| 3-D radiotherapy plan dose-volume histograms (77295) |
— |
$2,739.25 |
— |
| Abdomen 2 views (74019) |
— |
$400.38 |
— |
| Acute gastrointestinal blood loss imaging (78278) |
— |
$750.50 |
— |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
— |
$7,892 |
— |
| Angiography extremity bilateral rs&i (75716) |
— |
$3,463 |
— |
| Angiography extremity unilateral rs&i (75710) |
— |
$3,103 |
— |
| Angiography internal mammary rs&i (75756) |
— |
$2,758.75 |
— |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
— |
$11,212 |
— |
| Angiography pulmonary bilateral slctv rs&i (75743) |
— |
$3,103 |
— |
| Angiography pulmonary unilateral slctv rs&i (75741) |
— |
$3,103 |
— |
| Angiography Spinal Selective Rs&I (75705) |
— |
$7,892 |
— |
| Angiography visceral slctv/supraslctv rs&i (75726) |
— |
$7,892 |
— |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
— |
$6,726.25 |
— |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
— |
$7,245.75 |
— |
| Ankle 2 views (73600) |
— |
$212.75 |
— |
| Aortogram thoracic (75605) |
— |
$11,213 |
— |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
— |
$3,665.50 |
— |
| Aortography abdominal serialography rs&i (75625) |
— |
$3,551.50 |
— |
| Aortography thoracic w/o serialography rs&i (75600) |
— |
$7,892 |
— |
| Artery X-Rays Adrenal Gland (75731) |
— |
$7,892 |
— |
| Arthrogram hip (73525) |
— |
$511.75 |
— |
| Arthrogram shoulder (73040) |
— |
$466.25 |
— |
| Arthrography knee lt (73580) |
— |
$466.25 |
— |
| Basic radiation dosimetry calculation (77300) |
— |
$262.75 |
— |
| Bone &/Joint Imaging Limited Area (78300) |
— |
$1,374.25 |
— |
| Bone &/joint imaging whole body (78306) |
— |
$2,737.75 |
— |
| Bone age studies (77072) |
— |
$281.25 |
— |
| Bone Imaging 3 Phase (78315) |
— |
$2,640.75 |
— |
| Bone Marrow Imaging Limited Area (78102) |
— |
$907.25 |
— |
| Bone survey complete (77075) |
— |
$417.25 |
— |
| Brachytx isodose complex (77318) |
— |
$725.75 |
— |
| Brain image w/flow 4 + views (78606) |
— |
$982.75 |
— |
| Brain Imaging Minimum 4 Static Views (78605) |
— |
$536.75 |
— |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
— |
$3,391.75 |
— |
| Cervical spine 2 or 3 views (72040) |
— |
$388.88 |
— |
| Chest 1 view (71045) |
— |
$301.12 |
— |
| Chest 3 views (71047) |
— |
$390 |
— |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
— |
$616 |
— |
| Clavicle complete (73000) |
— |
$354.25 |
— |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
— |
$190.25 |
— |
| Continuing medical physics consltj pr wk (77336) |
— |
$403 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$6,026.50 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$4,815.62 |
— |
| CT abdomen w contrast (74160) |
— |
$2,773 |
— |
| CT abdomen w wo contrast (74170) |
— |
$3,073.62 |
— |
| CT abdomen w/o contrast (74150) |
— |
$2,551.62 |
— |
| CT angio hrt w/3d image (75574) |
— |
$935.75 |
— |
| CT angiography upper extremity lt (73206) |
— |
$2,307.50 |
— |
| CT c-spine w/o contrast (72125) |
— |
$2,525 |
— |
| CT cervical spine with contrast (72126) |
— |
$2,151.25 |
— |
| CT chest w/wo contrast (71270) |
— |
$2,653.50 |
— |
| CT chest with contrast (71260) |
— |
$2,740.50 |
— |
| CT head/brain with contrast (70460) |
— |
$2,310.25 |
— |
| CT head/brain without and with contrast (70470) |
— |
$3,012.88 |
— |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$556.38 |
— |
| CT iac w contrast (70481) |
— |
$2,613 |
— |
| CT limited/localized follow up study (76380) |
— |
$983.25 |
— |
| CT lower ext w/o (73700) |
— |
$2,224.88 |
— |
| CT lower extremity w wo contrast (73702) |
— |
$2,137.75 |
— |
| CT lower extremity with contrast (73701) |
— |
$2,104.50 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$2,645.38 |
— |
| CT lumbar spine with contrast (72132) |
— |
$2,330.50 |
— |
| CT maxillofacial w contrast (70487) |
— |
$2,151 |
— |
| CT maxillofacial w/o contrast (70486) |
— |
$2,065.38 |
— |
| CT maxillofacial w/wo contrast (70488) |
— |
$2,408.75 |
— |
| CT neck soft tissue w contrast (70491) |
— |
$2,478.38 |
— |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
— |
$2,408.75 |
— |
| CT orbits w/o contrast (70480) |
— |
$2,398.38 |
— |
| CT pelvis w & w/o contrast (72194) |
— |
$2,743.75 |
— |
| CT pelvis w/o contrast (72192) |
— |
$2,264.75 |
— |
| CT scan for measuring calcium and other minerals in bone (77078) |
— |
$598.25 |
— |
| CT soft tissue neck w/o & w/contrast material (70492) |
— |
$2,471 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$1,863.88 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$2,188.75 |
