| 3-D radiotherapy plan dose-volume histograms (77295) |
$8,274 |
$8,274 |
5.6× |
| Abdomen 2 views (74019) |
$741 |
$741 |
6.6× |
| Acute gi blood loss imaging (78278) |
$2,645 |
$2,645 |
6.2× |
| Angiography extremity bilateral rs&i (75716) |
$7,340 |
$7,340 |
2.2× |
| Angiography extremity unilateral rs&i (75710) |
$6,184 |
$6,184 |
1.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,667 |
$6,667 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,079 |
$7,079 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,543 |
$3,543 |
1.1× |
| Ankle 2 views (73600) |
$495 |
$495 |
5.3× |
| Aortography abdominal serialography rs&i (75625) |
$7,771 |
$7,771 |
2.3× |
| Arthrogram shoulder (73040) |
$1,903 |
$1,903 |
5.1× |
| Basic dosimetry (77300) |
$828 |
$828 |
5.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,769 |
$1,769 |
4.1× |
| Bone &/joint imaging whole body (78306) |
$2,975 |
$2,975 |
7.0× |
| Bone age studies (77072) |
$501 |
$501 |
4.5× |
| Bone Imaging 3 Phase (78315) |
$3,374 |
$3,374 |
7.9× |
| Bone survey complete (77075) |
$1,232 |
$1,232 |
11.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$2,383 |
$2,383 |
4.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,964 |
$7,964 |
5.2× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$3,432 |
$3,432 |
8.0× |
| Cardiac shunt detection (78428) |
$1,767 |
$1,767 |
4.1× |
| Cervical spine 2 or 3 views (72040) |
$744 |
$744 |
8.0× |
| Chest 1 view (71045) |
$451 |
$451 |
4.9× |
| Chest xray 3 views (71047) |
$776 |
$776 |
8.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$864 |
$864 |
4.6× |
| Cineradiography/videoradiography (76120) |
$503 |
$503 |
4.5× |
| Clavicle complete (73000) |
$715 |
$715 |
7.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$4,082 |
$4,082 |
36.6× |
| Continuing medical physics consltj pr wk (77336) |
$1,012 |
$1,012 |
7.1× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$214 |
$214 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,190 |
$9,190 |
24.7× |
| CT abdomen and pelvis without contrast (74176) |
$4,847 |
$4,847 |
19.0× |
| CT abdomen w contrast (74160) |
$4,082 |
$4,082 |
21.8× |
| CT abdomen w wo contrast (74170) |
$4,595 |
$4,595 |
24.5× |
| CT abdomen w/o contrast (74150) |
$3,248 |
$3,248 |
29.1× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,689 |
$3,689 |
19.7× |
| CT angiography upper extremity lt (73206) |
$4,634 |
$4,634 |
24.7× |
| CT c-spine w/contrast (72126) |
$4,175 |
$4,175 |
11.2× |
| CT c-spine w/o contrast (72125) |
$4,082 |
$4,082 |
36.6× |
| CT cervical spine w&w/o contrast (72127) |
$4,374 |
$4,374 |
23.4× |
| CT chest w contrast (71260) |
$4,593 |
$4,593 |
24.5× |
| CT chest w/wo contrast (71270) |
$4,935 |
$4,935 |
26.3× |
| CT colonography w/o cntrst (74261) |
$1,712 |
$1,712 |
15.3× |
| CT head/brain with contrast (70460) |
$3,584 |
$3,584 |
19.1× |
| CT head/brain without and with contrast (70470) |
$4,107 |
$4,107 |
21.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$275 |
$275 |
3.0× |
| CT iac w contrast (70481) |
$3,675 |
$3,675 |
19.6× |
| CT lower ext w/o (73700) |
$3,252 |
$3,252 |
29.1× |
| CT lower extremity w wo contrast (73702) |
$4,138.79 |
$4,138.79 |
22.1× |
| CT lower extremity w/contrast material (73701) |
$3,864 |
$3,864 |
20.6× |
| CT lumbar spine w & w/o contrast (72133) |
$5,197 |
$5,197 |
27.7× |
| CT lumbar spine w/contrast (72132) |
$4,593 |
$4,593 |
12.3× |
| CT lumbar spine w/o contrast (72131) |
$4,082 |
$4,082 |
36.6× |
| CT maxillofacial w contrast (70487) |
$3,500 |
$3,500 |
18.7× |
| CT maxillofacial w/wo contrast (70488) |
$3,912 |
$3,912 |
20.9× |
| CT maxillofacial wo contrast (70486) |
$3,182 |
$3,182 |
28.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$4,095 |
$4,095 |
21.9× |
| CT orbits w/o contrast (70480) |
$3,182 |
$3,182 |
28.5× |
| CT pelvis w/o contrast (72192) |
$3,248 |
$3,248 |
29.1× |
| CT pelvis w/wo contrast (72194) |
$4,439.32 |
$4,439.32 |
23.7× |
| CT scan of arm combo (73202) |
$4,558 |
$4,558 |
24.3× |
| CT soft tissue neck w contrast (70491) |
$4,082 |
$4,082 |
21.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,374 |
$4,374 |
23.4× |
| CT soft tissue neck w/o contrast (70490) |
$3,248 |
$3,248 |
29.1× |
| CT thoracic spine w/contrast (72129) |
$4,593 |
$4,593 |
24.5× |
| CT thoracic spine w/o contrast (72128) |
$4,082 |
$4,082 |
36.6× |
| CT thorax w/o contrast (71250) |
$3,977 |
$3,977 |
35.6× |
| CT upper ext wo (73200) |
$3,238 |
$3,238 |
29.0× |
| CT upper extremity with contrast (73201) |
$3,724 |
$3,724 |
