| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,847.90 |
$4,348 |
1.3× |
| Abdomen 2 views (74019) |
$98.60 |
$232 |
0.9× |
| Ankle 2 views (73600) |
$141.84 |
$333.75 |
1.6× |
| Basic dosimetry (77300) |
$241.32 |
$567.80 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$675.75 |
$1,590 |
1.6× |
| Bone age studies (77072) |
$89.25 |
$210 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$606.48 |
$1,427 |
1.5× |
| Bone survey complete (77075) |
$255 |
$600 |
2.4× |
| Bowel imaging (78290) |
$566.95 |
$1,334 |
1.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,249.95 |
$5,294 |
1.5× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$606.90 |
$1,428 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$107.26 |
$252.36 |
1.2× |
| Chest 1 view (71045) |
$136.51 |
$321.19 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$313.08 |
$736.64 |
1.7× |
| Clavicle complete (73000) |
$102.43 |
$241 |
1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$294.95 |
$694 |
2.7× |
| Continuing medical physics consltj pr wk (77336) |
$325.55 |
$766 |
2.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$866.15 |
$2,038 |
2.4× |
| CT abdomen and pelvis without contrast (74176) |
$566.64 |
$1,333.25 |
2.3× |
| CT abdomen w contrast (74160) |
$661.30 |
$1,556 |
3.7× |
| CT abdomen w wo contrast (74170) |
$762.45 |
$1,794 |
4.2× |
| CT abdomen w/o contrast (74150) |
$498.95 |
$1,174 |
4.6× |
| CT angio hrt w/3d image (75574) |
$1,068.45 |
$2,514 |
3.0× |
| CT angio lwr extr w/o&w/dye (73706) |
$543.48 |
$1,278.75 |
3.0× |
| CT angiography upper extremity lt (73206) |
$557.18 |
$1,311 |
3.1× |
| CT c-spine w/contrast (72126) |
$583.95 |
$1,374 |
1.6× |
| CT c-spine w/o contrast (72125) |
$500.65 |
$1,178 |
4.6× |
| CT cervical spine w&w/o contrast (72127) |
$370.18 |
$871 |
2.0× |
| CT chest w contrast (71260) |
$613.70 |
$1,444 |
3.4× |
| CT chest w/wo contrast (71270) |
$415.23 |
$977 |
2.3× |
| CT head/brain without and with contrast (70470) |
$509.15 |
$1,198 |
2.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,190.43 |
$2,801 |
3.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$118.15 |
$278 |
1.3× |
| CT iac w contrast (70481) |
$563.55 |
$1,326 |
3.1× |
| CT lower ext w/o (73700) |
$703.91 |
$1,656.25 |
6.5× |
| CT lower extremity w wo contrast (73702) |
$439.88 |
$1,035 |
2.4× |
| CT lower extremity w/contrast material (73701) |
$734.40 |
$1,728 |
4.1× |
| CT lumbar spine w & w/o contrast (72133) |
$391.85 |
$922 |
2.2× |
| CT lumbar spine w/contrast (72132) |
$664.70 |
$1,564 |
1.8× |
| CT lumbar spine w/o contrast (72131) |
$498.59 |
$1,173.14 |
4.6× |
| CT maxillofacial w contrast (70487) |
$607.33 |
$1,429 |
3.4× |
| CT maxillofacial wo contrast (70486) |
$595 |
$1,400 |
5.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$563.55 |
$1,326 |
3.1× |
| CT orbits w/o contrast (70480) |
$563.55 |
$1,326 |
5.2× |
| CT pelvis w/o contrast (72192) |
$532.95 |
$1,254 |
4.9× |
| CT pelvis w/wo contrast (72194) |
$438.60 |
$1,032 |
2.4× |
| CT soft tissue neck w contrast (70491) |
$595.85 |
$1,402 |
3.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$607.75 |
$1,430 |
3.4× |
| CT soft tissue neck w/o contrast (70490) |
$607.75 |
$1,430 |
5.6× |
| CT thoracic spine w/contrast (72129) |
$349.35 |
$822 |
1.9× |
| CT thoracic spine w/o contrast (72128) |
$493.43 |
$1,161 |
4.6× |
| CT thorax w/o contrast (71250) |
$498.95 |
$1,174 |
4.6× |
| CT upper ext wo (73200) |
$683.72 |
$1,608.75 |
6.3× |
| CT upper extremity with contrast (73201) |
$583.95 |
$1,374 |
1.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$657.05 |
$1,546 |
3.6× |
| Cta Abdomen (74175) |
$537.20 |
$1,264 |
3.0× |
| CTA abdomen pelvis (74174) |
$888.12 |
$2,089.67 |
2.5× |
| CTA chest (71275) |
$681.14 |
$1,602.66 |
3.8× |
| Cta Head (70496) |
$601.80 |
$1,416 |
3.3× |
| Cta Neck (70498) |
$690.20 |
$1,624 |
3.8× |
| Cta Pelvis (72191) |
$701.68 |
$1,651 |
3.9× |
| Cystography minimum 3 views rs&i (74430) |
$566.53 |
$1,333 |
