| Abdomen 2 views (74019) |
$45.56 |
$60.75 |
0.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$167.81 |
$223.75 |
0.4× |
| Ankle 2 views (73600) |
$53.81 |
$71.75 |
0.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$60 |
$80 |
0.2× |
| Arthrogram shoulder (73040) |
$93 |
$124 |
0.3× |
| Arthrography knee lt (73580) |
$93 |
$124 |
0.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$108.47 |
$144.62 |
0.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$141.75 |
$189 |
0.4× |
| Bone &/joint imaging whole body (78306) |
$145.50 |
$194 |
0.4× |
| Bone age studies (77072) |
$33.66 |
$44.88 |
0.3× |
| Bone Imaging 3 Phase (78315) |
$171.66 |
$228.88 |
0.4× |
| Bone survey complete (77075) |
$89.25 |
$119 |
0.9× |
| Brain image w/flow 4 + views (78606) |
$109.22 |
$145.62 |
0.2× |
| Brain Imaging Minimum 4 Static Views (78605) |
$90 |
$120 |
0.2× |
| Cervical spine 2 or 3 views (72040) |
$38.25 |
$51 |
0.4× |
| Chest 1 view (71045) |
$30.94 |
$41.25 |
0.4× |
| Chest 3 views (71047) |
$64.12 |
$85.50 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$115.50 |
$154 |
0.7× |
| Clavicle complete (73000) |
$57 |
$76 |
0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,085.25 |
$1,447 |
10.4× |
| Corpora cavernosography (74445) |
$197.25 |
$263 |
1.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$224.06 |
$298.75 |
0.6× |
| CT abdomen and pelvis without contrast (74176) |
$193.22 |
$257.62 |
0.8× |
| CT abdomen w contrast (74160) |
$215.16 |
$286.88 |
1.2× |
| CT abdomen w wo contrast (74170) |
$237.56 |
$316.75 |
1.4× |
| CT abdomen w/o contrast (74150) |
$201.56 |
$268.75 |
1.9× |
| CT angiography upper extremity lt (73206) |
$293.72 |
$391.62 |
1.7× |
| CT c-spine w/o contrast (72125) |
$196.31 |
$261.75 |
1.9× |
| CT cervical spine w&w/o contrast (72127) |
$215.16 |
$286.88 |
1.2× |
| CT cervical spine with contrast (72126) |
$204.75 |
$273 |
0.6× |
| CT chest w/wo contrast (71270) |
$233.25 |
$311 |
1.3× |
| CT chest with contrast (71260) |
$210.75 |
$281 |
1.2× |
| CT head/brain with contrast (70460) |
$192.56 |
$256.75 |
1.1× |
| CT head/brain without and with contrast (70470) |
$215.16 |
$286.88 |
1.2× |
| CT iac w contrast (70481) |
$233.25 |
$311 |
1.3× |
| CT limited/localized follow up study (76380) |
$164.25 |
$219 |
1.9× |
| CT lower ext w/o (73700) |
$369.56 |
$492.75 |
3.5× |
| CT lower extremity w wo contrast (73702) |
$204.75 |
$273 |
1.2× |
| CT lower extremity with contrast (73701) |
$196.50 |
$262 |
1.1× |
| CT lumbar spine w & w/o contrast (72133) |
$215.16 |
$286.88 |
1.2× |
| CT lumbar spine w/o contrast (72131) |
$196.31 |
$261.75 |
1.9× |
| CT lumbar spine with contrast (72132) |
$204.75 |
$273 |
0.6× |
| CT maxillofacial w contrast (70487) |
$220.31 |
$293.75 |
1.3× |
| CT maxillofacial w/o contrast (70486) |
$192.56 |
$256.75 |
1.8× |
| CT maxillofacial w/wo contrast (70488) |
$238.41 |
$317.88 |
1.4× |
| CT neck soft tissue w contrast (70491) |
$233.25 |
$311 |
1.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$244.50 |
$326 |
1.4× |
| CT orbits w/o contrast (70480) |
$996.66 |
$1,328.88 |
9.5× |
| CT pelvis w & w/o contrast (72194) |
$204.75 |
$273 |
1.2× |
| CT pelvis w/o contrast (72192) |
$185.72 |
$247.62 |
1.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$244.50 |
$326 |
1.4× |
| CT soft tissue neck w/o contrast (70490) |
$216 |
$288 |
2.1× |
| CT thoracic spine w/contrast (72129) |
$204.75 |
$273 |
1.2× |
| CT thoracic spine w/o contrast (72128) |
$196.31 |
$261.75 |
1.9× |
| CT thoracic spine w/wo contrast (72130) |
$215.16 |
$286.88 |
1.2× |
| CT thorax w/o contrast (71250) |
$196.31 |
$261.75 |
1.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$204.75 |
$273 |
1.2× |
| CT upper extremity w/o contrast rt (73200) |
$369.56 |
$492.75 |
3.5× |
| CT upper extremity with contrast (73201) |
$196.50 |
$262 |
0.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$419.81 |
$559.75 |
2.4× |
| Cta Abdomen (74175) |
$273.66 |
$364.88 |
1.6× |
| CTA abdomen pelvis (74174) |
$296.25 |
$395 |
0.8× |
| CTA chest (71275) |
$210.75 |
$281 |
1.2× |
| Cta Head (70496) |
$249 |
$332 |
1.4× |
| CTA lwr ext w&w/o contrast (73706) |
$319.41 |
$425.88 |
1.8× |
| Cta Neck (70498) |
$248.81 |
$331.75 |
1.4× |
