| Abdomen 2 views (74019) |
$79.50 |
$132.50 |
0.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$433.20 |
$722 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$6,183.60 |
$10,306 |
2.2× |
| Ankle 2 views (73600) |
$138 |
$230 |
1.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$330.90 |
$551.50 |
1.0× |
| Arthrogram shoulder (73040) |
$814.20 |
$1,357 |
2.6× |
| Arthrography knee lt (73580) |
$814.20 |
$1,357 |
2.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$417 |
$695 |
1.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$425.40 |
$709 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$307.80 |
$513 |
0.9× |
| Bone age studies (77072) |
$61.20 |
$102 |
0.6× |
| Bone Imaging 3 Phase (78315) |
$330.30 |
$550.50 |
0.9× |
| Bone survey complete (77075) |
$133.50 |
$222.50 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$79.50 |
$132.50 |
1.0× |
| Chest 1 view (71045) |
$77.40 |
$129 |
1.0× |
| Chest 3 views (71047) |
$120 |
$200 |
1.5× |
| Clavicle complete (73000) |
$138 |
$230 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$196.50 |
$327.50 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$181.20 |
$302 |
0.6× |
| CT abdomen and pelvis without contrast (74176) |
$558.60 |
$931 |
2.6× |
| CT abdomen w contrast (74160) |
$114 |
$190 |
0.7× |
| CT abdomen w wo contrast (74170) |
$463.80 |
$773 |
2.9× |
| CT abdomen w/o contrast (74150) |
$480 |
$800 |
5.1× |
| CT angiography upper extremity lt (73206) |
$660 |
$1,100 |
4.2× |
| CT c-spine w/o contrast (72125) |
$555 |
$925 |
5.9× |
| CT cervical spine w&w/o contrast (72127) |
$551.70 |
$919.50 |
3.5× |
| CT cervical spine with contrast (72126) |
$414.90 |
$691.50 |
1.3× |
| CT chest w/wo contrast (71270) |
$123.60 |
$206 |
0.8× |
| CT chest with contrast (71260) |
$421.80 |
$703 |
2.7× |
| CT head/brain with contrast (70460) |
$410.70 |
$684.50 |
2.6× |
| CT head/brain without and with contrast (70470) |
$458.10 |
$763.50 |
2.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$95.10 |
$158.50 |
1.2× |
| CT iac w contrast (70481) |
$328.80 |
$548 |
2.1× |
| CT lower ext w/o (73700) |
$720 |
$1,200 |
7.6× |
| CT lower extremity w wo contrast (73702) |
$813 |
$1,355 |
5.1× |
| CT lower extremity with contrast (73701) |
$750 |
$1,250 |
4.7× |
| CT lumbar spine w & w/o contrast (72133) |
$499.50 |
$832.50 |
3.1× |
| CT lumbar spine w/o contrast (72131) |
$314.70 |
$524.50 |
3.3× |
| CT lumbar spine with contrast (72132) |
$414.90 |
$691.50 |
1.3× |
| CT maxillofacial w contrast (70487) |
$410.70 |
$684.50 |
2.6× |
| CT maxillofacial w/o contrast (70486) |
$278.10 |
$463.50 |
2.9× |
| CT maxillofacial w/wo contrast (70488) |
$416.70 |
$694.50 |
2.6× |
| CT neck soft tissue w contrast (70491) |
$124.20 |
$207 |
0.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$361.80 |
$603 |
2.3× |
| CT orbits w/o contrast (70480) |
$213.30 |
$355.50 |
2.3× |
| CT pelvis w & w/o contrast (72194) |
$455.70 |
$759.50 |
2.9× |
| CT pelvis w/o contrast (72192) |
$288.90 |
$481.50 |
3.1× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$82.80 |
$138 |
1.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$129.60 |
$216 |
0.8× |
| CT soft tissue neck w/o contrast (70490) |
$114.60 |
$191 |
1.2× |
| CT thoracic spine w/contrast (72129) |
$343.80 |
$573 |
2.2× |
| CT thoracic spine w/o contrast (72128) |
$284.70 |
$474.50 |
3.0× |
| CT thoracic spine w/wo contrast (72130) |
$357.30 |
$595.50 |
2.2× |
| CT thorax w/o contrast (71250) |
$91.80 |
$153 |
1.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$648 |
$1,080 |
4.1× |
| CT upper extremity w/o contrast rt (73200) |
$570 |
$950 |
6.0× |
| CT upper extremity with contrast (73201) |
$675 |
$1,125 |
2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$437.40 |
$729 |
2.8× |
| Cta Abdomen (74175) |
$487.80 |
$813 |
3.1× |
| CTA abdomen pelvis (74174) |
$198.60 |
$331 |
0.6× |
| CTA chest (71275) |
$488.40 |
$814 |
3.1× |
| Cta Head (70496) |
$408.90 |
$681.50 |
2.6× |
| CTA lwr ext w&w/o contrast (73706) |
$813 |
$1,355 |
5.1× |
| Cta Neck (70498) |
$157.80 |
$263 |
1.0× |
| Cta Pelvis (72191) |
$487.50 |
$812.50 |
3.1× |
| Cystography minimum 3 views rs&i (74430) |
