| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,094.67 |
$3,378.50 |
1.5× |
| Abdomen 2 views (74019) |
$115.01 |
$185.50 |
1.1× |
| Ankle 2 views (73600) |
$161.20 |
$260 |
1.8× |
| Arthrogram hip (73525) |
$410.44 |
$662 |
1.1× |
| Arthrogram knee (73580) |
$559.86 |
$903 |
1.6× |
| Arthrogram shoulder (73040) |
$183.83 |
$296.50 |
0.5× |
| Basic dosimetry (77300) |
$204.91 |
$330.50 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$310 |
$500 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$463.45 |
$747.50 |
1.1× |
| Bone age studies (77072) |
$31 |
$50 |
0.3× |
| Bone Imaging 3 Phase (78315) |
$439.89 |
$709.50 |
1.1× |
| Bone survey complete (77075) |
$253.27 |
$408.50 |
2.3× |
| Bone survey infant (77076) |
$300.70 |
$485 |
2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,571.08 |
$2,534 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$98.89 |
$159.50 |
1.1× |
| Chest 1 view (71045) |
$63.24 |
$102 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$134.23 |
$216.50 |
0.7× |
| Clavicle complete (73000) |
$67.27 |
$108.50 |
0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$451.98 |
$729 |
4.2× |
| Continuing medical physics consltj pr wk (77336) |
$422.22 |
$681 |
3.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,102.36 |
$1,778 |
3.1× |
| CT abdomen and pelvis without contrast (74176) |
$710.83 |
$1,146.50 |
2.9× |
| CT abdomen w contrast (74160) |
$554.28 |
$894 |
3.1× |
| CT abdomen w wo contrast (74170) |
$607.60 |
$980 |
3.4× |
| CT abdomen w/o contrast (74150) |
$484.22 |
$781 |
4.5× |
| CT angio lwr extr w/o&w/dye (73706) |
$824.29 |
$1,329.50 |
4.6× |
| CT angiography upper extremity lt (73206) |
$783.37 |
$1,263.50 |
4.3× |
| CT c-spine w/contrast (72126) |
$992 |
$1,600 |
2.8× |
| CT c-spine w/o contrast (72125) |
$533.51 |
$860.50 |
4.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,100.50 |
$1,775 |
6.1× |
| CT chest w contrast (71260) |
$558.93 |
$901.50 |
3.1× |
| CT chest w/wo contrast (71270) |
$552.42 |
$891 |
3.1× |
| CT head/brain with contrast (70460) |
$536.61 |
$865.50 |
3.0× |
| CT head/brain without and with contrast (70470) |
$571.64 |
$922 |
3.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$53.01 |
$85.50 |
0.6× |
| CT iac w contrast (70481) |
$566.68 |
$914 |
3.1× |
| CT lower ext w/o (73700) |
$865.52 |
$1,396 |
8.0× |
| CT lower extremity w wo contrast (73702) |
$595.51 |
$960.50 |
3.3× |
| CT lower extremity w/contrast material (73701) |
$538.78 |
$869 |
3.0× |
| CT lumbar spine w & w/o contrast (72133) |
$622.17 |
$1,003.50 |
3.4× |
| CT lumbar spine w/contrast (72132) |
$564.82 |
$911 |
1.6× |
| CT lumbar spine w/o contrast (72131) |
$517.08 |
$834 |
4.8× |
| CT maxillofacial w contrast (70487) |
$426.56 |
$688 |
2.4× |
| CT maxillofacial w/wo contrast (70488) |
$528.86 |
$853 |
2.9× |
| CT maxillofacial wo contrast (70486) |
$436.48 |
$704 |
4.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$992 |
$1,600 |
5.5× |
| CT orbits w/o contrast (70480) |
$452.60 |
$730 |
4.2× |
| CT pelvis w/o contrast (72192) |
$452.91 |
$730.50 |
4.2× |
| CT soft tissue neck w contrast (70491) |
$506.54 |
$817 |
2.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$570.09 |
$919.50 |
3.1× |
| CT soft tissue neck w/o contrast (70490) |
$413.54 |
$667 |
3.8× |
| CT thoracic spine w/o contrast (72128) |
$561.72 |
$906 |
5.2× |
| CT thoracic spine w/wo contrast (72130) |
$597.99 |
$964.50 |
3.3× |
| CT thorax w/o contrast (71250) |
$496 |
$800 |
4.6× |
| CT upper ext wo (73200) |
$446.40 |
$720 |
4.1× |
| CT upper extremity with contrast (73201) |
$538.78 |
$869 |
1.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$659.37 |
$1,063.50 |
3.6× |
| Cta Abdomen (74175) |
$822.12 |
$1,326 |
4.5× |
| CTA abdomen pelvis (74174) |
$936.82 |
$1,511 |
2.6× |
| CTA chest (71275) |
$699.36 |
$1,128 |
3.9× |
| Cta Head (70496) |
$619.69 |
$999.50 |
3.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$741.52 |
$1,196 |
2.1× |
| Cta Neck (70498) |
$520.49 |
$839.50 |
2.9× |
| Cta Pelvis (72191) |
