| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,218.50 |
$6,490 |
2.6× |
| Abdomen 2 views (74019) |
$410.15 |
$631 |
3.3× |
| Acute gi blood loss imaging (78278) |
$1,396.85 |
$2,149 |
3.0× |
| Ankle 2 views (73600) |
$309.40 |
$476 |
3.0× |
| Arthrogram hip (73525) |
$1,079.65 |
$1,661 |
2.6× |
| Arthrogram knee (73580) |
$1,322.10 |
$2,034 |
3.2× |
| Arthrogram shoulder (73040) |
$1,322.10 |
$2,034 |
3.2× |
| Basic dosimetry (77300) |
$557.70 |
$858 |
3.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,396.20 |
$2,148 |
3.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,035.45 |
$1,593 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$1,466.40 |
$2,256 |
3.1× |
| Bone age studies (77072) |
$435.50 |
$670 |
3.5× |
| Bone Imaging 3 Phase (78315) |
$1,466.40 |
$2,256 |
3.1× |
| Bone survey complete (77075) |
$460.20 |
$708 |
3.7× |
| Bone survey infant (77076) |
$382.85 |
$589 |
3.1× |
| Bowel imaging (78290) |
$1,222.65 |
$1,881 |
2.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,596.40 |
$2,456 |
2.5× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,466.40 |
$2,256 |
3.1× |
| Cervical spine 2 or 3 views (72040) |
$372.45 |
$573 |
3.6× |
| Chest 1 view (71045) |
$315.25 |
$485 |
3.1× |
| Chest xray 3 views (71047) |
$364 |
$560 |
3.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$556.40 |
$856 |
2.7× |
| Clavicle complete (73000) |
$370.50 |
$570 |
3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$549.25 |
$845 |
4.4× |
| Continuing medical physics consltj pr wk (77336) |
$591.50 |
$910 |
3.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,771.60 |
$4,264 |
6.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,970.80 |
$3,032 |
7.0× |
| CT abdomen w contrast (74160) |
$1,272.70 |
$1,958 |
6.1× |
| CT abdomen w wo contrast (74170) |
$1,366.95 |
$2,103 |
6.6× |
| CT abdomen w/o contrast (74150) |
$1,021.80 |
$1,572 |
8.3× |
| CT angio hrt w/3d image (75574) |
$980.20 |
$1,508 |
2.4× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,481.35 |
$2,279 |
7.1× |
| CT angiography upper extremity lt (73206) |
$1,346.15 |
$2,071 |
6.5× |
| CT c-spine w/contrast (72126) |
$1,469.65 |
$2,261 |
3.6× |
| CT c-spine w/o contrast (72125) |
$1,000.35 |
$1,539 |
8.1× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$672.75 |
$1,035 |
3.2× |
| CT cervical spine w&w/o contrast (72127) |
$1,272.70 |
$1,958 |
6.1× |
| CT chest w contrast (71260) |
$1,527.50 |
$2,350 |
7.4× |
| CT chest w/wo contrast (71270) |
$1,527.50 |
$2,350 |
7.4× |
| CT head/brain with contrast (70460) |
$1,412.45 |
$2,173 |
6.8× |
| CT head/brain without and with contrast (70470) |
$1,573 |
$2,420 |
7.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$980.20 |
$1,508 |
2.4× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$259.35 |
$399 |
2.5× |
| CT hrt w/3d image congen (75573) |
$980.20 |
$1,508 |
2.4× |
| CT iac w contrast (70481) |
$1,283.75 |
$1,975 |
6.2× |
| CT lower ext w/o (73700) |
$1,124.50 |
$1,730 |
9.1× |
| CT lower extremity w wo contrast (73702) |
$1,376.70 |
$2,118 |
6.6× |
| CT lower extremity w/contrast material (73701) |
$1,272.70 |
$1,958 |
6.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,336.40 |
$2,056 |
6.4× |
| CT lumbar spine w/contrast (72132) |
$1,469.65 |
$2,261 |
3.6× |
| CT lumbar spine w/o contrast (72131) |
$1,000.35 |
$1,539 |
8.1× |
| CT maxillofacial w contrast (70487) |
$958.42 |
$1,474.50 |
4.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,177.15 |
$1,811 |
5.7× |
| CT maxillofacial wo contrast (70486) |
$1,019.20 |
$1,568 |
8.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,272.70 |
$1,958 |
6.1× |
| CT orbits w/o contrast (70480) |
$1,040 |
$1,600 |
8.4× |
| CT pelvis w/o contrast (72192) |
$1,000.35 |
$1,539 |
8.1× |
| CT pelvis w/wo contrast (72194) |
$1,527.50 |
$2,350 |
7.4× |
| CT scan of arm combo (73202) |
$1,336.40 |
$2,056 |
6.4× |
| CT soft tissue neck w contrast (70491) |
$1,177.15 |
$1,811 |
5.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,527.50 |
$2,350 |
7.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,177.15 |
$1,811 |
9.5× |
| CT thoracic spine w/contrast (72129) |
$1,177.15 |
$1,811 |
5.7× |
| CT thoracic spine w/o contrast (72128) |
$1,000.35 |
$1,539 |
8.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,336.40 |
$2,056 |
6.4× |
| CT thorax w/o contrast (71250) |
$1,145.95 |
$1,763 |
9.3× |
| CT upper ext wo (73200) |
$1,124.50 |
$1,730 |
9.1× |
| CT upper extremity with contrast (73201) |
