| 3-D radiotherapy plan dose-volume histograms (77295) |
$13,255 |
$26,510 |
9.9× |
| Abdomen 1 View (74018) |
$261 |
$522 |
3.1× |
| Abdomen 2 views (74019) |
$218 |
$436 |
2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$628 |
$1,256 |
1.6× |
| Angio pulmonary bilat (75743) |
$3,946.50 |
$7,893 |
1.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,236 |
$4,472 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,060.50 |
$4,121 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,454.50 |
$2,909 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$657 |
$1,314 |
0.2× |
| Ankle 2 views (73600) |
$181.50 |
$363 |
2.2× |
| Artery X-Rays Abdomen (75726) |
$3,339 |
$6,678 |
0.6× |
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure |
$2,620.50 |
$5,241 |
0.5× |
| Basic radiation dosimetry calculation (77300) |
$908.50 |
$1,817 |
7.0× |
| Bone age studies (77072) |
$237 |
$474 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$2,925.50 |
$5,851 |
7.5× |
| Bone Imaging Whole Body (78306) |
$2,566 |
$5,132 |
6.6× |
| Bone survey infant (77076) |
$497.50 |
$995 |
4.9× |
| Brain Image W/Flow < 4 Views (78601) |
$721.50 |
$1,443 |
1.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,181 |
$10,362 |
3.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,801.50 |
$3,603 |
4.6× |
| Cat Scan Follow-Up Study (76380) |
$497 |
$994 |
5.9× |
| Chest 1 view (71045) |
$166.50 |
$333 |
2.0× |
| Chest 2 views (71046) |
$207 |
$414 |
2.5× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$145.50 |
$291 |
1.4× |
| Clavicle complete (73000) |
$177 |
$354 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$195 |
$390 |
1.9× |
| Continuing medical physics consltj pr wk (77336) |
$1,058.50 |
$2,117 |
8.1× |
| Contrast Exam Abdominl Aorta (75625) |
$2,219 |
$4,438 |
0.7× |
| Contrast X-Ray Bladder (74430) |
$318 |
$636 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,326.50 |
$6,653 |
9.8× |
| CT abdomen and pelvis without contrast (74176) |
$2,101 |
$4,202 |
9.1× |
| CT abdomen w contrast (74160) |
$1,871.50 |
$3,743 |
11.0× |
| CT abdomen w wo contrast (74170) |
$2,064.50 |
$4,129 |
12.1× |
| CT abdomen w/o contrast (74150) |
$1,414 |
$2,828 |
13.9× |
| CT Angio Abdomen and Pelvis (74174) |
$2,969 |
$5,938 |
8.8× |
| CT Angio Chest (71275) |
$1,940 |
$3,880 |
11.4× |
| CT Angio Head (70496) |
$1,973 |
$3,946 |
11.6× |
| CT angio hrt w/3d image (75574) |
$1,763 |
$3,526 |
5.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,270.50 |
$2,541 |
7.5× |
| CT Angio Neck (70498) |
$2,001.50 |
$4,003 |
11.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,399 |
$2,798 |
8.2× |
| CT cervical spine w/ contrast (72126) |
$3,608.50 |
$7,217 |
10.7× |
| CT cervical spine w/o contrast (72125) |
$1,349 |
$2,698 |
13.3× |
| CT cervical spine w/wo cont (72127) |
$2,430.50 |
$4,861 |
14.3× |
| CT chest w contrast (71260) |
$1,477.50 |
$2,955 |
8.7× |
| CT chest w/wo contrast (71270) |
$1,356.50 |
$2,713 |
8.0× |
| CT colonography screening (74263) |
$616.50 |
$1,233 |
2.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$1,166.50 |
$2,333 |
11.5× |
| CT head/brain with contrast (70460) |
$1,609 |
$3,218 |
9.5× |
| CT head/brain without and with contrast (70470) |
$1,890.50 |
$3,781 |
11.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,435.50 |
$2,871 |
4.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$240.50 |
$481 |
2.8× |
| CT iac w contrast (70481) |
$1,314 |
$2,628 |
7.7× |
| CT l-spine w&w/o contrast (72133) |
$1,892 |
$3,784 |
11.1× |
| CT lower ext w/o (73700) |
$1,124 |
$2,248 |
11.1× |
| CT lower extremity w/contrast material (73701) |
$1,416.50 |
$2,833 |
8.3× |
