| Abdomen 2 views (74019) |
$231.62 |
$272.50 |
2.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,009.38 |
$1,187.50 |
2.4× |
| Angiography extremity unilateral rs&i (75710) |
$187 |
$220 |
0.1× |
| Ankle 2 views (73600) |
$164.90 |
$194 |
1.8× |
| Arthrogram elbow (73085) |
$395.68 |
$465.50 |
1.1× |
| Arthrography knee lt (73580) |
$598.82 |
$704.50 |
1.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$969.42 |
$1,140.50 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,076.95 |
$1,267 |
2.6× |
| Bone age studies (77072) |
$170 |
$200 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$1,153.02 |
$1,356.50 |
2.7× |
| Bone survey complete (77075) |
$73.95 |
$87 |
0.7× |
| Brain image w/flow 4 + views (78606) |
$913.32 |
$1,074.50 |
1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,538.60 |
$6,516 |
3.7× |
| Cervical spine 2 or 3 views (72040) |
$192.10 |
$226 |
2.1× |
| Chest 1 view (71045) |
$25.50 |
$30 |
0.3× |
| Chest 3 views (71047) |
$242.25 |
$285 |
2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$388.88 |
$457.50 |
2.1× |
| Clavicle complete (73000) |
$167.45 |
$197 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$332.35 |
$391 |
3.0× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$349.35 |
$411 |
1.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,293.72 |
$2,698.50 |
6.2× |
| CT abdomen and pelvis without contrast (74176) |
$1,784.58 |
$2,099.50 |
7.1× |
| CT abdomen w contrast (74160) |
$1,572.50 |
$1,850 |
8.5× |
| CT abdomen w wo contrast (74170) |
$1,273.30 |
$1,498 |
6.9× |
| CT abdomen w/o contrast (74150) |
$147.05 |
$173 |
1.3× |
| CT angio hrt w/3d image (75574) |
$842.35 |
$991 |
2.3× |
| CT angiography upper extremity lt (73206) |
$1,218.48 |
$1,433.50 |
6.6× |
| CT c-spine w/o contrast (72125) |
$1,509.60 |
$1,776 |
13.7× |
| CT cervical spine w&w/o contrast (72127) |
$1,655.80 |
$1,948 |
8.9× |
| CT cervical spine with contrast (72126) |
$1,527.88 |
$1,797.50 |
4.2× |
| CT chest w/wo contrast (71270) |
$188.70 |
$222 |
1.0× |
| CT chest with contrast (71260) |
$169.15 |
$199 |
0.9× |
| CT head/brain with contrast (70460) |
$1,436.50 |
$1,690 |
7.8× |
| CT head/brain without and with contrast (70470) |
$1,595.45 |
$1,877 |
8.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$102.85 |
$121 |
1.1× |
| CT hrt w/3d image congen (75573) |
$289 |
$340 |
0.8× |
| CT iac w contrast (70481) |
$1,524.05 |
$1,793 |
8.2× |
| CT limited/localized follow up study (76380) |
$525.72 |
$618.50 |
5.7× |
| CT lower ext w/o (73700) |
$148.75 |
$175 |
1.3× |
| CT lower extremity w wo contrast (73702) |
$1,517.68 |
$1,785.50 |
8.2× |
| CT lower extremity with contrast (73701) |
$1,405.90 |
$1,654 |
7.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,886.58 |
$2,219.50 |
10.2× |
| CT lumbar spine w/o contrast (72131) |
$1,350.65 |
$1,589 |
12.2× |
| CT lumbar spine with contrast (72132) |
$1,527.88 |
$1,797.50 |
4.2× |
| CT maxillofacial w contrast (70487) |
$1,349.80 |
$1,588 |
7.3× |
| CT maxillofacial w/o contrast (70486) |
$153.85 |
$181 |
1.4× |
| CT maxillofacial w/wo contrast (70488) |
$1,811.35 |
$2,131 |
9.8× |
| CT neck soft tissue w contrast (70491) |
$1,311.55 |
$1,543 |
7.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$195.50 |
$230 |
1.1× |
| CT orbits w/o contrast (70480) |
$1,098.62 |
$1,292.50 |
10.0× |
| CT pelvis w & w/o contrast (72194) |
$1,442.88 |
$1,697.50 |
7.8× |
| CT pelvis w/o contrast (72192) |
$987.70 |
$1,162 |
9.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,415.25 |
$1,665 |
7.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,088 |
$1,280 |
9.9× |
| CT thoracic spine w/contrast (72129) |
$1,235.05 |
$1,453 |
6.7× |
| CT thoracic spine w/o contrast (72128) |
$1,142.40 |
$1,344 |
10.4× |
| CT thoracic spine w/wo contrast (72130) |
$1,322.60 |
$1,556 |
7.1× |
| CT thorax w/o contrast (71250) |
$138.55 |
$163 |
1.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,485.80 |
$1,748 |
8.0× |
| CT upper extremity w/o contrast rt (73200) |
$926.08 |
$1,089.50 |
8.4× |
| CT upper extremity with contrast (73201) |
$1,377 |
$1,620 |
3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,537.65 |
$1,809 |
8.3× |
| Cta Abdomen (74175) |
$302.60 |
$356 |
1.6× |
| CTA abdomen pelvis (74174) |
$2,834.75 |
$3,335 |
7.7× |
| CTA chest (71275) |
$196.78 |
$231.50 |
1.1× |
| Cta Head (70496) |
$214.20 |
$252 |
1.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,944 |
$4,640 |
10.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,678.75 |
