| Abdomen 2 views (74019) |
$23.18 |
$122 |
0.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$324.52 |
$1,708 |
0.9× |
| Angiography extremity bilateral rs&i (75716) |
$1,999.75 |
$10,525 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,161.63 |
$11,377 |
0.8× |
| Angiography internal mammary rs&i (75756) |
$562.21 |
$2,959 |
0.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$2,458.41 |
$12,939 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,018.18 |
$10,622 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,006.21 |
$10,559 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,156.25 |
$21,875 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$780.14 |
$4,106 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$762.66 |
$4,014 |
0.3× |
| Ankle 2 views (73600) |
$46.74 |
$246 |
0.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$232.56 |
$1,224 |
0.7× |
| Aortogram thoracic (75605) |
$2,317.24 |
$12,196 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,409.96 |
$12,684 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$2,352.39 |
$12,381 |
0.8× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,646.70 |
$13,930 |
0.9× |
| Arthrogram elbow (73085) |
$316.16 |
$1,664 |
1.0× |
| Arthrogram hip (73525) |
$330.03 |
$1,737 |
1.1× |
| Arthrogram shoulder (73040) |
$288.23 |
$1,517 |
0.9× |
| Arthrogram wrist (73115) |
$308.37 |
$1,623 |
1.0× |
| Arthrography knee lt (73580) |
$347.70 |
$1,830 |
1.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$369.55 |
$1,945 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$289.56 |
$1,524 |
0.8× |
| Bone age studies (77072) |
$41.80 |
$220 |
0.4× |
| Bone Imaging 3 Phase (78315) |
$308.18 |
$1,622 |
0.9× |
| Bone survey complete (77075) |
$200.26 |
$1,054 |
2.1× |
| Brain image w/flow 4 + views (78606) |
$553.09 |
$2,911 |
1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$869.06 |
$4,574 |
0.7× |
| Cervical spine 2 or 3 views (72040) |
$54.53 |
$287 |
0.7× |
| Chest 1 view (71045) |
$46.74 |
$246 |
0.6× |
| Chest 3 views (71047) |
$53.58 |
$282 |
0.7× |
| Clavicle complete (73000) |
$56.05 |
$295 |
0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$270.94 |
$1,426 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$662.72 |
$3,488 |
2.1× |
| CT abdomen and pelvis without contrast (74176) |
$574.18 |
$3,022 |
2.7× |
| CT abdomen w contrast (74160) |
$365.56 |
$1,924 |
2.3× |
| CT abdomen w wo contrast (74170) |
$432.63 |
$2,277 |
2.8× |
| CT abdomen w/o contrast (74150) |
$325.09 |
$1,711 |
3.5× |
| CT angio hrt w/3d image (75574) |
$372.97 |
$1,963 |
1.2× |
| CT angiography upper extremity lt (73206) |
$412.68 |
$2,172 |
2.6× |
| CT c-spine w/o contrast (72125) |
$290.51 |
$1,529 |
3.1× |
| CT chest w/wo contrast (71270) |
$365.56 |
$1,924 |
2.3× |
| CT chest with contrast (71260) |
$345.04 |
$1,816 |
2.2× |
| CT head/brain with contrast (70460) |
$327.37 |
$1,723 |
2.1× |
| CT head/brain without and with contrast (70470) |
$417.24 |
$2,196 |
2.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$226.67 |
$1,193 |
0.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$56.05 |
$295 |
0.7× |
| CT iac w contrast (70481) |
$387.03 |
$2,037 |
2.5× |
| CT limited/localized follow up study (76380) |
$76 |
$400 |
1.0× |
| CT lower ext w/o (73700) |
$127.40 |
$670.50 |
1.4× |
| CT lower extremity w wo contrast (73702) |
$319.01 |
$1,679 |
2.0× |
| CT lower extremity with contrast (73701) |
$335.16 |
$1,764 |
2.1× |
| CT lumbar spine w/o contrast (72131) |
$344.66 |
$1,814 |
3.7× |
| CT maxillofacial w/o contrast (70486) |
$305.90 |
$1,610 |
3.3× |
| CT neck soft tissue w contrast (70491) |
$308.37 |
$1,623 |
2.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$150.86 |
$794 |
1.0× |
| CT orbits w/o contrast (70480) |
$101.65 |
$535 |
1.1× |
