| Abdomen 2 views (74019) |
$147.89 |
$312 |
1.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$490.12 |
$1,034 |
1.4× |
| Ankle 2 views (73600) |
$138.41 |
$292 |
1.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$229.42 |
$484 |
0.7× |
| Arthrogram elbow (73085) |
$349.81 |
$738 |
1.1× |
| Arthrogram hip (73525) |
$436.08 |
$920 |
1.4× |
| Arthrogram shoulder (73040) |
$436.08 |
$920 |
1.4× |
| Arthrogram wrist (73115) |
$295.78 |
$624 |
0.9× |
| Arthrography knee lt (73580) |
$482.06 |
$1,017 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$608.86 |
$1,284.50 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$695.36 |
$1,467 |
1.9× |
| Bone age studies (77072) |
$71.81 |
$151.50 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$790.63 |
$1,668 |
2.2× |
| Bone survey complete (77075) |
$401.95 |
$848 |
4.2× |
| Cervical spine 2 or 3 views (72040) |
$82.09 |
$173.19 |
1.0× |
| Chest 1 view (71045) |
$55.93 |
$118 |
0.7× |
| Chest 3 views (71047) |
$142.67 |
$301 |
1.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$240.32 |
$507 |
1.5× |
| Clavicle complete (73000) |
$143.43 |
$302.60 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$684.93 |
$1,445 |
7.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,300.32 |
$4,853 |
7.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,929.65 |
$4,071 |
8.9× |
| CT abdomen w contrast (74160) |
$1,050.86 |
$2,217 |
6.6× |
| CT abdomen w wo contrast (74170) |
$1,219.84 |
$2,573.50 |
7.7× |
| CT abdomen w/o contrast (74150) |
$868.42 |
$1,832.12 |
9.2× |
| CT angiography upper extremity lt (73206) |
$1,603.54 |
$3,383 |
10.1× |
| CT c-spine w/o contrast (72125) |
$914.46 |
$1,929.25 |
9.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,207.28 |
$2,547 |
7.6× |
| CT cervical spine with contrast (72126) |
$989.71 |
$2,088 |
3.1× |
| CT chest w/wo contrast (71270) |
$1,081.40 |
$2,281.44 |
6.8× |
| CT chest with contrast (71260) |
$1,049.38 |
$2,213.88 |
6.6× |
| CT head/brain with contrast (70460) |
$1,023.37 |
$2,159 |
6.4× |
| CT head/brain without and with contrast (70470) |
$1,137.13 |
$2,399 |
7.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$65.41 |
$138 |
0.8× |
| CT iac w contrast (70481) |
$995.40 |
$2,100 |
6.3× |
| CT limited/localized follow up study (76380) |
$595.82 |
$1,257 |
7.5× |
| CT lower ext w/o (73700) |
$853.01 |
$1,799.60 |
9.0× |
| CT lower extremity w wo contrast (73702) |
$1,018.15 |
$2,148 |
6.4× |
| CT lower extremity with contrast (73701) |
$935.72 |
$1,974.10 |
5.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,207.28 |
$2,547 |
7.6× |
| CT lumbar spine w/o contrast (72131) |
$904.87 |
$1,909 |
9.5× |
| CT lumbar spine with contrast (72132) |
$989.71 |
$2,088 |
3.1× |
| CT maxillofacial w contrast (70487) |
$1,096.36 |
$2,313 |
6.9× |
| CT maxillofacial w/o contrast (70486) |
$761 |
$1,605.50 |
8.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,164.25 |
$2,456.22 |
7.3× |
| CT neck soft tissue w contrast (70491) |
$955.58 |
$2,016 |
6.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,073.14 |
$2,264 |
6.7× |
| CT orbits w/o contrast (70480) |
$749.87 |
$1,582 |
7.9× |
| CT pelvis w & w/o contrast (72194) |
$1,194.95 |
$2,521 |
7.5× |
| CT pelvis w/o contrast (72192) |
$832.34 |
$1,756 |
8.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,035.92 |
$2,185.50 |
6.5× |
| CT soft tissue neck w/o contrast (70490) |
$711.48 |
$1,501 |
7.5× |
| CT thoracic spine w/contrast (72129) |
$699.62 |
$1,476 |
4.4× |
| CT thoracic spine w/o contrast (72128) |
$822.39 |
$1,735 |
8.7× |
| CT thoracic spine w/wo contrast (72130) |
$809.59 |
$1,708 |
5.1× |
| CT thorax w/o contrast (71250) |
$784.47 |
$1,655 |
8.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$809.59 |
$1,708 |
5.1× |
| CT upper extremity w/o contrast rt (73200) |
$837.40 |
$1,766.66 |
8.8× |
| CT upper extremity with contrast (73201) |
$1,036.64 |
$2,187 |
3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,251.50 |
$4,750 |
14.1× |
| Cta Abdomen (74175) |
$1,235.72 |
$2,607 |
7.8× |
| CTA abdomen pelvis (74174) |