1.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$189.98 |
$447 |
1.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$236.30 |
$556 |
2.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$226.53 |
$533 |
2.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$167.88 |
$395 |
1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$212.50 |
$500 |
2.4× |
| Dxa bone density study axial skeleton (77085) |
$185.73 |
$437 |
1.7× |
| Esophagus (74220) |
$309.70 |
$728.68 |
1.7× |
| Facial bones min 3 views (70150) |
$106.89 |
$251.50 |
1.0× |
| Fetal biophysical profile non-stress testing (76818) |
$599.25 |
$1,410 |
5.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$266.90 |
$628 |
2.5× |
| Fetal Echo (76825) |
$636.65 |
$1,498 |
1.1× |
| Fluoroscopy up to 1 hr (76000) |
$351.90 |
$828 |
1.4× |
| Foot 2 views (73620) |
$142.27 |
$334.75 |
1.6× |
| Forearm 2 views (73090) |
$151.30 |
$356 |
1.7× |
| Hand 2 views (73120) |
$95.88 |
$225.60 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$765.85 |
$1,802 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$606.90 |
$1,428 |
1.5× |
| Hysterosalpingogram (74740) |
$473.03 |
$1,113 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$689.78 |
$1,623 |
1.2× |
| Knee 3 views (73562) |
$163.15 |
$383.86 |
1.8× |
| Lymphoscintigraphy (78195) |
$624.33 |
$1,469 |
1.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,276.60 |
$3,003.75 |
1.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,232.50 |
$2,900 |
3.4× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$133.03 |
$313 |
1.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$512.19 |
$1,205.14 |
1.3× |
| MRA head w & w/o contrast (70546) |
$818.98 |
$1,927 |
2.3× |
| MRA head w/o contrast (70544) |
$802.40 |
$1,888 |
3.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$647.28 |
$1,523 |
1.8× |
| MRA neck w/o contrast (70547) |
$647.28 |
$1,523 |
2.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,328.55 |
$3,126 |
3.7× |
| MRI abdomen w/o contrast (74181) |
$881.88 |
$2,075 |
3.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$901.54 |
$2,121.25 |
1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,518.85 |
$3,573.75 |
4.2× |
| MRI breast w/o contrast bilateral (77047) |
$568.65 |
$1,338 |
2.3× |
| MRI c-spine with contrast (72142) |
$613.28 |
$1,443 |
1.7× |
| MRI cervical spine w/o contrast (72141) |
$798.15 |
$1,878 |
3.2× |
| MRI chest w/o & w/contrast material (71552) |
$659.60 |
$1,552 |
1.8× |
| MRI chest w/o contrast (71550) |
$659.60 |
$1,552 |
2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,230.80 |
$2,896 |
3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,157.06 |
$2,722.50 |
4.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$601.80 |
$1,416 |
2.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$601.80 |
$1,416 |
1.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,312.36 |
$3,087.89 |
3.6× |
| MRI pelvis w/o contrast (72195) |
$852.98 |
$2,007 |
3.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,231.65 |
$2,898 |
3.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$594.15 |
$1,398 |
1.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,231.65 |
$2,898 |
3.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$583.95 |
$1,374 |
1.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,228.68 |
$2,891 |
3.4× |
| MRI temporomandibular joint (70336) |
$519.78 |
$1,223 |
2.1× |
| MRI thoracic spine w/o contrast (72146) |
$765.43 |
$1,801 |
3.1× |
| MRI up ext w/o contrast (73218) |
$925.65 |
$2,178 |
3.8× |
| MRI upper ext joint w/o contrast (73221) |
$872.53 |
$2,053 |
3.5× |
| MRI, joint upper extrem combo (73223) |
$1,178.53 |
$2,773 |
3.3× |
| Myocardial Spect Multiple Studies (78452) |
$1,485.80 |
$3,496 |
1.1× |
| Myocardial spect single study at rest or stress (78451) |
$1,638.80 |
$3,856 |
1.2× |
| N-invas est c ffr sw aly CTA (75580) |
$2,187.05 |
$5,146 |
2.5× |
| Neck soft tissue (70360) |
$94.78 |
$223 |
1.1× |
| Nm gastric emptying study (78264) |
