| Abdomen 2 views (74019) |
$257.10 |
$857 |
2.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$564.90 |
$1,883 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$1,184.40 |
$3,948 |
0.4× |
| Angiography extremity unilateral rs&i (75710) |
$1,176.30 |
$3,921 |
0.4× |
| Angiography internal mammary rs&i (75756) |
$1,270.80 |
$4,236 |
0.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,698.60 |
$15,662 |
0.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,416.50 |
$8,055 |
0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,058.90 |
$16,863 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,970 |
$9,900 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,111.80 |
$3,706 |
0.4× |
| Ankle 2 views (73600) |
$291 |
$970 |
3.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$503.40 |
$1,678 |
1.5× |
| Aortogram thoracic (75605) |
$5,116.50 |
$17,055 |
1.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,378.20 |
$4,594 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,249.20 |
$4,164 |
0.4× |
| Arthrogram hip (73525) |
$403.50 |
$1,345 |
1.2× |
| Arthrogram shoulder (73040) |
$426 |
$1,420 |
1.3× |
| Arthrogram wrist (73115) |
$425.10 |
$1,417 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$454.50 |
$1,515 |
1.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$574.20 |
$1,914 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$693.90 |
$2,313 |
1.8× |
| Bone age studies (77072) |
$230.10 |
$767 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$1,019.40 |
$3,398 |
2.7× |
| Bone survey complete (77075) |
$585 |
$1,950 |
5.8× |
| Brain imaging < 4 static views w vascular flow (78601) |
$407.70 |
$1,359 |
1.1× |
| Brain Imaging Vascular Flow Only (78610) |
$781.80 |
$2,606 |
1.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$407.70 |
$1,359 |
1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$565.80 |
$1,886 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$249.90 |
$833 |
3.0× |
| Chest 1 view (71045) |
$204.60 |
$682 |
2.4× |
| Chest 3 views (71047) |
$236.10 |
$787 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$342.60 |
$1,142 |
2.0× |
| Clavicle complete (73000) |
$303.38 |
$1,011.25 |
3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$878.10 |
$2,927 |
8.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,695.80 |
$8,986 |
8.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,969.80 |
$6,566 |
8.6× |
| CT abdomen w contrast (74160) |
$1,081.20 |
$3,604 |
6.4× |
| CT abdomen w wo contrast (74170) |
$1,424.70 |
$4,749 |
8.4× |
| CT abdomen w/o contrast (74150) |
$979.20 |
$3,264 |
9.7× |
| CT angio hrt w/3d image (75574) |
$1,191.90 |
$3,973 |
3.6× |
| CT angiography upper extremity lt (73206) |
$1,329.30 |
$4,431 |
7.9× |
| CT c-spine w/o contrast (72125) |
$1,096.50 |
$3,655 |
10.9× |
| 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) |
$1,529.70 |
$5,099 |
9.1× |
| CT cervical spine with contrast (72126) |
$868.20 |
$2,894 |
2.6× |
| CT chest w/wo contrast (71270) |
$963 |
$3,210 |
5.7× |
| CT chest with contrast (71260) |
$1,178.40 |
$3,928 |
7.0× |
| CT head/brain with contrast (70460) |
$1,423.20 |
$4,744 |
8.4× |
| CT head/brain without and with contrast (70470) |
$1,711.80 |
$5,706 |
10.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$207.30 |
$691 |
0.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$59.40 |
$198 |
0.7× |
| CT hrt w/3d image congen (75573) |
$338.40 |
$1,128 |
1.0× |
| CT iac w contrast (70481) |
$1,220.70 |
$4,069 |
7.2× |
| CT limited/localized follow up study (76380) |
$83.40 |
$278 |
1.0× |
| CT lower ext w/o (73700) |
$1,128 |
$3,760 |
11.2× |
| CT lower extremity w wo contrast (73702) |
$1,361.25 |
$4,537.50 |
8.1× |
| CT lower extremity with contrast (73701) |
$1,294.12 |
$4,313.75 |
7.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,627.40 |
$8,758 |
15.6× |
| CT lumbar spine w/o contrast (72131) |
$1,115.70 |