10.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$5,741 |
$5,741 |
30.7× |
| Cta Abdomen (74175) |
$4,096 |
$4,096 |
21.9× |
| CTA abdomen pelvis (74174) |
$8,292 |
$8,292 |
22.3× |
| CTA chest (71275) |
$5,741 |
$5,741 |
30.7× |
| Cta Head (70496) |
$5,134 |
$5,134 |
27.4× |
| Cta Neck (70498) |
$5,134 |
$5,134 |
27.4× |
| Cta Pelvis (72191) |
$3,213 |
$3,213 |
17.2× |
| Cystography minimum 3 views rs&i (74430) |
$1,013 |
$1,013 |
2.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$760 |
$760 |
6.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$733 |
$733 |
6.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$521 |
$521 |
5.6× |
| Dxa bone density study axial skeleton (77085) |
$333 |
$333 |
3.0× |
| Esophagus (74220) |
$839 |
$839 |
4.5× |
| Facial bones min 3 views (70150) |
$1,001 |
$1,001 |
9.0× |
| Fetal biophysical profile non-stress testing (76818) |
$333 |
$333 |
3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$930 |
$930 |
8.3× |
| Fluoroscopy up to 1 hr (76000) |
$818 |
$818 |
3.2× |
| Foot 2 views (73620) |
$500 |
$500 |
5.4× |
| Forearm 2 views (73090) |
$500 |
$500 |
5.4× |
| Hand 2 views (73120) |
$549 |
$549 |
4.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,321 |
$3,321 |
5.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,665 |
$2,665 |
6.2× |
| Hysterosalpingogram (74740) |
$1,635 |
$1,635 |
6.4× |
| Kidney imaging morphology (78700) |
$1,766 |
$1,766 |
4.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,692 |
$2,692 |
4.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,692 |
$2,692 |
4.6× |
| Knee 3 views (73562) |
$725 |
$725 |
7.8× |
| Lung perf&ventilat diferentl (78598) |
$2,835 |
$2,835 |
4.9× |
| Lung ventilation imaging (78579) |
$1,696.14 |
$1,696.14 |
4.0× |
| Lymphoscintigraphy (78195) |
$2,833 |
$2,833 |
4.9× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$4,353 |
$4,353 |
5.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$5,627 |
$5,627 |
15.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,544 |
$2,544 |
6.4× |
| Mr safety determination physician/other qhp (76016) |
$273 |
$273 |
2.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$29 |
$29 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$288 |
$288 |
2.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$758 |
$758 |
3.0× |
| MRA head w/o contrast (70544) |
$4,565 |
$4,565 |
17.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,509 |
$5,509 |
14.8× |
| MRA neck w/o contrast (70547) |
$3,489 |
$3,489 |
13.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,686.12 |
$5,686.12 |
15.3× |
| MRI abdomen w/o contrast (74181) |
$4,670.69 |
$4,670.69 |
18.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,427 |
$4,427 |
5.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,672 |
$5,672 |
15.2× |
| MRI breast w/o contrast bilateral (77047) |
$3,339 |
$3,339 |
13.1× |
| MRI c-spine with contrast (72142) |
$4,958 |
$4,958 |
13.3× |
| MRI cervical spine w/o contrast (72141) |
$4,751 |
$4,751 |
18.6× |
| MRI chest w/o & w/contrast material (71552) |
$6,271 |
$6,271 |
16.8× |
| MRI chest w/o contrast (71550) |
$4,751 |
$4,751 |
18.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$5,770 |
$5,770 |
15.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,133 |
$4,133 |
16.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,204 |
$5,204 |
20.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,312 |
$6,312 |
16.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,784 |
$5,784 |
15.5× |
| MRI pelvis w/o contrast (72195) |
$4,751 |
$4,751 |
18.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,277 |
$6,277 |
16.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,958 |
$4,958 |
13.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,198 |
$6,198 |
16.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,958 |
$4,958 |
13.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,351 |
$6,351 |
17.0× |
| MRI temporomandibular joint (70336) |
$4,129 |
$4,129 |
16.2× |
| MRI thoracic spine w/o contrast (72146) |
$4,751 |
$4,751 |
18.6× |
| MRI up ext w/o contrast (73218) |
$4,034 |
$4,034 |
15.8× |
| MRI upper ext joint w/o contrast (73221) |
$4,109 |
$4,109 |
16.1× |
| MRI, joint upper extrem combo (73223) |
$5,534 |
$5,534 |
14.9× |
| Myocardial Spect Multiple Studies (78452) |
$7,855 |
$7,855 |
5.7× |
| Myocardial spect single study at rest or stress (78451) |
$5,813 |
$5,813 |
4.2× |
| N-invas est c ffr sw aly CTA (75580) |
$3,189 |
$3,189 |
3.5× |
| Neck soft tissue (70360) |
$471 |
$471 |
5.1× |
