| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) |
$6,171.90 |
$8,817 |
4.3× |
| Acute gi blood loss imaging (78278) |
$1,306.90 |
$1,867 |
3.1× |
| Angio extremity unilateral (75710) |
$1,596.35 |
$2,280.50 |
0.5× |
| Angio pulmonary unilateral (75741) |
$2,691.50 |
$3,845 |
0.8× |
| Angiogram extremity bilateral (75716) |
$3,605 |
$5,150 |
1.1× |
Angiogram pelvic (75736)
likely a partial charge, not the full procedure |
$355.60 |
$508 |
0.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,411.40 |
$6,302 |
1.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,603.90 |
$6,577 |
0.8× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$711.90 |
$1,017 |
0.2× |
| Ankle 2 views (73600) |
$651.70 |
$931 |
7.2× |
| Barium enema (74270) |
$604.10 |
$863 |
3.3× |
| Basic dosimetry (77300) |
$2,035.60 |
$2,908 |
14.5× |
| Bilat selctv renal venogram (75833) |
$3,791.90 |
$5,417 |
1.2× |
| Bone age studies (77072) |
$219.80 |
$314 |
2.0× |
| Bone imaging limited area (78300) |
$751.80 |
$1,074 |
1.8× |
| Bone survey complete (77075) |
$1,017.10 |
$1,453 |
9.3× |
| Bowel imaging (78290) |
$807.10 |
$1,153 |
1.9× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$2,340.80 |
$3,344 |
6.0× |
| Brain image w/flow 4 + views (78606) |
$1,130.15 |
$1,614.50 |
2.0× |
| Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or… (78483) |
$1,507.10 |
$2,153 |
2.7× |
| Cerebrospinal fluid leakage (78650) |
$1,297.80 |
$1,854 |
1.0× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$324.10 |
$463 |
1.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$455.02 |
$650.02 |
2.5× |
| Cisternogram (78630) |
$1,463.70 |
$2,091 |
2.6× |
| Clavicle complete (73000) |
$659.05 |
$941.50 |
7.3× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$2,140.22 |
$3,057.46 |
11.7× |
| Contrast exam abdominl aorta (75625) |
$2,724.05 |
$3,891.50 |
0.8× |
| Contrast exam thoracic aorta (75605) |
$4,603.90 |
$6,577 |
0.8× |
| CT - st neck w&wo contr (70492) |
$2,006.90 |
$2,867 |
11.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,465.80 |
$6,379.70 |
12.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,841.13 |
$4,058.76 |
11.4× |
| CT abdomen w wo contrast (74170) |
$4,277 |
$6,110 |
23.3× |
| CT abdomen w/contrast (74160) |
$3,412.50 |
$4,875 |
18.6× |
| CT abdomen w/o contrast (74150) |
$3,007.20 |
$4,296 |
27.5× |
| CT angio abdom w/o & w/dye (74175) |
$3,038.70 |
$4,341 |
16.6× |
| CT angio abdominal arteries (75635) |
$2,786.70 |
$3,981 |
15.2× |
| CT angio hrt w/3d image (75574) |
$1,029.70 |
$1,471 |
2.8× |
| CT angiograph pelv w/o&w/dye (72191) |
$2,974.30 |
$4,249 |
16.2× |
| CT cervical spine w/contrast (72126) |
$3,385.20 |
$4,836 |
9.3× |
| CT cervical spine w/o contrast (72125) |
$372.57 |
$532.24 |
3.4× |
| CT chest w/contrast (71260) |
$1,805.92 |
$2,579.89 |
9.9× |
| CT extremity upper w & w/o contrast (73202) |
$3,358.60 |
$4,798 |
18.3× |
| CT head/brain with contrast (70460) |
$1,771.30 |
$2,530.42 |
9.7× |
| CT head/brain without and with contrast (70470) |
$530.60 |
$758 |
2.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$234.50 |
$335 |
2.6× |
| CT lower ext w/wo contrast (73702) |
$1,262.10 |
$1,803 |
6.9× |
| CT lower extremity w contrast (73701) |
$3,327.45 |
$4,753.50 |
18.2× |
| CT lower extremity w/o contrast unilateral (73700) |
$2,463.30 |
$3,519 |
22.6× |
| CT lumbar spine w/contrast (72132) |
$2,999.50 |
$4,285 |
8.2× |
| CT lumbar spine w/o contrast (72131) |
$375.20 |
$536 |
3.4× |
| CT lumbar spine w/o then w/ con (72133) |
$1,659.88 |
$2,371.26 |
9.1× |
| CT maxillofacial area w/o contrast (70486) |
$391.30 |
$559 |
3.6× |
| CT maxillofacial w/contrast (70487) |
$3,551.10 |
$5,073 |
19.4× |
| CT maxillofacial w/o then w/ con (70488) |
$1,949.33 |
$2,784.76 |
10.6× |
| CT orbit sella ear w/o con (70480) |
$1,940.72 |