$3,719 |
11.1× |
| CT lumbar spine with contrast (72132) |
$891.30 |
$2,971 |
2.7× |
| CT maxillofacial w contrast (70487) |
$1,125 |
$3,750 |
6.7× |
| CT maxillofacial w/o contrast (70486) |
$989.10 |
$3,297 |
9.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,182.90 |
$3,943 |
7.0× |
| CT neck soft tissue w contrast (70491) |
$1,132.20 |
$3,774 |
6.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,342.50 |
$4,475 |
8.0× |
| CT orbits w/o contrast (70480) |
$1,109.40 |
$3,698 |
11.0× |
| CT pelvis w & w/o contrast (72194) |
$1,271.40 |
$4,238 |
7.5× |
| CT pelvis w/o contrast (72192) |
$743.70 |
$2,479 |
7.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,165.50 |
$3,885 |
6.9× |
| CT soft tissue neck w/o contrast (70490) |
$848.70 |
$2,829 |
8.4× |
| CT thoracic spine w/contrast (72129) |
$920.70 |
$3,069 |
5.5× |
| CT thoracic spine w/o contrast (72128) |
$1,121.40 |
$3,738 |
11.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,519.80 |
$5,066 |
9.0× |
| CT thorax w/o contrast (71250) |
$907.20 |
$3,024 |
9.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,297.20 |
$4,324 |
7.7× |
| CT upper extremity w/o contrast rt (73200) |
$771.75 |
$2,572.50 |
7.7× |
| CT upper extremity with contrast (73201) |
$773.70 |
$2,579 |
2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,370.40 |
$4,568 |
8.1× |
| Cta Abdomen (74175) |
$1,376.40 |
$4,588 |
8.2× |
| CTA abdomen pelvis (74174) |
$2,172.90 |
$7,243 |
6.5× |
| CTA chest (71275) |
$1,581.60 |
$5,272 |
9.4× |
| Cta Head (70496) |
$1,210.50 |
$4,035 |
7.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,400 |
$8,000 |
7.2× |
| CTA lwr ext w&w/o contrast (73706) |
$2,107.12 |
$7,023.75 |
12.5× |
| Cta Neck (70498) |
$1,243.80 |
$4,146 |
7.4× |
| Cta Pelvis (72191) |
$1,526.10 |
$5,087 |
9.0× |
| Cystography minimum 3 views rs&i (74430) |
$510 |
$1,700 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$198.90 |
$663 |
2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$67.20 |
$224 |
0.8× |
| Echoencephalography real time imaging (76506) |
$539.40 |
$1,798 |
5.4× |
| Esophagus (74220) |
$330.30 |
$1,101 |
2.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,708.50 |
$5,695 |
17.0× |
| Fluoroscopy up to 1 hr (76000) |
$228.30 |
$761 |
1.0× |
| Foot 2 views (73620) |
$223.12 |
$743.75 |
2.7× |
| Forearm 2 views (73090) |
$309.75 |
$1,032.50 |
3.7× |
| Gated Heart Planar Single (78472) |
$753 |
$2,510 |
2.0× |
| Hand 2 views (73120) |
$317.25 |
$1,057.50 |
3.2× |
| Hand 3 views (73130) |
$362.62 |
$1,208.75 |
4.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,023.30 |
$3,411 |
2.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$956.40 |
$3,188 |
2.5× |
| Ht muscle image spect sing (78451) |
$1,491.30 |
$4,971 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$332.62 |
$1,108.75 |
4.0× |
| Hysterosalpingogram (74740) |
$677.40 |
$2,258 |
3.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$836.70 |
$2,789 |
1.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$943.20 |
$3,144 |
1.8× |
| Knee 3 views (73562) |
$350.25 |
$1,167.50 |
4.2× |
| Liver & spleen imaging static only (78215) |
$445.80 |
$1,486 |
1.2× |
| Lung perf&ventilat diferentl (78598) |
$550.80 |
$1,836 |
1.1× |
| Lung perfusion differential (78597) |
$1,075.50 |
$3,585 |
2.8× |
| Lymphoscintigraphy (78195) |
$805.20 |
$2,684 |
1.5× |
| Mammary ductogram or galactogram single (77053) |
$435 |
$1,450 |
1.9× |
| Meckels Diverticulum (78290) |
$435.60 |
$1,452 |
1.1× |
| Mr safety determination physician/other qhp (76016) |
$86.10 |
$287 |
1.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$58.20 |
$194 |
1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$24.60 |
$82 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$89.70 |
$299 |
1.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$235.80 |
$786 |
1.0× |
| MRA head w & w/o contrast (70546) |
$1,073.10 |
$3,577 |
3.2× |
