| Ankle 2 views (73600) |
$376.50 |
$502 |
4.1× |
| Cholecystography, oral contrast Age Under 21 (74290) |
$60.75 |
$81 |
0.3× |
| Clavicle complete (73000) |
$339 |
$452 |
3.7× |
| Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if… (74174) |
$2,820.38 |
$3,760.50 |
7.7× |
| Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and… (74175) |
$1,765.50 |
$2,354 |
9.5× |
| Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast… (75635) |
$1,681.12 |
$2,241.50 |
9.1× |
| Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if… (71275) |
$1,627.12 |
$2,169.50 |
8.8× |
| Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if… (73706) |
$340.88 |
$454.50 |
1.8× |
| Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and… (70498) |
$1,648.50 |
$2,198 |
8.9× |
| Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and… (72191) |
$1,792.12 |
$2,389.50 |
9.7× |
| Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if… (73206) |
$1,453.50 |
$1,938 |
7.9× |
| Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections… (72127) |
$1,515.75 |
$2,021 |
8.2× |
| Computed tomography, lower extremity; without contrast material Age Under 21 (73700) |
$1,036.50 |
$1,382 |
9.4× |
| Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections… (73702) |
$953.25 |
$1,271 |
5.2× |
| Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections Age… (72133) |
$2,314.50 |
$3,086 |
12.5× |
| Computed tomography, maxillofacial area; with contrast material(s) Age Under 21 (70487) |
$1,503 |
$2,004 |
8.1× |
| Computed tomography, maxillofacial area; without contrast material Age Under 21 (70486) |
$852.75 |
$1,137 |
7.7× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$1,329.75 |
$1,773 |
7.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Age… (70480) |
$1,338.38 |
$1,784.50 |
12.1× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material,… (70482) |
$1,782 |
$2,376 |
9.6× |
| Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections… (70492) |
$1,581.38 |
$2,108.50 |
8.5× |
| Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further… (71270) |
$1,463.62 |
$1,951.50 |
7.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,346.38 |
$3,128.50 |
6.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,119.12 |
$2,825.50 |
8.4× |
| CT abdomen w & w/o contrast (74170) |
$1,485.38 |
$1,980.50 |
8.0× |
| CT abdomen w/contrast (74160) |
$1,431.75 |
$1,909 |
7.7× |
| CT abdomen w/o contrast (74150) |
$1,277.62 |
$1,703.50 |
11.6× |
| CT cervical spine w/contrast (72126) |
$1,486.50 |
$1,982 |
4.0× |
| CT cervical spine w/o contrast (72125) |
$1,319.25 |
$1,759 |
12.0× |
| CT chest w/contrast (71260) |
$1,380 |
$1,840 |
7.5× |
| CT extremity upper w/o contrast (73200) |
$1,068.75 |
$1,425 |
9.7× |
| CT head/brain with contrast (70460) |
$1,244.25 |
$1,659 |
6.7× |
| CT head/brain without and with contrast (70470) |
$1,408.50 |
$1,878 |
7.6× |
| CT l-spine w/contrast (72132) |
$1,426.88 |
$1,902.50 |
3.9× |
| CT lower extremity w/dye (73701) |
$1,133.25 |
$1,511 |
6.1× |
| CT lumbar spine w/o contrast (72131) |
$1,323 |
$1,764 |
12.0× |
| CT neck w/contrast (70491) |
$1,396.50 |
$1,862 |
7.5× |
| CT neck w/o contrast (70490) |
$1,243.88 |
$1,658.50 |
11.3× |
| CT pelvis w & w/o contrast (72194) |
$1,515.38 |
$2,020.50 |
8.2× |
| CT pelvis w/o contrast (72192) |
$1,327.50 |
$1,770 |
12.0× |
| CT thoracic spine w/contrast (72129) |
$1,192.88 |
$1,590.50 |
6.4× |
| CT thoracic spine w/o contrast (72128) |