— |
| CT thorax w/o contrast (71250) |
— |
$2,417.75 |
— |
| CT upper extremity w/o & w/contrast material (73202) |
— |
$2,165.75 |
— |
| CT upper extremity w/o contrast rt (73200) |
— |
$1,901.25 |
— |
| CT upper extremity with contrast (73201) |
— |
$2,081.75 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$2,466.38 |
— |
| Cta Abdomen (74175) |
— |
$1,962.75 |
— |
| CTA abdomen pelvis (74174) |
— |
$3,171.38 |
— |
| CTA chest (71275) |
— |
$2,868.75 |
— |
| Cta Head (70496) |
— |
$2,811.75 |
— |
| CTA lwr ext w&w/o contrast (73706) |
— |
$2,307.50 |
— |
| Cta Neck (70498) |
— |
$2,565.50 |
— |
| Cta Pelvis (72191) |
— |
$1,183.25 |
— |
| Cystography minimum 3 views rs&i (74430) |
— |
$637.50 |
— |
| Dxa bone density study 1/> sites axial skel (77080) |
— |
$601.25 |
— |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
— |
$342.75 |
— |
| Dxa bone density study axial skeleton (77085) |
— |
$193.25 |
— |
| Esophagus (74220) |
— |
$498.75 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$1,691 |
— |
| Foot 2 views (73620) |
— |
$212.75 |
— |
| Forearm 2 views (73090) |
— |
$291.50 |
— |
| Gated Heart Planar Single (78472) |
— |
$3,391.75 |
— |
| Hand 2 views (73120) |
— |
$212.75 |
— |
| Hand 3 views (73130) |
— |
$326.62 |
— |
| Heart Infarct Image (78466) |
— |
$484.25 |
— |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
— |
$7,892 |
— |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
— |
$2,102 |
— |
| Hepatobiliary syst imaging including gallbladder (78226) |
— |
$2,102 |
— |
| Ht muscle image spect sing (78451) |
— |
$3,001.50 |
— |
| Humerus Min 2 Views Left (73060) |
— |
$289 |
— |
| Hysterosalpingogram (74740) |
— |
$838.50 |
— |
| Interstitial radiation source applic complex (77778) |
— |
$5,493.25 |
— |
| Kidney imaging morphology (78700) |
— |
$922.75 |
— |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
— |
$1,406.25 |
— |
| Kidney img morphology vascular flow 1 w/rx (78708) |
— |
$1,682.50 |
— |
| Knee 3 views (73562) |
— |
$458.50 |
— |
| Liver & spleen imaging static only (78215) |
— |
$1,677.50 |
— |
| Lung perfusion differential (78597) |
— |
$1,420.75 |
— |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
— |
$6,876.50 |
— |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
— |
$1,298.50 |
— |
| Lymphangiography extremity only bilateral rs&i (75803) |
— |
$3,245.75 |
— |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
— |
$6,876 |
— |
| Lymphoscintigraphy (78195) |
— |
$1,042.50 |
— |
| Meckels Diverticulum (78290) |
— |
$1,091.25 |
— |
| MRA head w & w/o contrast (70546) |
— |
$2,839.25 |
— |
| MRA head w/o contrast (70544) |
— |
$3,399 |
— |
| MRA neck w contrast (70548) |
— |
$2,555.25 |
— |
| MRA neck w/o contrast (70547) |
— |
$3,399 |
— |
| MRI abdomen w/o & w/contrast material (74183) |
— |
$3,399 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$3,399 |
— |
| MRI any jnt lwr ext with con lt (73722) |
— |
$1,763 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$1,763 |
— |
| MRI breast w/o contrast bilateral (77047) |
— |
$866 |
— |
| MRI c-spine with contrast (72142) |
— |
$2,998 |
— |
| MRI cervical spine w/o contrast (72141) |
— |
$2,891.25 |
— |
| MRI chest w/o & w/contrast material (71552) |
— |
$2,870 |
— |
| MRI chest w/o contrast (71550) |
— |
$2,050.50 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$3,399 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$2,450 |
— |
| MRI orbit/face/neck w&w/o cont (70543) |
— |
$3,002 |
— |
| MRI pelvis w/o & w/contrast material (72197) |
— |
$3,399 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$2,771 |
— |
| MRI scan of arm joint before and after contrast (73223) |
— |
$3,080.25 |
— |
| MRI scan of leg joint before and after contrast (73723) |
— |
$3,399 |
— |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
— |
$3,796.75 |
— |
| MRI spinal canal lumbar w/contrast material (72149) |
— |
$2,807.50 |
— |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
— |
$3,241.12 |
— |
| MRI spinal canal thoracic w/contrast matrl (72147) |
— |
$3,399 |
— |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
— |
$3,240.50 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$2,891.25 |
— |
| MRI tmj (70336) |
— |
$1,611.75 |
— |
| MRI upper ext joint w/o contrast (73221) |
— |
$3,399 |
— |
| MRI upper extrem other than jt w/o & w/contras (73220) |
— |
$3,399 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$3,399 |
— |
| Myelogram Cervical (72240) |
— |
$813.75 |
— |
| Myelogram Lumbar (72265) |
