| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,579 |
$6,579 |
4.7× |
| Abdomen 1 View (74018) |
$317 |
$317 |
3.6× |
| Abdomen 2 views (74019) |
$412 |
$412 |
3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$2,505 |
$2,505 |
6.1× |
| Ankle 2 views (73600) |
$377 |
$377 |
4.2× |
| Arthrogram hip (73525) |
$793 |
$793 |
2.2× |
| Arthrogram Wrist (73115) |
$969 |
$969 |
2.7× |
| Basic radiation dosimetry calculation (77300) |
$546 |
$546 |
4.0× |
| Bone age studies (77072) |
$289 |
$289 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$1,999 |
$1,999 |
4.9× |
| Bone Imaging Limited Area (78300) |
$1,257 |
$1,257 |
3.1× |
| Bone Imaging Whole Body (78306) |
$1,936 |
$1,936 |
4.7× |
| Bone survey infant (77076) |
$432 |
$432 |
4.0× |
| Brachytx isodose complex (77318) |
$2,358 |
$2,358 |
6.2× |
| Chest 1 view (71045) |
$251 |
$251 |
2.8× |
| Chest 2 views (71046) |
$345 |
$345 |
3.9× |
| Chest 3 views (71047) |
$456 |
$456 |
5.1× |
| Chest 4 or more views (71048) |
$447 |
$447 |
4.2× |
| Clavicle complete (73000) |
$454 |
$454 |
5.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$522 |
$522 |
4.9× |
| Continuing medical physics consltj pr wk (77336) |
$769 |
$769 |
5.6× |
| Contrast X-Ray Bladder (74430) |
$554 |
$554 |
1.6× |
| Contrast X-Ray Of Knee Joint (73580) |
$1,140 |
$1,140 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,996 |
$4,996 |
14.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,441 |
$4,441 |
18.2× |
| CT abdomen w contrast (74160) |
$2,564 |
$2,564 |
14.3× |
| CT abdomen w wo contrast (74170) |
$3,009 |
$3,009 |
16.8× |
| CT abdomen w/o contrast (74150) |
$2,176 |
$2,176 |
20.4× |
| CT Angio Abdomen and Pelvis (74174) |
$5,009 |
$5,009 |
14.1× |
| CT Angio Chest (71275) |
$3,011 |
$3,011 |
16.8× |
| CT Angio Head (70496) |
$1,639 |
$1,639 |
9.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$5,508 |
$5,508 |
30.7× |
| CT Angio Neck (70498) |
$2,775 |
$2,775 |
15.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,827 |
$2,827 |
15.8× |
| CT cervical spine w/ contrast (72126) |
$3,770 |
$3,770 |
10.6× |
| CT cervical spine w/o contrast (72125) |
$2,822 |
$2,822 |
26.4× |
| CT cervical spine w/wo cont (72127) |
$4,310 |
$4,310 |
24.1× |
| CT chest w contrast (71260) |
$2,052 |
$2,052 |
11.5× |
| CT chest w/wo contrast (71270) |
$2,330 |
$2,330 |
13.0× |
| CT head/brain with contrast (70460) |
$1,941 |
$1,941 |
10.8× |
| CT head/brain without and with contrast (70470) |
$2,829 |
$2,829 |
15.8× |
| CT iac w contrast (70481) |
$3,918 |
$3,918 |
21.9× |
| CT l-spine w&w/o contrast (72133) |
$2,582 |
$2,582 |
14.4× |
| CT lower ext w/o (73700) |
$2,289 |
$2,289 |
21.4× |
| CT lower extremity w/contrast material (73701) |
$3,368 |
$3,368 |
18.8× |
| CT lumbar spine w contrast (72132) |
$2,375 |
$2,375 |
6.7× |
| CT lumbar spine w/o contrast (72131) |
$2,352 |
$2,352 |
22.0× |
| CT maxillofacial w contrast (70487) |
$3,046 |
$3,046 |
17.0× |
| CT maxillofacial wo contrast (70486) |
$2,371 |
$2,371 |
22.2× |
| CT neck tissue combo (70492) |
$3,605 |
$3,605 |
20.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$5,692 |
$5,692 |
31.8× |
| CT orbits w/o contrast (70480) |
$3,803 |
$3,803 |
35.6× |
| CT pelvis w&w/o contrast (72194) |
$2,374 |
$2,374 |
13.2× |
| CT pelvis w/o contrast (72192) |
$1,872 |
$1,872 |
17.5× |
| CT scan of leg combo (73702) |
$4,707 |
$4,707 |
26.3× |
| CT scans face/jaw combo (70488) |
$3,629 |
$3,629 |
20.3× |
| CT soft tissue neck w contrast (70491) |
$3,010 |
$3,010 |
16.8× |
| CT soft tissue neck w/o contrast (70490) |
