| Abdomen 2 views (74019) |
$270.90 |
$387 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$538.48 |
$769.25 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$6,007.99 |
$8,582.84 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$5,919.20 |
$8,456 |
2.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,919.20 |
$8,456 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,919.20 |
$8,456 |
2.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,952.23 |
$9,931.75 |
1.3× |
| Ankle 2 views (73600) |
$131.46 |
$187.80 |
1.6× |
| Aortogram thoracic (75605) |
$5,919.20 |
$8,456 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,919.20 |
$8,456 |
2.0× |
| Aortography abdominal serialography rs&i (75625) |
$6,007.99 |
$8,582.84 |
2.0× |
| Arthrogram elbow (73085) |
$720.39 |
$1,029.12 |
2.2× |
| Arthrogram hip (73525) |
$720.39 |
$1,029.12 |
2.2× |
| Arthrogram shoulder (73040) |
$505.92 |
$722.75 |
1.5× |
| Arthrogram wrist (73115) |
$496.27 |
$708.95 |
1.5× |
| Arthrography knee lt (73580) |
$673.14 |
$961.62 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$673.93 |
$962.75 |
1.8× |
| Bone &/joint imaging whole body (78306) |
$980.32 |
$1,400.44 |
2.6× |
| Bone age studies (77072) |
$307.83 |
$439.75 |
3.1× |
| Bone Imaging 3 Phase (78315) |
$1,124.38 |
$1,606.25 |
3.0× |
| Bone survey complete (77075) |
$144.20 |
$206 |
1.5× |
| Brain image w/flow 4 + views (78606) |
$533.40 |
$762 |
1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,673.30 |
$3,819 |
8.2× |
| Cervical spine 2 or 3 views (72040) |
$305.75 |
$436.78 |
3.7× |
| Chest 1 view (71045) |
$189.30 |
$270.43 |
2.3× |
| Chest 3 views (71047) |
$155.75 |
$222.50 |
1.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$366.19 |
$523.12 |
2.2× |
| Clavicle complete (73000) |
$123.24 |
$176.06 |
1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$126.81 |
$181.15 |
1.3× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$334.43 |
$477.75 |
2.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,019.07 |
$4,312.96 |
9.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,442.90 |
$3,489.86 |
10.9× |
| CT abdomen w contrast (74160) |
$1,277.20 |
$1,824.58 |
7.8× |
| CT abdomen w wo contrast (74170) |
$1,595.01 |
$2,278.58 |
9.7× |
| CT abdomen w/o contrast (74150) |
$1,165.18 |
$1,664.53 |
11.9× |
| CT angio hrt w/3d image (75574) |
$773.32 |
$1,104.74 |
2.4× |
| CT angiography upper extremity lt (73206) |
$428.66 |
$612.38 |
2.6× |
| CT c-spine w/o contrast (72125) |
$1,090.42 |
$1,557.75 |
11.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,345.23 |
$1,921.75 |
8.2× |
| CT cervical spine with contrast (72126) |
$1,165.18 |
$1,664.53 |
3.6× |
| CT chest w/wo contrast (71270) |
$1,595.01 |
$2,278.58 |
9.7× |
| CT chest with contrast (71260) |
$1,284.27 |
$1,834.67 |
7.8× |
| CT head/brain with contrast (70460) |
$1,366.58 |
$1,952.25 |
8.3× |
| CT head/brain without and with contrast (70470) |
$1,424.24 |
$2,034.62 |
8.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$670.60 |
$958 |
2.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$69.30 |
$99 |
0.8× |
| CT hrt w/3d image congen (75573) |
$670.60 |
$958 |
2.0× |
| CT iac w contrast (70481) |
$1,170.97 |
$1,672.81 |
7.1× |
| CT limited/localized follow up study (76380) |
$654.85 |
$935.50 |
8.0× |
| CT lower ext w/o (73700) |
$1,095.85 |
$1,565.50 |
11.2× |
| CT lower extremity w wo contrast (73702) |
$1,299.24 |
$1,856.06 |
7.9× |
| CT lower extremity with contrast (73701) |
$1,170.97 |
$1,672.81 |
7.1× |
| CT lumbar spine w & w/o contrast (72133) |
$615.74 |
$879.62 |
3.7× |
| CT lumbar spine w/o contrast (72131) |
$1,277.91 |
$1,825.58 |
13.0× |
| CT lumbar spine with contrast (72132) |
$1,165.18 |
$1,664.53 |
3.6× |