$1,318.50 |
$1,758 |
12.0× |
| CT thorax lung cancer scr c- (71271) |
$894 |
$1,192 |
8.1× |
| CT thorax w/o contrast (71250) |
$1,077.75 |
$1,437 |
9.8× |
| CT upper extremity w/dye (73201) |
$1,498.12 |
$1,997.50 |
4.1× |
| CTA head w contrast (70496) |
$685.88 |
$914.50 |
3.7× |
| Cystography, minimum of 3 views, radiological supervision and interpretation Age Under 21 (74430) |
$60.75 |
$81 |
0.2× |
| Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)… (77080) |
$269.62 |
$359.50 |
2.4× |
| Dxa bone density/peripheral (77081) |
$131.25 |
$175 |
1.4× |
| Echo exam of eye (76516) |
$258 |
$344 |
2.3× |
| Echo exam of eye thickness (76514) |
$50.25 |
$67 |
1.6× |
| Fetal biophys profile w/o nst (76819) |
$462 |
$616 |
4.2× |
| Fetal biophysical profile non-stress testing (76818) |
$840.75 |
$1,121 |
7.6× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$683.25 |
$911 |
2.7× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$2,161.50 |
$2,882 |
5.9× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) Age Under 21 (73719) |
$1,513.88 |
$2,018.50 |
4.1× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) Age Under 21 (73718) |
$1,454.25 |
$1,939 |
5.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$2,388.38 |
$3,184.50 |
6.5× |
| Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age Under 21 (70542) |
$1,845.75 |
$2,461 |
5.0× |
| Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age Under 21 (70540) |
$1,827.75 |
$2,437 |
7.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,222.62 |
$2,963.50 |
6.0× |
| Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further… (70546) |
$1,861.50 |
$2,482 |
5.1× |
| Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further… (70549) |
$2,796.38 |
$3,728.50 |
7.6× |
| Mandible min 4v (70110) |
$213.75 |
$285 |
1.9× |
| MRA head w/o contrast (70544) |
$2,531.62 |
$3,375.50 |
10.1× |
| MRA neck w/ contrast (70548) |
$322.88 |
$430.50 |
0.9× |
| MRA neck w/o contrast (70547) |
$2,254.50 |
$3,006 |
9.0× |
| MRI abdomen w/o contrast (74181) |
$1,745.62 |
$2,327.50 |
6.9× |
| MRI abdomen w/wo contrast (74183) |
$1,515.75 |
$2,021 |
4.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,514.62 |
$2,019.50 |
1.8× |
| MRI breast c- bilateral (77047) |
$2,120.25 |
$2,827 |
8.4× |
| MRI c-spine w&w/o cont (72156) |
$1,900.12 |
$2,533.50 |
5.2× |
| MRI chest w/contrast (71551) |
$1,773.38 |
$2,364.50 |
2.1× |
| MRI chest w/o contrast (71550) |
$1,756.50 |
$2,342 |
7.0× |
| MRI chest w/wo contrast (71552) |
$2,258.25 |
$3,011 |
6.1× |
| MRI joint upr extr w/o&w/dye (73223) |
$2,222.62 |
$2,963.50 |
6.0× |
| MRI joint upr extrem w/dye (73222) |
$1,514.62 |
$2,019.50 |
1.8× |
| MRI joint upr extrem w/o dye (73221) |
$1,515 |
$2,020 |
6.0× |
| MRI lumbar spine w/contrast (72149) |
$1,950.75 |
$2,601 |
5.3× |
| MRI lumbar spine w/wo contrast (72158) |
$2,230.88 |
$2,974.50 |
6.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,522.62 |
$3,363.50 |
6.9× |
| MRI pelvis w & w/o contrast (72197) |
$2,702.62 |
$3,603.50 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$2,145 |
$2,860 |
8.5× |
| MRI spine cervical w/o contrast (72141) |
$1,524.75 |
$2,033 |
6.1× |
| MRI t-spine w&w/o cont (72157) |
$1,891.12 |
$2,521.50 |
5.1× |
| MRI thoracic spine w/o contrst (72146) |
$1,744.50 |
$2,326 |
6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,498.50 |
$1,998 |
6.0× |
| Ob us limited fetus(s) (76815) |
