| Abdomen 2 views (74019) |
$188.40 |
$471 |
1.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$419.20 |
$1,048 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$3,213.20 |
$8,033 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$3,213.20 |
$8,033 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,800.80 |
$7,002 |
0.9× |
| Ankle 2 views (73600) |
$126.40 |
$316 |
1.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$317.60 |
$794 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,213.20 |
$8,033 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$3,213.20 |
$8,033 |
1.1× |
| Arthrogram elbow (73085) |
$451.20 |
$1,128 |
1.3× |
| Arthrogram hip (73525) |
$397.20 |
$993 |
1.2× |
| Arthrogram shoulder (73040) |
$397.20 |
$993 |
1.2× |
| Arthrogram wrist (73115) |
$173.60 |
$434 |
0.5× |
| Arthrography knee lt (73580) |
$442.80 |
$1,107 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$296.60 |
$741.50 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$628.40 |
$1,571 |
1.6× |
| Bone age studies (77072) |
$115.20 |
$288 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$972 |
$2,430 |
2.5× |
| Bone Marrow Imaging Limited Area (78102) |
$392.40 |
$981 |
1.0× |
| Bone survey complete (77075) |
$358.40 |
$896 |
3.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$461.60 |
$1,154 |
1.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$599.20 |
$1,498 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$266 |
$665 |
3.2× |
| Chest 1 view (71045) |
$181.20 |
$453 |
2.2× |
| Chest 3 views (71047) |
$212 |
$530 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$194.40 |
$486 |
1.2× |
| Clavicle complete (73000) |
$154.80 |
$387 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$226 |
$565 |
2.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,268.40 |
$5,671 |
6.8× |
| CT abdomen and pelvis without contrast (74176) |
$985.20 |
$2,463 |
4.3× |
| CT abdomen w contrast (74160) |
$919.20 |
$2,298 |
5.4× |
| CT abdomen w wo contrast (74170) |
$1,134.40 |
$2,836 |
6.7× |
| CT abdomen w/o contrast (74150) |
$715.60 |
$1,789 |
7.1× |
| CT angiography upper extremity lt (73206) |
$257.20 |
$643 |
1.5× |
| CT c-spine w/o contrast (72125) |
$772.40 |
$1,931 |
7.7× |
| CT cervical spine w&w/o contrast (72127) |
$995.20 |
$2,488 |
5.9× |
| CT cervical spine with contrast (72126) |
$933.20 |
$2,333 |
2.8× |
| CT chest w/wo contrast (71270) |
$1,134.40 |
$2,836 |
6.7× |
| CT chest with contrast (71260) |
$980.40 |
$2,451 |
5.8× |
| CT head/brain with contrast (70460) |
$887.20 |
$2,218 |
5.3× |
| CT head/brain without and with contrast (70470) |
$1,090.80 |
$2,727 |
6.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$93.60 |
$234 |
1.1× |
| CT iac w contrast (70481) |
$782.80 |
$1,957 |
4.6× |
| CT lower ext w/o (73700) |
$614.40 |
$1,536 |
6.1× |
| CT lower extremity w wo contrast (73702) |
$1,032.80 |
$2,582 |
6.1× |
| CT lower extremity with contrast (73701) |
$732.40 |
$1,831 |
4.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,094.40 |
$2,736 |
6.5× |
| CT lumbar spine w/o contrast (72131) |
$772.40 |
$1,931 |
7.7× |
| CT lumbar spine with contrast (72132) |
$933.20 |
$2,333 |
2.8× |
| CT maxillofacial w contrast (70487) |
$592.80 |
$1,482 |
3.5× |
| CT maxillofacial w/o contrast (70486) |
$512.40 |
$1,281 |
5.1× |
| CT maxillofacial w/wo contrast (70488) |
$728 |
$1,820 |
4.3× |
| CT neck soft tissue w contrast (70491) |
$930.80 |
$2,327 |
5.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,090.80 |
$2,727 |
6.5× |
| CT orbits w/o contrast (70480) |
$715.60 |
$1,789 |
7.1× |
| CT pelvis w & w/o contrast (72194) |
$1,134.40 |
$2,836 |
6.7× |
| CT pelvis w/o contrast (72192) |
$644.40 |
$1,611 |
6.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,036.40 |
$2,591 |
6.1× |
| CT soft tissue neck w/o contrast (70490) |
$715.60 |
$1,789 |
7.1× |
| CT thoracic spine w/contrast (72129) |
$933.20 |
$2,333 |
5.5× |
| CT thoracic spine w/o contrast (72128) |
$772.40 |
$1,931 |
7.7× |
| CT thoracic spine w/wo contrast (72130) |
$963.20 |
$2,408 |
5.7× |
| CT thorax w/o contrast (71250) |
