| Abdomen 2 views (74019) |
$385.81 |
$385.81 |
3.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,248.45 |
$1,248.45 |
2.6× |
| Angiography extremity bilateral rs&i (75716) |
$10,649.18 |
$10,649.18 |
2.8× |
| Angiography extremity unilateral rs&i (75710) |
$10,649.18 |
$10,649.18 |
2.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$18,373.53 |
$18,373.53 |
2.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,649.18 |
$10,649.18 |
2.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,649.18 |
$10,649.18 |
2.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$18,373.53 |
$18,373.53 |
2.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$11,251.63 |
$11,251.63 |
3.0× |
| Ankle 2 views (73600) |
$310.57 |
$310.57 |
3.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$10,649.18 |
$10,649.18 |
2.8× |
| Aortography abdominal serialography rs&i (75625) |
$10,649.18 |
$10,649.18 |
2.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,582.96 |
$1,582.96 |
3.3× |
| Bone &/joint imaging whole body (78306) |
$1,582.96 |
$1,582.96 |
3.3× |
| Bone age studies (77072) |
$385.81 |
$385.81 |
3.1× |
| Bone Imaging 3 Phase (78315) |
$1,582.96 |
$1,582.96 |
3.3× |
| Bone Marrow Imaging Limited Area (78102) |
$1,404.79 |
$1,404.79 |
2.9× |
| Bone survey complete (77075) |
$485.30 |
$485.30 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$310.57 |
$310.57 |
3.0× |
| Chest 1 view (71045) |
$310.57 |
$310.57 |
3.0× |
| Chest 3 views (71047) |
$310.57 |
$310.57 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$644.66 |
$644.66 |
3.1× |
| Clavicle complete (73000) |
$310.57 |
$310.57 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,052.88 |
$4,052.88 |
9.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,663.19 |
$3,663.19 |
12.8× |
| CT abdomen w contrast (74160) |
$2,257.14 |
$2,257.14 |
10.7× |
| CT abdomen w wo contrast (74170) |
$2,974.19 |
$2,974.19 |
14.1× |
| CT abdomen w/o contrast (74150) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT angio hrt w/3d image (75574) |
$650.46 |
$650.46 |
1.6× |
| CT angiography upper extremity lt (73206) |
$2,026.44 |
$2,026.44 |
9.6× |
| CT c-spine w/o contrast (72125) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,026.44 |
$2,026.44 |
9.6× |
| CT cervical spine with contrast (72126) |
$2,176.09 |
$2,176.09 |
5.2× |
| CT chest w/wo contrast (71270) |
$2,737.26 |
$2,737.26 |
13.0× |
| CT chest with contrast (71260) |
$2,179.20 |
$2,179.20 |
10.4× |
| CT colonography screening (74263) |
$1,610.09 |
$1,610.09 |
5.6× |
| CT colonography w/o cntrst (74261) |
$1,813.47 |
$1,813.47 |
14.5× |
| CT head/brain with contrast (70460) |
$1,938.86 |
$1,938.86 |
9.2× |
| CT head/brain without and with contrast (70470) |
$2,163.63 |
$2,163.63 |
10.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$180 |
$180 |
1.7× |
| CT iac w contrast (70481) |
$2,232.20 |
$2,232.20 |
10.6× |
| CT lower ext w/o (73700) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT lower extremity w wo contrast (73702) |
$2,618.77 |
$2,618.77 |
12.5× |
| CT lower extremity with contrast (73701) |
$1,995.26 |
$1,995.26 |
9.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,737.26 |
$2,737.26 |
13.0× |
| CT lumbar spine w/o contrast (72131) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT lumbar spine with contrast (72132) |
$1,741.42 |
$1,741.42 |
4.2× |
| CT maxillofacial w contrast (70487) |
$2,004.63 |
$2,004.63 |
9.5× |
| CT maxillofacial w/o contrast (70486) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT maxillofacial w/wo contrast (70488) |
$2,497.25 |
$2,497.25 |
11.9× |
| CT neck soft tissue w contrast (70491) |
$1,948.50 |
$1,948.50 |
9.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,016.41 |
$2,016.41 |
9.6× |
| CT orbits w/o contrast (70480) |
$1,879.93 |
$1,879.93 |
15.0× |
| CT pelvis w & w/o contrast (72194) |
$2,696.72 |
$2,696.72 |
12.8× |
| CT pelvis w/o contrast (72192) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,456.68 |
$2,456.68 |