$323.70 |
$539.50 |
1.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$120 |
$200 |
1.3× |
| Esophagus (74220) |
$143.40 |
$239 |
0.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$197.10 |
$328.50 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$204.60 |
$341 |
0.9× |
| Foot 2 views (73620) |
$137.40 |
$229 |
1.7× |
| Forearm 2 views (73090) |
$138 |
$230 |
1.8× |
| Gated Heart Planar Single (78472) |
$357.90 |
$596.50 |
1.0× |
| Hand 2 views (73120) |
$138 |
$230 |
1.5× |
| Hand 3 views (73130) |
$138 |
$230 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$487.20 |
$812 |
1.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$367.50 |
$612.50 |
1.0× |
| Ht muscle image spect sing (78451) |
$1,444.50 |
$2,407.50 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$138 |
$230 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$542.40 |
$904 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$554.10 |
$923.50 |
1.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$561.30 |
$935.50 |
1.1× |
| Knee 3 views (73562) |
$138 |
$230 |
1.8× |
| Liver & spleen imaging static only (78215) |
$468.90 |
$781.50 |
1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$472.50 |
$787.50 |
1.3× |
| Lung perf&ventilat diferentl (78598) |
$554.40 |
$924 |
1.1× |
| Lung perfusion differential (78597) |
$384.90 |
$641.50 |
1.1× |
| Lung Ventilation Imaging (78579) |
$420.60 |
$701 |
1.2× |
| Meckels Diverticulum (78290) |
$419.10 |
$698.50 |
1.2× |
| MRA head w & w/o contrast (70546) |
$621 |
$1,035 |
2.0× |
| MRA head w/o contrast (70544) |
$840 |
$1,400 |
3.9× |
| MRA head with contrast (70545) |
$533.70 |
$889.50 |
1.7× |
| MRA neck w contrast (70548) |
$564 |
$940 |
1.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$681 |
$1,135 |
2.2× |
| MRA neck w/o contrast (70547) |
$473.40 |
$789 |
2.2× |
| MRI abdomen w contrast (74182) |
$602.40 |
$1,004 |
1.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$657.30 |
$1,095.50 |
2.1× |
| MRI abdomen w/o contrast (74181) |
$575.40 |
$959 |
2.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,050 |
$1,750 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,140 |
$1,900 |
1.6× |
| MRI bone marrow blood supply (77084) |
$372.90 |
$621.50 |
1.7× |
| MRI breast w/o contrast bilateral (77047) |
$348 |
$580 |
1.6× |
| MRI breast w/o contrast unilat (77046) |
$348 |
$580 |
1.6× |
| MRI c-spine with contrast (72142) |
$575.40 |
$959 |
1.8× |
| MRI cardiac w/o contrast (75557) |
$494.40 |
$824 |
2.3× |
| MRI cervical spine w/o contrast (72141) |
$531.30 |
$885.50 |
2.5× |
| MRI chest w/o & w/contrast material (71552) |
$732.30 |
$1,220.50 |
2.3× |
| MRI chest w/o contrast (71550) |
$477 |
$795 |
2.2× |
| MRI chest with contrast (71551) |
$648 |
$1,080 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,020 |
$1,700 |
3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,050 |
$1,750 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$823.20 |
$1,372 |
3.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$450 |
$750 |
2.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$736.80 |
$1,228 |
2.3× |
| MRI orbit/face/neck w/contrast (70542) |
$582.90 |
$971.50 |
1.8× |
| MRI pelvis w contrast (72196) |
$498.30 |
$830.50 |
1.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$642.30 |
$1,070.50 |
2.0× |
| MRI pelvis w/o contrast (72195) |
$477 |
$795 |
2.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,200 |
$2,000 |
3.8× |
| MRI scan of leg joint before and after contrast (73723) |
$1,110 |
$1,850 |
3.5× |
| MRI spectroscopy (76390) |
$435 |
$725 |
5.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$743.40 |
$1,239 |
2.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$650.40 |
$1,084 |
2.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$744 |
$1,240 |
2.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$612.90 |
$1,021.50 |
1.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$744 |
$1,240 |
2.4× |
| MRI thoracic spine w/o contrast (72146) |
$516.30 |
$860.50 |
2.4× |
| MRI tmj (70336) |
$568.50 |
$947.50 |
2.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,020 |