$167.71 |
$270.50 |
0.9× |
| Cystography minimum 3 views rs&i (74430) |
$243.97 |
$393.50 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$73.47 |
$118.50 |
0.7× |
| Esophagus (74220) |
$287.06 |
$463 |
1.6× |
| Facial bones min 3 views (70150) |
$110.67 |
$178.50 |
1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$134.54 |
$217 |
1.2× |
| Fluoroscopy up to 1 hr (76000) |
$179.80 |
$290 |
0.7× |
| Foot 2 views (73620) |
$156.52 |
$252.45 |
1.7× |
| Forearm 2 views (73090) |
$131.44 |
$212 |
1.5× |
| Hand 2 views (73120) |
$153.76 |
$248 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$431.52 |
$696 |
0.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$796.08 |
$1,284 |
1.9× |
| Hysterosalpingogram (74740) |
$288.61 |
$465.50 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$78.43 |
$126.50 |
0.1× |
| Knee 3 views (73562) |
$182.90 |
$295 |
2.0× |
| Lymphoscintigraphy (78195) |
$511.50 |
$825 |
0.9× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$885.98 |
$1,429 |
1.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$736.56 |
$1,188 |
2.0× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$563.58 |
$909 |
6.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$669.91 |
$1,080.50 |
1.7× |
| MRA head w & w/o contrast (70546) |
$1,002.23 |
$1,616.50 |
2.8× |
| MRA head w/o contrast (70544) |
$733.15 |
$1,182.50 |
3.0× |
| MRA neck w contrast (70548) |
$1,612 |
$2,600 |
4.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$966.58 |
$1,559 |
2.7× |
| MRA neck w/o contrast (70547) |
$1,267.28 |
$2,044 |
5.1× |
| MRI abdomen w contrast (74182) |
$1,732.28 |
$2,794 |
4.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,771.96 |
$2,858 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$727.57 |
$1,173.50 |
3.0× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,032.30 |
$1,665 |
1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,127.78 |
$1,819 |
3.1× |
| MRI breast w/o contrast bilateral (77047) |
$1,068.57 |
$1,723.50 |
4.3× |
| MRI breast wo contrast unilateral (77046) |
$703.08 |
$1,134 |
2.9× |
| MRI c-spine with contrast (72142) |
$836.69 |
$1,349.50 |
2.3× |
| MRI cervical spine w/o contrast (72141) |
$744.31 |
$1,200.50 |
3.0× |
| MRI chest w/o & w/contrast material (71552) |
$396.80 |
$640 |
1.1× |
| MRI chest w/o contrast (71550) |
$660.61 |
$1,065.50 |
2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$736.56 |
$1,188 |
2.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,207.76 |
$1,948 |
4.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$651 |
$1,050 |
2.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$681.69 |
$1,099.50 |
1.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,280.30 |
$2,065 |
3.6× |
| MRI pelvis w/o contrast (72195) |
$683.55 |
$1,102.50 |
2.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$977.43 |
$1,576.50 |
2.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,541.32 |
$2,486 |
4.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$978.67 |
$1,578.50 |
2.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,541.32 |
$2,486 |
4.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,018.04 |
$1,642 |
2.8× |
| MRI temporomandibular joint (70336) |
$447.33 |
$721.50 |
1.8× |
| MRI thoracic spine w/o contrast (72146) |
$788.64 |
$1,272 |
3.2× |
| MRI up ext w/o contrast (73218) |
$654.72 |
$1,056 |
2.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,440.38 |
$2,323.20 |
5.8× |
| MRI, joint upper extrem combo (73223) |
$965.03 |
$1,556.50 |
2.7× |
| Myelogram Cervical (72240) |
$757.64 |
$1,222 |
0.9× |
| Myocardial Spect Multiple Studies (78452) |
$1,231.63 |
$1,986.50 |
0.9× |
| Neck soft tissue (70360) |
$57.66 |
$93 |
0.6× |
| Nm gastric emptying study (78264) |
$299.77 |
$483.50 |
0.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,932.29 |
$4,729.50 |
2.1× |
| Parathyroid Planar Imaging (78070) |
$341.93 |
$551.50 |
0.8× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$390.60 |
$630 |
0.9× |
| Pelvis 1 or 2 views (72170) |
$88.04 |
$142 |
0.8× |
