| Abdomen 2 views (74019) |
$336.21 |
$336.21 |
3.3× |
| Ankle 2 views (73600) |
$401.10 |
$401.10 |
4.8× |
| Arthrogram elbow (73085) |
$917 |
$917 |
2.7× |
| Arthrogram hip (73525) |
$673.05 |
$673.05 |
2.0× |
| Arthrogram shoulder (73040) |
$673.05 |
$673.05 |
2.0× |
| Arthrogram wrist (73115) |
$673.05 |
$673.05 |
2.0× |
| Arthrography knee lt (73580) |
$673.05 |
$673.05 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,702.05 |
$1,702.05 |
4.4× |
| Bone &/joint imaging whole body (78306) |
$2,883.30 |
$2,883.30 |
7.5× |
| Bone age studies (77072) |
$336.21 |
$336.21 |
3.3× |
| Bone Imaging 3 Phase (78315) |
$2,920.05 |
$2,920.05 |
7.6× |
| Bone survey complete (77075) |
$336.21 |
$336.21 |
3.3× |
| Cervical spine 2 or 3 views (72040) |
$239.40 |
$239.40 |
2.9× |
| Chest 1 view (71045) |
$239.40 |
$239.40 |
2.9× |
| Chest 3 views (71047) |
$479.18 |
$479.18 |
5.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$546.60 |
$546.60 |
3.2× |
| Clavicle complete (73000) |
$362.25 |
$362.25 |
4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$229.89 |
$229.89 |
2.3× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$546.60 |
$546.60 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,318 |
$4,318 |
12.8× |
| CT abdomen and pelvis without contrast (74176) |
$2,392 |
$2,392 |
10.4× |
| CT abdomen w contrast (74160) |
$1,727.25 |
$1,727.25 |
10.2× |
| CT abdomen w wo contrast (74170) |
$2,329.95 |
$2,329.95 |
13.8× |
| CT abdomen w/o contrast (74150) |
$1,570.80 |
$1,570.80 |
15.6× |
| CT angiography upper extremity lt (73206) |
$1,630.65 |
$1,630.65 |
9.6× |
| CT c-spine w/o contrast (72125) |
$1,739.85 |
$1,739.85 |
17.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,601 |
$1,601 |
9.5× |
| CT cervical spine with contrast (72126) |
$1,836.45 |
$1,836.45 |
5.5× |
| CT chest w/wo contrast (71270) |
$2,423.40 |
$2,423.40 |
14.3× |
| CT chest with contrast (71260) |
$1,834.35 |
$1,834.35 |
10.8× |
| CT head/brain with contrast (70460) |
$4,148.50 |
$4,148.50 |
24.5× |
| CT head/brain without and with contrast (70470) |
$2,411 |
$2,411 |
14.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$192 |
$192 |
2.3× |
| CT iac w contrast (70481) |
$1,298.85 |
$1,298.85 |
7.7× |
| CT lower ext w/o (73700) |
$1,365 |
$1,365 |
13.5× |
| CT lower extremity w wo contrast (73702) |
$1,559.25 |
$1,559.25 |
9.2× |
| CT lower extremity with contrast (73701) |
$1,559.25 |
$1,559.25 |
9.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,634.98 |
$2,634.98 |
15.6× |
| CT lumbar spine w/o contrast (72131) |
$1,756.65 |
$1,756.65 |
17.4× |
| CT lumbar spine with contrast (72132) |
$1,892.10 |
$1,892.10 |
5.6× |
| CT maxillofacial w contrast (70487) |
$1,426.95 |
$1,426.95 |
8.4× |
| CT maxillofacial w/o contrast (70486) |
$1,257.90 |
$1,257.90 |
12.5× |
| CT maxillofacial w/wo contrast (70488) |
$2,027 |
$2,027 |
12.0× |
| CT neck soft tissue w contrast (70491) |
$1,593.90 |
$1,593.90 |
9.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,691.55 |
$1,691.55 |
10.0× |
| CT orbits w/o contrast (70480) |
$1,127.70 |
$1,127.70 |
11.2× |
| CT pelvis w & w/o contrast (72194) |
$2,219.70 |
$2,219.70 |
13.1× |
| CT pelvis w/o contrast (72192) |
$1,414.35 |
$1,414.35 |
14.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,774.50 |
$1,774.50 |
10.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,142.40 |
$1,142.40 |
11.3× |
| CT thoracic spine w/contrast (72129) |
$1,403.85 |
$1,403.85 |
8.3× |
| CT thoracic spine w/o contrast (72128) |
$1,275.75 |
$1,275.75 |
12.6× |
| CT thorax w/o contrast (71250) |
