| Abdomen 1 View (74018) |
$404.60 |
$476 |
4.9× |
| Abdomen 2 views (74019) |
$493 |
$580 |
5.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,719.55 |
$2,023 |
4.5× |
| Angiography extremity bilateral rs&i (75716) |
$6,080.05 |
$7,153 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$6,080.05 |
$7,153 |
2.0× |
| Ankle 2 views (73600) |
$341.70 |
$402 |
4.2× |
| Aortography thoracic serialography rs&i (75605) |
$6,080.05 |
$7,153 |
1.2× |
| Artery X-Rays Abdomen (75726) |
$6,080.05 |
$7,153 |
1.2× |
| Arthrogram hip (73525) |
$675.75 |
$795 |
2.0× |
| Arthrogram Wrist (73115) |
$799.85 |
$941 |
2.4× |
| Bone age studies (77072) |
$407.15 |
$479 |
4.1× |
| Bone Imaging 3 Phase (78315) |
$2,421.65 |
$2,849 |
6.4× |
| Bone Imaging Limited Area (78300) |
$1,425.45 |
$1,677 |
3.8× |
| Bone Imaging Whole Body (78306) |
$2,063.80 |
$2,428 |
5.5× |
| Bone marrow imaging limited area (78102) |
$2,108.85 |
$2,481 |
5.6× |
| Bone marrow imaging; whole body (78104) |
$1,586.10 |
$1,866 |
4.2× |
| Bone survey infant (77076) |
$363.80 |
$428 |
3.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,820.40 |
$8,024 |
5.0× |
| Chest 1 view (71045) |
$275.40 |
$324 |
3.3× |
| Chest 2 views (71046) |
$288.15 |
$339 |
3.5× |
| Chest 3 views (71047) |
$385.90 |
$454 |
4.7× |
| Chest 4 or more views (71048) |
$241.40 |
$284 |
2.4× |
| Clavicle complete (73000) |
$863.60 |
$1,016 |
10.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$538.90 |
$634 |
5.4× |
| Contrast Exam Abdominl Aorta (75625) |
$6,080.05 |
$7,153 |
2.0× |
| Contrast X-Ray Bladder (74430) |
$369.75 |
$435 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,405.15 |
$6,359 |
16.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,699.60 |
$3,176 |
12.0× |
| CT abdomen w contrast (74160) |
$4,182 |
$4,920 |
25.2× |
| CT abdomen w wo contrast (74170) |
$4,275.50 |
$5,030 |
25.8× |
| CT abdomen w/o contrast (74150) |
$1,841.95 |
$2,167 |
18.6× |
| CT Angio Abdomen and Pelvis (74174) |
$4,809.30 |
$5,658 |
14.6× |
| CT Angio Chest (71275) |
$2,865.35 |
$3,371 |
17.3× |
| CT Angio Head (70496) |
$2,918.90 |
$3,434 |
17.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$2,170.90 |
$2,554 |
13.1× |
| CT Angio Neck (70498) |
$3,603.15 |
$4,239 |
21.7× |
| CT cervical spine w/ contrast (72126) |
$3,085.50 |
$3,630 |
9.3× |
| CT cervical spine w/o contrast (72125) |
$1,956.70 |
$2,302 |
19.8× |
| CT cervical spine w/wo cont (72127) |
$3,265.70 |
$3,842 |
19.7× |
| CT chest w contrast (71260) |
$2,553.40 |
$3,004 |
15.4× |
| CT chest w/wo contrast (71270) |
$3,263.15 |
$3,839 |
19.7× |
| CT head/brain with contrast (70460) |
$1,460.30 |
$1,718 |
8.8× |
| CT head/brain without and with contrast (70470) |
$2,248.25 |
$2,645 |
13.5× |
| CT iac w contrast (70481) |
$1,618.40 |
$1,904 |
9.8× |
| CT l-spine w&w/o contrast (72133) |
$3,390.65 |
$3,989 |
20.4× |
| CT lower ext w/o (73700) |
$2,012.80 |
$2,368 |
20.3× |
| CT lower extremity w/contrast material (73701) |
$2,032.35 |
$2,391 |
12.2× |
| CT lumbar spine w contrast (72132) |
$3,402.55 |
$4,003 |
10.3× |
| CT lumbar spine w/o contrast (72131) |
$2,697.90 |
$3,174 |
27.3× |
| CT maxillofacial w contrast (70487) |
$2,754 |
$3,240 |
16.6× |
| CT maxillofacial wo contrast (70486) |
$2,493.05 |
$2,933 |
25.2× |
| CT neck tissue combo (70492) |
$4,026.45 |
$4,737 |
24.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,178.55 |
$2,563 |
13.1× |
| CT orbits w/o contrast (70480) |
$1,473.90 |
$1,734 |
14.9× |
| CT pelvis w&w/o contrast (72194) |
$2,792.25 |
$3,285 |