$1,975 |
9.1× |
| Cta Neck (70498) |
$2,012.80 |
$2,368 |
10.9× |
| Cystography minimum 3 views rs&i (74430) |
$350.20 |
$412 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$336.18 |
$395.50 |
3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$202.72 |
$238.50 |
2.2× |
| Echoencephalography real time imaging (76506) |
$217.18 |
$255.50 |
2.0× |
| Esophagus (74220) |
$272 |
$320 |
1.5× |
| Fetal biophysical profile non-stress testing (76818) |
$419.48 |
$493.50 |
3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$419.48 |
$493.50 |
3.8× |
| Fluoroscopy up to 1 hr (76000) |
$345.52 |
$406.50 |
1.4× |
| Foot 2 views (73620) |
$160.22 |
$188.50 |
1.7× |
| Forearm 2 views (73090) |
$181.05 |
$213 |
2.0× |
| Gated Heart Planar Single (78472) |
$1,456.05 |
$1,713 |
3.5× |
| Hand 2 views (73120) |
$176.38 |
$207.50 |
1.6× |
| Hand 3 views (73130) |
$192.10 |
$226 |
2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,181.92 |
$1,390.50 |
2.1× |
| Ht muscle image spect sing (78451) |
$1,786.70 |
$2,102 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$195.92 |
$230.50 |
2.1× |
| Hysterosalpingogram (74740) |
$526.15 |
$619 |
2.1× |
| Interstitial radiation source applic complex (77778) |
$1,011.08 |
$1,189.50 |
1.4× |
| Kidney imaging morphology (78700) |
$725.90 |
$854 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,058.68 |
$1,245.50 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,072.70 |
$1,262 |
1.9× |
| Knee 3 views (73562) |
$188.28 |
$221.50 |
2.1× |
| Liver & spleen imaging static only (78215) |
$1,198.50 |
$1,410 |
2.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$337.02 |
$396.50 |
0.8× |
| Lung Ventilation Imaging (78579) |
$827.48 |
$973.50 |
2.0× |
| Lymphoscintigraphy (78195) |
$147.90 |
$174 |
0.3× |
| Mammary ductogram or galactogram single (77053) |
$456.45 |
$537 |
1.8× |
| Meckels Diverticulum (78290) |
$935.42 |
$1,100.50 |
2.2× |
| MRA head w & w/o contrast (70546) |
$2,132.22 |
$2,508.50 |
5.8× |
| MRA head w/o contrast (70544) |
$222.70 |
$262 |
0.9× |
| MRA head with contrast (70545) |
$1,670.25 |
$1,965 |
4.5× |
| MRA neck w contrast (70548) |
$1,861.50 |
$2,190 |
5.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,089.72 |
$2,458.50 |
5.7× |
| MRA neck w/o contrast (70547) |
$366.35 |
$431 |
1.5× |
| MRI abdomen w contrast (74182) |
$1,687.25 |
$1,985 |
4.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,818.58 |
$2,139.50 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$241.40 |
$284 |
1.0× |
| MRI any jnt lwr ext with con lt (73722) |
$1,420.35 |
$1,671 |
1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,479.42 |
$1,740.50 |
1.8× |
| MRI bone marrow blood supply (77084) |
$1,248.65 |
$1,469 |
5.0× |
| MRI breast w/o contrast bilateral (77047) |
$2,739.55 |
$3,223 |
10.9× |
| MRI c-spine with contrast (72142) |
$1,674.50 |
$1,970 |
4.6× |
| MRI cervical spine w/o contrast (72141) |
$1,609.05 |
$1,893 |
6.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,137.75 |
$2,515 |
5.8× |
| MRI chest w/o contrast (71550) |
$1,648.15 |
$1,939 |
6.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,514.28 |
$1,781.50 |
4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$294.10 |
$346 |
0.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,288.18 |
$1,515.50 |
5.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$366.35 |
$431 |
1.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,991.98 |
$2,343.50 |
5.4× |
| MRI orbit/face/neck w/contrast (70542) |
$3,660.95 |
$4,307 |
9.9× |
| MRI pelvis w contrast (72196) |
$303.45 |
$357 |
0.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$341.70 |
$402 |
0.9× |
| MRI pelvis w/o contrast (72195) |
$282.20 |
$332 |
1.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,798.18 |
$2,115.50 |
4.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,801.15 |
$2,119 |
4.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,947.35 |
$2,291 |
5.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$303.45 |
$357 |
0.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,025.12 |
$2,382.50 |
5.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,717 |
$2,020 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,976.25 |
$2,325 |
5.4× |
| MRI thoracic spine w/o contrast (72146) |
$261.80 |
$308 |
1.0× |
| MRI tmj (70336) |
$1,048.48 |
$1,233.50 |
4.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,275.42 |
$1,500.50 |
5.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,807.52 |