| PET image w/CT, skull-thigh (78815) |
$1,724.53 |
$2,781.50 |
1.2× |
| PET imaging for CT attenuation whole body (78816) |
$1,925.41 |
$3,105.50 |
1.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$697.50 |
$1,125 |
1.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$173.60 |
$280 |
1.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$134.54 |
$217 |
1.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$239.32 |
$386 |
2.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$68.82 |
$111 |
0.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$123.38 |
$199 |
1.1× |
| Radex fingr minimum 2 views (73140) |
$117.80 |
$190 |
1.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$182.28 |
$294 |
2.0× |
| Radex Hand Minimum 3 Views (73130) |
$211.42 |
$341 |
2.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$93.62 |
$151 |
1.0× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$264.74 |
$427 |
2.5× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$127.72 |
$206 |
1.2× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$293.88 |
$474 |
2.7× |
| Radex Humerus Minimum 2 Views (73060) |
$137.64 |
$222 |
1.5× |
| Radex Kne 1/2 Views (73560) |
$159.34 |
$257 |
1.8× |
| Radex Kne Compl 4/More Views (73564) |
$213.28 |
$344 |
2.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$163.06 |
$263 |
1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$79.98 |
$129 |
0.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$102.61 |
$165.50 |
1.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$185.60 |
$299.35 |
2.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$61.07 |
$98.50 |
0.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$171.43 |
$276.50 |
1.9× |
| Radex Toe Minimum 2 Views (73660) |
$152.52 |
$246 |
1.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$75.95 |
$122.50 |
0.7× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$211.42 |
$341 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$68.20 |
$110 |
0.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$9,115.86 |
$14,703 |
1.2× |
| Radiation treatment delivery level 1 (77402) |
$350.30 |
$565 |
3.3× |
| Radiation treatment delivery level 2 (77407) |
$584.66 |
$943 |
1.5× |
| Radiation treatment delivery level 3 (77412) |
$621.24 |
$1,002 |
1.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$82.46 |
$133 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$147.25 |
$237.50 |
1.4× |
| Radiologic exam chest 2 views (71046) |
$109.12 |
$176 |
1.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$291.40 |
$470 |
1.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$398.04 |
$642 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$375.72 |
$606 |
2.1× |
| Radiologic examination femur 1 view (73551) |
$77.50 |
$125 |
0.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$164.92 |
$266 |
1.8× |
| Radiological examination surgical specimen (76098) |
$158.72 |
$256 |
0.3× |
| Ribs bilateral 3 views (71110) |
$135.16 |
$218 |
1.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,138.32 |
$1,836 |
2.0× |
| Sacroiliac Joints < 3 Views (72200) |
$879.78 |
$1,419 |
8.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$402.69 |
$649.50 |
1.6× |
| Scapula (73010) |
$106.64 |
$172 |
1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$75.33 |
$121.50 |
3.2× |
| Shoulder 1 view (73020) |
$178.56 |
$288 |
2.0× |
| Simulation intermediate (77285) |
$460.97 |
$743.50 |
1.2× |
| Small bowel series (74250) |
$187.55 |
$302.50 |
1.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$360.53 |
$581.50 |
0.9× |
| Special dosimetry (77331) |
$223.51 |
$360.50 |
1.6× |
| Special Physics Consult (77370) |
$741.52 |
$1,196 |
5.3× |
| Special treatment procedure (77470) |
$888.46 |
$1,433 |
1.6× |
| Spine thoracic 3 views (72072) |
$122.45 |
$197.50 |
1.1× |
| Stereotactic Body Radiation Delivery (77373) |
$4,847.78 |
$7,819 |
2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$779.65 |
$1,257.50 |
2.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$615.97 |
$993.50 |
