| Abdomen 2 views (74019) |
$177.60 |
$480 |
1.6× |
| Acute gi blood loss imaging (78278) |
$1,042.66 |
$2,818 |
2.5× |
| Angiography extremity bilateral rs&i (75716) |
$2,905.24 |
$7,852 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,905.24 |
$7,852 |
0.9× |
| Ankle 2 views (73600) |
$171.31 |
$463 |
1.9× |
| Aortogram thoracic (75605) |
$3,368.85 |
$9,105 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,905.24 |
$7,852 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$3,368.85 |
$9,105 |
1.0× |
| Arthrogram ankle (73615) |
$442.15 |
$1,195 |
1.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$621.60 |
$1,680 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$749.99 |
$2,027 |
1.8× |
| Bone age studies (77072) |
$213.12 |
$576 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,035.63 |
$2,799 |
2.5× |
| Bone Marrow Imaging Limited Area (78102) |
$565.36 |
$1,528 |
1.4× |
| Bone survey complete (77075) |
$341.14 |
$922 |
3.1× |
| Bowel imaging (78290) |
$993.45 |
$2,685 |
2.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,000.96 |
$5,408 |
1.3× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$745.18 |
$2,014 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$262.70 |
$710 |
2.9× |
| Chest 1 view (71045) |
$177.60 |
$480 |
1.9× |
| Chest xray 3 views (71047) |
$203.13 |
$549 |
2.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$279.72 |
$756 |
1.5× |
| Clavicle complete (73000) |
$174.27 |
$471 |
1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$409.96 |
$1,108 |
3.7× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$250.86 |
$678 |
1.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,282.42 |
$3,466 |
3.5× |
| CT abdomen and pelvis without contrast (74176) |
$550.19 |
$1,487 |
2.2× |
| CT abdomen w contrast (74160) |
$982.35 |
$2,655 |
5.3× |
| CT abdomen w wo contrast (74170) |
$1,198.80 |
$3,240 |
6.5× |
| CT abdomen w/o contrast (74150) |
$704.48 |
$1,904 |
6.4× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,559.55 |
$4,215 |
8.5× |
| CT angiography upper extremity lt (73206) |
$1,411.55 |
$3,815 |
7.7× |
| CT c-spine w/contrast (72126) |
$931.29 |
$2,517 |
2.5× |
| CT c-spine w/o contrast (72125) |
$752.21 |
$2,033 |
6.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,171.79 |
$3,167 |
6.4× |
| CT chest w contrast (71260) |
$929.07 |
$2,511 |
5.1× |
| CT chest w/wo contrast (71270) |
$1,051.17 |
$2,841 |
5.7× |
| CT colonography screening (74263) |
$557.59 |
$1,507 |
2.2× |
| CT colonography w/dye (74262) |
$574.61 |
$1,553 |
3.1× |
| CT colonography w/o cntrst (74261) |
$574.61 |
$1,553 |
5.2× |
| CT head/brain with contrast (70460) |
$748.88 |
$2,024 |
4.1× |
| CT head/brain without and with contrast (70470) |
$923.15 |
$2,495 |
5.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$36.63 |
$99 |
0.4× |
| CT iac w contrast (70481) |
$772.19 |
$2,087 |
4.2× |
| CT lower ext w/o (73700) |
$722.61 |
$1,953 |
6.6× |
| CT lower extremity w wo contrast (73702) |
$1,196.58 |
$3,234 |
6.5× |
| CT lower extremity w/contrast material (73701) |
$900.21 |
$2,433 |
4.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,172.90 |
$3,170 |
6.4× |
| CT lumbar spine w/contrast (72132) |
$929.07 |
$2,511 |
2.5× |
| CT lumbar spine w/o contrast (72131) |
$748.88 |
$2,024 |
6.8× |
| CT maxillofacial w contrast (70487) |
$925 |
$2,500 |
5.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,156.62 |
$3,126 |
6.3× |
| CT maxillofacial wo contrast (70486) |
$754.80 |
$2,040 |
6.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,256.52 |
$3,396 |
6.8× |
| CT orbits w/o contrast (70480) |
$915.75 |
$2,475 |
8.4× |
| CT pelvis w/o contrast (72192) |
$710.03 |
$1,919 |
6.5× |
| CT pelvis w/wo contrast (72194) |
$1,031.56 |
$2,788 |
5.6× |
| CT scan of arm combo (73202) |
$1,193.62 |
$3,226 |
6.5× |
| CT soft tissue neck w contrast (70491) |
$890.59 |
$2,407 |
4.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,120.73 |
$3,029 |
6.1× |
| CT soft tissue neck w/o contrast (70490) |
$715.95 |
$1,935 |
6.5× |
| CT thoracic spine w/contrast (72129) |
$931.29 |
$2,517 |
5.1× |
| CT thoracic spine w/o contrast (72128) |
$751.47 |
$2,031 |
6.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,175.12 |
