| Acute gi blood loss imaging (78278) |
$1,042.15 |
$3,859.80 |
2.5× |
| Angio extremity unilateral (75710) |
$781.33 |
$2,893.80 |
0.2× |
| Angiogram extremity bilateral (75716) |
$781.33 |
$2,893.80 |
0.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,447.55 |
$16,472.40 |
0.8× |
| Ankle 2 views (73600) |
$250.33 |
$927.15 |
2.8× |
| Barium enema (74270) |
$619.73 |
$2,295.30 |
3.4× |
| Bone age studies (77072) |
$249.48 |
$924 |
2.3× |
| Bone imaging limited area (78300) |
$799.47 |
$2,961 |
1.9× |
| Bone survey complete (77075) |
$730.86 |
$2,706.90 |
6.7× |
| Bowel imaging (78290) |
$286.90 |
$1,062.60 |
0.7× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$1,419.48 |
$5,257.35 |
3.4× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$360.61 |
$1,335.60 |
1.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$99.23 |
$367.50 |
0.5× |
| Cisternogram (78630) |
$446.51 |
$1,653.75 |
0.8× |
| Clavicle complete (73000) |
$215.04 |
$796.42 |
2.4× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$1,566.62 |
$5,802.30 |
8.6× |
| Contrast exam abdominl aorta (75625) |
$2,976.18 |
$11,022.90 |
0.9× |
Contrast exam thoracic aorta (75605)
likely a partial charge, not the full procedure |
$250.05 |
$926.10 |
0.0× |
| CT - st neck w&wo contr (70492) |
$1,904.55 |
$7,053.90 |
10.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,279.81 |
$12,147.45 |
9.0× |
| CT abdomen and pelvis without contrast (74176) |
$2,007.46 |
$7,435.05 |
8.1× |
| CT abdomen w wo contrast (74170) |
$2,230.58 |
$8,261.40 |
12.2× |
| CT abdomen w/contrast (74160) |
$1,850.69 |
$6,854.40 |
10.1× |
| CT abdomen w/o contrast (74150) |
$1,204.88 |
$4,462.50 |
11.0× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$3,086.18 |
$11,430.30 |
8.5× |
| CT angio abdom w/o & w/dye (74175) |
$1,607.45 |
$5,953.50 |
8.8× |
| CT angio abdominal arteries (75635) |
$1,991.02 |
$7,374.15 |
10.9× |
| CT angio hrt w/3d image (75574) |
$873.18 |
$3,234 |
2.4× |
| CT angiograph pelv w/o&w/dye (72191) |
$1,311.75 |
$4,858.35 |
7.2× |
| CT cervical spine w/contrast (72126) |
$1,581.36 |
$5,856.90 |
4.3× |
| CT cervical spine w/o contrast (72125) |
$1,642.60 |
$6,083.70 |
15.0× |
| CT chest w/contrast (71260) |
$1,583.63 |
$5,865.30 |
8.6× |
| CT extremity upper w & w/o contrast (73202) |
$1,311.75 |
$4,858.35 |
7.2× |
| CT head/brain with contrast (70460) |
$1,598.94 |
$5,922 |
8.7× |
| CT head/brain without and with contrast (70470) |
$1,871.67 |
$6,932.10 |
10.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$118.50 |
$438.90 |
1.3× |
| CT lower ext w/wo contrast (73702) |
$1,817.80 |
$6,732.60 |
9.9× |
| CT lower extremity w contrast (73701) |
$1,374.12 |
$5,089.35 |
7.5× |
| CT lower extremity w/o contrast unilateral (73700) |
$1,442.02 |
$5,340.82 |
13.2× |
| CT lumbar spine w/contrast (72132) |
$1,803.34 |
$6,679.05 |
4.9× |
| CT lumbar spine w/o contrast (72131) |
$1,466.83 |
$5,432.70 |
13.4× |
| CT lumbar spine w/o then w/ con (72133) |
$2,087.41 |
$7,731.15 |
11.4× |
| CT maxillofacial area w/o contrast (70486) |
$1,333.30 |
$4,938.15 |
12.2× |
| CT maxillofacial w/contrast (70487) |
$1,368.74 |
$5,069.40 |
7.5× |
| CT maxillofacial w/o then w/ con (70488) |
$1,173.41 |
$4,345.95 |
6.4× |
| CT orbit sella ear w/o con (70480) |
$1,327.06 |
$4,915.05 |
12.2× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$1,949.63 |
$7,220.85 |