| CT pelvis w & w/o contrast (72194) |
$181.07 |
$953 |
1.2× |
| CT pelvis w/o contrast (72192) |
$292.41 |
$1,539 |
3.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$339.53 |
$1,787 |
2.2× |
| CT soft tissue neck w/o contrast (70490) |
$305.52 |
$1,608 |
3.3× |
| CT thoracic spine w/o contrast (72128) |
$366.89 |
$1,931 |
3.9× |
| CT thorax w/o contrast (71250) |
$270.94 |
$1,426 |
2.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$319.96 |
$1,684 |
2.0× |
| CT upper extremity w/o contrast rt (73200) |
$596.60 |
$3,140 |
6.4× |
| CT upper extremity with contrast (73201) |
$345.80 |
$1,820 |
1.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$702.24 |
$3,696 |
4.5× |
| Cta Abdomen (74175) |
$468.92 |
$2,468 |
3.0× |
| CTA abdomen pelvis (74174) |
$660.06 |
$3,474 |
2.1× |
| CTA chest (71275) |
$390.64 |
$2,056 |
2.5× |
| Cta Head (70496) |
$181.07 |
$953 |
1.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$129.50 |
$681.60 |
0.4× |
| CTA lwr ext w&w/o contrast (73706) |
$377.15 |
$1,985 |
2.4× |
| Cta Neck (70498) |
$390.64 |
$2,056 |
2.5× |
| Cta Pelvis (72191) |
$649.99 |
$3,421 |
4.1× |
| Cystography minimum 3 views rs&i (74430) |
$247.57 |
$1,303 |
0.8× |
| Diskogram cervical (72285) |
$3,014.92 |
$15,868 |
1.7× |
| Diskography lumbar (72295) |
$3,226.01 |
$16,979 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$83.79 |
$441 |
0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$33.82 |
$178 |
0.4× |
| Dxa bone density study axial skeleton (77085) |
$88.54 |
$466 |
0.9× |
| Echoencephalography real time imaging (76506) |
$81.13 |
$427 |
0.9× |
| Esophagus (74220) |
$188.86 |
$994 |
1.2× |
| Fetal biophysical profile non-stress testing (76818) |
$79.04 |
$416 |
0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$23.75 |
$125 |
0.3× |
| Foot 2 views (73620) |
$56.05 |
$295 |
0.7× |
| Forearm 2 views (73090) |
$56.05 |
$295 |
0.7× |
| Gated Heart Planar Single (78472) |
$206.72 |
$1,088 |
0.6× |
| Hand 2 views (73120) |
$83.79 |
$441 |
0.9× |
| Hand 3 views (73130) |
$56.05 |
$295 |
0.7× |
| Heart Infarct Image (78466) |
$338.01 |
$1,779 |
0.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,317.24 |
$12,196 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$290.70 |
$1,530 |
0.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$242.25 |
$1,275 |
0.7× |
| Ht muscle image spect sing (78451) |
$1,057.16 |
$5,564 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$54.53 |
$287 |
0.7× |
| Hysterosalpingogram (74740) |
$313.88 |
$1,652 |
1.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$200.45 |
$1,055 |
2.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$380.76 |
$2,004 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$390.26 |
$2,054 |
0.8× |
| Knee 3 views (73562) |
$56.05 |
$295 |
0.7× |
| Liver & spleen imaging static only (78215) |
$212.04 |
$1,116 |
0.6× |
| Lung perf&ventilat diferentl (78598) |
$255.93 |
$1,347 |
0.5× |
| Lymphoscintigraphy (78195) |
$359.29 |
$1,891 |
0.7× |
| Meckels Diverticulum (78290) |
$189.24 |
$996 |
0.5× |
| MRA head w/o contrast (70544) |
$206.91 |
$1,089 |
1.0× |
| MRA head with contrast (70545) |
$330.98 |
$1,742 |
1.1× |
| MRA neck w contrast (70548) |
$493.05 |
$2,595 |
1.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$345.80 |
$1,820 |
1.1× |
| MRA neck w/o contrast (70547) |
$206.91 |
$1,089 |
1.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$538.65 |
$2,835 |
1.7× |
| MRI abdomen w/o contrast (74181) |
$538.65 |
$2,835 |
2.5× |
| MRI any jnt lwr ext with con lt (73722) |
$552.33 |
$2,907 |
0.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$619.40 |
$3,260 |
0.9× |
| MRI breast w/o contrast bilateral (77047) |
$581.59 |
$3,061 |
2.7× |
| MRI breast w/o contrast unilat (77046) |
$472.72 |
$2,488 |
2.2× |
