| Abdomen 2 views (74019) |
$279.50 |
$279.50 |
2.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,679 |
$1,679 |
4.1× |
| Ankle 2 views (73600) |
$201.50 |
$201.50 |
2.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$461 |
$461 |
1.3× |
| Arthrogram shoulder (73040) |
$698.50 |
$698.50 |
2.0× |
| Arthrogram wrist (73115) |
$470 |
$470 |
1.3× |
| Arthrography knee lt (73580) |
$543 |
$543 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$942.50 |
$942.50 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,207 |
$1,207 |
3.0× |
| Bone age studies (77072) |
$202 |
$202 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,335.50 |
$1,335.50 |
3.3× |
| Bone survey complete (77075) |
$736.50 |
$736.50 |
6.9× |
| Brain image w/flow 4 + views (78606) |
$193 |
$193 |
0.3× |
| Cervical spine 2 or 3 views (72040) |
$241 |
$241 |
2.7× |
| Chest 1 view (71045) |
$169 |
$169 |
1.9× |
| Chest 3 views (71047) |
$248.50 |
$248.50 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$412 |
$412 |
2.3× |
| Clavicle complete (73000) |
$198 |
$198 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$171 |
$171 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$393 |
$393 |
1.1× |
| CT abdomen and pelvis without contrast (74176) |
$346 |
$346 |
1.4× |
| CT abdomen w contrast (74160) |
$345 |
$345 |
1.9× |
| CT abdomen w wo contrast (74170) |
$1,781.50 |
$1,781.50 |
9.9× |
| CT abdomen w/o contrast (74150) |
$345 |
$345 |
3.2× |
| CT angio hrt w/3d image (75574) |
$380 |
$380 |
1.1× |
| CT angiography upper extremity lt (73206) |
$1,530 |
$1,530 |
8.5× |
| CT c-spine w/o contrast (72125) |
$1,325.50 |
$1,325.50 |
12.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,868.50 |
$1,868.50 |
10.4× |
| CT cervical spine with contrast (72126) |
$1,459.50 |
$1,459.50 |
4.1× |
| CT chest w/wo contrast (71270) |
$1,605.50 |
$1,605.50 |
9.0× |
| CT chest with contrast (71260) |
$1,400.50 |
$1,400.50 |
7.8× |
| CT colonography screening (74263) |
$849.50 |
$849.50 |
3.5× |
| CT colonography w/o cntrst (74261) |
$1,119 |
$1,119 |
10.5× |
| CT head/brain with contrast (70460) |
$1,258.50 |
$1,258.50 |
7.0× |
| CT head/brain without and with contrast (70470) |
$1,557 |
$1,557 |
8.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,467.50 |
$1,467.50 |
4.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$219 |
$219 |
2.5× |
| CT hrt w/3d image congen (75573) |
$1,453 |
$1,453 |
4.1× |
| CT iac w contrast (70481) |
$1,333.50 |
$1,333.50 |
7.4× |
| CT limited/localized follow up study (76380) |
$654.50 |
$654.50 |
7.4× |
| CT lower ext w/o (73700) |
$1,107 |
$1,107 |
10.4× |
| CT lower extremity w wo contrast (73702) |
$1,452 |
$1,452 |
8.1× |
| CT lower extremity with contrast (73701) |
$1,312.50 |
$1,312.50 |
7.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,676 |
$1,676 |
9.4× |
| CT lumbar spine w/o contrast (72131) |
$1,315 |
$1,315 |
12.3× |
| CT lumbar spine with contrast (72132) |
$1,513.50 |
$1,513.50 |
4.2× |
| CT maxillofacial w contrast (70487) |
$1,440.50 |
$1,440.50 |
8.0× |
| CT maxillofacial w/o contrast (70486) |
$1,316.50 |
$1,316.50 |
12.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,575.50 |
$1,575.50 |
8.8× |
| CT neck soft tissue w contrast (70491) |
$1,340 |
$1,340 |
7.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,814 |
$1,814 |
10.1× |
| CT orbits w/o contrast (70480) |
$1,178 |
$1,178 |
11.0× |
| CT pelvis w & w/o contrast (72194) |
$345 |
$345 |
1.9× |
| CT pelvis w/o contrast (72192) |
$393 |
$393 |
3.7× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$275.50 |
$275.50 |
3.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,552 |
$1,552 |
8.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,161.50 |
$1,161.50 |
10.9× |
| CT thoracic spine w/contrast (72129) |
$1,518.50 |
$1,518.50 |
8.5× |
| CT thoracic spine w/o contrast (72128) |
$1,329 |
$1,329 |
12.4× |
| CT thoracic spine w/wo contrast (72130) |
$1,629.50 |
$1,629.50 |
9.1× |
| CT thorax w/o contrast (71250) |
$1,224.50 |
$1,224.50 |
11.5× |
| CT unlisted procedure (76497) |
$211 |
$211 |
2.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,676 |
$1,676 |
9.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,107 |
$1,107 |
10.4× |
| CT upper extremity with contrast (73201) |
$1,262.50 |
$1,262.50 |
3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,118.50 |
$2,118.50 |
11.8× |
| Cta Abdomen (74175) |
