| Abdomen 2 views (74019) |
$296 |
$296 |
2.5× |
| Acute gi blood loss imaging (78278) |
$867 |
$867 |
1.9× |
| Ankle 2 views (73600) |
$179 |
$179 |
1.8× |
| Arthrogram ankle (73615) |
$600 |
$600 |
1.5× |
| Arthrogram elbow (73085) |
$468 |
$468 |
1.2× |
| Arthrogram hip (73525) |
$867 |
$867 |
2.2× |
| Arthrogram knee (73580) |
$600 |
$600 |
1.5× |
| Arthrogram shoulder (73040) |
$753 |
$753 |
1.9× |
| Arthrogram wrist (73115) |
$693 |
$693 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$600 |
$600 |
1.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,005.50 |
$1,005.50 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,586 |
$1,586 |
3.6× |
| Bone age studies (77072) |
$214 |
$214 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$1,305 |
$1,305 |
2.9× |
| Bone survey complete (77075) |
$723 |
$723 |
6.2× |
| Bone survey infant (77076) |
$214 |
$214 |
1.8× |
| Bowel imaging (78290) |
$693 |
$693 |
1.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,205 |
$1,205 |
2.7× |
| Cervical spine 2 or 3 views (72040) |
$333 |
$333 |
3.4× |
| Chest 1 view (71045) |
$350 |
$350 |
3.6× |
| Chest xray 3 views (71047) |
$373 |
$373 |
3.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$347 |
$347 |
1.8× |
| Clavicle complete (73000) |
$274 |
$274 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,298 |
$1,298 |
11.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,700 |
$4,700 |
12.1× |
| CT abdomen and pelvis without contrast (74176) |
$3,000 |
$3,000 |
11.3× |
| CT abdomen w contrast (74160) |
$1,687 |
$1,687 |
8.6× |
| CT abdomen w wo contrast (74170) |
$2,084.50 |
$2,084.50 |
10.7× |
| CT abdomen w/o contrast (74150) |
$1,298 |
$1,298 |
11.1× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,811 |
$3,811 |
19.5× |
| CT angiography upper extremity lt (73206) |
$1,701 |
$1,701 |
8.7× |
| CT c-spine w/contrast (72126) |
$1,687 |
$1,687 |
4.3× |
| CT c-spine w/o contrast (72125) |
$1,298 |
$1,298 |
11.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,906 |
$1,906 |
9.8× |
| CT chest w contrast (71260) |
$2,000 |
$2,000 |
10.2× |
| CT chest w/wo contrast (71270) |
$2,500 |
$2,500 |
12.8× |
| CT head/brain with contrast (70460) |
$2,000 |
$2,000 |
10.2× |
| CT head/brain without and with contrast (70470) |
$2,500 |
$2,500 |
12.8× |
| CT iac w contrast (70481) |
$1,383 |
$1,383 |
7.1× |
| CT lower ext w/o (73700) |
$1,213 |
$1,213 |
10.4× |
| CT lower extremity w wo contrast (73702) |
$1,906 |
$1,906 |
9.8× |
| CT lower extremity w/contrast material (73701) |
$1,549 |
$1,549 |
7.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,076 |
$2,076 |
10.6× |
| CT lumbar spine w/contrast (72132) |
$1,687 |
$1,687 |
4.3× |
| CT lumbar spine w/o contrast (72131) |
$1,487 |
$1,487 |
12.8× |
| CT maxillofacial w contrast (70487) |
$1,459 |
$1,459 |
7.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,892 |
$1,892 |
9.7× |
| CT maxillofacial wo contrast (70486) |
$1,177.50 |
$1,177.50 |
10.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,726 |
$1,726 |
8.8× |
| CT orbits w/o contrast (70480) |
$1,050 |
$1,050 |
9.0× |
| CT pelvis w/o contrast (72192) |
$1,298 |
$1,298 |
11.1× |
| CT pelvis w/wo contrast (72194) |
$1,906 |
$1,906 |
9.8× |
| CT scan of arm combo (73202) |
$1,906 |
$1,906 |
9.8× |
| CT soft tissue neck w contrast (70491) |
$1,549 |
$1,549 |
7.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,906 |
$1,906 |
9.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,191 |
$1,191 |
10.2× |
| CT thoracic spine w/contrast (72129) |
$1,549 |
$1,549 |
7.9× |
| CT thoracic spine w/o contrast (72128) |
$1,191 |
$1,191 |
10.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,906 |
$1,906 |
9.8× |
| CT thorax w/o contrast (71250) |
$1,500 |
$1,500 |
12.9× |
| CT upper ext wo (73200) |
$1,191 |
$1,191 |
10.2× |
| CT upper extremity with contrast (73201) |
$1,549 |
$1,549 |
4.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$3,811 |
$3,811 |
19.5× |
| Cta Abdomen (74175) |
$2,348 |
$2,348 |
12.0× |
| CTA abdomen pelvis (74174) |
$3,143 |
$3,143 |
8.1× |
| CTA chest (71275) |
$2,800 |
$2,800 |
14.3× |
| Cta Head (70496) |
$2,194 |
$2,194 |
11.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,119 |
