| 3-D radiotherapy plan dose-volume histograms (77295) |
$13,255 |
$26,510 |
9.9× |
| Abdomen 2 views (74019) |
$218 |
$436 |
2.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$628 |
$1,256 |
1.6× |
| 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 pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,620.50 |
$5,241 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,946.50 |
$7,893 |
1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,454.50 |
$2,909 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,339 |
$6,678 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$620.50 |
$1,241 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$657 |
$1,314 |
0.2× |
| Ankle 2 views (73600) |
$181.50 |
$363 |
2.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,278 |
$4,556 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,219 |
$4,438 |
0.7× |
| Basic radiation dosimetry calculation (77300) |
$908.50 |
$1,817 |
7.0× |
| Bone &/joint imaging whole body (78306) |
$2,566 |
$5,132 |
6.6× |
| Bone age studies (77072) |
$237 |
$474 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$2,925.50 |
$5,851 |
7.5× |
| Bone survey complete (77075) |
$452 |
$904 |
4.5× |
| Brain imaging < 4 static views w vascular flow (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× |
| Cervical spine 2 or 3 views (72040) |
$227 |
$454 |
2.7× |
| Chest 1 view (71045) |
$166.50 |
$333 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$305.50 |
$611 |
1.8× |
| 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× |
| 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 hrt w/3d image (75574) |
$1,763 |
$3,526 |
5.2× |
| CT angiography upper extremity lt (73206) |
$1,399 |
$2,798 |
8.2× |
| CT c-spine w/o contrast (72125) |
$1,349 |
$2,698 |
13.3× |
| CT cervical spine w&w/o contrast (72127) |
$2,430.50 |
$4,861 |
14.3× |
| CT cervical spine with contrast (72126) |
$3,608.50 |
$7,217 |
10.7× |
| CT chest w/wo contrast (71270) |
$1,356.50 |
$2,713 |
8.0× |
| CT chest with contrast (71260) |
$1,477.50 |
$2,955 |
8.7× |
| CT colonography screening (74263) |
$616.50 |
$1,233 |
2.7× |
| CT colonography w/o cntrst (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 limited/localized follow up study (76380) |
$497 |
$994 |
5.9× |
| CT lower ext w/o (73700) |
$1,124 |
$2,248 |
11.1× |
| CT lower extremity w wo contrast (73702) |
$1,719.50 |
$3,439 |
10.1× |
| CT lower extremity with contrast (73701) |
$1,416.50 |
$2,833 |
8.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,892 |
$3,784 |
11.1× |
| CT lumbar spine w/o contrast (72131) |
$966.50 |
$1,933 |
9.5× |
| CT lumbar spine with contrast (72132) |
$2,056.50 |
$4,113 |
6.1× |
| CT maxillofacial w contrast (70487) |
$1,325.50 |
$2,651 |
7.8× |
| CT maxillofacial w/o contrast (70486) |
$1,104 |
$2,208 |
10.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,623.50 |
$3,247 |
9.5× |
| CT neck soft tissue w contrast (70491) |
$1,508.50 |
$3,017 |
8.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) |
$1,727.50 |
$3,455 |
10.2× |
| 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 extremity w/o & w/contrast material (73202) |
$2,170 |
$4,340 |
12.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,382.50 |
$2,765 |
13.6× |
| 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 abdomen pelvis (74174) |
$2,969 |
$5,938 |
8.8× |
| CTA chest (71275) |
$1,940 |
$3,880 |
11.4× |
| Cta Head (70496) |
$1,973 |
$3,946 |
11.6× |
| CTA lwr ext w&w/o contrast (73706) |
$1,270.50 |
$2,541 |
7.5× |
| Cta Neck (70498) |
$2,001.50 |
$4,003 |
11.8× |
| Cta Pelvis (72191) |
$1,092 |
$2,184 |
6.4× |
| Cystography minimum 3 views rs&i (74430) |
$318 |
$636 |
0.9× |
| Echoencephalography real time imaging (76506) |
$127 |
$254 |
1.3× |
| Esophagus (74220) |
$364 |
$728 |
2.1× |
| Fetal biophysical profile non-stress testing (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× |
| Foot 2 views (73620) |
$164 |
$328 |
1.9× |
| Forearm 2 views (73090) |
$190 |
$380 |
2.3× |
| Hand 2 views (73120) |
$181.50 |
$363 |
1.8× |
| Hand 3 views (73130) |
$199.50 |
$399 |
2.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,545 |
$3,090 |
2.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,128 |
$2,256 |
2.9× |
| Ht muscle image spect sing (78451) |
$2,335 |
$4,670 |
1.9× |
| Humerus Min 2 Views Left (73060) |
$172.50 |
$345 |
2.0× |
| Hysterosalpingogram (74740) |
$552.50 |
$1,105 |
2.4× |
| Interstitial radiation source applic complex (77778) |
$3,007 |
$6,014 |
4.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,599.50 |
$5,199 |
4.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,955 |
$3,910 |
3.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$4,080.50 |
$8,161 |
7.7× |
| 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× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$1,966.50 |
$3,933 |
0.6× |
| Lymphoscintigraphy (78195) |
$1,565 |
$3,130 |
3.0× |
| Meckels Diverticulum (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 pos&/immoblj supvj phys/qhp (76019) |
