| Abdomen 2 views (74019) |
$1,413 |
$1,884 |
12.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$6,194.25 |
$8,259 |
14.5× |
| Angiography extremity bilateral rs&i (75716) |
$12,813 |
$17,084 |
3.8× |
| Angiography extremity unilateral rs&i (75710) |
$12,813 |
$17,084 |
3.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,723.50 |
$10,298 |
2.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,960 |
$9,280 |
1.2× |
| Ankle 2 views (73600) |
$1,782.75 |
$2,377 |
19.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,595.75 |
$3,461 |
7.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,126 |
$8,168 |
1.8× |
| Aortography abdominal serialography rs&i (75625) |
$12,813 |
$17,084 |
3.8× |
| Arthrogram shoulder (73040) |
$2,612.25 |
$3,483 |
7.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$4,107.75 |
$5,477 |
9.6× |
| Bone &/joint imaging whole body (78306) |
$6,708.75 |
$8,945 |
15.7× |
| Bone age studies (77072) |
$724.50 |
$966 |
6.5× |
| Bone Imaging 3 Phase (78315) |
$5,265 |
$7,020 |
12.3× |
| Bone survey complete (77075) |
$2,612.25 |
$3,483 |
23.4× |
| Brain image w/flow 4 + views (78606) |
$4,677.75 |
$6,237 |
8.1× |
| Brain Imaging Vascular Flow Only (78610) |
$3,445.50 |
$4,594 |
5.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$4,698.75 |
$6,265 |
8.1× |
| Cervical spine 2 or 3 views (72040) |
$1,057.50 |
$1,410 |
11.4× |
| Chest 1 view (71045) |
$951 |
$1,268 |
10.2× |
| Chest 3 views (71047) |
$1,025.25 |
$1,367 |
11.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,392.75 |
$1,857 |
7.4× |
| Clavicle complete (73000) |
$908.25 |
$1,211 |
9.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$462.75 |
$617 |
4.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$18,928.50 |
$25,238 |
50.8× |
| CT abdomen and pelvis without contrast (74176) |
$12,032.25 |
$16,043 |
47.3× |
| CT abdomen w contrast (74160) |
$6,318 |
$8,424 |
33.8× |
| CT abdomen w wo contrast (74170) |
$18,638.25 |
$24,851 |
99.6× |
| CT abdomen w/o contrast (74150) |
$6,015.75 |
$8,021 |
53.9× |
| CT angio hrt w/3d image (75574) |
$2,662.50 |
$3,550 |
7.2× |
| CT angiography upper extremity lt (73206) |
$6,667.50 |
$8,890 |
35.6× |
| CT c-spine w/o contrast (72125) |
$9,591.75 |
$12,789 |
86.0× |
| CT cervical spine w&w/o contrast (72127) |
$8,718 |
$11,624 |
46.6× |
| CT cervical spine with contrast (72126) |
$9,591.75 |
$12,789 |
25.8× |
| CT chest w/wo contrast (71270) |
$7,033.50 |
$9,378 |
37.6× |
| CT chest with contrast (71260) |
$6,910.50 |
$9,214 |
36.9× |
| CT head/brain with contrast (70460) |
$4,296.75 |
$5,729 |
23.0× |
| CT head/brain without and with contrast (70470) |
$5,050.50 |
$6,734 |
27.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,662.50 |
$3,550 |
7.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,531.50 |
$2,042 |
16.5× |
| CT iac w contrast (70481) |
$5,265 |
$7,020 |
28.1× |
| CT limited/localized follow up study (76380) |
$1,453.50 |
$1,938 |
15.7× |
| CT lower ext w/o (73700) |
$6,332.25 |
$8,443 |
56.8× |
| CT lower extremity w wo contrast (73702) |
$10,236.75 |
$13,649 |
54.7× |
| CT lower extremity with contrast (73701) |
$8,080.50 |
$10,774 |
43.2× |
| CT lumbar spine w & w/o contrast (72133) |
$8,049 |
$10,732 |
43.0× |
| CT lumbar spine w/o contrast (72131) |
$7,448.25 |
$9,931 |
66.8× |
| CT lumbar spine with contrast (72132) |
$7,720.50 |
$10,294 |
20.7× |
| CT maxillofacial w contrast (70487) |
$5,017.50 |
$6,690 |
26.8× |
| CT maxillofacial w/o contrast (70486) |
$4,814.25 |
$6,419 |
43.2× |
| CT maxillofacial w/wo contrast (70488) |
$5,684.25 |
$7,579 |
30.4× |
| CT neck soft tissue w contrast (70491) |
$6,159 |
$8,212 |
32.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$5,761.50 |
$7,682 |