$3,119 |
8.0× |
| Cta Neck (70498) |
$1,849 |
$1,849 |
9.5× |
| Cta Pelvis (72191) |
$2,423 |
$2,423 |
12.4× |
| Cystography minimum 3 views rs&i (74430) |
$727 |
$727 |
1.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$550 |
$550 |
4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$160 |
$160 |
1.6× |
| Dxa bone density study axial skeleton (77085) |
$503 |
$503 |
4.3× |
| Esophagus (74220) |
$673 |
$673 |
3.4× |
| Facial bones min 3 views (70150) |
$400 |
$400 |
3.4× |
| Fetal biophysical profile non-stress testing (76818) |
$217 |
$217 |
1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$333.50 |
$333.50 |
2.9× |
| Fluoroscopy up to 1 hr (76000) |
$439 |
$439 |
1.7× |
| Foot 2 views (73620) |
$179 |
$179 |
1.8× |
| Forearm 2 views (73090) |
$249 |
$249 |
2.6× |
| Hand 2 views (73120) |
$214 |
$214 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,299 |
$1,299 |
2.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$953 |
$953 |
2.1× |
| Hysterosalpingogram (74740) |
$635 |
$635 |
2.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$214 |
$214 |
1.8× |
| Kidney imaging morphology (78700) |
$775 |
$775 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$775 |
$775 |
1.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$836.50 |
$836.50 |
1.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$775 |
$775 |
1.3× |
| Knee 3 views (73562) |
$293 |
$293 |
3.0× |
| Liver & spleen imaging static only (78215) |
$693 |
$693 |
1.6× |
| Lung perf&ventilat diferentl (78598) |
$1,077 |
$1,077 |
1.8× |
| Lung perfusion differential (78597) |
$809 |
$809 |
1.8× |
| Lung ventilation imaging (78579) |
$640 |
$640 |
1.4× |
| Lymphoscintigraphy (78195) |
$1,050 |
$1,050 |
1.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,930 |
$1,930 |
2.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,792 |
$1,792 |
4.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,797 |
$2,797 |
7.2× |
| MRA head w & w/o contrast (70546) |
$2,446 |
$2,446 |
6.3× |
| MRA head w/o contrast (70544) |
$1,785 |
$1,785 |
6.7× |
| MRA head with contrast (70545) |
$1,930 |
$1,930 |
5.0× |
| MRA neck w contrast (70548) |
$2,059 |
$2,059 |
5.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,446 |
$2,446 |
6.3× |
| MRA neck w/o contrast (70547) |
$1,716 |
$1,716 |
6.5× |
| MRI abdomen w contrast (74182) |
$2,037 |
$2,037 |
5.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,580 |
$2,580 |
6.6× |
| MRI abdomen w/o contrast (74181) |
$1,765 |
$1,765 |
6.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,238 |
$2,238 |
2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,424 |
$2,424 |
6.2× |
| MRI bone marrow blood supply (77084) |
$1,420 |
$1,420 |
5.3× |
| MRI c-spine with contrast (72142) |
$3,000 |
$3,000 |
7.7× |
| MRI cervical spine w/o contrast (72141) |
$2,500 |
$2,500 |
9.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,446 |
$2,446 |
6.3× |
| MRI chest w/o contrast (71550) |
$1,518 |
$1,518 |
5.7× |
| MRI chest with contrast (71551) |
$1,930 |
$1,930 |
2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,238 |
$2,238 |
5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,446 |
$2,446 |
6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,674 |
$1,674 |
6.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,674 |
$1,674 |
6.3× |
| MRI orbit face neck w contrast (70542) |
$1,802 |
$1,802 |
4.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,446 |
$2,446 |
6.3× |
| MRI pelvis w/contrast (72196) |
$2,037 |
$2,037 |
5.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,500 |
$3,500 |
9.0× |
| MRI pelvis w/o contrast (72195) |
$1,765 |
$1,765 |
6.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,500 |
$3,500 |
9.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,177 |
$2,177 |
5.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,758 |
$2,758 |
7.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,177 |
$2,177 |
5.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,758 |
$2,758 |
7.1× |
| MRI temporomandibular joint (70336) |
$1,674 |
$1,674 |
6.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,887 |
$1,887 |
7.1× |
| MRI up ext w/o contrast (73218) |
$1,642 |
