| Abdomen 2 views (74019) |
$249.90 |
$294 |
2.3× |
| Angiography extremity unilateral rs&i (75710) |
$1,643.05 |
$1,933 |
0.5× |
| Ankle 2 views (73600) |
$111.35 |
$131 |
1.2× |
| Arthrogram elbow (73085) |
$439.45 |
$517 |
1.2× |
| Arthrogram hip (73525) |
$499.80 |
$588 |
1.4× |
| Arthrogram shoulder (73040) |
$504.05 |
$593 |
1.4× |
| Arthrogram wrist (73115) |
$550.38 |
$647.50 |
1.5× |
| Arthrography knee lt (73580) |
$575.02 |
$676.50 |
1.6× |
| Bone age studies (77072) |
$138.55 |
$163 |
1.3× |
| Bone survey complete (77075) |
$1,026.38 |
$1,207.50 |
9.3× |
| Cervical spine 2 or 3 views (72040) |
$237.58 |
$279.50 |
2.6× |
| Chest 1 view (71045) |
$56.10 |
$66 |
0.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$131.75 |
$155 |
0.7× |
| Clavicle complete (73000) |
$206.55 |
$243 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$375.70 |
$442 |
3.4× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$396.10 |
$466 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,486.68 |
$2,925.50 |
6.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,674.08 |
$1,969.50 |
6.7× |
| CT abdomen w contrast (74160) |
$1,269.90 |
$1,494 |
6.9× |
| CT abdomen w wo contrast (74170) |
$1,446.70 |
$1,702 |
7.8× |
| CT abdomen w/o contrast (74150) |
$991.95 |
$1,167 |
9.0× |
| CT angio hrt w/3d image (75574) |
$762.02 |
$896.50 |
2.1× |
| CT angiography upper extremity lt (73206) |
$1,534.68 |
$1,805.50 |
8.3× |
| CT c-spine w/o contrast (72125) |
$1,089.28 |
$1,281.50 |
9.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,305.60 |
$1,536 |
7.1× |
| CT cervical spine with contrast (72126) |
$1,194.68 |
$1,405.50 |
3.2× |
| CT chest w/wo contrast (71270) |
$1,459.45 |
$1,717 |
7.9× |
| CT chest with contrast (71260) |
$1,235.05 |
$1,453 |
6.7× |
| CT head/brain with contrast (70460) |
$1,288.18 |
$1,515.50 |
7.0× |
| CT head/brain without and with contrast (70470) |
$1,459.88 |
$1,717.50 |
7.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$376.12 |
$442.50 |
1.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$105.82 |
$124.50 |
1.2× |
| CT hrt w/3d image congen (75573) |
$343.40 |
$404 |
0.9× |
| CT iac w contrast (70481) |
$1,287.75 |
$1,515 |
7.0× |
| CT limited/localized follow up study (76380) |
$241.40 |
$284 |
2.6× |
| CT lower ext w/o (73700) |
$980.05 |
$1,153 |
8.9× |
| CT lower extremity w wo contrast (73702) |
$1,392.72 |
$1,638.50 |
7.5× |
| CT lower extremity with contrast (73701) |
$1,278.40 |
$1,504 |
6.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,406.32 |
$1,654.50 |
7.6× |
| CT lumbar spine w/o contrast (72131) |
$1,069.30 |
$1,258 |
9.7× |
| CT lumbar spine with contrast (72132) |
$1,311.12 |
$1,542.50 |
3.6× |
| CT maxillofacial w contrast (70487) |
$1,207.85 |
$1,421 |
6.5× |
| CT maxillofacial w/o contrast (70486) |
$1,001.72 |
$1,178.50 |
9.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,281.38 |
$1,507.50 |
6.9× |
| CT neck soft tissue w contrast (70491) |
$1,217.20 |
$1,432 |
6.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,475.18 |
$1,735.50 |
8.0× |
| CT orbits w/o contrast (70480) |
$994.08 |
$1,169.50 |
9.0× |
| CT pelvis w & w/o contrast (72194) |
$1,365.52 |
$1,606.50 |
7.4× |
| CT pelvis w/o contrast (72192) |
$999.18 |
$1,175.50 |
9.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,457.32 |
$1,714.50 |
7.9× |
| CT soft tissue neck w/o contrast (70490) |
$999.18 |
$1,175.50 |
9.1× |
| CT thoracic spine w/contrast (72129) |
$1,133.05 |
$1,333 |
6.1× |
| CT thoracic spine w/o contrast (72128) |
$1,005.12 |
$1,182.50 |
9.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,430.98 |
$1,683.50 |
7.7× |
| CT thorax w/o contrast (71250) |
$958.38 |
$1,127.50 |
8.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,252.90 |
$1,474 |
6.8× |
| CT upper extremity w/o contrast rt (73200) |
$998.32 |
$1,174.50 |
9.1× |
| CT upper extremity with contrast (73201) |
$1,105.85 |
$1,301 |
3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,940.98 |
$2,283.50 |
10.5× |
| Cta Abdomen (74175) |
$1,505.35 |
$1,771 |
8.1× |
| CTA abdomen pelvis (74174) |
$2,032.35 |
$2,391 |
5.5× |
| CTA chest (71275) |
$1,577.60 |
$1,856 |
8.5× |
| Cta Head (70496) |
$1,698.30 |
$1,998 |
9.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,402.95 |