$3,078 |
$3,078 |
28.8× |
| CT thoracic spine w contrast (72129) |
$3,036 |
$3,036 |
16.9× |
| CT thoracic spine w/o contrast (72128) |
$2,730 |
$2,730 |
25.6× |
| CT thoracic spine w/wo cont (72130) |
$3,471 |
$3,471 |
19.4× |
| CT thorax w/o contrast (71250) |
$1,693 |
$1,693 |
15.9× |
| CT upper ext wo (73200) |
$1,935 |
$1,935 |
18.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,394 |
$2,394 |
13.4× |
| CT upper extremity with contrast (73201) |
$2,192 |
$2,192 |
6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,769 |
$3,769 |
21.0× |
| Cta Abdomen (74175) |
$2,525 |
$2,525 |
14.1× |
| CTA pelvis (72191) |
$3,582 |
$3,582 |
20.0× |
| Diskography lumbar (72295) |
$1,543 |
$1,543 |
0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$421 |
$421 |
3.9× |
| Dxa Bone Density Axial (77080) |
$547 |
$547 |
5.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$314 |
$314 |
3.5× |
| Echograp Trans R Pros Study (76873) |
$856 |
$856 |
8.0× |
| Esophagram (74220) |
$642 |
$642 |
3.6× |
| Fetal Biophys Profile W/Nst (76818) |
$987 |
$987 |
9.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$731 |
$731 |
6.8× |
| Fluoroscopy up to 1 hr (76000) |
$692 |
$692 |
2.8× |
| Foot 2 views (73620) |
$390 |
$390 |
4.4× |
| Forearm 2 views (73090) |
$346 |
$346 |
3.9× |
| Gastric emptying imaging study (78264) |
$1,693 |
$1,693 |
4.1× |
| Gated Heart Planar Single (78472) |
$2,260 |
$2,260 |
5.5× |
| Hand 2 views (73120) |
$329 |
$329 |
3.1× |
| Hepatobil Syst Image W/Drug (78227) |
$2,168 |
$2,168 |
3.9× |
| Hepatobiliary System Imaging (78226) |
$1,730 |
$1,730 |
4.2× |
| Ht Muscle Image Spect Sing (78451) |
$1,900 |
$1,900 |
1.4× |
| Hysterosalpingogram (74740) |
$1,028 |
$1,028 |
4.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$742 |
$742 |
8.3× |
| Infusion Ivp (74410) |
$1,148 |
$1,148 |
6.4× |
| Interstitial radiation source applic complex (77778) |
$4,874 |
$4,874 |
6.8× |
| K Flow/Funct Image W/Drug (78708) |
$1,011 |
$1,011 |
1.8× |
| K Flow/Funct Image W/O Drug (78707) |
$1,135 |
$1,135 |
2.0× |
| Knee 3 Views (73562) |
$407 |
$407 |
4.6× |
| Lung Perf&Ventilat Diferentl (78598) |
$2,268 |
$2,268 |
4.1× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,412 |
$1,412 |
2.5× |
| Lymph System Imaging (78195) |
$1,875 |
$1,875 |
3.4× |
| Meckels Divert Exam (78290) |
$1,951 |
$1,951 |
4.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$275 |
$275 |
0.7× |
| Mra Head W/O & W/Contrast Material (70546) |
$4,485 |
$4,485 |
12.6× |
| MRA head w/o contrast (70544) |
$3,582 |
$3,582 |
14.7× |
| MRA head with contrast (70545) |
$4,236 |
$4,236 |
11.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,747 |
$3,747 |
10.5× |
| MRA neck w/o contrast (70547) |
$3,582 |
$3,582 |
14.7× |
| MRI abdomen w/o contrast (74181) |
$2,518 |
$2,518 |
10.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,892 |
$2,892 |
3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,270 |
$3,270 |
9.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,934 |
$2,934 |
3.7× |
| MRI Breast W/O Contrast Bilateral (77047) |
$3,666 |
$3,666 |
15.0× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$2,107 |
$2,107 |
8.6× |
| MRI cervical spine w contrast (72142) |
$3,626 |
$3,626 |
10.2× |
| MRI cervical spine w/o cont (72141) |
$3,116 |
$3,116 |
12.8× |
| MRI chest w/o contrast (71550) |
$3,886 |
$3,886 |
15.9× |
| MRI chest wo w contrast (71552) |
$5,227 |
$5,227 |
14.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,686 |
$2,686 |
7.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,096 |
