
$10,599 |
17.8× |
| CT abdomen and pelvis without contrast (74176) |
$4,488.40 |
$8,015 |
19.7× |
| CT abdomen w contrast (74160) |
$2,814 |
$5,025 |
16.8× |
| CT abdomen w wo contrast (74170) |
$2,906.96 |
$5,191 |
17.3× |
| CT abdomen w/o contrast (74150) |
$2,094.40 |
$3,740 |
21.0× |
| CT angio hrt w/3d image (75574) |
$539.28 |
$963 |
1.6× |
| CT angiography upper extremity lt (73206) |
$514.08 |
$918 |
3.1× |
| CT c-spine w/o contrast (72125) |
$2,135.84 |
$3,814 |
21.4× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$271.04 |
$484 |
1.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,163.28 |
$3,863 |
12.9× |
| CT cervical spine with contrast (72126) |
$2,158.24 |
$3,854 |
6.5× |
| CT chest w/wo contrast (71270) |
$2,422 |
$4,325 |
14.4× |
| CT chest with contrast (71260) |
$2,335.76 |
$4,171 |
13.9× |
| CT colonography screening (74263) |
$2,206.96 |
$3,941 |
9.7× |
| CT colonography w/o cntrst (74261) |
$1,449.28 |
$2,588 |
14.5× |
| CT head/brain with contrast (70460) |
$1,612.80 |
$2,880 |
9.6× |
| CT head/brain without and with contrast (70470) |
$1,760.08 |
$3,143 |
10.5× |
| CT iac w contrast (70481) |
$2,046.24 |
$3,654 |
12.2× |
| CT limited/localized follow up study (76380) |
$169.12 |
$302 |
2.0× |
| CT lower ext w/o (73700) |
$893.20 |
$1,595 |
8.9× |
| CT lower extremity w wo contrast (73702) |
$3,024 |
$5,400 |
18.0× |
| CT lower extremity with contrast (73701) |
$2,256.80 |
$4,030 |
13.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,451.12 |
$4,377 |
14.6× |
| CT lumbar spine w/o contrast (72131) |
$1,980.16 |
$3,536 |
19.8× |
| CT lumbar spine with contrast (72132) |
$2,141.44 |
$3,824 |
6.4× |
| CT maxillofacial w contrast (70487) |
$2,332.40 |
$4,165 |
13.9× |
| CT maxillofacial w/o contrast (70486) |
$2,189.60 |
$3,910 |
21.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,612.40 |
$4,665 |
15.6× |
| CT neck soft tissue w contrast (70491) |
$2,516.64 |
$4,494 |
15.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,182.32 |
$3,897 |
13.0× |
| CT orbits w/o contrast (70480) |
$1,932.56 |
$3,451 |
19.3× |
| CT pelvis w & w/o contrast (72194) |
$2,280.32 |
$4,072 |
13.6× |
| CT pelvis w/o contrast (72192) |
$1,815.52 |
$3,242 |
18.2× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$151.20 |
$270 |
1.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,228.96 |
$5,766 |
19.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,887.20 |
$3,370 |
18.9× |
| CT thoracic spine w/contrast (72129) |
$1,491.84 |
$2,664 |
8.9× |
| CT thoracic spine w/o contrast (72128) |
$733.04 |
$1,309 |
7.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,616.72 |
$2,887 |
9.6× |
| CT thorax w/o contrast (71250) |
$1,709.68 |
$3,053 |
17.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,205.84 |
$3,939 |
13.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,020.32 |
$1,822 |
10.2× |
| CT upper extremity with contrast (73201) |
$1,911.28 |
$3,413 |
5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$990.64 |
$1,769 |
5.9× |
| Cta Abdomen (74175) |
$1,890 |
$3,375 |
11.3× |
| CTA abdomen pelvis (74174) |
$5,609.52 |
$10,017 |
16.8× |
| CTA chest (71275) |
$2,925.44 |
$5,224 |
17.4× |
| Cta Head (70496) |
$3,185.28 |
$5,688 |
19.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$621.04 |
$1,109 |
1.9× |
| CTA lwr ext w&w/o contrast (73706) |
$514.08 |
$918 |
3.1× |
| Cta Neck (70498) |
$2,943.92 |
$5,257 |
17.6× |
| Cta Pelvis (72191) |
$1,512 |
$2,700 |
9.0× |
| Cystography minimum 3 views rs&i (74430) |
$291.76 |
$521 |
0.9× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$227.92 |
$407 |
2.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$545.44 |
$974 |
5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$175.84 |
$314 |
2.1× |
| Dxa bone density study axial skeleton (77085) |
$142.80 |
$255 |
1.4× |
| Echoencephalography real time imaging (76506) |
$132.72 |
$237 |
1.3× |
| Esophagus (74220) |
$558.32 |
$997 |
3.3× |
| Fetal biophysical profile non-stress testing (76818) |
$324.80 |
$580 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$185.36 |
$331 |
1.9× |
| Fluoroscopy up to 1 hr (76000) |
$268.80 |
$480 |
1.2× |
| Foot 2 views (73620) |
$345.80 |
$617.50 |
4.2× |
| Forearm 2 views (73090) |
$397.04 |
$709 |
4.8× |
| Gated Heart Planar Single (78472) |
$1,770.16 |
$3,161 |
4.6× |
| Hand 2 views (73120) |
$313.04 |
$559 |
3.1× |
| Hand 3 views (73130) |
