| Abdomen 2 views (74019) |
$317.40 |
$529 |
2.6× |
| Cervical spine 2 or 3 views (72040) |
$262.80 |
$438 |
2.6× |
| Chest 1 view (71045) |
$262.80 |
$438 |
2.6× |
| Clavicle complete (73000) |
$262.80 |
$438 |
2.6× |
| Facial bones min 3 views (70150) |
$317.40 |
$529 |
2.6× |
| Foot 2 views (73620) |
$262.80 |
$438 |
2.6× |
| Forearm 2 views (73090) |
$262.80 |
$438 |
2.6× |
| Hand 2 views (73120) |
$317.40 |
$529 |
2.6× |
| Knee 3 views (73562) |
$262.80 |
$438 |
2.6× |
| Neck soft tissue (70360) |
$262.80 |
$438 |
2.6× |
| Ob us nuchal meas 1 gest (76813) |
$317.40 |
$529 |
2.6× |
| Ophthalmic ultrasound, diagnostic; quantitative A-scan only Non-Facility (76511) |
$317.40 |
$529 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$317.40 |
$529 |
2.6× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$262.80 |
$438 |
2.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$262.80 |
$438 |
2.6× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$262.80 |
$438 |
2.6× |
| Radex fingr minimum 2 views (73140) |
$262.80 |
$438 |
2.6× |
| Radex Foot Compl Minimum 3 Views (73630) |
$262.80 |
$438 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$262.80 |
$438 |
2.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$317.40 |
$529 |
2.6× |
| Radex Humerus Minimum 2 Views (73060) |
$262.80 |
$438 |
2.6× |
| Radex Kne 1/2 Views (73560) |
$262.80 |
$438 |
2.6× |
| Radex Kne Compl 4/More Views (73564) |
$317.40 |
$529 |
2.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$317.40 |
$529 |
2.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$262.80 |
$438 |
2.6× |
| Radex Toe Minimum 2 Views (73660) |
$262.80 |
$438 |
2.6× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$262.80 |
$438 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$262.80 |
$438 |
2.6× |
| Radiologic exam chest 2 views (71046) |
$262.80 |
$438 |
2.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$262.80 |
$438 |
2.6× |
| Ribs bilateral 3 views (71110) |
$317.40 |
$529 |
2.6× |
| Spine thoracic 3 views (72072) |
$317.40 |
$529 |
2.6× |
| Thoracolumbar 2 views (72080) |
$262.80 |
$438 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$317.40 |
$529 |
2.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$262.80 |
$438 |
2.6× |
| Us chest (76604) |
$317.40 |
$529 |
2.6× |
| Us compl joint r-t w/image documentation (76881) |
$317.40 |
$529 |
2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$317.40 |
$529 |
2.6× |
| Us ob limited (76815) |
$317.40 |
$529 |
2.6× |
| Us ob transvaginal (76817) |
$317.40 |
$529 |
2.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$317.40 |
$529 |
2.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$317.40 |
$529 |
2.6× |
| Wrist 2 views (73100) |
$262.80 |
$438 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$317.40 |
$529 |
2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$262.80 |
$438 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$262.80 |
$438 |
2.6× |
| X-ray exam of femur 2/> (73552) |
$262.80 |
$438 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$317.40 |
$529 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$317.40 |
$529 |
2.6× |
| X-ray nose-rectum child f.b. (76010) |
$262.80 |
$438 |
2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$262.80 |
$438 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$317.40 |
$529 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$317.40 |
$529 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$317.40 |
$529 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$262.80 |
$438 |
2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$262.80 |
$438 |
2.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$317.40 |
$529 |
2.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$317.40 |
$529 |
2.6× |
| Xr c-spine 4 or 5 views (72050) |
$317.40 |
$529 |
2.6× |
| Xr c-spine 6 or more views (72052) |
$317.40 |
$529 |
2.6× |