$1,642 |
6.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,674 |
$1,674 |
6.3× |
| MRI, joint upper extrem combo (73223) |
$2,446 |
$2,446 |
6.3× |
| Myelogram Cervical (72240) |
$1,730 |
$1,730 |
2.0× |
| Myelogram Lumbar (72265) |
$1,363 |
$1,363 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,643 |
$2,643 |
1.8× |
| Myocardial spect single study at rest or stress (78451) |
$2,210.50 |
$2,210.50 |
1.5× |
| Neck soft tissue (70360) |
$312 |
$312 |
3.2× |
| Nm gastric emptying study (78264) |
$1,442 |
$1,442 |
3.2× |
| Nm gastroesophageal reflux study (78262) |
$693 |
$693 |
1.6× |
| Noncardiac Vascular Flow Imaging (78445) |
$600 |
$600 |
1.3× |
| Ob us nuchal meas 1 gest (76813) |
$336.50 |
$336.50 |
2.9× |
| Parathyroid Planar Imaging (78070) |
$909 |
$909 |
2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,549 |
$1,549 |
3.5× |
| Pelvis 1 or 2 views (72170) |
$218 |
$218 |
1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$780 |
$780 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$973 |
$973 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$617.50 |
$617.50 |
1.0× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$346 |
$346 |
3.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$152 |
$152 |
1.6× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$269 |
$269 |
2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$382 |
$382 |
3.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$400 |
$400 |
3.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$425 |
$425 |
3.6× |
| Radex fingr minimum 2 views (73140) |
$214 |
$214 |
2.2× |
| Radex Foot Compl Minimum 3 Views (73630) |
$346 |
$346 |
3.6× |
| Radex Hand Minimum 3 Views (73130) |
$346 |
$346 |
3.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$316 |
$316 |
3.3× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$375 |
$375 |
3.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$350 |
$350 |
3.0× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$500 |
$500 |
4.3× |
| Radex Humerus Minimum 2 Views (73060) |
$280 |
$280 |
2.9× |
| Radex Kne 1/2 Views (73560) |
$276 |
$276 |
2.8× |
| Radex Kne Compl 4/More Views (73564) |
$303 |
$303 |
2.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$392 |
$392 |
3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$312 |
$312 |
3.2× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$246 |
$246 |
2.1× |
| Radex Sho Compl Minimum 2 Views (73030) |
$375 |
$375 |
3.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$156 |
$156 |
1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$312 |
$312 |
3.2× |
| Radex Toe Minimum 2 Views (73660) |
$214 |
$214 |
2.2× |
| Radex upper extremity infant minimum 2 views (73092) |
$208 |
$208 |
1.8× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$325 |
$325 |
3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$450 |
$450 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$263 |
$263 |
2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$363 |
$363 |
3.1× |
| Radiologic exam chest 2 views (71046) |
$400 |
$400 |
4.1× |
| Radiologic exam colon single contrast study (74270) |
$730 |
$730 |
3.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$347 |
$347 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$923 |
$923 |
4.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$419 |
$419 |
2.1× |
| Radiologic examination femur 1 view (73551) |
$300 |
$300 |
3.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$320 |
$320 |
3.3× |
| Radiological examination surgical specimen (76098) |
$917 |
$917 |
1.5× |
| Radiopharm Dacryocystography (78660) |
$472 |
$472 |
1.1× |
| Ribs bilateral 3 views (71110) |
$278 |
$278 |
2.4× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$1,013 |
$1,013 |
2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,191 |
$1,191 |
2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$2,100 |
$2,100 |
3.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,549 |
$1,549 |
2.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,549 |
$1,549 |
2.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$307 |
$307 |
1.2× |
| Salivary gland imaging (78230) |
$693 |
$693 |
1.6× |
| Scapula (73010) |
$237 |
$237 |
