| Abdomen 2 views (74019) |
$25.41 |
$33.88 |
0.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$401.25 |
$535 |
1.0× |
| Ankle 2 views (73600) |
$391.71 |
$522.28 |
4.7× |
| Arthrogram hip (73525) |
$432 |
$576 |
1.3× |
| Arthrogram shoulder (73040) |
$772.50 |
$1,030 |
2.3× |
| Arthrogram wrist (73115) |
$239.25 |
$319 |
0.7× |
| Arthrography knee lt (73580) |
$432 |
$576 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$444.75 |
$593 |
1.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$432.75 |
$577 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$896.25 |
$1,195 |
2.3× |
| Bone age studies (77072) |
$53.12 |
$70.83 |
0.5× |
| Bone Imaging 3 Phase (78315) |
$725.40 |
$967.20 |
1.9× |
| Bone survey complete (77075) |
$198.74 |
$264.99 |
2.0× |
| Brain image w/flow 4 + views (78606) |
$429 |
$572 |
0.8× |
| Brain Imaging Minimum 4 Static Views (78605) |
$429 |
$572 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$843.75 |
$1,125 |
10.0× |
| Chest 1 view (71045) |
$118.86 |
$158.47 |
1.4× |
| Chest 3 views (71047) |
$77.25 |
$103 |
0.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$402.80 |
$537.06 |
2.4× |
| Clavicle complete (73000) |
$196.44 |
$261.92 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$279.38 |
$372.50 |
2.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,159.10 |
$5,545.46 |
12.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,212.80 |
$1,617.08 |
5.3× |
| CT abdomen w contrast (74160) |
$883.89 |
$1,178.52 |
5.2× |
| CT abdomen w wo contrast (74170) |
$1,365.40 |
$1,820.53 |
8.1× |
| CT abdomen w/o contrast (74150) |
$1,050.65 |
$1,400.86 |
10.4× |
| CT angiography upper extremity lt (73206) |
$1,016.64 |
$1,355.52 |
6.0× |
| CT c-spine w/o contrast (72125) |
$2,899.88 |
$3,866.50 |
28.7× |
| CT cervical spine w&w/o contrast (72127) |
$870.24 |
$1,160.32 |
5.1× |
| CT cervical spine with contrast (72126) |
$1,830.35 |
$2,440.47 |
5.4× |
| CT chest w/wo contrast (71270) |
$456.12 |
$608.16 |
2.7× |
| CT chest with contrast (71260) |
$2,886.38 |
$3,848.50 |
17.0× |
| CT head/brain with contrast (70460) |
$1,539.49 |
$2,052.65 |
9.1× |
| CT head/brain without and with contrast (70470) |
$574.75 |
$766.33 |
3.4× |
| CT iac w contrast (70481) |
$504.36 |
$672.48 |
3.0× |
| CT lower ext w/o (73700) |
$2,529 |
$3,372 |
25.0× |
| CT lower extremity w wo contrast (73702) |
$823.35 |
$1,097.80 |
4.9× |
| CT lower extremity with contrast (73701) |
$930.48 |
$1,240.64 |
5.5× |
| CT lumbar spine w & w/o contrast (72133) |
$981.24 |
$1,308.32 |
5.8× |
| CT lumbar spine w/o contrast (72131) |
$2,664.75 |
$3,553 |
26.4× |
| CT lumbar spine with contrast (72132) |
$352.44 |
$469.92 |
1.0× |
| CT maxillofacial w contrast (70487) |
$3,588.49 |
$4,784.65 |
21.2× |
| CT maxillofacial w/o contrast (70486) |
$1,125.86 |
$1,501.15 |
11.1× |
| CT maxillofacial w/wo contrast (70488) |
$436.74 |
$582.32 |
2.6× |
| CT neck soft tissue w contrast (70491) |
$1,144.88 |
$1,526.50 |
6.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$558.99 |
$745.32 |
3.3× |
| CT orbits w/o contrast (70480) |
$1,457.40 |
$1,943.20 |
14.4× |
| CT pelvis w & w/o contrast (72194) |
$2,742.60 |
$3,656.80 |
16.2× |
| CT pelvis w/o contrast (72192) |
$338.25 |
$451 |
3.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$66.48 |
$88.63 |
0.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$433.81 |
$578.41 |
2.6× |
| CT soft tissue neck w/o contrast (70490) |
$411.38 |
$548.50 |
4.1× |
| CT thoracic spine w/contrast (72129) |
$796.86 |
$1,062.48 |
4.7× |
| CT thoracic spine w/o contrast (72128) |
$3,655.88 |
$4,874.50 |
36.2× |
| CT thoracic spine w/wo contrast (72130) |
$889.11 |
$1,185.48 |
5.2× |
| CT thorax w/o contrast (71250) |
$244.88 |
$326.50 |
2.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$823.35 |
$1,097.80 |
4.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,919.46 |
$2,559.27 |
19.0× |
| CT upper extremity with contrast (73201) |
$2,363.16 |
$3,150.88 |