$2,251.50 |
$4,750 |
7.1× |
| CTA chest (71275) |
$1,235.72 |
$2,607 |
7.8× |
| Cta Head (70496) |
$1,463.95 |
$3,088.50 |
9.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,584.82 |
$3,343.50 |
10.0× |
| Cta Neck (70498) |
$1,659.94 |
$3,502 |
10.4× |
| Cta Pelvis (72191) |
$1,277.90 |
$2,696 |
8.0× |
| Cystography minimum 3 views rs&i (74430) |
$235.58 |
$497 |
0.7× |
| Echoencephalography real time imaging (76506) |
$294.83 |
$622 |
3.1× |
| Esophagus (74220) |
$237.47 |
$501 |
1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$326.11 |
$688 |
3.4× |
| Fluoroscopy up to 1 hr (76000) |
$191.50 |
$404 |
0.9× |
| Foot 2 views (73620) |
$114.94 |
$242.50 |
1.5× |
| Forearm 2 views (73090) |
$115.66 |
$244 |
1.5× |
| Gated Heart Planar Single (78472) |
$528.98 |
$1,116 |
1.5× |
| Hand 2 views (73120) |
$134.62 |
$284 |
1.4× |
| Hand 3 views (73130) |
$143.15 |
$302 |
1.8× |
| Heart Infarct Image (78466) |
$370.67 |
$782 |
1.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$729.96 |
$1,540 |
1.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$681.14 |
$1,437 |
1.9× |
| Ht muscle image spect sing (78451) |
$1,289.28 |
$2,720 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$141.25 |
$298 |
1.8× |
| Hysterosalpingogram (74740) |
$420.02 |
$886.12 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$614.30 |
$1,296 |
1.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$921.46 |
$1,944 |
1.9× |
| Knee 3 views (73562) |
$160.21 |
$338 |
2.0× |
| Liver & spleen imaging static only (78215) |
$365.45 |
$771 |
1.0× |
| Lymphoscintigraphy (78195) |
$349.58 |
$737.52 |
0.7× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$55.93 |
$118 |
0.7× |
| Meckels Diverticulum (78290) |
$303.83 |
$641 |
0.8× |
| MRA head w/o contrast (70544) |
$1,172.68 |
$2,474 |
5.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,248.04 |
$2,633 |
3.9× |
| MRA neck w/o contrast (70547) |
$641.32 |
$1,353 |
3.0× |
| MRI abdomen w contrast (74182) |
$691.57 |
$1,459 |
2.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,894.10 |
$3,996 |
6.0× |
| MRI abdomen w/o contrast (74181) |
$1,287.86 |
$2,717 |
5.9× |
| MRI any jnt lwr ext with con lt (73722) |
$1,082.62 |
$2,284 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,509.22 |
$3,184 |
2.1× |
| MRI c-spine with contrast (72142) |
$829.97 |
$1,751 |
2.6× |
| MRI cervical spine w/o contrast (72141) |
$1,363.22 |
$2,876 |
6.3× |
| MRI chest w/o & w/contrast material (71552) |
$860.78 |
$1,816 |
2.7× |
| MRI chest w/o contrast (71550) |
$1,367.02 |
$2,884 |
6.3× |
| MRI chest with contrast (71551) |
$691.57 |
$1,459 |
1.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$641.32 |
$1,353 |
2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$691.57 |
$1,459 |
2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,335.26 |
$2,817 |
6.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$641.32 |
$1,353 |
3.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,899.32 |
$4,007 |
6.0× |
| MRI orbit/face/neck w/contrast (70542) |
$691.57 |
$1,459 |
2.2× |
| MRI pelvis w contrast (72196) |
$1,335.26 |
$2,817 |
4.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,827.27 |
$3,855 |
5.8× |
| MRI pelvis w/o contrast (72195) |
$1,335.26 |
$2,817 |
6.2× |
| MRI scan of arm joint before and after contrast (73223) |
$2,052.42 |
$4,330 |
6.5× |
| MRI scan of leg joint before and after contrast (73723) |
$1,100.63 |
$2,322 |
3.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,938.19 |
$4,089 |
6.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$829.97 |
$1,751 |
2.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,841.96 |
$3,886 |
5.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,475.09 |
$3,112 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,900.27 |
$4,009 |
6.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,398 |
$2,949.36 |
6.5× |
| MRI tmj (70336) |
$1,335.26 |
$2,817 |
6.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,261.79 |
$2,662 |
5.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,688.86 |
$3,563 |