$757.20 |
$1,893 |
7.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,032.80 |
$2,582 |
6.1× |
| CT upper extremity w/o contrast rt (73200) |
$614.40 |
$1,536 |
6.1× |
| CT upper extremity with contrast (73201) |
$732.40 |
$1,831 |
2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,134.40 |
$2,836 |
6.7× |
| Cta Abdomen (74175) |
$1,134.40 |
$2,836 |
6.7× |
| CTA abdomen pelvis (74174) |
$1,664.80 |
$4,162 |
5.0× |
| CTA chest (71275) |
$879.20 |
$2,198 |
5.2× |
| Cta Head (70496) |
$702.80 |
$1,757 |
4.2× |
| CTA lwr ext w&w/o contrast (73706) |
$223.20 |
$558 |
1.3× |
| Cta Neck (70498) |
$702.80 |
$1,757 |
4.2× |
| Cta Pelvis (72191) |
$1,064 |
$2,660 |
6.3× |
| Cystography minimum 3 views rs&i (74430) |
$222.40 |
$556 |
0.7× |
| Diskography lumbar (72295) |
$2,296.40 |
$5,741 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$129.20 |
$323 |
1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$60.80 |
$152 |
0.7× |
| Esophagus (74220) |
$194.40 |
$486 |
1.2× |
| Fetal biophysical profile non-stress testing (76818) |
$135.40 |
$338.50 |
1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$246.40 |
$616 |
2.5× |
| Forearm 2 views (73090) |
$154.80 |
$387 |
1.8× |
| Gated Heart Planar Single (78472) |
$535.60 |
$1,339 |
1.4× |
| Hand 2 views (73120) |
$173.60 |
$434 |
1.7× |
| Hand 3 views (73130) |
$154.80 |
$387 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$555.20 |
$1,388 |
1.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$555.20 |
$1,388 |
1.4× |
| Ht muscle image spect sing (78451) |
$596.40 |
$1,491 |
0.5× |
| Humerus Min 2 Views Left (73060) |
$154.80 |
$387 |
1.8× |
| Hysterosalpingogram (74740) |
$252 |
$630 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$470.40 |
$1,176 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$544 |
$1,360 |
1.0× |
| Knee 3 views (73562) |
$172 |
$430 |
2.1× |
| Liver & spleen imaging static only (78215) |
$417.60 |
$1,044 |
1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$419.20 |
$1,048 |
1.1× |
| Lymphoscintigraphy (78195) |
$236.40 |
$591 |
0.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$72 |
$180 |
0.9× |
| Meckels Diverticulum (78290) |
$247.20 |
$618 |
0.6× |
| MRA head w & w/o contrast (70546) |
$433.20 |
$1,083 |
1.3× |
| MRA head w/o contrast (70544) |
$716.40 |
$1,791 |
3.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$992.40 |
$2,481 |
3.0× |
| MRA neck w/o contrast (70547) |
$716.40 |
$1,791 |
3.1× |
| MRI abdomen w contrast (74182) |
$983.20 |
$2,458 |
2.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,069.20 |
$2,673 |
3.2× |
| MRI abdomen w/o contrast (74181) |
$1,069.20 |
$2,673 |
4.7× |
| MRI any jnt lwr ext with con lt (73722) |
$767.60 |
$1,919 |
1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,151.60 |
$2,879 |
1.5× |
| MRI bone marrow blood supply (77084) |
$890.40 |
$2,226 |
3.9× |
| MRI breast w/o contrast bilateral (77047) |
$264.40 |
$661 |
1.2× |
| MRI c-spine with contrast (72142) |
$1,069.20 |
$2,673 |
3.2× |
| MRI cervical spine w/o contrast (72141) |
$896.80 |
$2,242 |
3.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,118.80 |
$2,797 |
3.3× |
| MRI chest w/o contrast (71550) |
$712.80 |
$1,782 |
3.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$854.80 |
$2,137 |
2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,069.20 |
$2,673 |
4.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,069.20 |
$2,673 |
4.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,342.40 |
$3,356 |
4.0× |
| MRI pelvis w contrast (72196) |
$1,214.80 |
$3,037 |
3.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,376 |
$3,440 |
4.1× |
| MRI pelvis w/o contrast (72195) |
$1,069.20 |
$2,673 |
4.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,343.60 |
$3,359 |
4.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,028.80 |
$2,572 |
3.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,554.80 |
$3,887 |
4.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,166.40 |
$2,916 |
3.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,334.40 |
$3,336 |
