| Abdomen 2 views (74019) |
$167.53 |
$223.37 |
1.6× |
| Ankle 2 views (73600) |
$174.48 |
$232.64 |
1.9× |
| Arthrogram hip (73525) |
$211 |
$281.34 |
0.6× |
| Arthrogram knee (73580) |
$218.32 |
$291.09 |
0.6× |
| Arthrogram shoulder (73040) |
$343.49 |
$457.99 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$538.73 |
$718.30 |
1.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$552.60 |
$736.80 |
1.3× |
| Bone &/joint imaging whole body (78306) |
$650.34 |
$867.12 |
1.6× |
| Bone age studies (77072) |
$145.69 |
$194.25 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$662.77 |
$883.69 |
1.6× |
| Bone survey complete (77075) |
$737.99 |
$983.99 |
6.8× |
| Bone survey infant (77076) |
$276.66 |
$368.88 |
2.6× |
| Bowel imaging (78290) |
$545.48 |
$727.30 |
1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$916.50 |
$1,222 |
0.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$522.78 |
$697.04 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$117.22 |
$156.28 |
1.3× |
| Chest 1 view (71045) |
$157.34 |
$209.78 |
1.8× |
| Chest xray 3 views (71047) |
$83.67 |
$111.56 |
0.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$53.25 |
$71 |
0.3× |
| Clavicle complete (73000) |
$86.81 |
$115.74 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$355.94 |
$474.60 |
3.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,307.77 |
$1,743.70 |
3.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,191.97 |
$1,589.29 |
4.8× |
| CT abdomen w contrast (74160) |
$721.62 |
$962.16 |
4.0× |
| CT abdomen w wo contrast (74170) |
$797.54 |
$1,063.39 |
4.4× |
| CT abdomen w/o contrast (74150) |
$781.58 |
$1,042.10 |
7.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,159.36 |
$1,545.82 |
6.4× |
| CT angiography upper extremity lt (73206) |
$304.16 |
$405.54 |
1.7× |
| CT c-spine w/contrast (72126) |
$301.60 |
$402.13 |
0.8× |
| CT c-spine w/o contrast (72125) |
$785.70 |
$1,047.60 |
7.3× |
| CT cervical spine w&w/o contrast (72127) |
$298.14 |
$397.52 |
1.6× |
| CT chest w contrast (71260) |
$760.23 |
$1,013.64 |
4.2× |
| CT chest w/wo contrast (71270) |
$814.04 |
$1,085.39 |
4.5× |
| CT head/brain with contrast (70460) |
$824.26 |
$1,099.02 |
4.6× |
| CT head/brain without and with contrast (70470) |
$813.67 |
$1,084.89 |
4.5× |
| CT iac w contrast (70481) |
$1,035.09 |
$1,380.12 |
5.7× |
| CT limited/localized follow up study (76380) |
$238.56 |
$318.08 |
2.7× |
| CT lower ext w/o (73700) |
$747.83 |
$997.10 |
6.9× |
| CT lower extremity w wo contrast (73702) |
$977.44 |
$1,303.25 |
5.4× |
| CT lower extremity w/contrast material (73701) |
$929.36 |
$1,239.15 |
5.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,027.46 |
$1,369.94 |
5.7× |
| CT lumbar spine w/contrast (72132) |
$911.78 |
$1,215.71 |
2.5× |
| CT lumbar spine w/o contrast (72131) |
$798.10 |
$1,064.13 |
7.4× |
| CT maxillofacial w contrast (70487) |
$789.30 |
$1,052.40 |
4.4× |
| CT maxillofacial w/wo contrast (70488) |
$899.12 |
$1,198.82 |
5.0× |
| CT maxillofacial wo contrast (70486) |
$675.31 |
$900.41 |
6.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,235.88 |
$1,647.84 |
6.8× |
| CT orbits w/o contrast (70480) |
$830.20 |
$1,106.93 |
7.7× |
| CT pelvis w/o contrast (72192) |
$778.58 |
$1,038.10 |
7.2× |
| CT pelvis w/wo contrast (72194) |
$831.54 |
$1,108.72 |
4.6× |
| CT scan of arm combo (73202) |
$1,072.35 |
$1,429.80 |
5.9× |
| CT soft tissue neck w contrast (70491) |
$790.24 |
$1,053.66 |
4.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$846.14 |
$1,128.19 |
4.7× |
| CT soft tissue neck w/o contrast (70490) |
$788.53 |
$1,051.37 |
7.3× |
| CT thoracic spine w/contrast (72129) |
$691.34 |
$921.78 |
3.8× |
| CT thoracic spine w/o contrast (72128) |
$782.32 |
$1,043.10 |
7.3× |
| CT thoracic spine w/wo contrast (72130) |
$804.56 |
$1,072.74 |
4.4× |
| CT thorax w/o contrast (71250) |
$777.82 |
$1,037.10 |
7.2× |
| CT upper ext wo (73200) |
$725.70 |
$967.60 |
6.7× |
| CT upper extremity with contrast (73201) |
$942.70 |
$1,256.92 |
2.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$442.50 |
$590 |
2.4× |
| Cta Abdomen (74175) |
$1,160.88 |
$1,547.84 |
6.4× |
| CTA abdomen pelvis (74174) |
$1,431.32 |
$1,908.43 |
4.0× |
| CTA chest (71275) |
$1,221.96 |
$1,629.28 |
6.8× |
| Cta Head (70496) |
$1,039.82 |
$1,386.43 |