| CT maxillofacial w contrast (70487) |
$1,176.77 |
$1,681.10 |
7.2× |
| CT maxillofacial w/o contrast (70486) |
$1,090.42 |
$1,557.75 |
11.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,237.46 |
$1,767.80 |
7.5× |
| CT neck soft tissue w contrast (70491) |
$1,351.96 |
$1,931.36 |
8.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,339.45 |
$1,913.50 |
8.1× |
| CT orbits w/o contrast (70480) |
$1,095.85 |
$1,565.50 |
11.2× |
| CT pelvis w & w/o contrast (72194) |
$1,417.15 |
$2,024.50 |
8.6× |
| CT pelvis w/o contrast (72192) |
$1,277.91 |
$1,825.58 |
13.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,438.41 |
$2,054.87 |
8.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,277.91 |
$1,825.58 |
13.0× |
| CT thoracic spine w/contrast (72129) |
$1,373.41 |
$1,962.01 |
8.3× |
| CT thoracic spine w/o contrast (72128) |
$1,091.13 |
$1,558.76 |
11.1× |
| CT thoracic spine w/wo contrast (72130) |
$612.68 |
$875.25 |
3.7× |
| CT thorax w/o contrast (71250) |
$1,165.18 |
$1,664.53 |
11.9× |
| CT unlisted procedure (76497) |
$108.15 |
$154.50 |
1.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,354.43 |
$1,934.90 |
8.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,095.85 |
$1,565.50 |
11.2× |
| CT upper extremity with contrast (73201) |
$1,165.18 |
$1,664.53 |
3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$897.32 |
$1,281.88 |
5.5× |
| Cta Abdomen (74175) |
$569.13 |
$813.04 |
3.5× |
| CTA abdomen pelvis (74174) |
$1,102.74 |
$1,575.34 |
3.4× |
| CTA chest (71275) |
$587.17 |
$838.81 |
3.6× |
| Cta Head (70496) |
$673.42 |
$962.03 |
4.1× |
| CTA lwr ext w&w/o contrast (73706) |
$436.12 |
$623.02 |
2.6× |
| Cta Neck (70498) |
$670.08 |
$957.26 |
4.1× |
| Cta Pelvis (72191) |
$566.30 |
$809 |
3.4× |
| Cystography minimum 3 views rs&i (74430) |
$370.48 |
$529.25 |
1.1× |
| Diskogram cervical (72285) |
$8,047.55 |
$11,496.50 |
4.4× |
| Diskography lumbar (72295) |
$8,047.55 |
$11,496.50 |
4.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$315.28 |
$450.40 |
3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$239.93 |
$342.75 |
2.9× |
| Dxa bone density study axial skeleton (77085) |
$197.58 |
$282.25 |
2.0× |
| Esophagus (74220) |
$356.13 |
$508.75 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$606.58 |
$866.53 |
6.2× |
| Fluoroscopy up to 1 hr (76000) |
$386.05 |
$551.50 |
1.7× |
| Foot 2 views (73620) |
$131.46 |
$187.80 |
1.6× |
| Forearm 2 views (73090) |
$131.46 |
$187.80 |
1.6× |
| Hand 2 views (73120) |
$131.46 |
$187.80 |
1.3× |
| Hand 3 views (73130) |
$123.24 |
$176.06 |
1.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$968.82 |
$1,384.03 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$857 |
$1,224.28 |
2.3× |
| Ht muscle image spect sing (78451) |
$1,901.22 |
$2,716.03 |
1.6× |
| Humerus Min 2 Views Left (73060) |
$120.50 |
$172.15 |
1.5× |
| Hysterosalpingogram (74740) |
$503.30 |
$718.99 |
2.2× |
| Kidney imaging morphology (78700) |
$374.15 |
$534.50 |
1.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$906.68 |
$1,295.25 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$370.48 |
$529.25 |
0.7× |
| Knee 3 views (73562) |
$172.13 |
$245.90 |
2.1× |
| Liver & spleen imaging static only (78215) |
$686.88 |
$981.25 |
1.8× |
| Liver imaging static only (78201) |
$441.88 |
$631.25 |
0.9× |
| Lymphoscintigraphy (78195) |
$441.88 |
$631.25 |
0.9× |
| Meckels Diverticulum (78290) |
$391.48 |
$559.25 |
1.0× |
| MRA head w & w/o contrast (70546) |
$988.77 |
$1,412.53 |
3.0× |
| MRA head w/o contrast (70544) |
$661.52 |
$945.03 |
3.0× |
| MRA head with contrast (70545) |
$779.10 |
$1,113 |
2.4× |
| MRA neck w contrast (70548) |
$779.10 |
$1,113 |
2.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,013.37 |
$1,447.67 |
3.1× |