11.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT thoracic spine w/contrast (72129) |
$2,176.09 |
$2,176.09 |
10.3× |
| CT thoracic spine w/o contrast (72128) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,875.12 |
$1,875.12 |
8.9× |
| CT thorax w/o contrast (71250) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,584.12 |
$2,584.12 |
12.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,831.60 |
$1,831.60 |
14.6× |
| CT upper extremity with contrast (73201) |
$1,989.03 |
$1,989.03 |
4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,338.21 |
$2,338.21 |
11.1× |
| Cta Abdomen (74175) |
$3,463.64 |
$3,463.64 |
16.5× |
| CTA abdomen pelvis (74174) |
$4,052.88 |
$4,052.88 |
9.7× |
| CTA chest (71275) |
$3,438.72 |
$3,438.72 |
16.4× |
| Cta Head (70496) |
$3,999.88 |
$3,999.88 |
19.0× |
| CTA lwr ext w&w/o contrast (73706) |
$2,026.44 |
$2,026.44 |
9.6× |
| Cta Neck (70498) |
$3,999.88 |
$3,999.88 |
19.0× |
| Cta Pelvis (72191) |
$3,299.73 |
$3,299.73 |
15.7× |
| Cystography minimum 3 views rs&i (74430) |
$1,317.06 |
$1,317.06 |
3.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$385.81 |
$385.81 |
3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$310.57 |
$310.57 |
3.0× |
| Echoencephalography real time imaging (76506) |
$385.81 |
$385.81 |
3.1× |
| Esophagus (74220) |
$644.66 |
$644.66 |
3.1× |
| Fetal biophysical profile non-stress testing (76818) |
$701.47 |
$701.47 |
5.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$701.47 |
$701.47 |
5.6× |
| Fluoroscopy up to 1 hr (76000) |
$834.79 |
$834.79 |
2.9× |
| Foot 2 views (73620) |
$310.57 |
$310.57 |
3.0× |
| Forearm 2 views (73090) |
$310.57 |
$310.57 |
3.0× |
| Gated Heart Planar Single (78472) |
$1,248.45 |
$1,248.45 |
2.6× |
| Hand 2 views (73120) |
$385.81 |
$385.81 |
3.1× |
| Hand 3 views (73130) |
$310.57 |
$310.57 |
3.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,620.69 |
$1,620.69 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,311.13 |
$1,311.13 |
2.7× |
| Ht muscle image spect sing (78451) |
$4,245.85 |
$4,245.85 |
2.7× |
| Humerus Min 2 Views Left (73060) |
$310.57 |
$310.57 |
3.0× |
| Hysterosalpingogram (74740) |
$1,235.95 |
$1,235.95 |
4.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,620.70 |
$1,620.70 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,578.25 |
$1,578.25 |
2.4× |
| Knee 3 views (73562) |
$310.57 |
$310.57 |
3.0× |
| Lung perf&ventilat diferentl (78598) |
$1,620.69 |
$1,620.69 |
2.5× |
| Lung perfusion differential (78597) |
$1,248.45 |
$1,248.45 |
2.6× |
| Lung Ventilation Imaging (78579) |
$1,298.55 |
$1,298.55 |
2.7× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$10,856.67 |
$10,856.67 |
2.9× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$5,454.88 |
$5,454.88 |
2.9× |
| Lymphoscintigraphy (78195) |
$1,620.70 |
$1,620.70 |
2.5× |
| Meckels Diverticulum (78290) |
$1,248.45 |
$1,248.45 |
2.6× |
| Mr safety determination physician/other qhp (76016) |
$314.76 |
$314.76 |
3.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$212.34 |
$212.34 |
3.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$87.55 |
$87.55 |
2.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$328.13 |
$328.13 |
2.9× |
| MRA head w & w/o contrast (70546) |
$3,086.73 |
$3,086.73 |
7.4× |
| MRA head w/o contrast (70544) |
$2,182.32 |
$2,182.32 |
7.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,117.59 |
$3,117.59 |
7.5× |
| MRA neck w/o contrast (70547) |
$2,182.32 |
$2,182.32 |
7.6× |
| MRI abdomen w contrast (74182) |
$2,469.39 |
$2,469.39 |
5.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,413.02 |
$4,413.02 |
10.6× |
| MRI abdomen w/o contrast (74181) |
$2,264.02 |
$2,264.02 |
7.9× |
| MRI any jnt lwr ext with con lt (73722) |
$2,648.03 |
$2,648.03 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,648.03 |
$2,648.03 |
2.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,763.24 |
$2,763.24 |
9.7× |
| MRI breast w/o contrast unilat (77046) |
$2,469.39 |
$2,469.39 |
8.6× |
| MRI c-spine with contrast (72142) |
$2,494.08 |
$2,494.08 |
6.0× |