$1,681.05 |
$1,681.05 |
16.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,559.25 |
$1,559.25 |
9.2× |
| CT upper extremity w/o contrast rt (73200) |
$827.40 |
$827.40 |
8.2× |
| CT upper extremity with contrast (73201) |
$993.30 |
$993.30 |
3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,963.75 |
$3,963.75 |
23.4× |
| Cta Abdomen (74175) |
$2,514.02 |
$2,514.02 |
14.9× |
| CTA abdomen pelvis (74174) |
$3,964 |
$3,964 |
11.8× |
| CTA chest (71275) |
$2,450.50 |
$2,450.50 |
14.5× |
| Cta Head (70496) |
$1,843.80 |
$1,843.80 |
10.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,630.65 |
$1,630.65 |
9.6× |
| Cta Neck (70498) |
$2,275.35 |
$2,275.35 |
13.4× |
| Cystography minimum 3 views rs&i (74430) |
$1,145.43 |
$1,145.43 |
3.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$336.21 |
$336.21 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$239.40 |
$239.40 |
2.9× |
| Esophagus (74220) |
$546.60 |
$546.60 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$506.10 |
$506.10 |
5.0× |
| Foot 2 views (73620) |
$370.65 |
$370.65 |
4.4× |
| Forearm 2 views (73090) |
$315.79 |
$315.79 |
3.8× |
| Hand 2 views (73120) |
$328.65 |
$328.65 |
3.3× |
| Hand 3 views (73130) |
$442.05 |
$442.05 |
5.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,598.75 |
$2,598.75 |
6.7× |
| Humerus Min 2 Views Left (73060) |
$315.79 |
$315.79 |
3.8× |
| Hysterosalpingogram (74740) |
$699.03 |
$699.03 |
3.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$336.21 |
$336.21 |
3.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,268 |
$2,268 |
4.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,844.85 |
$1,844.85 |
3.5× |
| Knee 3 views (73562) |
$548.10 |
$548.10 |
6.5× |
| Lymphoscintigraphy (78195) |
$2,108.40 |
$2,108.40 |
4.0× |
| Meckels Diverticulum (78290) |
$1,833.30 |
$1,833.30 |
4.8× |
| MRA head w & w/o contrast (70546) |
$3,193 |
$3,193 |
9.5× |
| MRA head w/o contrast (70544) |
$2,965.20 |
$2,965.20 |
12.9× |
| MRA head with contrast (70545) |
$2,965.20 |
$2,965.20 |
8.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,520.65 |
$3,520.65 |
10.5× |
| MRA neck w/o contrast (70547) |
$2,647.05 |
$2,647.05 |
11.5× |
| MRI abdomen w contrast (74182) |
$3,522.75 |
$3,522.75 |
10.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,053 |
$4,053 |
12.0× |
| MRI abdomen w/o contrast (74181) |
$2,935.80 |
$2,935.80 |
12.8× |
| MRI any jnt lwr ext with con lt (73722) |
$2,894.85 |
$2,894.85 |
3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,290.70 |
$3,290.70 |
4.4× |
| MRI c-spine with contrast (72142) |
$3,787.35 |
$3,787.35 |
11.3× |
| MRI cervical spine w/o contrast (72141) |
$3,442.95 |
$3,442.95 |
15.0× |
| MRI chest w/o & w/contrast material (71552) |
$3,847.20 |
$3,847.20 |
11.4× |
| MRI chest w/o contrast (71550) |
$2,786.70 |
$2,786.70 |
12.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,867.55 |
$2,867.55 |
8.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,968.35 |
$2,968.35 |
8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,698.50 |
$2,698.50 |
11.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,326.80 |
$2,326.80 |
10.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,895.50 |
$3,895.50 |
11.6× |
| MRI orbit/face/neck w/contrast (70542) |
$2,974.13 |
$2,974.13 |
8.8× |
| MRI pelvis w contrast (72196) |
$3,619.35 |
$3,619.35 |
10.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,340.70 |
$4,340.70 |
12.9× |
| MRI pelvis w/o contrast (72195) |
$2,241.74 |
$2,241.74 |
9.7× |
| MRI scan of arm joint before and after contrast (73223) |