4.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,118.80 |
$2,797 |
3.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,554.80 |
$3,887 |
4.6× |
| MRI thoracic spine w/o contrast (72146) |
$1,069.20 |
$2,673 |
4.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,069.20 |
$2,673 |
4.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,069.20 |
$2,673 |
3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$634.40 |
$1,586 |
2.8× |
| Myelogram Cervical (72240) |
$351.20 |
$878 |
0.5× |
| Myelogram Lumbar (72265) |
$798.80 |
$1,997 |
1.1× |
| Myelogram thoracic (72255) |
$293.20 |
$733 |
0.4× |
| Myelography 2 or more regions (72270) |
$448 |
$1,120 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,533.60 |
$3,834 |
1.2× |
| Neck soft tissue (70360) |
$266 |
$665 |
3.2× |
| Nm bone marrow wb (78104) |
$393.20 |
$983 |
1.0× |
| Nm cisternogram (78630) |
$409.20 |
$1,023 |
0.8× |
| Nm csf leak detection (78650) |
$1,351.60 |
$3,379 |
1.1× |
| Nm gastric emptying study (78264) |
$419.20 |
$1,048 |
1.1× |
| Nuclear Rx Oral Admin (79005) |
$311.20 |
$778 |
1.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$202.80 |
$507 |
2.0× |
| Osseous survey infant (77076) |
$144.40 |
$361 |
1.4× |
| Osseous survey limited (77074) |
$144.40 |
$361 |
1.4× |
| Parathyrd planar w/wo subtrj (78071) |
$417.60 |
$1,044 |
1.1× |
| Parathyroid imaging (78070) |
$419.20 |
$1,048 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$154.80 |
$387 |
1.5× |
| PET image w/CT, skull-thigh (78815) |
$1,563.20 |
$3,908 |
1.1× |
| PET imaging CT for attenuation limited area (78814) |
$1,631.20 |
$4,078 |
1.2× |
| PET imaging for CT attenuation whole body (78816) |
$1,564.80 |
$3,912 |
1.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,343.60 |
$3,359 |
4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$342.80 |
$857 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$791.60 |
$1,979 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$308.40 |
$771 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$195.60 |
$489 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$195.60 |
$489 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$214.40 |
$536 |
2.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$171.20 |
$428 |
1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$136.40 |
$341 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$121.20 |
$303 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$117.20 |
$293 |
1.4× |
| Radiologic exam colon single contrast study (74270) |
$294.80 |
$737 |
1.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$270 |
$675 |
1.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$294.80 |
$737 |
1.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$154.80 |
$387 |
1.8× |
| Radiological examination surgical specimen (76098) |
$542.80 |
$1,357 |
1.0× |
| Ribs bilateral 3 views (71110) |
$188.40 |
$471 |
1.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$298.80 |
$747 |
0.6× |
| Scanogram (77073) |
$130.40 |
$326 |
1.3× |
| Scapula complete (73010) |
$154.80 |
$387 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$28.40 |
$71 |
1.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$166.40 |
$416 |
1.7× |
| Small bowel series (74250) |
$194.40 |
$486 |
1.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$480.40 |
$1,201 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$419.20 |
$1,048 |
1.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,540.80 |
$6,352 |
4.9× |
| Ultrasound, abdomen limited (76705) |
$228.40 |
$571 |
2.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$93.60 |
$234 |
1.1× |
| Unlisted fluoroscopic procedure (76496) |
$95.20 |
$238 |
1.1× |
| Unlisted Ultrasound Procedure (76999) |
$228.40 |
$571 |
2.7× |
| Upper Extremity Infant (73092) |
$115.20 |
$288 |
1.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$358.40 |
$896 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$246 |
$615 |
1.1× |
| Urethrocystography voiding (74455) |
$449.60 |
$1,124 |
2.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$285.20 |
$713 |
1.7× |