16.8× |
| CT pelvis w/o contrast (72192) |
$2,048.50 |
$2,410 |
20.7× |
| CT scan of leg combo (73702) |
$1,767.15 |
$2,079 |
10.6× |
| CT scans face/jaw combo (70488) |
$3,031.10 |
$3,566 |
18.3× |
| CT soft tissue neck w contrast (70491) |
$3,530.05 |
$4,153 |
21.3× |
| CT soft tissue neck w/o contrast (70490) |
$2,984.35 |
$3,511 |
30.2× |
| CT thoracic spine w contrast (72129) |
$2,998.80 |
$3,528 |
18.1× |
| CT thoracic spine w/o contrast (72128) |
$2,697.90 |
$3,174 |
27.3× |
| CT thoracic spine w/wo cont (72130) |
$3,428.90 |
$4,034 |
20.7× |
| CT thorax w/o contrast (71250) |
$2,121.60 |
$2,496 |
21.4× |
| CT upper ext wo (73200) |
$1,488.35 |
$1,751 |
15.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,443.30 |
$1,698 |
8.7× |
| CT upper extremity with contrast (73201) |
$1,282.65 |
$1,509 |
3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$5,128.05 |
$6,033 |
30.9× |
| Cta Abdomen (74175) |
$5,844.60 |
$6,876 |
35.2× |
| CTA pelvis (72191) |
$2,947.80 |
$3,468 |
17.8× |
| Dxa Bone Density Axial (77080) |
$493 |
$580 |
5.0× |
| Echo exam uterus (76831) |
$719.95 |
$847 |
3.2× |
| Esophagram (74220) |
$605.20 |
$712 |
3.6× |
| Fetal Biophys Profile W/Nst (76818) |
$414.80 |
$488 |
4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$287.30 |
$338 |
2.9× |
| Fluoroscopy up to 1 hr (76000) |
$538.90 |
$634 |
2.4× |
| Foot 2 views (73620) |
$810.05 |
$953 |
9.8× |
| Forearm 2 views (73090) |
$413.10 |
$486 |
5.0× |
| Gastric emptying imaging study (78264) |
$1,885.30 |
$2,218 |
5.0× |
| Gated Heart Planar Single (78472) |
$2,336.65 |
$2,749 |
6.2× |
| Hand 2 views (73120) |
$363.80 |
$428 |
3.7× |
| Hepatobil Syst Image W/Drug (78227) |
$2,202.35 |
$2,591 |
4.3× |
| Hepatobiliary System Imaging (78226) |
$1,922.70 |
$2,262 |
5.1× |
| Ht Muscle Image Spect Sing (78451) |
$3,526.65 |
$4,149 |
2.9× |
| Hysterosalpingogram (74740) |
$821.10 |
$966 |
3.6× |
| Interstitial radiation source applic complex (77778) |
$890.80 |
$1,048 |
1.4× |
| K Flow/Funct Image W/Drug (78708) |
$3,028.55 |
$3,563 |
5.9× |
| K Flow/Funct Image W/O Drug (78707) |
$2,034.05 |
$2,393 |
4.0× |
| Knee 3 Views (73562) |
$787.10 |
$926 |
9.6× |
| Lung Ventilat&Perfus Imaging (78582) |
$3,655 |
$4,300 |
7.1× |
| Lymph System Imaging (78195) |
$1,891.25 |
$2,225 |
3.7× |
| Magnetic Image Jaw Joint (70336) |
$3,820.75 |
$4,495 |
16.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) |
$3,898.10 |
$4,586 |
23.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) |
$3,313.30 |
$3,898 |
6.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) |
$3,898.10 |
$4,586 |
23.5× |
| Mammary ductogram or galactogram multiple (77054) |
$923.95 |
$1,087 |
4.1× |
| Mammary ductogram or galactogram single (77053) |
$689.35 |
$811 |
3.1× |
| Mra Head W/O & W/Contrast Material (70546) |
$3,313.30 |
$3,898 |
10.0× |
| MRA head w/o contrast (70544) |
$3,313.30 |
$3,898 |
14.7× |
| MRA head with contrast (70545) |
$3,549.60 |
$4,176 |
10.8× |
| MRA neck w contrast (70548) |
$3,313.30 |
$3,898 |
10.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,313.30 |
$3,898 |
10.0× |
| MRA neck w/o contrast (70547) |
$3,820.75 |
$4,495 |
16.9× |
| MRI abdomen w contrast (74182) |
$4,518.60 |
$5,316 |
13.7× |
| MRI abdomen w/o contrast (74181) |
$3,643.10 |
$4,286 |
16.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,702.15 |
$3,179 |
3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,993.30 |
$4,698 |
12.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,759.55 |
$4,423 |
5.1× |
| MRI bone marrow blood supply (77084) |