$554.25 |
$739 |
5.0× |
| Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Age Under 21 (76519) |
$279 |
$372 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 1 vw (72081) |
$220.50 |
$294 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$399.38 |
$532.50 |
3.6× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$211.88 |
$282.50 |
1.9× |
| Radex hip unilateral with pelvis 1 view (73501) |
$169.12 |
$225.50 |
1.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$266.62 |
$355.50 |
2.9× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$307.88 |
$410.50 |
2.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$259.12 |
$345.50 |
2.3× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$486.38 |
$648.50 |
4.4× |
| Radex spine cervical 2 or 3 views (72040) |
$204 |
$272 |
2.2× |
| Radex spine cervical 4 or 5 views (72050) |
$343.50 |
$458 |
3.1× |
| Radex spine cervical 6 or more views (72052) |
$372 |
$496 |
3.4× |
| Radex spine thoracolumbar junction min 2 views (72080) |
$384.75 |
$513 |
4.2× |
| Radiologic exam abdomen 3+ views (74021) |
$285.38 |
$380.50 |
2.6× |
| Radiologic exam chest 3 views (71047) |
$247.88 |
$330.50 |
2.7× |
| Radiologic exam chest 4+ views (71048) |
$319.88 |
$426.50 |
2.9× |
| Radiologic exam colon double contrast study (74280) |
$185.25 |
$247 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$447 |
$596 |
2.4× |
| Radiologic exam esophagus single contrast study (74220) |
$448.12 |
$597.50 |
2.4× |
| Radiologic exam small int single contrast study (74250) |
$451.12 |
$601.50 |
2.4× |
| Radiologic exam swallow function contrast study (74230) |
$484.12 |
$645.50 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$353.62 |
$471.50 |
1.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$550.50 |
$734 |
3.0× |
| Radiologic examination femur 1 view (73551) |
$144.38 |
$192.50 |
1.6× |
| Radiologic examination femur minimum 2 views (73552) |
$198 |
$264 |
2.2× |
| Radiologic examination from nose to rectum for foreign body, single view, child Age Under 21 (76010) |
$135.38 |
$180.50 |
1.5× |
| Radiologic examination, ankle; complete, minimum of 3 views Age Under 21 (73610) |
$402 |
$536 |
4.4× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$646.50 |
$862 |
5.9× |
| Radiologic examination, elbow; 2 views Age Under 21 (73070) |
$350.25 |
$467 |
3.8× |
| Radiologic examination, elbow; complete, minimum of 3 views Age Under 21 (73080) |
$388.50 |
$518 |
4.2× |
| Radiologic examination, facial bones; less than 3 views Age Under 21 (70140) |
$132 |
$176 |
1.4× |
| Radiologic examination, foot; complete, minimum of 3 views Age Under 21 (73630) |
$387.75 |
$517 |
4.2× |
| Radiologic examination, hand; minimum of 3 views Age Under 21 (73130) |
$392.25 |
$523 |
4.3× |
| Radiologic examination, knee; both knees, standing, anteroposterior Age Under 21 (73565) |
$165 |
$220 |
1.8× |
| Radiologic examination, knee; complete, 4 or more views Age Under 21 (73564) |
$431.25 |
$575 |
3.9× |
| Radiologic examination, mandible; partial, less than 4 views Age Under 21 (70100) |
$33.75 |
$45 |
0.4× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Age Under 21 (70130) |
$63.75 |
$85 |
0.6× |
| Radiologic examination, mastoids; less than 3 views per side Age Under 21 (70120) |
$33.75 |
$45 |
0.3× |
| Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21 (70160) |
$177 |
$236 |
1.9× |
| Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views Age Under 21 (71111) |