$3,096 |
8.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,195 |
$2,195 |
9.0× |
| MRI lumbar spine w contrast (72149) |
$3,250 |
$3,250 |
9.1× |
| Mri Neck Spine W/O & W/Dye (72156) |
$3,577 |
$3,577 |
10.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,582 |
$3,582 |
14.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,998 |
$3,998 |
11.2× |
| MRI pelvis w/o & w contrast (72197) |
$4,839 |
$4,839 |
13.6× |
| MRI pelvis w/o contrast (72195) |
$3,527 |
$3,527 |
14.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,036 |
$3,036 |
12.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,694 |
$2,694 |
11.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,770 |
$3,770 |
10.6× |
| MRI, abdomen, combo (74183) |
$3,407 |
$3,407 |
9.6× |
| MRI, dorsal spine combo (72157) |
$3,487 |
$3,487 |
9.8× |
| MRI, dorsal spine contrast (72147) |
$3,729 |
$3,729 |
10.5× |
| MRI, joint upper extrem (73221) |
$2,540 |
$2,540 |
10.4× |
| MRI, joint upper extrem combo (73223) |
$3,656 |
$3,656 |
10.3× |
| MRI, lumbar spine combo (72158) |
$3,547 |
$3,547 |
10.0× |
| Myelogram Lumbar (72265) |
$2,101 |
$2,101 |
2.6× |
| Myelography thoracic (72255) |
$611 |
$611 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$3,306 |
$3,306 |
2.5× |
| Neck soft tissue (70360) |
$348 |
$348 |
3.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,554 |
$8,554 |
6.0× |
| Nuclear Rx Oral Admin (79005) |
$1,634 |
$1,634 |
6.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$469 |
$469 |
4.4× |
| Panoramic X-ray of jaws (70355) |
$406 |
$406 |
4.6× |
| Parathyroid Planar Imaging (78070) |
$1,609 |
$1,609 |
3.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,900 |
$1,900 |
4.7× |
| Pelvis 1 or 2 views (72170) |
$432 |
$432 |
4.0× |
| PET image w/CT, full body (78816) |
$7,825 |
$7,825 |
5.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$7,654 |
$7,654 |
5.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$989 |
$989 |
2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$520 |
$520 |
4.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$346 |
$346 |
3.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$302 |
$302 |
3.4× |
| Radex elbow complete minimum 3 views (73080) |
$405 |
$405 |
4.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$550 |
$550 |
5.1× |
| Radex fingr minimum 2 views (73140) |
$303 |
$303 |
3.4× |
| Radex foot complete minimum 3 views (73630) |
$346 |
$346 |
3.9× |
| Radex Hand Minimum 3 Views (73130) |
$313 |
$313 |
3.5× |
| Radex lower extremity infant minimum 2 views (73592) |
$341 |
$341 |
3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$427 |
$427 |
4.8× |
| Radex Ribs Unilateral 2 Views (71100) |
$337 |
$337 |
3.8× |
| Radex shoulder complete minimum 2 views (73030) |
$402 |
$402 |
4.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$474 |
$474 |
5.3× |
| Radex Spine 1 View Specify Level (72020) |
$351 |
$351 |
3.9× |
| Radex Sternum Minimum 2 Views (71120) |
$617 |
$617 |
6.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$394 |
$394 |
4.4× |
| Radex Toe Minimum 2 Views (73660) |
$304 |
$304 |
3.4× |
| Radex upper extremity infant minimum 2 views (73092) |
$341 |
$341 |
3.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$353 |
$353 |
4.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$23,569 |
$23,569 |
3.1× |
| Radiation treatment delivery level 3 (77412) |
$624 |
$624 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$626 |
$626 |
5.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$387 |
$387 |
3.6× |