$600.10 |
$1,412 |
1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,353.49 |
$10,243.50 |
3.0× |
| Osseous survey limited (77074) |
$320.88 |
$755 |
3.0× |
| Parathyroid Planar Imaging (78070) |
$529.98 |
$1,247 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$153.36 |
$360.86 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$2,640.43 |
$6,212.77 |
1.8× |
| PET imaging for CT attenuation whole body (78816) |
$2,111.40 |
$4,968 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$624.33 |
$1,469 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$608.60 |
$1,432 |
1.1× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$118.70 |
$279.27 |
1.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$151.73 |
$357 |
1.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$193.91 |
$456.25 |
2.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$115.18 |
$271 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$162.78 |
$383 |
1.5× |
| Radex fingr minimum 2 views (73140) |
$136.43 |
$321 |
1.5× |
| Radex Foot Compl Minimum 3 Views (73630) |
$155.81 |
$366.59 |
1.7× |
| Radex Hand Minimum 3 Views (73130) |
$117.28 |
$275.94 |
1.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$101.15 |
$238 |
1.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$155.98 |
$367 |
1.4× |
| Radex Humerus Minimum 2 Views (73060) |
$89.89 |
$211.50 |
1.0× |
| Radex Kne 1/2 Views (73560) |
$159.85 |
$376.11 |
1.8× |
| Radex Kne Compl 4/More Views (73564) |
$204.85 |
$482 |
1.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$210.38 |
$495 |
1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$119.43 |
$281 |
1.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$298.78 |
$703 |
2.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$156.93 |
$369.25 |
1.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$76.08 |
$179 |
0.8× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$103.06 |
$242.50 |
1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$135.58 |
$319 |
1.5× |
| Radex Toe Minimum 2 Views (73660) |
$98.39 |
$231.50 |
1.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$150.88 |
$355 |
1.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$154.48 |
$363.50 |
1.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$8,986.63 |
$21,145 |
1.2× |
| Radiation treatment delivery level 3 (77412) |
$405.45 |
$954 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$73.95 |
$174 |
0.8× |
| Radiologic exam chest 2 views (71046) |
$45.49 |
$107.03 |
0.5× |
| Radiologic exam colon single contrast study (74270) |
$340 |
$800 |
1.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$319.18 |
$751 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$319.18 |
$751 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$320.45 |
$754 |
1.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$151.30 |
$356 |
1.7× |
| Radiological examination surgical specimen (76098) |
$345.10 |
$812 |
0.6× |
| Ribs bilateral 3 views (71110) |
$102.64 |
$241.50 |
1.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,638.80 |
$3,856 |
2.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,638.80 |
$3,856 |
1.2× |
| Sacroiliac Joints < 3 Views (72200) |
$137.92 |
$324.50 |
1.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$472.18 |
$1,111 |
1.9× |
| Scapula (73010) |
$146.63 |
$345 |
1.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$46.74 |
$109.98 |
2.0× |
| Shoulder 1 view (73020) |
$66.94 |
$157.50 |
0.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$732.28 |
$1,723 |
1.9× |
| Special treatment procedure (77470) |
$938.40 |
$2,208 |
1.6× |
| Spine thoracic 3 views (72072) |
$56.53 |
$133 |
0.5× |
| Stereotactic Body Radiation Delivery (77373) |
$3,298.43 |
$7,761 |
1.8× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,113.89 |
$2,620.90 |
2.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,021.70 |
$2,404 |
7.4× |
| Thoracolumbar 2 views (72080) |
$115.18 |
$271 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$499.38 |