10.6× |
| CT pelvis w & w/o contrast (72194) |
$1,980.53 |
$7,335.30 |
10.8× |
| CT pelvis w/o contrast (72192) |
$1,016.06 |
$3,763.20 |
9.3× |
| CT soft tissue neck w/contrast (70491) |
$1,646.57 |
$6,098.40 |
9.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,344.36 |
$4,979.10 |
12.3× |
| CT spine cervical w/wo contrast (72127) |
$1,987.90 |
$7,362.60 |
10.9× |
| CT thoracic spine w/contrast (72129) |
$1,714.04 |
$6,348.30 |
9.4× |
| CT thoracic spine w/o contrast (72128) |
$1,610.56 |
$5,965.05 |
14.8× |
| CT thoracic spine w/o then w/ con (72130) |
$1,311.75 |
$4,858.35 |
7.2× |
| CT thorax lung cancer scr c- (71271) |
$208.66 |
$772.80 |
1.9× |
| CT thorax w/o contrast (71250) |
$1,019.47 |
$3,775.80 |
9.3× |
| CT thorax w/o then w/ contrast (71270) |
$2,010.02 |
$7,444.50 |
11.0× |
| CT upper extremity w/dye (73201) |
$1,432.53 |
$5,305.65 |
3.9× |
| CT upper extremity w/o contrast rt (73200) |
$2,426.05 |
$8,985.38 |
22.2× |
| CTA chest w/wo contrast (71275) |
$1,536.85 |
$5,692.05 |
8.4× |
| CTA head w contrast (70496) |
$1,677.47 |
$6,212.85 |
9.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,348 |
$12,400 |
9.2× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$1,828.01 |
$6,770.40 |
10.0× |
| Cta Neck (70498) |
$1,672.65 |
$6,195 |
9.1× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$1,390.57 |
$5,150.25 |
7.6× |
| Esophogram (74220) |
$383.01 |
$1,418.55 |
2.1× |
| Fetal biophysical profile non-stress testing (76818) |
$828.67 |
$3,069.15 |
7.6× |
| Fetal biophysical profile w/o nst (76819) |
$405.69 |
$1,502.55 |
3.7× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$266.49 |
$987 |
1.1× |
| Gastric emptying study (78264) |
$1,045.26 |
$3,871.35 |
2.5× |
| Gated heart planar single (78472) |
$1,179.93 |
$4,370.10 |
2.8× |
| Hepatobil syst image w/drug (78227) |
$472.59 |
$1,750.35 |
0.8× |
| Hepatobiliary system imaging (78226) |
$1,001.04 |
$3,707.55 |
2.4× |
| Humerus min 2 views (73060) |
$480.10 |
$1,778.18 |
5.3× |
| Hysterosalpingography (74740) |
$426.10 |
$1,578.15 |
1.7× |
| Ivp (74400) |
$960.50 |
$3,557.40 |
5.2× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$974.67 |
$3,609.90 |
1.7× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$928.46 |
$3,438.75 |
1.6× |
| Liver & spleen; static only (78215) |
$288.60 |
$1,068.90 |
0.7× |
| Lung ventilat&perfus imaging (78582) |
$472.59 |
$1,750.35 |
0.8× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$2,270.84 |
$8,410.50 |
6.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$2,254.11 |
$8,348.55 |
6.2× |
| Mammary ductogram single (77053) |
$148.84 |
$551.25 |
0.6× |
| MRA head w & w/o contrast (70546) |
$2,049.14 |
$7,589.40 |
5.6× |
| MRA head w/contrast (70545) |
$1,373.84 |
$5,088.30 |
3.8× |
| MRA head w/o contrast (70544) |
$1,762.80 |
$6,528.90 |
7.1× |
| MRA neck w/contrast (70548) |
$1,708.65 |
$6,328.35 |
4.7× |
| MRA neck w/o contrast (70547) |
$1,821.77 |
$6,747.30 |
7.3× |
| MRA neck w/wo contrast (70549) |
$2,862.50 |
$10,601.85 |
7.9× |
| MRI abdomen w/contrast (74182) |
$1,656.49 |
$6,135.15 |
4.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,523.43 |
$9,346.05 |
6.9× |
| MRI abdomen w/o contrast (74181) |
$1,912.21 |
$7,082.25 |
7.7× |
| MRI any jnt lwr ext with con lt (73722) |
$2,068.13 |
$7,659.75 |
2.5× |
| MRI cardiac w/o contrast (75557) |
$216.31 |
$801.15 |
0.9× |