$1,700 |
4.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,200 |
$2,000 |
3.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$823.20 |
$1,372 |
3.8× |
| Myocardial Spect Multiple Studies (78452) |
$1,455 |
$2,425 |
1.2× |
| Neck soft tissue (70360) |
$76.80 |
$128 |
1.0× |
| Nm gastric emptying study (78264) |
$424.20 |
$707 |
1.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$521.70 |
$869.50 |
1.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$421.50 |
$702.50 |
1.2× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$763.20 |
$1,272 |
1.6× |
| Nuclear Rx Oral Admin (79005) |
$614.40 |
$1,024 |
2.9× |
| Parathyroid imaging (78070) |
$379.80 |
$633 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$77.40 |
$129 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,281 |
$2,135 |
4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$399.90 |
$666.50 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$564.60 |
$941 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$405.30 |
$675.50 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$85.50 |
$142.50 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$135.60 |
$226 |
1.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$131.40 |
$219 |
1.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$129.60 |
$216 |
1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$248.70 |
$414.50 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$228 |
$380 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$77.40 |
$129 |
1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$93 |
$155 |
1.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$78.90 |
$131.50 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$212.70 |
$354.50 |
1.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$213.60 |
$356 |
1.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$213.30 |
$355.50 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$138 |
$230 |
1.8× |
| Radiological examination surgical specimen (76098) |
$809.40 |
$1,349 |
1.6× |
| Ribs bilateral 3 views (71110) |
$121.50 |
$202.50 |
1.3× |
| Sacroiliac Joints < 3 Views (72200) |
$76.80 |
$128 |
0.8× |
| Salivary gland function study (78232) |
$407.40 |
$679 |
1.1× |
| Salivary gland imaging (78230) |
$408.60 |
$681 |
1.1× |
| Scanogram (77073) |
$112.50 |
$187.50 |
1.2× |
| Scapula complete (73010) |
$138 |
$230 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$57 |
$95 |
2.4× |
| Small bowel series (74250) |
$110.10 |
$183.50 |
0.7× |
| Spine thoracic 3 views (72072) |
$119.10 |
$198.50 |
1.3× |
| Testicular Imaging With Vascular Flow (78761) |
$533.10 |
$888.50 |
1.5× |
| Thoracolumbar 2 views (72080) |
$71.10 |
$118.50 |
0.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$184.20 |
$307 |
0.5× |
| Thyroid uptake measurement (78012) |
$465 |
$402 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$282.90 |
$471.50 |
0.8× |
| Tmj unilateral (70328) |
$142.80 |
$238 |
1.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$489.30 |
$815.50 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$231.60 |
$386 |
2.4× |
| Unlisted Ultrasound Procedure (76999) |
$180 |
$300 |
2.3× |
| Upper Extremity Infant (73092) |
$218.40 |
$364 |
2.3× |
| Urethrocystography retrograde rs&i (74450) |
$618.60 |
$1,031 |
2.9× |
| Urethrocystography voiding (74455) |
$618 |
$1,030 |
2.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$331.20 |
$552 |
2.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$330.90 |
$551.50 |
2.1× |
| Us abdl aorta screen aaa (76706) |
$188.10 |
$313.50 |
2.0× |
| Us breast unilateral complete (76641) |
$171 |
$285 |
1.8× |
| Us breast unilateral limited (76642) |
$171 |
$285 |
2.2× |
| Us chest (76604) |
$242.40 |
$404 |
2.6× |
| Us compl joint r-t w/image documentation (76881) |
$323.40 |
$539 |
3.4× |
| Us kidney transplant (76776) |
$242.40 |
$404 |
2.6× |
| Us ob transvaginal (76817) |
$196.50 |
$327.50 |
2.1× |
| Us pelvic non ob complete (76856) |
$231.60 |
$386 |
2.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$216 |
$360 |
2.3× |
| Us pregnancy ltd (76815) |
$242.40 |
$404 |
2.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$242.40 |