5.7× |
| Cta Neck (70498) |
$1,185.43 |
$1,580.58 |
6.5× |
| Cta Pelvis (72191) |
$1,255.88 |
$1,674.52 |
6.9× |
| Cystography minimum 3 views rs&i (74430) |
$222.46 |
$296.60 |
0.6× |
| Diskogram cervical (72285) |
$314.05 |
$418.73 |
0.2× |
| Diskography lumbar (72295) |
$237.24 |
$316.31 |
0.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$310.38 |
$413.84 |
2.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$209.34 |
$279.12 |
1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$105 |
$140 |
1.2× |
| Esophagus (74220) |
$85.47 |
$113.96 |
0.5× |
| Facial bones min 3 views (70150) |
$121.24 |
$161.65 |
1.1× |
| Fetal biophysical profile non-stress testing (76818) |
$311.75 |
$415.66 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$393.50 |
$524.67 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$134.64 |
$179.52 |
0.5× |
| Foot 2 views (73620) |
$176.21 |
$234.95 |
2.0× |
| Forearm 2 views (73090) |
$167.84 |
$223.79 |
1.9× |
| Hand 2 views (73120) |
$147.15 |
$196.20 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$493.10 |
$657.46 |
0.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,715.74 |
$6,287.66 |
11.4× |
| Hysterosalpingogram (74740) |
$100.35 |
$133.80 |
0.4× |
| Kidney imaging morphology (78700) |
$251.46 |
$335.27 |
0.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$592.02 |
$789.35 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$716.82 |
$955.76 |
1.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$615.55 |
$820.73 |
1.1× |
| Knee 3 views (73562) |
$111.40 |
$148.53 |
1.2× |
| Liver & spleen imaging static only (78215) |
$497.32 |
$663.09 |
1.2× |
| Lung perfusion differential (78597) |
$345.35 |
$460.46 |
0.8× |
| Lung ventilation imaging (78579) |
$505.83 |
$674.44 |
1.2× |
| Lymphoscintigraphy (78195) |
$562.48 |
$749.96 |
1.0× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,277.49 |
$1,703.32 |
1.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,409.16 |
$1,878.88 |
3.9× |
| Mammary ductogram or galactogram multiple (77054) |
$270.02 |
$360.04 |
1.1× |
| Mammary ductogram or galactogram single (77053) |
$206.49 |
$275.32 |
0.8× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$53.25 |
$71 |
0.6× |
| MRA head w/o contrast (70544) |
$1,478.46 |
$1,971.28 |
6.0× |
| MRA head with contrast (70545) |
$1,887.98 |
$2,517.31 |
5.2× |
| MRA neck w contrast (70548) |
$1,430.58 |
$1,907.44 |
4.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,958.36 |
$2,611.16 |
5.4× |
| MRA neck w/o contrast (70547) |
$1,235.64 |
$1,647.52 |
5.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,030.16 |
$2,706.88 |
5.6× |
| MRI abdomen w/o contrast (74181) |
$1,080.24 |
$1,440.31 |
4.4× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,767.39 |
$2,356.52 |
2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,294.73 |
$3,059.64 |
6.4× |
| MRI c-spine with contrast (72142) |
$1,295.87 |
$1,727.82 |
3.6× |
| MRI cervical spine w/o contrast (72141) |
$1,290.59 |
$1,720.78 |
5.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,456.18 |
$3,274.91 |
6.8× |
| MRI chest w/o contrast (71550) |
$1,476.50 |
$1,968.68 |
6.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,708.76 |
$2,278.34 |
4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,277.56 |
$3,036.75 |
6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,467.80 |
$1,957.07 |
6.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,133.23 |
$1,510.97 |
4.6× |
| MRI orbit face neck w contrast (70542) |
$1,851.50 |
$2,468.66 |
5.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,462.68 |
$1,950.24 |
4.1× |
| MRI pelvis w/contrast (72196) |
$1,719.12 |
$2,292.16 |
4.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,742.28 |
$2,323.04 |
4.8× |
| MRI pelvis w/o contrast (72195) |
$1,225.44 |
$1,633.91 |
5.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,814.96 |
$2,419.94 |
5.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,273.28 |
$1,697.71 |
3.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,799.52 |
$2,399.35 |
5.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,077.93 |
$2,770.57 |
5.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,845.09 |
$2,460.12 |
5.1× |
| MRI temporomandibular joint (70336) |
$1,007.90 |
$1,343.88 |
4.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,296.70 |
