| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,824.65 |
$4,707.74 |
2.0× |
| Abdomen 2 views (74019) |
$288.51 |
$480.85 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$960 |
$1,600 |
2.4× |
| Ankle 2 views (73600) |
$186 |
$310 |
2.1× |
| Arthrogram shoulder (73040) |
$616.50 |
$1,027.50 |
1.8× |
| Arthrography knee lt (73580) |
$878.22 |
$1,463.70 |
2.5× |
| Basic radiation dosimetry calculation (77300) |
$384.96 |
$641.61 |
2.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,080 |
$1,800 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$1,320 |
$2,200 |
3.3× |
| Bone age studies (77072) |
$210 |
$350 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$1,140 |
$1,900 |
2.8× |
| Bone survey complete (77075) |
$480 |
$800 |
4.6× |
| Brain image w/flow 4 + views (78606) |
$823.50 |
$1,372.50 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$258 |
$430 |
3.0× |
| Chest 1 view (71045) |
$212.72 |
$354.52 |
2.4× |
| Chest 3 views (71047) |
$180 |
$300 |
2.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$402 |
$670 |
2.3× |
| Clavicle complete (73000) |
$205 |
$341.68 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,200 |
$2,000 |
11.5× |
| Continuing medical physics consltj pr wk (77336) |
$256.64 |
$427.74 |
1.9× |
| Corpora cavernosography (74445) |
$816 |
$1,360 |
7.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,600 |
$6,000 |
10.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,700 |
$4,500 |
11.3× |
| CT abdomen w contrast (74160) |
$1,800 |
$3,000 |
10.2× |
| CT abdomen w wo contrast (74170) |
$2,095.90 |
$3,493.16 |
11.9× |
| CT abdomen w/o contrast (74150) |
$1,620 |
$2,700 |
15.5× |
| CT angiography upper extremity lt (73206) |
$1,440 |
$2,400 |
8.2× |
| CT c-spine w/o contrast (72125) |
$1,740 |
$2,900 |
16.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,744.50 |
$2,907.50 |
9.9× |
| CT cervical spine with contrast (72126) |
$1,740 |
$2,900 |
5.0× |
| CT chest w/wo contrast (71270) |
$1,680 |
$2,800 |
9.6× |
| CT chest with contrast (71260) |
$1,860 |
$3,100 |
10.6× |
| CT head/brain with contrast (70460) |
$1,380 |
$2,300 |
7.9× |
| CT head/brain without and with contrast (70470) |
$1,980 |
$3,300 |
11.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$39 |
$65 |
0.4× |
| CT iac w contrast (70481) |
$1,470 |
$2,450 |
8.4× |
| CT lower ext w/o (73700) |
$1,410 |
$2,350 |
13.5× |
| CT lower extremity w wo contrast (73702) |
$1,440 |
$2,400 |
8.2× |
| CT lower extremity with contrast (73701) |
$1,438.50 |
$2,397.50 |
8.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,740 |
$2,900 |
9.9× |
| CT lumbar spine w/o contrast (72131) |
$1,740 |
$2,900 |
16.6× |
| CT lumbar spine with contrast (72132) |
$1,740 |
$2,900 |
5.0× |
| CT maxillofacial w contrast (70487) |
$1,710 |
$2,850 |
9.7× |
| CT maxillofacial w/o contrast (70486) |
$1,440 |
$2,400 |
13.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,710 |
$2,850 |
9.7× |
| CT neck soft tissue w contrast (70491) |
$1,680 |
$2,800 |
9.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,560 |
$2,600 |
8.9× |
| CT orbits w/o contrast (70480) |
$1,447.50 |
$2,412.50 |
13.8× |
| CT pelvis w & w/o contrast (72194) |
$1,680 |
$2,800 |
9.6× |
| CT pelvis w/o contrast (72192) |
$1,647.05 |
$2,745.08 |
15.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,560 |
$2,600 |
8.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,620 |
$2,700 |
15.5× |
| CT thoracic spine w/contrast (72129) |
$1,740 |
$2,900 |
9.9× |
| CT thoracic spine w/o contrast (72128) |
$1,740 |
$2,900 |
16.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,740 |
$2,900 |
9.9× |
| CT thorax w/o contrast (71250) |
$1,560 |
$2,600 |
14.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,440 |
$2,400 |
8.2× |
| CT upper extremity w/o contrast rt (73200) |
$760.14 |
$1,266.91 |
7.3× |
| CT upper extremity with contrast (73201) |
$1,440 |
$2,400 |
4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,860 |
$3,100 |
10.6× |
| Cta Abdomen (74175) |
$2,040 |
$3,400 |
11.6× |
| CTA abdomen pelvis (74174) |
$2,160 |
$3,600 |
6.2× |
| CTA chest (71275) |
$1,860 |
$3,100 |
10.6× |
| Cta Head (70496) |
$1,920 |
$3,200 |
10.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,800 |
$3,000 |
10.2× |
| Cta Neck (70498) |
$1,920 |
$3,200 |
