| Abdomen 2 views (74019) |
$190.50 |
$635 |
1.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$452.70 |
$1,509 |
1.2× |
| Ankle 2 views (73600) |
$234 |
$780 |
2.8× |
| Arthrogram hip (73525) |
$497.40 |
$1,658 |
1.5× |
| Arthrogram shoulder (73040) |
$497.40 |
$1,658 |
1.5× |
| Arthrogram wrist (73115) |
$497.40 |
$1,658 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$528.90 |
$1,763 |
1.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$581.70 |
$1,939 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$639.60 |
$2,132 |
1.7× |
| Bone age studies (77072) |
$178.20 |
$594 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$703.80 |
$2,346 |
1.8× |
| Bone survey complete (77075) |
$402.30 |
$1,341 |
4.0× |
| Cervical spine 2 or 3 views (72040) |
$233.70 |
$779 |
2.8× |
| Chest 1 view (71045) |
$177 |
$590 |
2.1× |
| Chest 3 views (71047) |
$218.40 |
$728 |
2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$226.50 |
$755 |
1.3× |
| Clavicle complete (73000) |
$266.70 |
$889 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$99.30 |
$331 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,060.50 |
$13,535 |
12.1× |
| CT abdomen and pelvis without contrast (74176) |
$1,677.90 |
$5,593 |
7.3× |
| CT abdomen w contrast (74160) |
$942.30 |
$3,141 |
5.6× |
| CT abdomen w wo contrast (74170) |
$1,480.50 |
$4,935 |
8.8× |
| CT abdomen w/o contrast (74150) |
$1,223.40 |
$4,078 |
12.2× |
| CT angiography upper extremity lt (73206) |
$868.80 |
$2,896 |
5.1× |
| CT c-spine w/o contrast (72125) |
$1,172.70 |
$3,909 |
11.7× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$161.40 |
$538 |
1.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,419.60 |
$4,732 |
8.4× |
| CT cervical spine with contrast (72126) |
$1,290.60 |
$4,302 |
3.8× |
| CT chest w/wo contrast (71270) |
$1,293 |
$4,310 |
7.7× |
| CT chest with contrast (71260) |
$1,301.70 |
$4,339 |
7.7× |
| CT head/brain with contrast (70460) |
$1,113.90 |
$3,713 |
6.6× |
| CT head/brain without and with contrast (70470) |
$1,057.20 |
$3,524 |
6.3× |
| CT iac w contrast (70481) |
$834 |
$2,780 |
4.9× |
| CT limited/localized follow up study (76380) |
$320.70 |
$1,069 |
3.8× |
| CT lower ext w/o (73700) |
$769.88 |
$2,566.25 |
7.7× |
| CT lower extremity w wo contrast (73702) |
$1,064.70 |
$3,549 |
6.3× |
| CT lower extremity with contrast (73701) |
$1,210.50 |
$4,035 |
7.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,950 |
$6,500 |
11.6× |
| CT lumbar spine w/o contrast (72131) |
$1,128 |
$3,760 |
11.2× |
| CT lumbar spine with contrast (72132) |
$1,772.70 |
$5,909 |
5.3× |
| CT maxillofacial w contrast (70487) |
$927.90 |
$3,093 |
5.5× |
| CT maxillofacial w/o contrast (70486) |
$1,204.50 |
$4,015 |
12.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,458.30 |
$4,861 |
8.6× |
| CT neck soft tissue w contrast (70491) |
$940.50 |
$3,135 |
5.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$918 |
$3,060 |
5.4× |
| CT orbits w/o contrast (70480) |
$758.70 |
$2,529 |
7.5× |
| CT pelvis w & w/o contrast (72194) |
$1,715.70 |
$5,719 |
10.2× |
| CT pelvis w/o contrast (72192) |
$693.90 |
$2,313 |
6.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,034.40 |
$3,448 |
6.1× |
| CT soft tissue neck w/o contrast (70490) |
$854.70 |
$2,849 |
8.5× |
| CT thoracic spine w/contrast (72129) |
$1,246.50 |
$4,155 |
7.4× |
| CT thoracic spine w/o contrast (72128) |
$1,473 |
$4,910 |
14.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,371.30 |
$4,571 |
8.1× |
| CT thorax w/o contrast (71250) |
$1,527 |
$5,090 |
15.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,656.30 |
$5,521 |
9.8× |
| CT upper extremity w/o contrast rt (73200) |
$957.90 |
$3,193 |
9.5× |
| CT upper extremity with contrast (73201) |
$1,506.30 |
$5,021 |
4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,023.60 |
$3,412 |
6.1× |
| Cta Abdomen (74175) |
$1,223.70 |
$4,079 |
7.3× |
| CTA abdomen pelvis (74174) |