| CT lumbar spine w contrast (72132) |
$2,056.50 |
$4,113 |
6.1× |
| CT lumbar spine w/o contrast (72131) |
$966.50 |
$1,933 |
9.5× |
| CT maxillofacial w contrast (70487) |
$1,325.50 |
$2,651 |
7.8× |
| CT maxillofacial wo contrast (70486) |
$1,104 |
$2,208 |
10.9× |
| CT neck tissue combo (70492) |
$1,727.50 |
$3,455 |
10.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,435.50 |
$2,871 |
8.4× |
| CT orbits w/o contrast (70480) |
$1,109 |
$2,218 |
10.9× |
| CT pelvis w&w/o contrast (72194) |
$1,186.50 |
$2,373 |
7.0× |
| CT pelvis w/o contrast (72192) |
$738.50 |
$1,477 |
7.3× |
| CT scan of leg combo (73702) |
$1,719.50 |
$3,439 |
10.1× |
| CT scans face/jaw combo (70488) |
$1,623.50 |
$3,247 |
9.5× |
| CT soft tissue neck w contrast (70491) |
$1,508.50 |
$3,017 |
8.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,251.50 |
$2,503 |
12.3× |
| CT thoracic spine w contrast (72129) |
$2,000 |
$4,000 |
11.8× |
| CT thoracic spine w/o contrast (72128) |
$1,192.50 |
$2,385 |
11.8× |
| CT thorax w/o contrast (71250) |
$681 |
$1,362 |
6.7× |
| CT upper ext wo (73200) |
$1,382.50 |
$2,765 |
13.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,170 |
$4,340 |
12.8× |
| CT upper extremity with contrast (73201) |
$1,707.50 |
$3,415 |
5.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,781.50 |
$3,563 |
10.5× |
| Cta Abdomen (74175) |
$2,345.50 |
$4,691 |
13.8× |
| CTA pelvis (72191) |
$1,092 |
$2,184 |
6.4× |
| Esophagram (74220) |
$364 |
$728 |
2.1× |
| Fetal Biophys Profile W/Nst (76818) |
$362.50 |
$725 |
3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$175.50 |
$351 |
1.7× |
| Fluoroscopy up to 1 hr (76000) |
$607 |
$1,214 |
2.6× |
| Follow-Up Angiography (75898) |
$620.50 |
$1,241 |
0.2× |
| Foot 2 views (73620) |
$164 |
$328 |
1.9× |
| Forearm 2 views (73090) |
$190 |
$380 |
2.3× |
| Gastric emptying imaging study (78264) |
$2,495.50 |
$4,991 |
6.4× |
| Hand 2 views (73120) |
$181.50 |
$363 |
1.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$2,362.50 |
$4,725 |
0.8× |
| Hepatobil Syst Image W/Drug (78227) |
$1,545 |
$3,090 |
2.9× |
| Hepatobiliary System Imaging (78226) |
$1,128 |
$2,256 |
2.9× |
| Ht Muscle Image Spect Sing (78451) |
$2,335 |
$4,670 |
1.9× |
| Hysterosalpingogram (74740) |
$552.50 |
$1,105 |
2.4× |
| Interstitial radiation source applic complex (77778) |
$3,007 |
$6,014 |
4.5× |
| K Flow/Funct Image Multiple (78709) |
$4,080.50 |
$8,161 |
7.7× |
| K Flow/Funct Image W/Drug (78708) |
$1,955 |
$3,910 |
3.7× |
| K Flow/Funct Image W/O Drug (78707) |
$2,599.50 |
$5,199 |
4.9× |
| Knee 3 Views (73562) |
$293.50 |
$587 |
3.5× |
| Liver imaging static only (78201) |
$949 |
$1,898 |
1.8× |
| Lung perfusion differential (78597) |
$689.50 |
$1,379 |
1.8× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,162.50 |
$2,325 |
2.2× |
| Lymph System Imaging (78195) |
$1,565 |
$3,130 |
3.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$1,966.50 |
$3,933 |
0.6× |
| Magnetic Image Jaw Joint (70336) |
$2,219 |
$4,438 |
9.6× |
| Meckels Divert Exam (78290) |
$1,444 |
$2,888 |
3.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$11,551.50 |
$23,103 |
31.8× |
| Mr safety determination physician/other qhp (76016) |
$105 |
$210 |
1.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$29.50 |
$59 |
1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$109.50 |
$219 |
1.2× |
| Mr safety implt pos&/immoblj (76019) |
$71 |
$142 |
1.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$287.50 |
$575 |
1.2× |
| Mra Head W/O & W/Contrast Material (70546) |
$2,421.50 |
$4,843 |
7.2× |
| MRA head w/o contrast (70544) |
$1,302.50 |
$2,605 |
5.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,604.50 |