10.9× |
| Cta Pelvis (72191) |
$1,560 |
$2,600 |
8.9× |
| Cystography minimum 3 views rs&i (74430) |
$480 |
$800 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$342 |
$570 |
3.3× |
| Esophagus (74220) |
$402 |
$670 |
2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$433.22 |
$722.04 |
4.1× |
| Fluoroscopy up to 1 hr (76000) |
$480 |
$800 |
2.0× |
| Foot 2 views (73620) |
$186 |
$310 |
2.1× |
| Forearm 2 views (73090) |
$210 |
$350 |
2.4× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$745.20 |
$1,242 |
1.4× |
| Gated Heart Planar Single (78472) |
$1,200 |
$2,000 |
3.0× |
| Hand 2 views (73120) |
$194.20 |
$323.68 |
1.9× |
| Hand 3 views (73130) |
$242.61 |
$404.35 |
2.8× |
| Heart Infarct Image (78466) |
$743.40 |
$1,239 |
1.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,080 |
$1,800 |
2.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,230 |
$2,050 |
3.1× |
| Ht muscle image spect sing (78451) |
$2,700 |
$4,500 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$210 |
$350 |
2.4× |
| Hysterosalpingogram (74740) |
$1,050 |
$1,750 |
4.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$900.90 |
$1,501.50 |
1.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,140 |
$1,900 |
2.1× |
| Knee 3 views (73562) |
$216 |
$360 |
2.5× |
| Liver & spleen imaging static only (78215) |
$1,125 |
$1,875 |
2.8× |
| Lung perf&ventilat diferentl (78598) |
$828.22 |
$1,380.36 |
1.5× |
| Lung perfusion differential (78597) |
$638.78 |
$1,064.64 |
1.6× |
| Lung Ventilation Imaging (78579) |
$760.50 |
$1,267.50 |
1.9× |
| Lymphoscintigraphy (78195) |
$1,170 |
$1,950 |
2.2× |
| Mammary ductogram or galactogram single (77053) |
$665.70 |
$1,109.50 |
2.8× |
| Meckels Diverticulum (78290) |
$730.80 |
$1,218 |
1.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$902.94 |
$1,504.90 |
2.4× |
| MRA head w & w/o contrast (70546) |
$1,980 |
$3,300 |
5.7× |
| MRA head w/o contrast (70544) |
$1,860 |
$3,100 |
7.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,403.78 |
$2,339.63 |
4.0× |
| MRA neck w/o contrast (70547) |
$1,356.05 |
$2,260.08 |
5.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,160 |
$3,600 |
6.2× |
| MRI abdomen w/o contrast (74181) |
$1,860 |
$3,100 |
7.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,160 |
$3,600 |
2.8× |
| MRI c-spine with contrast (72142) |
$1,980 |
$3,300 |
5.7× |
| MRI cervical spine w/o contrast (72141) |
$1,860 |
$3,100 |
7.8× |
| MRI chest w/o & w/contrast material (71552) |
$2,289.60 |
$3,816 |
6.6× |
| MRI chest w/o contrast (71550) |
$2,460 |
$4,100 |
10.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,860 |
$3,100 |
5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,860 |
$3,100 |
7.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,800 |
$3,000 |
7.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,860 |
$3,100 |
5.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,040 |
$3,400 |
5.8× |
| MRI pelvis w/o contrast (72195) |
$1,860 |
$3,100 |
7.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,040 |
$3,400 |
5.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,160 |
$3,600 |
6.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,040 |
$3,400 |
5.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,040 |
$3,400 |
5.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,980 |
$3,300 |
5.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,040 |
$3,400 |
5.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,860 |
$3,100 |
7.8× |
| MRI tmj (70336) |
$1,560 |
$2,600 |
6.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,860 |
$3,100 |
7.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,860 |
$3,100 |
5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,668.38 |
$2,780.63 |
7.0× |
| Myocardial Spect Multiple Studies (78452) |
$3,005.96 |
$5,009.94 |
2.3× |
| Neck soft tissue (70360) |
$252 |
$420 |
2.9× |
| Nm gastric emptying study (78264) |
$1,125 |
$1,875 |
2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,000.70 |
$5,001.18 |
2.2× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$561.60 |
$936 |
1.4× |
| Nuclear Rx Oral Admin (79005) |
$726 |
$1,210 |
3.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$315 |
$525 |
3.0× |
| Orthopantogram (70355) |
$150 |
$250 |
1.7× |
| Osseous survey infant (77076) |
$246 |
