| Abdomen 2 views (74019) |
$343.28 |
$613 |
3.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$474.88 |
$848 |
1.2× |
| Ankle 2 views (73600) |
$477.12 |
$852 |
5.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$329.28 |
$588 |
1.0× |
| Arthrogram elbow (73085) |
$569.52 |
$1,017 |
1.7× |
| Arthrogram hip (73525) |
$586.32 |
$1,047 |
1.8× |
| Arthrogram shoulder (73040) |
$569.52 |
$1,017 |
1.7× |
| Arthrogram wrist (73115) |
$456.96 |
$816 |
1.4× |
| Arthrography knee lt (73580) |
$569.52 |
$1,017 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$321.44 |
$574 |
0.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$430.64 |
$769 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$959.28 |
$1,713 |
2.5× |
| Bone age studies (77072) |
$529.20 |
$945 |
5.3× |
| Bone Imaging 3 Phase (78315) |
$1,134 |
$2,025 |
3.0× |
| Bone Marrow Imaging Limited Area (78102) |
$798 |
$1,425 |
2.1× |
| Bone survey complete (77075) |
$206.64 |
$369 |
2.1× |
| Brain image w/flow 4 + views (78606) |
$1,208.48 |
$2,158 |
2.3× |
| Cervical spine 2 or 3 views (72040) |
$458.08 |
$818 |
5.5× |
| Chest 1 view (71045) |
$249.76 |
$446 |
3.0× |
| Chest 3 views (71047) |
$411.04 |
$734 |
4.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$400.40 |
$715 |
2.4× |
| Clavicle complete (73000) |
$334.32 |
$597 |
4.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$292.88 |
$523 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,724.88 |
$10,223 |
17.2× |
| CT abdomen and pelvis without contrast (74176) |
$4,487.84 |
$8,014 |
19.7× |
| CT abdomen w contrast (74160) |
$2,299.36 |
$4,106 |
13.7× |
| CT abdomen w wo contrast (74170) |
$2,599.52 |
$4,642 |
15.5× |
| CT abdomen w/o contrast (74150) |
$2,148.16 |
$3,836 |
21.5× |
| CT angiography upper extremity lt (73206) |
$2,867.76 |
$5,121 |
17.1× |
| CT c-spine w/o contrast (72125) |
$2,135.28 |
$3,813 |
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) |
$2,509.36 |
$4,481 |
15.0× |
| CT cervical spine with contrast (72126) |
$2,336.32 |
$4,172 |
7.0× |
| CT chest w/wo contrast (71270) |
$2,376.64 |
$4,244 |
14.2× |
| CT chest with contrast (71260) |
$2,337.44 |
$4,174 |
13.9× |
| CT colonography screening (74263) |
$1,589.84 |
$2,839 |
7.0× |
| CT colonography w/o cntrst (74261) |
$693.28 |
$1,238 |
6.9× |
| CT head/brain with contrast (70460) |
$1,763.44 |
$3,149 |
10.5× |
| CT head/brain without and with contrast (70470) |
$1,908.48 |
$3,408 |
11.4× |
| CT iac w contrast (70481) |
$1,941.52 |
$3,467 |
11.6× |
| CT limited/localized follow up study (76380) |
$417.76 |
$746 |
5.0× |
| CT lower ext w/o (73700) |
$1,673.28 |
$2,988 |
16.7× |
| CT lower extremity w wo contrast (73702) |
$1,790.32 |
$3,197 |
10.7× |
| CT lower extremity with contrast (73701) |
$1,718.64 |
$3,069 |
10.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,559.20 |
$4,570 |
15.3× |
| CT lumbar spine w/o contrast (72131) |
$1,971.20 |
$3,520 |
19.7× |
| CT lumbar spine with contrast (72132) |
$2,208.64 |
$3,944 |
6.6× |
| CT maxillofacial w contrast (70487) |
$2,323.44 |
$4,149 |
13.9× |
| CT maxillofacial w/o contrast (70486) |
$2,178.40 |
$3,890 |
21.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,743.44 |
$4,899 |
16.4× |
| CT neck soft tissue w contrast (70491) |
$2,469.04 |
$4,409 |
14.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,395.12 |
$4,277 |
14.3× |
| CT orbits w/o contrast (70480) |
$1,083.60 |
$1,935 |
10.8× |
| CT pelvis w & w/o contrast (72194) |
$2,289.28 |
$4,088 |
13.7× |
| CT pelvis w/o contrast (72192) |
$1,809.92 |
$3,232 |
18.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,853.76 |
$5,096 |
17.0× |
| CT soft tissue neck w/o contrast (70490) |
$2,177.28 |