$1,739 |
$1,739 |
9.7× |
| CTA abdomen pelvis (74174) |
$2,567 |
$2,567 |
7.2× |
| CTA chest (71275) |
$1,725 |
$1,725 |
9.6× |
| Cta Head (70496) |
$1,471.50 |
$1,471.50 |
8.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,471.50 |
$1,471.50 |
4.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,743.50 |
$1,743.50 |
9.7× |
| Cta Neck (70498) |
$1,527.50 |
$1,527.50 |
8.5× |
| Cta Pelvis (72191) |
$1,649 |
$1,649 |
9.2× |
| Cystography minimum 3 views rs&i (74430) |
$447 |
$447 |
1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$378 |
$378 |
3.5× |
| Echoencephalography real time imaging (76506) |
$439 |
$439 |
4.1× |
| Esophagus (74220) |
$355.50 |
$355.50 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$700.50 |
$700.50 |
6.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$456 |
$456 |
4.3× |
| Fluoroscopy up to 1 hr (76000) |
$376.50 |
$376.50 |
1.5× |
| Foot 2 views (73620) |
$175 |
$175 |
2.0× |
| Forearm 2 views (73090) |
$182.50 |
$182.50 |
2.1× |
| Gated Heart Planar Single (78472) |
$1,241 |
$1,241 |
3.0× |
| Hand 2 views (73120) |
$177.50 |
$177.50 |
1.7× |
| Hand 3 views (73130) |
$206 |
$206 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,401.50 |
$1,401.50 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,251.50 |
$1,251.50 |
3.1× |
| Ht muscle image spect sing (78451) |
$2,302 |
$2,302 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$198 |
$198 |
2.2× |
| Hysterosalpingogram (74740) |
$473 |
$473 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,039 |
$1,039 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,001.50 |
$1,001.50 |
1.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,285.50 |
$1,285.50 |
2.3× |
| Knee 3 views (73562) |
$223.50 |
$223.50 |
2.5× |
| Liver & spleen imaging static only (78215) |
$1,057 |
$1,057 |
2.6× |
| Lung Ventilation Imaging (78579) |
$1,109 |
$1,109 |
2.7× |
| Lymphoscintigraphy (78195) |
$1,465.50 |
$1,465.50 |
2.6× |
| Mammary ductogram or galactogram multiple (77054) |
$324.50 |
$324.50 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$253 |
$253 |
1.0× |
| Meckels Diverticulum (78290) |
$855.50 |
$855.50 |
2.1× |
| MRA head w & w/o contrast (70546) |
$2,204.50 |
$2,204.50 |
6.2× |
| MRA head w/o contrast (70544) |
$1,250.50 |
$1,250.50 |
5.1× |
| MRA head with contrast (70545) |
$1,428.50 |
$1,428.50 |
4.0× |
| MRA neck w contrast (70548) |
$1,590 |
$1,590 |
4.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,307.50 |
$2,307.50 |
6.5× |
| MRA neck w/o contrast (70547) |
$1,526 |
$1,526 |
6.3× |
| MRI abdomen w contrast (74182) |
$2,069.50 |
$2,069.50 |
5.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,291.50 |
$2,291.50 |
6.4× |
| MRI abdomen w/o contrast (74181) |
$1,950 |
$1,950 |
8.0× |
| MRI any jnt lwr ext with con lt (73722) |
$1,880 |
$1,880 |
2.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,837 |
$1,837 |
2.3× |
| MRI breast w/o contrast bilateral (77047) |
$570.50 |
$570.50 |
2.3× |
| MRI breast w/o contrast unilat (77046) |
$466.50 |
$466.50 |
1.9× |
| MRI c-spine with contrast (72142) |
$2,163.50 |
$2,163.50 |
6.1× |
| MRI cervical spine w/o contrast (72141) |
$1,734 |
$1,734 |
7.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,413 |
$2,413 |
6.8× |
| MRI chest w/o contrast (71550) |
$1,390 |
$1,390 |
5.7× |
| MRI chest with contrast (71551) |
$1,509.50 |
$1,509.50 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,820 |
$2,820 |
7.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,764.50 |
$1,764.50 |
5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,500 |
$1,500 |
6.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,327 |
$1,327 |
5.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,737 |
$2,737 |
7.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,626.50 |
$1,626.50 |
4.6× |
| MRI pelvis w contrast (72196) |
$1,583.50 |
$1,583.50 |
4.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,404.50 |
$2,404.50 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$2,129 |
$2,129 |
8.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,319 |
$2,319 |
6.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,112.50 |
$2,112.50 |
5.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,423.50 |
$2,423.50 |
6.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,113.50 |
$2,113.50 |
5.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,418 |
$2,418 |