30.8× |
| CT orbits w/o contrast (70480) |
$5,013.75 |
$6,685 |
44.9× |
| CT pelvis w & w/o contrast (72194) |
$6,747 |
$8,996 |
36.0× |
| CT pelvis w/o contrast (72192) |
$5,871.75 |
$7,829 |
52.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$6,741 |
$8,988 |
36.0× |
| CT soft tissue neck w/o contrast (70490) |
$5,864.25 |
$7,819 |
52.6× |
| CT thoracic spine w/contrast (72129) |
$8,205.75 |
$10,941 |
43.8× |
| CT thoracic spine w/o contrast (72128) |
$8,402.25 |
$11,203 |
75.3× |
| CT thoracic spine w/wo contrast (72130) |
$8,935.50 |
$11,914 |
47.7× |
| CT thorax w/o contrast (71250) |
$5,633.25 |
$7,511 |
50.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,094 |
$6,792 |
27.2× |
| CT upper extremity w/o contrast rt (73200) |
$7,427.25 |
$9,903 |
66.6× |
| CT upper extremity with contrast (73201) |
$5,749.50 |
$7,666 |
15.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$8,601 |
$11,468 |
46.0× |
| Cta Abdomen (74175) |
$8,664.75 |
$11,553 |
46.3× |
| CTA abdomen pelvis (74174) |
$17,645.25 |
$23,527 |
47.4× |
| CTA chest (71275) |
$8,912.25 |
$11,883 |
47.6× |
| Cta Head (70496) |
$7,294.50 |
$9,726 |
39.0× |
| CTA lwr ext w&w/o contrast (73706) |
$14,211.75 |
$18,949 |
75.9× |
| Cta Neck (70498) |
$7,440.75 |
$9,921 |
39.8× |
| Cta Pelvis (72191) |
$8,314.50 |
$11,086 |
44.4× |
| Cystography minimum 3 views rs&i (74430) |
$1,669.50 |
$2,226 |
4.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$880.50 |
$1,174 |
7.9× |
| Echoencephalography real time imaging (76506) |
$1,516.50 |
$2,022 |
13.6× |
| Esophagus (74220) |
$1,588.50 |
$2,118 |
8.5× |
| Fluoroscopy up to 1 hr (76000) |
$1,843.50 |
$2,458 |
7.2× |
| Foot 2 views (73620) |
$1,782.75 |
$2,377 |
19.2× |
| Forearm 2 views (73090) |
$1,777.50 |
$2,370 |
19.1× |
| Gated Heart Planar Single (78472) |
$4,224 |
$5,632 |
9.9× |
| Hand 2 views (73120) |
$1,972.50 |
$2,630 |
17.7× |
| Hand 3 views (73130) |
$1,929 |
$2,572 |
20.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,825.25 |
$7,767 |
10.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$5,431.50 |
$7,242 |
12.7× |
| Ht muscle image spect sing (78451) |
$6,529.50 |
$8,706 |
4.7× |
| Humerus Min 2 Views Left (73060) |
$1,101 |
$1,468 |
11.9× |
| Hysterosalpingogram (74740) |
$2,473.50 |
$3,298 |
9.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,512 |
$6,016 |
7.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,484.75 |
$7,313 |
9.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$9,311.25 |
$12,415 |
16.1× |
| Knee 3 views (73562) |
$897.75 |
$1,197 |
9.7× |
| Liver & spleen imaging static only (78215) |
$3,545.25 |
$4,727 |
8.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,168 |
$4,224 |
7.4× |
| Liver imaging static only (78201) |
$1,963.50 |
$2,618 |
3.4× |
| Lung perf&ventilat diferentl (78598) |
$5,143.50 |
$6,858 |
8.9× |
| Lung perfusion differential (78597) |
$3,860.25 |
$5,147 |
9.0× |
| Lung Ventilation Imaging (78579) |
$3,743.25 |
$4,991 |
8.8× |
| Lymphoscintigraphy (78195) |
$5,585.25 |
$7,447 |
9.6× |
| Meckels Diverticulum (78290) |
$4,571.25 |
$6,095 |
10.7× |
| Mr safety determination physician/other qhp (76016) |
$360 |
$480 |
3.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$243 |
$324 |
3.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$99.75 |
$133 |
3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$375 |
$500 |
3.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$987.75 |
$1,317 |
3.9× |
| MRA head w/o contrast (70544) |
$10,371 |
$13,828 |
40.7× |
| MRA head with contrast (70545) |
$8,112.75 |
$10,817 |
21.8× |
| MRA neck w contrast (70548) |
$7,955.25 |
$10,607 |
21.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$12,047.25 |
$16,063 |
32.4× |