| Radiologic exam colon double contrast study (74280) |
$1,034 |
$1,034 |
5.8× |
| Radiologic exam colon single contrast study (74270) |
$751 |
$751 |
4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$642 |
$642 |
3.6× |
| Radiologic exam knee complete 4/more views (73564) |
$426 |
$426 |
4.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$545 |
$545 |
5.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$756 |
$756 |
4.2× |
| Radiologic exam swallow function contrast study (74230) |
$500 |
$500 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,347 |
$1,347 |
7.5× |
| Radiologic examination femur 1 view (73551) |
$334 |
$334 |
3.8× |
| Radiologic examination femur minimum 2 views (73552) |
$365 |
$365 |
4.1× |
| Radiologic examination knee 1/2 views (73560) |
$325 |
$325 |
3.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$374 |
$374 |
4.2× |
| Ribs bilateral 3 views (71110) |
$590 |
$590 |
5.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,033 |
$2,033 |
5.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$3,773 |
$3,773 |
6.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,397 |
$2,397 |
4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,838 |
$2,838 |
5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,163 |
$3,163 |
2.4× |
| Scapula (73010) |
$433 |
$433 |
4.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$27 |
$27 |
1.2× |
| Shoulder 1 view (73020) |
$267 |
$267 |
3.0× |
| Shoulder Arthrography (73040) |
$1,307 |
$1,307 |
3.7× |
| Skull less than 4 views (70250) |
$470 |
$470 |
4.4× |
| Special dosimetry (77331) |
$334 |
$334 |
2.4× |
| Special Physics Consult (77370) |
$864 |
$864 |
6.3× |
| Special treatment procedure (77470) |
$3,100 |
$3,100 |
5.5× |
| Stereotactic Body Radiation Delivery (77373) |
$7,117 |
$7,117 |
3.9× |
| Sternoclavicular joints (71130) |
$257 |
$257 |
2.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,078 |
$1,078 |
2.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,558 |
$2,558 |
6.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$1,830 |
$1,830 |
4.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,289 |
$1,289 |
9.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$764 |
$764 |
4.3× |
| Thoracic spine 2 views (72070) |
$496 |
$496 |
4.6× |
| Thoracic spine 3 views (72072) |
$617 |
$617 |
5.8× |
| Thoracolumbar 2 views (72080) |
$587 |
$587 |
6.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,069 |
$1,069 |
2.6× |
| Thyroid Met Imaging Body (78018) |
$2,246 |
$2,246 |
4.0× |
| Thyroid Uptake Measurement (78012) |
$1,343 |
$1,343 |
3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,343 |
$1,343 |
3.3× |
| Tx Devices Design & Construction Complex (77334) |
$1,335 |
$1,335 |
3.5× |
| Tx devices design & construction simple (77332) |
$447 |
$447 |
3.3× |
| Ultrasound Breast Limited (76642) |
$490 |
$490 |
5.5× |
| Ultrasound elastography first target lesion (76982) |
$358 |
$358 |
3.4× |
| Ultrasound Elastography Parenchyma (76981) |
$689 |
$689 |
6.5× |
| Ultrasound Exam Aaa Screen (76706) |
$876 |
$876 |
8.2× |
| Ultrasound, abdomen limited (76705) |
$689 |
$689 |
6.5× |
| Umbilical-artery Doppler (OB) (76820) |
$504 |
$504 |
4.7× |
| Unlisted us procedure (76999) |
$471 |
$471 |
5.3× |
| Upper gi w/o kub (74240) |
$1,135 |
$1,135 |
6.3× |
| Urethrocystogram voiding (74455) |
$916 |
$916 |
3.8× |
| Urethrocystography retrograde (74450) |
$952 |
$952 |
3.9× |
| Us breast unilateral complete (76641) |
$540 |
$540 |
5.1× |
| Us chest (76604) |
$522 |
$522 |
4.9× |
| Us complete joint (76881) |