— |
$1,441.75 |
— |
| Myelogram thoracic (72255) |
— |
$1,721.75 |
— |
| Myocardial Spect Multiple Studies (78452) |
— |
$4,145.75 |
— |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
— |
$4,400 |
— |
| Neck soft tissue (70360) |
— |
$265.25 |
— |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
— |
$663 |
— |
| Nm cisternogram (78630) |
— |
$1,570 |
— |
| Nm gastric emptying study (78264) |
— |
$2,064.50 |
— |
| Nm gastroesophageal reflux study (78262) |
— |
$442 |
— |
| Nm peritoneal-venous shunt patency (78291) |
— |
$1,001 |
— |
| Nuclear medicine of heart pumping function (78473) |
— |
$762.25 |
— |
| Nuclear Rx Oral Admin (79005) |
— |
$3,513.25 |
— |
| Osseous survey infant (77076) |
— |
$273.25 |
— |
| Parathyrd planar w/spect&CT (78072) |
— |
$1,480.50 |
— |
| Parathyrd planar w/wo subtrj (78071) |
— |
$945 |
— |
| Parathyroid imaging (78070) |
— |
$408 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$247.75 |
— |
| PET image w/CT, skull-thigh (78815) |
— |
$7,509.50 |
— |
| PET imaging CT for attenuation limited area (78814) |
— |
$7,509.50 |
— |
| PET imaging for CT attenuation whole body (78816) |
— |
$7,509.50 |
— |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
— |
$3,399 |
— |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
— |
$7,892 |
— |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
— |
$2,758.75 |
— |
| Pulmonary Perfusion Imaging Particulate (78580) |
— |
$1,245 |
— |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
— |
$2,923.25 |
— |
| Radex abscess/fistula/sinus tract rs&i (76080) |
— |
$914.50 |
— |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
— |
$653.62 |
— |
| Radex hips bilateral with pelvis 2 views (73521) |
— |
$256.25 |
— |
| Radex mastoids compl minimum 3 views pr side (70130) |
— |
$519.25 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$472.62 |
— |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
— |
$268.50 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$263.50 |
— |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
— |
$344.62 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$661.75 |
— |
| Radiologic exam upr gi trc double contrast study (74246) |
— |
$867.25 |
— |
| Radiologic exam upr gi trc single contrast study (74240) |
— |
$600 |
— |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
— |
$334.75 |
— |
| Radiological examination surgical specimen (76098) |
— |
$938 |
— |
| Review by radiologist of adrenal gland vein image (75840) |
— |
$7,892 |
— |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
— |
$7,892 |
— |
| Ribs bilateral 3 views (71110) |
— |
$924.25 |
— |
| Rp loclzj tum plnr whole body single day imaging (78802) |
— |
$2,237 |
— |
| Rp loclzj tum spect 1 area single day imaging (78803) |
— |
$1,585 |
— |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
— |
$3,184.25 |
— |
| Rp Therapy Intravenous Administration (79101) |
— |
$877.75 |
— |
| Scanogram (77073) |
— |
$337 |
— |
| Scapula complete (73010) |
— |
$335.25 |
— |
| Screening digital breast tomosynthesis (77063) |
— |
$79.50 |
— |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
— |
$585.75 |
— |
| Small bowel series (74250) |
— |
$554.25 |
— |
| Spec medical radj physics consltj (77370) |
— |
$419 |
— |
| Special dosimetry (77331) |
— |
$925.75 |
— |
| Special treatment procedure (77470) |
— |
$823.75 |
— |
| Spine thoracic 3 views (72072) |
— |
$451.88 |
— |
| Superior sagittal sinus venogram (75870) |
— |
$2,758.75 |
— |
| Testicular Imaging With Vascular Flow (78761) |
— |
$709.50 |
— |
| Ther rad simulaj-aided field setting complex (77290) |
— |
$1,015 |
— |
| Ther rad simulaj-aided field setting simple (77280) |
— |
$403 |
— |
| Thyroid carcinoma metastases img whole body (78018) |
— |
$1,147.25 |
— |
| Thyroid Imaging With Vascular Flow (78013) |
— |
$600.25 |
— |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
— |
$1,374.25 |
— |
| Treatment devices simple (77332) |
— |
$451.25 |
— |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
— |
$2,821.88 |
— |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
— |
$863.25 |
— |
| Tx devices design & construction complex (77334) |
— |
$691.25 |
— |
| Ultrasound scan of cornea to determine thickness (76514) |
— |
$28 |
— |
| Ultrasound scan to determine eye length and lens power (76519) |
— |
$161.50 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$1,018.75 |
— |
| Unlisted Ultrasound Procedure (76999) |
— |
$141.75 |
— |
| Upper Extremity Infant (73092) |
— |
$479.75 |