$364.56 |
$651 |
4.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,532.88 |
$4,523 |
4.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$362.32 |
$647 |
0.9× |
| Ht muscle image spect sing (78451) |
$664.72 |
$1,187 |
0.5× |
| Humerus Min 2 Views Left (73060) |
$227.36 |
$406 |
2.7× |
| Hysterosalpingogram (74740) |
$744.80 |
$1,330 |
3.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$425.04 |
$759 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,116.64 |
$1,994 |
2.2× |
| Knee 3 views (73562) |
$478.80 |
$855 |
5.8× |
| Liver & spleen imaging static only (78215) |
$599.76 |
$1,071 |
1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$646.24 |
$1,154 |
1.7× |
| Lung perf&ventilat diferentl (78598) |
$476.56 |
$851 |
0.9× |
| Mammary ductogram or galactogram multiple (77054) |
$274.96 |
$491 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$243.60 |
$435 |
1.1× |
| Meckels Diverticulum (78290) |
$520.24 |
$929 |
1.4× |
| Mr safety determination physician/other qhp (76016) |
$133.28 |
$238 |
1.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$90.16 |
$161 |
1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$37.52 |
$67 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$138.88 |
$248 |
1.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$365.68 |
$653 |
1.6× |
| MRA head w & w/o contrast (70546) |
$3,627.12 |
$6,477 |
10.9× |
| MRA head w/o contrast (70544) |
$3,155.60 |
$5,635 |
13.8× |
| MRA head with contrast (70545) |
$3,466.40 |
$6,190 |
10.4× |
| MRA neck w contrast (70548) |
$2,036.16 |
$3,636 |
6.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,231.60 |
$3,985 |
6.7× |
| MRA neck w/o contrast (70547) |
$1,137.92 |
$2,032 |
5.0× |
| MRI abdomen w contrast (74182) |
$3,693.20 |
$6,595 |
11.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,951.36 |
$7,056 |
11.8× |
| MRI abdomen w/o contrast (74181) |
$3,583.44 |
$6,399 |
15.7× |
| MRI any jnt lwr ext with con lt (73722) |
$4,536 |
$8,100 |
6.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,006.80 |
$7,155 |
5.3× |
| MRI breast w/o contrast bilateral (77047) |
$1,803.20 |
$3,220 |
7.9× |
| MRI breast w/o contrast unilat (77046) |
$865.20 |
$1,545 |
3.8× |
| MRI c-spine with contrast (72142) |
$3,436.16 |
$6,136 |
10.3× |
| MRI cervical spine w/o contrast (72141) |
$3,273.20 |
$5,845 |
14.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,102.24 |
$3,754 |
6.3× |
| MRI chest w/o contrast (71550) |
$1,806.56 |
$3,226 |
7.9× |
| MRI chest with contrast (71551) |
$1,904.56 |
$3,401 |
2.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,361.52 |
$4,217 |
7.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,898.16 |
$6,961 |
11.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,515.68 |
$6,278 |
15.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,119.20 |
$5,570 |
13.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,618.32 |
$8,247 |
13.8× |
| MRI orbit/face/neck w/contrast (70542) |
$3,716.72 |
$6,637 |
11.1× |
| MRI pelvis w contrast (72196) |
$3,294.48 |
$5,883 |
9.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,284.56 |
$7,651 |
12.8× |
| MRI pelvis w/o contrast (72195) |
$2,623.60 |
$4,685 |
11.5× |
| MRI scan of arm joint before and after contrast (73223) |
$4,631.76 |
$8,271 |
13.9× |
| MRI scan of leg joint before and after contrast (73723) |
$6,652.80 |
$11,880 |
20.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,077.92 |
$7,282 |
12.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,191.44 |
$5,699 |
9.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,350.48 |
$5,983 |
10.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,093.04 |
$7,309 |
12.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,761.12 |
$8,502 |
14.3× |
| MRI thoracic spine w/o contrast (72146) |
$3,181.36 |
$5,681 |
13.9× |
| MRI tmj (70336) |
$1,947.68 |
$3,478 |
8.5× |
| MRI upper ext joint w/o contrast (73221) |
$3,068.24 |
$5,479 |
13.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,646 |
$4,725 |
7.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,800.96 |
$3,216 |
7.9× |
| Myocardial Spect Multiple Studies (78452) |
$4,371.92 |
$7,807 |
3.5× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$5,103.84 |
$9,114 |
2.4× |
| Neck soft tissue (70360) |
$383.60 |
$685 |
4.6× |
| Nm gastric emptying study (78264) |
$366.24 |
$654 |
1.0× |
| Nm gastroesophageal reflux study (78262) |