$2,946.10 |
$3,466 |
13.1× |
| MRI cervical spine w contrast (72142) |
$4,286.55 |
$5,043 |
13.0× |
| MRI cervical spine w/o cont (72141) |
$3,841.15 |
$4,519 |
17.0× |
| MRI chest w/o contrast (71550) |
$3,771.45 |
$4,437 |
16.7× |
| MRI chest with contrast (71551) |
$4,289.10 |
$5,046 |
5.8× |
| MRI chest wo w contrast (71552) |
$4,950.40 |
$5,824 |
15.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,272.90 |
$2,674 |
6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,643.10 |
$4,286 |
11.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,643.10 |
$4,286 |
16.1× |
| MRI lumbar spine w contrast (72149) |
$4,579.80 |
$5,388 |
13.9× |
| Mri Neck Spine W/O & W/Dye (72156) |
$4,608.70 |
$5,422 |
14.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,155.20 |
$3,712 |
14.0× |
| MRI orbit face neck w contrast (70542) |
$3,751.05 |
$4,413 |
11.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,313.30 |
$3,898 |
10.0× |
| MRI pelvis w contrast (72196) |
$3,771.45 |
$4,437 |
11.4× |
| MRI pelvis w/o & w contrast (72197) |
$3,643.10 |
$4,286 |
11.0× |
| MRI pelvis w/o contrast (72195) |
$3,643.10 |
$4,286 |
16.1× |
| MRI spectroscopy (76390) |
$2,712.35 |
$3,191 |
32.9× |
| MRI thoracic spine w/o contrast (72146) |
$4,493.10 |
$5,286 |
19.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$3,643.10 |
$4,286 |
11.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,643.10 |
$4,286 |
16.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,643.10 |
$4,286 |
11.0× |
| MRI, abdomen, combo (74183) |
$7,502.10 |
$8,826 |
22.7× |
| MRI, dorsal spine combo (72157) |
$4,608.70 |
$5,422 |
14.0× |
| MRI, dorsal spine contrast (72147) |
$3,898.10 |
$4,586 |
11.8× |
| MRI, joint upper extrem (73221) |
$3,835.20 |
$4,512 |
17.0× |
| MRI, joint upper extrem combo (73223) |
$3,993.30 |
$4,698 |
12.1× |
| MRI, lumbar spine combo (72158) |
$4,608.70 |
$5,422 |
14.0× |
| Myelogram Lumbar (72265) |
$814.30 |
$958 |
1.1× |
| Myelograpy 2/more regions rs&i (72270) |
$1,220.60 |
$1,436 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,937.65 |
$5,809 |
4.0× |
| Neck soft tissue (70360) |
$406.30 |
$478 |
4.9× |
| Ob us nuchal meas 1 gest (76813) |
$247.35 |
$291 |
2.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$436.05 |
$513 |
4.4× |
| Optic foramina (70190) |
$354.45 |
$417 |
4.3× |
| Parathyroid Planar Imaging (78070) |
$977.50 |
$1,150 |
2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,836 |
$2,160 |
4.9× |
| Pelvis 1 or 2 views (72170) |
$262.65 |
$309 |
2.7× |
| Pet Image W/Ct Lmtd (78814) |
$6,050.30 |
$7,118 |
4.5× |
| PET image w/CT, full body (78816) |
$7,403.50 |
$8,710 |
5.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$8,145.55 |
$9,583 |
6.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,482.40 |
$1,744 |
3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$551.65 |
$649 |
5.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$901.85 |
$1,061 |
11.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$386.75 |
$455 |
4.7× |
| Radex elbow complete minimum 3 views (73080) |
$481.10 |
$566 |
5.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$572.90 |
$674 |
5.8× |
| Radex fingr minimum 2 views (73140) |
$291.55 |
$343 |
3.5× |
| Radex foot complete minimum 3 views (73630) |
$849.15 |
$999 |
10.3× |
| Radex Hand Minimum 3 Views (73130) |
$363.80 |
$428 |
4.4× |
| Radex lower extremity infant minimum 2 views (73592) |
$332.35 |
$391 |
4.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$446.25 |
$525 |
5.4× |
