| Acute gi blood loss imaging (78278) |
$15,948 |
$15,948 |
38.2× |
| Angio extremity unilateral (75710) |
$11,196 |
$11,196 |
3.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$17,706 |
$17,706 |
3.0× |
| Ankle 2 views (73600) |
$2,758 |
$2,758 |
30.3× |
| Arthrography knee lt (73580) |
$8,267 |
$8,267 |
22.7× |
| Arthrography wrist lt (73115) |
$8,676 |
$8,676 |
23.8× |
| Barium enema (74270) |
$7,161 |
$7,161 |
39.1× |
| Bone age studies (77072) |
$3,785 |
$3,785 |
34.7× |
| Bone imaging limited area (78300) |
$11,297 |
$11,297 |
27.1× |
| Bone survey complete (77075) |
$5,113 |
$5,113 |
46.8× |
| Bowel imaging (78290) |
$9,123 |
$9,123 |
21.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$4,247 |
$4,247 |
23.2× |
| Clavicle complete (73000) |
$3,735 |
$3,735 |
41.1× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$16,241 |
$16,241 |
88.7× |
| CT - st neck w&wo contr (70492) |
$16,943 |
$16,943 |
92.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$51,420 |
$51,420 |
141.1× |
| CT abdomen and pelvis without contrast (74176) |
$28,337 |
$28,337 |
113.7× |
| CT abdomen w wo contrast (74170) |
$26,123 |
$26,123 |
142.6× |
| CT abdomen w/contrast (74160) |
$22,901 |
$22,901 |
125.0× |
| CT abdomen w/o contrast (74150) |
$15,396 |
$15,396 |
141.0× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$50,070 |
$50,070 |
137.4× |
| CT angio abdom w/o & w/dye (74175) |
$25,034 |
$25,034 |
136.7× |
| CT angio abdominal arteries (75635) |
$25,034 |
$25,034 |
136.7× |
| CT angio hrt w/3d image (75574) |
$23,376 |
$23,376 |
64.2× |
| CT angiograph pelv w/o&w/dye (72191) |
$25,034 |
$25,034 |
136.7× |
| CT cervical spine w/contrast (72126) |
$19,747 |
$19,747 |
54.2× |
| CT cervical spine w/o contrast (72125) |
$18,756 |
$18,756 |
171.8× |
| CT chest w/contrast (71260) |
$25,034 |
$25,034 |
136.7× |
| CT extremity upper w & w/o contrast (73202) |
$10,559 |
$10,559 |
57.6× |
| CT head/brain with contrast (70460) |
$22,856 |
$22,856 |
124.8× |
| CT head/brain without and with contrast (70470) |
$25,803 |
$25,803 |
140.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$2,700 |
$2,700 |
29.7× |
| CT limited/localized follow up study (76380) |
$5,882 |
$5,882 |
64.7× |
| CT lower ext w/wo contrast (73702) |
$11,043 |
$11,043 |
60.3× |
| CT lower extremity w contrast (73701) |
$17,289 |
$17,289 |
94.4× |
| CT lower extremity w/o contrast unilateral (73700) |
$15,750 |
$15,750 |
144.3× |
| CT lumbar spine w/contrast (72132) |
$21,360 |
$21,360 |
58.6× |
| CT lumbar spine w/o contrast (72131) |
$18,760 |
$18,760 |
171.8× |
| CT lumbar spine w/o then w/ con (72133) |
$27,577 |
$27,577 |
150.6× |
| CT maxillofacial area w/o contrast (70486) |
$16,025 |
$16,025 |
146.8× |
| CT maxillofacial w/contrast (70487) |
$23,571 |
$23,571 |
128.7× |
| CT maxillofacial w/o then w/ con (70488) |
$25,074 |
$25,074 |
136.9× |
| CT orbit sella ear w/o con (70480) |
$13,150 |
$13,150 |
120.5× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$12,146 |
$12,146 |
66.3× |
| CT pelvis w & w/o contrast (72194) |
$27,072 |
$27,072 |
147.8× |
| CT pelvis w/o contrast (72192) |
$13,837 |
$13,837 |
126.7× |
| CT soft tissue neck w/contrast (70491) |
$28,539 |
$28,539 |
155.8× |
| CT soft tissue neck w/o contrast (70490) |
$15,961 |
$15,961 |
146.2× |
| CT thoracic spine w/contrast (72129) |