| MRA neck w/o contrast (70547) |
$7,872 |
$10,496 |
30.9× |
| MRI abdomen w contrast (74182) |
$9,438.75 |
$12,585 |
25.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$12,234.75 |
$16,313 |
32.9× |
| MRI abdomen w/o contrast (74181) |
$7,056 |
$9,408 |
27.7× |
| MRI any jnt lwr ext with con lt (73722) |
$9,267.75 |
$12,357 |
11.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$9,793.50 |
$13,058 |
11.7× |
| MRI c-spine with contrast (72142) |
$7,021.50 |
$9,362 |
18.9× |
| MRI cervical spine w/o contrast (72141) |
$6,375.75 |
$8,501 |
25.0× |
| MRI chest w/o & w/contrast material (71552) |
$13,199.25 |
$17,599 |
35.5× |
| MRI chest w/o contrast (71550) |
$6,879 |
$9,172 |
27.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$8,319.75 |
$11,093 |
22.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$9,267.75 |
$12,357 |
24.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,835.25 |
$10,447 |
30.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$6,375.75 |
$8,501 |
25.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$10,700.25 |
$14,267 |
28.7× |
| MRI pelvis w contrast (72196) |
$8,139.75 |
$10,853 |
21.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$10,610.25 |
$14,147 |
28.5× |
| MRI pelvis w/o contrast (72195) |
$6,567 |
$8,756 |
25.8× |
| MRI scan of arm joint before and after contrast (73223) |
$15,856.50 |
$21,142 |
42.6× |
| MRI scan of leg joint before and after contrast (73723) |
$12,234.75 |
$16,313 |
32.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$10,279.50 |
$13,706 |
27.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,261.50 |
$9,682 |
19.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$10,632.75 |
$14,177 |
28.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$7,114.50 |
$9,486 |
19.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$10,418.25 |
$13,891 |
28.0× |
| MRI thoracic spine w/o contrast (72146) |
$6,459.75 |
$8,613 |
25.4× |
| MRI upper ext joint w/o contrast (73221) |
$7,456.50 |
$9,942 |
29.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$7,848.75 |
$10,465 |
21.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$10,455.75 |
$13,941 |
41.1× |
| Myocardial Spect Multiple Studies (78452) |
$14,670.75 |
$19,561 |
10.6× |
| Neck soft tissue (70360) |
$1,029 |
$1,372 |
11.1× |
| Nm adrenal scan (78075) |
$3,229.50 |
$4,306 |
2.3× |
| Nm cisternogram (78630) |
$4,698.75 |
$6,265 |
8.1× |
| Nm gastric emptying study (78264) |
$7,792.50 |
$10,390 |
18.3× |
| Nm peritoneal-venous shunt patency (78291) |
$3,378.75 |
$4,505 |
7.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$12,887.25 |
$17,183 |
9.3× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$3,291.75 |
$4,389 |
7.7× |
| Nuclear Rx Oral Admin (79005) |
$3,675.75 |
$4,901 |
14.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$884.25 |
$1,179 |
7.9× |
| Osseous survey infant (77076) |
$1,678.50 |
$2,238 |
15.0× |
| Osseous survey limited (77074) |
$1,399.50 |
$1,866 |
12.5× |
| Parathyrd planar w/wo subtrj (78071) |
$1,408.50 |
$1,878 |
3.3× |
| Parathyroid imaging (78070) |
$3,924.75 |
$5,233 |
9.2× |
| Pelvis 1 or 2 views (72170) |
$987 |
$1,316 |
8.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$15,454.50 |
$20,606 |
41.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$5,156.25 |
$6,875 |
12.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$10,515.75 |
$14,021 |
18.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$671.25 |
$895 |
7.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,026 |
$1,368 |
9.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,134.75 |
$1,513 |
10.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,048.50 |
$1,398 |
9.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,835.25 |