| MRI cervical spine w/o contrast (72141) |
$2,182.32 |
$2,182.32 |
7.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,102.16 |
$3,102.16 |
7.4× |
| MRI chest w/o contrast (71550) |
$2,171.52 |
$2,171.52 |
7.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,182.32 |
$2,182.32 |
7.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,171.52 |
$2,171.52 |
7.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,117.59 |
$3,117.59 |
7.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,307.84 |
$2,307.84 |
5.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,273.48 |
$3,273.48 |
7.8× |
| MRI pelvis w/o contrast (72195) |
$2,182.32 |
$2,182.32 |
7.6× |
| MRI scan of arm joint before and after contrast (73223) |
$3,117.59 |
$3,117.59 |
7.5× |
| MRI scan of leg joint before and after contrast (73723) |
$3,273.48 |
$3,273.48 |
7.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,117.59 |
$3,117.59 |
7.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,494.08 |
$2,494.08 |
6.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,117.59 |
$3,117.59 |
7.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,117.59 |
$3,117.59 |
7.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,182.32 |
$2,182.32 |
7.6× |
| MRI tmj (70336) |
$2,805.84 |
$2,805.84 |
9.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,182.32 |
$2,182.32 |
7.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,117.59 |
$3,117.59 |
7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,182.32 |
$2,182.32 |
7.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,327.93 |
$4,327.93 |
2.8× |
| Neck soft tissue (70360) |
$310.57 |
$310.57 |
3.0× |
| Nm gastric emptying study (78264) |
$1,248.45 |
$1,248.45 |
2.6× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$6,640.11 |
$6,640.11 |
3.9× |
| Nuclear Rx Oral Admin (79005) |
$961.50 |
$961.50 |
3.4× |
| Osseous survey infant (77076) |
$385.81 |
$385.81 |
3.1× |
| Osseous survey limited (77074) |
$385.81 |
$385.81 |
3.1× |
| Parathyrd planar w/wo subtrj (78071) |
$1,404.79 |
$1,404.79 |
2.9× |
| Parathyroid imaging (78070) |
$1,248.45 |
$1,248.45 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$385.81 |
$385.81 |
3.1× |
| PET image w/CT, skull-thigh (78815) |
$15,235.60 |
$15,235.60 |
8.9× |
| PET imaging CT for attenuation limited area (78814) |
$6,640.11 |
$6,640.11 |
3.9× |
| PET imaging for CT attenuation whole body (78816) |
$7,222.84 |
$7,222.84 |
4.2× |
| PET imaging limited area chest head/neck (78811) |
$6,640.11 |
$6,640.11 |
4.3× |
| PET whole body (78813) |
$6,640.11 |
$6,640.11 |
3.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,273.48 |
$3,273.48 |
7.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,248.45 |
$1,248.45 |
2.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,620.70 |
$1,620.70 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,915.77 |
$1,915.77 |
2.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$312.67 |
$312.67 |
3.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$385.81 |
$385.81 |
3.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$385.81 |
$385.81 |
3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$385.81 |
$385.81 |
3.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$310.57 |
$310.57 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$310.57 |
$310.57 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$644.66 |
$644.66 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$838.41 |
$838.41 |
4.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$838.41 |
$838.41 |
4.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$310.57 |
$310.57 |
3.0× |
| Radiological examination surgical specimen (76098) |
$1,798.60 |
$1,798.60 |
2.7× |
| Ribs bilateral 3 views (71110) |
$385.81 |
$385.81 |
3.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,470.53 |
$5,470.53 |
8.4× |
| Scanogram (77073) |
$385.81 |
$385.81 |
3.1× |
| Scapula complete (73010) |
$382.09 |
$382.09 |
3.0× |
| Screening digital breast tomosynthesis (77063) |
$61.44 |
$61.44 |
2.6× |
| Small bowel series (74250) |