$711 |
$948 |
6.4× |
| Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views Age Under 21 (71101) |
$239.25 |
$319 |
2.2× |
| Radiologic examination, sacroiliac joints; less than 3 views Age Under 21 (72200) |
$184.12 |
$245.50 |
1.7× |
| Radiologic examination, shoulder, arthrography, radiological supervision and interpretation Age Under 21 (73040) |
$588.38 |
$784.50 |
1.6× |
| Radiologic examination, shoulder; complete, minimum of 2 views Age Under 21 (73030) |
$211.88 |
$282.50 |
2.3× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Age Under 21 (76100) |
$111.75 |
$149 |
1.0× |
| Radiologic examination, sinuses, paranasal, less than 3 views Age Under 21 (70210) |
$105 |
$140 |
1.1× |
| Radiologic examination, skull; less than 4 views Age Under 21 (70250) |
$234 |
$312 |
2.1× |
| Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21 (72100) |
$458.25 |
$611 |
4.2× |
| Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views Age Under 21 (72120) |
$220.88 |
$294.50 |
2.0× |
| Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views Age Under 21 (72114) |
$454.88 |
$606.50 |
4.1× |
| Radiologic examination, spine; thoracic, minimum of 4 views Age Under 21 (72074) |
$409.50 |
$546 |
3.7× |
| Radiologic examination, wrist; complete, minimum of 3 views Age Under 21 (73110) |
$213.75 |
$285 |
2.3× |
| Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction Age Under 21 (73050) |
$244.50 |
$326 |
2.7× |
| Radiologic examination; humerus, minimum of 2 views Age Under 21 (73060) |
$365.25 |
$487 |
4.0× |
| Radiologic examination; lower extremity, infant, minimum of 2 views Age Under 21 (73592) |
$146.62 |
$195.50 |
1.6× |
| Radiologic examination; orbits, complete, minimum of 4 views Age Under 21 (70200) |
$52.50 |
$70 |
0.5× |
| Radiologic examination; sternoclavicular joint or joints, minimum of 3 views Age Under 21 (71130) |
$129.75 |
$173 |
1.4× |
| Radiologic examination; toe(s), minimum of 2 views Age Under 21 (73660) |
$202.50 |
$270 |
2.2× |
| Radiologic examination; upper extremity, infant, minimum of 2 views Age Under 21 (73092) |
$115.12 |
$153.50 |
1.0× |
| Review by radiologist of urinary bladder and urethra images with contrast and after passing urine (74455) |
$381 |
$508 |
1.5× |
| Saline infusion sonohysterography (SIS), including color flow Doppler, when performed Age Under 21 (76831) |
$660 |
$880 |
2.6× |
| Scapula complete (73010) |
$155.25 |
$207 |
1.4× |
| Screening digital breast tomosynthesis bi (77063) |
$75.75 |
$101 |
— |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$444 |
$592 |
4.0× |
| Ultrasound breast limited (76642) |
$552.75 |
$737 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$374.62 |
$499.50 |
3.4× |
| Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space,… (76882) |
$350.62 |
$467.50 |
3.2× |
| Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age Under 21 (76856) |
$723 |
$964 |
6.6× |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14… (76801) |
$530.62 |
$707.50 |
4.8× |
| Umbilical-artery Doppler (OB) (76820) |
$186.75 |
$249 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$64.50 |
$86 |
0.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography Age Under 21 (74400) |
$90.75 |
$121 |
0.5× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Age Under 21 (74415) |
$90.75 |
$121 |
0.5× |
| Us abdominal aorta real time screen study aaa (76706) |
