| Abdomen 2 views (74019) |
$215 |
$215 |
2.4× |
| Ankle 2 views (73600) |
$132 |
$132 |
1.8× |
| Bone age studies (77072) |
$41.50 |
$41.50 |
0.5× |
| Bone survey complete (77075) |
$1,058 |
$1,058 |
11.7× |
| Cervical spine 2 or 3 views (72040) |
$132 |
$132 |
1.8× |
| Chest 1 view (71045) |
$106 |
$106 |
1.4× |
| Clavicle complete (73000) |
$132 |
$132 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$187 |
$187 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$888 |
$888 |
3.0× |
| CT abdomen and pelvis without contrast (74176) |
$685 |
$685 |
3.3× |
| CT abdomen w contrast (74160) |
$854 |
$854 |
5.6× |
| CT abdomen w wo contrast (74170) |
$859.50 |
$859.50 |
5.7× |
| CT abdomen w/o contrast (74150) |
$660.50 |
$660.50 |
7.3× |
| CT c-spine w/o contrast (72125) |
$652.50 |
$652.50 |
7.2× |
| CT chest w/wo contrast (71270) |
$967 |
$967 |
6.4× |
| CT chest with contrast (71260) |
$849 |
$849 |
5.6× |
| CT head/brain with contrast (70460) |
$848 |
$848 |
5.6× |
| CT head/brain without and with contrast (70470) |
$968.50 |
$968.50 |
6.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$111.50 |
$111.50 |
1.5× |
| CT iac w contrast (70481) |
$691.50 |
$691.50 |
4.6× |
| CT lower ext w/o (73700) |
$1,217 |
$1,217 |
13.5× |
| CT lower extremity with contrast (73701) |
$849 |
$849 |
5.6× |
| CT lumbar spine w/o contrast (72131) |
$652.50 |
$652.50 |
7.2× |
| CT maxillofacial w contrast (70487) |
$658 |
$658 |
4.4× |
| CT maxillofacial w/o contrast (70486) |
$646 |
$646 |
7.2× |
| CT neck soft tissue w contrast (70491) |
$858.50 |
$858.50 |
5.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$664 |
$664 |
4.4× |
| CT orbits w/o contrast (70480) |
$665 |
$665 |
7.4× |
| CT pelvis w & w/o contrast (72194) |
$965.50 |
$965.50 |
6.4× |
| CT pelvis w/o contrast (72192) |
$656.50 |
$656.50 |
7.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$116.50 |
$116.50 |
1.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$983 |
$983 |
6.5× |
| CT soft tissue neck w/o contrast (70490) |
$664.50 |
$664.50 |
7.4× |
| CT thoracic spine w/o contrast (72128) |
$652.50 |
$652.50 |
7.2× |
| CT thorax w/o contrast (71250) |
$656 |
$656 |
7.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,217 |
$1,217 |
13.5× |
| CT upper extremity with contrast (73201) |
$849 |
$849 |
2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,285 |
$1,285 |
8.5× |
| Cta Abdomen (74175) |
$827 |
$827 |
5.5× |
| CTA chest (71275) |
$827 |
$827 |
5.5× |
| Cta Head (70496) |
$824 |
$824 |
5.4× |
| Cta Neck (70498) |
$824 |
$824 |
5.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$550 |
$550 |
6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$550 |
$550 |
7.3× |
| Foot 2 views (73620) |
$132 |
$132 |
1.8× |
| Forearm 2 views (73090) |
$132 |
$132 |
1.8× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$375 |
$375 |
1.8× |
| Hand 2 views (73120) |
$132 |
$132 |
1.5× |
| Hand 3 views (73130) |
$166 |
$166 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$132 |
$132 |
1.8× |
| Knee 3 views (73562) |
$132 |
$132 |
1.8× |
| Neck soft tissue (70360) |
$132 |
$132 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$132 |
$132 |
1.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$132 |
$132 |
1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$166 |
$166 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$106 |
$106 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$132 |
$132 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$132 |
$132 |
1.8× |
| Scapula complete (73010) |
$132 |
$132 |
1.5× |
| Thoracolumbar 2 views (72080) |
$20 |
$20 |
0.3× |
| Tmj unilateral (70328) |
$106 |
$106 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$232 |
$232 |
2.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$298 |
$298 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$196 |
$196 |
2.2× |
| Us breast unilateral limited (76642) |
$135.50 |
$135.50 |
1.8× |
| Us compl joint r-t w/image documentation (76881) |
$229 |
$229 |
2.5× |
| Us ob transvaginal (76817) |
$188 |
$188 |
2.1× |
| Us pelvic non ob complete (76856) |
$262.50 |
$262.50 |
2.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$128 |
$128 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$275.50 |
$275.50 |
3.1× |
| Us retroperitoneal complete (76770) |
$241 |
$241 |
2.7× |
| Us retroperitoneal limited (76775) |
$229 |
$229 |
2.5× |
| Us scrotum and contents (76870) |
$226.50 |
$226.50 |
2.5× |
| Us soft tissue head/neck (76536) |
$200.50 |
$200.50 |
2.2× |
| Us spinal canal and contents (76800) |
$219 |
$219 |
2.4× |
| Vertebral fracture assessment via dxa (77086) |
$550 |
$550 |
7.3× |
| Wrist 2 views (73100) |
$166 |
$166 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$238 |
$238 |
2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$132 |
$132 |
1.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$166 |
$166 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$132 |
$132 |
1.8× |
| X-ray exam hip uni 1 view (73501) |
$106 |
$106 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$132 |
$132 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$79 |
$79 |
0.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$120 |
$120 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$132 |
$132 |
1.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$166 |
$166 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$132 |
$132 |
1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$132 |
$132 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$132 |
$132 |
1.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$132 |
$132 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$132 |
$132 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$179 |
$179 |
2.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$132 |
$132 |
1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$166 |
$166 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$132 |
$132 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$132 |
$132 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$132 |
$132 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$132 |
$132 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$166 |
$166 |
1.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$132 |
$132 |
1.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$106 |
$106 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$132 |
$132 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$132 |
$132 |
1.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$132 |
$132 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$166 |
$166 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$166 |
$166 |
1.8× |
| Xr finger(s) 2+ views (73140) |
$132 |
$132 |
1.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$132 |
$132 |
1.5× |
| Xr shoulder 1 view (73020) |
$106 |
$106 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$166 |
$166 |
1.8× |
| Xr tibia/fibula 2 views (73590) |
$132 |
$132 |
1.8× |
| Xr tmj bilateral (70330) |
$132 |
$132 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$132 |
$132 |
1.8× |