| Radex Ribs Unilateral 2 Views (71100) |
$391 |
$460 |
4.7× |
| Radex shoulder complete minimum 2 views (73030) |
$391.85 |
$461 |
4.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$280.50 |
$330 |
3.4× |
| Radex Spine 1 View Specify Level (72020) |
$286.45 |
$337 |
3.5× |
| Radex Sternum Minimum 2 Views (71120) |
$522.75 |
$615 |
6.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$555.90 |
$654 |
6.8× |
| Radex Toe Minimum 2 Views (73660) |
$381.65 |
$449 |
4.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$862.75 |
$1,015 |
8.7× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$391.85 |
$461 |
4.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,063.35 |
$1,251 |
10.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$305.15 |
$359 |
3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$616.25 |
$725 |
6.2× |
| Radiologic exam colon double contrast study (74280) |
$1,223.15 |
$1,439 |
7.4× |
| Radiologic exam colon single contrast study (74270) |
$538.90 |
$634 |
3.2× |
| Radiologic exam knee complete 4/more views (73564) |
$1,003.85 |
$1,181 |
10.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$463.25 |
$545 |
4.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$696.15 |
$819 |
4.2× |
| Radiologic exam swallow function contrast study (74230) |
$428.40 |
$504 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$867 |
$1,020 |
5.2× |
| Radiologic examination femur 1 view (73551) |
$337.45 |
$397 |
4.1× |
| Radiologic examination femur minimum 2 views (73552) |
$391 |
$460 |
4.7× |
| Radiologic examination knee 1/2 views (73560) |
$345.10 |
$406 |
4.2× |
| Radiologic Examination Osseous Survey Limited (77074) |
$1,060.80 |
$1,248 |
10.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$702.95 |
$827 |
8.5× |
| Ribs bilateral 3 views (71110) |
$690.20 |
$812 |
7.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$8,696.35 |
$10,231 |
23.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,021.30 |
$2,378 |
5.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,191.30 |
$2,578 |
4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,669.85 |
$3,141 |
5.2× |
| Scapula (73010) |
$475.15 |
$559 |
4.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$95.20 |
$112 |
4.1× |
| Shoulder 1 view (73020) |
$385.05 |
$453 |
4.7× |
| Shoulder Arthrography (73040) |
$799.85 |
$941 |
2.4× |
| Skull less than 4 views (70250) |
$638.35 |
$751 |
6.5× |
| Sternoclavicular joints (71130) |
$267.75 |
$315 |
3.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,375.30 |
$1,618 |
3.9× |
| Thoracic spine 2 views (72070) |
$484.50 |
$570 |
4.9× |
| Thoracic spine 3 views (72072) |
$582.25 |
$685 |
5.9× |
| Thyroid Uptake Measurement (78012) |
$963.05 |
$1,133 |
2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,625.65 |
$3,089 |
6.9× |
| Tx devices design & construction simple (77332) |
$168.30 |
$198 |
1.3× |
| Ultrasound Breast Limited (76642) |
$414.80 |
$488 |
5.0× |
| Ultrasound Exam Aaa Screen (76706) |
$596.70 |
$702 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$788.80 |
$928 |
8.0× |
| Umbilical-artery Doppler (OB) (76820) |
$62.90 |
$74 |
0.6× |
| Upper gi w/o kub (74240) |
$832.15 |
$979 |
5.0× |
| Urethrocystogram voiding (74455) |
$1,167.90 |
$1,374 |
5.2× |
| Us breast unilateral complete (76641) |
$774.35 |
$911 |
7.8× |
| Us chest (76604) |
$601.80 |
$708 |
6.1× |
| Us complete joint (76881) |
$481.10 |
$566 |
4.9× |
| Us exam, pelvic, limited (76857) |
$312.80 |
$368 |
3.2× |
| Us head (76506) |
$409.70 |
$482 |