| Cystography minimum 3 views rs&i (74430) |
$55.50 |
$74 |
0.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$38.25 |
$51 |
0.4× |
| Echoencephalography real time imaging (76506) |
$115.22 |
$153.62 |
1.1× |
| Esophagus (74220) |
$79.50 |
$106 |
0.5× |
| Fetal biophysical profile non-stress testing (76818) |
$181.50 |
$242 |
1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$130.88 |
$174.50 |
1.2× |
| Fluoroscopy up to 1 hr (76000) |
$116.06 |
$154.75 |
0.5× |
| Foot 2 views (73620) |
$53.81 |
$71.75 |
0.6× |
| Forearm 2 views (73090) |
$53.81 |
$71.75 |
0.6× |
| Gastric mucosa imaging (78261) |
$118.31 |
$157.75 |
0.3× |
| Gated Heart Planar Single (78472) |
$170.72 |
$227.62 |
0.4× |
| Hand 2 views (73120) |
$53.81 |
$71.75 |
0.5× |
| Hand 3 views (73130) |
$193.59 |
$258.12 |
2.2× |
| Heart Infarct Image (78466) |
$119.91 |
$159.88 |
0.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$144.56 |
$192.75 |
0.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$144.56 |
$192.75 |
0.4× |
| Ht muscle image spect sing (78451) |
$190.31 |
$253.75 |
0.1× |
| Humerus Min 2 Views Left (73060) |
$61.69 |
$82.25 |
0.7× |
| Hysterosalpingogram (74740) |
$66.75 |
$89 |
0.3× |
| Kidney funcj study non-img radioisotopic study (78725) |
$66.75 |
$89 |
0.2× |
| Kidney imaging morphology (78700) |
$77.81 |
$103.75 |
0.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$163.22 |
$217.62 |
0.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$204.75 |
$273 |
0.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$238.41 |
$317.88 |
0.4× |
| Knee 3 views (73562) |
$202.03 |
$269.38 |
2.3× |
| Liver & spleen imaging static only (78215) |
$82.50 |
$110 |
0.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$96.56 |
$128.75 |
0.2× |
| Liver imaging static only (78201) |
$75.56 |
$100.75 |
0.1× |
| Lung perfusion differential (78597) |
$212.06 |
$282.75 |
0.5× |
| Lung Ventilation Imaging (78579) |
$82.50 |
$110 |
0.2× |
| Lymphoscintigraphy (78195) |
$204.75 |
$273 |
0.4× |
| Meckels Diverticulum (78290) |
$116.06 |
$154.75 |
0.3× |
| MRA head w & w/o contrast (70546) |
$303.66 |
$404.88 |
0.9× |
| MRA head w/o contrast (70544) |
$203.81 |
$271.75 |
0.9× |
| MRA head with contrast (70545) |
$201.56 |
$268.75 |
0.6× |
| MRA neck w contrast (70548) |
$201.56 |
$268.75 |
0.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$303.66 |
$404.88 |
0.9× |
| MRA neck w/o contrast (70547) |
$201.56 |
$268.75 |
0.8× |
| MRI abdomen w contrast (74182) |
$292.97 |
$390.62 |
0.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$379.31 |
$505.75 |
1.1× |
| MRI abdomen w/o contrast (74181) |
$244.50 |
$326 |
1.0× |
| MRI any jnt lwr ext with con lt (73722) |
$274.31 |
$365.75 |
0.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$274.31 |
$365.75 |
0.3× |
| MRI bone marrow blood supply (77084) |
$270.56 |
$360.75 |
1.1× |
| MRI breast w/o contrast bilateral (77047) |
$224.91 |
$299.88 |
0.9× |
| MRI c-spine with contrast (72142) |
$326.06 |
$434.75 |
0.9× |
| MRI cardiac w/o contrast (75557) |
$271.41 |
$361.88 |
1.1× |
| MRI cervical spine w/o contrast (72141) |
$270.56 |
$360.75 |
1.1× |
| MRI chest w/o & w/contrast material (71552) |
$297.56 |
$396.75 |
0.9× |
| MRI chest w/o contrast (71550) |
$244.50 |
$326 |
1.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$274.31 |
$365.75 |
0.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$271.41 |
$361.88 |
0.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$454.12 |
$605.50 |
1.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$227.16 |
$302.88 |
1.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$363 |
$484 |
1.0× |
| MRI orbit/face/neck w/contrast (70542) |
$271.41 |
$361.88 |
0.8× |
| MRI pelvis w contrast (72196) |
$292.97 |
$390.62 |
0.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$379.31 |
$505.75 |
1.1× |
| MRI pelvis w/o contrast (72195) |
$245.81 |
$327.75 |
1.0× |
| MRI scan of arm joint before and after contrast (73223) |
$363 |
$484 |
1.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,120.31 |
$1,493.75 |
3.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$430.97 |
$574.62 |
1.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$301.50 |
$402 |
0.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$396 |
$528 |