$3,888 |
21.8× |
| CT thoracic spine w/contrast (72129) |
$1,849.12 |
$3,302 |
11.0× |
| CT thoracic spine w/o contrast (72128) |
$1,802.64 |
$3,219 |
18.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,859.76 |
$3,321 |
11.1× |
| CT thorax w/o contrast (71250) |
$1,711.36 |
$3,056 |
17.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,254.32 |
$7,597 |
25.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,956.64 |
$3,494 |
19.6× |
| CT upper extremity with contrast (73201) |
$4,235.84 |
$7,564 |
12.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,122.80 |
$2,005 |
6.7× |
| Cta Abdomen (74175) |
$3,918.88 |
$6,998 |
23.4× |
| CTA abdomen pelvis (74174) |
$4,762.80 |
$8,505 |
14.3× |
| CTA chest (71275) |
$2,925.44 |
$5,224 |
17.4× |
| Cta Head (70496) |
$3,120.32 |
$5,572 |
18.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$621.04 |
$1,109 |
1.9× |
| CTA lwr ext w&w/o contrast (73706) |
$2,867.76 |
$5,121 |
17.1× |
| Cta Neck (70498) |
$2,943.92 |
$5,257 |
17.6× |
| Cta Pelvis (72191) |
$3,010.56 |
$5,376 |
18.0× |
| Cystography minimum 3 views rs&i (74430) |
$384.16 |
$686 |
1.2× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$220.08 |
$393 |
2.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$374.08 |
$668 |
3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$157.92 |
$282 |
1.9× |
| Dxa bone density study axial skeleton (77085) |
$217.84 |
$389 |
2.2× |
| Echoencephalography real time imaging (76506) |
$89.60 |
$160 |
0.9× |
| Esophagus (74220) |
$403.76 |
$721 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$294.56 |
$526 |
1.3× |
| Foot 2 views (73620) |
$381.92 |
$682 |
4.6× |
| Forearm 2 views (73090) |
$296.80 |
$530 |
3.6× |
| Gated Heart Planar Single (78472) |
$612.64 |
$1,094 |
1.6× |
| Hand 2 views (73120) |
$249.20 |
$445 |
2.5× |
| Hand 3 views (73130) |
$394.24 |
$704 |
4.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,532.88 |
$4,523 |
4.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,343.60 |
$4,185 |
6.1× |
| Ht muscle image spect sing (78451) |
$2,539.60 |
$4,535 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$326.48 |
$583 |
3.9× |
| Hysterosalpingogram (74740) |
$276.08 |
$493 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,405.60 |
$2,510 |
2.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$523.04 |
$934 |
1.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,586.56 |
$9,976 |
10.8× |
| Knee 3 views (73562) |
$449.12 |
$802 |
5.4× |
| Liver & spleen imaging static only (78215) |
$1,406.16 |
$2,511 |
3.7× |
| Lung Ventilation Imaging (78579) |
$567.28 |
$1,013 |
1.5× |
| Lymphoscintigraphy (78195) |
$1,525.44 |
$2,724 |
2.9× |
| Mammary ductogram or galactogram multiple (77054) |
$255.92 |
$457 |
1.1× |
| Mammary ductogram or galactogram single (77053) |
$226.80 |
$405 |
1.0× |
| Meckels Diverticulum (78290) |
$1,218.56 |
$2,176 |
3.2× |
| 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) |
$4,346.72 |
$7,762 |
13.0× |
| MRA head w/o contrast (70544) |
$3,108.56 |
$5,551 |
13.6× |
| MRA head with contrast (70545) |
$4,059.44 |
$7,249 |
12.2× |
| MRA neck w contrast (70548) |
$2,865.52 |
$5,117 |
8.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,766.32 |
$10,297 |
17.3× |
| MRA neck w/o contrast (70547) |
$2,584.40 |
$4,615 |
11.3× |
| MRI abdomen w contrast (74182) |
$3,188.08 |
$5,693 |
9.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,546.64 |
$8,119 |
13.6× |
| MRI abdomen w/o contrast (74181) |
$2,994.32 |
$5,347 |
13.1× |
| MRI any jnt lwr ext with con lt (73722) |
$4,914 |
$8,775 |
6.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,725.28 |
$8,438 |
6.3× |
| MRI breast w/o contrast bilateral (77047) |