$1,728.93 |
5.3× |
| MRI up ext w/o contrast (73218) |
$981.73 |
$1,308.98 |
4.0× |
| MRI upper ext joint w/o contrast (73221) |
$431.25 |
$575 |
1.8× |
| MRI, joint upper extrem combo (73223) |
$2,181.82 |
$2,909.09 |
6.1× |
| Myelogram Cervical (72240) |
$222.06 |
$296.07 |
0.3× |
| Myelogram Lumbar (72265) |
$204.61 |
$272.81 |
0.3× |
| Myelogram thoracic (72255) |
$206.24 |
$275 |
0.3× |
| Myelography 2 or more regions (72270) |
$280 |
$373.34 |
0.3× |
| Myocardial infarct spect (78469) |
$356.10 |
$474.80 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,723.48 |
$3,631.31 |
2.0× |
| Myocardial spect single study at rest or stress (78451) |
$2,138.42 |
$2,851.23 |
1.6× |
| Neck soft tissue (70360) |
$85.36 |
$113.82 |
1.0× |
| Nm gastric emptying study (78264) |
$101.25 |
$135 |
0.2× |
| Nm gastroesophageal reflux study (78262) |
$399.04 |
$532.05 |
1.0× |
| Nm kidney scan w/flow (78701) |
$325.42 |
$433.88 |
0.8× |
| Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter… (76510) |
$478.56 |
$638.08 |
3.5× |
| Parathyroid Planar Imaging (78070) |
$557.48 |
$743.30 |
1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$649.16 |
$865.55 |
1.6× |
| Pelvis 1 or 2 views (72170) |
$186.80 |
$249.06 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$1,114.50 |
$1,486 |
0.8× |
| PET imaging for CT attenuation whole body (78816) |
$1,158.75 |
$1,545 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$265.19 |
$353.58 |
0.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$885.11 |
$1,180.14 |
1.6× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$113.46 |
$151.28 |
1.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$80 |
$106.67 |
0.9× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$115.34 |
$153.78 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$114.22 |
$152.30 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$83.40 |
$111.20 |
0.8× |
| Radex fingr minimum 2 views (73140) |
$124.57 |
$166.09 |
1.4× |
| Radex Foot Compl Minimum 3 Views (73630) |
$110.94 |
$147.92 |
1.2× |
| Radex Hand Minimum 3 Views (73130) |
$113.84 |
$151.78 |
1.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$90.83 |
$121.10 |
1.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$238.43 |
$317.90 |
2.2× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$117.12 |
$156.16 |
1.1× |
| Radex Humerus Minimum 2 Views (73060) |
$167.84 |
$223.79 |
1.9× |
| Radex Kne 1/2 Views (73560) |
$152.30 |
$203.07 |
1.7× |
| Radex Kne Compl 4/More Views (73564) |
$127.32 |
$169.76 |
1.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$205.94 |
$274.58 |
1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$145.47 |
$193.96 |
1.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$80.18 |
$106.92 |
0.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$116.46 |
$155.28 |
1.3× |
| Radex Sinuses Paransl < 3 Views (70210) |
$21.75 |
$29 |
0.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$134.16 |
$178.87 |
1.5× |
| Radex Toe Minimum 2 Views (73660) |
$87.70 |
$116.93 |
1.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$76.68 |
$102.24 |
0.7× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$113.46 |
$151.28 |
1.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$157.45 |
$209.93 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$119.66 |
$159.54 |
1.1× |
| Radiologic exam chest 2 views (71046) |
$183.70 |
$244.92 |
2.0× |
| Radiologic exam colon single contrast study (74270) |
$124.30 |
$165.73 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$139.42 |
$185.89 |
0.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$267.50 |
$356.66 |
1.5× |
| Radiologic examination femur 1 view (73551) |
$88.52 |
$118.02 |
1.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$157.34 |
$209.78 |
1.8× |
| Radiological examination surgical specimen (76098) |
$90.10 |
$120.14 |
0.2× |
| Ribs bilateral 3 views (71110) |
$223.06 |
$297.41 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,197.29 |
$1,596.38 |
2.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$180.11 |
$240.15 |
0.7× |
| Scapula (73010) |
$178.41 |
$237.88 |
1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$105 |
$140 |
4.5× |
| Shoulder 1 view (73020) |
$115.85 |
$154.46 |
1.3× |
| Small bowel series (74250) |
$244.32 |