6.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,126.50 |
$2,126.50 |
6.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,557.50 |
$2,557.50 |
7.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,711.50 |
$1,711.50 |
7.0× |
| MRI tmj (70336) |
$1,391 |
$1,391 |
5.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,660 |
$1,660 |
6.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,314 |
$3,314 |
9.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,418 |
$2,418 |
9.9× |
| Myocardial Spect Multiple Studies (78452) |
$2,516.50 |
$2,516.50 |
1.9× |
| Neck soft tissue (70360) |
$163.50 |
$163.50 |
1.8× |
| Nm gastric emptying study (78264) |
$929 |
$929 |
2.3× |
| Nuclear Rx Oral Admin (79005) |
$1,242 |
$1,242 |
5.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$254 |
$254 |
2.4× |
| Osseous survey infant (77076) |
$105 |
$105 |
1.0× |
| Osseous survey limited (77074) |
$403.50 |
$403.50 |
3.8× |
| Parathyroid imaging (78070) |
$1,363.50 |
$1,363.50 |
3.3× |
| Pelvis 1 or 2 views (72170) |
$56 |
$56 |
0.5× |
| Peritoneogram rs&i (74190) |
$92 |
$92 |
0.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,169 |
$2,169 |
6.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,350.50 |
$1,350.50 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,536 |
$1,536 |
2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$553.50 |
$553.50 |
1.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$353.50 |
$353.50 |
4.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$478.50 |
$478.50 |
4.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$329 |
$329 |
3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$265 |
$265 |
2.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$197.50 |
$197.50 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$220 |
$220 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$546 |
$546 |
3.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$213.50 |
$213.50 |
1.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$606.50 |
$606.50 |
3.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$605 |
$605 |
6.8× |
| Radiological examination surgical specimen (76098) |
$304.50 |
$304.50 |
0.5× |
| Ribs bilateral 3 views (71110) |
$517.50 |
$517.50 |
4.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,014 |
$1,014 |
2.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$170 |
$170 |
0.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$272.50 |
$272.50 |
0.5× |
| Sacroiliac Joints < 3 Views (72200) |
$184.50 |
$184.50 |
1.7× |
| Salivary gland imaging serial images (78231) |
$571.50 |
$571.50 |
1.4× |
| Scanogram (77073) |
$213.50 |
$213.50 |
2.0× |
| Scapula complete (73010) |
$208 |
$208 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$93 |
$93 |
4.0× |
| Sella turcica (70240) |
$138.50 |
$138.50 |
1.6× |
| Sialogram (70390) |
$405.50 |
$405.50 |
1.7× |
| Small bowel series (74250) |
$425 |
$425 |
2.4× |
| Spine thoracic 3 views (72072) |
$276 |
$276 |
2.6× |
| Testicular Imaging With Vascular Flow (78761) |
$188 |
$188 |
0.5× |
| Therapeutic Enema (74283) |
$512 |
$512 |
2.9× |
| Thoracolumbar 2 views (72080) |
$230.50 |
$230.50 |
2.6× |
| Thyroid uptake measurement (78012) |
$803.50 |
$803.50 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$863 |
$863 |
2.1× |
| Tmj unilateral (70328) |
$182.50 |
$182.50 |
2.1× |
| Tomogram (76100) |
$428 |
$428 |
4.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$824 |
$824 |
2.0× |
| Ultrasound elastography first target lesion (76982) |
$192.50 |
$192.50 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$468 |
$468 |
4.4× |
| Umbilical-artery Doppler (OB) (76820) |
$374 |
$374 |
3.5× |
| Unlisted magnetic resonance procedure (76498) |
$579 |
$579 |
6.5× |
| Upper Extremity Infant (73092) |
$117 |
$117 |
1.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$187 |
$187 |
0.5× |
| Urethrocystography retrograde rs&i (74450) |
$481 |
$481 |
2.0× |
| Urethrocystography voiding (74455) |
$445 |
$445 |
1.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$571.50 |
$571.50 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$390 |
$390 |
3.7× |
| Us breast unilateral limited (76642) |
$606 |
$606 |
6.8× |
| Us chest (76604) |
$406 |
$406 |
3.8× |
| Us compl joint r-t w/image documentation (76881) |
$470 |
$470 |
4.4× |
| Us elastography parenchyma (76981) |
$286 |
$286 |
2.7× |
| Us guided compression repair (76936) |
$688 |
$688 |