$682.20 |
$2,274 |
2.0× |
| CTA chest (71275) |
$1,146 |
$3,820 |
6.8× |
| Cta Head (70496) |
$580.50 |
$1,935 |
3.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,161 |
$3,870 |
3.5× |
| CTA lwr ext w&w/o contrast (73706) |
$891.75 |
$2,972.50 |
5.3× |
| Cta Neck (70498) |
$580.50 |
$1,935 |
3.4× |
| Cta Pelvis (72191) |
$1,079.70 |
$3,599 |
6.4× |
| Cystography minimum 3 views rs&i (74430) |
$377.10 |
$1,257 |
1.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$255.90 |
$853 |
2.5× |
| Echoencephalography real time imaging (76506) |
$393.30 |
$1,311 |
3.9× |
| Esophagus (74220) |
$162 |
$540 |
1.0× |
| Fetal biophysical profile non-stress testing (76818) |
$507 |
$1,690 |
5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$103.80 |
$346 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$246.90 |
$823 |
1.1× |
| Foot 2 views (73620) |
$234 |
$780 |
2.8× |
| Forearm 2 views (73090) |
$318 |
$1,060 |
3.8× |
| Gated Heart Planar Single (78472) |
$882.90 |
$2,943 |
2.3× |
| Hand 2 views (73120) |
$181.50 |
$605 |
1.8× |
| Hand 3 views (73130) |
$318 |
$1,060 |
3.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$633.30 |
$2,111 |
1.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$419.10 |
$1,397 |
1.1× |
| Ht muscle image spect sing (78451) |
$1,611.60 |
$5,372 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$278.25 |
$927.50 |
3.3× |
| Hysterosalpingogram (74740) |
$465.60 |
$1,552 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$706.80 |
$2,356 |
1.4× |
| Knee 3 views (73562) |
$300.38 |
$1,001.25 |
3.6× |
| Liver & spleen imaging static only (78215) |
$520.80 |
$1,736 |
1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$521.40 |
$1,738 |
1.4× |
| Lung perf&ventilat diferentl (78598) |
$557.10 |
$1,857 |
1.1× |
| MRA head w & w/o contrast (70546) |
$630.60 |
$2,102 |
1.9× |
| MRA head w/o contrast (70544) |
$493.50 |
$1,645 |
2.2× |
| MRA head with contrast (70545) |
$521.70 |
$1,739 |
1.6× |
| MRA neck w contrast (70548) |
$521.70 |
$1,739 |
1.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$584.70 |
$1,949 |
1.7× |
| MRA neck w/o contrast (70547) |
$423.30 |
$1,411 |
1.8× |
| MRI abdomen w contrast (74182) |
$1,059 |
$3,530 |
3.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,164.90 |
$3,883 |
3.5× |
| MRI abdomen w/o contrast (74181) |
$962.40 |
$3,208 |
4.2× |
| MRI any jnt lwr ext with con lt (73722) |
$990.30 |
$3,301 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,845.90 |
$6,153 |
2.4× |
| MRI c-spine with contrast (72142) |
$1,402.50 |
$4,675 |
4.2× |
| MRI cervical spine w/o contrast (72141) |
$1,275.30 |
$4,251 |
5.6× |
| MRI chest w/o contrast (71550) |
$693.60 |
$2,312 |
3.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,665.90 |
$5,553 |
5.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$846.60 |
$2,822 |
2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$548.70 |
$1,829 |
2.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,060.80 |
$3,536 |
4.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,283.70 |
$4,279 |
3.8× |
| MRI orbit/face/neck w/contrast (70542) |
$1,167.30 |
$3,891 |
3.5× |
| MRI pelvis w contrast (72196) |
$873.90 |
$2,913 |
2.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$961.20 |
$3,204 |
2.9× |
| MRI pelvis w/o contrast (72195) |
$794.40 |
$2,648 |
3.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,030.40 |
$6,768 |
6.1× |
| MRI scan of leg joint before and after contrast (73723) |
$1,089.30 |
$3,631 |
3.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,542.90 |
$5,143 |
4.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,223.10 |
$4,077 |
3.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,410.90 |
$4,703 |
4.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,121.40 |
$3,738 |
3.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,233.60 |
$4,112 |
3.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,019.40 |
$3,398 |