| MRI c-spine with contrast (72142) |
$597.17 |
$3,143 |
1.9× |
| MRI cervical spine w/o contrast (72141) |
$206.91 |
$1,089 |
1.0× |
| MRI chest w/o & w/contrast material (71552) |
$434.15 |
$2,285 |
1.4× |
| MRI chest w/o contrast (71550) |
$484.50 |
$2,550 |
2.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$486.97 |
$2,563 |
1.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$486.97 |
$2,563 |
1.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$537.60 |
$2,829.50 |
2.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$206.91 |
$1,089 |
1.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$345.80 |
$1,820 |
1.1× |
| MRI orbit/face/neck w/contrast (70542) |
$288.23 |
$1,517 |
0.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$345.80 |
$1,820 |
1.1× |
| MRI pelvis w/o contrast (72195) |
$206.91 |
$1,089 |
1.0× |
| MRI scan of arm joint before and after contrast (73223) |
$383.80 |
$2,020 |
1.2× |
| MRI scan of leg joint before and after contrast (73723) |
$875.04 |
$4,605.50 |
2.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$345.80 |
$1,820 |
1.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$345.80 |
$1,820 |
1.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$345.80 |
$1,820 |
1.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$587.29 |
$3,091 |
1.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$345.80 |
$1,820 |
1.1× |
| MRI thoracic spine w/o contrast (72146) |
$206.91 |
$1,089 |
1.0× |
| MRI upper ext joint w/o contrast (73221) |
$258.88 |
$1,362.50 |
1.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$425.98 |
$2,242 |
1.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$232.94 |
$1,226 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,057.16 |
$5,564 |
0.9× |
| Neck soft tissue (70360) |
$37.05 |
$195 |
0.5× |
| Nm bone marrow multiple (78103) |
$334.40 |
$1,760 |
0.9× |
| Nm cisternogram (78630) |
$553.09 |
$2,911 |
1.1× |
| Nm csf leak detection (78650) |
$504.26 |
$2,654 |
0.4× |
| Nm gastric emptying study (78264) |
$218.69 |
$1,151 |
0.6× |
| Nm gastroesophageal reflux study (78262) |
$295.07 |
$1,553 |
0.8× |
| Nm peritoneal-venous shunt patency (78291) |
$183.16 |
$964 |
0.5× |
| Nuclear medicine of heart pumping function (78473) |
$68.40 |
$360 |
0.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$181.07 |
$953 |
0.5× |
| Nuclear Rx Oral Admin (79005) |
$287.28 |
$1,512 |
1.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$85.12 |
$448 |
0.9× |
| Osseous survey infant (77076) |
$53.20 |
$280 |
0.6× |
| Osseous survey limited (77074) |
$73.72 |
$388 |
0.8× |
| Parathyroid imaging (78070) |
$242.25 |
$1,275 |
0.7× |
| Pelvis 1 or 2 views (72170) |
$44.46 |
$234 |
0.5× |
| PET image w/CT, skull-thigh (78815) |
$1,077.87 |
$5,673 |
0.8× |
| PET imaging for CT attenuation whole body (78816) |
$1,042.72 |
$5,488 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$809.30 |
$4,259.50 |
2.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,161.06 |
$11,374 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$351.50 |
$1,850 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$314.64 |
$1,656 |
0.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$371.07 |
$1,953 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$65.74 |
$346 |
0.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$23.18 |
$122 |
0.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$75.05 |
$395 |
0.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$82.65 |
$435 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$59.66 |
$314 |
0.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$67.64 |
$356 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$73.53 |
$387 |
0.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$56.05 |
$295 |
0.7× |
| Radiologic exam colon single contrast study (74270) |
