| Abdomen 2 views (74019) |
$140.22 |
$342 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$347.68 |
$848 |
1.0× |
| Angiography extremity bilateral rs&i (75716) |
$272.65 |
$665 |
0.1× |
| Angiography extremity unilateral rs&i (75710) |
$266.91 |
$651 |
0.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,039.34 |
$4,974 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$277.98 |
$678 |
0.1× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$296.43 |
$723 |
0.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$571.13 |
$1,393 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$305.86 |
$746 |
0.1× |
| Ankle 2 views (73600) |
$90.61 |
$221 |
1.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$217.10 |
$529.50 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$250.10 |
$610 |
0.1× |
| Aortography abdominal serialography rs&i (75625) |
$236.57 |
$577 |
0.1× |
| Arthrogram elbow (73085) |
$226.73 |
$553 |
0.7× |
| Arthrogram hip (73525) |
$186.55 |
$455 |
0.6× |
| Arthrogram shoulder (73040) |
$319.80 |
$780 |
1.0× |
| Arthrogram wrist (73115) |
$289.05 |
$705 |
0.9× |
| Arthrography knee lt (73580) |
$184.09 |
$449 |
0.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$367.36 |
$896 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$486.67 |
$1,187 |
1.3× |
| Bone age studies (77072) |
$97.99 |
$239 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$615.82 |
$1,502 |
1.7× |
| Bone survey complete (77075) |
$161.54 |
$394 |
1.7× |
| Brain image w/flow 4 + views (78606) |
$619.51 |
$1,511 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$140.22 |
$342 |
1.8× |
| Chest 1 view (71045) |
$84.46 |
$206 |
1.1× |
| Chest 3 views (71047) |
$81.18 |
$198 |
1.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$123.82 |
$302 |
0.8× |
| Clavicle complete (73000) |
$109.06 |
$266 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$758.09 |
$1,849 |
8.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,700.68 |
$4,148 |
5.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,266.49 |
$3,089 |
5.9× |
| CT abdomen w contrast (74160) |
$715.04 |
$1,744 |
4.5× |
| CT abdomen w wo contrast (74170) |
$879.86 |
$2,146 |
5.5× |
| CT abdomen w/o contrast (74150) |
$655.18 |
$1,598 |
6.9× |
| CT angio hrt w/3d image (75574) |
$1,002.45 |
$2,445 |
3.2× |
| CT angiography upper extremity lt (73206) |
$833.12 |
$2,032 |
5.2× |
| CT c-spine w/o contrast (72125) |
$714.63 |
$1,743 |
7.5× |
| CT cervical spine w&w/o contrast (72127) |
$735.13 |
$1,793 |
4.6× |
| CT cervical spine with contrast (72126) |
$724.88 |
$1,768 |
2.3× |
| CT chest w/wo contrast (71270) |
$850.14 |
$2,073.50 |
5.3× |
| CT chest with contrast (71260) |
$682.65 |
$1,665 |
4.3× |
| CT head/brain with contrast (70460) |
$599.01 |
$1,461 |
3.8× |
| CT head/brain without and with contrast (70470) |
$811.39 |
$1,979 |
5.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$840.50 |
$2,050 |
2.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$379.25 |
$925 |
4.8× |
| CT iac w contrast (70481) |
$647.39 |
$1,579 |
4.1× |
| CT lower ext w/o (73700) |
$620.33 |
$1,513 |
6.5× |
| CT lower extremity w wo contrast (73702) |
$852.80 |
$2,080 |
5.4× |
| CT lower extremity with contrast (73701) |
$789.66 |
$1,926 |
5.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,004.09 |
$2,449 |
6.3× |
| CT lumbar spine w/o contrast (72131) |
$750.71 |
$1,831 |
7.9× |
| CT lumbar spine with contrast (72132) |
$856.08 |
$2,088 |
2.7× |
| CT maxillofacial w contrast (70487) |
$712.17 |
$1,737 |
4.5× |
| CT maxillofacial w/o contrast (70486) |
$633.86 |
$1,546 |
6.7× |
| CT maxillofacial w/wo contrast (70488) |
$742.92 |
$1,812 |
4.7× |
| CT neck soft tissue w contrast (70491) |
$718.73 |
$1,753 |
4.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$801.55 |
$1,955 |
5.0× |
| CT orbits w/o contrast (70480) |
$633.86 |
$1,546 |
6.7× |
| CT pelvis w & w/o contrast (72194) |