| MRA head w/o contrast (70544) |
$665.10 |
$2,217 |
2.9× |
| MRA head with contrast (70545) |
$975.60 |
$3,252 |
2.9× |
| MRA neck w contrast (70548) |
$1,192.50 |
$3,975 |
3.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,379.70 |
$4,599 |
4.1× |
| MRA neck w/o contrast (70547) |
$886.80 |
$2,956 |
3.9× |
| MRI abdomen w contrast (74182) |
$1,188.60 |
$3,962 |
3.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,091 |
$6,970 |
6.2× |
| MRI abdomen w/o contrast (74181) |
$1,080.60 |
$3,602 |
4.7× |
| MRI any jnt lwr ext with con lt (73722) |
$2,565.38 |
$8,551.25 |
3.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,522.80 |
$5,076 |
2.0× |
| MRI breast w/o contrast bilateral (77047) |
$239.40 |
$798 |
1.0× |
| MRI c-spine with contrast (72142) |
$1,608.60 |
$5,362 |
4.8× |
| MRI cervical spine w/o contrast (72141) |
$1,107.60 |
$3,692 |
4.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,512 |
$5,040 |
4.5× |
| MRI chest w/o contrast (71550) |
$239.40 |
$798 |
1.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,233.60 |
$4,112 |
3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,217.10 |
$4,057 |
3.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,383 |
$4,610 |
6.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,193.40 |
$3,978 |
5.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,899 |
$6,330 |
5.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,342.20 |
$4,474 |
4.0× |
| MRI pelvis w contrast (72196) |
$1,173.30 |
$3,911 |
3.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,233.60 |
$4,112 |
3.7× |
| MRI pelvis w/o contrast (72195) |
$678.30 |
$2,261 |
3.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,205.10 |
$4,017 |
3.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,602.30 |
$5,341 |
4.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,671.90 |
$5,573 |
5.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,474.50 |
$4,915 |
4.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,756.50 |
$5,855 |
5.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,096.20 |
$3,654 |
3.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,514.10 |
$5,047 |
4.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,092.30 |
$3,641 |
4.8× |
| MRI tmj (70336) |
$564.30 |
$1,881 |
2.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,394.25 |
$4,647.50 |
6.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,418.70 |
$4,729 |
4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,457.70 |
$4,859 |
6.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,725.50 |
$9,085 |
2.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,070.10 |
$3,567 |
1.3× |
| Neck soft tissue (70360) |
$197.10 |
$657 |
2.4× |
| Nm adrenal scan (78075) |
$1,504.50 |
$5,015 |
1.2× |
| Nm cisternogram (78630) |
$537.30 |
$1,791 |
1.0× |
| Nm gastric emptying study (78264) |
$843.90 |
$2,813 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$351.90 |
$1,173 |
3.5× |
| Osseous survey infant (77076) |
$213.30 |
$711 |
2.1× |
| Parathyrd planar w/wo subtrj (78071) |
$1,079.40 |
$3,598 |
2.8× |
| Parathyroid imaging (78070) |
$1,275.90 |
$4,253 |
3.3× |
| Pelvis 1 or 2 views (72170) |
$259.50 |
$865 |
2.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,338.90 |
$4,463 |
4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$546.30 |
$1,821 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$694.80 |
$2,316 |
1.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$544.20 |
$1,814 |
1.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$490.20 |
$1,634 |
5.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$700.80 |
$2,336 |
7.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$208.80 |
$696 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$607.50 |
$2,025 |
6.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$203.70 |
$679 |
2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$283.20 |
