| Ankle 2 views (73600) |
— |
$68 |
— |
| Clavicle complete (73000) |
— |
$71.75 |
— |
| Foot 2 views (73620) |
— |
$62.50 |
— |
| Forearm 2 views (73090) |
— |
$69.50 |
— |
| Hand 2 views (73120) |
— |
$64 |
— |
| Knee 3 Views (73562) |
— |
$98 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$77 |
— |
| Radex Ankle Complete Minimum 3 Views (73610) |
— |
$81.75 |
— |
| Radex Calcaneus Minimum 2 Views (73650) |
— |
$67.25 |
— |
| Radex elbow complete minimum 3 views (73080) |
— |
$81.75 |
— |
| Radex fingr minimum 2 views (73140) |
— |
$58.75 |
— |
| Radex foot complete minimum 3 views (73630) |
— |
$76.25 |
— |
| Radex Hand Minimum 3 Views (73130) |
— |
$76.25 |
— |
| Radex lower extremity infant minimum 2 views (73592) |
— |
$78 |
— |
| Radex Ribs Unilateral 2 Views (71100) |
— |
$100 |
— |
| Radex shoulder complete minimum 2 views (73030) |
— |
$84.75 |
— |
| Radex Spine 1 View Specify Level (72020) |
— |
$64 |
— |
| Radex Sternum Minimum 2 Views (71120) |
— |
$90 |
— |
| Radex Toe Minimum 2 Views (73660) |
— |
$60.25 |
— |
| Radex upper extremity infant minimum 2 views (73092) |
— |
$65.75 |
— |
| Radex Wrist Complete Minimum 3 Views (73110) |
— |
$74.75 |
— |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
— |
$110 |
— |
| Radiologic exam knee complete 4/more views (73564) |
— |
$100 |
— |
| Radiologic exam pelvis compl minimum 3 views (72190) |
— |
$102.25 |
— |
| Radiologic examination femur 1 view (73551) |
— |
$85 |
— |
| Radiologic examination femur minimum 2 views (73552) |
— |
$50 |
— |
| Radiologic examination knee 1/2 views (73560) |
— |
$74.75 |
— |
| Radiologic examination tibia & fibula 2 views (73590) |
— |
$78 |
— |
| Ribs bilateral 3 views (71110) |
— |
$113.75 |
— |
| Scapula (73010) |
— |
$83.25 |
— |
| Shoulder 1 view (73020) |
— |
$71 |
— |
| Sternoclavicular joints (71130) |
— |
$90 |
— |
| Thoracic spine 2 views (72070) |
— |
$95.50 |
— |
| Thoracic spine 3 views (72072) |
— |
$106 |
— |
| Thoracolumbar 2 views (72080) |
— |
$97.75 |
— |
| Wrist 2 views (73100) |
— |
$67.25 |
— |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
— |
$88.25 |
— |
| X-Ray Bend Only L-S Spine (72120) |
— |
$125.25 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$69.50 |
— |
| X-Ray Exam Entire Spi 1 Vw (72081) |
— |
$60 |
— |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
— |
$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 2 Views (73521) |
— |
$50 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$60 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$70 |
— |
| X-Ray Exam L-S Spine Bending (72114) |
— |
$174.75 |
— |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
— |
$96.25 |
— |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
— |
$154.25 |
— |
| X-Ray Exam Unilat Ribs/Chest (71101) |
— |
$97 |
— |
| X-ray humerus (73060) |
— |
$77 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$81.75 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$93 |
— |
| 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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
— |
$78.50 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$84 |
— |
| X-ray thoracic spine 4 vw (72074) |
— |
$126 |
— |
| Xr c-spine 4 or 5 views (72050) |
— |
$129 |
— |