$486.08 |
$868 |
1.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$335.44 |
$599 |
3.4× |
| Osseous survey infant (77076) |
$81.76 |
$146 |
0.8× |
| Parathyrd planar w/wo subtrj (78071) |
$787.92 |
$1,407 |
2.1× |
| Parathyroid imaging (78070) |
$731.36 |
$1,306 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$330.40 |
$590 |
3.3× |
| PET image w/CT, skull-thigh (78815) |
$5,360.32 |
$9,572 |
3.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,300.24 |
$7,679 |
12.9× |
| Pr sono bone density measure,peripheral (76977) |
$82.32 |
$147 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$287.84 |
$514 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$516.88 |
$923 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$494.48 |
$883 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$442.40 |
$790 |
5.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$542.08 |
$968 |
5.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$394.80 |
$705 |
4.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$230.72 |
$412 |
2.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$870.24 |
$1,554 |
8.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$488.88 |
$873 |
4.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$349.44 |
$624 |
4.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$472.64 |
$844 |
4.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$334.88 |
$598 |
4.0× |
| Radiologic exam colon single contrast study (74270) |
$368.48 |
$658 |
2.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$607.04 |
$1,084 |
3.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$580.16 |
$1,036 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$542.64 |
$969 |
3.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$210.56 |
$376 |
2.5× |
| Radiological examination surgical specimen (76098) |
$450.24 |
$804 |
0.9× |
| Ribs bilateral 3 views (71110) |
$169.12 |
$302 |
1.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,243.92 |
$4,007 |
4.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,890 |
$3,375 |
1.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,545.20 |
$4,545 |
1.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,134 |
$2,025 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$161.28 |
$288 |
1.6× |
| Scapula complete (73010) |
$185.92 |
$332 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$64.96 |
$116 |
2.8× |
| Sella turcica (70240) |
$103.04 |
$184 |
1.2× |
| Sialogram (70390) |
$193.76 |
$346 |
0.8× |
| Small bowel series (74250) |
$846.72 |
$1,512 |
5.1× |
| Spine thoracic 3 views (72072) |
$622.16 |
$1,111 |
6.2× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$226.24 |
$404 |
1.0× |
| Testicular Imaging With Vascular Flow (78761) |
$626.08 |
$1,118 |
1.6× |
| Thoracolumbar 2 views (72080) |
$398.16 |
$711 |
4.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$321.44 |
$574 |
0.8× |
| Thyroid uptake measurement (78012) |
$229.04 |
$409 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,064 |
$1,900 |
2.8× |
| Tmj unilateral (70328) |
$71.12 |
$127 |
0.9× |
| Tomogram (76100) |
$197.68 |
$353 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$1,312.08 |
$2,343 |
13.1× |
| Unlisted Ultrasound Procedure (76999) |
$397.60 |
$710 |
4.8× |
| Upper Extremity Infant (73092) |
$82.88 |
$148 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$625.52 |
$1,117 |
2.7× |
| Urethrocystography voiding (74455) |
$361.76 |
$646 |
1.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$726.32 |
$1,297 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$118.72 |
$212 |
1.2× |
| Us breast unilateral complete (76641) |
$1,603.84 |
$2,864 |
16.0× |
| Us breast unilateral limited (76642) |
$1,256.08 |
$2,243 |
15.1× |
| Us chest (76604) |
$613.76 |
$1,096 |
6.1× |
| Us compl joint r-t w/image documentation (76881) |
$95.76 |
$171 |
1.0× |
| Us infant hips dynamic (76885) |
$669.20 |
$1,195 |
8.0× |
| Us kidney transplant (76776) |
$187.04 |
$334 |
1.9× |
| Us ob transvaginal (76817) |
$1,970.08 |
$3,518 |
19.7× |
| Us pelvic non ob complete (76856) |
$2,463.44 |
$4,399 |
24.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$630 |
$1,125 |
6.3× |
| Us pregnancy ltd (76815) |
$1,616.72 |
$2,887 |
16.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,897.84 |
$3,389 |
19.0× |
| Us retroperitoneal complete (76770) |
$922.88 |
$1,648 |
9.2× |