$4,660.32 |
$8,322 |
20.4× |
| MRI breast w/o contrast unilat (77046) |
$2,415.84 |
$4,314 |
10.6× |
| MRI c-spine with contrast (72142) |
$3,181.36 |
$5,681 |
9.5× |
| MRI cervical spine w/o contrast (72141) |
$3,141.60 |
$5,610 |
13.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,136.24 |
$2,029 |
3.4× |
| MRI chest w/o contrast (71550) |
$1,011.92 |
$1,807 |
4.4× |
| MRI chest with contrast (71551) |
$1,028.16 |
$1,836 |
1.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,419.20 |
$4,320 |
7.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,994.16 |
$3,561 |
6.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,883.28 |
$3,363 |
8.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,394.40 |
$2,490 |
6.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,764 |
$3,150 |
5.3× |
| MRI orbit/face/neck w/contrast (70542) |
$1,555.12 |
$2,777 |
4.7× |
| MRI pelvis w contrast (72196) |
$2,028.88 |
$3,623 |
6.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,126.64 |
$7,369 |
12.4× |
| MRI pelvis w/o contrast (72195) |
$1,107.12 |
$1,977 |
4.9× |
| MRI scan of arm joint before and after contrast (73223) |
$5,292 |
$9,450 |
15.9× |
| MRI scan of leg joint before and after contrast (73723) |
$5,367.60 |
$9,585 |
16.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,996.32 |
$8,922 |
15.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,383.92 |
$4,257 |
7.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,800.72 |
$6,787 |
11.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,902.48 |
$5,183 |
8.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,813.60 |
$6,810 |
11.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,668.96 |
$4,766 |
11.7× |
| MRI tmj (70336) |
$1,182.16 |
$2,111 |
5.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,024 |
$5,400 |
13.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,423.28 |
$6,113 |
10.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$831.60 |
$1,485 |
3.6× |
| Myocardial Spect Multiple Studies (78452) |
$13,063.12 |
$23,327 |
10.6× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$5,103.84 |
$9,114 |
2.4× |
| Neck soft tissue (70360) |
$267.68 |
$478 |
3.2× |
| Nm bone marrow multiple (78103) |
$805.84 |
$1,439 |
2.1× |
| Nm bone marrow wb (78104) |
$1,408.40 |
$2,515 |
3.7× |
| Nm cisternogram (78630) |
$2,366 |
$4,225 |
4.6× |
| Nm gastric emptying study (78264) |
$2,787.68 |
$4,978 |
7.3× |
| Nm gastroesophageal reflux study (78262) |
$1,135.68 |
$2,028 |
3.0× |
| Nuclear medicine of heart pumping function (78473) |
$1,030.96 |
$1,841 |
2.7× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,579.92 |
$4,607 |
2.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,772.96 |
$3,166 |
4.6× |
| Nuclear Rx Oral Admin (79005) |
$620.48 |
$1,108 |
2.8× |
| Osseous survey infant (77076) |
$75.60 |
$135 |
0.8× |
| Osseous survey limited (77074) |
$108.08 |
$193 |
1.1× |
| Parathyrd planar w/wo subtrj (78071) |
$3,118.64 |
$5,569 |
8.2× |
| Parathyroid imaging (78070) |
$2,170 |
$3,875 |
5.7× |
| Pelvis 1 or 2 views (72170) |
$330.40 |
$590 |
3.3× |
| PET image w/CT, skull-thigh (78815) |
$5,205.20 |
$9,295 |
3.8× |
| Pr csf ventriculography (78635) |
$2,113.44 |
$3,774 |
4.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,053.52 |
$3,667 |
6.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$450.80 |
$805 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$764.96 |
$1,366 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$162.40 |
$290 |
2.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$354.48 |
$633 |
3.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$398.16 |
$711 |
4.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$217.28 |