1.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$810.96 |
$1,308 |
2.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$495.69 |
$799.50 |
3.6× |
| Thoracolumbar 2 views (72080) |
$102.61 |
$165.50 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$271.56 |
$438 |
0.7× |
| Tmj unilateral (70328) |
$88.04 |
$142 |
1.0× |
| Treatment device complex (77334) |
$425.94 |
$687 |
1.1× |
| Treatment device intermediate (77333) |
$276.83 |
$446.50 |
2.0× |
| Treatment devices simple (77332) |
$213.28 |
$344 |
1.5× |
| Ultrasound breast complete (76641) |
$267.22 |
$431 |
2.5× |
| Ultrasound, abdomen limited (76705) |
$213.28 |
$344 |
2.0× |
| Umbilical-artery Doppler (OB) (76820) |
$55.49 |
$89.50 |
0.5× |
| Urethrocystogram voiding (74455) |
$525.76 |
$848 |
2.1× |
| Us breast unilateral limited (76642) |
$233.12 |
$376 |
2.6× |
| Us chest (76604) |
$195.92 |
$316 |
1.8× |
| Us compl joint r-t w/image documentation (76881) |
$204.29 |
$329.50 |
1.9× |
| Us elastography parenchyma (76981) |
$124.93 |
$201.50 |
1.2× |
| Us hips infant static (76886) |
$223.82 |
$361 |
2.5× |
| Us infant hips w manipulation (76885) |
$139.81 |
$225.50 |
1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$180.73 |
$291.50 |
1.7× |
| Us ob limited (76815) |
$157.79 |
$254.50 |
1.5× |
| Us ob transvaginal (76817) |
$248.31 |
$400.50 |
2.3× |
| Us pelvic non ob complete (76856) |
$249.24 |
$402 |
2.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$193.75 |
$312.50 |
1.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$223.51 |
$360.50 |
2.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$146.94 |
$237 |
1.4× |
| Us retroperitoneal complete (76770) |
$253.27 |
$408.50 |
2.3× |
| Us retroperitoneal limited (76775) |
$220.10 |
$355 |
2.0× |
| Us scrotum and contents (76870) |
$190.34 |
$307 |
1.8× |
| Us soft tissue head/neck (76536) |
$145.08 |
$234 |
1.3× |
| Us transrectal (76872) |
$416.95 |
$672.50 |
3.9× |
| Wrist 2 views (73100) |
$148.80 |
$240 |
1.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$170.19 |
$274.50 |
1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$93 |
$150 |
1.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$575.36 |
$928 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$191.58 |
$309 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$89.90 |
$145 |
1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$144.15 |
$232.50 |
1.3× |
| X-ray exam of femur 2/> (73552) |
$123.07 |
$198.50 |
1.4× |
| X-ray eye for foreign body (70030) |
$62.62 |
$101 |
0.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$72.23 |
$116.50 |
0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$88.35 |
$142.50 |
1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$72.54 |
$117 |
0.8× |
| X-ray leg, infant (73592) |
$139.50 |
$225 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,368.34 |
$2,207 |
12.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$159.96 |
$258 |
1.5× |
| X-ray nose-rectum child f.b. (76010) |
$82.46 |
$133 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$131.44 |
$212 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$116.87 |
$188.50 |
1.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$118.42 |
$191 |
1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$137.02 |
$221 |
1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$138.88 |
$224 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$124.93 |
$201.50 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$79.05 |
$127.50 |
0.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$65.10 |
$105 |
0.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$176.70 |
$285 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$84.32 |
$136 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$100.75 |
$162.50 |
0.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$172.36 |
$278 |
1.6× |
| Xr bone length studies (77073) |
$66.34 |
$107 |
0.6× |
| Xr c-spine 4 or 5 views (72050) |
$198.40 |
$320 |
1.8× |
| Xr chest 4+ views (71048) |
$183.21 |
$295.50 |
1.7× |