— |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
— |
$642 |
— |
| Urethrocystography retrograde rs&i (74450) |
— |
$464.25 |
— |
| Urethrocystography voiding (74455) |
— |
$720.50 |
— |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
— |
$1,158.25 |
— |
| Us abdl aorta screen aaa (76706) |
— |
$544.12 |
— |
| Us breast unilateral complete (76641) |
— |
$513.50 |
— |
| Us breast unilateral limited (76642) |
— |
$466.75 |
— |
| Us chest (76604) |
— |
$286.38 |
— |
| Us compl joint r-t w/image documentation (76881) |
— |
$563.50 |
— |
| Us elastography parenchyma (76981) |
— |
$117 |
— |
| Us guided compression repair (76936) |
— |
$739.25 |
— |
| Us infant hips limited static (76886) |
— |
$393 |
— |
| Us kidney transplant (76776) |
— |
$375.50 |
— |
| Us ob transvaginal (76817) |
— |
$722.62 |
— |
| Us pelvic non ob complete (76856) |
— |
$739.25 |
— |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
— |
$291.50 |
— |
| Us pregnancy ltd (76815) |
— |
$644.50 |
— |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
— |
$1,153.75 |
— |
| Us retroperitoneal complete (76770) |
— |
$1,066 |
— |
| Us retroperitoneal limited (76775) |
— |
$291.50 |
— |
| Us scrotum and contents (76870) |
— |
$379.12 |
— |
| Us soft tissue head/neck (76536) |
— |
$788.62 |
— |
| Us transrectal (76872) |
— |
$266.93 |
— |
| Us xtr non-vasc lmtd (76882) |
— |
$563.50 |
— |
| Us, eye b-scan (76512) |
— |
$291.50 |
— |
| Venogram extremity bilateral (75822) |
— |
$2,758.75 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$3,103 |
— |
| Venography caval superior serialography rs&i (75827) |
— |
$1,429.75 |
— |
| Venography epidural rs&i (75872) |
— |
$7,245.75 |
— |
| Venography extremity unilateral rs&i (75820) |
— |
$3,305.25 |
— |
| Venography Renal Bilateral (75833) |
— |
$7,892 |
— |
| Venography renal unilateral selective rs&i (75831) |
— |
$7,892 |
— |
| Venography venous sinus/jugular cath rs&i (75860) |
— |
$7,245.75 |
— |
| Venous sampling thru cath w/wo angiography rs& (75893) |
— |
$7,892 |
— |
| Wrist 2 views (73100) |
— |
$361 |
— |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
— |
$508.12 |
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| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
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$354.25 |
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| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
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$323.50 |
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| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
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$959.75 |
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| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
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$212.75 |
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| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
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$310.62 |
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| X-ray exam entire spi 4/5 vw (72083) |
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$967 |
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| X-ray exam hip uni 1 view (73501) |
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$126.75 |
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| X-Ray Exam Hip Uni 2-3 Views (73502) |
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$416.50 |
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| X-Ray Exam Hips Bi 3-4 Views (73522) |
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$277.50 |
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| X-Ray Exam Hips Bi 5/> Views (73523) |
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$527.50 |
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| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
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$431.12 |
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| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
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$304.75 |
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| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
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$278.50 |
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| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
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$308.25 |
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| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