$325.76 |
1.3× |
| Speech evaluation complex (70371) |
$253.02 |
$337.35 |
1.0× |
| Spine thoracic 3 views (72072) |
$295.64 |
$394.19 |
2.7× |
| Thoracolumbar 2 views (72080) |
$89.35 |
$119.14 |
1.0× |
| Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Non-Facility (78015) |
$187.50 |
$250 |
0.5× |
| Thyroid imaging w/blood flow (78013) |
$269.56 |
$359.41 |
0.7× |
| Thyroid uptake measurement (78012) |
$490.08 |
$653.44 |
1.2× |
| Tmj unilateral (70328) |
$209.82 |
$279.76 |
2.3× |
| Ultrasound breast complete (76641) |
$418.30 |
$557.74 |
3.9× |
| Ultrasound Exam Aaa Screen (76706) |
$166.22 |
$221.64 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$236.90 |
$315.86 |
2.2× |
| Umbilical-artery Doppler (OB) (76820) |
$226.18 |
$301.56 |
2.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$76.21 |
$101.61 |
0.8× |
| Urethrocystogram voiding (74455) |
$218.23 |
$290.97 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$216.30 |
$288.40 |
0.9× |
| Us breast unilateral limited (76642) |
$247.94 |
$330.58 |
2.8× |
| Us chest (76604) |
$335.34 |
$447.12 |
3.1× |
| Us compl joint r-t w/image documentation (76881) |
$272.92 |
$363.89 |
2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$119.50 |
$159.33 |
1.1× |
| Us ob limited (76815) |
$281.64 |
$375.52 |
2.6× |
| Us ob transvaginal (76817) |
$194.16 |
$258.87 |
1.8× |
| Us pelvic non ob complete (76856) |
$179.89 |
$239.86 |
1.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$194.47 |
$259.29 |
1.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$213.28 |
$284.37 |
2.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$226.20 |
$301.60 |
2.1× |
| Us retroperitoneal complete (76770) |
$305.56 |
$407.40 |
2.8× |
| Us retroperitoneal limited (76775) |
$134.65 |
$179.53 |
1.2× |
| Us scrotum and contents (76870) |
$136.52 |
$182.02 |
1.3× |
| Us soft tissue head/neck (76536) |
$85.44 |
$113.92 |
0.8× |
| Us spinal canal and contents (76800) |
$314.72 |
$419.64 |
2.9× |
| Us,transplanted kidney, real time/ doppler (76776) |
$273.13 |
$364.17 |
2.5× |
| Vertebral fracture assessment via dxa (77086) |
$158.46 |
$211.28 |
1.8× |
| Wrist 2 views (73100) |
$147.15 |
$196.20 |
1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$178.41 |
$237.88 |
2.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$378.64 |
$504.86 |
2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$147.15 |
$196.20 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$145.72 |
$194.30 |
1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$163.46 |
$217.94 |
1.5× |
| X-ray exam of femur 2/> (73552) |
$113.57 |
$151.42 |
1.3× |
| X-ray eye for foreign body (70030) |
$94.70 |
$126.28 |
1.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$188.99 |
$251.98 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$164.44 |
$219.26 |
1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$160.58 |
$214.10 |
1.8× |
| X-ray leg, infant (73592) |
$119.47 |
$159.29 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$130.75 |
$174.33 |
1.2× |
| X-ray nose-rectum child f.b. (76010) |
$64.50 |
$86 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$223.89 |
$298.52 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$126.53 |
$168.70 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$145.84 |
$194.46 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$163.66 |
$218.22 |
1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$180.19 |
$240.25 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$99.72 |
$132.96 |
1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$209.82 |
$279.76 |
2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$236.06 |
$314.74 |
2.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$173.13 |
$230.84 |
1.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$112.18 |
$149.58 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$111.98 |
$149.30 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$174.85 |
$233.13 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$198.91 |
$265.21 |
1.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$163.04 |
$217.38 |
1.5× |
| Xr bone length studies (77073) |
$218.70 |
$291.60 |
2.0× |
| Xr c-spine 4 or 5 views (72050) |
$102.65 |
$136.86 |
1.0× |
| Xr c-spine 6 or more views (72052) |
$187.79 |
$250.38 |
1.7× |