| Abdomen 1 View (74018) |
— |
$191.75 |
— |
| Abdomen 2 views (74019) |
— |
$274.50 |
— |
Ankle 2 views (73600)
range across 3 matching MRF lines |
— |
$189.50–$379 |
— |
| Chest 1 view (71045) |
— |
$185 |
— |
| Chest 2 views (71046) |
— |
$217 |
— |
| Chest 3 views (71047) |
— |
$157 |
— |
| Chest 4 or more views (71048) |
— |
$315 |
— |
| Clavicle complete (73000) |
— |
$193 |
— |
Foot 2 views (73620)
range across 2 matching MRF lines |
— |
$189.50–$379 |
— |
| Forearm 2 views (73090) |
— |
$193 |
— |
Hand 2 views (73120)
range across 2 matching MRF lines |
— |
$189.50–$379 |
— |
Knee 3 Views (73562)
range across 2 matching MRF lines |
— |
$243.50–$487 |
— |
| Neck soft tissue (70360) |
— |
$162.75 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$205.75 |
— |
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines |
— |
$220.50–$441 |
— |
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines |
— |
$187.25–$374.50 |
— |
| Radex elbow complete minimum 3 views (73080) |
— |
$226.25 |
— |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
— |
$126 |
— |
| Radex fingr minimum 2 views (73140) |
— |
$177 |
— |
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines |
— |
$218.25–$436.50 |
— |
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines |
— |
$221.75–$443.50 |
— |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
— |
$183 |
— |
| Radex Ribs Unilateral 2 Views (71100) |
— |
$112 |
— |
| Radex shoulder complete minimum 2 views (73030) |
— |
$219.50 |
— |
| Radex Sinuses Paransl < 3 Views (70210) |
— |
$97.50 |
— |
| Radex Sternum Minimum 2 Views (71120) |
— |
$228.50 |
— |
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines |
— |
$177–$354 |
— |
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines |
— |
$221.75–$443.50 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$320 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$325 |
— |
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines |
— |
$265–$530 |
— |
| Radiologic exam pelvis compl minimum 3 views (72190) |
— |
$240 |
— |
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines |
— |
$180–$360 |
— |
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines |
— |
$214.75–$429.50 |
— |
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines |
— |
$222.75–$445.50 |
— |
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines |
— |
$193–$386 |
— |
| Ribs bilateral 3 views (71110) |
— |
$278.50 |
— |
| Scapula (73010) |
— |
$188 |
— |
| Shoulder 1 view (73020) |
— |
$187.25 |
— |
| Skull less than 4 views (70250) |
— |
$205.25 |
— |
| Sternoclavicular joints (71130) |
— |
$237.50 |
— |
| Thoracic spine 2 views (72070) |
— |
$235.50 |
— |
| Thoracic spine 3 views (72072) |
— |
$297.50 |
— |
Wrist 2 views (73100)
range across 3 matching MRF lines |
— |
$189.50–$379 |
— |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
— |
$260.75 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$193 |
— |
| X-Ray Exam Entire Spi 1 Vw (72081) |
— |
$145 |
— |
| X-Ray Exam Hip Uni 1 View (73501) |
— |
$141.25 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$223 |
— |
| X-Ray Exam Hip Uni 4/> Views (73503) |
— |
$240 |
— |
| X-Ray Exam Hips Bi 2 Views (73521) |
— |
$197 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$225 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$259.50 |
— |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
— |
$227.50 |
— |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
— |
$443.50 |
— |
| X-Ray Exam Unilat Ribs/Chest (71101) |
— |
$323 |
— |
| X-ray eye for foreign body (70030) |
— |
$126 |
— |
| X-ray humerus (73060) |
— |
$211.25 |
— |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
— |
$209.50 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$90 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$245.75 |
— |
| X-ray nose-rectum child f.b. (76010) |
— |
$195 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$350.25 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$285 |
— |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
— |
$225.38 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$213.75 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$183 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$237.75 |
— |
| X-ray thoracic spine 4 vw (72074) |
— |
$286 |
— |
| Xr c-spine 4 or 5 views (72050) |
— |
$342.25 |
— |
| Xr facial bones less than 3 views (70140) |
— |
$183 |
— |