$21,360 |
$21,360 |
116.6× |
| CT thoracic spine w/o contrast (72128) |
$18,625 |
$18,625 |
170.6× |
| CT thorax lung cancer scr c- (71271) |
$2,700 |
$2,700 |
24.7× |
| CT thorax w/o contrast (71250) |
$15,876 |
$15,876 |
145.4× |
| CT thorax w/o then w/ contrast (71270) |
$26,523 |
$26,523 |
144.8× |
| CT upper extremity w/dye (73201) |
$15,168 |
$15,168 |
41.6× |
| CT upper extremity w/o contrast rt (73200) |
$15,750 |
$15,750 |
144.3× |
| CTA chest w/wo contrast (71275) |
$25,034 |
$25,034 |
136.7× |
| CTA head w contrast (70496) |
$25,150 |
$25,150 |
137.3× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$22,761 |
$22,761 |
124.3× |
| Cta Neck (70498) |
$25,150 |
$25,150 |
137.3× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$22,761 |
$22,761 |
124.3× |
| Esophogram (74220) |
$5,003 |
$5,003 |
27.3× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$3,670 |
$3,670 |
14.7× |
| Gastric emptying study (78264) |
$11,832 |
$11,832 |
28.3× |
| Gated heart planar single (78472) |
$26,254 |
$26,254 |
62.9× |
| Heart infarct image (78466) |
$10,241 |
$10,241 |
24.5× |
| Hepatobil syst image w/drug (78227) |
$21,786 |
$21,786 |
38.4× |
| Hepatobiliary system imaging (78226) |
$23,760 |
$23,760 |
56.9× |
| Humerus min 2 views (73060) |
$3,666 |
$3,666 |
40.3× |
| Hysterosalpingography (74740) |
$5,057 |
$5,057 |
20.3× |
| Ivp (74400) |
$15,230 |
$15,230 |
83.1× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$16,967 |
$16,967 |
29.9× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$21,203 |
$21,203 |
37.4× |
| Liver & spleen; static only (78215) |
$10,892 |
$10,892 |
26.1× |
| Lung ventilat&perfus imaging (78582) |
$24,927 |
$24,927 |
44.0× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$4,299 |
$4,299 |
11.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$4,350 |
$4,350 |
11.9× |
| Mammary ductogram single (77053) |
$5,034 |
$5,034 |
20.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$216 |
$216 |
7.2× |
| MRA head w & w/o contrast (70546) |
$5,030 |
$5,030 |
13.8× |
| MRA head w/contrast (70545) |
$4,024 |
$4,024 |
11.0× |
| MRA head w/o contrast (70544) |
$2,902 |
$2,902 |
11.6× |
| MRA neck w/contrast (70548) |
$3,484 |
$3,484 |
9.6× |
| MRA neck w/o contrast (70547) |
$2,902 |
$2,902 |
11.6× |
| MRA neck w/wo contrast (70549) |
$5,030 |
$5,030 |
13.8× |
| MRI abdomen w/contrast (74182) |
$4,024 |
$4,024 |
11.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,030 |
$5,030 |
13.8× |
| MRI abdomen w/o contrast (74181) |
$4,024 |
$4,024 |
16.1× |
| MRI any jnt lwr ext with con lt (73722) |
$4,024 |
$4,024 |
4.9× |
| MRI cervical spine w/o contrast (72141) |
$3,354 |
$3,354 |
13.5× |
| MRI cervical spine with contrast (72142) |
$4,024 |
$4,024 |
11.0× |
| MRI chest w & w/o contrast (71552) |
$5,030 |
$5,030 |
13.8× |
| MRI chest w/contrast (71551) |
$4,024 |
$4,024 |
4.9× |
| MRI chest w/o contrast (71550) |
$4,024 |
$4,024 |
16.1× |
| MRI joint upper ext w/contrast (73222) |
$3,858.50 |
$3,858.50 |
4.7× |
| MRI joint upr extr w/o&w/dye (73223) |
$5,030 |
$5,030 |
13.8× |
| MRI joint upr extrem w/o dye (73221) |
$3,354 |
$3,354 |
13.5× |
| Mri Lower Extremity W/O Dye (73718) |
$2,902 |
$2,902 |
11.6× |
| MRI lumbar spine with contrast (72149) |
$4,024 |
$4,024 |
11.0× |
| MRI lumbar w/wo contrast (72158) |
$5,030 |
$5,030 |