| Nm gastric emptying study (78264) |
$2,975 |
$2,975 |
7.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,444 |
$8,444 |
5.7× |
| Nuclear Rx Oral Admin (79005) |
$2,739 |
$2,739 |
11.0× |
| Ob us nuchal meas 1 gest (76813) |
$878 |
$878 |
7.9× |
| Osseous survey limited (77074) |
$333 |
$333 |
3.0× |
| Parathyroid Planar Imaging (78070) |
$1,930 |
$1,930 |
4.5× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,280 |
$2,280 |
5.3× |
| Pelvis 1 or 2 views (72170) |
$474 |
$474 |
4.2× |
| PET image w/CT, skull-thigh (78815) |
$10,070 |
$10,070 |
6.6× |
| PET imaging for CT attenuation whole body (78816) |
$10,504 |
$10,504 |
6.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,873 |
$1,873 |
4.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,665 |
$3,665 |
6.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$533 |
$533 |
5.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$479 |
$479 |
5.2× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$551 |
$551 |
5.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$794 |
$794 |
8.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$826.36 |
$826.36 |
7.4× |
| Radex fingr minimum 2 views (73140) |
$495 |
$495 |
5.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$538 |
$538 |
5.8× |
| Radex Hand Minimum 3 Views (73130) |
$590 |
$590 |
6.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$389 |
$389 |
4.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$792 |
$792 |
7.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$669 |
$669 |
6.0× |
| Radex Humerus Minimum 2 Views (73060) |
$533 |
$533 |
5.7× |
| Radex Kne 1/2 Views (73560) |
$526 |
$526 |
5.7× |
| Radex Kne Compl 4/More Views (73564) |
$982 |
$982 |
8.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$760 |
$760 |
6.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$602 |
$602 |
6.5× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$875 |
$875 |
7.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$542 |
$542 |
5.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$384 |
$384 |
4.1× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$976 |
$976 |
8.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$875 |
$875 |
9.4× |
| Radex Toe Minimum 2 Views (73660) |
$477 |
$477 |
5.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$520 |
$520 |
5.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$24,554 |
$24,554 |
3.1× |
| Radiation treatment delivery level 1 (77402) |
$343 |
$343 |
3.1× |
| Radiation treatment delivery level 2 (77407) |
$824 |
$824 |
2.0× |
| Radiation treatment delivery level 3 (77412) |
$1,267 |
$1,267 |
2.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$470 |
$470 |
5.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$333 |
$333 |
3.0× |
| Radiologic exam chest 2 views (71046) |
$520 |
$520 |
5.6× |
| Radiologic exam colon single contrast study (74270) |
$1,193 |
$1,193 |
6.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,043 |
$1,043 |
5.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,439 |
$1,439 |
7.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,297 |
$1,297 |
6.9× |
| Radiologic examination femur 1 view (73551) |
$104 |
$104 |
1.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$513 |
$513 |
5.5× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$333 |
$333 |
3.0× |
| Radiological examination surgical specimen (76098) |
$859 |
$859 |
1.5× |
| Ribs bilateral 3 views (71110) |
$847 |
$847 |
7.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,333 |
$2,333 |
5.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,415 |
$4,415 |
7.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,665 |
$3,665 |
6.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,576 |
$3,576 |
6.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,948 |
$3,948 |
2.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,092 |
$4,092 |
3.0× |
| Sacroiliac Joints < 3 Views (72200) |
$333 |
$333 |
3.0× |
| Scapula (73010) |
$480 |
$480 |
4.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$140 |
$140 |
6.0× |
| Shoulder 1 view (73020) |
$381 |
$381 |
4.1× |
| Small bowel series (74250) |
$1,032 |
$1,032 |
5.5× |
| Special Physics Consult (77370) |
$1,349 |
$1,349 |
9.4× |
| Special treatment procedure (77470) |
$3,670 |
$3,670 |
6.2× |
| Spine thoracic 3 views (72072) |
$661 |
$661 |
5.9× |
| Stereotactic Body Radiation Delivery (77373) |
$11,281 |
$11,281 |
5.9× |
| Tbs technical calculation only (77091) |
$107 |
$107 |
1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,879 |