4.4× |
| MRI upper ext joint w/o contrast (73221) |
$2,097.38 |
$6,991.25 |
9.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,832.40 |
$6,108 |
5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,324.88 |
$4,416.25 |
5.8× |
| Myocardial Spect Multiple Studies (78452) |
$1,273.50 |
$4,245 |
1.0× |
| Neck soft tissue (70360) |
$108.90 |
$363 |
1.3× |
| Nm gastric emptying study (78264) |
$475.20 |
$1,584 |
1.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$600 |
$2,000 |
1.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$228.30 |
$761 |
2.3× |
| Osseous survey infant (77076) |
$358.80 |
$1,196 |
3.6× |
| Osseous survey limited (77074) |
$365.10 |
$1,217 |
3.6× |
| Parathyrd planar w/wo subtrj (78071) |
$774.60 |
$2,582 |
2.0× |
| Parathyroid imaging (78070) |
$401.10 |
$1,337 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$197.10 |
$657 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$693.60 |
$2,312 |
2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$618.60 |
$2,062 |
1.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$961.80 |
$3,206 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$494.10 |
$1,647 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$99.30 |
$331 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$706.80 |
$2,356 |
7.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$243 |
$810 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$777 |
$2,590 |
7.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$513.90 |
$1,713 |
5.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$105.30 |
$351 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$211.80 |
$706 |
2.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$177 |
$590 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$366.30 |
$1,221 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$268.80 |
$896 |
1.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$317.70 |
$1,059 |
1.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$241.12 |
$803.75 |
2.9× |
| Radiological examination surgical specimen (76098) |
$626.10 |
$2,087 |
1.2× |
| Ribs bilateral 3 views (71110) |
$318.90 |
$1,063 |
3.2× |
| Sacroiliac Joints < 3 Views (72200) |
$277.50 |
$925 |
2.8× |
| Scapula complete (73010) |
$220.80 |
$736 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$55.80 |
$186 |
2.4× |
| Small bowel series (74250) |
$314.70 |
$1,049 |
1.9× |
| Spine thoracic 3 views (72072) |
$371.70 |
$1,239 |
3.7× |
| Thoracolumbar 2 views (72080) |
$99.30 |
$331 |
1.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$256.80 |
$856 |
0.7× |
| Thyroid uptake measurement (78012) |
$452.70 |
$1,509 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$442.80 |
$1,476 |
1.2× |
| Tmj unilateral (70328) |
$120 |
$400 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$567.60 |
$1,892 |
5.6× |
| Upper Extremity Infant (73092) |
$294.30 |
$981 |
2.9× |
| Urethrocystography retrograde rs&i (74450) |
$291.90 |
$973 |
1.3× |
| Urethrocystography voiding (74455) |
$377.10 |
$1,257 |
1.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$377.10 |
$1,257 |
2.2× |
| Us abdl aorta screen aaa (76706) |
$199.80 |
$666 |
2.0× |
| Us breast unilateral complete (76641) |
$526.50 |
$1,755 |
5.2× |
| Us breast unilateral limited (76642) |
$597.38 |
$1,991.25 |
7.1× |
| Us chest (76604) |
$291.30 |
$971 |
2.9× |
| Us compl joint r-t w/image documentation (76881) |
$859.80 |
$2,866 |
8.6× |
| Us kidney transplant (76776) |
$589.80 |
$1,966 |
5.9× |
| Us ob detailed single fetus (76811) |
$573.90 |
$1,913 |
2.5× |
| Us ob transvaginal (76817) |
$297.90 |
$993 |
3.0× |
| Us pelvic non ob complete (76856) |
$627 |
$2,090 |
6.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$218.70 |
$729 |
2.2× |
| Us pregnancy ltd (76815) |
$291.30 |
$971 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$291.30 |
$971 |
2.9× |
| Us retroperitoneal complete (76770) |
$638.40 |
$2,128 |
6.3× |