$495.75 |
$661 |
4.5× |
| Us breast uni real time with image complete (76641) |
$1,001.25 |
$1,335 |
9.1× |
| Us chest (76604) |
$420.75 |
$561 |
3.8× |
| Us compl joint r-t w/image documentation (76881) |
$420 |
$560 |
3.8× |
| Us exam, pelvic, limited (76857) |
$341.25 |
$455 |
3.1× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) |
$112.50 |
$150 |
1.2× |
| US OB Follow-Up/Repeat (76816) |
$322.12 |
$429.50 |
2.9× |
| Us ob transvaginal (76817) |
$430.50 |
$574 |
3.9× |
| Us retroperitoneal complete (76770) |
$446.25 |
$595 |
4.0× |
| Us retroperitoneal ltd (76775) |
$611.25 |
$815 |
5.5× |
| Us scrotum (76870) |
$429.75 |
$573 |
3.9× |
| Us soft tissue head/neck (76536) |
$425.62 |
$567.50 |
3.9× |
| Us unlstd proc (76999) |
$60 |
$80 |
0.7× |
| Venography, extremity, unilateral, radiological supervision and interpretation Age Under 21 (75820) |
$134.25 |
$179 |
0.1× |
| X-ray exam hips bi 3-4 views (73522) |
$396 |
$528 |
3.6× |
| X-ray exam of finger(s) (73140) |
$363 |
$484 |
4.0× |
| X-ray exam of knee 1 or 2 (73560) |
$348 |
$464 |
3.8× |
| X-ray exam ribs bil 3 views (71110) |
$51 |
$68 |
0.5× |
| X-ray exam ribs uni 2 views (71100) |
$205.50 |
$274 |
2.2× |
| X-ray heel (73650) |
$154.88 |
$206.50 |
1.7× |
| X-ray of joint between lower spine and hip bone 3 or more views|PROFESSIONAL COMPONENT (72202) |
$175.88 |
$234.50 |
1.6× |
| Xr abdomen 1 view (74018) |
$209.25 |
$279 |
2.3× |
| Xr abdomen 2 views (74019) |
$254.62 |
$339.50 |
2.3× |
| Xr bone age studies (77072) |
$82.12 |
$109.50 |
0.7× |
| Xr bone length study (77073) |
$129.75 |
$173 |
1.2× |
| Xr bone survey infant (77076) |
$322.12 |
$429.50 |
2.9× |
| Xr bone survey ltd (77074) |
$426.38 |
$568.50 |
3.9× |
| Xr chest 1 view (71045) |
$209.62 |
$279.50 |
2.3× |
| Xr chest 2 views (71046) |
$259.50 |
$346 |
2.8× |
| Xr eye foreign body (70030) |
$171 |
$228 |
1.9× |
| Xr facial bones 3+ views (70150) |
$304.50 |
$406 |
2.8× |
| Xr foot arthritis pa only bilateral - report(ortho pro) (73620) |
$348 |
$464 |
3.8× |
| Xr forearm 2 views (73090) |
$207.38 |
$276.50 |
2.3× |
| Xr hand 2v (73120) |
$308.25 |
$411 |
2.8× |
| Xr hysterosalpingogram (74740) |
$1,258.50 |
$1,678 |
5.0× |
| Xr joint survey 1 view (77077) |
$184.88 |
$246.50 |
1.7× |
| Xr neck soft tissue (70360) |
$380.25 |
$507 |
4.1× |
| Xr o knee w/ merchant view bilat - report(ortho pro) (73562) |
$385.50 |
$514 |
4.2× |
| Xr osseous survey complete (77075) |
$575.62 |
$767.50 |
5.2× |
| Xr pelvis 1-2 views (72170) |
$369.75 |
$493 |
3.4× |
| Xr pelvis min 3 view (72190) |
$286.88 |
$382.50 |
2.6× |
| Xr sacrum/coccyx 2+ views (72220) |
$196.50 |
$262 |
2.1× |
| Xr sella turcica (70240) |
$36 |
$48 |
0.4× |
| Xr shoulder 1 view (73020) |
$142.50 |
$190 |
1.6× |
| Xr sinuses 3+ views (70220) |
$230.25 |
$307 |
2.5× |
| Xr skull min 4 view (70260) |
$320.25 |
$427 |
2.9× |
| Xr spine 1 view (72020) |
$334.88 |
$446.50 |
3.6× |
| Xr spine thoracic 3v (72072) |
$238.88 |
$318.50 |
2.2× |
| Xr sternum 2+ views (71120) |
$198 |
$264 |
2.2× |
| Xr stress view joint (77071) |
$146.25 |
$195 |
1.6× |
| Xr surgical specimen (76098) |
$266.62 |
$355.50 |
0.5× |
| Xr t-spine 2 views (72070) |
$209.25 |
$279 |
1.9× |
| Xr tibia/fibula 2 views (73590) |
$197.25 |
$263 |
2.1× |
| Xr tmj bilateral (70330) |
$137.62 |
$183.50 |
1.5× |
| Xr tmj unilateral (70328) |
$120.38 |
$160.50 |
1.3× |
| Xr wrist 2 views (73100) |
$189.75 |
$253 |
2.1× |