$410 |
2.3× |
| Parathyrd planar w/wo subtrj (78071) |
$638.78 |
$1,064.64 |
1.6× |
| Parathyroid imaging (78070) |
$780 |
$1,300 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$223.50 |
$372.50 |
2.1× |
| PET image w/CT, skull-thigh (78815) |
$4,020 |
$6,700 |
2.8× |
| PET imaging for CT attenuation whole body (78816) |
$4,200 |
$7,000 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,160 |
$3,600 |
6.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$653.18 |
$1,088.63 |
1.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,380 |
$2,300 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$600 |
$1,000 |
1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$120 |
$200 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$204 |
$340 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$210 |
$350 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$228 |
$380 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$369 |
$615 |
3.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$12,625.34 |
$21,042.24 |
1.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$508.33 |
$847.21 |
0.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$226.80 |
$378 |
2.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$589.42 |
$982.37 |
1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$306 |
$510 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$222 |
$370 |
2.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$249 |
$415 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$540 |
$900 |
3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$561 |
$935 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$555 |
$925 |
3.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$551.81 |
$919.68 |
3.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$258 |
$430 |
3.0× |
| Radiological examination surgical specimen (76098) |
$960.16 |
$1,600.26 |
1.8× |
| Ribs bilateral 3 views (71110) |
$281.75 |
$469.58 |
2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$750.60 |
$1,251 |
1.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,288.80 |
$2,148 |
2.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,110 |
$1,850 |
2.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$572.55 |
$954.25 |
2.4× |
| Scanogram (77073) |
$84 |
$140 |
0.8× |
| Scapula complete (73010) |
$229.25 |
$382.08 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$66 |
$110 |
2.8× |
| Simulation intermediate (77285) |
$1,094.64 |
$1,824.40 |
2.9× |
| Spec medical radj physics consltj (77370) |
$256.64 |
$427.74 |
1.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$744.21 |
$1,240.36 |
2.0× |
| Special dosimetry (77331) |
$438.18 |
$730.30 |
3.3× |
| Special treatment procedure (77470) |
$1,113.44 |
$1,855.74 |
2.0× |
| Spine thoracic 3 views (72072) |
$315 |
$525 |
3.0× |
| Stereotactic body radiation delivery (77373) |
$3,375.10 |
$5,625.16 |
1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$836.65 |
$1,394.42 |
2.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$832.01 |
$1,386.68 |
2.2× |
| Testicular Imaging With Vascular Flow (78761) |
$1,500 |
$2,500 |
3.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$773.40 |
$1,289 |
2.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$470.99 |
$784.98 |
3.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$434.73 |
$724.55 |
1.1× |
| Thyroid uptake measurement (78012) |
$307.58 |
$500 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$990 |
$1,650 |
2.5× |
| Treatment device intermediate (77333) |
$256.64 |
$427.74 |
1.9× |
| Treatment devices simple (77332) |
$438.18 |
$730.30 |
3.3× |
| Tx devices design & construction complex (77334) |
$753.64 |
$1,256.07 |
2.0× |
| Ultrasound scan of cornea to determine thickness (76514) |
$49.58 |
$82.64 |
1.7× |
| Ultrasound scan to determine eye length and lens power (76519) |
$127.56 |
$212.61 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$600 |
$1,000 |
5.7× |
| Umbilical-artery Doppler (OB) (76820) |
$300 |
$500 |
2.9× |
| Unlisted procedure, therapeutic radiology clinical treatment planning 2nd-5th Sessions (77299) |
$506.40 |
$844.02 |
3.8× |
| Upper Extremity Infant (73092) |
$225.91 |
$376.52 |
2.2× |
| Urethrocystography retrograde rs&i (74450) |
$426 |
$710 |
1.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$772.80 |