$944 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$225 |
$750 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$396.90 |
$1,323 |
2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$336.90 |
$1,123 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$464.40 |
$1,548 |
2.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$339.60 |
$1,132 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$333.75 |
$1,112.50 |
4.0× |
| Radiological examination surgical specimen (76098) |
$463.50 |
$1,545 |
0.9× |
| Ribs bilateral 3 views (71110) |
$428.40 |
$1,428 |
4.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$824.10 |
$2,747 |
2.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,130.10 |
$3,767 |
2.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,633.80 |
$5,446 |
3.1× |
| Sacroiliac Joints < 3 Views (72200) |
$213.60 |
$712 |
2.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$402.30 |
$1,341 |
1.8× |
| Salivary gland function study (78232) |
$407.70 |
$1,359 |
1.1× |
| Scanogram (77073) |
$252 |
$840 |
2.5× |
| Scapula complete (73010) |
$232.20 |
$774 |
2.3× |
| Screening digital breast tomosynthesis (77063) |
$27.60 |
$92 |
1.2× |
| Small bowel series (74250) |
$416.40 |
$1,388 |
2.5× |
| Speech evaluation complex (70371) |
$260.70 |
$869 |
1.1× |
| Spine thoracic 3 views (72072) |
$319.20 |
$1,064 |
3.2× |
| Thoracolumbar 2 views (72080) |
$351.30 |
$1,171 |
4.2× |
| Thyroid uptake measurement (78012) |
$536.10 |
$1,787 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$696.60 |
$2,322 |
1.8× |
| Tmj unilateral (70328) |
$87.90 |
$293 |
1.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,485.60 |
$4,952 |
2.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$705.90 |
$2,353 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$368.10 |
$1,227 |
3.7× |
| Umbilical-artery Doppler (OB) (76820) |
$193.20 |
$644 |
1.9× |
| Unlisted fluoroscopic procedure (76496) |
$59.70 |
$199 |
0.7× |
| Upper Extremity Infant (73092) |
$382.50 |
$1,275 |
3.8× |
| Urethrocystography retrograde rs&i (74450) |
$462.60 |
$1,542 |
2.0× |
| Urethrocystography voiding (74455) |
$643.50 |
$2,145 |
2.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$561 |
$1,870 |
3.3× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$714.90 |
$2,383 |
4.2× |
| Us abdl aorta screen aaa (76706) |
$149.40 |
$498 |
1.5× |
| Us breast unilateral complete (76641) |
$463.20 |
$1,544 |
4.6× |
| Us breast unilateral limited (76642) |
$502.88 |
$1,676.25 |
6.0× |
| Us chest (76604) |
$247.80 |
$826 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$356.10 |
$1,187 |
3.5× |
| Us elastography parenchyma (76981) |
$298.50 |
$995 |
3.0× |
| Us guided compression repair (76936) |
$267 |
$890 |
1.3× |
| Us infant hips dynamic (76885) |
$222.60 |
$742 |
2.7× |
| Us infant hips limited static (76886) |
$202.20 |
$674 |
2.4× |
| Us kidney transplant (76776) |
$343.20 |
$1,144 |
3.4× |
| Us ob detailed single fetus (76811) |
$131.10 |
$437 |
0.6× |
| Us ob transvaginal (76817) |
$323.10 |
$1,077 |
3.2× |
| Us pelvic non ob complete (76856) |
$550.50 |
$1,835 |
5.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$216 |
$720 |
2.1× |
| Us pregnancy ltd (76815) |
$261.60 |
$872 |
2.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$342.30 |
$1,141 |
3.4× |
| Us retroperitoneal complete (76770) |
$461.70 |
$1,539 |
4.6× |
| Us retroperitoneal limited (76775) |
$339.60 |
$1,132 |
3.4× |
| Us scrotum and contents (76870) |
$362.70 |
$1,209 |
3.6× |
| Us soft tissue head/neck (76536) |
$356.10 |
$1,187 |
3.5× |
| Us spinal canal and contents (76800) |
$290.40 |
$968 |
2.9× |
| Us xtr non-vasc lmtd (76882) |
$311.25 |
$1,037.50 |
3.1× |
| Venogram extremity bilateral (75822) |
$781.80 |
$2,606 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,269 |
$4,230 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$999.30 |
$3,331 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$436.20 |