$2,827 |
6.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,711.05 |
$2,013 |
9.2× |
| Cta Neck (70498) |
$1,676.20 |
$1,972 |
9.1× |
| Cta Pelvis (72191) |
$1,559.32 |
$1,834.50 |
8.4× |
| Cystography minimum 3 views rs&i (74430) |
$572.90 |
$674 |
1.6× |
| Diskography lumbar (72295) |
$1,605.65 |
$1,889 |
0.8× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$154.70 |
$182 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$323 |
$380 |
2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$174.68 |
$205.50 |
1.9× |
| Echoencephalography real time imaging (76506) |
$339.15 |
$399 |
3.1× |
| Esophagus (74220) |
$398.65 |
$469 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$397.80 |
$468 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$345.95 |
$407 |
1.4× |
| Foot 2 views (73620) |
$204.42 |
$240.50 |
2.2× |
| Forearm 2 views (73090) |
$215.48 |
$253.50 |
2.3× |
| Hand 2 views (73120) |
$221.85 |
$261 |
2.0× |
| Hand 3 views (73130) |
$218.45 |
$257 |
2.4× |
| Humerus Min 2 Views Left (73060) |
$228.22 |
$268.50 |
2.5× |
| Hysterosalpingogram (74740) |
$540.60 |
$636 |
2.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$93.50 |
$110 |
0.8× |
| Knee 3 views (73562) |
$230.35 |
$271 |
2.5× |
| Mammary ductogram or galactogram multiple (77054) |
$159.80 |
$188 |
0.6× |
| Mammary ductogram or galactogram single (77053) |
$151.30 |
$178 |
0.6× |
| MRA head w & w/o contrast (70546) |
$1,802.42 |
$2,120.50 |
4.9× |
| MRA head w/o contrast (70544) |
$1,168.32 |
$1,374.50 |
4.6× |
| MRA head with contrast (70545) |
$1,300.50 |
$1,530 |
3.5× |
| MRA neck w contrast (70548) |
$1,379.12 |
$1,622.50 |
3.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,953.30 |
$2,298 |
5.3× |
| MRA neck w/o contrast (70547) |
$1,143.68 |
$1,345.50 |
4.5× |
| MRI abdomen w contrast (74182) |
$1,530.42 |
$1,800.50 |
4.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,979.22 |
$2,328.50 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$1,300.92 |
$1,530.50 |
5.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,496.85 |
$1,761 |
1.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,548.28 |
$1,821.50 |
1.9× |
| MRI breast w/o contrast bilateral (77047) |
$606.05 |
$713 |
2.4× |
| MRI breast w/o contrast unilat (77046) |
$378.25 |
$445 |
1.5× |
| MRI c-spine with contrast (72142) |
$1,621.80 |
$1,908 |
4.4× |
| MRI cervical spine w/o contrast (72141) |
$1,312.82 |
$1,544.50 |
5.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,231.68 |
$2,625.50 |
6.1× |
| MRI chest w/o contrast (71550) |
$1,150.90 |
$1,354 |
4.6× |
| MRI chest with contrast (71551) |
$1,449.68 |
$1,705.50 |
1.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,521.92 |
$1,790.50 |
4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,429.28 |
$1,681.50 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,357.02 |
$1,596.50 |
5.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,130.50 |
$1,330 |
4.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,980.50 |
$2,330 |
5.4× |
| MRI orbit/face/neck w/contrast (70542) |
$1,250.35 |
$1,471 |
3.4× |
| MRI pelvis w contrast (72196) |
$1,656.22 |
$1,948.50 |
4.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,221.48 |
$2,613.50 |
6.0× |
| MRI pelvis w/o contrast (72195) |
$1,311.98 |
$1,543.50 |
5.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,861.08 |
$2,189.50 |
5.1× |
| MRI scan of leg joint before and after contrast (73723) |
$1,849.18 |
$2,175.50 |
5.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,071.88 |
$2,437.50 |
5.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,712.32 |
$2,014.50 |
4.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,160.28 |
$2,541.50 |
5.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,582.28 |
$1,861.50 |
4.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,110.12 |
$2,482.50 |
5.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,320.48 |
$1,553.50 |
5.2× |
| MRI tmj (70336) |
$824.08 |
$969.50 |
3.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,357.88 |
$1,597.50 |
5.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,865.75 |
$2,195 |
5.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,324.30 |
$1,558 |
5.3× |
| Myelogram Lumbar (72265) |