$3,176 |
6.4× |
| CT thorax w/o contrast (71250) |
$748.88 |
$2,024 |
6.8× |
| CT unlisted procedure (76497) |
$248.27 |
$671 |
2.7× |
| CT upper ext wo (73200) |
$721.13 |
$1,949 |
6.6× |
| CT upper extremity with contrast (73201) |
$892.81 |
$2,413 |
2.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,730.12 |
$4,676 |
9.4× |
| Cta Abdomen (74175) |
$1,025.27 |
$2,771 |
5.6× |
| CTA abdomen pelvis (74174) |
$1,633.92 |
$4,416 |
4.5× |
| CTA chest (71275) |
$1,051.17 |
$2,841 |
5.7× |
| Cta Head (70496) |
$1,297.96 |
$3,508 |
7.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$421.80 |
$1,140 |
1.2× |
| Cta Neck (70498) |
$1,297.96 |
$3,508 |
7.1× |
| Cta Pelvis (72191) |
$1,493.69 |
$4,037 |
8.1× |
| Cystography minimum 3 views rs&i (74430) |
$279.72 |
$756 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$313.02 |
$846 |
2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$124.69 |
$337 |
1.4× |
| Esophagus (74220) |
$288.60 |
$780 |
1.6× |
| Facial bones min 3 views (70150) |
$247.90 |
$670 |
2.3× |
| Fetal biophysical profile non-stress testing (76818) |
$286.01 |
$773 |
2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$222.37 |
$601 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$380.36 |
$1,028 |
1.5× |
| Foot 2 views (73620) |
$163.91 |
$443 |
1.8× |
| Forearm 2 views (73090) |
$171.31 |
$463 |
1.9× |
| Hand 2 views (73120) |
$168.72 |
$456 |
1.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,392.68 |
$3,764 |
2.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,001.22 |
$2,706 |
2.4× |
| Hysterosalpingogram (74740) |
$225.33 |
$609 |
0.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$126.91 |
$343 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$685.98 |
$1,854 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$452.14 |
$1,222 |
0.8× |
| Knee 3 views (73562) |
$222.74 |
$602 |
2.4× |
| Lymphoscintigraphy (78195) |
$1,024.16 |
$2,768 |
1.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,390.46 |
$3,758 |
1.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,481.48 |
$4,004 |
4.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,997.26 |
$5,398 |
5.5× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$117.66 |
$318 |
1.3× |
| MRA head w & w/o contrast (70546) |
$2,601.47 |
$7,031 |
7.1× |
| MRA head w/o contrast (70544) |
$1,637.25 |
$4,425 |
6.6× |
| MRA head with contrast (70545) |
$1,626.15 |
$4,395 |
4.5× |
| MRA neck w contrast (70548) |
$1,712.36 |
$4,628 |
4.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,601.47 |
$7,031 |
7.1× |
| MRA neck w/o contrast (70547) |
$1,632.81 |
$4,413 |
6.5× |
| MRI abdomen w contrast (74182) |
$1,710.88 |
$4,624 |
4.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,990.23 |
$5,379 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$1,193.99 |
$3,227 |
4.8× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,405.26 |
$3,798 |
1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,405.26 |
$3,798 |
3.8× |
| MRI breast w/o contrast bilateral (77047) |
$1,460.02 |
$3,946 |
5.8× |
| MRI c-spine with contrast (72142) |
$1,490.73 |
$4,029 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$1,191.03 |
$3,219 |
4.8× |
| MRI chest w/o & w/contrast material (71552) |
$2,267.73 |
$6,129 |
6.2× |
| MRI chest w/o contrast (71550) |
$1,499.61 |
$4,053 |
6.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,484.44 |
$4,012 |
4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,341.62 |
$3,626 |
3.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,341.62 |
$3,626 |
5.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,330.15 |
$3,595 |
5.3× |
| MRI orbit face neck w contrast (70542) |
$1,253.93 |
$3,389 |
3.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,973.21 |
$5,333 |
5.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,987.64 |
$5,372 |
5.4× |
| MRI pelvis w/o contrast (72195) |
$1,349.76 |
$3,648 |
5.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,889.96 |
$5,108 |
5.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,487.03 |
$4,019 |
4.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,887.37 |
$5,101 |
5.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,325.34 |
$3,582 |
3.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,764.53 |