$2,772.46 |
17.8× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$3,909.50 |
$5,585 |
21.3× |
| CT pelvis w & w/o contrast (72194) |
$3,816.40 |
$5,452 |
20.8× |
| CT pelvis w/o contrast (72192) |
$382.06 |
$545.80 |
3.5× |
| CT soft tissue neck w/contrast (70491) |
$1,634.99 |
$2,335.70 |
8.9× |
| CT soft tissue neck w/o contrast (70490) |
$459.20 |
$656 |
4.2× |
| CT spine cervical w/wo contrast (72127) |
$4,025.70 |
$5,751 |
22.0× |
| CT thoracic spine w/contrast (72129) |
$3,448.20 |
$4,926 |
18.8× |
| CT thoracic spine w/o contrast (72128) |
$371.64 |
$530.92 |
3.4× |
| CT thoracic spine w/o then w/ con (72130) |
$3,620.40 |
$5,172 |
19.8× |
| CT thorax w/o contrast (71250) |
$1,426.92 |
$2,038.45 |
13.1× |
| CT thorax w/o then w/ contrast (71270) |
$2,077.38 |
$2,967.68 |
11.3× |
| CT upper extremity w/dye (73201) |
$2,558.50 |
$3,655 |
7.0× |
| CT upper extremity w/o contrast rt (73200) |
$2,436.70 |
$3,481 |
22.3× |
| CTA chest w/wo contrast (71275) |
$1,835.69 |
$2,622.42 |
10.0× |
| CTA head w contrast (70496) |
$802.90 |
$1,147 |
4.4× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$1,438.92 |
$2,055.60 |
7.9× |
| Cta Neck (70498) |
$1,883.92 |
$2,691.32 |
10.3× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$2,595.60 |
$3,708 |
14.2× |
| Diskography lumbar (72295) |
$1,738.10 |
$2,483 |
0.9× |
| Echo exam of eye thickness (76514) |
$21 |
$30 |
0.7× |
| Esophogram (74220) |
$681.10 |
$973 |
3.7× |
| Fetal biophysical profile non-stress testing (76818) |
$307.30 |
$439 |
2.8× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$759.50 |
$1,085 |
3.0× |
| Functional MRI brain by tech (70554) |
$2,396.80 |
$3,424 |
9.6× |
| Gastric emptying study (78264) |
$1,750 |
$2,500 |
4.2× |
| Gastroesophageal reflux study (78262) |
$1,345.40 |
$1,922 |
3.2× |
| Gated heart planar single (78472) |
$1,970.50 |
$2,815 |
4.7× |
| Heart infarct image (78466) |
$940.10 |
$1,343 |
2.3× |
| Hepatobil syst image w/drug (78227) |
$2,161.60 |
$3,088 |
3.8× |
| Hepatobiliary system imaging (78226) |
$1,817.20 |
$2,596 |
4.4× |
| Humerus min 2 views (73060) |
$578.90 |
$827 |
6.4× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$1,404.20 |
$2,006 |
1.9× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$2,209.90 |
$3,157 |
5.7× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$2,013.90 |
$2,877 |
5.2× |
| Ivp (74400) |
$478.10 |
$683 |
2.6× |
| Ivp w tomography (74415) |
$1,025.50 |
$1,465 |
5.6× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$807.10 |
$1,153 |
1.4× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$1,836.10 |
$2,623 |
3.2× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$2,072.70 |
$2,961 |
3.7× |
| Liver & spleen; static only (78215) |
$2,076.20 |
$2,966 |
5.0× |
| Liver & spleen; w vasc flow (78216) |
$1,009.40 |
$1,442 |
2.4× |
| Lung ventilat&perfus imaging (78582) |
$2,870.70 |
$4,101 |
5.1× |
| Lung ventilation imaging (78579) |
$1,460.90 |
$2,087 |
3.5× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$4,939.55 |
$7,056.50 |
13.6× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$4,316.90 |
$6,167 |
11.8× |
| MRA head w & w/o contrast (70546) |
$2,383.30 |
$3,404.72 |
6.5× |
| MRA head w/o contrast (70544) |
$637 |
$910 |
2.6× |
| MRA neck w/o contrast (70547) |
$2,265.90 |
$3,237 |
9.1× |
| MRA neck w/wo contrast (70549) |
$2,332.75 |
$3,332.50 |
6.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,040.38 |
$2,914.84 |
5.6× |
| MRI abdomen w/o contrast (74181) |
$3,616.90 |
$5,167 |
14.5× |
| MRI cervical spine w/o contrast (72141) |
$2,200.10 |
$3,143 |
8.8× |
| MRI cervical spine with contrast (72142) |
$4,038.30 |
$5,769 |
11.1× |
| MRI chest w & w/o contrast (71552) |
$4,386.90 |
$6,267 |
12.0× |
| MRI chest w/o contrast (71550) |
$3,869.60 |
$5,528 |
15.5× |
