| Abdomen 2 views (74019) |
$366 |
$610 |
3.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,006.80 |
$1,678 |
2.5× |
| Ankle 2 views (73600) |
$196.80 |
$328 |
2.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$837 |
$1,395 |
2.4× |
| Arthrogram elbow (73085) |
$1,456.20 |
$2,427 |
4.2× |
| Arthrogram hip (73525) |
$1,456.20 |
$2,427 |
4.2× |
| Arthrogram shoulder (73040) |
$1,456.20 |
$2,427 |
4.2× |
| Arthrogram wrist (73115) |
$1,456.20 |
$2,427 |
4.2× |
| Arthrography knee lt (73580) |
$1,456.20 |
$2,427 |
4.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$780.60 |
$1,301 |
1.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,113.60 |
$1,856 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$884.40 |
$1,474 |
2.2× |
| Bone age studies (77072) |
$199.20 |
$332 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,003.80 |
$1,673 |
2.5× |
| Bone survey complete (77075) |
$555 |
$925 |
5.3× |
| Cervical spine 2 or 3 views (72040) |
$139.50 |
$232.50 |
1.6× |
| Chest 1 view (71045) |
$247.20 |
$412 |
2.8× |
| Chest 3 views (71047) |
$288.60 |
$481 |
3.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$467.40 |
$779 |
2.7× |
| Clavicle complete (73000) |
$264.60 |
$441 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$584.40 |
$974 |
5.6× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$340.80 |
$568 |
1.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,985 |
$4,975 |
8.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,342.20 |
$2,237 |
5.6× |
| CT abdomen w contrast (74160) |
$1,688.40 |
$2,814 |
9.6× |
| CT abdomen w wo contrast (74170) |
$1,876.80 |
$3,128 |
10.7× |
| CT abdomen w/o contrast (74150) |
$1,251 |
$2,085 |
11.9× |
| CT c-spine w/o contrast (72125) |
$1,344.60 |
$2,241 |
12.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,675.20 |
$2,792 |
9.5× |
| CT cervical spine with contrast (72126) |
$1,663.80 |
$2,773 |
4.7× |
| CT chest w/wo contrast (71270) |
$1,964.40 |
$3,274 |
11.1× |
| CT chest with contrast (71260) |
$1,697.40 |
$2,829 |
9.6× |
| CT head/brain with contrast (70460) |
$1,554.60 |
$2,591 |
8.8× |
| CT head/brain without and with contrast (70470) |
$1,789.80 |
$2,983 |
10.2× |
| CT iac w contrast (70481) |
$1,413 |
$2,355 |
8.0× |
| CT limited/localized follow up study (76380) |
$360 |
$600 |
4.1× |
| CT lower ext w/o (73700) |
$1,254.60 |
$2,091 |
11.9× |
| CT lower extremity w wo contrast (73702) |
$1,668 |
$2,780 |
9.5× |
| CT lower extremity with contrast (73701) |
$1,412.40 |
$2,354 |
8.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,529.40 |
$2,549 |
8.7× |
| CT lumbar spine w/o contrast (72131) |
$1,336.80 |
$2,228 |
12.7× |
| CT lumbar spine with contrast (72132) |
$1,663.80 |
$2,773 |
4.7× |
| CT maxillofacial w contrast (70487) |
$1,383.60 |
$2,306 |
7.9× |
| CT maxillofacial w/o contrast (70486) |
$1,211.40 |
$2,019 |
11.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,668 |
$2,780 |
9.5× |
| CT neck soft tissue w contrast (70491) |
$1,485.60 |
$2,476 |
8.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,624.20 |
$2,707 |
9.2× |
| CT orbits w/o contrast (70480) |
$1,273.20 |
$2,122 |
12.1× |
| CT pelvis w & w/o contrast (72194) |
$1,668 |
$2,780 |
9.5× |
| CT pelvis w/o contrast (72192) |
$1,252.20 |
$2,087 |
11.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,668 |
$2,780 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,231.80 |
$2,053 |
11.7× |
| CT thoracic spine w/contrast (72129) |
$1,807.20 |
$3,012 |
10.3× |
| CT thoracic spine w/o contrast (72128) |
$1,313.40 |
$2,189 |
12.5× |
| CT thoracic spine w/wo contrast (72130) |
$2,015.40 |
$3,359 |
11.4× |
| CT thorax w/o contrast (71250) |
$1,272.60 |
$2,121 |
12.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,668 |
$2,780 |
9.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,340.40 |
$2,234 |
12.8× |
| CT upper extremity with contrast (73201) |
$1,435.80 |
$2,393 |
4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,935 |
$3,225 |
11.0× |