$4,769 |
4.8× |
| MRI temporomandibular joint (70336) |
$997.89 |
$2,697 |
4.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,220.26 |
$3,298 |
4.9× |
| MRI up ext w/o contrast (73218) |
$1,369.37 |
$3,701 |
5.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,283.53 |
$3,469 |
5.1× |
| MRI, joint upper extrem combo (73223) |
$1,390.46 |
$3,758 |
3.8× |
| Myocardial Spect Multiple Studies (78452) |
$1,589.89 |
$4,297 |
1.2× |
| Myocardial spect single study at rest or stress (78451) |
$821.77 |
$2,221 |
0.6× |
| Neck soft tissue (70360) |
$156.14 |
$422 |
1.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$283.79 |
$767 |
0.7× |
| Nm cisternogram (78630) |
$1,062.64 |
$2,872 |
1.9× |
| Nm gastric emptying study (78264) |
$870.61 |
$2,353 |
2.1× |
| Nuclear Rx Oral Admin (79005) |
$209.42 |
$566 |
0.9× |
| Parathyrd planar w/spect&CT (78072) |
$1,270.58 |
$3,434 |
2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,113.70 |
$3,010 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$176.86 |
$478 |
1.6× |
| PET image w/CT, skull-thigh (78815) |
$3,100.97 |
$8,381 |
2.1× |
| PET imaging for CT attenuation whole body (78816) |
$3,173.12 |
$8,576 |
2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$624.19 |
$1,687 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$926.48 |
$2,504 |
1.6× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$527.25 |
$1,425 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$234.95 |
$635 |
0.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$202.02 |
$546 |
2.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$168.72 |
$456 |
1.9× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$228.66 |
$618 |
2.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$83.62 |
$226 |
0.9× |
| Radex fingr minimum 2 views (73140) |
$206.09 |
$557 |
2.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$198.32 |
$536 |
2.2× |
| Radex Hand Minimum 3 Views (73130) |
$202.02 |
$546 |
2.2× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$88.80 |
$240 |
1.0× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$64.75 |
$175 |
0.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$120.99 |
$327 |
1.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$165.39 |
$447 |
1.5× |
| Radex Humerus Minimum 2 Views (73060) |
$178.34 |
$482 |
2.0× |
| Radex Kne 1/2 Views (73560) |
$178.34 |
$482 |
2.0× |
| Radex Kne Compl 4/More Views (73564) |
$257.15 |
$695 |
2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$198.32 |
$536 |
2.2× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$293.41 |
$793 |
2.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$178.34 |
$482 |
2.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$179.45 |
$485 |
2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$293.04 |
$792 |
3.2× |
| Radex Toe Minimum 2 Views (73660) |
$190.92 |
$516 |
2.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$181.30 |
$490 |
1.7× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$233.10 |
$630 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$172.05 |
$465 |
1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$177.60 |
$480 |
1.6× |
| Radiologic exam chest 2 views (71046) |
$190.55 |
$515 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$408.11 |
$1,103 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$340.77 |
$921 |
1.9× |
| Radiologic examination femur 1 view (73551) |
$83.62 |
$226 |
0.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$163.91 |
$443 |
1.8× |
| Radiological examination surgical specimen (76098) |
$246.42 |
$666 |
0.4× |
| Ribs bilateral 3 views (71110) |
$306.36 |
$828 |
2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,620.60 |
$4,380 |
2.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,013.43 |
$2,739 |
1.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,270.58 |
$3,434 |
2.2× |
| Sacroiliac Joints < 3 Views (72200) |
$169.46 |
$458 |
1.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$253.82 |
$686 |
1.0× |
| Scapula (73010) |
$178.34 |
$482 |
1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$40.70 |
$110 |
1.7× |
| Shoulder 1 view (73020) |
$140.60 |
$380 |
1.5× |
| Small bowel series (74250) |
$352.61 |
$953 |