$71 |
$142 |
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 med physics xm customization plng&mntr (76017) |
$287.50 |
$575 |
1.2× |
| MRA head w & w/o contrast (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 & w/contrast material (74183) |
$2,462 |
$4,924 |
7.3× |
| MRI abdomen w/o contrast (74181) |
$1,330 |
$2,660 |
5.7× |
| MRI any jnt lwr ext with con lt (73722) |
$3,789.50 |
$7,579 |
5.0× |
| 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 c-spine with contrast (72142) |
$2,044.50 |
$4,089 |
6.0× |
| MRI cervical spine w/o contrast (72141) |
$1,558.50 |
$3,117 |
6.7× |
| MRI chest w/o & w/contrast material (71552) |
$2,374 |
$4,748 |
7.0× |
| MRI chest w/o contrast (71550) |
$1,440 |
$2,880 |
6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,142.50 |
$2,285 |
4.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,243.50 |
$2,487 |
5.4× |
| MRI orbit/face/neck w&w/o cont (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 material (72197) |
$2,372.50 |
$4,745 |
7.0× |
| MRI pelvis w/o contrast (72195) |
$1,282 |
$2,564 |
5.5× |
| MRI scan of arm joint before and after contrast (73223) |
$3,329 |
$6,658 |
9.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,324 |
$6,648 |
9.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,854.50 |
$3,709 |
5.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,561.50 |
$5,123 |
7.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,787.50 |
$5,575 |
8.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,947 |
$5,894 |
8.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,947 |
$5,894 |
8.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,591.50 |
$3,183 |
6.9× |
| MRI tmj (70336) |
$2,219 |
$4,438 |
9.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,733.50 |
$3,467 |
7.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,871.50 |
$3,743 |
5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$857 |
$1,714 |
3.7× |
| Myelography 2 or more regions (72270) |
$843.50 |
$1,687 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,832 |
$5,664 |
2.3× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$3,128 |
$6,256 |
3.8× |
| Neck soft tissue (70360) |
$156.50 |
$313 |
1.9× |
| Nm gastric emptying study (78264) |
$2,495.50 |
$4,991 |
6.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$38,003 |
$76,006 |
28.3× |
| Nuclear Rx Oral Admin (79005) |
$2,453.50 |
$4,907 |
10.8× |
| Orthopantogram (70355) |
$143 |
$286 |
1.7× |
| Osseous survey infant (77076) |
$497.50 |
$995 |
4.9× |
| Osseous survey limited (77074) |
$335 |
$670 |
3.3× |
| Parathyrd planar w/spect&CT (78072) |
$4,069.50 |
$8,139 |
7.7× |
| Parathyrd planar w/wo subtrj (78071) |
$3,027.50 |
$6,055 |
7.8× |
| Pelvis 1 or 2 views (72170) |
$182.50 |
$365 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$3,485.50 |
$6,971 |
2.5× |
| PET imaging CT for attenuation limited area (78814) |
$4,974 |
$9,948 |
3.6× |
| PET imaging for CT attenuation whole body (78816) |
$3,205.50 |
$6,411 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,114.50 |
$4,229 |
6.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$826 |
$1,652 |
2.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,162.50 |
$2,325 |
2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$253 |
$506 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$117 |
$234 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$186.50 |
$373 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$208.50 |
$417 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,756 |
$3,512 |
3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$221 |
$442 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$261 |
$522 |
3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$203 |
$406 |
2.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$207 |
$414 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$424 |
$848 |
2.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$455 |
$910 |
2.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$380.50 |
$761 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$295.50 |
$591 |
3.5× |
| Radiological examination surgical specimen (76098) |
$263.50 |
$527 |
0.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,362.50 |
$4,725 |
0.8× |
| 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 1 day imaging (78830) |
$1,912 |
$3,824 |
1.5× |
| Rp therapy intra-arterial particulate admn (79445) |
$361.50 |
$723 |
1.6× |
| Scanogram (77073) |
$219.50 |
$439 |
2.2× |
| Scapula complete (73010) |
$165 |
$330 |
1.6× |
| Small bowel series (74250) |
$338 |
$676 |
2.0× |
| Spec medical radj physics consltj (77370) |
$2,231 |
$4,462 |
17.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$381 |
$762 |
1.0× |
| Special dosimetry (77331) |
$882 |
$1,764 |
6.8× |
| Special treatment procedure (77470) |
$4,486 |
$8,972 |
8.4× |
| Spine thoracic 3 views (72072) |
$230 |
$460 |
2.3× |
| Stereotactic body radiation delivery (77373) |