1.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$323.81 |
$431.75 |
0.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$430.97 |
$574.62 |
1.2× |
| MRI thoracic spine w/o contrast (72146) |
$270.56 |
$360.75 |
1.1× |
| MRI tmj (70336) |
$249.75 |
$333 |
1.0× |
| MRI upper ext joint w/o contrast (73221) |
$454.31 |
$605.75 |
1.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,120.31 |
$1,493.75 |
3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$908.34 |
$1,211.12 |
3.8× |
| Myelogram Lumbar (72265) |
$119.25 |
$159 |
0.2× |
| Myocardial infarct spect (78469) |
$160.41 |
$213.88 |
0.3× |
| Myocardial Spect Multiple Studies (78452) |
$410.72 |
$547.62 |
0.3× |
| Neck soft tissue (70360) |
$30.94 |
$41.25 |
0.4× |
| Nm gastric emptying study (78264) |
$131.06 |
$174.75 |
0.3× |
| Nm gastroesophageal reflux study (78262) |
$116.06 |
$154.75 |
0.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$147.75 |
$197 |
1.4× |
| Osseous survey infant (77076) |
$118.31 |
$157.75 |
1.1× |
| Osseous survey limited (77074) |
$77.81 |
$103.75 |
0.7× |
| Parathyroid imaging (78070) |
$140.72 |
$187.62 |
0.4× |
| Pelvis 1 or 2 views (72170) |
$30.94 |
$41.25 |
0.3× |
| Pr heart first pass single,planar (78481) |
$173.91 |
$231.88 |
0.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,119.19 |
$1,492.25 |
3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$126 |
$168 |
0.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$188.81 |
$251.75 |
0.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$93 |
$124 |
0.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$48 |
$64 |
0.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$135 |
$180 |
1.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$55.88 |
$74.50 |
0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$41.81 |
$55.75 |
0.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$30.94 |
$41.25 |
0.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$38.25 |
$51 |
0.4× |
| Radiologic exam colon single contrast study (74270) |
$116.06 |
$154.75 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$116.06 |
$154.75 |
0.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$116.06 |
$154.75 |
0.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$61.69 |
$82.25 |
0.7× |
| Radiological examination surgical specimen (76098) |
$27.19 |
$36.25 |
0.0× |
| Ribs bilateral 3 views (71110) |
$45.66 |
$60.88 |
0.4× |
| Sacroiliac Joints < 3 Views (72200) |
$30.94 |
$41.25 |
0.3× |
| Scanogram (77073) |
$45.56 |
$60.75 |
0.4× |
| Scapula complete (73010) |
$385.22 |
$513.62 |
3.7× |
| Small bowel series (74250) |
$79.41 |
$105.88 |
0.5× |
| Spine thoracic 3 views (72072) |
$38.25 |
$51 |
0.4× |
| Testicular Imaging With Vascular Flow (78761) |
$122.16 |
$162.88 |
0.3× |
| Thoracolumbar 2 views (72080) |
$72.47 |
$96.62 |
0.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$68.06 |
$90.75 |
0.2× |
| Thyroid uptake measurement (78012) |
$45.66 |
$60.88 |
0.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$82.50 |
$110 |
0.2× |
| Tomogram (76100) |
$99.75 |
$133 |
1.0× |
| Ultrasound scan of cornea to determine thickness (76514) |
$30.75 |
$41 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$101.16 |
$134.88 |
1.0× |
| Upper Extremity Infant (73092) |
$53.91 |
$71.88 |
0.5× |
| Urethrocystography voiding (74455) |
$59.72 |
$79.62 |
0.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$82.50 |
$110 |
0.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$114 |
$152 |
0.6× |
| Us abdl aorta screen aaa (76706) |
$93.75 |
$125 |
0.9× |
| Us breast unilateral limited (76642) |
$185.81 |
$247.75 |
2.1× |
| Us chest (76604) |
$93 |
$124 |
0.9× |
| Us infant hips dynamic (76885) |
$126 |
$168 |
1.4× |
| Us ob detailed single fetus (76811) |
$240.66 |
$320.88 |
1.0× |
| Us ob transvaginal (76817) |
$115.88 |
$154.50 |
1.1× |
| Us pelvic non ob complete (76856) |
$118.31 |
$157.75 |
1.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$66.75 |
$89 |
0.6× |
| Us pregnancy ltd (76815) |
$110.81 |
$147.75 |
1.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$160.50 |
$214 |
1.5× |
| Us retroperitoneal complete (76770) |
$126 |
$168 |
1.2× |
| Us retroperitoneal limited (76775) |
$99.75 |
$133 |
1.0× |