$3,688.65 |
$3,688.65 |
11.0× |
| MRI scan of leg joint before and after contrast (73723) |
$3,633 |
$3,633 |
10.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,527.60 |
$4,527.60 |
13.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,924.90 |
$3,924.90 |
11.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,688.25 |
$4,688.25 |
13.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,132.80 |
$4,132.80 |
12.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,580.10 |
$4,580.10 |
13.6× |
| MRI thoracic spine w/o contrast (72146) |
$3,756.90 |
$3,756.90 |
16.3× |
| MRI upper ext joint w/o contrast (73221) |
$2,991.45 |
$2,991.45 |
13.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,286.50 |
$3,286.50 |
9.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,607.15 |
$2,607.15 |
11.3× |
| Myocardial Spect Multiple Studies (78452) |
$5,420.10 |
$5,420.10 |
4.3× |
| Neck soft tissue (70360) |
$239.40 |
$239.40 |
2.9× |
| Nm gastric emptying study (78264) |
$2,329.95 |
$2,329.95 |
6.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$370.65 |
$370.65 |
3.7× |
| Osseous survey infant (77076) |
$336.21 |
$336.21 |
3.3× |
| Parathyroid imaging (78070) |
$1,948.80 |
$1,948.80 |
5.1× |
| Pelvis 1 or 2 views (72170) |
$336.21 |
$336.21 |
3.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,323.25 |
$3,323.25 |
9.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,259.60 |
$2,259.60 |
5.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,729.35 |
$1,729.35 |
3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,444.59 |
$1,444.59 |
2.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$535.50 |
$535.50 |
6.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$535.50 |
$535.50 |
5.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$336.21 |
$336.21 |
3.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$336.21 |
$336.21 |
3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$336.21 |
$336.21 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$339.59 |
$339.59 |
4.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$325 |
$325 |
3.9× |
| Radiologic exam colon single contrast study (74270) |
$546.60 |
$546.60 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$546.60 |
$546.60 |
3.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$546.60 |
$546.60 |
3.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$329.18 |
$329.18 |
3.9× |
| Radiological examination surgical specimen (76098) |
$1,181.25 |
$1,181.25 |
2.2× |
| Ribs bilateral 3 views (71110) |
$336.21 |
$336.21 |
3.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,606.23 |
$2,606.23 |
5.0× |
| Sacroiliac Joints < 3 Views (72200) |
$393.75 |
$393.75 |
3.9× |
| Scanogram (77073) |
$336.21 |
$336.21 |
3.3× |
| Scapula complete (73010) |
$416.85 |
$416.85 |
4.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$336.21 |
$336.21 |
3.3× |
| Small bowel series (74250) |
$546.60 |
$546.60 |
3.2× |
| Spine thoracic 3 views (72072) |
$336.21 |
$336.21 |
3.3× |
| Therapeutic Enema (74283) |
$546.60 |
$546.60 |
3.2× |
| Thoracolumbar 2 views (72080) |
$239.40 |
$239.40 |
2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,145.15 |
$2,145.15 |
5.6× |
| Ultrasound, abdomen limited (76705) |
$724.50 |
$724.50 |
7.2× |
| Upper Extremity Infant (73092) |
$237.04 |
$237.04 |
2.4× |
| Urethrocystography retrograde rs&i (74450) |
$699.03 |
$699.03 |
3.0× |
| Urethrocystography voiding (74455) |
$699.03 |
$699.03 |
3.0× |
| Us abdl aorta screen aaa (76706) |
$332.85 |
$332.85 |
3.3× |
| Us breast unilateral complete (76641) |