$2,447 |
16.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,110 |
$1,480 |
12.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,238.25 |
$1,651 |
11.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,004.25 |
$1,339 |
10.8× |
| Radiologic exam colon single contrast study (74270) |
$2,163 |
$2,884 |
11.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,130.25 |
$1,507 |
6.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,142.75 |
$2,857 |
11.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,062.50 |
$2,750 |
11.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$992.25 |
$1,323 |
10.7× |
| Radiological examination surgical specimen (76098) |
$2,609.25 |
$3,479 |
4.5× |
| Ribs bilateral 3 views (71110) |
$1,110 |
$1,480 |
9.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,899.50 |
$3,866 |
6.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,625.25 |
$6,167 |
8.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,825.75 |
$5,101 |
6.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$2,167.50 |
$2,890 |
8.5× |
| Scanogram (77073) |
$997.50 |
$1,330 |
8.9× |
| Scapula complete (73010) |
$1,033.50 |
$1,378 |
9.3× |
| Screening digital breast tomosynthesis (77063) |
$312.75 |
$417 |
13.4× |
| Small bowel series (74250) |
$1,971 |
$2,628 |
10.5× |
| Spine thoracic 3 views (72072) |
$1,452 |
$1,936 |
13.0× |
| Therapeutic Enema (74283) |
$2,318.25 |
$3,091 |
12.4× |
| Thoracolumbar 2 views (72080) |
$1,029.75 |
$1,373 |
11.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$5,130.75 |
$6,841 |
8.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,691.25 |
$2,255 |
4.0× |
| Thyroid uptake measurement (78012) |
$1,380.75 |
$1,841 |
3.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,408.50 |
$1,878 |
3.3× |
| Tmj unilateral (70328) |
$1,020 |
$1,360 |
11.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,570.25 |
$7,427 |
9.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,633.75 |
$4,845 |
8.5× |
| Ultrasound, abdomen limited (76705) |
$2,202 |
$2,936 |
19.7× |
| Upper Extremity Infant (73092) |
$681 |
$908 |
6.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,800 |
$2,400 |
7.1× |
| Urethrocystography voiding (74455) |
$2,649.75 |
$3,533 |
10.4× |
| Us breast unilateral complete (76641) |
$1,078.50 |
$1,438 |
9.7× |
| Us breast unilateral limited (76642) |
$1,078.50 |
$1,438 |
11.6× |
| Us chest (76604) |
$1,645.50 |
$2,194 |
14.7× |
| Us compl joint r-t w/image documentation (76881) |
$2,496 |
$3,328 |
22.4× |
| Us guided compression repair (76936) |
$2,491.50 |
$3,322 |
10.8× |
| Us kidney transplant (76776) |
$2,913 |
$3,884 |
26.1× |
| Us ob transvaginal (76817) |
$2,078.25 |
$2,771 |
18.6× |
| Us pelvic non ob complete (76856) |
$2,627.25 |
$3,503 |
23.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,645.50 |
$2,194 |
14.7× |
| Us pregnancy ltd (76815) |
$742.50 |
$990 |
6.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$805.50 |
$1,074 |
7.2× |
| Us retroperitoneal complete (76770) |
$2,395.50 |
$3,194 |
21.5× |
| Us retroperitoneal limited (76775) |
$1,902 |
$2,536 |
17.0× |
| Us scrotum and contents (76870) |
$1,996.50 |
$2,662 |
17.9× |
| Us soft tissue head/neck (76536) |
$2,018.25 |
$2,691 |
18.1× |
| Us spinal canal and contents (76800) |
$1,941.75 |
$2,589 |
17.4× |
| Us xtr non-vasc lmtd (76882) |
$1,251 |
$1,668 |
11.2× |
| Venogram extremity bilateral (75822) |
$2,696.25 |
$3,595 |
1.6× |
| Venography caval inferior serialography rs&i (75825) |
$5,396.25 |
$7,195 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$5,396.25 |
$7,195 |
3.2× |
| Venography extremity unilateral rs&i (75820) |
$4,049.25 |
$5,399 |
2.4× |
| Venography renal unilateral selective rs&i (75831) |
$3,798.75 |
