| Abdomen 2 views (74019) |
$664 |
$664 |
6.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$5,632 |
$5,632 |
15.1× |
| Ankle 2 views (73600) |
$683 |
$683 |
8.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,695 |
$1,695 |
5.2× |
| Arthrogram elbow (73085) |
$1,304 |
$1,304 |
4.0× |
| Arthrogram hip (73525) |
$1,304 |
$1,304 |
4.0× |
| Arthrogram shoulder (73040) |
$1,304 |
$1,304 |
4.0× |
| Arthrogram wrist (73115) |
$1,304 |
$1,304 |
4.0× |
| Arthrography knee lt (73580) |
$1,304 |
$1,304 |
4.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,855 |
$1,855 |
5.0× |
| Bone &/joint imaging whole body (78306) |
$3,520 |
$3,520 |
9.5× |
| Bone age studies (77072) |
$534 |
$534 |
5.5× |
| Bone Imaging 3 Phase (78315) |
$4,419 |
$4,419 |
11.9× |
| Bone survey complete (77075) |
$1,396 |
$1,396 |
14.4× |
| Brain image w/flow 4 + views (78606) |
$3,840 |
$3,840 |
7.6× |
| Brain imaging < 4 static views (78600) |
$4,402 |
$4,402 |
11.8× |
| Brain imaging < 4 static views w vascular flow (78601) |
$5,073 |
$5,073 |
13.6× |
| Brain Imaging Minimum 4 Static Views (78605) |
$3,213 |
$3,213 |
6.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$9,016 |
$9,016 |
6.8× |
| Brain Imaging Vascular Flow Only (78610) |
$2,980 |
$2,980 |
5.9× |
| Cervical spine 2 or 3 views (72040) |
$1,016 |
$1,016 |
12.6× |
| Chest 1 view (71045) |
$445.50 |
$445.50 |
5.5× |
| Chest 3 views (71047) |
$693 |
$693 |
8.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,311 |
$1,311 |
8.0× |
| Clavicle complete (73000) |
$783 |
$783 |
9.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$377 |
$377 |
3.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$11,941 |
$11,941 |
36.8× |
| CT abdomen and pelvis without contrast (74176) |
$10,127 |
$10,127 |
45.6× |
| CT abdomen w contrast (74160) |
$5,295 |
$5,295 |
32.5× |
| CT abdomen w wo contrast (74170) |
$5,915 |
$5,915 |
36.3× |
| CT abdomen w/o contrast (74150) |
$4,996 |
$4,996 |
51.4× |
| CT angiography upper extremity lt (73206) |
$8,407 |
$8,407 |
51.5× |
| CT c-spine w/o contrast (72125) |
$5,412 |
$5,412 |
55.7× |
| CT cervical spine w&w/o contrast (72127) |
$6,641 |
$6,641 |
40.7× |
| CT cervical spine with contrast (72126) |
$5,732 |
$5,732 |
17.7× |
| CT chest w/wo contrast (71270) |
$5,402 |
$5,402 |
33.1× |
| CT chest with contrast (71260) |
$5,999 |
$5,999 |
36.8× |
| CT head/brain with contrast (70460) |
$5,368 |
$5,368 |
32.9× |
| CT head/brain without and with contrast (70470) |
$5,627 |
$5,627 |
34.5× |
| CT iac w contrast (70481) |
$5,974 |
$5,974 |
36.6× |
| CT limited/localized follow up study (76380) |
$982 |
$982 |
12.1× |
| CT lower ext w/o (73700) |
$4,770 |
$4,770 |
49.1× |
| CT lower extremity w wo contrast (73702) |
$5,282 |
$5,282 |
32.4× |
| CT lower extremity with contrast (73701) |
$5,046 |
$5,046 |
30.9× |
| CT lumbar spine w & w/o contrast (72133) |
$6,960 |
$6,960 |
42.7× |
| CT lumbar spine w/o contrast (72131) |
$5,732 |
$5,732 |
58.9× |
| CT lumbar spine with contrast (72132) |
$6,055 |
$6,055 |
18.7× |
| CT maxillofacial w contrast (70487) |
$5,974 |
$5,974 |
36.6× |
| CT maxillofacial w/o contrast (70486) |
$5,748 |
$5,748 |
59.1× |
| CT maxillofacial w/wo contrast (70488) |
$6,277 |
$6,277 |
38.5× |
| CT neck soft tissue w contrast (70491) |
$7,640 |
$7,640 |
46.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,277 |
$6,277 |
38.5× |
| CT orbits w/o contrast (70480) |
$5,748 |
$5,748 |
59.1× |
| CT pelvis w & w/o contrast (72194) |
$5,847 |
$5,847 |
35.8× |
| CT pelvis w/o contrast (72192) |
$5,135 |
$5,135 |
52.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$7,930 |
$7,930 |
48.6× |
| CT soft tissue neck w/o contrast (70490) |
$7,340 |
$7,340 |
75.5× |
| CT thoracic spine w/contrast (72129) |
$6,055 |