3.1× |
| Us infant hips dynamic (76885) |
$383 |
$383 |
4.3× |
| Us ob detailed single fetus (76811) |
$528 |
$528 |
2.2× |
| Us ob transvaginal (76817) |
$469 |
$469 |
4.4× |
| Us pelvic non ob complete (76856) |
$489 |
$489 |
4.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$395 |
$395 |
3.7× |
| Us pregnancy ltd (76815) |
$325.50 |
$325.50 |
3.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$379 |
$379 |
3.5× |
| Us retroperitoneal complete (76770) |
$518 |
$518 |
4.8× |
| Us retroperitoneal limited (76775) |
$532.50 |
$532.50 |
5.0× |
| Us scrotum and contents (76870) |
$480 |
$480 |
4.5× |
| Us soft tissue head/neck (76536) |
$456.50 |
$456.50 |
4.3× |
| Us spinal canal and contents (76800) |
$436.50 |
$436.50 |
4.1× |
| Us xtr non-vasc lmtd (76882) |
$348 |
$348 |
3.3× |
| Wrist 2 views (73100) |
$177.50 |
$177.50 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$340 |
$340 |
3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$229.50 |
$229.50 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$214 |
$214 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$711.50 |
$711.50 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$184.50 |
$184.50 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$203 |
$203 |
2.3× |
| X-ray exam hip uni 1 view (73501) |
$539 |
$539 |
6.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$385.50 |
$385.50 |
4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$385.50 |
$385.50 |
3.6× |
| X-ray exam of femur 1 (73551) |
$277 |
$277 |
3.1× |
| X-ray eye for foreign body (70030) |
$224.50 |
$224.50 |
2.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$353 |
$353 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$257 |
$257 |
2.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$203 |
$203 |
2.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$169.50 |
$169.50 |
1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$210.50 |
$210.50 |
2.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$254 |
$254 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$206 |
$206 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$156 |
$156 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$246.50 |
$246.50 |
2.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$468 |
$468 |
4.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$267 |
$267 |
2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$202 |
$202 |
2.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$184.50 |
$184.50 |
2.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$276 |
$276 |
2.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$244 |
$244 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$865 |
$865 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$264 |
$264 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$343 |
$343 |
3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$255 |
$255 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$216 |
$216 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$235.50 |
$235.50 |
2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$359.50 |
$359.50 |
4.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$195.50 |
$195.50 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$413.50 |
$413.50 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$290 |
$290 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$155 |
$155 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$225.50 |
$225.50 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$264 |
$264 |
3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$227.50 |
$227.50 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$161.50 |
$161.50 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$210 |
$210 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$434 |
$434 |
4.1× |
| Xr chest 4+ views (71048) |
$214 |
$214 |
2.0× |
| Xr finger(s) 2+ views (73140) |
$160.50 |
$160.50 |
1.8× |
| Xr internal auditory meati complete (70134) |
$321.50 |
$321.50 |
0.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$177 |
$177 |
1.7× |
| Xr optic foramina (70190) |
$177 |
$177 |
2.0× |
| Xr shoulder 1 view (73020) |
$177 |
$177 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$326.50 |
$326.50 |
3.1× |
| Xr tibia/fibula 2 views (73590) |
$210 |
$210 |
2.4× |
| Xr tmj bilateral (70330) |
$342 |
$342 |
3.8× |
| Xray knee 1 or 2 views rt (73560) |
$206.50 |
$206.50 |
2.3× |