5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,248.04 |
$2,633 |
5.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,109.77 |
$4,451 |
1.8× |
| Neck soft tissue (70360) |
$134.89 |
$284.57 |
1.7× |
| Nm gastric emptying study (78264) |
$665.50 |
$1,404 |
1.8× |
| Nm gastroesophageal reflux study (78262) |
$481.11 |
$1,015 |
1.3× |
| Nm peritoneal-venous shunt patency (78291) |
$334.64 |
$706 |
0.9× |
| Nm red cell sequestration (78140) |
$571.64 |
$1,206 |
1.6× |
| Nuclear medicine study of digestive tracts (78299) |
$481.11 |
$1,015 |
1.3× |
| Nuclear Rx Oral Admin (79005) |
$432.76 |
$913 |
2.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$156.89 |
$331 |
1.7× |
| Osseous survey infant (77076) |
$143.15 |
$302 |
1.5× |
| Osseous survey limited (77074) |
$262.60 |
$554 |
2.8× |
| Parathyrd planar w/wo subtrj (78071) |
$429.56 |
$906.24 |
1.2× |
| Parathyroid imaging (78070) |
$482.06 |
$1,017 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$85.79 |
$181 |
0.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,676.93 |
$3,537.82 |
5.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$319.48 |
$674 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$727.59 |
$1,535 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$294.83 |
$622 |
0.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$267.34 |
$564 |
2.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$210.93 |
$445 |
2.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$198.13 |
$418 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$97.76 |
$206.25 |
1.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$96.22 |
$203 |
1.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$81.24 |
$171.40 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$300.99 |
$635 |
1.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$493.67 |
$1,041.50 |
3.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$300.99 |
$635 |
1.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$142.70 |
$301.05 |
1.8× |
| Radiological examination surgical specimen (76098) |
$375.53 |
$792.25 |
0.8× |
| Ribs bilateral 3 views (71110) |
$246.48 |
$520 |
2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$613.83 |
$1,295 |
1.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$668.34 |
$1,410 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,230.03 |
$2,595 |
1.0× |
| Sacroiliac Joints < 3 Views (72200) |
$91.07 |
$192.13 |
1.0× |
| Scanogram (77073) |
$162.58 |
$343 |
1.7× |
| Scapula complete (73010) |
$140.75 |
$296.95 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$26.92 |
$56.80 |
1.2× |
| Sella turcica (70240) |
$77.74 |
$164 |
1.0× |
| Small bowel series (74250) |
$278.02 |
$586.53 |
1.7× |
| Spine thoracic 3 views (72072) |
$97.98 |
$206.72 |
1.0× |
| Thoracolumbar 2 views (72080) |
$72.01 |
$151.92 |
0.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$550.31 |
$1,161 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$240.79 |
$508 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$355.50 |
$750 |
1.0× |
| Tomogram (76100) |
$186.76 |
$394 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$295.78 |
$624 |
3.1× |
| Upper Extremity Infant (73092) |
$122.53 |
$258.50 |
1.3× |
| Urethrocystography voiding (74455) |
$315.68 |
$666 |
1.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$385.84 |
$814 |
2.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$474.47 |
$1,001 |
3.0× |
| Us abdl aorta screen aaa (76706) |
$536.57 |
$1,132 |
5.7× |
| Us breast unilateral complete (76641) |
$195.29 |
$412 |
2.1× |
| Us breast unilateral limited (76642) |
$100.49 |
$212 |
1.3× |
| Us chest (76604) |
$195.76 |
$413 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$288.66 |
$608.99 |
3.0× |
| Us infant hips dynamic (76885) |
$136.99 |
$289 |
1.7× |
| Us ob detailed single fetus (76811) |
$414.28 |
$874 |
1.9× |
| Us ob transvaginal (76817) |
$268.28 |
$566 |
2.8× |
| Us pelvic non ob complete (76856) |
$404.56 |
$853.50 |
4.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$185.81 |
$392 |
2.0× |