| MRA neck w/o contrast (70547) |
$645.46 |
$922.09 |
2.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$998.61 |
$1,426.58 |
3.1× |
| MRI abdomen w/o contrast (74181) |
$645.46 |
$922.09 |
2.9× |
| MRI any jnt lwr ext with con lt (73722) |
$779.10 |
$1,113 |
1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$802.47 |
$1,146.39 |
1.1× |
| MRI c-spine with contrast (72142) |
$779.10 |
$1,113 |
2.4× |
| MRI cardiac w/o contrast (75557) |
$1,989.40 |
$2,842 |
8.9× |
| MRI cervical spine w/o contrast (72141) |
$645.46 |
$922.09 |
2.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,229.82 |
$1,756.88 |
3.8× |
| MRI chest w/o contrast (71550) |
$642.25 |
$917.50 |
2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$779.10 |
$1,113 |
2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$648.68 |
$926.68 |
2.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$642.25 |
$917.50 |
2.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$988.77 |
$1,412.53 |
3.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,082.24 |
$1,546.05 |
3.3× |
| MRI pelvis w/o contrast (72195) |
$651.88 |
$931.26 |
2.9× |
| MRI scan of arm joint before and after contrast (73223) |
$988.77 |
$1,412.53 |
3.0× |
| MRI scan of leg joint before and after contrast (73723) |
$993.69 |
$1,419.56 |
3.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$998.61 |
$1,426.58 |
3.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$779.10 |
$1,113 |
2.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$998.61 |
$1,426.58 |
3.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$998.61 |
$1,426.58 |
3.1× |
| MRI thoracic spine w/o contrast (72146) |
$651.88 |
$931.26 |
2.9× |
| MRI upper ext joint w/o contrast (73221) |
$648.68 |
$926.68 |
2.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$988.77 |
$1,412.53 |
3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$651.88 |
$931.26 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$2,269.87 |
$3,242.67 |
1.9× |
| Neck soft tissue (70360) |
$258.83 |
$369.75 |
3.2× |
| Nm gastric emptying study (78264) |
$931.62 |
$1,330.88 |
2.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,322.48 |
$1,889.25 |
1.1× |
| Nuclear medicine of heart pumping function (78473) |
$1,087.63 |
$1,553.75 |
2.9× |
| Nuclear medicine study of kidney and blood flow (78701) |
$543.38 |
$776.25 |
1.4× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$609.70 |
$871 |
1.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$508.90 |
$727 |
5.2× |
| Orthopantogram (70355) |
$187.43 |
$267.75 |
2.3× |
| Osseous survey infant (77076) |
$242.90 |
$347 |
2.5× |
| Osseous survey limited (77074) |
$144.20 |
$206 |
1.5× |
| Parathyrd planar w/wo subtrj (78071) |
$499.54 |
$713.62 |
1.3× |
| Parathyroid imaging (78070) |
$535.90 |
$765.56 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$178.45 |
$254.92 |
1.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$998.61 |
$1,426.58 |
3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$710.68 |
$1,015.25 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,164.62 |
$1,663.75 |
2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$273.88 |
$391.25 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$202.78 |
$289.69 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$300.22 |
$428.88 |
3.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$505.93 |
$722.75 |
5.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$323.58 |
$462.25 |
3.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$593.34 |
$847.62 |
6.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$401.84 |
$574.06 |
4.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$243.25 |
$347.50 |
3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$382.03 |