| Us retroperitoneal limited (76775) |
$81.20 |
$145 |
0.8× |
| Us scrotum and contents (76870) |
$1,351.84 |
$2,414 |
13.5× |
| Us soft tissue head/neck (76536) |
$1,135.68 |
$2,028 |
11.4× |
| Us spinal canal and contents (76800) |
$673.12 |
$1,202 |
6.7× |
| Us xtr non-vasc lmtd (76882) |
$102.48 |
$183 |
1.0× |
| Venogram extremity bilateral (75822) |
$1,045.52 |
$1,867 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$523.04 |
$934 |
0.3× |
| Vertebral fracture assessment via dxa (77086) |
$53.76 |
$96 |
0.6× |
| Wrist 2 views (73100) |
$422.24 |
$754 |
5.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$635.60 |
$1,135 |
6.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$137.20 |
$245 |
1.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$484.96 |
$866 |
5.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$483.28 |
$863 |
2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$232.96 |
$416 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$402.64 |
$719 |
4.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$698.32 |
$1,247 |
7.0× |
| X-ray exam hip uni 1 view (73501) |
$168.56 |
$301 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$305.76 |
$546 |
3.7× |
| X-ray exam hip uni 4/> views (73503) |
$328.72 |
$587 |
3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$534.24 |
$954 |
5.3× |
| X-ray exam of femur 1 (73551) |
$72.24 |
$129 |
0.9× |
| X-ray eye for foreign body (70030) |
$119.28 |
$213 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$302.40 |
$540 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$491.68 |
$878 |
5.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$278.88 |
$498 |
3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$376.88 |
$673 |
4.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$504.56 |
$901 |
5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$181.44 |
$324 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$158.48 |
$283 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$457.52 |
$817 |
4.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$823.20 |
$1,470 |
8.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$705.60 |
$1,260 |
7.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$312.76 |
$558.50 |
3.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$183.68 |
$328 |
1.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$376.32 |
$672 |
3.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$222.32 |
$397 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$437.36 |
$781 |
4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$563.36 |
$1,006 |
5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$377.44 |
$674 |
3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$286.72 |
$512 |
3.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$380.24 |
$679 |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$110.32 |
$197 |
1.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$88.48 |
$158 |
1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$282.24 |
$504 |
2.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$169.68 |
$303 |
1.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$244.72 |
$437 |
2.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$180.88 |
$323 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$77.84 |
$139 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$424.48 |
$758 |
4.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$161.28 |
$288 |
1.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$277.76 |
$496 |
3.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$431.76 |
$771 |
5.2× |
| Xr arthrogram ankle (73615) |
$636.16 |
$1,136 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$747.04 |
$1,334 |
7.5× |
| Xr chest 4+ views (71048) |
$361.20 |
$645 |
3.6× |
| Xr Cholecystography Oral Contrast (74290) |
$204.96 |
$366 |
1.2× |
| Xr finger(s) 2+ views (73140) |
$275.24 |
$491.50 |
3.3× |
| Xr internal auditory meati complete (70134) |
$103.04 |
$184 |
0.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$94.64 |
$169 |
0.9× |
| Xr optic foramina (70190) |
$103.04 |
$184 |
1.2× |
| Xr shoulder 1 view (73020) |
$346.64 |
$619 |
4.2× |
| Xr spine cervical 4 or 5 views (72050) |
$714.56 |
$1,276 |
7.2× |
| Xr tibia/fibula 2 views (73590) |
$295.68 |
$528 |
3.6× |
| Xr tmj bilateral (70330) |
$141.68 |
$253 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$322 |
$575 |
3.9× |