$2,126.50 |
4.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,366.80 |
$1,608 |
5.4× |
| Myelogram Cervical (72240) |
$102 |
$120 |
0.1× |
| Myelogram thoracic (72255) |
$104.55 |
$123 |
0.1× |
| Myelography 2 or more regions (72270) |
$154.70 |
$182 |
0.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,054.02 |
$2,416.50 |
1.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,584.40 |
$1,864 |
1.7× |
| Neck soft tissue (70360) |
$201.02 |
$236.50 |
2.2× |
| Nm gastric emptying study (78264) |
$1,175.98 |
$1,383.50 |
2.8× |
| Nm gastroesophageal reflux study (78262) |
$85.85 |
$101 |
0.2× |
| Nm whole blood volume (78122) |
$894.20 |
$1,052 |
1.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$255.42 |
$300.50 |
0.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,228.25 |
$1,445 |
2.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$406.72 |
$478.50 |
3.7× |
| Osseous survey infant (77076) |
$283.48 |
$333.50 |
2.6× |
| Osseous survey limited (77074) |
$242.25 |
$285 |
2.2× |
| Parathyrd planar w/wo subtrj (78071) |
$947.75 |
$1,115 |
2.2× |
| Parathyroid imaging (78070) |
$825.78 |
$971.50 |
2.0× |
| Pelvis 1 or 2 views (72170) |
$190.82 |
$224.50 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$2,311.15 |
$2,719 |
1.5× |
| PET imaging CT for attenuation limited area (78814) |
$261.80 |
$308 |
0.2× |
| PET imaging for CT attenuation whole body (78816) |
$2,312.42 |
$2,720.50 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,864.05 |
$2,193 |
5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,081.20 |
$1,272 |
2.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,710.62 |
$2,012.50 |
3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$517.22 |
$608.50 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$233.75 |
$275 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$302.18 |
$355.50 |
2.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$289 |
$340 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$268.18 |
$315.50 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$185.72 |
$218.50 |
2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$38.25 |
$45 |
0.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$51.85 |
$61 |
0.6× |
| Radiologic exam colon single contrast study (74270) |
$423.30 |
$498 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$485.78 |
$571.50 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$480.25 |
$565 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$207.82 |
$244.50 |
2.3× |
| Radiological examination surgical specimen (76098) |
$246.92 |
$290.50 |
0.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,120.30 |
$1,318 |
2.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,775.25 |
$3,265 |
4.8× |
| Sacroiliac Joints < 3 Views (72200) |
$211.22 |
$248.50 |
1.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$560.58 |
$659.50 |
2.2× |
| Salivary gland function study (78232) |
$1,024.25 |
$1,205 |
2.4× |
| Scanogram (77073) |
$224.82 |
$264.50 |
2.0× |
| Scapula complete (73010) |
$232.48 |
$273.50 |
2.1× |
| Screening digital breast tomosynthesis (77063) |
$77.35 |
$91 |
3.3× |
| Sialogram (70390) |
$305.58 |
$359.50 |
1.2× |
| Small bowel series (74250) |
$439.45 |
$517 |
2.4× |
| Spine thoracic 3 views (72072) |
$343.82 |
$404.50 |
3.1× |
| Testicular Imaging With Vascular Flow (78761) |
$744.18 |
$875.50 |
1.8× |
| Thoracolumbar 2 views (72080) |
$263.50 |
$310 |
2.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,025.52 |
$1,206.50 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$950.72 |
$1,118.50 |
2.3× |
| Tomogram (76100) |
$385.48 |
$453.50 |
3.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$600.95 |
$707 |
1.4× |
| Ultrasound elastography first target lesion (76982) |
$381.65 |
$449 |
3.5× |
| Ultrasound, abdomen limited (76705) |
$371.88 |
$437.50 |
3.4× |
| Umbilical-artery Doppler (OB) (76820) |
$176.80 |
$208 |
1.6× |
| Unlisted Ultrasound Procedure (76999) |
$660.45 |
$777 |
7.2× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$882.72 |
$1,038.50 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$541.45 |
$637 |
2.2× |
| Urethrocystography voiding (74455) |
$476 |
$560 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$68 |
$80 |
0.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$53.55 |
$63 |
0.3× |
| Us abdl aorta screen aaa (76706) |
$64.60 |
$76 |
0.6× |
| Us breast unilateral complete (76641) |
$486.20 |
$572 |
4.4× |
| Us breast unilateral limited (76642) |
$222.70 |