4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$558.45 |
$657 |
5.6× |
| Us ob detailed single fetus (76811) |
$973.25 |
$1,145 |
4.3× |
| Us ob limited 1 or more fetuses (76815) |
$569.50 |
$670 |
5.8× |
| Us ob transvaginal (76817) |
$480.25 |
$565 |
4.9× |
| Us pelvic non ob complete (76856) |
$623.90 |
$734 |
6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$550.80 |
$648 |
5.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$303.45 |
$357 |
3.1× |
| Us retroperitoneal complete (76770) |
$787.10 |
$926 |
8.0× |
| Us retroperitoneal limited (76775) |
$823.65 |
$969 |
8.3× |
| Us scrotum and contents (76870) |
$640.90 |
$754 |
6.5× |
| Us thyroid (76536) |
$544.85 |
$641 |
5.5× |
| Us transrectal (76872) |
$935.85 |
$1,101 |
9.5× |
| Venography extremity unilateral rs&i (75820) |
$2,073.15 |
$2,439 |
1.4× |
| Vertebral fracture assessment via dxa (77086) |
$337.45 |
$397 |
4.1× |
| Wrist 2 views (73100) |
$655.35 |
$771 |
8.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$601.80 |
$708 |
7.3× |
| X-ray antegrade pyelogram tube (74425) |
$916.30 |
$1,078 |
2.8× |
| X-Ray Aorta Leg Arteries (75630) |
$6,080.05 |
$7,153 |
2.0× |
| X-Ray Bend Only L-S Spine (72120) |
$628.15 |
$739 |
6.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$273.70 |
$322 |
3.3× |
| X-Ray Exam Breast Specimen (76098) |
$300.90 |
$354 |
0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$225.25 |
$265 |
2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$940.95 |
$1,107 |
9.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$974.95 |
$1,147 |
9.9× |
| X-Ray Exam Hip Uni 1 View (73501) |
$268.60 |
$316 |
3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$307.70 |
$362 |
3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$558.45 |
$657 |
5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$634.95 |
$747 |
6.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$427.55 |
$503 |
4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,012.35 |
$1,191 |
10.2× |
| X-Ray Exam L-S Spine Bending (72114) |
$782.85 |
$921 |
7.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$498.95 |
$587 |
6.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$761.60 |
$896 |
7.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$538.90 |
$634 |
5.4× |
| X-ray eye for foreign body (70030) |
$328.95 |
$387 |
4.0× |
| X-ray humerus (73060) |
$354.45 |
$417 |
4.3× |
| X-ray IV pyelogram (ivp) (74400) |
$1,234.20 |
$1,452 |
7.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$345.10 |
$406 |
4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$504.05 |
$593 |
5.1× |
| X-ray nose-rectum child f.b. (76010) |
$197.20 |
$232 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$691.05 |
$813 |
7.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$453.90 |
$534 |
4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$516.80 |
$608 |
6.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$742.90 |
$874 |
9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$652.80 |
$768 |
6.6× |
| X-ray thoracic spine 4 vw (72074) |
$509.15 |
$599 |
5.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$2,208.30 |
$2,598 |
6.7× |
| X-Rays Bone Length Studies (77073) |
$348.50 |
$410 |
3.5× |
| X-Rays Bone Survey Complete (77075) |
$949.45 |
$1,117 |
9.6× |
| Xr c-spine 4 or 5 views (72050) |
$670.65 |
$789 |
6.8× |
| Xr facial bones less than 3 views (70140) |
$376.55 |
$443 |
4.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$317.05 |
$373 |
3.2× |
| Xr orbits complete 4 views (70200) |
$191.25 |
$225 |
1.9× |