7.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$996 |
$1,328 |
5.9× |
| Cta Abdomen (74175) |
$733.65 |
$978.20 |
4.3× |
| CTA abdomen pelvis (74174) |
$496.88 |
$662.50 |
1.5× |
| CTA chest (71275) |
$1,931.08 |
$2,574.77 |
11.4× |
| Cta Head (70496) |
$314.63 |
$419.50 |
1.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,029.15 |
$1,372.20 |
6.1× |
| Cta Neck (70498) |
$285.75 |
$381 |
1.7× |
| Cta Pelvis (72191) |
$1,016.64 |
$1,355.52 |
6.0× |
| Cystography minimum 3 views rs&i (74430) |
$239.25 |
$319 |
0.7× |
| Echoencephalography real time imaging (76506) |
$100.32 |
$133.76 |
1.0× |
| Esophagus (74220) |
$836.60 |
$1,115.46 |
4.9× |
| Fetal biophysical profile non-stress testing (76818) |
$204 |
$272 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$937.04 |
$1,249.40 |
4.1× |
| Foot 2 views (73620) |
$226.34 |
$301.78 |
2.7× |
| Forearm 2 views (73090) |
$313.88 |
$418.50 |
3.7× |
| Gated Heart Planar Single (78472) |
$416.25 |
$555 |
1.1× |
| Hand 2 views (73120) |
$731.25 |
$975 |
7.2× |
| Hand 3 views (73130) |
$562.88 |
$750.50 |
6.7× |
| Heart Infarct Image (78466) |
$2,515.50 |
$3,354 |
6.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,863.50 |
$3,818 |
5.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$684.45 |
$912.60 |
1.8× |
| Ht muscle image spect sing (78451) |
$1,138.50 |
$1,518 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$198.38 |
$264.50 |
2.4× |
| Hysterosalpingogram (74740) |
$219.75 |
$293 |
1.0× |
| Kidney funcj study non-img radioisotopic study (78725) |
$343.50 |
$458 |
0.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$429 |
$572 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,097.25 |
$1,463 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$429 |
$572 |
0.8× |
| Knee 3 views (73562) |
$793.98 |
$1,058.64 |
9.4× |
| Liver & spleen imaging static only (78215) |
$498.75 |
$665 |
1.3× |
| Liver imaging static only (78201) |
$1,138.50 |
$1,518 |
2.2× |
| Liver imaging w/vascular flow (78202) |
$1,138.50 |
$1,518 |
2.2× |
| Lung perf&ventilat diferentl (78598) |
$1,542 |
$2,056 |
2.9× |
| Lung Ventilation Imaging (78579) |
$343.50 |
$458 |
0.9× |
| Lymphoscintigraphy (78195) |
$2,137.96 |
$2,850.61 |
4.1× |
| Mammary ductogram or galactogram multiple (77054) |
$219.75 |
$293 |
1.0× |
| Mammary ductogram or galactogram single (77053) |
$219.75 |
$293 |
1.0× |
| Meckels Diverticulum (78290) |
$356.25 |
$475 |
0.9× |
| MRA head w & w/o contrast (70546) |
$2,428.65 |
$3,238.20 |
7.2× |
| MRA head w/o contrast (70544) |
$3,888.42 |
$5,184.55 |
16.9× |
| MRA neck w contrast (70548) |
$1,106.28 |
$1,475.04 |
3.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,202.43 |
$1,603.24 |
3.6× |
| MRA neck w/o contrast (70547) |
$636.24 |
$848.32 |
2.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$906 |
$1,208 |
2.7× |
| MRI abdomen w/o contrast (74181) |
$1,205.05 |
$1,606.73 |
5.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,007.16 |
$1,342.88 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,310.86 |
$1,747.81 |
1.7× |
| MRI c-spine with contrast (72142) |
$519.59 |
$692.78 |
1.5× |
| MRI cervical spine w/o contrast (72141) |
$771.38 |
$1,028.50 |
3.3× |
| MRI chest w/o & w/contrast material (71552) |
$1,562.07 |
$2,082.76 |
4.6× |
| MRI chest w/o contrast (71550) |
$928.02 |
$1,237.36 |
4.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,007.16 |
$1,342.88 |
3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,006.29 |
$1,341.72 |
3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,140.10 |
$1,520.13 |
4.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$969.36 |
$1,292.48 |
4.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,155.56 |
$1,540.75 |
3.4× |
| MRI pelvis w contrast (72196) |
$505.53 |
$674.04 |
1.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,840.88 |
$2,454.50 |
5.5× |
| MRI pelvis w/o contrast (72195) |
$1,389.32 |
$1,852.42 |
6.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,559.46 |
$2,079.28 |