$1,469.65 |
$2,261 |
3.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,184.95 |
$1,823 |
5.7× |
| Cta Abdomen (74175) |
$1,628.90 |
$2,506 |
7.9× |
| CTA abdomen pelvis (74174) |
$2,486.90 |
$3,826 |
6.0× |
| CTA chest (71275) |
$1,610.05 |
$2,477 |
7.8× |
| Cta Head (70496) |
$1,610.05 |
$2,477 |
7.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,219.40 |
$1,876 |
3.0× |
| Cta Neck (70498) |
$1,610.05 |
$2,477 |
7.8× |
| Cta Pelvis (72191) |
$1,483.95 |
$2,283 |
7.2× |
| Cystography minimum 3 views rs&i (74430) |
$789.10 |
$1,214 |
1.9× |
| Esophagus (74220) |
$625.95 |
$963 |
3.0× |
| Facial bones min 3 views (70150) |
$445.25 |
$685 |
3.6× |
| Fetal biophysical profile non-stress testing (76818) |
$492.70 |
$758 |
4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$492.70 |
$758 |
4.0× |
| Fluoroscopy up to 1 hr (76000) |
$564.85 |
$869 |
2.0× |
| Foot 2 views (73620) |
$309.40 |
$476 |
3.0× |
| Forearm 2 views (73090) |
$309.40 |
$476 |
3.0× |
| Hand 2 views (73120) |
$309.40 |
$476 |
2.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,571.70 |
$2,418 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,466.40 |
$2,256 |
3.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,280.50 |
$1,970 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,280.50 |
$1,970 |
2.0× |
| Knee 3 views (73562) |
$372.45 |
$573 |
3.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,231.10 |
$1,894 |
2.6× |
| Liver imaging w/vascular flow (78202) |
$1,762.15 |
$2,711 |
2.7× |
| Lymphoscintigraphy (78195) |
$1,504.10 |
$2,314 |
2.3× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,204.15 |
$3,391 |
2.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,016.30 |
$3,102 |
4.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,398.50 |
$3,690 |
5.4× |
| MRA head w/o contrast (70544) |
$1,517.10 |
$2,334 |
5.4× |
| MRA head with contrast (70545) |
$1,481.35 |
$2,279 |
3.6× |
| MRA neck w contrast (70548) |
$1,469.65 |
$2,261 |
3.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,197.65 |
$3,381 |
5.3× |
| MRA neck w/o contrast (70547) |
$1,378.65 |
$2,121 |
4.9× |
| MRI abdomen w contrast (74182) |
$1,469.65 |
$2,261 |
3.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,016.30 |
$3,102 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$1,417 |
$2,180 |
5.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,197.65 |
$3,381 |
5.3× |
| MRI breast w/o contrast bilateral (77047) |
$893.10 |
$1,374 |
3.2× |
| MRI breast wo contrast unilateral (77046) |
$893.10 |
$1,374 |
3.2× |
| MRI cervical spine w/o contrast (72141) |
$1,417 |
$2,180 |
5.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,833 |
$2,820 |
4.4× |
| MRI chest w/o contrast (71550) |
$1,264.90 |
$1,946 |
4.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,469.65 |
$2,261 |
3.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,016.30 |
$3,102 |
4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,391.65 |
$2,141 |
4.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,264.90 |
$1,946 |
4.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,016.30 |
$3,102 |
4.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,016.30 |
$3,102 |
4.9× |
| MRI pelvis w/o contrast (72195) |
$1,391.65 |
$2,141 |
4.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,197.65 |
$3,381 |
5.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,237.30 |
$3,442 |
5.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,197.65 |
$3,381 |
5.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,391.65 |
$2,141 |
4.9× |
| MRI up ext w/o contrast (73218) |
$1,264.90 |
$1,946 |
4.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,522.30 |
$2,342 |
5.4× |
| MRI, joint upper extrem combo (73223) |
$1,997.45 |
$3,073 |
4.8× |
| Myocardial infarct spect (78469) |
$1,859 |
$2,860 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,855.15 |
$5,931 |
2.5× |
| Myocardial spect single study at rest or stress (78451) |
$3,701.75 |
$5,695 |
2.4× |
| N-invas est c ffr sw aly CTA (75580) |
$3,018.60 |
$4,644 |
3.0× |
| Neck soft tissue (70360) |
$309.40 |
$476 |
3.0× |
| Nm gastric emptying study (78264) |
$1,466.40 |
$2,256 |
3.1× |
| Nonvascular shunt X-ray (75809) |
$460.20 |
$708 |
3.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,218.50 |
$6,490 |
2.6× |
| Nuclear Rx Oral Admin (79005) |
$1,005.55 |
$1,547 |
3.6× |
| Ob us nuchal meas 1 gest (76813) |
$391.95 |
$603 |
3.2× |
| Parathyroid Planar Imaging (78070) |