$6,055 |
37.1× |
| CT thoracic spine w/o contrast (72128) |
$5,732 |
$5,732 |
58.9× |
| CT thoracic spine w/wo contrast (72130) |
$6,960 |
$6,960 |
42.7× |
| CT thorax w/o contrast (71250) |
$5,044 |
$5,044 |
51.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,282 |
$5,282 |
32.4× |
| CT upper extremity w/o contrast rt (73200) |
$4,770 |
$4,770 |
49.1× |
| CT upper extremity with contrast (73201) |
$5,046 |
$5,046 |
15.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$12,039 |
$12,039 |
73.8× |
| Cta Abdomen (74175) |
$5,511 |
$5,511 |
33.8× |
| CTA abdomen pelvis (74174) |
$15,639 |
$15,639 |
48.2× |
| CTA chest (71275) |
$7,076 |
$7,076 |
43.4× |
| Cta Head (70496) |
$8,611 |
$8,611 |
52.8× |
| CTA lwr ext w&w/o contrast (73706) |
$5,603 |
$5,603 |
34.3× |
| Cta Neck (70498) |
$7,530 |
$7,530 |
46.2× |
| Cta Pelvis (72191) |
$10,131 |
$10,131 |
62.1× |
| Cystography minimum 3 views rs&i (74430) |
$1,695 |
$1,695 |
5.2× |
| Dacryocystography (70170) |
$1,588 |
$1,588 |
7.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,165.50 |
$1,165.50 |
12.0× |
| Dxa bone density study axial skeleton (77085) |
$2,856 |
$2,856 |
29.4× |
| Echoencephalography real time imaging (76506) |
$1,521 |
$1,521 |
15.6× |
| Esophagus (74220) |
$1,597 |
$1,597 |
9.8× |
| Fetal biophysical profile non-stress testing (76818) |
$2,220 |
$2,220 |
22.8× |
| Fluoroscopy up to 1 hr (76000) |
$1,575 |
$1,575 |
7.1× |
| Foot 2 views (73620) |
$680 |
$680 |
8.4× |
| Forearm 2 views (73090) |
$954 |
$954 |
11.8× |
| Gated Heart Planar Single (78472) |
$9,806 |
$9,806 |
26.4× |
| Hand 2 views (73120) |
$676 |
$676 |
7.0× |
| Hand 3 views (73130) |
$939 |
$939 |
11.6× |
| Heart Infarct Image (78466) |
$3,452 |
$3,452 |
9.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,036 |
$4,036 |
8.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,036 |
$4,036 |
10.9× |
| Ht muscle image spect sing (78451) |
$4,540 |
$4,540 |
3.8× |
| Humerus Min 2 Views Left (73060) |
$939 |
$939 |
11.6× |
| Hysterosalpingogram (74740) |
$1,919 |
$1,919 |
8.6× |
| Kidney imaging morphology (78700) |
$2,258 |
$2,258 |
6.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,219 |
$3,219 |
6.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,838 |
$3,838 |
7.6× |
| Knee 3 views (73562) |
$954 |
$954 |
11.8× |
| Liver & spleen imaging static only (78215) |
$5,143 |
$5,143 |
13.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,821 |
$3,821 |
10.3× |
| Liver imaging static only (78201) |
$2,958 |
$2,958 |
5.9× |
| Lung perf&ventilat diferentl (78598) |
$6,062 |
$6,062 |
12.0× |
| Lung Ventilation Imaging (78579) |
$6,061 |
$6,061 |
16.3× |
| Lymphoscintigraphy (78195) |
$3,295 |
$3,295 |
6.5× |
| Meckels Diverticulum (78290) |
$4,676 |
$4,676 |
12.6× |
| MRA head w & w/o contrast (70546) |
$5,778 |
$5,778 |
17.8× |
| MRA head w/o contrast (70544) |
$4,520 |
$4,520 |
20.4× |
| MRA head with contrast (70545) |
$5,158 |
$5,158 |
15.9× |
| MRA neck w contrast (70548) |
$5,158 |
$5,158 |
15.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,778 |
$5,778 |
17.8× |
| MRA neck w/o contrast (70547) |
$4,520 |
$4,520 |
20.4× |
| MRI abdomen w contrast (74182) |
$6,619 |
$6,619 |
20.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,252 |
$7,252 |
22.3× |
| MRI abdomen w/o contrast (74181) |
$5,998 |
$5,998 |
27.0× |
| MRI any jnt lwr ext with con lt (73722) |
$9,611 |
$9,611 |
13.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$8,433 |
$8,433 |
11.6× |
| MRI breast w/o contrast bilateral (77047) |
$9,642 |
$9,642 |
43.4× |
| MRI breast w/o contrast unilat (77046) |
$5,575 |
$5,575 |
25.1× |
| MRI c-spine with contrast (72142) |
$9,139 |
$9,139 |
28.2× |
| MRI cervical spine w/o contrast (72141) |
$6,789 |
$6,789 |
30.6× |