13.8× |
| MRI orbit/face/neck w/contrast (70542) |
$4,024 |
$4,024 |
11.0× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$3,484 |
$3,484 |
9.6× |
| MRI orbit/face/neck w/o contrast (70540) |
$2,902 |
$2,902 |
11.6× |
| MRI pelvis w/ contrast (72196) |
$4,364 |
$4,364 |
12.0× |
| MRI pelvis w/o contrast (72195) |
$3,354 |
$3,354 |
13.5× |
| MRI pelvis w/wo contrast (72197) |
$5,030 |
$5,030 |
13.8× |
| MRI spine cervical wo/w contrast (72156) |
$5,030 |
$5,030 |
13.8× |
| MRI spine thoracic w/contrast (72147) |
$4,024 |
$4,024 |
11.0× |
| MRI thoracic spine w wo contrast (72157) |
$5,030 |
$5,030 |
13.8× |
| MRI thoracic spine w/o contrast (72146) |
$3,354 |
$3,354 |
13.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,354 |
$3,354 |
13.5× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$4,350 |
$4,350 |
11.9× |
| Myelogram thoracic (72255) |
$6,240 |
$6,240 |
7.6× |
| Myelography 2 or more regions (72270) |
$18,544 |
$18,544 |
22.7× |
| Myelography lumbosacral (72265) |
$4,214 |
$4,214 |
5.1× |
| Myocardial spect single study at rest or stress (78451) |
$21,970 |
$21,970 |
16.3× |
| Nm bone 3 phase (78315) |
$25,620 |
$25,620 |
61.4× |
| Nm bone imaging whole body (78306) |
$22,109 |
$22,109 |
53.0× |
| Nm heart perfusion spect stress rest (78452) |
$25,404 |
$25,404 |
18.8× |
| Nm lymph system (78195) |
$9,583 |
$9,583 |
16.9× |
| Nm thyroid imaging only (78013) |
$5,631 |
$5,631 |
13.5× |
| Ob us < 14 wks single fetus (76801) |
$3,840 |
$3,840 |
35.2× |
| Parathyroid imaging (78070) |
$8,862 |
$8,862 |
21.2× |
| Pulmonary perfusion imaging particulate (78580) |
$8,805 |
$8,805 |
21.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$4,699 |
$4,699 |
8.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,111 |
$2,111 |
19.3× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$2,919 |
$2,919 |
26.7× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$4,944 |
$4,944 |
45.3× |
| Radex hip unilateral with pelvis 1 view (73501) |
$3,257 |
$3,257 |
35.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$4,339 |
$4,339 |
47.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$4,339 |
$4,339 |
39.7× |
| Radex spine cervical 2 or 3 views (72040) |
$4,945 |
$4,945 |
54.4× |
| Radex spine cervical 4 or 5 views (72050) |
$6,951 |
$6,951 |
63.7× |
| Radex spine cervical 6 or more views (72052) |
$4,456 |
$4,456 |
40.8× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$3,648 |
$3,648 |
40.1× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$3,779 |
$3,779 |
34.6× |
| Radiologic exam esophagus double contrast study (74221) |
$5,084 |
$5,084 |
27.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$9,020 |
$9,020 |
49.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$9,402 |
$9,402 |
51.3× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$3,553 |
$3,553 |
39.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$3,295 |
$3,295 |
36.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$11,297 |
$11,297 |
27.1× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$12,797 |
$12,797 |
22.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,984 |
$6,984 |
12.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$9,654 |
$9,654 |
17.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$9,654 |
$9,654 |
7.1× |
| Saline infused sonohysterogram (76831) |