$1,288 |
4.4× |
| Us abdl aorta screen aaa (76706) |
$354 |
$590 |
3.4× |
| Us breast unilateral complete (76641) |
$420 |
$700 |
4.0× |
| Us breast unilateral limited (76642) |
$420 |
$700 |
4.8× |
| Us chest (76604) |
$480 |
$800 |
4.6× |
| Us ob detailed single fetus (76811) |
$270 |
$450 |
1.1× |
| Us ob transvaginal (76817) |
$480 |
$800 |
4.6× |
| Us pelvic non ob complete (76856) |
$675 |
$1,125 |
6.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$420 |
$700 |
4.0× |
| Us pregnancy ltd (76815) |
$420 |
$700 |
4.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$565.85 |
$943.09 |
5.4× |
| Us retroperitoneal complete (76770) |
$570 |
$950 |
5.4× |
| Us retroperitoneal limited (76775) |
$510 |
$850 |
4.9× |
| Us scrotum and contents (76870) |
$570 |
$950 |
5.4× |
| Us soft tissue head/neck (76536) |
$600 |
$1,000 |
5.7× |
| Us spinal canal and contents (76800) |
$433.50 |
$722.50 |
4.1× |
| Us transrectal (76872) |
$480 |
$800 |
4.6× |
| Us xtr non-vasc lmtd (76882) |
$300 |
$500 |
2.9× |
| Wrist 2 views (73100) |
$187.90 |
$313.18 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$432 |
$720 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$246 |
$410 |
2.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$240 |
$400 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$600 |
$1,000 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$217.50 |
$362.50 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$217 |
$361.66 |
2.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$378.18 |
$630.30 |
3.6× |
| X-ray exam hip uni 1 view (73501) |
$198 |
$330 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$222 |
$370 |
2.5× |
| X-ray exam hip uni 4/> views (73503) |
$216 |
$360 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$252 |
$420 |
2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$353.82 |
$589.70 |
3.4× |
| X-ray exam of femur 1 (73551) |
$133.41 |
$222.35 |
1.5× |
| X-ray eye for foreign body (70030) |
$234 |
$390 |
2.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$348 |
$580 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$216 |
$360 |
2.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$180 |
$300 |
2.1× |
| X-ray IV pyelogram+drip infusn (74410) |
$814.80 |
$1,358 |
4.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$227.96 |
$379.94 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$222 |
$370 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$312 |
$520 |
3.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$480 |
$800 |
4.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$394.80 |
$658 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$228 |
$380 |
2.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$179.58 |
$299.30 |
2.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$222 |
$370 |
2.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$252 |
$420 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$534 |
$890 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$234 |
$390 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$274.96 |
$458.26 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$435 |
$725 |
4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$207.76 |
$346.26 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$234 |
$390 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$210 |
$350 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$309 |
$515 |
3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$348 |
$580 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$225 |
$375 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$219 |
$365 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$252 |
$420 |
2.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$144 |
$240 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$210 |
$350 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$479.15 |
$798.59 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$158.58 |
$264.30 |
1.8× |
| Xr shoulder 1 view (73020) |
$222 |
$370 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$374.40 |
$624 |
3.6× |
| Xr tibia/fibula 2 views (73590) |
$252.46 |
$420.76 |
2.9× |
| Xr tmj bilateral (70330) |
$174 |
$290 |
2.0× |
| Xray knee 1 or 2 views rt (73560) |
$204.40 |
$340.68 |
2.3× |