$262 |
2.4× |
| Us chest (76604) |
$346.80 |
$408 |
3.1× |
| Us compl joint r-t w/image documentation (76881) |
$108.80 |
$128 |
1.0× |
| Us elastography parenchyma (76981) |
$381.65 |
$449 |
3.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$158.10 |
$186 |
1.4× |
| Us infant hips dynamic (76885) |
$363.80 |
$428 |
4.0× |
| Us infant hips limited static (76886) |
$303.88 |
$357.50 |
3.3× |
| Us ob detailed single fetus (76811) |
$551.65 |
$649 |
2.2× |
| Us ob transvaginal (76817) |
$411.40 |
$484 |
3.7× |
| Us pelvic non ob complete (76856) |
$406.30 |
$478 |
3.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$276.25 |
$325 |
2.5× |
| Us pregnancy ltd (76815) |
$266.48 |
$313.50 |
2.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$468.35 |
$551 |
4.2× |
| Us retroperitoneal complete (76770) |
$134.30 |
$158 |
1.2× |
| Us retroperitoneal limited (76775) |
$376.12 |
$442.50 |
3.4× |
| Us scrotum and contents (76870) |
$384.62 |
$452.50 |
3.5× |
| Us soft tissue head/neck (76536) |
$359.55 |
$423 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$350.20 |
$412 |
3.2× |
| Venogram extremity bilateral (75822) |
$789.22 |
$928.50 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$725.48 |
$853.50 |
0.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,755.70 |
$3,242 |
0.8× |
| Wrist 2 views (73100) |
$165.32 |
$194.50 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$279.65 |
$329 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$295.80 |
$348 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$194.65 |
$229 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$575.45 |
$677 |
3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$171.28 |
$201.50 |
1.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$190.82 |
$224.50 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$167.45 |
$197 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$207.82 |
$244.50 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$249.48 |
$293.50 |
2.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$191.25 |
$225 |
2.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$163.62 |
$192.50 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$193.80 |
$228 |
2.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$294.52 |
$346.50 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$267.32 |
$314.50 |
2.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$370.18 |
$435.50 |
3.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$264.35 |
$311 |
2.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$245.65 |
$289 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$243.95 |
$287 |
2.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$291.98 |
$343.50 |
2.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$694.88 |
$817.50 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$220.15 |
$259 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$258.40 |
$304 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$313.22 |
$368.50 |
2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$260.52 |
$306.50 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$242.68 |
$285.50 |
2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$199.32 |
$234.50 |
2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$248.62 |
$292.50 |
2.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$144.50 |
$170 |
1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$368.05 |
$433 |
3.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$224.40 |
$264 |
2.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$167.88 |
$197.50 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$182.32 |
$214.50 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$178.92 |
$210.50 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$235.02 |
$276.50 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$153.42 |
$180.50 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$23.38 |
$27.50 |
0.3× |
| Xr chest 4+ views (71048) |
$34.85 |
$41 |
0.3× |
| Xr Cholecystography Oral Contrast (74290) |
$233.32 |
$274.50 |
1.3× |
| Xr finger(s) 2+ views (73140) |
$20.40 |
$24 |
0.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$276.68 |
$325.50 |
2.5× |
| Xr shoulder 1 view (73020) |
$169.58 |
$199.50 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$51 |
$60 |
0.5× |
| Xr tibia/fibula 2 views (73590) |
$136.85 |
$161 |
1.5× |
| Xr tmj bilateral (70330) |
$243.10 |
$286 |
2.6× |
| Xray knee 1 or 2 views rt (73560) |
$23.80 |
$28 |
0.3× |