| Ankle 2 views (73600) |
$162.75 |
$217 |
2.1× |
| Bone age studies (77072) |
$283.50 |
$378 |
3.1× |
| Cervical spine 2 or 3 views (72040) |
$204 |
$272 |
2.7× |
| Clavicle complete (73000) |
$166.50 |
$222 |
2.2× |
| CT head/brain with contrast (70460) |
$1,706.25 |
$2,275 |
11.1× |
| CT head/brain without and with contrast (70470) |
$1,843.50 |
$2,458 |
12.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,881.75 |
$2,509 |
12.2× |
| Foot 2 views (73620) |
$162.75 |
$217 |
2.1× |
| Forearm 2 views (73090) |
$162 |
$216 |
2.1× |
| Hand 2 views (73120) |
$162.75 |
$217 |
1.8× |
| Hand 3 views (73130) |
$174.75 |
$233 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$174.75 |
$233 |
2.3× |
| Knee 3 views (73562) |
$217.50 |
$290 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$210 |
$280 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$303.75 |
$405 |
3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$281.25 |
$375 |
3.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$162.75 |
$217 |
2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$211.50 |
$282 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$231 |
$308 |
3.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$174.75 |
$233 |
2.3× |
| Spine thoracic 3 views (72072) |
$265.50 |
$354 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$423 |
$564 |
4.6× |
| Us breast unilateral complete (76641) |
$423 |
$564 |
4.6× |
| Us pelvic non ob complete (76856) |
$363.75 |
$485 |
4.0× |
| Us retroperitoneal complete (76770) |
$540 |
$720 |
5.9× |
| Us xtr non-vasc lmtd (76882) |
$564.75 |
$753 |
6.2× |
| Wrist 2 views (73100) |
$160.50 |
$214 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$294 |
$392 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$174.75 |
$233 |
2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$164.25 |
$219 |
2.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$174.75 |
$233 |
2.3× |
| X-ray exam hip uni 1 view (73501) |
$131.25 |
$175 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$209.25 |
$279 |
2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$417.75 |
$557 |
4.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$199.50 |
$266 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$174.75 |
$233 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$433.50 |
$578 |
4.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$162.75 |
$217 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$204 |
$272 |
2.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$207 |
$276 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$306.75 |
$409 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$278.25 |
$371 |
3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$185.25 |
$247 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$174.75 |
$233 |
2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$306.75 |
$409 |
3.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$162.75 |
$217 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$189 |
$252 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$162.75 |
$217 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$174.75 |
$233 |
2.3× |
| Xr finger(s) 2+ views (73140) |
$162.75 |
$217 |
2.1× |
| Xr shoulder 1 view (73020) |
$174.75 |
$233 |
2.3× |
| Xr spine cervical 4 or 5 views (72050) |
$306.75 |
$409 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$174.75 |
$233 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$162.75 |
$217 |
2.1× |