| Abdomen 2 views (74019) |
$228.60 |
$381 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$767.40 |
$1,279 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$2,722.80 |
$4,538 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$2,178 |
$3,630 |
0.8× |
| Angiography internal mammary rs&i (75756) |
$1,089 |
$1,815 |
0.4× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,178 |
$3,630 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,722.80 |
$4,538 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,178 |
$3,630 |
0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$2,722.80 |
$4,538 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,089 |
$1,815 |
0.4× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,884 |
$3,140 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,356 |
$7,260 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$3,267 |
$5,445 |
1.1× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,110.20 |
$3,517 |
0.7× |
| Arthrogram hip (73525) |
$340.20 |
$567 |
1.1× |
| Arthrogram shoulder (73040) |
$340.20 |
$567 |
1.1× |
| Arthrography knee lt (73580) |
$340.20 |
$567 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$927.60 |
$1,546 |
2.6× |
| Bone age studies (77072) |
$146.40 |
$244 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$1,830 |
$3,050 |
5.1× |
| Bone survey complete (77075) |
$447.30 |
$745.50 |
4.7× |
| Brain image w/flow 4 + views (78606) |
$547.80 |
$913 |
1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,340.20 |
$5,567 |
2.6× |
| Cervical spine 2 or 3 views (72040) |
$198.60 |
$331 |
2.5× |
| Chest 1 view (71045) |
$132.60 |
$221 |
1.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$383.40 |
$639 |
2.4× |
| Clavicle complete (73000) |
$138.60 |
$231 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,102.20 |
$1,837 |
11.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,596.80 |
$4,328 |
8.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,385.60 |
$3,976 |
11.0× |
| CT abdomen w contrast (74160) |
$1,339.80 |
$2,233 |
8.4× |
| CT abdomen w wo contrast (74170) |
$1,363.20 |
$2,272 |
8.6× |
| CT abdomen w/o contrast (74150) |
$1,262.40 |
$2,104 |
13.3× |
| CT angio hrt w/3d image (75574) |
$1,960.20 |
$3,267 |
6.2× |
| CT angiography upper extremity lt (73206) |
$1,060.80 |
$1,768 |
6.7× |
| CT c-spine w/o contrast (72125) |
$1,595.40 |
$2,659 |
16.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,706.40 |
$2,844 |
10.7× |
| CT cervical spine with contrast (72126) |
$1,706.40 |
$2,844 |
5.4× |
| CT chest w/wo contrast (71270) |
$1,318.80 |
$2,198 |
8.3× |
| CT chest with contrast (71260) |
$1,179 |
$1,965 |
7.4× |
| CT head/brain with contrast (70460) |
$1,363.20 |
$2,272 |
8.6× |
| CT head/brain without and with contrast (70470) |
$1,427.40 |
$2,379 |
9.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$59.40 |
$99 |
0.8× |
| CT iac w contrast (70481) |
$1,223.40 |
$2,039 |
7.7× |
| CT limited/localized follow up study (76380) |
$234 |
$390 |
3.0× |
| CT lower ext w/o (73700) |
$795.60 |
$1,326 |
8.4× |
| CT lower extremity w wo contrast (73702) |
$972.60 |
$1,621 |
6.1× |
| CT lower extremity with contrast (73701) |
$795.60 |
$1,326 |
5.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,706.40 |
$2,844 |
10.7× |
| CT lumbar spine w/o contrast (72131) |
$1,595.40 |
$2,659 |
16.9× |
| CT lumbar spine with contrast (72132) |
$1,706.40 |
$2,844 |
5.4× |
| CT maxillofacial w contrast (70487) |
$1,191.60 |
$1,986 |
7.5× |
| CT maxillofacial w/o contrast (70486) |
$448.80 |
$748 |
4.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,402.20 |
$2,337 |
8.8× |
| CT neck soft tissue w contrast (70491) |
$1,113.60 |
$1,856 |
7.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,518.60 |
$2,531 |
9.6× |
| CT orbits w/o contrast (70480) |
$1,225.80 |
$2,043 |
12.9× |
| CT pelvis w & w/o contrast (72194) |
$1,402.20 |
$2,337 |
8.8× |
| CT pelvis w/o contrast (72192) |
$1,123.80 |
$1,873 |
11.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,402.20 |
$2,337 |
8.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,108.20 |
$1,847 |
11.7× |
| CT thoracic spine w/contrast (72129) |
