| Abdomen 2 views (74019) |
$264 |
$440 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,288.20 |
$2,147 |
3.1× |
| Angiography extremity bilateral rs&i (75716) |
$2,763.60 |
$4,606 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$2,451.60 |
$4,086 |
0.7× |
| Angiography internal mammary rs&i (75756) |
$2,193.60 |
$3,656 |
0.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,108.60 |
$5,181 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,993.20 |
$3,322 |
0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,993.20 |
$3,322 |
0.6× |
| Angiography Spinal Selective Rs&I (75705) |
$3,438 |
$5,730 |
0.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,917.40 |
$6,529 |
0.7× |
| Ankle 2 views (73600) |
$178.20 |
$297 |
2.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,501.40 |
$4,169 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,455.80 |
$4,093 |
0.7× |
| Arthrogram hip (73525) |
$593.40 |
$989 |
1.6× |
| Arthrogram shoulder (73040) |
$754.80 |
$1,258 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$861.60 |
$1,436 |
2.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$842.40 |
$1,404 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$1,347 |
$2,245 |
3.2× |
| Bone Imaging 3 Phase (78315) |
$1,497.60 |
$2,496 |
3.6× |
| Bone survey complete (77075) |
$591 |
$985 |
5.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,630 |
$6,050 |
2.4× |
| Cervical spine 2 or 3 views (72040) |
$240.60 |
$401 |
2.7× |
| Chest 1 view (71045) |
$198 |
$330 |
2.2× |
| Chest 3 views (71047) |
$282 |
$470 |
3.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$407.40 |
$679 |
2.2× |
| Clavicle complete (73000) |
$228 |
$380 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$934.80 |
$1,558 |
8.6× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$418.80 |
$698 |
2.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,322.80 |
$5,538 |
9.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,002.80 |
$3,338 |
8.1× |
| CT abdomen w contrast (74160) |
$1,794 |
$2,990 |
9.8× |
| CT abdomen w wo contrast (74170) |
$2,131.80 |
$3,553 |
11.7× |
| CT abdomen w/o contrast (74150) |
$1,237.20 |
$2,062 |
11.4× |
| CT angiography upper extremity lt (73206) |
$1,702.20 |
$2,837 |
9.3× |
| CT c-spine w/o contrast (72125) |
$1,299.60 |
$2,166 |
12.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,734 |
$2,890 |
9.5× |
| CT cervical spine with contrast (72126) |
$1,633.80 |
$2,723 |
4.5× |
| CT chest w/wo contrast (71270) |
$1,715.40 |
$2,859 |
9.4× |
| CT chest with contrast (71260) |
$1,504.80 |
$2,508 |
8.3× |
| CT head/brain with contrast (70460) |
$1,310.40 |
$2,184 |
7.2× |
| CT head/brain without and with contrast (70470) |
$1,581 |
$2,635 |
8.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$57 |
$95 |
0.6× |
| CT limited/localized follow up study (76380) |
$616.80 |
$1,028 |
6.8× |
| CT lower ext w/o (73700) |
$1,030.80 |
$1,718 |
9.5× |
| CT lower extremity w wo contrast (73702) |
$1,635 |
$2,725 |
9.0× |
| CT lower extremity with contrast (73701) |
$1,408.80 |
$2,348 |
7.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,638 |
$2,730 |
9.0× |
| CT lumbar spine w/o contrast (72131) |
$1,419 |
$2,365 |
13.1× |
| CT lumbar spine with contrast (72132) |
$1,667.40 |
$2,779 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,485.90 |
$2,476.50 |
8.2× |
| CT maxillofacial w/o contrast (70486) |
$1,189.80 |
$1,983 |
11.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,470.60 |
$2,451 |
8.1× |
| CT neck soft tissue w contrast (70491) |
$1,566 |
$2,610 |
8.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,863.60 |
$3,106 |
10.2× |
| CT orbits w/o contrast (70480) |
$1,530.60 |
$2,551 |
14.1× |
| CT pelvis w & w/o contrast (72194) |
$1,881.60 |
$3,136 |
10.3× |
| CT pelvis w/o contrast (72192) |
$1,096.80 |
$1,828 |
10.1× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$468 |
$780 |
5.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,936.20 |
$3,227 |
10.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,275.60 |
$2,126 |
11.8× |
| CT thoracic spine w/contrast (72129) |
$1,674 |
$2,790 |
9.2× |
| CT thoracic spine w/o contrast (72128) |
$1,280.40 |
$2,134 |
11.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,586.40 |
