| Ankle 2 views (73600) |
— |
$68 |
— |
| Cervical spine 2 or 3 views (72040) |
— |
$96.25 |
— |
| Clavicle complete (73000) |
— |
$71.75 |
— |
| Foot 2 views (73620) |
— |
$62.50 |
— |
| Forearm 2 views (73090) |
— |
$69.50 |
— |
| Hand 2 views (73120) |
— |
$64 |
— |
| Hand 3 views (73130) |
— |
$76.25 |
— |
| Humerus Min 2 Views Left (73060) |
— |
$77 |
— |
| Knee 3 views (73562) |
— |
$98 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$77 |
— |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
— |
$60 |
— |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
— |
$75 |
— |
| Radex hips bilateral with pelvis 2 views (73521) |
— |
$50 |
— |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
— |
$110 |
— |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
— |
$50 |
— |
| Ribs bilateral 3 views (71110) |
— |
$113.75 |
— |
| Sacroiliac Joints < 3 Views (72200) |
— |
$78.50 |
— |
| Scapula complete (73010) |
— |
$83.25 |
— |
| Spine thoracic 3 views (72072) |
— |
$106 |
— |
| Thoracolumbar 2 views (72080) |
— |
$97.75 |
— |
| Upper Extremity Infant (73092) |
— |
$65.75 |
— |
| Wrist 2 views (73100) |
— |
$67.25 |
— |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
— |
$88.25 |
— |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
— |
$81.75 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$69.50 |
— |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
— |
$81.75 |
— |
| X-ray exam entire spi 4/5 vw (72083) |
— |
$80 |
— |
| X-ray exam hip uni 1 view (73501) |
— |
$40 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$55 |
— |
| X-ray exam hip uni 4/> views (73503) |
— |
$60 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$60 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$70 |
— |
| X-ray exam of femur 1 (73551) |
— |
$85 |
— |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
— |
$76.25 |
— |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
— |
$67.25 |
— |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
— |
$100 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$81.75 |
— |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
— |
$78 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$93 |
— |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
— |
$174.75 |
— |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
— |
$125.25 |
— |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
— |
$102.25 |
— |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
— |
$100 |
— |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
— |
$97 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$130.50 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$94 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$84 |
— |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
— |
$84.75 |
— |
| X-Ray Spine One View - Xr Spine (72020) |
— |
$64 |
— |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
— |
$90 |
— |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
— |
$90 |
— |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
— |
$95.50 |
— |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
— |
$126 |
— |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
— |
$60.25 |
— |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
— |
$74.75 |
— |
| Xr c-spine 6 or more views (72052) |
— |
$154.25 |
— |
| Xr finger(s) 2+ views (73140) |
— |
$58.75 |
— |
| Xr shoulder 1 view (73020) |
— |
$71 |
— |
| Xr spine cervical 4 or 5 views (72050) |
— |
$129 |
— |
| Xr tibia/fibula 2 views (73590) |
— |
$78 |
— |
| Xray knee 1 or 2 views rt (73560) |
— |
$74.75 |
— |