$404 |
2.6× |
| Us retroperitoneal complete (76770) |
$237 |
$395 |
2.5× |
| Us retroperitoneal limited (76775) |
$237 |
$395 |
2.5× |
| Us scrotum and contents (76870) |
$189.60 |
$316 |
2.0× |
| Us soft tissue head/neck (76536) |
$242.40 |
$404 |
2.6× |
| Us transrectal (76872) |
$136.50 |
$227.50 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$180 |
$300 |
1.9× |
| Wrist 2 views (73100) |
$138 |
$230 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$123.90 |
$206.50 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$78.90 |
$131.50 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$138 |
$230 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$172.50 |
$287.50 |
1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$138 |
$230 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$138 |
$230 |
1.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$246.30 |
$410.50 |
2.6× |
| X-ray exam hip uni 1 view (73501) |
$138 |
$230 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$146.40 |
$244 |
1.9× |
| X-ray exam hip uni 4/> views (73503) |
$241.80 |
$403 |
2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$134.70 |
$224.50 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$245.10 |
$408.50 |
2.6× |
| X-ray exam of femur 1 (73551) |
$138 |
$230 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$121.20 |
$202 |
1.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$62.10 |
$103.50 |
0.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$138 |
$230 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$138 |
$230 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$138 |
$230 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$138 |
$230 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$77.70 |
$129.50 |
1.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$105 |
$175 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$79.50 |
$132.50 |
0.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$97.80 |
$163 |
1.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$120.30 |
$200.50 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$77.10 |
$128.50 |
1.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$120.90 |
$201.50 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$25.20 |
$42 |
0.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$70.20 |
$117 |
0.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$618.60 |
$1,031 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$138 |
$230 |
1.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$218.40 |
$364 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$123.90 |
$206.50 |
1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$77.70 |
$129.50 |
0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$77.10 |
$128.50 |
1.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$138 |
$230 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$80.40 |
$134 |
1.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$77.10 |
$128.50 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$124.80 |
$208 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$80.40 |
$134 |
0.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$76.20 |
$127 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$78.30 |
$130.50 |
1.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$63 |
$105 |
0.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$107.40 |
$179 |
1.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$138 |
$230 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$138 |
$230 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$137.40 |
$229 |
1.5× |
| Xr chest 4+ views (71048) |
$135 |
$225 |
1.4× |
| Xr Cholecystography Oral Contrast (74290) |
$136.80 |
$228 |
0.9× |
| Xr finger(s) 2+ views (73140) |
$138 |
$230 |
1.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$108 |
$180 |
1.1× |
| Xr shoulder 1 view (73020) |
$138 |
$230 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$113.10 |
$188.50 |
1.2× |
| Xr tibia/fibula 2 views (73590) |
$138 |
$230 |
1.8× |
| Xr tmj bilateral (70330) |
$71.70 |
$119.50 |
0.9× |
| Xray knee 1 or 2 views rt (73560) |
$138 |
$230 |
1.8× |