4.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,299.37 |
$1,732.49 |
3.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,230.58 |
$6,974.10 |
15.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$514.48 |
$685.97 |
1.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$995.50 |
$1,327.33 |
3.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,028.67 |
$1,371.56 |
3.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,383.99 |
$7,178.65 |
16.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,924.13 |
$2,565.50 |
8.3× |
| MRI tmj (70336) |
$513.66 |
$684.88 |
2.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,501.58 |
$2,002.11 |
6.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,039.84 |
$4,053.12 |
9.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,135.37 |
$4,180.49 |
13.6× |
| Myelogram Lumbar (72265) |
$1,190.97 |
$1,587.96 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,445.12 |
$1,926.83 |
1.2× |
| Neck soft tissue (70360) |
$64.88 |
$86.50 |
0.8× |
| Nm gastric emptying study (78264) |
$3,348 |
$4,464 |
8.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,138.50 |
$1,518 |
0.9× |
| Nuclear medicine of heart pumping function (78473) |
$772.50 |
$1,030 |
2.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,138.50 |
$1,518 |
0.9× |
| Osseous survey infant (77076) |
$108.75 |
$145 |
1.1× |
| Osseous survey limited (77074) |
$171 |
$228 |
1.7× |
| Parathyroid imaging (78070) |
$724.34 |
$965.79 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$508.50 |
$678 |
5.0× |
| Pr heart first pass single,planar (78481) |
$772.50 |
$1,030 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,872.69 |
$6,496.92 |
14.4× |
| Pr sono bone density measure,peripheral (76977) |
$174.75 |
$233 |
1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$999.90 |
$1,333.20 |
2.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,317 |
$1,756 |
2.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$405.03 |
$540.04 |
4.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$117.75 |
$157 |
1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$36.80 |
$49.06 |
0.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$67.50 |
$90 |
0.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$78.75 |
$105 |
0.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$660.38 |
$880.50 |
7.8× |
| Radiologic exam colon single contrast study (74270) |
$523.96 |
$698.61 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,168.25 |
$1,557.67 |
6.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$151.13 |
$201.50 |
1.8× |
| Radiological examination surgical specimen (76098) |
$460.50 |
$614 |
0.9× |
| Ribs bilateral 3 views (71110) |
$90.14 |
$120.18 |
0.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,820.17 |
$3,760.23 |
7.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,138.50 |
$1,518 |
2.2× |
| Sacroiliac Joints < 3 Views (72200) |
$379.50 |
$506 |
3.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$219.75 |
$293 |
1.0× |
| Scanogram (77073) |
$108.38 |
$144.50 |
1.1× |
| Scapula complete (73010) |
$131.40 |
$175.20 |
1.3× |
| Sella turcica (70240) |
$60 |
$80 |
0.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$163.78 |
$218.37 |
1.6× |
| Small bowel series (74250) |
$307.51 |
$410.01 |
1.8× |
| Spine thoracic 3 views (72072) |
$896.63 |
$1,195.50 |
8.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,192.50 |
$1,590 |
3.1× |
| Tmj unilateral (70328) |
$60 |
$80 |
0.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,416.75 |
$1,889 |
2.7× |
| Ultrasound, abdomen limited (76705) |
$942.90 |
$1,257.20 |
9.3× |
| Upper Extremity Infant (73092) |
$60 |
$80 |
0.6× |
| Urethrocystography retrograde rs&i (74450) |
$219.75 |
$293 |
1.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$239.25 |
$319 |
1.4× |
| Us breast unilateral complete (76641) |
$495.49 |
$660.65 |
4.9× |
| Us breast unilateral limited (76642) |
$1,014.99 |
$1,353.32 |
12.1× |
| Us chest (76604) |
$389.27 |