| MRI joint upper ext w/contrast (73222) |
$2,239.30 |
$3,199 |
2.7× |
| MRI joint upr extr w/o&w/dye (73223) |
$4,084.50 |
$5,835 |
11.2× |
| MRI joint upr extrem w/o dye (73221) |
$1,939.70 |
$2,771 |
7.8× |
| Mri Lower Extremity W/O Dye (73718) |
$3,234 |
$4,620 |
13.0× |
| MRI lumbar w/wo contrast (72158) |
$3,735.55 |
$5,336.50 |
10.3× |
| MRI lwr ext w/o jnts with con rt (73719) |
$3,445.40 |
$4,922 |
9.5× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$2,682.40 |
$3,832 |
7.4× |
| MRI orbit/face/neck w/o contrast (70540) |
$2,105.04 |
$3,007.20 |
8.4× |
| MRI pelvis w/o contrast (72195) |
$3,250.10 |
$4,643 |
13.0× |
| MRI pelvis w/wo contrast (72197) |
$2,105.48 |
$3,007.84 |
5.8× |
| MRI spectroscopy (76390) |
$3,370.50 |
$4,815 |
37.1× |
| MRI spine cervical wo/w contrast (72156) |
$3,450.34 |
$4,929.06 |
9.5× |
| MRI thoracic spine w wo contrast (72157) |
$3,697.40 |
$5,282 |
10.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,457.40 |
$2,082 |
5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,124.10 |
$4,463 |
12.5× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$4,470.90 |
$6,387 |
12.3× |
| Myelogram thoracic (72255) |
$2,100.70 |
$3,001 |
2.6× |
| Myelography 2 or more regions (72270) |
$1,827 |
$2,610 |
2.2× |
| Myelography lumbosacral (72265) |
$1,590.40 |
$2,272 |
1.9× |
| Myocardial perfusion planar multiple studies (78454) |
$3,320.10 |
$4,743 |
2.5× |
| Nm bone 3 phase (78315) |
$1,385.48 |
$1,979.26 |
3.3× |
| Nm bone imaging whole body (78306) |
$2,150.40 |
$3,072 |
5.2× |
| Nm heart perfusion spect stress rest (78452) |
$3,727.50 |
$5,325 |
2.8× |
| Nm lymph system (78195) |
$1,703.10 |
$2,433 |
3.0× |
| Nm thyroid imaging only (78013) |
$1,100.40 |
$1,572 |
2.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$807.10 |
$1,153 |
1.9× |
| Ob us < 14 wks single fetus (76801) |
$623.70 |
$891 |
5.7× |
| Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Age Under 21 (76519) |
$76.30 |
$109 |
0.7× |
| Oral radiopharm rx (79005) |
$1,915.20 |
$2,736 |
7.9× |
| Parathyroid imaging (78070) |
$1,523.90 |
$2,177 |
3.7× |
| Peritoneal-venous shunt patency test (78291) |
$807.10 |
$1,153 |
1.9× |
| PET brain metabolic eval (78608) |
$4,728.50 |
$6,755 |
3.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,433.75 |
$7,762.50 |
3.6× |
| PET imaging CT for attenuation limited area (78814) |
$4,346.65 |
$6,209.50 |
2.9× |
| PET imaging for CT attenuation whole body (78816) |
$5,696.60 |
$8,138 |
3.8× |
| PET imaging limited area chest head/neck (78811) |
$2,853.20 |
$4,076 |
2.1× |
| PET imaging whole body (78813) |
$5,132.40 |
$7,332 |
3.4× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Age Under 21 (78812) |
$3,804.50 |
$5,435 |
2.5× |
| Pulmonary perfusion imaging particulate (78580) |
$1,704.50 |
$2,435 |
4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$478.80 |
$684 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$219.80 |
$314 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$574 |
$820 |
5.3× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$344.40 |
$492 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$421.40 |
$602 |
3.9× |
| Radex hip unilateral with pelvis 1 view (73501) |
$383.95 |
$548.50 |
4.2× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$553 |
$790 |
6.1× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$749 |
$1,070 |
6.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$400.88 |
$572.68 |
3.7× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$1,170.40 |
$1,672 |
10.7× |
| Radex spine cervical 2 or 3 views (72040) |
$689.50 |
$985 |
7.6× |
| Radex spine cervical 4 or 5 views (72050) |
$847 |
$1,210 |
7.8× |
| Radex spine cervical 6 or more views (72052) |
$527.62 |
$753.74 |
4.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,047.90 |
$1,497 |