1.9× |
| Spine thoracic 3 views (72072) |
$270.10 |
$730 |
2.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,969.14 |
$5,322 |
5.0× |
| Thoracolumbar 2 views (72080) |
$82.14 |
$222 |
0.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$986.79 |
$2,667 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$275.28 |
$744 |
0.7× |
| Treatment devices simple (77332) |
$231.25 |
$625 |
1.6× |
| Ultrasound breast complete (76641) |
$294.52 |
$796 |
2.7× |
| Ultrasound Exam Aaa Screen (76706) |
$311.91 |
$843 |
2.8× |
| Ultrasound, abdomen limited (76705) |
$185.18 |
$500.50 |
1.7× |
| Umbilical-artery Doppler (OB) (76820) |
$101.38 |
$274 |
0.9× |
| Urethrocystogram voiding (74455) |
$322.64 |
$872 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$260.85 |
$705 |
1.0× |
| Us breast unilateral limited (76642) |
$152.07 |
$411 |
1.7× |
| Us chest (76604) |
$137.82 |
$372.50 |
1.3× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$909.83 |
$2,459 |
4.0× |
| Us compl joint r-t w/image documentation (76881) |
$152.81 |
$413 |
1.4× |
| Us encephalogram (76506) |
$297.11 |
$803 |
2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$70.67 |
$191 |
0.6× |
| Us ob detailed single fetus (76811) |
$692.27 |
$1,871 |
2.8× |
| Us ob limited (76815) |
$58.83 |
$159 |
0.5× |
| Us ob transvaginal (76817) |
$268.25 |
$725 |
2.4× |
| Us pelvic non ob complete (76856) |
$361.86 |
$978 |
3.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$169.64 |
$458.50 |
1.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$332.63 |
$899 |
3.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$296.74 |
$802 |
2.7× |
| Us retroperitoneal complete (76770) |
$390.72 |
$1,056 |
3.6× |
| Us retroperitoneal limited (76775) |
$195.18 |
$527.50 |
1.8× |
| Us scrotum and contents (76870) |
$367.04 |
$992 |
3.4× |
| Us soft tissue head/neck (76536) |
$201.65 |
$545 |
1.8× |
| Us spinal canal and contents (76800) |
$170.94 |
$462 |
1.6× |
| Us transrectal (76872) |
$438.08 |
$1,184 |
4.0× |
| Us, eye b-scan (76512) |
$148 |
$400 |
1.4× |
| Us,transplanted kidney, real time/ doppler (76776) |
$365.93 |
$989 |
3.3× |
| Venogram Extremity Unilateral (75820) |
$1,010.84 |
$2,732 |
0.6× |
| Wrist 2 views (73100) |
$185.74 |
$502 |
2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$200.54 |
$542 |
2.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$690.79 |
$1,867 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$174.27 |
$471 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$125.06 |
$338 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$147.26 |
$398 |
1.3× |
| X-ray exam of femur 2/> (73552) |
$97.68 |
$264 |
1.1× |
| X-ray eye for foreign body (70030) |
$165.39 |
$447 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$208.68 |
$564 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$178.34 |
$482 |
2.0× |
| X-ray leg, infant (73592) |
$185.74 |
$502 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$281.57 |
$761 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$137.64 |
$372 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$106.19 |
$287 |
1.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$241.61 |
$653 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$293.41 |
$793 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$407 |
$1,100 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$250.49 |
$677 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$207.20 |
$560 |
2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$222 |
$600 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$253.82 |
$686 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$202.02 |
$546 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$160.95 |
$435 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$110.63 |
$299 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$249.75 |
$675 |
2.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$227.55 |
$615 |
2.1× |
| Xr bone length studies (77073) |
$157.62 |
$426 |
1.4× |
| Xr c-spine 4 or 5 views (72050) |
$367.04 |
$992 |
3.4× |
| Xr c-spine 6 or more views (72052) |
$228.66 |
$618 |
2.1× |
| Xr chest 4+ views (71048) |
$214.97 |
$581 |
2.0× |
| Xr urogram antegrade (74425) |
$304.14 |
$822 |
0.8× |