$499.80 |
$499.80 |
5.0× |
| Us breast unilateral limited (76642) |
$434.96 |
$434.96 |
5.2× |
| Us chest (76604) |
$499.80 |
$499.80 |
5.0× |
| Us compl joint r-t w/image documentation (76881) |
$660.45 |
$660.45 |
6.5× |
| Us infant hips dynamic (76885) |
$499.29 |
$499.29 |
5.9× |
| Us infant hips limited static (76886) |
$239.40 |
$239.40 |
2.9× |
| Us ob transvaginal (76817) |
$547.05 |
$547.05 |
5.4× |
| Us pelvic non ob complete (76856) |
$761.25 |
$761.25 |
7.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$579.60 |
$579.60 |
5.7× |
| Us pregnancy ltd (76815) |
$519.75 |
$519.75 |
5.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$505.05 |
$505.05 |
5.0× |
| Us retroperitoneal complete (76770) |
$956.55 |
$956.55 |
9.5× |
| Us retroperitoneal limited (76775) |
$354.90 |
$354.90 |
3.5× |
| Us scrotum and contents (76870) |
$675.15 |
$675.15 |
6.7× |
| Us soft tissue head/neck (76536) |
$676.20 |
$676.20 |
6.7× |
| Us spinal canal and contents (76800) |
$545 |
$545 |
5.4× |
| Us xtr non-vasc lmtd (76882) |
$582.75 |
$582.75 |
5.8× |
| Wrist 2 views (73100) |
$320.25 |
$320.25 |
3.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$522.90 |
$522.90 |
6.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$546.60 |
$546.60 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$401.10 |
$401.10 |
4.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$537.60 |
$537.60 |
6.4× |
| X-ray exam hip uni 1 view (73501) |
$240.45 |
$240.45 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$385.35 |
$385.35 |
4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$337.62 |
$337.62 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$336.21 |
$336.21 |
3.3× |
| X-ray exam of femur 1 (73551) |
$226.23 |
$226.23 |
2.7× |
| X-ray eye for foreign body (70030) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$416.85 |
$416.85 |
5.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$444.15 |
$444.15 |
5.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$330.75 |
$330.75 |
3.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$546.60 |
$546.60 |
3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$597.45 |
$597.45 |
5.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$321.05 |
$321.05 |
3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,145.43 |
$1,145.43 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$535.50 |
$535.50 |
6.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$590.10 |
$590.10 |
5.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$385.35 |
$385.35 |
3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$551.25 |
$551.25 |
6.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$239.40 |
$239.40 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$336.21 |
$336.21 |
3.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$334.95 |
$334.95 |
4.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$430.50 |
$430.50 |
5.1× |
| Xr arthrogram ankle (73615) |
$585.62 |
$585.62 |
1.7× |
| Xr c-spine 6 or more views (72052) |
$336.21 |
$336.21 |
3.3× |
| Xr chest 4+ views (71048) |
$336.21 |
$336.21 |
3.3× |
| Xr finger(s) 2+ views (73140) |
$380.10 |
$380.10 |
4.5× |
| XR Mastoids < 3 Views Bilateral (70120) |
$336.21 |
$336.21 |
3.3× |
| Xr shoulder 1 view (73020) |
$238.88 |
$238.88 |
2.8× |
| Xr spine cervical 4 or 5 views (72050) |
$336.21 |
$336.21 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$315.79 |
$315.79 |
3.8× |
| Xr tmj bilateral (70330) |
$239.40 |
$239.40 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$429.45 |
$429.45 |
5.1× |