| Abdomen 2 views (74019) |
$190 |
$543 |
2.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$586 |
$1,673 |
1.6× |
| Angiography extremity bilateral rs&i (75716) |
$2,504 |
$7,154 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,504 |
$7,154 |
0.9× |
| Angiography internal mammary rs&i (75756) |
$2,279 |
$6,510 |
0.8× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$1,639 |
$4,682 |
0.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,438.50 |
$6,967 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,463 |
$4,179 |
0.5× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$1,694 |
$4,839 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,279 |
$6,510 |
0.8× |
| Ankle 2 views (73600) |
$167 |
$476 |
2.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$260 |
$743 |
0.8× |
| Aortogram thoracic (75605) |
$3,796 |
$10,845 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,767 |
$5,049 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$2,504 |
$7,154 |
0.9× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,335 |
$3,813 |
0.5× |
| Arthrogram hip (73525) |
$522 |
$1,490 |
1.7× |
| Arthrogram shoulder (73040) |
$539 |
$1,540 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$388 |
$1,108 |
1.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$412 |
$1,178 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$522 |
$1,490 |
1.4× |
| Bone age studies (77072) |
$141 |
$404 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$550 |
$1,571 |
1.5× |
| Bone Marrow Imaging Limited Area (78102) |
$379 |
$1,082 |
1.0× |
| Bone survey complete (77075) |
$294 |
$839 |
3.1× |
| Brain image w/flow 4 + views (78606) |
$515 |
$1,470 |
1.0× |
| Cervical spine 2 or 3 views (72040) |
$197 |
$562 |
2.5× |
| Chest 1 view (71045) |
$88 |
$251 |
1.1× |
| Chest 3 views (71047) |
$118 |
$336 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$210 |
$599 |
1.3× |
| Clavicle complete (73000) |
$173 |
$494 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$595 |
$1,699 |
6.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,659 |
$7,597 |
8.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,853 |
$5,294 |
8.6× |
| CT abdomen w contrast (74160) |
$1,045 |
$2,985 |
6.6× |
| CT abdomen w wo contrast (74170) |
$1,439 |
$4,112 |
9.1× |
| CT abdomen w/o contrast (74150) |
$880 |
$2,514 |
9.3× |
| CT angio hrt w/3d image (75574) |
$1,352 |
$3,864 |
4.3× |
| CT angiography upper extremity lt (73206) |
$1,003 |
$2,865 |
6.3× |
| CT c-spine w/o contrast (72125) |
$679 |
$1,941 |
7.2× |
| CT cervical spine w&w/o contrast (72127) |
$793 |
$2,267 |
5.0× |
| CT cervical spine with contrast (72126) |
$710 |
$2,028 |
2.2× |
| CT chest w/wo contrast (71270) |
$855 |
$2,444 |
5.4× |
| CT chest with contrast (71260) |
$641 |
$1,832 |
4.0× |
| CT head/brain with contrast (70460) |
$628 |
$1,794 |
4.0× |
| CT head/brain without and with contrast (70470) |
$681 |
$1,947 |
4.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,420 |
$4,058 |
4.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$75 |
$214 |
1.0× |
| CT hrt w/3d image congen (75573) |
$906 |
$2,590 |
2.9× |
| CT iac w contrast (70481) |
$572 |
$1,634 |
3.6× |
| CT limited/localized follow up study (76380) |
$279 |
$798 |
3.5× |
| CT lower ext w/o (73700) |
$586 |
$1,674 |
6.2× |
| CT lower extremity w wo contrast (73702) |
$677 |
$1,934 |
4.3× |
| CT lower extremity with contrast (73701) |
$632 |
$1,805 |
4.0× |
| CT lumbar spine w & w/o contrast (72133) |
$842 |
$2,405 |
5.3× |
| CT lumbar spine w/o contrast (72131) |
$769 |
$2,197 |
8.1× |
| CT lumbar spine with contrast (72132) |
$802 |
$2,292 |
2.5× |
| CT maxillofacial w contrast (70487) |
$572 |
$1,634 |
3.6× |
| CT maxillofacial w/o contrast (70486) |
$531 |
$1,517 |
5.6× |
| CT maxillofacial w/wo contrast (70488) |
$663 |
$1,894 |
4.2× |
| CT neck soft tissue w contrast (70491) |
$604 |
$1,727 |
3.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$572 |
$1,634 |
3.6× |
| CT orbits w/o contrast (70480) |
$572 |
$1,634 |
6.0× |
| CT pelvis w & w/o contrast (72194) |
$787 |
$2,248 |
5.0× |
| CT pelvis w/o contrast (72192) |
$628 |
$1,794 |
6.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$663 |
$1,893 |
4.2× |
| CT soft tissue neck w/o contrast (70490) |
$500 |
$1,428 |
5.3× |
| CT thoracic spine w/contrast (72129) |
$850 |
$2,428 |
5.4× |