| Us pregnancy ltd (76815) |
$165.90 |
$350 |
1.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$297.41 |
$627.44 |
3.1× |
| Us retroperitoneal complete (76770) |
$187.23 |
$395 |
2.0× |
| Us retroperitoneal limited (76775) |
$354.55 |
$748 |
3.7× |
| Us scrotum and contents (76870) |
$289.61 |
$611 |
3.1× |
| Us soft tissue head/neck (76536) |
$294.83 |
$622 |
3.1× |
| Us spinal canal and contents (76800) |
$144.57 |
$305 |
1.5× |
| Us transrectal (76872) |
$264.97 |
$559 |
2.8× |
| Us xtr non-vasc lmtd (76882) |
$171.36 |
$361.50 |
1.8× |
| Venogram extremity bilateral (75822) |
$821.44 |
$1,733 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$821.44 |
$1,733 |
0.6× |
| Wrist 2 views (73100) |
$125.61 |
$265 |
1.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$232.38 |
$490.25 |
2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$107.60 |
$227 |
1.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$143.15 |
$302 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$387.73 |
$818 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$135.78 |
$286.45 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$143.15 |
$302 |
1.8× |
| X-ray exam hip uni 1 view (73501) |
$132.72 |
$280 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$150.60 |
$317.72 |
1.9× |
| X-ray exam of femur 1 (73551) |
$119.22 |
$251.52 |
1.5× |
| X-ray eye for foreign body (70030) |
$149.78 |
$316 |
1.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$202.87 |
$428 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$147.41 |
$311 |
1.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$132.25 |
$279 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$234.16 |
$494 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$171.11 |
$361 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$119.45 |
$252 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$96.56 |
$203.70 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$337.96 |
$713 |
3.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$183.91 |
$388 |
1.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$152.33 |
$321.38 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$135.09 |
$285 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$165.43 |
$349 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$231.79 |
$489 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$154.33 |
$325.60 |
2.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$187.58 |
$395.75 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$246.48 |
$520 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$124.42 |
$262.48 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$162.98 |
$343.85 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$151.68 |
$320 |
1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$204.06 |
$430.50 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$96.70 |
$204 |
1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$224.56 |
$473.75 |
2.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$104.08 |
$219.57 |
1.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$118.03 |
$249 |
1.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$155.47 |
$328 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$202.40 |
$427 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$98.18 |
$207.12 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$143.15 |
$302 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$360.69 |
$760.95 |
3.8× |
| Xr chest 4+ views (71048) |
$132.25 |
$279 |
1.4× |
| Xr Cholecystography Oral Contrast (74290) |
$147.89 |
$312 |
0.9× |
| Xr finger(s) 2+ views (73140) |
$126.56 |
$267 |
1.6× |
| Xr internal auditory meati complete (70134) |
$162.58 |
$343 |
0.3× |
| Xr optic foramina (70190) |
$101.91 |
$215 |
1.3× |
| Xr shoulder 1 view (73020) |
$128.93 |
$272 |
1.6× |
| Xr spine cervical 4 or 5 views (72050) |
$223.25 |
$471 |
2.4× |
| Xr tibia/fibula 2 views (73590) |
$141.25 |
$298 |
1.8× |
| Xr tmj bilateral (70330) |
$183.44 |
$387 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$142.20 |
$300 |
1.8× |