$820.82 |
$2,002 |
5.2× |
| CT pelvis w/o contrast (72192) |
$611.31 |
$1,491 |
6.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$756.04 |
$1,844 |
4.8× |
| CT soft tissue neck w/o contrast (70490) |
$477.65 |
$1,165 |
5.0× |
| CT thoracic spine w/contrast (72129) |
$819.18 |
$1,998 |
5.1× |
| CT thoracic spine w/o contrast (72128) |
$665.02 |
$1,622 |
7.0× |
| CT thoracic spine w/wo contrast (72130) |
$809.75 |
$1,975 |
5.1× |
| CT thorax w/o contrast (71250) |
$628.12 |
$1,532 |
6.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$814.06 |
$1,985.50 |
5.1× |
| CT upper extremity w/o contrast rt (73200) |
$620.33 |
$1,513 |
6.5× |
| CT upper extremity with contrast (73201) |
$789.25 |
$1,925 |
2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$895.44 |
$2,184 |
5.6× |
| Cta Abdomen (74175) |
$889.70 |
$2,170 |
5.6× |
| CTA abdomen pelvis (74174) |
$2,053.69 |
$5,009 |
6.5× |
| CTA chest (71275) |
$797.45 |
$1,945 |
5.0× |
| Cta Head (70496) |
$797.86 |
$1,946 |
5.0× |
| CTA lwr ext w&w/o contrast (73706) |
$1,039.76 |
$2,536 |
6.5× |
| Cta Neck (70498) |
$797.86 |
$1,946 |
5.0× |
| Cta Pelvis (72191) |
$824.10 |
$2,010 |
5.2× |
| Cystography minimum 3 views rs&i (74430) |
$160.72 |
$392 |
0.5× |
| Diskography lumbar (72295) |
$660.51 |
$1,611 |
0.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$160.31 |
$391 |
1.7× |
| Dxa bone density study axial skeleton (77085) |
$132.02 |
$322 |
1.4× |
| Echoencephalography real time imaging (76506) |
$286.59 |
$699 |
3.0× |
| Esophagus (74220) |
$103.73 |
$253 |
0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$216.07 |
$527 |
2.3× |
| Fluoroscopy up to 1 hr (76000) |
$90.20 |
$220 |
0.4× |
| Foot 2 views (73620) |
$90.61 |
$221 |
1.1× |
| Forearm 2 views (73090) |
$140.22 |
$342 |
1.8× |
| Gated Heart Planar Single (78472) |
$561.29 |
$1,369 |
1.5× |
| Hand 2 views (73120) |
$117.06 |
$285.50 |
1.2× |
| Hand 3 views (73130) |
$140.22 |
$342 |
1.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$656.41 |
$1,601 |
0.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$861.82 |
$2,102 |
1.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$567.85 |
$1,385 |
1.6× |
| Ht muscle image spect sing (78451) |
$714.22 |
$1,742 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$105.78 |
$258 |
1.3× |
| Hysterosalpingogram (74740) |
$258.30 |
$630 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$394.42 |
$962 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$473.14 |
$1,154 |
1.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$578.92 |
$1,412 |
1.2× |
| Knee 3 views (73562) |
$140.22 |
$342 |
1.8× |
| Liver & spleen imaging static only (78215) |
$437.88 |
$1,068 |
1.2× |
| Lung perfusion differential (78597) |
$439.93 |
$1,073 |
1.2× |
| Lung Ventilation Imaging (78579) |
$308.32 |
$752 |
0.9× |
| Lymphoscintigraphy (78195) |
$525.62 |
$1,282 |
1.1× |
| Mammary ductogram or galactogram multiple (77054) |
$248.05 |
$605 |
1.1× |
| Mammary ductogram or galactogram single (77053) |
$201.31 |
$491 |
0.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$70.52 |
$172 |
0.9× |
| Meckels Diverticulum (78290) |
$305.04 |
$744 |
0.8× |
| MRA head w & w/o contrast (70546) |
$1,211.96 |
$2,956 |
3.8× |
| MRA head w/o contrast (70544) |
$815.08 |
$1,988 |
3.8× |
| MRA head with contrast (70545) |
$990.56 |
$2,416 |
3.1× |
| MRA neck w contrast (70548) |
$896.67 |
$2,187 |
2.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,211.96 |
$2,956 |
3.8× |
| MRA neck w/o contrast (70547) |
$763.83 |
$1,863 |
3.5× |
| MRI abdomen w contrast (74182) |
$961.45 |
$2,345 |
3.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,247.22 |
$3,042 |
3.9× |
| MRI abdomen w/o contrast (74181) |
$895.85 |
$2,185 |
4.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,009.83 |
$2,463 |
1.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,011.88 |
$2,468 |