$6,108.50 |
$12,217 |
3.5× |
| 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× |
| 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× |
| Treatment device intermediate (77333) |
$869 |
$1,738 |
6.7× |
| Treatment devices simple (77332) |
$1,510 |
$3,020 |
11.6× |
| Tx devices design & construction complex (77334) |
$1,902 |
$3,804 |
5.2× |
| Ultrasound, abdomen limited (76705) |
$381.50 |
$763 |
3.8× |
| Upper Extremity Infant (73092) |
$121.50 |
$243 |
1.2× |
| Urethrocystography retrograde rs&i (74450) |
$426.50 |
$853 |
1.8× |
| Urethrocystography voiding (74455) |
$426.50 |
$853 |
1.8× |
| Us abdl aorta screen aaa (76706) |
$148 |
$296 |
1.5× |
| Us breast unilateral complete (76641) |
$228 |
$456 |
2.2× |
| Us breast unilateral limited (76642) |
$214 |
$428 |
2.5× |
| Us chest (76604) |
$225.50 |
$451 |
2.2× |
| Us compl joint r-t w/image documentation (76881) |
$612.50 |
$1,225 |
6.0× |
| Us elastography parenchyma (76981) |
$199.50 |
$399 |
2.0× |
| Us kidney transplant (76776) |
$348.50 |
$697 |
3.4× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$145.50 |
$291 |
1.4× |
| Us ob transvaginal (76817) |
$279.50 |
$559 |
2.8× |
| Us pelvic non ob complete (76856) |
$625 |
$1,250 |
6.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$521.50 |
$1,043 |
5.1× |
| Us pregnancy ltd (76815) |
$272.50 |
$545 |
2.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (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 soft tissue head/neck (76536) |
$366.50 |
$733 |
3.6× |
| Us xtr non-vasc lmtd (76882) |
$395.50 |
$791 |
3.9× |
| Us, eye b-scan (76512) |
$171 |
$342 |
1.7× |
| Venogram extremity bilateral (75822) |
$989 |
$1,978 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$1,591 |
$3,182 |
0.5× |
| Venography caval superior serialography rs&i (75827) |
$757.50 |
$1,515 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$914 |
$1,828 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,400.50 |
$2,801 |
0.5× |
| Wrist 2 views (73100) |
$180.50 |
$361 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$309.50 |
$619 |
3.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$193 |
$386 |
2.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$595 |
$1,190 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$176.50 |
$353 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$209 |
$418 |
2.5× |
| 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 3-4 Views (73522) |
$279 |
$558 |
2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$324.50 |
$649 |
3.2× |
| X-ray exam of femur 1 (73551) |
$216 |
$432 |
2.6× |
| X-ray eye for foreign body (70030) |
$111 |
$222 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$351.50 |
$703 |
3.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$221 |
$442 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$184.50 |
$369 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$158.50 |
$317 |
1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$192.50 |
$385 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$271 |
$542 |
2.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$257 |
$514 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$265 |
$530 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$464 |
$928 |
4.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$179 |
$358 |
2.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$97 |
$194 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$206.50 |
$413 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$373 |
$746 |
3.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$386 |
$772 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$271.50 |
$543 |
3.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$312.50 |
$625 |
3.1× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$214 |
$428 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$275 |
$550 |
3.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$159 |
$318 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$232 |
$464 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$186 |
$372 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$162.50 |
$325 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$233 |
$466 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$191.50 |
$383 |
2.3× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$119 |
$238 |
1.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$225 |
$450 |
2.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$273 |
$546 |
2.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$149.50 |
$299 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$200 |
$400 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$383.50 |
$767 |
3.8× |
| Xr finger(s) 2+ views (73140) |
$152 |
$304 |
1.8× |
| Xr shoulder 1 view (73020) |
$161 |
$322 |
1.9× |
| Xr spine cervical 4 or 5 views (72050) |
$310.50 |
$621 |
3.1× |
| Xr tibia/fibula 2 views (73590) |
$242 |
$484 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$258 |
$516 |
3.1× |