$545.75 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$123.24 |
$176.06 |
1.5× |
| Radiologic exam colon single contrast study (74270) |
$519.38 |
$741.96 |
3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$356.13 |
$508.75 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$445.90 |
$637 |
2.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$601.34 |
$859.06 |
3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$233.40 |
$333.43 |
2.9× |
| Radiological examination surgical specimen (76098) |
$237.93 |
$339.90 |
0.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,248.28 |
$1,783.25 |
2.5× |
| Scanogram (77073) |
$268.80 |
$384 |
2.7× |
| Scapula complete (73010) |
$269.85 |
$385.50 |
2.8× |
| Screening digital breast tomosynthesis (77063) |
$75.08 |
$107.25 |
3.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$276.85 |
$395.50 |
2.8× |
| Sialogram (70390) |
$325.85 |
$465.50 |
1.5× |
| Small bowel series (74250) |
$324.17 |
$463.10 |
2.0× |
| Speech evaluation complex (70371) |
$399.35 |
$570.50 |
1.8× |
| Spine thoracic 3 views (72072) |
$356.90 |
$509.85 |
3.6× |
| Spleen imaging only (78185) |
$439.60 |
$628 |
1.2× |
| Thoracolumbar 2 views (72080) |
$234.33 |
$334.75 |
2.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$471.05 |
$672.93 |
1.3× |
| Thyroid uptake measurement (78012) |
$290.50 |
$415 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$746.77 |
$1,066.82 |
2.0× |
| Tomogram (76100) |
$356.83 |
$509.75 |
3.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$962.15 |
$1,374.50 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$362.16 |
$517.38 |
3.7× |
| Umbilical-artery Doppler (OB) (76820) |
$196.28 |
$280.40 |
2.0× |
| Upper Extremity Infant (73092) |
$162.23 |
$231.75 |
1.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$401.45 |
$573.50 |
1.1× |
| Urethrocystography retrograde rs&i (74450) |
$440.82 |
$629.75 |
2.0× |
| Urethrocystography voiding (74455) |
$438.20 |
$626 |
2.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$603.27 |
$861.81 |
3.7× |
| Us abdl aorta screen aaa (76706) |
$137.45 |
$196.36 |
1.4× |
| Us breast unilateral complete (76641) |
$316.32 |
$451.88 |
3.2× |
| Us breast unilateral limited (76642) |
$352.17 |
$503.10 |
4.3× |
| Us chest (76604) |
$295.58 |
$422.25 |
3.0× |
| Us compl joint r-t w/image documentation (76881) |
$247.28 |
$353.25 |
2.5× |
| Us elastography parenchyma (76981) |
$146.65 |
$209.50 |
1.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$616.01 |
$880.02 |
6.3× |
| Us infant hips dynamic (76885) |
$391.48 |
$559.25 |
4.8× |
| Us infant hips limited static (76886) |
$391.48 |
$559.25 |
4.8× |
| Us ob detailed single fetus (76811) |
$578.22 |
$826.03 |
2.6× |
| Us ob transvaginal (76817) |
$540.53 |
$772.19 |
5.5× |
| Us pelvic non ob complete (76856) |
$486.48 |
$694.97 |
5.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$468.93 |
$669.90 |
4.8× |
| Us pregnancy ltd (76815) |
$418.39 |
$597.70 |
4.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$213.42 |
$304.88 |
2.2× |
| Us retroperitoneal complete (76770) |
$500.85 |
$715.50 |
5.1× |
| Us scrotum and contents (76870) |
$400.05 |
$571.50 |
4.1× |
| Us soft tissue head/neck (76536) |
$424.70 |
$606.72 |
4.3× |
| Us spinal canal and contents (76800) |
$391.48 |
$559.25 |
4.0× |
| Us transrectal (76872) |
$450.45 |
$643.50 |
4.6× |
| Us xtr non-vasc lmtd (76882) |
$262.74 |
$375.34 |
2.7× |
| Us, eye b-scan (76512) |
$38.88 |
$55.54 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$5,192.43 |
$7,417.75 |
1.8× |
| Venography extremity unilateral rs&i (75820) |
$1,289.40 |
$1,842 |
0.9× |
| Vertebral fracture assessment via dxa (77086) |
$197.58 |
$282.25 |
2.4× |
| Wrist 2 views (73100) |
$120.50 |