1.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,054.93 |
$2,573 |
4.9× |
| MRI breast w/o contrast unilat (77046) |
$966.78 |
$2,358 |
4.5× |
| MRI c-spine with contrast (72142) |
$1,069.28 |
$2,608 |
3.4× |
| MRI cervical spine w/o contrast (72141) |
$973.75 |
$2,375 |
4.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,089.78 |
$2,658 |
3.4× |
| MRI chest w/o contrast (71550) |
$763.01 |
$1,861 |
3.5× |
| MRI chest with contrast (71551) |
$903.64 |
$2,204 |
1.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$949.56 |
$2,316 |
3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,052.47 |
$2,567 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$884.37 |
$2,157 |
4.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$945.87 |
$2,307 |
4.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,193.51 |
$2,911 |
3.8× |
| MRI orbit/face/neck w/contrast (70542) |
$1,271.82 |
$3,102 |
4.0× |
| MRI pelvis w contrast (72196) |
$847.47 |
$2,067 |
2.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,327.58 |
$3,238 |
4.2× |
| MRI pelvis w/o contrast (72195) |
$795.40 |
$1,940 |
3.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,640.41 |
$4,001 |
5.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,221.39 |
$2,979 |
3.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,388.26 |
$3,386 |
4.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,024.18 |
$2,498 |
3.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,340.70 |
$3,270 |
4.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,025 |
$2,500 |
3.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,381.29 |
$3,369 |
4.4× |
| MRI thoracic spine w/o contrast (72146) |
$941.77 |
$2,297 |
4.4× |
| MRI tmj (70336) |
$891.75 |
$2,175 |
4.1× |
| MRI upper ext joint w/o contrast (73221) |
$887.65 |
$2,165 |
4.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,104.95 |
$2,695 |
3.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$905.69 |
$2,209 |
4.2× |
| Myocardial Spect Multiple Studies (78452) |
$928.65 |
$2,265 |
0.8× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$3,451.38 |
$8,418 |
4.4× |
| Neck soft tissue (70360) |
$100.04 |
$244 |
1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$186.55 |
$455 |
0.5× |
| Nm cisternogram (78630) |
$771.62 |
$1,882 |
1.6× |
| Nm gastric emptying study (78264) |
$464.53 |
$1,133 |
1.3× |
| Nuclear Rx Oral Admin (79005) |
$460.02 |
$1,122 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$139.40 |
$340 |
1.5× |
| Osseous survey infant (77076) |
$234.11 |
$571 |
2.5× |
| Osseous survey limited (77074) |
$56.99 |
$139 |
0.6× |
| Parathyroid imaging (78070) |
$401.39 |
$979 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$82.41 |
$201 |
0.9× |
| Peritoneogram rs&i (74190) |
$210.74 |
$514 |
0.4× |
| PET image w/CT, skull-thigh (78815) |
$2,503.05 |
$6,105 |
1.9× |
| PET imaging CT for attenuation limited area (78814) |
$2,367.34 |
$5,774 |
1.8× |
| PET imaging for CT attenuation whole body (78816) |
$2,503.05 |
$6,105 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,282.48 |
$3,128 |
4.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$279.21 |
$681 |
0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$308.32 |
$752 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$523.98 |
$1,278 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$113.57 |
$277 |
0.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$150.88 |
$368 |
1.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$176.30 |
$430 |
1.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$113.16 |
$276 |
1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$153.34 |
$374 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$140.22 |
$342 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$124.23 |
$303 |
1.6× |
| Radiologic exam colon single contrast study (74270) |
$111.93 |
$273 |
0.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$103.73 |