| MRI cervical spine w/o contrast (72141) |
$2,032.13 |
$7,526.40 |
8.2× |
| MRI cervical spine with contrast (72142) |
$2,143.26 |
$7,938 |
5.9× |
| MRI chest w & w/o contrast (71552) |
$2,280.47 |
$8,446.20 |
6.3× |
| MRI chest w/o contrast (71550) |
$1,557.27 |
$5,767.65 |
6.2× |
| MRI joint upper ext w/contrast (73222) |
$2,081.74 |
$7,710.15 |
2.5× |
| MRI joint upr extr w/o&w/dye (73223) |
$2,255.81 |
$8,354.85 |
6.2× |
| MRI joint upr extrem w/o dye (73221) |
$3,127.57 |
$11,583.60 |
12.6× |
| Mri Lower Extremity W/O Dye (73718) |
$1,725.95 |
$6,392.40 |
6.9× |
| MRI lumbar spine with contrast (72149) |
$2,467.02 |
$9,137.10 |
6.8× |
| MRI lumbar w/wo contrast (72158) |
$2,728.69 |
$10,106.25 |
7.5× |
| MRI lwr ext w/o jnts with con rt (73719) |
$2,043.18 |
$7,567.35 |
5.6× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$2,388.49 |
$8,846.25 |
6.6× |
| MRI orbit/face/neck w/o contrast (70540) |
$1,876.49 |
$6,949.95 |
7.5× |
| MRI pelvis w/ contrast (72196) |
$1,475.62 |
$5,465.25 |
4.1× |
| MRI pelvis w/o contrast (72195) |
$1,780.95 |
$6,596.10 |
7.1× |
| MRI pelvis w/wo contrast (72197) |
$2,543.85 |
$9,421.65 |
7.0× |
| MRI spine cervical wo/w contrast (72156) |
$2,618.12 |
$9,696.75 |
7.2× |
| MRI spine thoracic w/contrast (72147) |
$2,058.49 |
$7,624.05 |
5.7× |
| MRI thoracic spine w wo contrast (72157) |
$2,728.12 |
$10,104.15 |
7.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,988.75 |
$7,365.75 |
8.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,685.69 |
$6,243.30 |
6.8× |
| Mri Upper Extremity W/Dye (73219) |
$1,874.50 |
$6,942.60 |
5.1× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$1,719.14 |
$6,367.20 |
4.7× |
| Myocardial spect single study at rest or stress (78451) |
$1,758.27 |
$6,512.10 |
1.3× |
| Nm bone 3 phase (78315) |
$1,168.59 |
$4,328.10 |
2.8× |
| Nm bone imaging whole body (78306) |
$1,242.01 |
$4,600.05 |
3.0× |
| Nm heart perfusion spect stress rest (78452) |
$2,952.09 |
$10,933.65 |
2.2× |
| Nm lymph system (78195) |
$1,175.39 |
$4,353.30 |
2.1× |
| Nm thyroid imaging only (78013) |
$211.21 |
$782.25 |
0.5× |
| Nose to rectum for fb child (76010) |
$242.39 |
$897.75 |
2.7× |
| Nuclear rx IV admin (79101) |
$243.24 |
$900.90 |
1.0× |
| Ob us < 14 wks single fetus (76801) |
$264.22 |
$978.60 |
2.4× |
| Oral radiopharm rx (79005) |
$842 |
$3,118.50 |
3.5× |
| Parathyroid imaging (78070) |
$867.79 |
$3,214.05 |
2.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$3,504.06 |
$12,978 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$3,210.64 |
$11,891.25 |
2.2× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Age Under 21 (78812) |
$4,051.78 |
$15,006.60 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$621.72 |
$2,302.65 |
1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$520.79 |
$1,928.85 |
5.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$520.79 |
$1,928.85 |
4.8× |
| Radex hip unilateral with pelvis 1 view (73501) |
$155.64 |
$576.45 |
1.7× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$253.73 |
$939.75 |
2.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$396.33 |
$1,467.90 |
3.6× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$689.47 |
$2,553.60 |
6.3× |
| Radex spine cervical 2 or 3 views (72040) |
$328.86 |
$1,218 |
3.6× |
| Radex spine cervical 4 or 5 views (72050) |
$555.38 |
$2,056.95 |
5.1× |