| Us retroperitoneal limited (76775) |
$466.80 |
$1,556 |
4.6× |
| Us scrotum and contents (76870) |
$575.70 |
$1,919 |
5.7× |
| Us soft tissue head/neck (76536) |
$599.70 |
$1,999 |
6.0× |
| Us xtr non-vasc lmtd (76882) |
$256.12 |
$853.75 |
2.5× |
| Wrist 2 views (73100) |
$208.50 |
$695 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$193.80 |
$646 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$228.30 |
$761 |
2.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$255.75 |
$852.50 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$471.30 |
$1,571 |
2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$184.80 |
$616 |
2.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$237 |
$790 |
2.8× |
| X-ray exam hip uni 1 view (73501) |
$156.60 |
$522 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$243 |
$810 |
2.9× |
| X-ray exam hip uni 4/> views (73503) |
$243 |
$810 |
2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$267.90 |
$893 |
2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$294.90 |
$983 |
2.9× |
| X-ray exam of femur 1 (73551) |
$184.50 |
$615 |
2.2× |
| X-ray eye for foreign body (70030) |
$78.30 |
$261 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$388.80 |
$1,296 |
3.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$147.30 |
$491 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$260.10 |
$867 |
3.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$189 |
$630 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$139.80 |
$466 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$396.75 |
$1,322.50 |
3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$205.80 |
$686 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$301.80 |
$1,006 |
3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$180 |
$600 |
1.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$423.90 |
$1,413 |
4.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$103.80 |
$346 |
1.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$207.60 |
$692 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$375 |
$1,250 |
4.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$347.70 |
$1,159 |
3.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$301.20 |
$1,004 |
3.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$872.40 |
$2,908 |
2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$318.90 |
$1,063 |
3.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$351 |
$1,170 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$350.70 |
$1,169 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$305.40 |
$1,018 |
3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$213.60 |
$712 |
2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$227.62 |
$758.75 |
2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$195.30 |
$651 |
2.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$139.80 |
$466 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$372.30 |
$1,241 |
3.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$234.90 |
$783 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$226.80 |
$756 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$261.30 |
$871 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$204 |
$680 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$208.50 |
$695 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$212.40 |
$708 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$306.75 |
$1,022.50 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$375 |
$1,250 |
3.7× |
| Xr chest 4+ views (71048) |
$270 |
$900 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$373.88 |
$1,246.25 |
4.5× |
| Xr shoulder 1 view (73020) |
$162.30 |
$541 |
1.9× |
| Xr spine cervical 4 or 5 views (72050) |
$369.30 |
$1,231 |
3.7× |
| Xr tibia/fibula 2 views (73590) |
$205.88 |
$686.25 |
2.5× |
| Xr tmj bilateral (70330) |
$190.50 |
$635 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$163.88 |
$546.25 |
2.0× |