$733 |
$733 |
6.9× |
| Us exam, pelvic, limited (76857) |
$654 |
$654 |
6.1× |
| Us kidney transplant (76776) |
$819 |
$819 |
7.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$545 |
$545 |
5.1× |
| Us ob detailed single fetus (76811) |
$1,124 |
$1,124 |
4.6× |
| Us ob limited 1 or more fetuses (76815) |
$530 |
$530 |
5.0× |
| Us ob transvaginal (76817) |
$844 |
$844 |
7.9× |
| Us pelvic non ob complete (76856) |
$1,053 |
$1,053 |
9.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$854 |
$854 |
8.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$611 |
$611 |
5.7× |
| Us retroperitoneal complete (76770) |
$946 |
$946 |
8.9× |
| Us retroperitoneal limited (76775) |
$622 |
$622 |
5.8× |
| Us scrotum and contents (76870) |
$697 |
$697 |
6.5× |
| Us spinal canal and contents (76800) |
$720 |
$720 |
6.7× |
| Us thyroid (76536) |
$802 |
$802 |
7.5× |
| Us transrectal (76872) |
$713 |
$713 |
6.7× |
| Venogram Sinus/Jugular (75860) |
$3,554 |
$3,554 |
1.1× |
| Wrist 2 views (73100) |
$313 |
$313 |
3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$441 |
$441 |
5.0× |
| X-ray antegrade pyelogram tube (74425) |
$1,038 |
$1,038 |
2.9× |
| X-Ray Bend Only L-S Spine (72120) |
$471 |
$471 |
4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$314 |
$314 |
3.5× |
| X-Ray Exam Breast Specimen (76098) |
$620 |
$620 |
1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$564 |
$564 |
6.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$559 |
$559 |
5.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$645 |
$645 |
6.0× |
| X-Ray Exam Hip Uni 1 View (73501) |
$266 |
$266 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$289 |
$289 |
3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$553 |
$553 |
5.2× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$439 |
$439 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$355 |
$355 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$718 |
$718 |
6.7× |
| X-Ray Exam L-S Spine Bending (72114) |
$679 |
$679 |
6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$439 |
$439 |
4.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$1,041 |
$1,041 |
9.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$399 |
$399 |
3.7× |
| X-ray eye for foreign body (70030) |
$314 |
$314 |
3.5× |
| X-ray humerus (73060) |
$346 |
$346 |
3.9× |
| X-ray IV pyelogram (ivp) (74400) |
$1,025 |
$1,025 |
5.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$508 |
$508 |
5.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$375 |
$375 |
4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$476 |
$476 |
4.5× |
| X-ray nose-rectum child f.b. (76010) |
$245 |
$245 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$614 |
$614 |
5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$416 |
$416 |
3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$383 |
$383 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$353 |
$353 |
4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$538 |
$538 |
6.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$791 |
$791 |
7.4× |
| X-ray thoracic spine 4 vw (72074) |
$549 |
$549 |
5.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,010 |
$1,010 |
2.8× |
| X-Rays Bone Length Studies (77073) |
$442 |
$442 |
4.1× |
| X-Rays Bone Survey Complete (77075) |
$798 |
$798 |
7.5× |
| Xr c-spine 4 or 5 views (72050) |
$780 |
$780 |
7.3× |
| Xr facial bones less than 3 views (70140) |
$547 |
$547 |
6.2× |
| Xr orbits complete 4 views (70200) |
$489 |
$489 |
4.6× |
| Xr Tomogram Single Plane (76100) |
$970 |
$970 |
9.1× |