$107.54 |
$566 |
0.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$163.02 |
$858 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$149.15 |
$785 |
0.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$140.22 |
$738 |
0.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$56.05 |
$295 |
0.7× |
| Radiological examination surgical specimen (76098) |
$271.32 |
$1,428 |
0.6× |
| Ribs bilateral 3 views (71110) |
$73.53 |
$387 |
0.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,101.81 |
$5,799 |
2.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,075.02 |
$5,658 |
2.2× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$601.16 |
$3,164 |
2.9× |
| Rp therapy intra-arterial particulate admn (79445) |
$190.95 |
$1,005 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$23.18 |
$122 |
0.2× |
| Salivary gland imaging serial images (78231) |
$295.07 |
$1,553 |
0.8× |
| Scanogram (77073) |
$86.45 |
$455 |
0.9× |
| Scapula complete (73010) |
$84.74 |
$446 |
0.9× |
| Screening digital breast tomosynthesis (77063) |
$23.37 |
$123 |
1.0× |
| Sialogram (70390) |
$327.75 |
$1,725 |
1.5× |
| Small bowel series (74250) |
$72.20 |
$380 |
0.5× |
| Spine thoracic 3 views (72072) |
$73.53 |
$387 |
0.8× |
| Testicular Imaging With Vascular Flow (78761) |
$407.36 |
$2,144 |
1.1× |
| Thoracolumbar 2 views (72080) |
$64.60 |
$340 |
0.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$319.96 |
$1,684 |
0.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$188.48 |
$992 |
0.5× |
| Thyroid uptake measurement (78012) |
$171.19 |
$901 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$313.88 |
$1,652 |
0.9× |
| Tomogram (76100) |
$114.38 |
$602 |
1.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,101.81 |
$5,799 |
2.3× |
| Ultrasound, abdomen limited (76705) |
$102.41 |
$539 |
1.1× |
| Upper Extremity Infant (73092) |
$107.35 |
$565 |
1.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$380.76 |
$2,004 |
1.1× |
| Urethrocystography retrograde rs&i (74450) |
$241.49 |
$1,271 |
1.1× |
| Urethrocystography voiding (74455) |
$247.57 |
$1,303 |
1.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$141.17 |
$743 |
0.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$239.97 |
$1,263 |
1.5× |
| Us abdl aorta screen aaa (76706) |
$84.55 |
$445 |
0.9× |
| Us breast unilateral complete (76641) |
$100.51 |
$529 |
1.1× |
| Us breast unilateral limited (76642) |
$68.59 |
$361 |
0.9× |
| Us chest (76604) |
$90.25 |
$475 |
1.0× |
| Us elastography parenchyma (76981) |
$101.65 |
$535 |
1.1× |
| Us guided compression repair (76936) |
$206.91 |
$1,089 |
1.1× |
| Us infant hips limited static (76886) |
$54.15 |
$285 |
0.7× |
| Us ob detailed single fetus (76811) |
$23.75 |
$125 |
0.1× |
| Us ob transvaginal (76817) |
$149.91 |
$789 |
1.6× |
| Us pelvic non ob complete (76856) |
$110.77 |
$583 |
1.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$23.75 |
$125 |
0.3× |
| Us pregnancy ltd (76815) |
$149.91 |
$789 |
1.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$92.34 |
$486 |
1.0× |
| Us retroperitoneal complete (76770) |
$107.54 |
$566 |
1.1× |
| Us retroperitoneal limited (76775) |
$89.68 |
$472 |
1.0× |
| Us scrotum and contents (76870) |
$97.85 |
$515 |
1.0× |
| Us soft tissue head/neck (76536) |
$114.19 |
$601 |
1.2× |
| Us spinal canal and contents (76800) |
$87.02 |
$458 |
0.9× |
| Us transrectal (76872) |
$100.89 |
$531 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$91.20 |
$480 |
1.0× |
| Vascular flow imaging (78445) |
$304.95 |
$1,605 |
0.9× |
| Venogram extremity bilateral (75822) |
$897.56 |
$4,724 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$2,409.96 |
$12,684 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$768.93 |
$4,047 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$465.88 |