$3,209 |
4.7× |
| MRA neck w/o contrast (70547) |
$866.50 |
$1,733 |
3.7× |
| MRI abdomen w/o contrast (74181) |
$1,330 |
$2,660 |
5.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,789.50 |
$7,579 |
5.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,324 |
$6,648 |
9.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,797 |
$7,594 |
5.0× |
| MRI Breast W/O Contrast Bilateral (77047) |
$389.50 |
$779 |
1.7× |
| MRI cervical spine w contrast (72142) |
$2,044.50 |
$4,089 |
6.0× |
| MRI cervical spine w/o cont (72141) |
$1,558.50 |
$3,117 |
6.7× |
| MRI chest w/o contrast (71550) |
$1,440 |
$2,880 |
6.2× |
| MRI chest wo w contrast (71552) |
$2,374 |
$4,748 |
7.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,114.50 |
$4,229 |
6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,142.50 |
$2,285 |
4.9× |
| MRI lumbar spine w contrast (72149) |
$2,561.50 |
$5,123 |
7.6× |
| Mri Neck Spine W/O & W/Dye (72156) |
$1,854.50 |
$3,709 |
5.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,243.50 |
$2,487 |
5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,303 |
$4,606 |
6.8× |
| MRI pelvis w contrast (72196) |
$2,372.50 |
$4,745 |
7.0× |
| MRI pelvis w/o & w contrast (72197) |
$2,372.50 |
$4,745 |
7.0× |
| MRI pelvis w/o contrast (72195) |
$1,282 |
$2,564 |
5.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,591.50 |
$3,183 |
6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$857 |
$1,714 |
3.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$1,871.50 |
$3,743 |
5.5× |
| MRI, abdomen, combo (74183) |
$2,462 |
$4,924 |
7.3× |
| MRI, dorsal spine combo (72157) |
$2,947 |
$5,894 |
8.7× |
| MRI, dorsal spine contrast (72147) |
$2,947 |
$5,894 |
8.7× |
| MRI, joint upper extrem (73221) |
$1,733.50 |
$3,467 |
7.5× |
| MRI, joint upper extrem combo (73223) |
$3,329 |
$6,658 |
9.8× |
| MRI, lumbar spine combo (72158) |
$2,787.50 |
$5,575 |
8.2× |
| Myelograpy 2/more regions rs&i (72270) |
$843.50 |
$1,687 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,832 |
$5,664 |
2.3× |
| N-invas est c ffr sw aly CTA (75580) |
$3,128 |
$6,256 |
3.8× |
| Neck soft tissue (70360) |
$156.50 |
$313 |
1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$38,003 |
$76,006 |
28.3× |
| Nuclear Rx Intra-Arterial (79445) |
$361.50 |
$723 |
1.6× |
| Nuclear Rx Oral Admin (79005) |
$2,453.50 |
$4,907 |
10.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$171 |
$342 |
1.7× |
| Panoramic X-ray of jaws (70355) |
$143 |
$286 |
1.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$4,069.50 |
$8,139 |
7.7× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$3,027.50 |
$6,055 |
7.8× |
| Pelvis 1 or 2 views (72170) |
$182.50 |
$365 |
1.8× |
| Pet Image W/Ct Lmtd (78814) |
$4,974 |
$9,948 |
3.6× |
| PET image w/CT, full body (78816) |
$3,205.50 |
$6,411 |
2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$3,485.50 |
$6,971 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$826 |
$1,652 |
2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$309.50 |
$619 |
3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$253 |
$506 |
0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$193 |
$386 |
2.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$158.50 |
$317 |
1.9× |
| Radex elbow complete minimum 3 views (73080) |
$209 |
$418 |
2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$351.50 |
$703 |
3.5× |
| Radex fingr minimum 2 views (73140) |
$152 |
$304 |
1.8× |
| Radex foot complete minimum 3 views (73630) |
$184.50 |
$369 |
2.2× |
| Radex Hand Minimum 3 Views (73130) |
$199.50 |
$399 |
2.4× |
| Radex lower extremity infant minimum 2 views (73592) |
$257 |