$172.15 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$264.26 |
$377.50 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$123.24 |
$176.06 |
1.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$614.78 |
$878.25 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$120.50 |
$172.15 |
1.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$131.46 |
$187.80 |
1.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$335.13 |
$478.75 |
3.4× |
| X-ray exam hip uni 1 view (73501) |
$180.25 |
$257.50 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$233.40 |
$333.43 |
2.9× |
| X-ray exam of femur 1 (73551) |
$198.28 |
$283.25 |
2.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$575.93 |
$822.75 |
3.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$324.45 |
$463.50 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$288.40 |
$412 |
3.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$136.94 |
$195.63 |
1.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$364.70 |
$521 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$136.94 |
$195.63 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$229.56 |
$327.94 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$167.30 |
$239 |
2.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$109.55 |
$156.50 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$298.96 |
$427.08 |
3.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$305.75 |
$436.78 |
3.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$305.75 |
$436.78 |
3.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$257.43 |
$367.75 |
3.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$191.47 |
$273.52 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$365.01 |
$521.44 |
3.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$236.06 |
$337.22 |
2.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$226.39 |
$323.42 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$329.49 |
$470.70 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$339.72 |
$485.31 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$171.08 |
$244.40 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$282.96 |
$404.22 |
3.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$120.50 |
$172.15 |
1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$324.45 |
$463.50 |
4.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$135.63 |
$193.75 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$476.66 |
$680.94 |
4.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$324.45 |
$463.50 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$183.14 |
$261.62 |
2.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$212.63 |
$303.75 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$225.58 |
$322.25 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$281.34 |
$401.90 |
2.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$237.09 |
$338.70 |
2.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$136.94 |
$195.63 |
1.7× |
| Xr arthrogram ankle (73615) |
$606.46 |
$866.38 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$584.91 |
$835.58 |
6.0× |
| Xr chest 4+ views (71048) |
$361.90 |
$517 |
3.7× |
| Xr Cholecystography Oral Contrast (74290) |
$284.73 |
$406.75 |
1.7× |
| Xr finger(s) 2+ views (73140) |
$169.53 |
$242.19 |
2.1× |
| Xr internal auditory meati complete (70134) |
$337.40 |
$482 |
0.7× |
| Xr optic foramina (70190) |
$260.23 |
$371.75 |
3.2× |
| Xr shoulder 1 view (73020) |
$123.24 |
$176.06 |
1.5× |
| Xr spine cervical 4 or 5 views (72050) |
$377.02 |
$538.60 |
3.8× |
| Xr tibia/fibula 2 views (73590) |
$120.50 |
$172.15 |
1.5× |
| Xr tmj bilateral (70330) |
$277.55 |
$396.50 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$110.65 |
$158.07 |
1.4× |