$2,452 |
0.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$750.12 |
$3,948 |
0.3× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$2,315.34 |
$12,186 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$54.72 |
$288 |
0.7× |
| Wrist 2 views (73100) |
$46.74 |
$246 |
0.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$93.10 |
$490 |
1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$47.31 |
$249 |
0.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$60.80 |
$320 |
0.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$122.93 |
$647 |
0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$49.02 |
$258 |
0.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$55.48 |
$292 |
0.7× |
| X-ray exam hip uni 1 view (73501) |
$46.74 |
$246 |
0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$54.15 |
$285 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$129.20 |
$680 |
1.4× |
| X-ray eye for foreign body (70030) |
$79.42 |
$418 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$76.76 |
$404 |
0.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$49.78 |
$262 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$56.05 |
$295 |
0.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,008.33 |
$5,307 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$56.05 |
$295 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$17.29 |
$91 |
0.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$83.79 |
$441 |
0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$54.53 |
$287 |
0.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$60.80 |
$320 |
0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$64.60 |
$340 |
0.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$65.74 |
$346 |
0.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$49.40 |
$260 |
0.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$53.20 |
$280 |
0.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$171.95 |
$905 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$60.80 |
$320 |
0.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$63.27 |
$333 |
0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$23.75 |
$125 |
0.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$59.66 |
$314 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$54.53 |
$287 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$56.05 |
$295 |
0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$60.80 |
$320 |
0.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$46.55 |
$245 |
0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$64.60 |
$340 |
0.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$52.25 |
$275 |
0.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$49.02 |
$258 |
0.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$53.20 |
$280 |
0.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$54.53 |
$287 |
0.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$64.60 |
$340 |
0.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$46.74 |
$246 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$56.05 |
$295 |
0.7× |
| Xr arthrogram ankle (73615) |
$308.37 |
$1,623 |
1.0× |
| Xr c-spine 6 or more views (72052) |
$106.02 |
$558 |
1.1× |
| Xr chest 4+ views (71048) |
$93.29 |
$491 |
1.0× |
| Xr Cholecystography Oral Contrast (74290) |
$52.63 |
$277 |
0.3× |
| Xr finger(s) 2+ views (73140) |
$51.30 |
$270 |
0.7× |
| Xr internal auditory meati complete (70134) |
$53.58 |
$282 |
0.1× |
| Xr optic foramina (70190) |
$53.58 |
$282 |
0.7× |
| Xr shoulder 1 view (73020) |
$61.46 |
$323.50 |
0.8× |
| Xr spine cervical 4 or 5 views (72050) |
$82.84 |
$436 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$56.05 |
$295 |
0.7× |
| Xr tmj bilateral (70330) |
$50.73 |
$267 |
0.6× |
| Xray knee 1 or 2 views rt (73560) |
$51.68 |
$272 |
0.7× |