| MRI chest w/o & w/contrast material (71552) |
$11,486 |
$11,486 |
35.4× |
| MRI chest w/o contrast (71550) |
$5,998 |
$5,998 |
27.0× |
| MRI chest with contrast (71551) |
$9,337 |
$9,337 |
12.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$8,433 |
$8,433 |
26.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$8,438 |
$8,438 |
26.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,812 |
$7,812 |
35.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,907 |
$5,907 |
26.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,158 |
$7,158 |
22.1× |
| MRI orbit/face/neck w/contrast (70542) |
$6,533 |
$6,533 |
20.1× |
| MRI pelvis w contrast (72196) |
$9,049 |
$9,049 |
27.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$11,636 |
$11,636 |
35.9× |
| MRI pelvis w/o contrast (72195) |
$5,998 |
$5,998 |
27.0× |
| MRI scan of arm joint before and after contrast (73223) |
$9,066 |
$9,066 |
27.9× |
| MRI scan of leg joint before and after contrast (73723) |
$10,325 |
$10,325 |
31.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$11,486 |
$11,486 |
35.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,333 |
$7,333 |
22.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$11,486 |
$11,486 |
35.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$10,635 |
$10,635 |
32.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$11,486 |
$11,486 |
35.4× |
| MRI thoracic spine w/o contrast (72146) |
$6,789 |
$6,789 |
30.6× |
| MRI upper ext joint w/o contrast (73221) |
$7,801 |
$7,801 |
35.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$9,066 |
$9,066 |
27.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$7,801 |
$7,801 |
35.2× |
| Myelogram Cervical (72240) |
$2,596 |
$2,596 |
3.6× |
| Myelogram Lumbar (72265) |
$2,596 |
$2,596 |
3.6× |
| Myelogram thoracic (72255) |
$2,596 |
$2,596 |
3.6× |
| Myelography 2 or more regions (72270) |
$2,567 |
$2,567 |
3.5× |
| Myocardial infarct spect (78469) |
$5,561 |
$5,561 |
11.0× |
| Myocardial Spect Multiple Studies (78452) |
$8,891 |
$8,891 |
7.4× |
| Neck soft tissue (70360) |
$818.50 |
$818.50 |
10.1× |
| Nm cisternogram (78630) |
$9,240 |
$9,240 |
18.3× |
| Nm gastric emptying study (78264) |
$5,175 |
$5,175 |
13.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$7,954 |
$7,954 |
6.6× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$9,016 |
$9,016 |
6.8× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$6,509 |
$6,509 |
5.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$3,510 |
$3,510 |
9.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,821 |
$3,821 |
10.3× |
| Nuclear Rx Oral Admin (79005) |
$2,906 |
$2,906 |
13.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$787 |
$787 |
8.1× |
| Osseous survey limited (77074) |
$939 |
$939 |
9.7× |
| Parathyroid imaging (78070) |
$4,036 |
$4,036 |
10.9× |
| Pelvis 1 or 2 views (72170) |
$857.50 |
$857.50 |
8.8× |
| PET image w/CT, skull-thigh (78815) |
$9,016 |
$9,016 |
6.8× |
| PET imaging CT for attenuation limited area (78814) |
$9,016 |
$9,016 |
6.8× |
| PET imaging for CT attenuation whole body (78816) |
$9,016 |
$9,016 |
6.8× |
| PET imaging limited area chest head/neck (78811) |
$9,016 |
$9,016 |
7.5× |
| PET whole body (78813) |
$9,016 |
$9,016 |
6.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$9,068 |
$9,068 |
27.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,101 |
$2,101 |
5.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,649 |
$4,649 |
9.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,648 |
$1,648 |
3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$693 |
$693 |
8.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,241 |
$1,241 |
12.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,324 |
$1,324 |
13.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,288 |