$4,428 |
$4,428 |
17.8× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$375 |
$375 |
16.0× |
| Shoulder arthrogram (73040) |
$18,265 |
$18,265 |
50.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,847 |
$1,847 |
16.9× |
| Small bowel series (74250) |
$7,145 |
$7,145 |
39.0× |
| Thyroid uptake single/multiple quant measurement (78012) |
$5,540 |
$5,540 |
13.3× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$15,845 |
$15,845 |
38.0× |
| Ultrasound breast limited (76642) |
$2,579 |
$2,579 |
28.4× |
| Ultrasound, abdomen limited (76705) |
$5,502 |
$5,502 |
50.4× |
| Urethrocystography voiding (74455) |
$4,587 |
$4,587 |
18.4× |
| Urography retrograde w/wo kub (74420) |
$7,943 |
$7,943 |
21.8× |
| Us abdominal aorta real time screen study aaa (76706) |
$3,294 |
$3,294 |
30.2× |
| Us breast uni real time with image complete (76641) |
$4,896 |
$4,896 |
44.8× |
| Us chest (76604) |
$3,539 |
$3,539 |
32.4× |
| Us compl joint r-t w/image documentation (76881) |
$4,054 |
$4,054 |
37.1× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$4,173 |
$4,173 |
45.9× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$3,243 |
$3,243 |
29.7× |
| Us ob followup per fetus (76816) |
$1,707 |
$1,707 |
15.6× |
| Us ob limited 1 or more fetuses (76815) |
$1,781 |
$1,781 |
16.3× |
| Us obstetric transvaginal (76817) |
$5,875 |
$5,875 |
53.8× |
| Us pelvic limited or f/u non-ob (76857) |
$2,703 |
$2,703 |
24.8× |
| Us pelvis complete (76856) |
$6,345 |
$6,345 |
58.1× |
| Us retroperitoneal complete (76770) |
$6,775 |
$6,775 |
62.1× |
| Us retroperitoneal limited (76775) |
$3,590 |
$3,590 |
32.9× |
| Us scrotum (76870) |
$6,081 |
$6,081 |
55.7× |
| Us soft tissue head/neck (76536) |
$6,870 |
$6,870 |
62.9× |
| Us spinal canal (76800) |
$6,222 |
$6,222 |
57.0× |
| Venogram ivc w serialography (75825) |
$5,706 |
$5,706 |
1.7× |
| Venography ext unilateral (75820) |
$5,363 |
$5,363 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$3,486 |
$3,486 |
38.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$4,856 |
$4,856 |
53.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$9,638 |
$9,638 |
52.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$3,887 |
$3,887 |
42.8× |
| X-ray exam hips bi 3-4 views (73522) |
$4,507 |
$4,507 |
41.3× |
| X-ray exam of finger(s) (73140) |
$3,486 |
$3,486 |
38.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$2,263 |
$2,263 |
12.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$3,289 |
$3,289 |
36.2× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$4,591 |
$4,591 |
50.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$5,742 |
$5,742 |
63.2× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$2,822 |
$2,822 |
25.8× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$3,759 |
$3,759 |
41.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$3,105 |
$3,105 |
34.2× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$3,722 |
$3,722 |
41.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$4,549 |
$4,549 |
41.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$997 |
$997 |
11.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$5,880 |
$5,880 |
53.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$7,316 |
$7,316 |
67.0× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$1,818 |
$1,818 |
16.7× |