$514 |
3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$179 |
$358 |
2.1× |
| Radex Ribs Unilateral 2 Views (71100) |
$271.50 |
$543 |
3.2× |
| Radex shoulder complete minimum 2 views (73030) |
$214 |
$428 |
2.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$159 |
$318 |
1.9× |
| Radex Spine 1 View Specify Level (72020) |
$162.50 |
$325 |
1.9× |
| Radex Sternum Minimum 2 Views (71120) |
$191.50 |
$383 |
2.3× |
| Radex Toe Minimum 2 Views (73660) |
$149.50 |
$299 |
1.8× |
| Radex upper extremity infant minimum 2 views (73092) |
$121.50 |
$243 |
1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$200 |
$400 |
2.4× |
| Radiation treatment delivery level 3 (77412) |
$1,756 |
$3,512 |
3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$221 |
$442 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$203 |
$406 |
2.0× |
| Radiologic exam colon double contrast study (74280) |
$595 |
$1,190 |
3.5× |
| Radiologic exam colon single contrast study (74270) |
$424 |
$848 |
2.5× |
| Radiologic exam knee complete 4/more views (73564) |
$271 |
$542 |
2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$373 |
$746 |
3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$338 |
$676 |
2.0× |
| Radiologic exam swallow function contrast study (74230) |
$305.50 |
$611 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$455 |
$910 |
2.7× |
| Radiologic examination femur 1 view (73551) |
$216 |
$432 |
2.6× |
| Radiologic examination femur minimum 2 views (73552) |
$295.50 |
$591 |
3.5× |
| Radiologic examination knee 1/2 views (73560) |
$258 |
$516 |
3.1× |
| Radiologic Examination Osseous Survey Limited (77074) |
$335 |
$670 |
3.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$242 |
$484 |
2.9× |
| Radiologic examination, teeth; single view Non-Facility (70300) |
$119 |
$238 |
1.4× |
| Ribs bilateral 3 views (71110) |
$326 |
$652 |
3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,517 |
$3,034 |
3.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,424 |
$4,848 |
4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$4,914.50 |
$9,829 |
9.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,186.50 |
$6,373 |
2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$1,912 |
$3,824 |
1.5× |
| Scapula (73010) |
$165 |
$330 |
1.6× |
| Shoulder 1 view (73020) |
$161 |
$322 |
1.9× |
| Skull less than 4 views (70250) |
$186 |
$372 |
1.8× |
| Special dosimetry (77331) |
$882 |
$1,764 |
6.8× |
| Special Physics Consult (77370) |
$2,231 |
$4,462 |
17.1× |
| Special teletherapy port plan (77321) |
$381 |
$762 |
1.0× |
| Special treatment procedure (77470) |
$4,486 |
$8,972 |
8.4× |
| Stereotactic Body Radiation Delivery (77373) |
$6,108.50 |
$12,217 |
3.5× |
| Sternoclavicular joints (71130) |
$233 |
$466 |
2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,586 |
$3,172 |
4.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$4,061.50 |
$8,123 |
11.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,472.50 |
$2,945 |
11.3× |
| Thoracic spine 2 views (72070) |
$225 |
$450 |
2.2× |
| Thoracic spine 3 views (72072) |
$230 |
$460 |
2.3× |
| Thoracolumbar 2 views (72080) |
$171.50 |
$343 |
2.0× |
| Thyroid Uptake Measurement (78012) |
$393.50 |
$787 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,130.50 |
$4,261 |
5.5× |
| Tx Devices Design & Construction Complex (77334) |
$1,902 |
$3,804 |
5.2× |
| Tx devices design & construction intermediate (77333) |
$869 |
$1,738 |
6.7× |
| Tx devices design & construction simple (77332) |
$1,510 |
$3,020 |
11.6× |
| Ultrasound Breast Limited (76642) |
$214 |
$428 |
2.5× |
| Ultrasound Elastography Parenchyma (76981) |
$199.50 |
$399 |
2.0× |