$1,288 |
13.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$447 |
$447 |
5.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$702 |
$702 |
7.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$555.50 |
$555.50 |
6.9× |
| Radiologic exam colon single contrast study (74270) |
$2,300 |
$2,300 |
14.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,919 |
$1,919 |
11.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,446 |
$2,446 |
15.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,446 |
$2,446 |
15.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$899 |
$899 |
11.1× |
| Radiological examination surgical specimen (76098) |
$463 |
$463 |
0.9× |
| Ribs bilateral 3 views (71110) |
$1,190 |
$1,190 |
12.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,126 |
$6,126 |
16.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,458 |
$3,458 |
6.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,206 |
$5,206 |
10.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$6,000 |
$6,000 |
5.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,703 |
$1,703 |
7.7× |
| Scanogram (77073) |
$779.50 |
$779.50 |
8.0× |
| Scapula complete (73010) |
$1,070 |
$1,070 |
11.0× |
| Screening digital breast tomosynthesis (77063) |
$72 |
$72 |
3.1× |
| Sella turcica (70240) |
$746 |
$746 |
9.2× |
| Sialogram (70390) |
$892 |
$892 |
4.0× |
| Small bowel series (74250) |
$1,176 |
$1,176 |
7.2× |
| Spine thoracic 3 views (72072) |
$995 |
$995 |
10.2× |
| Spleen imaging only (78185) |
$2,958 |
$2,958 |
8.0× |
| Testicular Imaging With Vascular Flow (78761) |
$4,333 |
$4,333 |
11.7× |
| Thoracolumbar 2 views (72080) |
$555.50 |
$555.50 |
6.9× |
| Thyroid carcinoma metastases img addl study (78016) |
$4,567 |
$4,567 |
12.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,567 |
$4,567 |
9.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,989 |
$1,989 |
5.3× |
| Thyroid uptake measurement (78012) |
$1,256 |
$1,256 |
3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,412 |
$3,412 |
9.2× |
| Tomogram (76100) |
$1,211 |
$1,211 |
12.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$9,988 |
$9,988 |
19.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,624 |
$2,624 |
7.1× |
| Ultrasound, abdomen limited (76705) |
$2,634 |
$2,634 |
27.1× |
| Unlisted Ultrasound Procedure (76999) |
$819 |
$819 |
10.1× |
| Upper Extremity Infant (73092) |
$1,313 |
$1,313 |
13.5× |
| Urethrocystography retrograde rs&i (74450) |
$1,695 |
$1,695 |
7.6× |
| Urethrocystography voiding (74455) |
$1,695 |
$1,695 |
7.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,674 |
$2,674 |
16.4× |
| Us abdl aorta screen aaa (76706) |
$570 |
$570 |
5.9× |
| Us breast unilateral complete (76641) |
$2,127 |
$2,127 |
21.9× |
| Us breast unilateral limited (76642) |
$2,127 |
$2,127 |
26.3× |
| Us chest (76604) |
$2,068 |
$2,068 |
21.3× |
| Us compl joint r-t w/image documentation (76881) |
$1,678 |
$1,678 |
17.3× |
| Us infant hips dynamic (76885) |
$1,414 |
$1,414 |
17.5× |
| Us ob detailed single fetus (76811) |
$2,409 |
$2,409 |
10.9× |
| Us ob transvaginal (76817) |
$2,409 |
$2,409 |
24.8× |
| Us pelvic non ob complete (76856) |
$2,613 |
$2,613 |
26.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,575 |
$1,575 |
16.2× |
| Us pregnancy ltd (76815) |
$1,010 |
$1,010 |
10.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,002 |
$1,002 |
10.3× |
| Us retroperitoneal complete (76770) |
$1,876 |
$1,876 |
19.3× |
| Us scrotum and contents (76870) |
$983 |
$983 |
10.1× |
| Us soft tissue head/neck (76536) |
$2,068 |
$2,068 |
21.3× |
| Us spinal canal and contents (76800) |
$983 |
$983 |
10.1× |
| Us transrectal (76872) |
$2,298 |
$2,298 |
23.6× |
| Us xtr non-vasc lmtd (76882) |
$1,095 |
$1,095 |
11.3× |