| Us scrotum and contents (76870) |
$110.91 |
$147.88 |
1.1× |
| Us soft tissue head/neck (76536) |
$93.75 |
$125 |
0.9× |
| Us spinal canal and contents (76800) |
$188.81 |
$251.75 |
1.8× |
| Us transrectal (76872) |
$119.81 |
$159.75 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$46.50 |
$62 |
0.4× |
| Vascular flow imaging (78445) |
$85.31 |
$113.75 |
0.2× |
| Venography extremity unilateral rs&i (75820) |
$119.81 |
$159.75 |
0.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$197.25 |
$263 |
0.1× |
| Wrist 2 views (73100) |
$215.16 |
$286.88 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$55.50 |
$74 |
0.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$36.94 |
$49.25 |
0.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$61.69 |
$82.25 |
0.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$167.06 |
$222.75 |
1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$53.81 |
$71.75 |
0.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$61.69 |
$82.25 |
0.7× |
| X-ray exam hip uni 1 view (73501) |
$156.84 |
$209.12 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$66.75 |
$89 |
0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$73.69 |
$98.25 |
0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$238.88 |
$318.50 |
2.3× |
| X-ray eye for foreign body (70030) |
$31.22 |
$41.62 |
0.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$44.62 |
$59.50 |
0.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$33.66 |
$44.88 |
0.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$199.59 |
$266.12 |
2.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$101.53 |
$135.38 |
1.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$82.50 |
$110 |
0.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$270.84 |
$361.12 |
2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$30.94 |
$41.25 |
0.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$53.81 |
$71.75 |
0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$38.25 |
$51 |
0.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$62.91 |
$83.88 |
0.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$30.94 |
$41.25 |
0.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$26.81 |
$35.75 |
0.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$48 |
$64 |
0.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$36.94 |
$49.25 |
0.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$62.81 |
$83.75 |
0.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$205.50 |
$274 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$45.56 |
$60.75 |
0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$76.31 |
$101.75 |
0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$33.56 |
$44.75 |
0.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$30.94 |
$41.25 |
0.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$194.53 |
$259.38 |
2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$41.81 |
$55.75 |
0.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$31.22 |
$41.62 |
0.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$52.50 |
$70 |
0.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$41.91 |
$55.88 |
0.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$27 |
$36 |
0.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$36.94 |
$49.25 |
0.4× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$22.31 |
$29.75 |
0.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$38.25 |
$51 |
0.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$38.25 |
$51 |
0.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$149.16 |
$198.88 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$53.81 |
$71.75 |
0.6× |
| Xr c-spine 6 or more views (72052) |
$62.81 |
$83.75 |
0.6× |
| Xr chest 4+ views (71048) |
$53.06 |
$70.75 |
0.5× |
| Xr Cholecystography Oral Contrast (74290) |
$55.50 |
$74 |
0.3× |
| Xr finger(s) 2+ views (73140) |
$46.31 |
$61.75 |
0.5× |
| XR Mastoids < 3 Views Bilateral (70120) |
$31.22 |
$41.62 |
0.3× |
| Xr shoulder 1 view (73020) |
$53.81 |
$71.75 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$53.06 |
$70.75 |
0.5× |
| Xr tibia/fibula 2 views (73590) |
$170.91 |
$227.88 |
2.0× |
| Xr tmj bilateral (70330) |
$42 |
$56 |
0.5× |
| Xray knee 1 or 2 views rt (73560) |
$185.62 |
$247.50 |
2.1× |