| Ultrasound Exam Aaa Screen (76706) |
$148 |
$296 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$381.50 |
$763 |
3.8× |
| Upper gi w/o kub (74240) |
$380.50 |
$761 |
2.2× |
| Urethrocystogram voiding (74455) |
$426.50 |
$853 |
1.8× |
| Urethrocystography retrograde (74450) |
$426.50 |
$853 |
1.8× |
| Us breast unilateral complete (76641) |
$228 |
$456 |
2.2× |
| Us chest (76604) |
$225.50 |
$451 |
2.2× |
| Us complete joint (76881) |
$612.50 |
$1,225 |
6.0× |
| Us exam, pelvic, limited (76857) |
$521.50 |
$1,043 |
5.1× |
| Us head (76506) |
$127 |
$254 |
1.3× |
| Us kidney transplant (76776) |
$348.50 |
$697 |
3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$395.50 |
$791 |
3.9× |
| Us ob limited 1 or more fetuses (76815) |
$272.50 |
$545 |
2.7× |
| Us ob transvaginal (76817) |
$279.50 |
$559 |
2.8× |
| Us pelvic non ob complete (76856) |
$625 |
$1,250 |
6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$295.50 |
$591 |
2.9× |
| Us retroperitoneal complete (76770) |
$454.50 |
$909 |
4.5× |
| Us retroperitoneal limited (76775) |
$223.50 |
$447 |
2.2× |
| Us scrotum and contents (76870) |
$475 |
$950 |
4.7× |
| Us thyroid (76536) |
$366.50 |
$733 |
3.6× |
| Vein X-Ray Chest (75827) |
$757.50 |
$1,515 |
0.5× |
| Venogram Sinus/Jugular (75860) |
$1,400.50 |
$2,801 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,591 |
$3,182 |
0.5× |
| Venography extremity bilateral rs&i (75822) |
$989 |
$1,978 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$914 |
$1,828 |
0.6× |
| Wrist 2 views (73100) |
$180.50 |
$361 |
2.1× |
| X-Ray Aorta Leg Arteries (75630) |
$2,278 |
$4,556 |
0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$176.50 |
$353 |
2.1× |
| X-Ray Exam Breast Specimen (76098) |
$263.50 |
$527 |
0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$117 |
$234 |
1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$186.50 |
$373 |
1.8× |
| X-Ray Exam Hip Uni 1 View (73501) |
$172.50 |
$345 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$228.50 |
$457 |
2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$285.50 |
$571 |
2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$208.50 |
$417 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$279 |
$558 |
2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$324.50 |
$649 |
3.2× |
| X-Ray Exam L-S Spine Bending (72114) |
$464 |
$928 |
4.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$227 |
$454 |
2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$383.50 |
$767 |
3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$312.50 |
$625 |
3.1× |
| X-ray eye for foreign body (70030) |
$111 |
$222 |
1.3× |
| X-ray humerus (73060) |
$172.50 |
$345 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$192.50 |
$385 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$265 |
$530 |
2.6× |
| X-ray nose-rectum child f.b. (76010) |
$97 |
$194 |
1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$383.50 |
$767 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$315.50 |
$631 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$269.50 |
$539 |
3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$275 |
$550 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$232 |
$464 |
2.3× |
| X-ray thoracic spine 4 vw (72074) |
$273 |
$546 |
2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$386 |
$772 |
1.1× |
| X-Rays Bone Length Studies (77073) |
$219.50 |
$439 |
2.2× |
| X-Rays Bone Survey Complete (77075) |
$452 |
$904 |
4.5× |
| Xr c-spine 4 or 5 views (72050) |
$310.50 |
$621 |
3.1× |
| Xr facial bones less than 3 views (70140) |
$221 |
$442 |
2.6× |
| Xr orbits complete 4 views (70200) |
$206.50 |
$413 |
2.0× |