$388 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$522.48 |
$933 |
5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$120.40 |
$215 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$324.24 |
$579 |
3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$418.32 |
$747 |
4.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$366.24 |
$654 |
4.4× |
| Radiologic exam colon single contrast study (74270) |
$566.16 |
$1,011 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$579.60 |
$1,035 |
3.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,333.36 |
$2,381 |
8.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$358.40 |
$640 |
2.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$370.16 |
$661 |
4.5× |
| Radiological examination surgical specimen (76098) |
$439.04 |
$784 |
0.8× |
| Ribs bilateral 3 views (71110) |
$336.56 |
$601 |
3.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,437.12 |
$4,352 |
4.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,727.52 |
$8,442 |
9.1× |
| Sacroiliac Joints < 3 Views (72200) |
$340.48 |
$608 |
3.4× |
| Scapula complete (73010) |
$338.80 |
$605 |
3.4× |
| Screening digital breast tomosynthesis (77063) |
$37.52 |
$67 |
1.6× |
| Sella turcica (70240) |
$100.24 |
$179 |
1.2× |
| Small bowel series (74250) |
$907.20 |
$1,620 |
5.4× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$203.28 |
$363 |
0.9× |
| Thoracolumbar 2 views (72080) |
$206.64 |
$369 |
2.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$340.48 |
$608 |
0.9× |
| Thyroid uptake measurement (78012) |
$234.64 |
$419 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$416.08 |
$743 |
1.1× |
| Tmj unilateral (70328) |
$77.84 |
$139 |
0.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,962.16 |
$8,861 |
9.6× |
| Ultrasound, abdomen limited (76705) |
$1,826.16 |
$3,261 |
18.3× |
| Unlisted Ultrasound Procedure (76999) |
$358.96 |
$641 |
4.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$889.84 |
$1,589 |
2.3× |
| Urethrocystography voiding (74455) |
$311.36 |
$556 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$649.04 |
$1,159 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$94.64 |
$169 |
0.9× |
| Us breast unilateral complete (76641) |
$2,405.76 |
$4,296 |
24.1× |
| Us breast unilateral limited (76642) |
$1,491.28 |
$2,663 |
17.9× |
| Us chest (76604) |
$77.28 |
$138 |
0.8× |
| Us compl joint r-t w/image documentation (76881) |
$572.88 |
$1,023 |
5.7× |
| Us infant hips dynamic (76885) |
$520.24 |
$929 |
6.3× |
| Us ob transvaginal (76817) |
$1,914.64 |
$3,419 |
19.2× |
| Us pelvic non ob complete (76856) |
$2,391.20 |
$4,270 |
23.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$574.56 |
$1,026 |
5.7× |
| Us pregnancy ltd (76815) |
$288.96 |
$516 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,842.96 |
$3,291 |
18.4× |
| Us retroperitoneal complete (76770) |
$145.04 |
$259 |
1.5× |
| Us retroperitoneal limited (76775) |
$147.28 |
$263 |
1.5× |
| Us scrotum and contents (76870) |
$1,486.80 |
$2,655 |
14.9× |
| Us soft tissue head/neck (76536) |
$2,008.72 |
$3,587 |
20.1× |
| Us transrectal (76872) |
$616 |
$1,100 |
6.2× |
| Us xtr non-vasc lmtd (76882) |
$1,354.64 |
$2,419 |
13.6× |
| Venogram extremity bilateral (75822) |
$2,230.48 |
$3,983 |
1.5× |
| Venography extremity unilateral rs&i (75820) |
$1,115.52 |
$1,992 |
0.7× |
| Vertebral fracture assessment via dxa (77086) |
$107.52 |
$192 |
1.3× |
| Wrist 2 views (73100) |
$418.32 |
$747 |
5.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$571.20 |
$1,020 |
5.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$81.76 |
$146 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$488.32 |
$872 |