| Cta Abdomen (74175) |
$1,251 |
$2,085 |
7.1× |
| CTA abdomen pelvis (74174) |
$1,389.60 |
$2,316 |
4.0× |
| CTA chest (71275) |
$1,808.40 |
$3,014 |
10.3× |
| Cta Head (70496) |
$1,435.80 |
$2,393 |
8.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,336.80 |
$2,228 |
7.6× |
| Cta Neck (70498) |
$1,435.80 |
$2,393 |
8.1× |
| Cystography minimum 3 views rs&i (74430) |
$1,026 |
$1,710 |
2.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$242.40 |
$404 |
2.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$198 |
$330 |
2.3× |
| Dxa bone density study axial skeleton (77085) |
$364.20 |
$607 |
3.5× |
| Esophagus (74220) |
$756.60 |
$1,261 |
4.3× |
| Fetal biophysical profile non-stress testing (76818) |
$780.60 |
$1,301 |
7.4× |
| Fluoroscopy up to 1 hr (76000) |
$492.60 |
$821 |
2.1× |
| Foot 2 views (73620) |
$196.20 |
$327 |
2.2× |
| Forearm 2 views (73090) |
$131.70 |
$219.50 |
1.5× |
| Gated Heart Planar Single (78472) |
$827.40 |
$1,379 |
2.1× |
| Hand 2 views (73120) |
$366 |
$610 |
3.5× |
| Hand 3 views (73130) |
$145.50 |
$242.50 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,367.40 |
$2,279 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$993 |
$1,655 |
2.5× |
| Ht muscle image spect sing (78451) |
$2,224.80 |
$3,708 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$136.80 |
$228 |
1.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,004.40 |
$1,674 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,004.40 |
$1,674 |
1.8× |
| Knee 3 views (73562) |
$154.80 |
$258 |
1.8× |
| Liver & spleen imaging static only (78215) |
$780.60 |
$1,301 |
1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$780.60 |
$1,301 |
1.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$192 |
$320 |
2.2× |
| Meckels Diverticulum (78290) |
$1,003.20 |
$1,672 |
2.5× |
| MRA head w & w/o contrast (70546) |
$2,164.20 |
$3,607 |
6.2× |
| MRA head w/o contrast (70544) |
$1,872 |
$3,120 |
7.8× |
| MRA head with contrast (70545) |
$1,965 |
$3,275 |
5.6× |
| MRA neck w contrast (70548) |
$1,950.60 |
$3,251 |
5.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,326.80 |
$3,878 |
6.6× |
| MRA neck w/o contrast (70547) |
$1,765.80 |
$2,943 |
7.4× |
| MRI abdomen w contrast (74182) |
$2,432.40 |
$4,054 |
6.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,879.40 |
$4,799 |
8.2× |
| MRI abdomen w/o contrast (74181) |
$2,013.60 |
$3,356 |
8.4× |
| MRI any jnt lwr ext with con lt (73722) |
$2,485.20 |
$4,142 |
3.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,784.60 |
$4,641 |
3.5× |
| MRI c-spine with contrast (72142) |
$1,964.40 |
$3,274 |
5.6× |
| MRI cervical spine w/o contrast (72141) |
$1,936.80 |
$3,228 |
8.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,567.40 |
$4,279 |
7.3× |
| MRI chest w/o contrast (71550) |
$1,536 |
$2,560 |
6.4× |
| MRI chest with contrast (71551) |
$2,559.60 |
$4,266 |
3.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,964.40 |
$3,274 |
5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,964.40 |
$3,274 |
5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,765.80 |
$2,943 |
7.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,888.20 |
$3,147 |
7.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,164.20 |
$3,607 |
6.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,964.40 |
$3,274 |
5.6× |
| MRI pelvis w contrast (72196) |
$2,373 |
$3,955 |
6.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,734.20 |
$4,557 |
7.8× |
| MRI pelvis w/o contrast (72195) |
$1,960.80 |
$3,268 |
8.2× |
| MRI scan of arm joint before and after contrast (73223) |
$2,936.40 |
$4,894 |
8.4× |
| MRI scan of leg joint before and after contrast (73723) |
$2,164.20 |
$3,607 |
6.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,959.80 |
$4,933 |
8.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,964.40 |
$3,274 |
5.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,096 |
$5,160 |
8.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,964.40 |
$3,274 |