$5,065 |
1.1× |
| Wrist 2 views (73100) |
$1,971.75 |
$2,629 |
21.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,010 |
$2,680 |
18.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,064.25 |
$1,419 |
11.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,929 |
$2,572 |
20.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,790 |
$3,720 |
14.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,944 |
$2,592 |
20.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$2,105.25 |
$2,807 |
22.7× |
| X-ray exam hip uni 1 view (73501) |
$1,134.75 |
$1,513 |
12.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,185.75 |
$1,581 |
12.8× |
| X-ray exam hip uni 4/> views (73503) |
$1,701 |
$2,268 |
15.2× |
| X-ray exam of femur 1 (73551) |
$712.50 |
$950 |
7.7× |
| X-ray eye for foreign body (70030) |
$478.50 |
$638 |
5.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,797 |
$2,396 |
16.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,218.75 |
$1,625 |
13.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,932 |
$2,576 |
20.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,896 |
$2,528 |
20.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,313.25 |
$1,751 |
14.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,364 |
$3,152 |
21.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$851.25 |
$1,135 |
9.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,684.50 |
$2,246 |
18.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,171.50 |
$1,562 |
10.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,873.50 |
$2,498 |
16.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,579.50 |
$2,106 |
14.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,101.75 |
$1,469 |
11.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,082.25 |
$1,443 |
11.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,335 |
$1,780 |
12.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,231.50 |
$1,642 |
11.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,552.25 |
$3,403 |
6.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$836.25 |
$1,115 |
9.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,302 |
$1,736 |
11.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,510.50 |
$2,014 |
13.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,039.50 |
$1,386 |
9.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,007.25 |
$1,343 |
10.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,283.75 |
$3,045 |
24.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,678.50 |
$2,238 |
18.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,408.50 |
$1,878 |
15.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,535.75 |
$3,381 |
22.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,689 |
$2,252 |
15.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$763.50 |
$1,018 |
8.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$900.75 |
$1,201 |
9.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$983.25 |
$1,311 |
10.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,179.75 |
$1,573 |
10.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,564.50 |
$2,086 |
14.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$594 |
$792 |
6.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,059.50 |
$2,746 |
22.2× |
| Xr c-spine 6 or more views (72052) |
$1,784.25 |
$2,379 |
16.0× |
| Xr chest 4+ views (71048) |
$1,388.25 |
$1,851 |
12.4× |
| Xr finger(s) 2+ views (73140) |
$1,275 |
$1,700 |
13.7× |
| Xr shoulder 1 view (73020) |
$834 |
$1,112 |
9.0× |
| Xr spine cervical 4 or 5 views (72050) |
$1,570.50 |
$2,094 |
14.1× |
| Xr tibia/fibula 2 views (73590) |
$1,824 |
$2,432 |
19.6× |
| Xray knee 1 or 2 views rt (73560) |
$1,781.25 |
$2,375 |
19.2× |