| CT thoracic spine w/o contrast (72128) |
$669 |
$1,910 |
7.1× |
| CT thoracic spine w/wo contrast (72130) |
$903 |
$2,579 |
5.7× |
| CT thorax w/o contrast (71250) |
$595 |
$1,699 |
6.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$687 |
$1,962 |
4.3× |
| CT upper extremity w/o contrast rt (73200) |
$498 |
$1,423 |
5.3× |
| CT upper extremity with contrast (73201) |
$557 |
$1,590 |
1.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,360 |
$3,887 |
8.6× |
| Cta Abdomen (74175) |
$1,449 |
$4,141 |
9.1× |
| CTA abdomen pelvis (74174) |
$1,944 |
$5,553 |
6.2× |
| CTA chest (71275) |
$893 |
$2,552 |
5.6× |
| Cta Head (70496) |
$774 |
$2,211 |
4.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,307 |
$3,735 |
8.2× |
| Cta Neck (70498) |
$967 |
$2,762 |
6.1× |
| Cta Pelvis (72191) |
$1,144 |
$3,269 |
7.2× |
| Cystography minimum 3 views rs&i (74430) |
$223 |
$637 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$151 |
$430 |
1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$92 |
$264 |
1.2× |
| Dxa bone density study axial skeleton (77085) |
$151 |
$430 |
1.6× |
| Echo exam of fetal heart (76825) |
$443 |
$1,265 |
0.9× |
| Echoencephalography real time imaging (76506) |
$188 |
$537 |
2.0× |
| Esophagus (74220) |
$277 |
$790 |
1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$169 |
$484 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$253 |
$724 |
1.2× |
| Foot 2 views (73620) |
$93 |
$267 |
1.2× |
| Forearm 2 views (73090) |
$162 |
$462 |
2.1× |
| Gated Heart Planar Single (78472) |
$567 |
$1,619 |
1.6× |
| Hand 2 views (73120) |
$156 |
$446 |
1.6× |
| Hand 3 views (73130) |
$179 |
$510 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$659 |
$1,882 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$659 |
$1,882 |
1.8× |
| Ht muscle image spect sing (78451) |
$755 |
$2,157 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$165 |
$471 |
2.1× |
| Hysterosalpingogram (74740) |
$337 |
$962 |
1.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$554 |
$1,582 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$725 |
$2,072 |
1.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$679 |
$1,941 |
1.4× |
| Knee 3 views (73562) |
$191 |
$545 |
2.4× |
| Liver & spleen imaging static only (78215) |
$414 |
$1,182 |
1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$452 |
$1,292 |
1.2× |
| Liver imaging static only (78201) |
$376 |
$1,075 |
0.8× |
| Liver imaging w/vascular flow (78202) |
$353 |
$1,009 |
0.7× |
| Lung perf&ventilat diferentl (78598) |
$428 |
$1,224 |
0.9× |
| Meckels Diverticulum (78290) |
$408 |
$1,167 |
1.1× |
| MRA head w & w/o contrast (70546) |
$1,074 |
$3,069 |
3.4× |
| MRA head w/o contrast (70544) |
$853 |
$2,437 |
3.9× |
| MRA head with contrast (70545) |
$810 |
$2,313 |
2.6× |
| MRA neck w contrast (70548) |
$860 |
$2,458 |
2.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,074 |
$3,069 |
3.4× |
| MRA neck w/o contrast (70547) |
$831 |
$2,375 |
3.8× |
| MRI abdomen w contrast (74182) |
$1,434 |
$4,098 |
4.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,303 |
$3,723 |
4.1× |
| MRI abdomen w/o contrast (74181) |
$957 |
$2,733 |
4.4× |
| MRI any jnt lwr ext with con lt (73722) |
$936 |
$2,674 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$835 |
$2,387 |
1.2× |
| MRI c-spine with contrast (72142) |
$901 |
$2,575 |
2.9× |
| MRI cervical spine w/o contrast (72141) |
$862 |
$2,462 |
4.0× |
| MRI chest w/o contrast (71550) |
$976 |
$2,790 |
4.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$762 |
$2,178 |
2.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$936 |
$2,674 |
3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$819 |
$2,340 |
3.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$723 |
$2,066 |
3.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,074 |
$3,069 |
3.4× |
| MRI orbit/face/neck w/contrast (70542) |
$839 |
$2,396 |
2.7× |
| MRI pelvis w contrast (72196) |
$944 |
$2,698 |
3.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,158 |
$3,309 |
3.7× |
| MRI pelvis w/o contrast (72195) |
$819 |
$2,340 |
3.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,000 |
$2,858 |
3.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,200 |
$3,429 |
3.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,835 |
$5,243 |
5.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$936 |
$2,673 |