5.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,232 |
$1,760 |
6.7× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$597.45 |
$853.50 |
6.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$682.85 |
$975.50 |
7.5× |
| Radiologic examination, salivary gland for calculus Other Diagnostic Radiology FS (70380) |
$219.80 |
$314 |
2.4× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$912.10 |
$1,303 |
8.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,024.80 |
$1,464 |
2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,056.60 |
$2,938 |
4.9× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$3,867.50 |
$5,525 |
6.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,724.40 |
$3,892 |
4.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,683.15 |
$2,404.50 |
3.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,009 |
$2,870 |
1.5× |
| Simulation complex (77290) |
$1,208.90 |
$1,727 |
3.1× |
| Small bowel series (74250) |
$970.90 |
$1,387 |
5.3× |
| Special physics consult (77370) |
$998.90 |
$1,427 |
7.1× |
| Special treatment procedure (77470) |
$2,814.70 |
$4,021 |
4.9× |
| Testicular imaging w/flow (78761) |
$751.80 |
$1,074 |
1.8× |
| Thyroid met imaging body (78018) |
$1,644.30 |
$2,349 |
2.9× |
| Thyroid uptake single/multiple quant measurement (78012) |
$1,009.40 |
$1,442 |
2.4× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,009.40 |
$1,442 |
2.4× |
| Treatment devices complex (77334) |
$1,614.20 |
$2,306 |
4.1× |
| Treatment devices simple (77332) |
$1,990.80 |
$2,844 |
14.2× |
| Ultrasound breast limited (76642) |
$599.20 |
$856 |
6.6× |
| Ultrasound, abdomen limited (76705) |
$498.31 |
$711.87 |
4.6× |
| Unlisted magnetic resonance procedure (76498) |
$2,387 |
$3,410 |
26.3× |
| Unlisted procedure, clinical brachytherapy (77799) |
$1,086.40 |
$1,552 |
10.2× |
| Urethrocystography retrograde rs&i (74450) |
$987.70 |
$1,411 |
4.0× |
| Urethrocystography voiding (74455) |
$984.90 |
$1,407 |
4.0× |
| Urography antegrade (74425) |
$887.60 |
$1,268 |
2.4× |
| Urography retrograde w/wo kub (74420) |
$1,115.10 |
$1,593 |
3.1× |
| Us breast uni real time with image complete (76641) |
$670.25 |
$957.50 |
6.1× |
| Us chest (76604) |
$518 |
$740 |
4.7× |
| Us compl joint r-t w/image documentation (76881) |
$731.50 |
$1,045 |
6.7× |
| Us kidney transplanted (76776) |
$412.30 |
$589 |
3.8× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$620.20 |
$886 |
5.7× |
| Us ob detailed single fetus (76811) |
$475.30 |
$679 |
1.9× |
| Us ob limited 1 or more fetuses (76815) |
$171.50 |
$245 |
1.6× |
| Us pelvic limited or f/u non-ob (76857) |
$767.20 |
$1,096 |
7.0× |
| Us pelvis complete (76856) |
$567.90 |
$811.29 |
5.2× |
| Us retroperitoneal complete (76770) |
$337.84 |
$482.64 |
3.1× |
| Us retroperitoneal limited (76775) |
$983.50 |
$1,405 |
9.0× |
| Us scrotum (76870) |
$801.50 |
$1,145 |
7.3× |
| Us soft tissue head/neck (76536) |
$411.35 |
$587.64 |
3.8× |
| Us spinal canal (76800) |
$307.30 |
$439 |
2.8× |
| Us transrectal (76872) |
$893.55 |
$1,276.50 |
8.2× |
| Venogram extremity bilateral (75822) |
$1,820 |
$2,600 |
1.1× |
| Venogram ivc w serialography (75825) |
$616.70 |
$881 |
0.2× |
| Venogram svc w serialography (75827) |
$616.70 |
$881 |
0.4× |
| Venography ext unilateral (75820) |
$1,213.10 |
$1,733 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$2,527.70 |
$3,611 |
0.8× |
| Venous sampling by catheter (75893) |
$4,603.90 |
$6,577 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$287.70 |
$411 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$536.20 |
$766 |
5.9× |
| X-ray aorta leg arteries (75630) |
$844.20 |
$1,206 |
0.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,454.60 |
$2,078 |
7.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$817.60 |
$1,168 |
9.0× |
| X-ray exam hips bi 3-4 views (73522) |