| X-ray perineogram (74775) |
$4,266 |
$4,266 |
17.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$5,067 |
$5,067 |
55.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$7,294 |
$7,294 |
66.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$2,700 |
$2,700 |
24.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$4,783 |
$4,783 |
52.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$4,172 |
$4,172 |
45.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$5,242 |
$5,242 |
57.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$5,961 |
$5,961 |
54.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,885 |
$2,885 |
26.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,456 |
$1,456 |
16.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$2,692 |
$2,692 |
29.6× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$3,624 |
$3,624 |
39.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$3,624 |
$3,624 |
39.9× |
| Xr abdomen 1 view (74018) |
$1,973 |
$1,973 |
21.7× |
| Xr abdomen 2 views (74019) |
$2,835 |
$2,835 |
26.0× |
| Xr abdomen 3 views (74021) |
$5,669 |
$5,669 |
51.9× |
| Xr arthrogram elbow (73085) |
$5,880 |
$5,880 |
16.1× |
| Xr arthrogram hip (73525) |
$6,591 |
$6,591 |
18.1× |
| Xr bone density axial (77080) |
$2,331 |
$2,331 |
21.4× |
| Xr bone length study (77073) |
$1,336 |
$1,336 |
12.2× |
| Xr bone survey infant (77076) |
$4,398 |
$4,398 |
40.3× |
| Xr bone survey limited (77074) |
$5,713 |
$5,713 |
52.3× |
| Xr chest 1 view (71045) |
$1,900 |
$1,900 |
20.9× |
| Xr chest 2 views (71046) |
$3,212 |
$3,212 |
35.3× |
| Xr chest 3 views (71047) |
$3,401 |
$3,401 |
37.4× |
| Xr cystogram 3+ views (74430) |
$3,950 |
$3,950 |
10.8× |
| Xr eye foreign body (70030) |
$1,452 |
$1,452 |
16.0× |
| Xr facial bones 3 views (70150) |
$5,586 |
$5,586 |
51.2× |
| Xr lower extremity 2 views infant (73592) |
$1,102 |
$1,102 |
12.1× |
| Xr mandible 4 views (70110) |
$4,660 |
$4,660 |
42.7× |
| Xr myelogram c-spine (72240) |
$16,122 |
$16,122 |
19.7× |
| Xr nasal bones (70160) |
$4,334 |
$4,334 |
47.7× |
| Xr pelvis 3 views (72190) |
$5,659 |
$5,659 |
51.8× |
| Xr spine 1 view (72020) |
$2,692 |
$2,692 |
29.6× |
| Xr sternum 2 views (71120) |
$4,077 |
$4,077 |
44.9× |
| Xr surgical specimen (76098) |
$2,077.50 |
$2,077.50 |
3.6× |
| Xr upper extremity 2 views infant (73092) |
$1,102 |
$1,102 |
10.1× |
| Xray elbow 2 views (73070) |
$2,919 |
$2,919 |
32.1× |
| Xray forearm 2 views (73090) |
$3,524 |
$3,524 |
38.8× |
| Xray knee 1 or 2 views rt (73560) |
$2,449 |
$2,449 |
26.9× |
| Xray neck soft tissue (70360) |
$4,467 |
$4,467 |
49.2× |
| Xray orbits complete min 4 views (70200) |
$4,814 |
$4,814 |
44.1× |
| Xray pelvis 1 or 2 views (72170) |
$3,997 |
$3,997 |
36.6× |
| Xray ribs bilateral 3 views (71110) |
$6,220 |
$6,220 |
57.0× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$5,585 |
$5,585 |
51.2× |
| Xray scapula complete (73010) |
$3,601 |
$3,601 |
33.0× |
| Xray shoulder 1 view (73020) |
$3,134 |
$3,134 |
34.5× |
| Xray sinuses paranasal <3 views (70210) |
$3,553 |
$3,553 |
39.1× |
| Xray spine thoracic 2 views (72070) |
$5,323 |
$5,323 |
48.8× |
| Xray tibia-fibula 2 views bil (73590) |
$4,537 |
$4,537 |
49.9× |
| Xray tmj open - closed unilat (70328) |
$1,734 |
$1,734 |
19.1× |
| Xray tmj's bilateral open-clsc (70330) |
$2,813 |
$2,813 |
31.0× |