$1,595.40 |
$2,659 |
10.0× |
| CT thoracic spine w/o contrast (72128) |
$1,595.40 |
$2,659 |
16.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,706.40 |
$2,844 |
10.7× |
| CT thorax w/o contrast (71250) |
$1,140.60 |
$1,901 |
12.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,225.80 |
$2,043 |
7.7× |
| CT upper extremity w/o contrast rt (73200) |
$991.80 |
$1,653 |
10.5× |
| CT upper extremity with contrast (73201) |
$1,052.40 |
$1,754 |
3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,846.20 |
$3,077 |
11.6× |
| Cta Abdomen (74175) |
$1,846.20 |
$3,077 |
11.6× |
| CTA abdomen pelvis (74174) |
$2,769 |
$4,615 |
8.8× |
| CTA chest (71275) |
$1,960.20 |
$3,267 |
12.3× |
| Cta Head (70496) |
$1,846.20 |
$3,077 |
11.6× |
| CTA lwr ext w&w/o contrast (73706) |
$1,060.80 |
$1,768 |
6.7× |
| Cta Neck (70498) |
$1,797 |
$2,995 |
11.3× |
| Cta Pelvis (72191) |
$1,743 |
$2,905 |
11.0× |
| Cystography minimum 3 views rs&i (74430) |
$240 |
$400 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$157.80 |
$263 |
1.7× |
| Esophagus (74220) |
$340.20 |
$567 |
2.1× |
| Fetal biophysical profile non-stress testing (76818) |
$505.20 |
$842 |
5.3× |
| Fluoroscopy up to 1 hr (76000) |
$326.40 |
$544 |
1.5× |
| Forearm 2 views (73090) |
$141 |
$235 |
1.8× |
| Gated Heart Planar Single (78472) |
$1,084.20 |
$1,807 |
3.0× |
| Hand 3 views (73130) |
$198 |
$330 |
2.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$722.40 |
$1,204 |
1.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$672.60 |
$1,121 |
1.9× |
| Humerus Min 2 Views Left (73060) |
$126.60 |
$211 |
1.6× |
| Hysterosalpingogram (74740) |
$226.80 |
$378 |
1.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,503 |
$2,505 |
3.1× |
| Knee 3 views (73562) |
$168.60 |
$281 |
2.1× |
| Liver & spleen imaging static only (78215) |
$1,011.60 |
$1,686 |
2.8× |
| Lung Ventilation Imaging (78579) |
$1,021.20 |
$1,702 |
2.8× |
| Lymphoscintigraphy (78195) |
$561 |
$935 |
1.1× |
| MRA head w & w/o contrast (70546) |
$2,361 |
$3,935 |
7.5× |
| MRA head w/o contrast (70544) |
$2,107.80 |
$3,513 |
9.8× |
| MRA head with contrast (70545) |
$2,277 |
$3,795 |
7.2× |
| MRA neck w contrast (70548) |
$2,361 |
$3,935 |
7.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,521.20 |
$4,202 |
8.0× |
| MRA neck w/o contrast (70547) |
$2,790.60 |
$4,651 |
12.9× |
| MRI abdomen w contrast (74182) |
$627 |
$1,045 |
2.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$627 |
$1,045 |
2.0× |
| MRI abdomen w/o contrast (74181) |
$2,124 |
$3,540 |
9.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,432.80 |
$2,388 |
2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,432.80 |
$2,388 |
2.0× |
| MRI c-spine with contrast (72142) |
$2,740.80 |
$4,568 |
8.7× |
| MRI cardiac w/o contrast (75557) |
$2,124 |
$3,540 |
9.8× |
| MRI cervical spine w/o contrast (72141) |
$2,124 |
$3,540 |
9.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,821.60 |
$3,036 |
5.8× |
| MRI chest w/o contrast (71550) |
$1,821.60 |
$3,036 |
8.4× |
| MRI chest with contrast (71551) |
$1,821.60 |
$3,036 |
2.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,432.80 |
$2,388 |
4.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,432.80 |
$2,388 |
4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,432.80 |
$2,388 |
6.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,124 |
$3,540 |
9.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,599.80 |
$4,333 |
8.2× |
| MRI orbit/face/neck w/contrast (70542) |
$2,124 |
$3,540 |
6.7× |
| MRI pelvis w contrast (72196) |
$2,124 |
$3,540 |
6.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,124 |
$3,540 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$2,124 |
$3,540 |
9.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,432.80 |
$2,388 |
4.5× |
| MRI scan of leg joint before and after contrast (73723) |
$1,432.80 |
$2,388 |
4.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,765.70 |
$4,609.50 |
8.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,740.80 |
$4,568 |
8.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,790.60 |
$4,651 |