3.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,247 |
$3,564 |
3.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$948 |
$2,710 |
3.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,204 |
$3,441 |
3.8× |
| MRI thoracic spine w/o contrast (72146) |
$830 |
$2,370 |
3.8× |
| MRI tmj (70336) |
$979 |
$2,796 |
4.5× |
| MRI upper ext joint w/o contrast (73221) |
$807 |
$2,305 |
3.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$891 |
$2,546 |
2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$770 |
$2,199 |
3.6× |
| Myocardial Spect Multiple Studies (78452) |
$857 |
$2,448 |
0.7× |
| Neck soft tissue (70360) |
$147 |
$420 |
1.9× |
| Nm gastric emptying study (78264) |
$503 |
$1,437 |
1.4× |
| Nm red cell sequestration (78140) |
$290 |
$829 |
0.8× |
| Nuclear Rx Oral Admin (79005) |
$380 |
$1,086 |
1.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$173 |
$495 |
1.8× |
| Osseous survey infant (77076) |
$241 |
$689 |
2.5× |
| Parathyroid imaging (78070) |
$399 |
$1,139 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$97 |
$276 |
1.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,200 |
$3,429 |
3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$418 |
$1,194 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$558 |
$1,595 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$422 |
$1,207 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$232 |
$663 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$223 |
$637 |
2.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$39 |
$110 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$146 |
$418 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$152 |
$435 |
1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$36 |
$102 |
0.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$102 |
$292 |
1.3× |
| Radiologic exam colon single contrast study (74270) |
$235 |
$671 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$307 |
$877 |
1.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$225 |
$644 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$171 |
$489 |
2.2× |
| Radiological examination surgical specimen (76098) |
$253 |
$722 |
0.5× |
| Ribs bilateral 3 views (71110) |
$111 |
$318 |
1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$889 |
$2,540 |
2.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$706 |
$2,016 |
1.4× |
| Sacroiliac Joints < 3 Views (72200) |
$17 |
$49 |
0.2× |
| Scanogram (77073) |
$145 |
$415 |
1.5× |
| Scapula complete (73010) |
$171 |
$488 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$67.50 |
$192.50 |
2.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$75 |
$215 |
0.8× |
| Sialogram (70390) |
$218 |
$624 |
1.0× |
| Small bowel series (74250) |
$203 |
$580 |
1.3× |
| Spine thoracic 3 views (72072) |
$218 |
$622 |
2.3× |
| Testicular Imaging With Vascular Flow (78761) |
$301 |
$861 |
0.8× |
| Thoracolumbar 2 views (72080) |
$184 |
$526 |
2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$505 |
$1,444 |
1.4× |
| Tomogram (76100) |
$231 |
$659 |
2.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,604 |
$4,582 |
3.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$574 |
$1,640 |
1.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$160 |
$456 |
0.5× |
| Ultrasound, abdomen limited (76705) |
$237 |
$677 |
2.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$321 |
$917 |
4.1× |
| Upper Extremity Infant (73092) |
$77 |
$220 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$236 |
$674 |
1.1× |
| Urethrocystography voiding (74455) |
$232 |
$664 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$324 |
$925 |
2.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$352 |
$1,005 |
2.2× |
| Us abdl aorta screen aaa (76706) |
$175 |
$501 |
1.8× |
| Us breast unilateral complete (76641) |
$196 |
$559 |
2.1× |
| Us breast unilateral limited (76642) |
$196 |
$559 |
2.5× |
| Us chest (76604) |
$225 |
$643 |
2.4× |
| Us compl joint r-t w/image documentation (76881) |
$237 |
$677 |
2.5× |
| Us elastography parenchyma (76981) |
$267 |
$762 |
2.8× |
| Us guided compression repair (76936) |
$671 |
$1,916 |
3.4× |
| Us infant hips dynamic (76885) |
$151 |
$430 |
1.9× |
| Us ob detailed single fetus (76811) |
$301 |
$859 |
1.4× |
| Us ob transvaginal (76817) |
$301 |
$859 |
3.2× |
| Us pelvic non ob complete (76856) |
$260 |
$742 |