$1,879 |
4.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,687 |
$2,687 |
6.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,355 |
$1,355 |
9.4× |
| Thoracolumbar 2 views (72080) |
$715 |
$715 |
7.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,800 |
$2,800 |
4.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,728 |
$1,728 |
4.0× |
| Treatment device complex (77334) |
$1,789 |
$1,789 |
4.5× |
| Treatment device intermediate (77333) |
$1,210 |
$1,210 |
8.4× |
| Treatment devices simple (77332) |
$943 |
$943 |
6.6× |
| Ultrasound breast complete (76641) |
$1,968.98 |
$1,968.98 |
17.6× |
| Ultrasound Exam Aaa Screen (76706) |
$678 |
$678 |
6.1× |
| Ultrasound, abdomen limited (76705) |
$1,073 |
$1,073 |
9.6× |
| Umbilical-artery Doppler (OB) (76820) |
$760 |
$760 |
6.8× |
| Unlisted fluoroscopic procedure (76496) |
$992 |
$992 |
10.7× |
| Unlisted magnetic resonance procedure (76498) |
$276 |
$276 |
3.0× |
| Urethrocystogram voiding (74455) |
$1,114 |
$1,114 |
4.4× |
| Urethrocystography retrograde rs&i (74450) |
$1,112 |
$1,112 |
4.4× |
| Us breast unilateral limited (76642) |
$766 |
$766 |
8.2× |
| Us chest (76604) |
$831 |
$831 |
7.4× |
| Us compl joint r-t w/image documentation (76881) |
$333 |
$333 |
3.0× |
| Us hips infant static (76886) |
$513 |
$513 |
5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$609 |
$609 |
5.5× |
| Us ob detailed single fetus (76811) |
$1,719 |
$1,719 |
6.7× |
| Us ob limited (76815) |
$999 |
$999 |
8.9× |
| Us ob transvaginal (76817) |
$1,073 |
$1,073 |
9.6× |
| Us pelvic non ob complete (76856) |
$1,205 |
$1,205 |
10.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$729 |
$729 |
6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$939 |
$939 |
8.4× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$893 |
$893 |
8.0× |
| Us retroperitoneal complete (76770) |
$1,196 |
$1,196 |
10.7× |
| Us retroperitoneal limited (76775) |
$1,201 |
$1,201 |
10.8× |
| Us scrotum and contents (76870) |
$1,094 |
$1,094 |
9.8× |
| Us soft tissue head/neck (76536) |
$1,011 |
$1,011 |
9.1× |
| Us spinal canal and contents (76800) |
$645 |
$645 |
5.8× |
| Venogram Extremity Unilateral (75820) |
$2,871 |
$2,871 |
1.7× |
| Venography caval inferior serialography rs&i (75825) |
$5,374 |
$5,374 |
1.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,015 |
$4,015 |
1.2× |
| Wrist 2 views (73100) |
$437 |
$437 |
4.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$875 |
$875 |
7.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$525 |
$525 |
5.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,869 |
$1,869 |
10.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$457 |
$457 |
4.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$588 |
$588 |
6.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$128 |
$128 |
1.1× |
| X-ray exam of femur 2/> (73552) |
$673 |
$673 |
7.2× |
| X-ray eye for foreign body (70030) |
$562 |
$562 |
6.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$458 |
$458 |
4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$571 |
$571 |
6.1× |
| X-ray leg, infant (73592) |
$337 |
$337 |
3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$615 |
$615 |
5.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$952 |
$952 |
8.5× |
| X-ray nose-rectum child f.b. (76010) |
$396 |
$396 |
4.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$631 |
$631 |
5.7× |
| X-ray retrograde pyelogram (74420) |
$1,119 |
$1,119 |
3.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$520 |
$520 |
5.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$691 |
$691 |
6.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,056 |
$1,056 |
9.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$502 |
$502 |
4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$534 |
$534 |
5.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$662 |
$662 |
7.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$948 |
$948 |
8.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$579 |
$579 |
5.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$534 |
$534 |
5.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$504 |
$504 |
5.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$509 |
$509 |
5.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$128 |
$128 |
1.1× |
| Xr bone length studies (77073) |
$523 |
$523 |
4.7× |
| Xr c-spine 4 or 5 views (72050) |
$1,094 |
$1,094 |
9.8× |
| Xr c-spine 6 or more views (72052) |
$1,143 |
$1,143 |
10.2× |
| Xr chest 4+ views (71048) |
$722 |
$722 |
6.5× |