$2,644 |
8.7× |
| CT thorax w/o contrast (71250) |
$1,023.60 |
$1,706 |
9.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,849.80 |
$3,083 |
10.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,329 |
$2,215 |
12.2× |
| CT upper extremity with contrast (73201) |
$1,446.60 |
$2,411 |
4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,251.20 |
$3,752 |
12.4× |
| Cta Abdomen (74175) |
$2,113.20 |
$3,522 |
11.6× |
| CTA abdomen pelvis (74174) |
$2,839.20 |
$4,732 |
7.8× |
| CTA chest (71275) |
$1,756.80 |
$2,928 |
9.6× |
| Cta Head (70496) |
$1,715.40 |
$2,859 |
9.4× |
| CTA lwr ext w&w/o contrast (73706) |
$1,510.80 |
$2,518 |
8.3× |
| Cta Neck (70498) |
$2,188.80 |
$3,648 |
12.0× |
| Cta Pelvis (72191) |
$983.40 |
$1,639 |
5.4× |
| Cystography minimum 3 views rs&i (74430) |
$408 |
$680 |
1.1× |
| Diskography lumbar (72295) |
$3,598.80 |
$5,998 |
1.8× |
| Echoencephalography real time imaging (76506) |
$480.60 |
$801 |
4.4× |
| Esophagus (74220) |
$467.40 |
$779 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$322.20 |
$537 |
3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$223.80 |
$373 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$472.20 |
$787 |
1.9× |
| Foot 2 views (73620) |
$209.40 |
$349 |
2.3× |
| Forearm 2 views (73090) |
$239.40 |
$399 |
2.6× |
| Hand 2 views (73120) |
$250.20 |
$417 |
2.3× |
| Hand 3 views (73130) |
$267 |
$445 |
3.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,420.20 |
$2,367 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,194 |
$1,990 |
2.9× |
| Ht muscle image spect sing (78451) |
$2,838 |
$4,730 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$258.60 |
$431 |
2.9× |
| Hysterosalpingogram (74740) |
$529.80 |
$883 |
2.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$223.80 |
$373 |
2.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,326.60 |
$2,211 |
2.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,401 |
$2,335 |
2.5× |
| Knee 3 views (73562) |
$339.60 |
$566 |
3.8× |
| Lung perf&ventilat diferentl (78598) |
$1,501.80 |
$2,503 |
2.7× |
| Lymphoscintigraphy (78195) |
$1,338.60 |
$2,231 |
2.4× |
| Meckels Diverticulum (78290) |
$838.20 |
$1,397 |
2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$50.40 |
$84 |
1.7× |
| MRA head w & w/o contrast (70546) |
$2,882.10 |
$4,803.50 |
8.0× |
| MRA head w/o contrast (70544) |
$1,870.20 |
$3,117 |
7.5× |
| MRA head with contrast (70545) |
$2,209.20 |
$3,682 |
6.1× |
| MRA neck w contrast (70548) |
$2,107.80 |
$3,513 |
5.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,708.40 |
$4,514 |
7.5× |
| MRA neck w/o contrast (70547) |
$1,648.80 |
$2,748 |
6.7× |
| MRI abdomen w contrast (74182) |
$2,277 |
$3,795 |
6.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,557.80 |
$4,263 |
7.1× |
| MRI abdomen w/o contrast (74181) |
$1,678.20 |
$2,797 |
6.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,999.80 |
$3,333 |
2.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,670.40 |
$2,784 |
2.1× |
| MRI breast w/o contrast bilateral (77047) |
$600 |
$1,000 |
2.4× |
| MRI cervical spine w/o contrast (72141) |
$2,097.60 |
$3,496 |
8.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,818.20 |
$4,697 |
7.8× |
| MRI chest w/o contrast (71550) |
$2,375.40 |
$3,959 |
9.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,850.40 |
$3,084 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,704 |
$2,840 |
6.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,850.60 |
$4,751 |
11.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,838 |
$4,730 |
7.8× |
| MRI orbit/face/neck w/contrast (70542) |
$2,948.40 |
$4,914 |
8.1× |
| MRI pelvis w contrast (72196) |
$2,284.20 |
$3,807 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,445 |
$4,075 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$1,931.40 |
$3,219 |
7.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,084.40 |
$3,474 |
5.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,277 |
$3,795 |
6.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,913.60 |
$4,856 |
8.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,355 |
$3,925 |
6.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,650.60 |
$2,751 |