| Radex spine cervical 6 or more views (72052) |
$442.54 |
$1,639.05 |
4.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$612.93 |
$2,270.10 |
3.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$571.54 |
$2,116.80 |
3.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$317.52 |
$1,176 |
3.5× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$349.84 |
$1,295.70 |
3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$819.88 |
$3,036.60 |
2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$744.19 |
$2,756.25 |
1.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,169.44 |
$4,331.25 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,251.37 |
$4,634.70 |
2.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$744.19 |
$2,756.25 |
0.6× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$44.08 |
$163.28 |
1.9× |
| Shoulder arthrogram (73040) |
$475.71 |
$1,761.90 |
1.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$98.66 |
$365.40 |
0.9× |
| Small bowel series (74250) |
$300.23 |
$1,111.95 |
1.6× |
| Thyroid met imaging body (78018) |
$1,393.97 |
$5,162.85 |
2.5× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$364.30 |
$1,349.25 |
0.9× |
| Ultrasound breast limited (76642) |
$132.12 |
$489.30 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$329.14 |
$1,219.05 |
3.0× |
| Umbilical-artery Doppler (OB) (76820) |
$152.52 |
$564.90 |
1.4× |
| Urography retrograde w/wo kub (74420) |
$680.40 |
$2,520 |
1.9× |
| Us abdominal aorta real time screen study aaa (76706) |
$123.89 |
$458.85 |
1.1× |
| Us breast uni real time with image complete (76641) |
$285.06 |
$1,055.78 |
2.6× |
| Us chest (76604) |
$209.79 |
$777 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$143.17 |
$530.25 |
1.3× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$217.30 |
$804.82 |
2.0× |
| Us ob detailed single fetus (76811) |
$504.06 |
$1,866.90 |
2.0× |
| Us ob limited 1 or more fetuses (76815) |
$213.48 |
$790.65 |
2.0× |
| Us obstetric transvaginal (76817) |
$384.14 |
$1,422.75 |
3.5× |
| Us pelvic limited or f/u non-ob (76857) |
$345.59 |
$1,279.95 |
3.2× |
| Us pelvis complete (76856) |
$429.50 |
$1,590.75 |
3.9× |
| Us retroperitoneal complete (76770) |
$349.84 |
$1,295.70 |
3.2× |
| Us retroperitoneal limited (76775) |
$412.49 |
$1,527.75 |
3.8× |
| Us scrotum (76870) |
$380.46 |
$1,409.10 |
3.5× |
| Us soft tissue head/neck (76536) |
$253.73 |
$939.75 |
2.3× |
| Venogram ivc w serialography (75825) |
$2,264.88 |
$8,388.45 |
0.7× |
| Venogram svc w serialography (75827) |
$638.73 |
$2,365.65 |
0.4× |
| Venography ext unilateral (75820) |
$492.44 |
$1,823.85 |
0.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$540.64 |
$2,002.35 |
5.9× |
| X-ray aorta leg arteries (75630) |
$2,344.26 |
$8,682.45 |
0.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$695.71 |
$2,576.70 |
3.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$351.40 |
$1,301.48 |
3.9× |
| X-ray exam hips bi 3-4 views (73522) |
$432.90 |
$1,603.35 |
4.0× |
| X-ray exam of finger(s) (73140) |
$139.48 |
$516.60 |
1.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$557.36 |
$2,064.30 |
3.0× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$203.84 |
$754.95 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$526.88 |
$1,951.42 |
5.8× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$46.78 |
$173.25 |
0.4× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$356.50 |