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$384.12 |
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| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
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$335.25 |
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| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
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$440.50 |
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| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
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$813.75 |
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| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
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$169.25 |
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| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
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$372 |
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| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
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$186.88 |
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| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
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$410.62 |
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| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
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$371.25 |
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| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
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$602.50 |
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| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
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$463 |
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| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
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$565 |
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| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$978.75 |
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| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$371.25 |
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| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
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$350.25 |
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| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
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$306.38 |
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| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
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$492.50 |
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| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
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$530.62 |
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| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
— |
$350.25 |
— |
| X-Ray Spine One View - Xr Spine (72020) |
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$166.62 |
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| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
— |
$335.25 |
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| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
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$335.25 |
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| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
— |
$263.25 |
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| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
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$361 |
— |
| Xr c-spine 6 or more views (72052) |
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$645.50 |
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| Xr finger(s) 2+ views (73140) |
— |
$262.62 |
— |
| XR Mastoids < 3 Views Bilateral (70120) |
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$519.25 |
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| Xr shoulder 1 view (73020) |
— |
$129.25 |
— |
| Xr spine cervical 4 or 5 views (72050) |
— |
$537.25 |
— |
| Xr tibia/fibula 2 views (73590) |
— |
$335.25 |
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| Xr tmj bilateral (70330) |
— |
$367.25 |
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| Xray knee 1 or 2 views rt (73560) |
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$316.12 |
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