4.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,583.60 |
$4,306 |
7.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,179.80 |
$3,633 |
8.8× |
| MRI tmj (70336) |
$1,561.80 |
$2,603 |
6.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,456.20 |
$2,427 |
5.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,982.40 |
$3,304 |
5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,554 |
$2,590 |
6.3× |
| Myelogram Lumbar (72265) |
$1,012.80 |
$1,688 |
1.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,964 |
$4,940 |
2.2× |
| Neck soft tissue (70360) |
$203.40 |
$339 |
2.3× |
| Nm bone marrow wb (78104) |
$1,127.40 |
$1,879 |
2.7× |
| Nm gastric emptying study (78264) |
$1,409.40 |
$2,349 |
3.4× |
| Nuclear Rx Oral Admin (79005) |
$826.20 |
$1,377 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$282.60 |
$471 |
2.6× |
| Osseous survey limited (77074) |
$264.60 |
$441 |
2.4× |
| Parathyrd planar w/spect&CT (78072) |
$1,366.80 |
$2,278 |
2.4× |
| Parathyrd planar w/wo subtrj (78071) |
$999 |
$1,665 |
2.4× |
| Parathyroid imaging (78070) |
$978.60 |
$1,631 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$492 |
$820 |
4.5× |
| PET image w/CT, skull-thigh (78815) |
$4,789.20 |
$7,982 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$4,929.60 |
$8,216 |
3.3× |
| PET whole body (78813) |
$4,550.40 |
$7,584 |
3.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,990.20 |
$3,317 |
5.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,993.20 |
$3,322 |
0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,057.20 |
$1,762 |
2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,702.80 |
$2,838 |
3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$880.20 |
$1,467 |
1.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$303 |
$505 |
2.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$223.80 |
$373 |
2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$265.20 |
$442 |
2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$309.60 |
$516 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$201 |
$335 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$253.20 |
$422 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$185.40 |
$309 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$618 |
$1,030 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$367.20 |
$612 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$543 |
$905 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$408.60 |
$681 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$168 |
$280 |
1.9× |
| Radiological examination surgical specimen (76098) |
$358.80 |
$598 |
0.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,110.80 |
$3,518 |
0.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,520.40 |
$2,534 |
2.7× |
| Sacroiliac Joints < 3 Views (72200) |
$223.80 |
$373 |
2.1× |
| Scapula complete (73010) |
$223.80 |
$373 |
2.1× |
| Screening digital breast tomosynthesis (77063) |
$36.60 |
$61 |
1.6× |
| Small bowel series (74250) |
$454.20 |
$757 |
2.5× |
| Spine thoracic 3 views (72072) |
$333 |
$555 |
3.1× |
| Thoracolumbar 2 views (72080) |
$238.20 |
$397 |
2.6× |
| Thyroid uptake measurement (78012) |
$459 |
$765 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$883.80 |
$1,473 |
2.1× |
| Ultrasound, abdomen limited (76705) |
$339.60 |
$566 |
3.1× |
| Upper Extremity Infant (73092) |
$223.80 |
$373 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$594 |
$990 |
2.4× |
| Us abdl aorta screen aaa (76706) |
$297.60 |
$496 |
2.7× |
| Us breast unilateral complete (76641) |
$314.40 |
$524 |
2.9× |
| Us breast unilateral limited (76642) |
$267.60 |
$446 |
3.0× |
| Us chest (76604) |
$270 |
$450 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$471.60 |
$786 |
4.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$223.80 |
$373 |
2.1× |
| Us infant hips dynamic (76885) |
$417.60 |
$696 |
4.6× |
| Us infant hips limited static (76886) |
$189 |
$315 |
2.1× |
| Us kidney transplant (76776) |
$269.40 |
$449 |
2.5× |
| Us ob detailed single fetus (76811) |
$587.40 |
$979 |
2.4× |
| Us ob transvaginal (76817) |
$375.60 |
$626 |
3.5× |
| Us pelvic non ob complete (76856) |
$304.20 |
$507 |
2.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$223.80 |