5.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$722.40 |
$1,290 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$275.52 |
$492 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$386.96 |
$691 |
4.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$438.48 |
$783 |
4.4× |
| X-ray exam hip uni 1 view (73501) |
$190.40 |
$340 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$308.56 |
$551 |
3.7× |
| X-ray exam hip uni 4/> views (73503) |
$385.84 |
$689 |
3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$787.36 |
$1,406 |
7.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$950.32 |
$1,697 |
9.5× |
| X-ray exam of femur 1 (73551) |
$225.12 |
$402 |
2.7× |
| X-ray eye for foreign body (70030) |
$222.32 |
$397 |
2.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$241.92 |
$432 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$96.88 |
$173 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$496.72 |
$887 |
6.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$202.16 |
$361 |
2.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$352.80 |
$630 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$108.64 |
$194 |
1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$477.68 |
$853 |
4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$124.88 |
$223 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$454.72 |
$812 |
4.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$789.60 |
$1,410 |
7.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$607.60 |
$1,085 |
6.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$491.68 |
$878 |
5.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$334.88 |
$598 |
3.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$150.64 |
$269 |
1.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$692.72 |
$1,237 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$315.84 |
$564 |
3.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$442.40 |
$790 |
4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$557.76 |
$996 |
5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$356.72 |
$637 |
3.6× |
| 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) |
$409.36 |
$731 |
4.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$248.08 |
$443 |
3.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$77.84 |
$139 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$201.60 |
$360 |
2.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$116.48 |
$208 |
1.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$381.92 |
$682 |
4.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$296.24 |
$529 |
3.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$100.24 |
$179 |
1.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$434 |
$775 |
4.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$584.08 |
$1,043 |
5.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$217.84 |
$389 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$430.64 |
$769 |
5.2× |
| Xr arthrogram ankle (73615) |
$399.28 |
$713 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$734.16 |
$1,311 |
7.3× |
| Xr chest 4+ views (71048) |
$425.60 |
$760 |
4.3× |
| Xr Cholecystography Oral Contrast (74290) |
$190.96 |
$341 |
1.1× |
| Xr finger(s) 2+ views (73140) |
$235.48 |
$420.50 |
2.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$78.96 |
$141 |
0.8× |
| Xr optic foramina (70190) |
$152.32 |
$272 |
1.8× |
| Xr shoulder 1 view (73020) |
$98 |
$175 |
1.2× |
| Xr spine cervical 4 or 5 views (72050) |
$518.56 |
$926 |
5.2× |
| Xr tibia/fibula 2 views (73590) |
$363.44 |
$649 |
4.4× |
| Xr tmj bilateral (70330) |
$155.12 |
$277 |
1.9× |
| Xray knee 1 or 2 views rt (73560) |
$411.04 |
$734 |
4.9× |