$1,454 |
0.3× |
| Venography Renal Bilateral (75833) |
$1,371.30 |
$4,571 |
0.5× |
| Wrist 2 views (73100) |
$293.62 |
$978.75 |
3.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$452.70 |
$1,509 |
4.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$247.50 |
$825 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$354 |
$1,180 |
4.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$726 |
$2,420 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$305.25 |
$1,017.50 |
3.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$332.62 |
$1,108.75 |
4.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$558.30 |
$1,861 |
5.6× |
| X-ray exam hip uni 1 view (73501) |
$155.10 |
$517 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$189.90 |
$633 |
2.3× |
| X-ray exam hip uni 4/> views (73503) |
$208.80 |
$696 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$330 |
$1,100 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$296.40 |
$988 |
2.9× |
| X-ray exam of femur 1 (73551) |
$94.50 |
$315 |
1.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$321.60 |
$1,072 |
3.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$194.70 |
$649 |
2.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$360 |
$1,200 |
4.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$286.12 |
$953.75 |
3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$552 |
$1,840 |
6.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$379.50 |
$1,265 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$190.20 |
$634 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$382.50 |
$1,275 |
4.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$273.30 |
$911 |
2.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$504.30 |
$1,681 |
5.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$164.10 |
$547 |
1.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$258.30 |
$861 |
3.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$71.40 |
$238 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$124.20 |
$414 |
1.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$372.60 |
$1,242 |
3.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$384 |
$1,280 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$294.60 |
$982 |
3.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$345.60 |
$1,152 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$455.10 |
$1,517 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$237.60 |
$792 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$219.30 |
$731 |
2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$297.75 |
$992.50 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$347.40 |
$1,158 |
4.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$221.10 |
$737 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$417 |
$1,390 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$202.20 |
$674 |
2.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$269.40 |
$898 |
3.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$247.20 |
$824 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$203.70 |
$679 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$277.80 |
$926 |
2.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$366.30 |
$1,221 |
3.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$203.70 |
$679 |
2.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$348.38 |
$1,161.25 |
4.2× |
| Xr c-spine 6 or more views (72052) |
$352.80 |
$1,176 |
3.5× |
| Xr chest 4+ views (71048) |
$247.50 |
$825 |
2.5× |
| Xr finger(s) 2+ views (73140) |
$337.12 |
$1,123.75 |
4.0× |
| Xr shoulder 1 view (73020) |
$174 |
$580 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$333.30 |
$1,111 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$309.75 |
$1,032.50 |
3.7× |
| Xr tmj bilateral (70330) |
$370.50 |
$1,235 |
4.4× |
| Xray knee 1 or 2 views rt (73560) |
$367.65 |
$1,225.50 |
4.4× |