| Vertebral fracture assessment via dxa (77086) |
$336 |
$336 |
4.2× |
| Wrist 2 views (73100) |
$580 |
$580 |
7.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,211 |
$1,211 |
12.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$994 |
$994 |
12.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$967 |
$967 |
11.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,852 |
$2,852 |
17.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$765 |
$765 |
9.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,066 |
$1,066 |
13.2× |
| X-ray exam hip uni 1 view (73501) |
$632 |
$632 |
7.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,147 |
$1,147 |
14.2× |
| X-ray eye for foreign body (70030) |
$972 |
$972 |
12.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,130 |
$1,130 |
11.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$954 |
$954 |
11.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$819 |
$819 |
10.1× |
| X-ray IV pyelogram+drip infusn (74410) |
$978 |
$978 |
6.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,211 |
$1,211 |
15.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,147 |
$1,147 |
11.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$777 |
$777 |
9.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,241.50 |
$1,241.50 |
15.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,199.50 |
$1,199.50 |
12.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,313.50 |
$2,313.50 |
23.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,618 |
$1,618 |
16.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$954 |
$954 |
11.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$534 |
$534 |
6.6× |
| X-ray of voice box or throat (70370) |
$715 |
$715 |
8.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,192 |
$1,192 |
12.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,212 |
$1,212 |
12.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,857 |
$2,857 |
8.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,143 |
$1,143 |
14.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,190 |
$1,190 |
12.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,494 |
$2,494 |
25.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,068 |
$1,068 |
11.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$514 |
$514 |
6.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,120 |
$1,120 |
13.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,160.50 |
$1,160.50 |
14.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$589.50 |
$589.50 |
7.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,408 |
$1,408 |
14.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,191 |
$1,191 |
12.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$389 |
$389 |
4.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,078 |
$1,078 |
13.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$931 |
$931 |
11.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$635.50 |
$635.50 |
6.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$772 |
$772 |
7.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$778 |
$778 |
9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$993 |
$993 |
12.3× |
| Xr arthrogram ankle (73615) |
$1,304 |
$1,304 |
4.0× |
| Xr c-spine 6 or more views (72052) |
$2,037 |
$2,037 |
20.9× |
| Xr chest 4+ views (71048) |
$800 |
$800 |
8.2× |
| Xr finger(s) 2+ views (73140) |
$658 |
$658 |
8.1× |
| Xr internal auditory meati complete (70134) |
$693 |
$693 |
1.4× |
| Xr shoulder 1 view (73020) |
$808 |
$808 |
10.0× |
| Xr spine cervical 4 or 5 views (72050) |
$1,417 |
$1,417 |
14.6× |
| Xr tibia/fibula 2 views (73590) |
$904 |
$904 |
11.2× |
| Xr tmj bilateral (70330) |
$1,241 |
$1,241 |
15.3× |
| Xray knee 1 or 2 views rt (73560) |
$772 |
$772 |
9.5× |