$253 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$227.55 |
$555 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$227.55 |
$555 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$73.39 |
$179 |
0.9× |
| Radiological examination surgical specimen (76098) |
$87.33 |
$213 |
0.2× |
| Review by radiologist of adrenal gland vein image (75840) |
$1,225.90 |
$2,990 |
0.4× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$656.41 |
$1,601 |
0.2× |
| Ribs bilateral 3 views (71110) |
$103.32 |
$252 |
1.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$639.60 |
$1,560 |
1.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$586.30 |
$1,430 |
1.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$269.78 |
$658 |
1.2× |
| Scanogram (77073) |
$195.78 |
$477.50 |
2.1× |
| Scapula complete (73010) |
$128.33 |
$313 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$45.92 |
$112 |
2.0× |
| Sella turcica (70240) |
$68.88 |
$168 |
0.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$332.92 |
$812 |
3.5× |
| Sialogram (70390) |
$184.09 |
$449 |
0.9× |
| Small bowel series (74250) |
$105.78 |
$258 |
0.7× |
| Spine thoracic 3 views (72072) |
$172.20 |
$420 |
1.8× |
| Therapeutic Enema (74283) |
$151.29 |
$369 |
1.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$653.13 |
$1,593 |
1.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$250.51 |
$611 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$381.71 |
$931 |
1.1× |
| Tmj unilateral (70328) |
$43.46 |
$106 |
0.6× |
| Tomogram (76100) |
$180.81 |
$441 |
1.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,047.14 |
$2,554 |
2.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$508.40 |
$1,240 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$183.68 |
$448 |
1.9× |
| Umbilical-artery Doppler (OB) (76820) |
$74.21 |
$181 |
0.8× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$225.91 |
$551 |
2.9× |
| Upper Extremity Infant (73092) |
$83.23 |
$203 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$194.34 |
$474 |
0.9× |
| Urethrocystography voiding (74455) |
$231.65 |
$565 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$243.13 |
$593 |
1.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$282.90 |
$690 |
1.8× |
| Us abdl aorta screen aaa (76706) |
$90.20 |
$220 |
1.0× |
| Us breast unilateral complete (76641) |
$243.95 |
$595 |
2.6× |
| Us breast unilateral limited (76642) |
$169.33 |
$413 |
2.1× |
| Us chest (76604) |
$175.89 |
$429 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$162.36 |
$396 |
1.7× |
| Us elastography parenchyma (76981) |
$241.08 |
$588 |
2.5× |
| Us infant hips dynamic (76885) |
$367.77 |
$897 |
4.7× |
| Us infant hips limited static (76886) |
$256.25 |
$625 |
3.2× |
| Us kidney transplant (76776) |
$406.72 |
$992 |
4.3× |
| Us ob transvaginal (76817) |
$198.85 |
$485 |
2.1× |
| Us pelvic non ob complete (76856) |
$238.21 |
$581 |
2.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$189.83 |
$463 |
2.0× |
| Us pregnancy ltd (76815) |
$142.68 |
$348 |
1.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$200.90 |
$490 |
2.1× |
| Us retroperitoneal complete (76770) |
$142.68 |
$348 |
1.5× |
| Us retroperitoneal limited (76775) |
$142.68 |
$348 |
1.5× |
| Us scrotum and contents (76870) |
$209.51 |
$511 |
2.2× |
| Us soft tissue head/neck (76536) |
$197.62 |
$482 |
2.1× |
| Us spinal canal and contents (76800) |
$291.51 |
$711 |
3.1× |
| Us transrectal (76872) |
$280.44 |
$684 |
3.0× |
| Us xtr non-vasc lmtd (76882) |
$142.68 |
$348 |
1.5× |
| Venogram extremity bilateral (75822) |
$720.37 |
$1,757 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,189 |
$2,900 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$499.79 |
$1,219 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$560.88 |
$1,368 |
0.4× |
| Venography Renal Bilateral (75833) |
$1,225.90 |
$2,990 |
0.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$590.40 |