$328.95 |
$387 |
0.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,127.55 |
$2,503 |
2.3× |
| Neck soft tissue (70360) |
$198.05 |
$233 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$404.18 |
$475.50 |
3.7× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$65.02 |
$76.50 |
0.5× |
| Osseous survey infant (77076) |
$210.80 |
$248 |
1.9× |
| Osseous survey limited (77074) |
$765.42 |
$900.50 |
6.9× |
| Pelvis 1 or 2 views (72170) |
$238.42 |
$280.50 |
2.2× |
| PET image w/CT, skull-thigh (78815) |
$3,748.50 |
$4,410 |
2.5× |
| PET imaging CT for attenuation limited area (78814) |
$2,739.55 |
$3,223 |
1.8× |
| PET imaging for CT attenuation whole body (78816) |
$3,750.62 |
$4,412.50 |
2.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,005.15 |
$2,359 |
5.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$635.80 |
$748 |
1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$377.82 |
$444.50 |
4.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$402.90 |
$474 |
3.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$313.65 |
$369 |
2.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$498.95 |
$587 |
4.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$267.75 |
$315 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$209.10 |
$246 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$254.15 |
$299 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$197.20 |
$232 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$510.42 |
$600.50 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$563.98 |
$663.50 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$404.18 |
$475.50 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$233.75 |
$275 |
2.5× |
| Radiological examination surgical specimen (76098) |
$335.75 |
$395 |
0.6× |
| Ribs bilateral 3 views (71110) |
$281.78 |
$331.50 |
2.6× |
| Sacroiliac Joints < 3 Views (72200) |
$246.50 |
$290 |
2.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$444.55 |
$523 |
1.8× |
| Scanogram (77073) |
$243.52 |
$286.50 |
2.2× |
| Scapula complete (73010) |
$248.62 |
$292.50 |
2.3× |
| Screening digital breast tomosynthesis (77063) |
$36.55 |
$43 |
1.6× |
| Sella turcica (70240) |
$47.60 |
$56 |
0.5× |
| Sialogram (70390) |
$275.82 |
$324.50 |
1.1× |
| Small bowel series (74250) |
$532.52 |
$626.50 |
2.9× |
| Spine thoracic 3 views (72072) |
$287.72 |
$338.50 |
2.6× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$154.70 |
$182 |
0.6× |
| Thoracolumbar 2 views (72080) |
$242.25 |
$285 |
2.6× |
| Tmj unilateral (70328) |
$208.68 |
$245.50 |
2.3× |
| Ultrasound scan to determine eye length and lens power (76519) |
$508.30 |
$598 |
4.6× |
| Ultrasound, abdomen limited (76705) |
$396.52 |
$466.50 |
3.6× |
| Umbilical-artery Doppler (OB) (76820) |
$290.70 |
$342 |
2.6× |
| Unlisted Ultrasound Procedure (76999) |
$554.20 |
$652 |
6.0× |
| Upper Extremity Infant (73092) |
$125.38 |
$147.50 |
1.1× |
| Urethrocystography retrograde rs&i (74450) |
$130.05 |
$153 |
0.5× |
| Urethrocystography voiding (74455) |
$553.35 |
$651 |
2.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$181.90 |
$214 |
1.0× |
| Us abdl aorta screen aaa (76706) |
$289.42 |
$340.50 |
2.6× |
| Us breast unilateral complete (76641) |
$139.40 |
$164 |
1.3× |
| Us breast unilateral limited (76642) |
$237.58 |
$279.50 |
2.6× |
| Us chest (76604) |
$393.12 |
$462.50 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$206.98 |
$243.50 |
1.9× |
| Us infant hips dynamic (76885) |
$71.40 |
$84 |
0.8× |
| Us kidney transplant (76776) |
$558.88 |
$657.50 |
5.1× |
| Us ob transvaginal (76817) |
$253.30 |
$298 |
2.3× |
| Us pelvic non ob complete (76856) |
$474.72 |
$558.50 |
4.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$387.18 |
$455.50 |
3.5× |
| Us pregnancy ltd (76815) |
$352.75 |
$415 |
3.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$216.75 |
$255 |
2.0× |
| Us retroperitoneal complete (76770) |
$443.70 |
$522 |
4.0× |
| Us retroperitoneal limited (76775) |
$417.35 |
$491 |
3.8× |
| Us scrotum and contents (76870) |
$449.65 |
$529 |
4.1× |
| Us soft tissue head/neck (76536) |
$462.40 |
$544 |
4.2× |
| Us spinal canal and contents (76800) |
$170.42 |
$200.50 |
1.5× |
| Us transrectal (76872) |
$277.10 |
$326 |
2.5× |