8.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,740.20 |
$4,567 |
8.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,765.40 |
$4,609 |
8.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,124 |
$3,540 |
9.8× |
| MRI tmj (70336) |
$2,124 |
$3,540 |
9.8× |
| MRI upper ext joint w/o contrast (73221) |
$1,432.80 |
$2,388 |
6.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,432.80 |
$2,388 |
4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,432.80 |
$2,388 |
6.6× |
| Myelogram Cervical (72240) |
$1,114.20 |
$1,857 |
1.6× |
| Myelogram Lumbar (72265) |
$971.40 |
$1,619 |
1.4× |
| Myelogram thoracic (72255) |
$1,035 |
$1,725 |
1.5× |
| Myelography 2 or more regions (72270) |
$1,475.40 |
$2,459 |
2.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,774.20 |
$2,957 |
1.5× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$1,731 |
$2,885 |
0.9× |
| Neck soft tissue (70360) |
$123 |
$205 |
1.6× |
| Nm gastric emptying study (78264) |
$702.60 |
$1,171 |
1.9× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$127.80 |
$213 |
0.1× |
| Nuclear Rx Oral Admin (79005) |
$759 |
$1,265 |
3.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$652.20 |
$1,087 |
6.9× |
| Parathyroid imaging (78070) |
$862.20 |
$1,437 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$180.60 |
$301 |
1.9× |
| PET image w/CT, skull-thigh (78815) |
$3,518.40 |
$5,864 |
2.7× |
| PET imaging CT for attenuation limited area (78814) |
$1,830.30 |
$3,050.50 |
1.4× |
| PET imaging for CT attenuation whole body (78816) |
$1,839.30 |
$3,065.50 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,432.80 |
$2,388 |
4.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$550.20 |
$917 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,570.80 |
$2,618 |
3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$199.80 |
$333 |
2.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$235.20 |
$392 |
2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$182.40 |
$304 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$262.80 |
$438 |
3.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$183.30 |
$305.50 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$502.20 |
$837 |
3.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$572.10 |
$953.50 |
3.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$151.20 |
$252 |
1.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,565.70 |
$2,609.50 |
3.2× |
| Scanogram (77073) |
$211.80 |
$353 |
2.2× |
| Scapula complete (73010) |
$141 |
$235 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$33 |
$55 |
1.4× |
| Sella turcica (70240) |
$127.20 |
$212 |
1.6× |
| Sialogram (70390) |
$428.40 |
$714 |
2.0× |
| Small bowel series (74250) |
$363 |
$605 |
2.3× |
| Spine thoracic 3 views (72072) |
$250.20 |
$417 |
2.6× |
| Therapeutic Enema (74283) |
$1,014 |
$1,690 |
6.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$999.60 |
$1,666 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$808.20 |
$1,347 |
2.2× |
| Tmj unilateral (70328) |
$139.20 |
$232 |
1.8× |
| Tomogram (76100) |
$511.20 |
$852 |
5.4× |
| Ultrasound, abdomen limited (76705) |
$420 |
$700 |
4.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$135 |
$225 |
1.7× |
| Unlisted fluoroscopic procedure (76496) |
$163.20 |
$272 |
2.1× |
| Upper Extremity Infant (73092) |
$126.60 |
$211 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$461.40 |
$769 |
2.1× |
| Urethrocystography voiding (74455) |
$379.20 |
$632 |
1.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$414.60 |
$691 |
2.6× |
| Us abdl aorta screen aaa (76706) |
$925.80 |
$1,543 |
9.8× |
| Us breast unilateral complete (76641) |
$296.10 |
$493.50 |
3.1× |
| Us breast unilateral limited (76642) |
$163.80 |
$273 |
2.1× |
| Us chest (76604) |
$276.60 |
$461 |
2.9× |
| Us compl joint r-t w/image documentation (76881) |
$420 |
$700 |
4.4× |
| Us guided compression repair (76936) |
$592.80 |
$988 |
3.0× |
| Us kidney transplant (76776) |
$1,128.60 |
$1,881 |
11.9× |
| Us ob transvaginal (76817) |
$467.40 |
$779 |
4.9× |
| Us pelvic non ob complete (76856) |
$467.40 |
$779 |
4.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$294.90 |