2.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$151 |
$431 |
1.6× |
| Us pregnancy ltd (76815) |
$173 |
$495 |
1.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$215 |
$613 |
2.3× |
| Us retroperitoneal complete (76770) |
$363 |
$1,037 |
3.8× |
| Us retroperitoneal limited (76775) |
$314 |
$896 |
3.3× |
| Us scrotum and contents (76870) |
$203 |
$579 |
2.1× |
| Us soft tissue head/neck (76536) |
$203 |
$579 |
2.1× |
| Us spinal canal and contents (76800) |
$188 |
$538 |
2.0× |
| Us xtr non-vasc lmtd (76882) |
$248 |
$708 |
2.6× |
| Venogram extremity bilateral (75822) |
$1,230 |
$3,515 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$1,174 |
$3,353 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$1,295 |
$3,701 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$647 |
$1,849 |
0.5× |
| Venography renal unilateral selective rs&i (75831) |
$1,187 |
$3,390 |
0.4× |
| Wrist 2 views (73100) |
$153 |
$437 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$259 |
$739 |
2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$97 |
$276 |
1.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$181 |
$518 |
2.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$322 |
$921 |
2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$153 |
$437 |
1.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$182 |
$519 |
2.3× |
| X-ray exam hip uni 1 view (73501) |
$79 |
$226 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$158 |
$451 |
2.0× |
| X-ray exam hip uni 4/> views (73503) |
$171 |
$489 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$245 |
$700 |
2.6× |
| X-ray exam of femur 1 (73551) |
$34 |
$96 |
0.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$143 |
$409 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$126 |
$359 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$107 |
$306 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$89 |
$254 |
1.1× |
| X-ray IV pyelogram+drip infusn (74410) |
$334 |
$955 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$106 |
$303 |
1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$218 |
$623 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$181 |
$517 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$77 |
$220 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$197 |
$563 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$310 |
$887 |
3.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$245 |
$699 |
2.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$167 |
$477 |
2.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$106 |
$303 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$155 |
$442 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$99 |
$283 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$284 |
$812 |
0.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$104 |
$296 |
1.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$159 |
$454 |
1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$185 |
$528 |
2.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$154 |
$439 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$109 |
$311 |
1.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$188 |
$536 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$142 |
$407 |
1.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$89 |
$254 |
1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$144 |
$412 |
1.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$115 |
$330 |
1.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$131 |
$373 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$100 |
$287 |
1.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$109 |
$311 |
1.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$218 |
$622 |
2.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$128 |
$366 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$157 |
$449 |
2.0× |
| Xr c-spine 6 or more views (72052) |
$295 |
$843 |
3.1× |
| Xr chest 4+ views (71048) |
$148 |
$422 |
1.6× |
| Xr finger(s) 2+ views (73140) |
$124 |
$354 |
1.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$118 |
$337 |
1.2× |
| Xr shoulder 1 view (73020) |
$142 |
$407 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$295 |
$843 |
3.1× |
| Xr tibia/fibula 2 views (73590) |
$173 |
$495 |
2.2× |
| Xr tmj bilateral (70330) |
$147 |
$419 |
1.9× |
| Xray knee 1 or 2 views rt (73560) |
$153 |
$438 |
1.9× |