| Us xtr non-vasc lmtd (76882) |
$241.40 |
$284 |
2.2× |
| Us, eye b-scan (76512) |
$181.48 |
$213.50 |
1.6× |
| Venogram extremity bilateral (75822) |
$243.95 |
$287 |
0.1× |
| Venography extremity unilateral rs&i (75820) |
$367.20 |
$432 |
0.2× |
| Wrist 2 views (73100) |
$203.15 |
$239 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$325.12 |
$382.50 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$277.52 |
$326.50 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$219.30 |
$258 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$645.15 |
$759 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$204.85 |
$241 |
2.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$436.05 |
$513 |
4.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$451.78 |
$531.50 |
4.1× |
| X-ray exam hip uni 1 view (73501) |
$103.70 |
$122 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$262.22 |
$308.50 |
2.9× |
| X-ray exam hip uni 4/> views (73503) |
$73.52 |
$86.50 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$179.78 |
$211.50 |
1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$74.80 |
$88 |
0.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$299.62 |
$352.50 |
1.6× |
| X-ray eye for foreign body (70030) |
$181.90 |
$214 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$269.88 |
$317.50 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$167.88 |
$197.50 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$215.90 |
$254 |
2.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$208.25 |
$245 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$221.42 |
$260.50 |
2.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$292.40 |
$344 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$269.45 |
$317 |
2.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$136.42 |
$160.50 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$304.72 |
$358.50 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$420.75 |
$495 |
3.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$272.42 |
$320.50 |
2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$210.38 |
$247.50 |
2.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$178.08 |
$209.50 |
1.9× |
| X-ray of voice box or throat (70370) |
$246.92 |
$290.50 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$250.32 |
$294.50 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$289.42 |
$340.50 |
2.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$117.30 |
$138 |
0.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$254.58 |
$299.50 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$260.52 |
$306.50 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$324.70 |
$382 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$246.92 |
$290.50 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$259.25 |
$305 |
2.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$263.50 |
$310 |
2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$283.48 |
$333.50 |
3.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$152.58 |
$179.50 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$425.85 |
$501 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$273.70 |
$322 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$195.08 |
$229.50 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$56.10 |
$66 |
0.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$206.98 |
$243.50 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$279.65 |
$329 |
2.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$307.28 |
$361.50 |
2.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$188.70 |
$222 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$222.70 |
$262 |
2.4× |
| Xr arthrogram ankle (73615) |
$534.65 |
$629 |
1.5× |
| Xr c-spine 6 or more views (72052) |
$371.02 |
$436.50 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$204.42 |
$240.50 |
2.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$232.90 |
$274 |
2.1× |
| Xr shoulder 1 view (73020) |
$56.10 |
$66 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$325.98 |
$383.50 |
3.0× |
| Xr tibia/fibula 2 views (73590) |
$221.85 |
$261 |
2.4× |
| Xr tmj bilateral (70330) |
$243.95 |
$287 |
2.7× |
| Xray knee 1 or 2 views rt (73560) |
$208.68 |
$245.50 |
2.3× |