5.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,182.40 |
$5,304 |
9.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,956 |
$3,260 |
8.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,826.40 |
$3,044 |
7.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,412 |
$4,020 |
6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,765.80 |
$2,943 |
7.4× |
| Myelogram Cervical (72240) |
$2,176.20 |
$3,627 |
2.8× |
| Myelogram Lumbar (72265) |
$2,176.20 |
$3,627 |
2.8× |
| Myelogram thoracic (72255) |
$2,176.20 |
$3,627 |
2.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,224.80 |
$3,708 |
1.7× |
| Neck soft tissue (70360) |
$221.40 |
$369 |
2.5× |
| Nm gastric emptying study (78264) |
$1,006.80 |
$1,678 |
2.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$490.80 |
$818 |
4.7× |
| Osseous survey infant (77076) |
$555 |
$925 |
5.3× |
| Osseous survey limited (77074) |
$429 |
$715 |
4.1× |
| Parathyrd planar w/wo subtrj (78071) |
$979.80 |
$1,633 |
2.4× |
| Parathyroid imaging (78070) |
$855 |
$1,425 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$191.40 |
$319 |
1.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,164.20 |
$3,607 |
6.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$708.60 |
$1,181 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,004.40 |
$1,674 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$719.40 |
$1,199 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$312 |
$520 |
3.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$366 |
$610 |
3.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$342 |
$570 |
3.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$292.80 |
$488 |
2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$351.60 |
$586 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$217.80 |
$363 |
2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$230.40 |
$384 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$264.60 |
$441 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$692.40 |
$1,154 |
3.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$526.20 |
$877 |
3.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$809.40 |
$1,349 |
4.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$783 |
$1,305 |
4.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$252.30 |
$420.50 |
2.9× |
| Radiological examination surgical specimen (76098) |
$1,552.80 |
$2,588 |
2.8× |
| Ribs bilateral 3 views (71110) |
$354.60 |
$591 |
3.4× |
| Sacroiliac Joints < 3 Views (72200) |
$354.60 |
$591 |
3.4× |
| Scapula complete (73010) |
$186.30 |
$310.50 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$82.20 |
$137 |
3.5× |
| Spine thoracic 3 views (72072) |
$357.60 |
$596 |
3.4× |
| Thyroid uptake measurement (78012) |
$780.60 |
$1,301 |
1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$802.20 |
$1,337 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$595.20 |
$992 |
5.7× |
| Unlisted fluoroscopic procedure (76496) |
$198 |
$330 |
2.3× |
| Upper Extremity Infant (73092) |
$354.60 |
$591 |
3.4× |
| Urethrocystography voiding (74455) |
$696.60 |
$1,161 |
2.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$803.40 |
$1,339 |
4.6× |
| Us abdl aorta screen aaa (76706) |
$520.20 |
$867 |
5.0× |
| Us breast unilateral complete (76641) |
$490.80 |
$818 |
4.7× |
| Us breast unilateral limited (76642) |
$198 |
$330 |
2.3× |
| Us chest (76604) |
$490.80 |
$818 |
4.7× |
| Us compl joint r-t w/image documentation (76881) |
$367.80 |
$613 |
3.5× |
| Us ob transvaginal (76817) |
$625.20 |
$1,042 |
6.0× |
| Us pelvic non ob complete (76856) |
$559.80 |
$933 |
5.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$366 |
$610 |
3.5× |
| Us pregnancy ltd (76815) |
$490.80 |
$818 |
4.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$490.80 |
$818 |
4.7× |
| Us retroperitoneal complete (76770) |
$622.20 |
$1,037 |
5.9× |
| Us retroperitoneal limited (76775) |
$520.20 |
$867 |
5.0× |
| Us scrotum and contents (76870) |
$642 |
$1,070 |
6.1× |