$1,175 |
1.2× |
| Treatment device complex (77334) |
$475.86 |
$1,119.68 |
1.2× |
| Ultrasound breast complete (76641) |
$192.85 |
$453.75 |
1.8× |
| Ultrasound Exam Aaa Screen (76706) |
$170.85 |
$402 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$228.75 |
$538.22 |
2.1× |
| Umbilical-artery Doppler (OB) (76820) |
$226.53 |
$533 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$472.18 |
$1,111 |
1.9× |
| Us breast unilateral limited (76642) |
$262.44 |
$617.50 |
2.9× |
| Us chest (76604) |
$188.48 |
$443.46 |
1.7× |
| Us elastography parenchyma (76981) |
$171.70 |
$404 |
1.6× |
| Us hips infant static (76886) |
$183.60 |
$432 |
2.0× |
| Us infant hips w manipulation (76885) |
$189.13 |
$445 |
2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$263.76 |
$620.59 |
2.4× |
| Us ob detailed single fetus (76811) |
$375.70 |
$884 |
1.5× |
| Us ob limited (76815) |
$184.41 |
$433.89 |
1.7× |
| Us ob transvaginal (76817) |
$177.86 |
$418.50 |
1.6× |
| Us pelvic non ob complete (76856) |
$250.75 |
$590 |
2.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$240.98 |
$567 |
2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$209.58 |
$493.11 |
1.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$415.65 |
$978 |
3.9× |
| Us retroperitoneal complete (76770) |
$243.53 |
$573 |
2.3× |
| Us retroperitoneal limited (76775) |
$246.08 |
$579 |
2.3× |
| Us scrotum and contents (76870) |
$263.08 |
$619 |
2.4× |
| Us soft tissue head/neck (76536) |
$275.40 |
$648 |
2.6× |
| Us spinal canal and contents (76800) |
$189.13 |
$445 |
1.8× |
| Us transrectal (76872) |
$257.55 |
$606 |
2.4× |
| Us, eye b-scan (76512) |
$262.44 |
$617.50 |
2.4× |
| Us,transplanted kidney, real time/ doppler (76776) |
$236.73 |
$557 |
2.2× |
| Wrist 2 views (73100) |
$153 |
$360 |
1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$186.15 |
$438 |
2.1× |
| X-ray b.e. reductn intuss (74283) |
$331.93 |
$781 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$361.68 |
$851 |
2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$145.83 |
$343.13 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$107.10 |
$251.99 |
1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$162.24 |
$381.72 |
1.5× |
| X-ray exam of femur 2/> (73552) |
$116.88 |
$275 |
1.3× |
| X-ray eye for foreign body (70030) |
$129.20 |
$304 |
1.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$97.76 |
$230 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$152.15 |
$358 |
1.7× |
| X-ray leg, infant (73592) |
$151.73 |
$357 |
1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$155.77 |
$366.50 |
1.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$158.53 |
$373 |
1.5× |
| X-ray nose-rectum child f.b. (76010) |
$130.05 |
$306 |
1.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$145.78 |
$343 |
1.4× |
| X-ray retrograde pyelogram (74420) |
$473.03 |
$1,113 |
1.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$84.36 |
$198.50 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$126.44 |
$297.50 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$243.95 |
$574 |
2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$99.03 |
$233 |
0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$75.44 |
$177.50 |
0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$164.90 |
$388 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$269.88 |
$635 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$146.63 |
$345 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$164.48 |
$387 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$152.15 |
$358 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$107.53 |
$253 |
1.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$45.48 |
$107 |
0.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$148.75 |
$350 |
1.4× |
| Xr bone length studies (77073) |
$189.13 |
$445 |
1.8× |
| Xr c-spine 4 or 5 views (72050) |
$77.99 |
$183.50 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$123.26 |
$290 |
1.1× |