$1,029.70 |
$1,471 |
9.4× |
| X-ray exam of finger(s) (73140) |
$624.40 |
$892 |
6.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$406 |
$580 |
4.5× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$473.90 |
$677 |
5.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$710.50 |
$1,015 |
7.8× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$420 |
$600 |
3.8× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$841.75 |
$1,202.50 |
9.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$609.70 |
$871 |
6.7× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$372.05 |
$531.50 |
4.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$773.50 |
$1,105 |
7.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$634.20 |
$906 |
7.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$869.40 |
$1,242 |
8.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$713.64 |
$1,019.48 |
6.5× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$235.90 |
$337 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$669.90 |
$957 |
7.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$877.10 |
$1,253 |
8.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$506.80 |
$724 |
4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$679 |
$970 |
7.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$938 |
$1,340 |
10.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,029.70 |
$1,471 |
11.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,082.90 |
$1,547 |
9.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$650.30 |
$929 |
6.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$219.80 |
$314 |
2.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$599.55 |
$856.50 |
6.6× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$564.55 |
$806.50 |
6.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$831.25 |
$1,187.50 |
9.1× |
| Xr abdomen 1 view (74018) |
$231.86 |
$331.22 |
2.6× |
| Xr abdomen 2 views (74019) |
$325.80 |
$465.43 |
3.0× |
| Xr abdomen 3 views (74021) |
$318.50 |
$455 |
2.9× |
| Xr bone density axial (77080) |
$632.80 |
$904 |
5.8× |
| Xr bone length study (77073) |
$452.20 |
$646 |
4.1× |
| Xr bone survey limited (77074) |
$394.80 |
$564 |
3.6× |
| Xr chest 1 view (71045) |
$203.38 |
$290.54 |
2.2× |
| Xr chest 2 views (71046) |
$253.70 |
$362.44 |
2.8× |
| Xr chest 3 views (71047) |
$342.30 |
$489 |
3.8× |
| Xr cystogram 3+ views (74430) |
$625.10 |
$893 |
1.7× |
| Xr facial bones 3 views (70150) |
$574.70 |
$821 |
5.3× |
| Xr mandible 4 views (70110) |
$672.70 |
$961 |
6.2× |
| Xr myelogram c-spine (72240) |
$1,590.40 |
$2,272 |
1.9× |
| Xr nasal bones (70160) |
$609 |
$870 |
6.7× |
| Xr pelvis 3 views (72190) |
$723.80 |
$1,034 |
6.6× |
| Xr sella turcica (70240) |
$219.80 |
$314 |
2.4× |
| Xr spine 1 view (72020) |
$482.30 |
$689 |
5.3× |
| Xr sternum 2 views (71120) |
$613.90 |
$877 |
6.8× |
| Xr surgical specimen (76098) |
$656.60 |
$938 |
1.2× |
| Xray elbow 2 views (73070) |
$442.40 |
$632 |
4.9× |
| Xray forearm 2 views (73090) |
$573.30 |
$819 |
6.3× |
| Xray internal auditory meati compl (70134) |
$296.10 |
$423 |
0.5× |
| Xray knee 1 or 2 views rt (73560) |
$540.40 |
$772 |
5.9× |
| Xray neck soft tissue (70360) |
$490 |
$700 |
5.4× |
| Xray optic foramina (70190) |
$219.80 |
$314 |
2.4× |
| Xray orbits complete min 4 views (70200) |
$1,168.30 |
$1,669 |
10.7× |
| Xray pelvis 1 or 2 views (72170) |
$264.24 |
$377.48 |
2.4× |
| Xray scapula complete (73010) |
$827.05 |
$1,181.50 |
7.6× |
| Xray shoulder 1 view (73020) |
$202.82 |
$289.74 |
2.2× |
| Xray sinuses paranasal <3 views (70210) |
$309.40 |
$442 |
3.4× |
| Xray spine thoracic 2 views (72070) |
$696.50 |
$995 |
6.4× |
| Xray tibia-fibula 2 views bil (73590) |
$797.65 |
$1,139.50 |
8.8× |
| Xray tmj's bilateral open-clsc (70330) |
$630.70 |
$901 |
6.9× |