2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$75 |
$75 |
3.2× |
| Shoulder 1 view (73020) |
$179 |
$179 |
1.8× |
| Small bowel series (74250) |
$482 |
$482 |
2.5× |
| Spine thoracic 3 views (72072) |
$397 |
$397 |
3.4× |
| Testicular Imaging With Vascular Flow (78761) |
$775 |
$775 |
1.7× |
| Thyroid imaging w/blood flow (78013) |
$702 |
$702 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$912 |
$912 |
2.0× |
| Ultrasound Exam Aaa Screen (76706) |
$273 |
$273 |
2.3× |
| Ultrasound, abdomen limited (76705) |
$339 |
$339 |
2.9× |
| Umbilical-artery Doppler (OB) (76820) |
$500 |
$500 |
4.3× |
| Ureteral reflux study (78740) |
$750 |
$750 |
1.7× |
| Urethrocystogram voiding (74455) |
$505 |
$505 |
1.9× |
| Urethrocystography retrograde rs&i (74450) |
$860 |
$860 |
3.2× |
| Us breast unilateral limited (76642) |
$300 |
$300 |
3.1× |
| Us chest (76604) |
$203 |
$203 |
1.7× |
| Us compl joint r-t w/image documentation (76881) |
$217 |
$217 |
1.9× |
| Us encephalogram (76506) |
$300 |
$300 |
2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$214 |
$214 |
1.8× |
| Us ob detailed single fetus (76811) |
$483 |
$483 |
1.8× |
| Us ob limited (76815) |
$300 |
$300 |
2.6× |
| Us ob transvaginal (76817) |
$372.50 |
$372.50 |
3.2× |
| Us pelvic non ob complete (76856) |
$364 |
$364 |
3.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$326 |
$326 |
2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$403.50 |
$403.50 |
3.5× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$367 |
$367 |
3.2× |
| Us retroperitoneal complete (76770) |
$550 |
$550 |
4.7× |
| Us retroperitoneal limited (76775) |
$213 |
$213 |
1.8× |
| Us scrotum and contents (76870) |
$213 |
$213 |
1.8× |
| Us soft tissue head/neck (76536) |
$500 |
$500 |
4.3× |
| Us transrectal (76872) |
$213 |
$213 |
1.8× |
| Us,transplanted kidney, real time/ doppler (76776) |
$300 |
$300 |
2.6× |
| Vertebral fracture assessment via dxa (77086) |
$180 |
$180 |
1.9× |
| Wrist 2 views (73100) |
$191 |
$191 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$363 |
$363 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$289 |
$289 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,154 |
$1,154 |
5.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$172 |
$172 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$350 |
$350 |
3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$375 |
$375 |
3.2× |
| X-ray exam of femur 2/> (73552) |
$350 |
$350 |
3.6× |
| X-ray eye for foreign body (70030) |
$251 |
$251 |
2.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$312 |
$312 |
3.2× |
| X-ray IV pyelogram (ivp) (74400) |
$598 |
$598 |
3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$155 |
$155 |
1.6× |
| X-ray leg, infant (73592) |
$169 |
$169 |
1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$394 |
$394 |
3.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$725 |
$725 |
6.2× |
| X-ray nose-rectum child f.b. (76010) |
$152 |
$152 |
1.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$392 |
$392 |
3.4× |
| X-ray retrograde pyelogram (74420) |
$461 |
$461 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$247 |
$247 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$350 |
$350 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$370 |
$370 |
3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$340 |
$340 |
2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$281 |
$281 |
2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$392 |
$392 |
4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$392 |
$392 |
3.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$312 |
$312 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$243.50 |
$243.50 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$210 |
$210 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$271 |
$271 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$237 |
$237 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$535 |
$535 |
4.6× |
| Xr bone length studies (77073) |
$372 |
$372 |
3.2× |
| Xr c-spine 4 or 5 views (72050) |
$555 |
$555 |
4.8× |
| Xr c-spine 6 or more views (72052) |
$681 |
$681 |
5.8× |
| Xr urogram antegrade (74425) |
$702 |
$702 |
1.8× |