$859.95 |
$1,323 |
1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,401.40 |
$2,156 |
3.0× |
| Pelvis 1 or 2 views (72170) |
$295.10 |
$454 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,599.65 |
$2,461 |
2.5× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$346.45 |
$533 |
3.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$308.75 |
$475 |
3.0× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$372.45 |
$573 |
3.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$296.40 |
$456 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$460.20 |
$708 |
3.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$526.50 |
$810 |
4.3× |
| Radex fingr minimum 2 views (73140) |
$332.15 |
$511 |
3.2× |
| Radex Foot Compl Minimum 3 Views (73630) |
$309.40 |
$476 |
3.0× |
| Radex Hand Minimum 3 Views (73130) |
$372.45 |
$573 |
3.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$286.65 |
$441 |
2.8× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$454.35 |
$699 |
3.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$460.20 |
$708 |
3.7× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$526.50 |
$810 |
4.3× |
| Radex Humerus Minimum 2 Views (73060) |
$309.40 |
$476 |
3.0× |
| Radex Kne 1/2 Views (73560) |
$395.85 |
$609 |
3.9× |
| Radex Kne Compl 4/More Views (73564) |
$388.70 |
$598 |
3.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$461.50 |
$710 |
3.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$411.45 |
$633 |
4.0× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$321.10 |
$494 |
2.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$377.65 |
$581 |
3.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$236.60 |
$364 |
2.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$464.75 |
$715 |
3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$371.80 |
$572 |
3.6× |
| Radex Toe Minimum 2 Views (73660) |
$276.90 |
$426 |
2.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$308.10 |
$474 |
2.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$377.65 |
$581 |
3.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$526.50 |
$810 |
4.3× |
| Radiation treatment delivery level 1 (77402) |
$436.80 |
$672 |
3.6× |
| Radiation treatment delivery level 2 (77407) |
$938.60 |
$1,444 |
2.1× |
| Radiation treatment delivery level 3 (77412) |
$748.15 |
$1,151 |
1.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$276.90 |
$426 |
2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$460.20 |
$708 |
3.7× |
| Radiologic exam chest 2 views (71046) |
$370.50 |
$570 |
3.6× |
| Radiologic exam colon single contrast study (74270) |
$682.50 |
$1,050 |
3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$725.40 |
$1,116 |
3.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$682.50 |
$1,050 |
3.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$625.95 |
$963 |
3.0× |
| Radiologic examination femur 1 view (73551) |
$280.15 |
$431 |
2.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$395.85 |
$609 |
3.9× |
| Radiological examination surgical specimen (76098) |
$1,888.25 |
$2,905 |
2.9× |
| Ribs bilateral 3 views (71110) |
$337.35 |
$519 |
2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,341.60 |
$2,064 |
2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$3,374.15 |
$5,191 |
5.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,825.20 |
$2,808 |
2.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,200.30 |
$6,462 |
6.5× |
| Rp Therapy Intravenous Administration (79101) |
$1,005.55 |
$1,547 |
3.6× |
| Sacroiliac Joints < 3 Views (72200) |
$224.25 |
$345 |
1.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$942.50 |
$1,450 |
3.3× |
| Scapula (73010) |
$370.50 |
$570 |
3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$118.30 |
$182 |
5.1× |
| Shoulder 1 view (73020) |
$309.40 |
$476 |
3.0× |
| Small bowel series (74250) |
$725.40 |
$1,116 |
3.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,303.25 |
$2,005 |
2.9× |
| Special dosimetry (77331) |
$557.70 |
$858 |
3.5× |
| Special Physics Consult (77370) |
$591.50 |
$910 |
3.7× |
| Special treatment procedure (77470) |
$2,013.70 |
$3,098 |
3.1× |
| Spine thoracic 3 views (72072) |
$372.45 |
$573 |
3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,351.35 |
$2,079 |
3.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,351.35 |
$2,079 |
3.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$591.50 |
$910 |
3.7× |
| Thoracolumbar 2 views (72080) |
$392.60 |