$1,440 |
0.1× |
| Wrist 2 views (73100) |
$140.22 |
$342 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$145.55 |
$355 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$78.72 |
$192 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$140.22 |
$342 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$239.44 |
$584 |
1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$86.92 |
$212 |
1.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$103.32 |
$252 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$53.30 |
$130 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$58.22 |
$142 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$101.68 |
$248 |
1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$98.40 |
$240 |
1.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,184.08 |
$2,888 |
7.4× |
| X-ray eye for foreign body (70030) |
$72.98 |
$178 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$138.17 |
$337 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$109.88 |
$268 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$140.22 |
$342 |
1.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$251.33 |
$613 |
0.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$89.38 |
$218 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$95.12 |
$232 |
1.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$156.21 |
$381 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$94.71 |
$231 |
1.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$83.23 |
$203 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$140.22 |
$342 |
1.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$228.37 |
$557 |
2.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$120.95 |
$295 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$114.39 |
$279 |
1.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$91.02 |
$222 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$112.34 |
$274 |
1.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$98.40 |
$240 |
1.0× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$199.26 |
$486 |
0.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$170.56 |
$416 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$82 |
$200 |
1.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$140.22 |
$342 |
1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$140.22 |
$342 |
1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$91.02 |
$222 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$140.22 |
$342 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$140.22 |
$342 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$103.73 |
$253 |
1.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$68.88 |
$168 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$141.04 |
$344 |
1.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$86.51 |
$211 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$106.19 |
$259 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$50.02 |
$122 |
0.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$133.66 |
$326 |
1.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$120.95 |
$295 |
1.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$73.80 |
$180 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$140.22 |
$342 |
1.8× |
| Xr arthrogram ankle (73615) |
$168.51 |
$411 |
0.5× |
| Xr c-spine 6 or more views (72052) |
$204.59 |
$499 |
2.2× |
| Xr chest 4+ views (71048) |
$184.50 |
$450 |
1.9× |
| Xr finger(s) 2+ views (73140) |
$140.22 |
$342 |
1.8× |
| Xr internal auditory meati complete (70134) |
$210.74 |
$514 |
0.4× |
| Xr optic foramina (70190) |
$63.14 |
$154 |
0.8× |
| Xr shoulder 1 view (73020) |
$109.06 |
$266 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$176.71 |
$431 |
1.9× |
| Xr tibia/fibula 2 views (73590) |
$119.72 |
$292 |
1.5× |
| Xr tmj bilateral (70330) |
$105.78 |
$258 |
1.3× |
| Xray knee 1 or 2 views rt (73560) |
$140.22 |
$342 |
1.8× |