| Us breast unilateral complete (76641) |
$161.80 |
$404.50 |
1.6× |
| Us breast unilateral limited (76642) |
$127.40 |
$318.50 |
1.5× |
| Us chest (76604) |
$202 |
$505 |
2.0× |
| Us compl joint r-t w/image documentation (76881) |
$202 |
$505 |
2.0× |
| Us kidney transplant (76776) |
$138.80 |
$347 |
1.4× |
| Us ob transvaginal (76817) |
$249.60 |
$624 |
2.5× |
| Us pelvic non ob complete (76856) |
$281.20 |
$703 |
2.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$142.80 |
$357 |
1.4× |
| Us pregnancy ltd (76815) |
$390.80 |
$977 |
3.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$246.40 |
$616 |
2.5× |
| Us retroperitoneal complete (76770) |
$153.60 |
$384 |
1.5× |
| Us retroperitoneal limited (76775) |
$228.40 |
$571 |
2.3× |
| Us scrotum and contents (76870) |
$202 |
$505 |
2.0× |
| Us soft tissue head/neck (76536) |
$214.80 |
$537 |
2.1× |
| Us spinal canal and contents (76800) |
$115.20 |
$288 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$3,029.60 |
$7,574 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$1,604.80 |
$4,012 |
1.1× |
| Wrist 2 views (73100) |
$93.60 |
$234 |
1.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$212 |
$530 |
2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$154.80 |
$387 |
1.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$154.80 |
$387 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$366.40 |
$916 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$104.40 |
$261 |
1.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$154.80 |
$387 |
1.8× |
| X-ray exam hip uni 1 view (73501) |
$95.60 |
$239 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$186.80 |
$467 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$115.20 |
$288 |
1.1× |
| X-ray exam of femur 1 (73551) |
$602 |
$1,505 |
7.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$212 |
$530 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$136.40 |
$341 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$154.80 |
$387 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$154.80 |
$387 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$186.80 |
$467 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$130.40 |
$326 |
1.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$93.60 |
$234 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$234 |
$585 |
2.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$281.20 |
$703 |
2.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$166.80 |
$417 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$154.80 |
$387 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$95.60 |
$239 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$142.80 |
$357 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$115.20 |
$288 |
1.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$398 |
$995 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$142.80 |
$357 |
1.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$188.40 |
$471 |
1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$234 |
$585 |
2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$186.80 |
$467 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$186.80 |
$467 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$161.60 |
$404 |
1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$212 |
$530 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$212 |
$530 |
2.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$142.80 |
$357 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$154.80 |
$387 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$214.40 |
$536 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$104.40 |
$261 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$136.40 |
$341 |
1.6× |
| Xr c-spine 6 or more views (72052) |
$324.80 |
$812 |
3.2× |
| Xr finger(s) 2+ views (73140) |
$154.80 |
$387 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$293.20 |
$733 |
2.9× |
| Xr tibia/fibula 2 views (73590) |
$154.80 |
$387 |
1.8× |
| Xr tmj bilateral (70330) |
$198 |
$495 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$154.80 |
$387 |
1.8× |