| Us soft tissue head/neck (76536) |
$512.40 |
$854 |
4.9× |
| Us xtr non-vasc lmtd (76882) |
$439.80 |
$733 |
4.2× |
| Venogram extremity bilateral (75822) |
$3,136.20 |
$5,227 |
2.0× |
| Venography extremity unilateral rs&i (75820) |
$1,954.20 |
$3,257 |
1.2× |
| Wrist 2 views (73100) |
$119.70 |
$199.50 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$415.20 |
$692 |
4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$250.20 |
$417 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$155.10 |
$258.50 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$692.40 |
$1,154 |
3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$115.50 |
$192.50 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$163.50 |
$272.50 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$258.60 |
$431 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$162.60 |
$271 |
1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$429 |
$715 |
4.1× |
| X-ray exam of femur 1 (73551) |
$312 |
$520 |
3.6× |
| X-ray eye for foreign body (70030) |
$198 |
$330 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$468.60 |
$781 |
4.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$235.20 |
$392 |
2.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$149.40 |
$249 |
1.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$109.20 |
$182 |
1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$292.80 |
$488 |
3.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$233.10 |
$388.50 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$108.30 |
$180.50 |
1.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$271.20 |
$452 |
3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$206.10 |
$343.50 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$550.80 |
$918 |
5.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$396 |
$660 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$235.20 |
$392 |
2.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$217.80 |
$363 |
2.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$365.40 |
$609 |
3.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$217.80 |
$363 |
2.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,410 |
$2,350 |
4.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$276 |
$460 |
3.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$366 |
$610 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$350.40 |
$584 |
3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$354.60 |
$591 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$274.80 |
$458 |
3.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$155.40 |
$259 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$755.40 |
$1,259 |
8.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$217.20 |
$362 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$468.60 |
$781 |
4.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$354.60 |
$591 |
3.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$136.20 |
$227 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$288.60 |
$481 |
3.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$250.20 |
$417 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$190.20 |
$317 |
1.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$354.60 |
$591 |
3.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$131.10 |
$218.50 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$134.70 |
$224.50 |
1.5× |
| Xr arthrogram ankle (73615) |
$1,456.20 |
$2,427 |
4.2× |
| Xr c-spine 6 or more views (72052) |
$604.80 |
$1,008 |
5.8× |
| Xr chest 4+ views (71048) |
$354.60 |
$591 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$135.60 |
$226 |
1.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$548.40 |
$914 |
5.2× |
| Xr shoulder 1 view (73020) |
$130.20 |
$217 |
1.5× |
| Xr spine cervical 4 or 5 views (72050) |
$282.60 |
$471 |
2.7× |
| Xr tibia/fibula 2 views (73590) |
$159 |
$265 |
1.8× |
| Xr tmj bilateral (70330) |
$312 |
$520 |
3.6× |
| Xray knee 1 or 2 views rt (73560) |
$126 |
$210 |
1.4× |