$373 |
2.1× |
| Us pregnancy ltd (76815) |
$271.80 |
$453 |
2.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$330 |
$550 |
3.0× |
| Us retroperitoneal complete (76770) |
$503.40 |
$839 |
4.6× |
| Us retroperitoneal limited (76775) |
$336 |
$560 |
3.1× |
| Us scrotum and contents (76870) |
$504.60 |
$841 |
4.6× |
| Us soft tissue head/neck (76536) |
$480 |
$800 |
4.4× |
| Us spinal canal and contents (76800) |
$360.90 |
$601.50 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$303.60 |
$506 |
2.8× |
| Venogram extremity bilateral (75822) |
$2,882.40 |
$4,804 |
1.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,292 |
$3,820 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$1,009.20 |
$1,682 |
0.6× |
| Wrist 2 views (73100) |
$186 |
$310 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$357 |
$595 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$238.80 |
$398 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$270.60 |
$451 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$771 |
$1,285 |
4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$178.80 |
$298 |
2.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$282.60 |
$471 |
3.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$254.40 |
$424 |
2.3× |
| X-ray exam hip uni 1 view (73501) |
$166.80 |
$278 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$166.80 |
$278 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$223.80 |
$373 |
2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$266.40 |
$444 |
2.5× |
| X-ray exam of femur 1 (73551) |
$166.80 |
$278 |
1.8× |
| X-ray eye for foreign body (70030) |
$166.80 |
$278 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$343.20 |
$572 |
3.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$166.80 |
$278 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$282.60 |
$471 |
3.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,241.40 |
$2,069 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$166.80 |
$278 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$166.80 |
$278 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$355.80 |
$593 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$186 |
$310 |
2.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$166.80 |
$278 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$303.60 |
$506 |
2.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$309 |
$515 |
2.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$225.60 |
$376 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$258 |
$430 |
2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$359.40 |
$599 |
3.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$223.80 |
$373 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$246 |
$410 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$328.80 |
$548 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$407.40 |
$679 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$267 |
$445 |
2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$231 |
$385 |
2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$309.60 |
$516 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$307.80 |
$513 |
3.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$218.40 |
$364 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$322.20 |
$537 |
3.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$223.80 |
$373 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$199.20 |
$332 |
2.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$170.40 |
$284 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$166.80 |
$278 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$261 |
$435 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$286.80 |
$478 |
2.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$184.20 |
$307 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$267 |
$445 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$492 |
$820 |
4.5× |
| Xr finger(s) 2+ views (73140) |
$184.80 |
$308 |
2.0× |
| Xr shoulder 1 view (73020) |
$190.80 |
$318 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$369 |
$615 |
3.4× |
| Xr tibia/fibula 2 views (73590) |
$252 |
$420 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$247.80 |
$413 |
2.7× |