$644.66 |
$644.66 |
3.1× |
| Spine thoracic 3 views (72072) |
$385.81 |
$385.81 |
3.1× |
| Thyroid uptake measurement (78012) |
$1,298.55 |
$1,298.55 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,248.45 |
$1,248.45 |
2.6× |
| Tmj unilateral (70328) |
$310.57 |
$310.57 |
3.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,582.96 |
$1,582.96 |
3.3× |
| Ultrasound elastography first target lesion (76982) |
$380.14 |
$380.14 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$718.61 |
$718.61 |
5.7× |
| Unlisted Ultrasound Procedure (76999) |
$310.57 |
$310.57 |
3.0× |
| Upper Extremity Infant (73092) |
$385.81 |
$385.81 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$834.79 |
$834.79 |
2.9× |
| Urethrocystography voiding (74455) |
$1,483.97 |
$1,483.97 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$540.19 |
$540.19 |
4.3× |
| Us breast unilateral complete (76641) |
$385.81 |
$385.81 |
3.1× |
| Us breast unilateral limited (76642) |
$375.21 |
$375.21 |
3.6× |
| Us chest (76604) |
$584.55 |
$584.55 |
4.7× |
| Us compl joint r-t w/image documentation (76881) |
$428.67 |
$428.67 |
3.4× |
| Us elastography parenchyma (76981) |
$380.14 |
$380.14 |
3.0× |
| Us guided compression repair (76936) |
$1,069.09 |
$1,069.09 |
4.1× |
| Us ob transvaginal (76817) |
$385.81 |
$385.81 |
3.1× |
| Us pelvic non ob complete (76856) |
$467.64 |
$467.64 |
3.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$467.64 |
$467.64 |
3.7× |
| Us pregnancy ltd (76815) |
$385.81 |
$385.81 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$385.81 |
$385.81 |
3.1× |
| Us retroperitoneal complete (76770) |
$718.61 |
$718.61 |
5.7× |
| Us retroperitoneal limited (76775) |
$545.59 |
$545.59 |
4.4× |
| Us scrotum and contents (76870) |
$389.70 |
$389.70 |
3.1× |
| Us soft tissue head/neck (76536) |
$438.03 |
$438.03 |
3.5× |
| Us spinal canal and contents (76800) |
$385.81 |
$385.81 |
3.1× |
| Us xtr non-vasc lmtd (76882) |
$385.81 |
$385.81 |
3.1× |
| Venogram extremity bilateral (75822) |
$5,318.75 |
$5,318.75 |
2.8× |
| Venography extremity unilateral rs&i (75820) |
$5,318.75 |
$5,318.75 |
2.8× |
| Venography renal unilateral selective rs&i (75831) |
$10,649.18 |
$10,649.18 |
2.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$10,649.18 |
$10,649.18 |
2.8× |
| Wrist 2 views (73100) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$828.12 |
$828.12 |
3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$310.57 |
$310.57 |
3.0× |
| X-ray exam hip uni 1 view (73501) |
$310.04 |
$310.04 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$310.57 |
$310.57 |
3.0× |
| X-ray exam hip uni 4/> views (73503) |
$382.09 |
$382.09 |
3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$385.81 |
$385.81 |
3.1× |
| X-ray exam of femur 1 (73551) |
$310.57 |
$310.57 |
3.0× |
| X-ray eye for foreign body (70030) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$290.25 |
$290.25 |
2.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$428.67 |
$428.67 |
3.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$392.80 |
$392.80 |
3.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,317.06 |
$1,317.06 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$282.18 |
$282.18 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$385.81 |
$385.81 |
3.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$380.13 |
$380.13 |
3.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$310.57 |
$310.57 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$310.57 |
$310.57 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$385.81 |
$385.81 |
3.1× |
| Xr chest 4+ views (71048) |
$385.81 |
$385.81 |
3.1× |
| Xr finger(s) 2+ views (73140) |
$310.57 |
$310.57 |
3.0× |
| Xr shoulder 1 view (73020) |
$310.57 |
$310.57 |
3.0× |
| Xr spine cervical 4 or 5 views (72050) |
$385.81 |
$385.81 |
3.1× |
| Xr tibia/fibula 2 views (73590) |
$310.57 |
$310.57 |
3.0× |
| Xr tmj bilateral (70330) |
$310.57 |
$310.57 |
3.0× |
| Xray knee 1 or 2 views rt (73560) |
$310.57 |
$310.57 |
3.0× |