$519.03 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$819.11 |
$1,092.15 |
8.1× |
| Us infant hips dynamic (76885) |
$124.73 |
$166.31 |
1.5× |
| Us kidney transplant (76776) |
$258 |
$344 |
2.6× |
| Us ob transvaginal (76817) |
$67.40 |
$89.87 |
0.7× |
| Us pelvic non ob complete (76856) |
$196.13 |
$261.50 |
1.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$586 |
$781.33 |
5.8× |
| Us pregnancy ltd (76815) |
$85.60 |
$114.13 |
0.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$217.88 |
$290.50 |
2.2× |
| Us retroperitoneal complete (76770) |
$298.13 |
$397.50 |
2.9× |
| Us retroperitoneal limited (76775) |
$125.39 |
$167.19 |
1.2× |
| Us scrotum and contents (76870) |
$656.25 |
$875 |
6.5× |
| Us soft tissue head/neck (76536) |
$2,060.10 |
$2,746.80 |
20.4× |
| Us spinal canal and contents (76800) |
$126.23 |
$168.31 |
1.2× |
| Us xtr non-vasc lmtd (76882) |
$477.75 |
$637 |
4.7× |
| Wrist 2 views (73100) |
$209.29 |
$279.05 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$238.16 |
$317.55 |
2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$27.75 |
$37 |
0.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$859.88 |
$1,146.50 |
10.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$690 |
$920 |
4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$139.58 |
$186.10 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$136.13 |
$181.50 |
1.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$126.75 |
$169 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$27.52 |
$36.69 |
0.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$565.50 |
$754 |
6.7× |
| X-ray exam hip uni 4/> views (73503) |
$117.75 |
$157 |
1.2× |
| X-ray eye for foreign body (70030) |
$89.25 |
$119 |
1.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$553.19 |
$737.59 |
5.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$414 |
$552 |
4.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$389.69 |
$519.58 |
4.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$91.50 |
$122 |
0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$47.25 |
$63 |
0.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$77.25 |
$103 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$767.01 |
$1,022.68 |
7.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$168.11 |
$224.14 |
1.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$128.25 |
$171 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$80.53 |
$107.37 |
1.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$11.25 |
$15 |
0.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$74.34 |
$99.12 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$500.25 |
$667 |
4.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$123.75 |
$165 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$78.75 |
$105 |
0.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,014.30 |
$1,352.40 |
12.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$68.63 |
$91.50 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$38.42 |
$51.22 |
0.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$85.50 |
$114 |
0.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$58.50 |
$78 |
0.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$34.58 |
$46.11 |
0.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$149.47 |
$199.29 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$189.62 |
$252.82 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$961.88 |
$1,282.50 |
11.4× |
| Xr c-spine 6 or more views (72052) |
$275.94 |
$367.92 |
2.7× |
| Xr chest 4+ views (71048) |
$108 |
$144 |
1.1× |
| Xr finger(s) 2+ views (73140) |
$390.75 |
$521 |
4.6× |
| Xr optic foramina (70190) |
$60 |
$80 |
0.7× |
| Xr shoulder 1 view (73020) |
$44.82 |
$59.76 |
0.5× |
| Xr spine cervical 4 or 5 views (72050) |
$1,437.30 |
$1,916.40 |
14.2× |
| Xr tibia/fibula 2 views (73590) |
$901.88 |
$1,202.50 |
10.7× |
| Xr tmj bilateral (70330) |
$94.50 |
$126 |
1.1× |
| Xray knee 1 or 2 views rt (73560) |
$64.88 |
$86.50 |
0.8× |