$491.50 |
3.1× |
| Us pregnancy ltd (76815) |
$437.40 |
$729 |
4.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,214.40 |
$2,024 |
12.8× |
| Us retroperitoneal complete (76770) |
$561 |
$935 |
5.9× |
| Us retroperitoneal limited (76775) |
$1,128.60 |
$1,881 |
11.9× |
| Us scrotum and contents (76870) |
$451.20 |
$752 |
4.8× |
| Us soft tissue head/neck (76536) |
$411.60 |
$686 |
4.3× |
| Us xtr non-vasc lmtd (76882) |
$351 |
$585 |
3.7× |
| Venogram extremity bilateral (75822) |
$2,722.80 |
$4,538 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$1,089 |
$1,815 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$863.40 |
$1,439 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$2,178 |
$3,630 |
1.5× |
| Venography Renal Bilateral (75833) |
$3,432.60 |
$5,721 |
1.2× |
| Venography renal unilateral selective rs&i (75831) |
$3,432.60 |
$5,721 |
1.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,352.40 |
$2,254 |
0.5× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$1,089 |
$1,815 |
0.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$182.40 |
$304 |
2.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$205.80 |
$343 |
2.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$676.80 |
$1,128 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$243 |
$405 |
3.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$151.20 |
$252 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$133.80 |
$223 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$162.60 |
$271 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$220.20 |
$367 |
2.3× |
| X-ray eye for foreign body (70030) |
$123 |
$205 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$217.80 |
$363 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$166.80 |
$278 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$141 |
$235 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$126.60 |
$211 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$215.40 |
$359 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$151.20 |
$252 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$211.80 |
$353 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$411 |
$685 |
4.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$141 |
$235 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$153 |
$255 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$220.20 |
$367 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$305.40 |
$509 |
3.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$868.80 |
$1,448 |
2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$196.80 |
$328 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$380.40 |
$634 |
4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$261 |
$435 |
2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$211.80 |
$353 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$154.20 |
$257 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$219 |
$365 |
2.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$156.60 |
$261 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$256.20 |
$427 |
2.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$181.20 |
$302 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$114.30 |
$190.50 |
1.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$122.40 |
$204 |
1.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$172.80 |
$288 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$177 |
$295 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$122.40 |
$204 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$141 |
$235 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$403.80 |
$673 |
4.3× |
| Xr chest 4+ views (71048) |
$228.60 |
$381 |
2.4× |
| Xr Cholecystography Oral Contrast (74290) |
$207 |
$345 |
1.3× |
| Xr finger(s) 2+ views (73140) |
$117 |
$195 |
1.5× |
| Xr shoulder 1 view (73020) |
$154.20 |
$257 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$322.80 |
$538 |
3.4× |
| Xr tibia/fibula 2 views (73590) |
$130.80 |
$218 |
1.7× |
| Xr tmj bilateral (70330) |
$220.20 |
$367 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$187.20 |
$312 |
2.4× |