$604 |
3.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,477.45 |
$2,273 |
2.3× |
| Thyroid imaging w/blood flow (78013) |
$1,386.45 |
$2,133 |
2.9× |
| Thyroid uptake measurement (78012) |
$536.90 |
$826 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$915.20 |
$1,408 |
1.9× |
| Treatment device complex (77334) |
$1,068.60 |
$1,644 |
2.4× |
| Treatment devices simple (77332) |
$591.50 |
$910 |
3.7× |
| Ultrasound breast complete (76641) |
$384.15 |
$591 |
3.1× |
| Ultrasound elastography first target lesion (76982) |
$391.95 |
$603 |
3.2× |
| Ultrasound Exam Aaa Screen (76706) |
$460.20 |
$708 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$486.85 |
$749 |
3.9× |
| Umbilical-artery Doppler (OB) (76820) |
$460.20 |
$708 |
3.7× |
| Urethrocystography retrograde rs&i (74450) |
$828.75 |
$1,275 |
2.9× |
| Us breast unilateral limited (76642) |
$378.95 |
$583 |
3.7× |
| Us chest (76604) |
$460.20 |
$708 |
3.7× |
| Us compl joint r-t w/image documentation (76881) |
$492.70 |
$758 |
4.0× |
| Us elastography parenchyma (76981) |
$391.95 |
$603 |
3.2× |
| Us encephalogram (76506) |
$384.15 |
$591 |
3.1× |
| Us infant hips w manipulation (76885) |
$324.35 |
$499 |
3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$492.70 |
$758 |
4.0× |
| Us ob detailed single fetus (76811) |
$334.10 |
$514 |
1.2× |
| Us ob limited (76815) |
$460.20 |
$708 |
3.7× |
| Us ob transvaginal (76817) |
$492.70 |
$758 |
4.0× |
| Us pelvic non ob complete (76856) |
$492.70 |
$758 |
4.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$460.20 |
$708 |
3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$492.70 |
$758 |
4.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$388.70 |
$598 |
3.1× |
| Us retroperitoneal complete (76770) |
$492.70 |
$758 |
4.0× |
| Us retroperitoneal limited (76775) |
$492.70 |
$758 |
4.0× |
| Us scrotum and contents (76870) |
$492.70 |
$758 |
4.0× |
| Us soft tissue head/neck (76536) |
$460.20 |
$708 |
3.7× |
| Us spinal canal and contents (76800) |
$460.20 |
$708 |
3.7× |
| Us,transplanted kidney, real time/ doppler (76776) |
$460.20 |
$708 |
3.7× |
| Venogram Extremity Unilateral (75820) |
$2,036.45 |
$3,133 |
1.1× |
| Wrist 2 views (73100) |
$309.40 |
$476 |
3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$492.70 |
$758 |
4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$354.25 |
$545 |
3.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$776.75 |
$1,195 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$309.40 |
$476 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$286.65 |
$441 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$431.60 |
$664 |
3.5× |
| X-ray exam of femur 2/> (73552) |
$308.75 |
$475 |
3.0× |
| X-ray eye for foreign body (70030) |
$278.85 |
$429 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$295.75 |
$455 |
2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$369.20 |
$568 |
3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$392.60 |
$604 |
3.8× |
| X-ray leg, infant (73592) |
$269.10 |
$414 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$372.45 |
$573 |
3.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$487.50 |
$750 |
3.9× |
| X-ray nose-rectum child f.b. (76010) |
$247.65 |
$381 |
2.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$269.10 |
$414 |
2.2× |
| X-ray retrograde pyelogram (74420) |
$828.75 |
$1,275 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$356.85 |
$549 |
3.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$372.45 |
$573 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$483.60 |
$744 |
3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$336.70 |
$518 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$372.45 |
$573 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$370.50 |
$570 |
3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$460.20 |
$708 |
3.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$370.50 |
$570 |
3.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$269.10 |
$414 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$336.70 |
$518 |
3.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$372.45 |
$573 |
3.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$352.95 |
$543 |
2.9× |
| Xr bone length studies (77073) |
$544.70 |
$838 |
4.4× |
| Xr c-spine 4 or 5 views (72050) |
$460.20 |
$708 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$483.60 |
$744 |
3.9× |
| Xr chest 4+ views (71048) |
$328.90 |
$506 |
2.7× |