| Abdomen 1 View (74018) |
$262.80 |
$438 |
2.6× |
| Abdomen 2 views (74019) |
$317.40 |
$529 |
2.6× |
| Chest 1 view (71045) |
$262.80 |
$438 |
2.6× |
| Chest 2 views (71046) |
$262.80 |
$438 |
2.6× |
| Clavicle complete (73000) |
$262.80 |
$438 |
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 us dx quantitative a-scan only (76511) |
$317.40 |
$529 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$317.40 |
$529 |
2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$317.40 |
$529 |
2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$262.80 |
$438 |
2.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$262.80 |
$438 |
2.6× |
| Radex elbow complete minimum 3 views (73080) |
$262.80 |
$438 |
2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$317.40 |
$529 |
2.6× |
| Radex fingr minimum 2 views (73140) |
$262.80 |
$438 |
2.6× |
| Radex foot complete minimum 3 views (73630) |
$262.80 |
$438 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$262.80 |
$438 |
2.6× |
| Radex Ribs Unilateral 2 Views (71100) |
$262.80 |
$438 |
2.6× |
| Radex shoulder complete minimum 2 views (73030) |
$262.80 |
$438 |
2.6× |
| Radex Toe Minimum 2 Views (73660) |
$262.80 |
$438 |
2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$262.80 |
$438 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$317.40 |
$529 |
2.6× |
| Radiologic exam knee complete 4/more views (73564) |
$317.40 |
$529 |
2.6× |
| Radiologic examination femur minimum 2 views (73552) |
$262.80 |
$438 |
2.6× |
| Radiologic examination knee 1/2 views (73560) |
$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× |
| Thoracic spine 2 views (72070) |
$317.40 |
$529 |
2.6× |
| Thoracic spine 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 Dx Radiographic Procedure (76499) |
$262.80 |
$438 |
2.6× |
| Us chest (76604) |
$317.40 |
$529 |
2.6× |
| Us complete joint (76881) |
$317.40 |
$529 |
2.6× |
| Us exam, pelvic, limited (76857) |
$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 1 or more fetuses (76815) |
$317.40 |
$529 |
2.6× |
| Us ob transvaginal (76817) |
$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 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 Hips Bi 2 Views (73521) |
$317.40 |
$529 |
2.6× |
| X-Ray Exam L-S Spine Bending (72114) |
$317.40 |
$529 |
2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$262.80 |
$438 |
2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$317.40 |
$529 |
2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$317.40 |
$529 |
2.6× |
| X-ray humerus (73060) |
$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 nose-rectum child f.b. (76010) |
$262.80 |
$438 |
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 4 vw (72074) |
$317.40 |
$529 |
2.6× |
| Xr c-spine 4 or 5 views (72050) |
$317.40 |
$529 |
2.6× |