| Abdomen 1 View (74018) |
$328.25 |
$505 |
3.2× |
| Abdomen 2 views (74019) |
$460.20 |
$708 |
3.7× |
| Ankle 2 views (73600) |
$366.60 |
$564 |
3.6× |
| Bone age studies (77072) |
$377.65 |
$581 |
3.1× |
| Chest 1 view (71045) |
$365.95 |
$563 |
3.6× |
| Chest 2 views (71046) |
$392.60 |
$604 |
3.8× |
| Chest 4 or more views (71048) |
$460.20 |
$708 |
3.7× |
| Clavicle complete (73000) |
$392.60 |
$604 |
3.8× |
| Foot 2 views (73620) |
$366.60 |
$564 |
3.6× |
| Forearm 2 views (73090) |
$366.60 |
$564 |
3.6× |
| Hand 2 views (73120) |
$366.60 |
$564 |
3.0× |
| Knee 3 Views (73562) |
$392.60 |
$604 |
3.8× |
| Neck soft tissue (70360) |
$366.60 |
$564 |
3.6× |
| Pelvis 1 or 2 views (72170) |
$348.40 |
$536 |
2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$492.70 |
$758 |
4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$392.60 |
$604 |
3.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$365.95 |
$563 |
3.6× |
| Radex elbow complete minimum 3 views (73080) |
$392.60 |
$604 |
3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$486.85 |
$749 |
3.9× |
| Radex fingr minimum 2 views (73140) |
$392.60 |
$604 |
3.8× |
| Radex foot complete minimum 3 views (73630) |
$366.60 |
$564 |
3.6× |
| Radex Hand Minimum 3 Views (73130) |
$392.60 |
$604 |
3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$419.25 |
$645 |
4.1× |
| Radex Ribs Unilateral 2 Views (71100) |
$392.60 |
$604 |
3.8× |
| Radex shoulder complete minimum 2 views (73030) |
$392.60 |
$604 |
3.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$293.15 |
$451 |
2.9× |
| Radex Spine 1 View Specify Level (72020) |
$351.65 |
$541 |
3.4× |
| Radex Sternum Minimum 2 Views (71120) |
$315.25 |
$485 |
3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$320.45 |
$493 |
3.1× |
| Radex Toe Minimum 2 Views (73660) |
$356.85 |
$549 |
3.5× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$392.60 |
$604 |
3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$492.70 |
$758 |
4.0× |
| Radiologic exam colon double contrast study (74280) |
$776.75 |
$1,195 |
3.7× |
| Radiologic exam knee complete 4/more views (73564) |
$458.25 |
$705 |
3.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$418.60 |
$644 |
3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$746.85 |
$1,149 |
3.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$746.85 |
$1,149 |
3.6× |
| Radiologic examination femur minimum 2 views (73552) |
$365.95 |
$563 |
3.6× |
| Radiologic examination knee 1/2 views (73560) |
$366.60 |
$564 |
3.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$361.40 |
$556 |
3.5× |
| Shoulder 1 view (73020) |
$366.60 |
$564 |
3.6× |
Skull less than 4 views (70250)
range across 2 matching MRF lines |
$399.10–$460.20 |
$614–$708 |
varies |
| Thoracic spine 2 views (72070) |
$439.40 |
$676 |
3.6× |
| Thoracic spine 3 views (72072) |
$439.40 |
$676 |
3.6× |
| Thoracolumbar 2 views (72080) |
$320.45 |
$493 |
3.1× |
| Urethrocystography retrograde (74450) |
$820.95 |
$1,263 |
2.9× |
| Us pelvic non ob complete (76856) |
$492.70 |
$758 |
4.0× |
| Wrist 2 views (73100) |
$366.60 |
$564 |
3.6× |
| X-Ray Bend Only L-S Spine (72120) |
$460.20 |
$708 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$366.60 |
$564 |
3.6× |
| X-Ray Exam Breast Specimen (76098) |
$1,888.25 |
$2,905 |
2.9× |
| X-Ray Exam Hip Uni 1 View (73501) |
$320.45 |
$493 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$339.95 |
$523 |
3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$471.90 |
$726 |
3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$471.90 |
$726 |
3.8× |
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 4 matching MRF lines |
$320.45–$392.60 |
$493–$604 |
varies |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$439.40 |
$676 |
3.6× |
| X-ray humerus (73060) |
$366.60 |
$564 |
3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$392.60 |
$604 |
3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$439.40 |
$676 |
3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$492.70 |
$758 |
4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$378.95 |
$583 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$392.60 |
$604 |
3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$492.70 |
$758 |
4.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$873.60 |
$1,344 |
2.1× |
| X-Rays Bone Length Studies (77073) |
$544.70 |
$838 |
4.4× |
| Xr c-spine 4 or 5 views (72050) |
$492.70 |
$758 |
4.0× |