$1,320.38 |
3.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$147.28 |
$545.48 |
1.6× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$809.39 |
$2,997.75 |
8.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$361.75 |
$1,339.80 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$209.51 |
$775.95 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$525.89 |
$1,947.75 |
4.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$210.36 |
$779.10 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$390.10 |
$1,444.80 |
3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$162.16 |
$600.60 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$214.61 |
$794.85 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$380.74 |
$1,410.15 |
4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$441.13 |
$1,633.80 |
4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$389.53 |
$1,442.70 |
3.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$193.63 |
$717.15 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$159.04 |
$589.05 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$141.18 |
$522.90 |
1.6× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$316.82 |
$1,173.38 |
3.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$629.94 |
$2,333.10 |
6.9× |
| Xr abdomen 1 view (74018) |
$135.80 |
$502.95 |
1.5× |
| Xr abdomen 2 views (74019) |
$114.82 |
$425.25 |
1.1× |
| Xr abdomen 3 views (74021) |
$123.89 |
$458.85 |
1.1× |
| Xr bone density axial (77080) |
$286.90 |
$1,062.60 |
2.6× |
| Xr bone survey infant (77076) |
$93.84 |
$347.55 |
0.9× |
| Xr chest 1 view (71045) |
$210.07 |
$778.05 |
2.3× |
| Xr chest 2 views (71046) |
$184.28 |
$682.50 |
2.0× |
| Xr chest 3 views (71047) |
$328.86 |
$1,218 |
3.6× |
| Xr cystogram 3+ views (74430) |
$786.71 |
$2,913.75 |
2.2× |
| Xr eye foreign body (70030) |
$113.40 |
$420 |
1.2× |
| Xr facial bones 3 views (70150) |
$283.78 |
$1,051.05 |
2.6× |
| Xr lower extremity 2 views infant (73592) |
$540.07 |
$2,000.25 |
5.9× |
| Xr mandible 4 views (70110) |
$363.73 |
$1,347.15 |
3.3× |
| Xr nasal bones (70160) |
$167.27 |
$619.50 |
1.8× |
| Xr pelvis 3 views (72190) |
$257.13 |
$952.35 |
2.4× |
| Xr spine 1 view (72020) |
$142.32 |
$527.10 |
1.6× |
| Xr sternum 2 views (71120) |
$203.84 |
$754.95 |
2.2× |
| Xr surgical specimen (76098) |
$43.80 |
$162.22 |
0.1× |
| Xray elbow 2 views (73070) |
$212.34 |
$786.45 |
2.3× |
| Xray forearm 2 views (73090) |
$326.88 |
$1,210.65 |
3.6× |
| Xray knee 1 or 2 views rt (73560) |
$299.38 |
$1,108.80 |
3.3× |
| Xray neck soft tissue (70360) |
$133.25 |
$493.50 |
1.5× |
| Xray orbits complete min 4 views (70200) |
$409.09 |
$1,515.15 |
3.7× |
| Xray pelvis 1 or 2 views (72170) |
$131.83 |
$488.25 |
1.2× |
| Xray ribs bilateral 3 views (71110) |
$231.90 |
$858.90 |
2.1× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$328.86 |
$1,218 |
3.0× |
| Xray scapula complete (73010) |
$256.85 |
$951.30 |
2.4× |
| Xray shoulder 1 view (73020) |
$150.26 |
$556.50 |
1.7× |
| Xray sinuses paranasal <3 views (70210) |
$154.22 |
$571.20 |
1.7× |
| Xray spine thoracic 2 views (72070) |
$349.27 |
$1,293.60 |
3.2× |
| Xray spine thoracic 3 views (72072) |
$350.12 |
$1,296.75 |
3.2× |
| Xray tibia-fibula 2 views bil (73590) |
$530.86 |
$1,966.12 |
5.8× |
| Xray tmj's bilateral open-clsc (70330) |
$196.75 |
$728.70 |
2.2× |