| Abdomen 1 View (74018) |
— |
$307.94 |
— |
| Ankle 2 views (73600) |
— |
$313.13 |
— |
| Chest 1 view (71045) |
— |
$211.07 |
— |
Chest 2 views (71046)
range across 2 matching MRF lines |
— |
$313.13–$1,836.31 |
— |
| Clavicle complete (73000) |
— |
$313.13 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$4,104.76 |
— |
| CT cervical spine w/o contrast (72125) |
— |
$570.96 |
— |
| CT chest w contrast (71260) |
— |
$2,905.06 |
— |
| CT head/brain without and with contrast (70470) |
— |
$3,059.67 |
— |
| CT lower ext w/o (73700) |
— |
$568.78 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$1,361.73 |
— |
| CT pelvis w/o contrast (72192) |
— |
$1,361.73 |
— |
| CT thorax w/o contrast (71250) |
— |
$2,349.05 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$953.41 |
— |
| Foot 2 views (73620) |
— |
$313.13 |
— |
| Forearm 2 views (73090) |
— |
$313.13 |
— |
| Hand 2 views (73120) |
— |
$313.13 |
— |
| Knee 3 Views (73562) |
— |
$313.13 |
— |
| Lung Ventilat&Perfus Imaging (78582) |
— |
$1,455.78 |
— |
| MRI cervical spine w/o cont (72141) |
— |
$1,182.60 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$211.07 |
— |
| Radex Ankle Complete Minimum 3 Views (73610) |
— |
$313.13 |
— |
| Radex Calcaneus Minimum 2 Views (73650) |
— |
$211.07 |
— |
| Radex elbow complete minimum 3 views (73080) |
— |
$313.13 |
— |
| Radex fingr minimum 2 views (73140) |
— |
$313.13 |
— |
| Radex foot complete minimum 3 views (73630) |
— |
$313.13 |
— |
| Radex Hand Minimum 3 Views (73130) |
— |
$313.13 |
— |
| Radex Ribs Unilateral 2 Views (71100) |
— |
$313.13 |
— |
| Radex shoulder complete minimum 2 views (73030) |
— |
$313.13 |
— |
| Radex Spine 1 View Specify Level (72020) |
— |
$211.07 |
— |
| Radex Sternum Minimum 2 Views (71120) |
— |
$211.07 |
— |
| Radex Toe Minimum 2 Views (73660) |
— |
$313.13 |
— |
| Radex Wrist Complete Minimum 3 Views (73110) |
— |
$313.13 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$797.40 |
— |
| Radiologic exam knee complete 4/more views (73564) |
— |
$313.13 |
— |
| Radiologic exam pelvis compl minimum 3 views (72190) |
— |
$401.11 |
— |
| Radiologic examination femur 1 view (73551) |
— |
$395.15 |
— |
| Radiologic examination femur minimum 2 views (73552) |
— |
$497.57 |
— |
| Radiologic examination knee 1/2 views (73560) |
— |
$313.13 |
— |
| Radiologic examination tibia & fibula 2 views (73590) |
— |
$313.13 |
— |
| Scapula (73010) |
— |
$313.13 |
— |
| Shoulder 1 view (73020) |
— |
$211.07 |
— |
| Shoulder Arthrography (73040) |
— |
$596.73 |
— |
| Sternoclavicular joints (71130) |
— |
$313.13 |
— |
| Thoracic spine 2 views (72070) |
— |
$313.13 |
— |
| Us complete joint (76881) |
— |
$741.54 |
— |
| Us retroperitoneal complete (76770) |
— |
$1,181.37 |
— |
| Wrist 2 views (73100) |
— |
$313.13 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$313.13 |
— |
| X-Ray Exam Hip Uni 1 View (73501) |
— |
$211.07 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$313.13 |
— |
| X-ray humerus (73060) |
— |
$313.13 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$313.13 |
— |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
— |
$211.07 |
— |