| Abdomen 2 views (74019) |
$333.71 |
$370.78 |
3.2× |
| Ankle 2 views (73600) |
$214.04 |
$237.82 |
2.4× |
| Bone age studies (77072) |
$175.20 |
$194.66 |
1.7× |
| Bone survey complete (77075) |
$503.93 |
$559.92 |
4.8× |
| Cervical spine 2 or 3 views (72040) |
$316.43 |
$351.58 |
3.6× |
| Chest 1 view (71045) |
$247.96 |
$275.51 |
2.8× |
| Chest 3 views (71047) |
$367.63 |
$408.47 |
4.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$470.63 |
$522.92 |
2.7× |
| Clavicle complete (73000) |
$384.88 |
$427.64 |
4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$723.34 |
$803.71 |
6.9× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$940.68 |
$1,045.19 |
5.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,186.99 |
$3,541.10 |
9.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,548.64 |
$2,831.82 |
10.6× |
| CT abdomen w contrast (74160) |
$2,202.61 |
$2,447.34 |
12.5× |
| CT abdomen w wo contrast (74170) |
$2,447.47 |
$2,719.41 |
13.9× |
| CT abdomen w/o contrast (74150) |
$1,668.47 |
$1,853.85 |
15.9× |
| CT angio hrt w/3d image (75574) |
$792.90 |
$881 |
2.3× |
| CT angiography upper extremity lt (73206) |
$2,395.66 |
$2,661.84 |
13.6× |
| CT c-spine w/o contrast (72125) |
$1,796.77 |
$1,996.41 |
17.1× |
| CT cervical spine w&w/o contrast (72127) |
$2,139.07 |
$2,376.74 |
12.1× |
| CT cervical spine with contrast (72126) |
$1,968.21 |
$2,186.89 |
5.6× |
| CT chest w/wo contrast (71270) |
$2,464.12 |
$2,737.91 |
14.0× |
| CT chest with contrast (71260) |
$2,224.80 |
$2,471.99 |
12.6× |
| CT head/brain with contrast (70460) |
$2,022.50 |
$2,247.22 |
11.5× |
| CT head/brain without and with contrast (70470) |
$2,609.69 |
$2,899.65 |
14.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$634.50 |
$705 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$473.11 |
$525.67 |
5.4× |
| CT hrt w/3d image congen (75573) |
$792.90 |
$881 |
2.3× |
| CT iac w contrast (70481) |
$2,224.80 |
$2,471.99 |
12.6× |
| CT lower ext w/o (73700) |
$1,519.19 |
$1,687.98 |
14.5× |
| CT lower extremity w wo contrast (73702) |
$1,530.90 |
$1,701 |
8.7× |
| CT lower extremity with contrast (73701) |
$1,520.40 |
$1,689.33 |
8.6× |
| CT lumbar spine w & w/o contrast (72133) |
$2,224.80 |
$2,471.99 |
12.6× |
| CT lumbar spine w/o contrast (72131) |
$1,882.48 |
$2,091.64 |
17.9× |
| CT lumbar spine with contrast (72132) |
$2,053.95 |
$2,282.16 |
5.9× |
| CT maxillofacial w contrast (70487) |
$2,053.95 |
$2,282.16 |
11.7× |
| CT maxillofacial w/o contrast (70486) |
$1,711.63 |
$1,901.81 |
16.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,224.80 |
$2,471.99 |
12.6× |
| CT neck soft tissue w contrast (70491) |
$1,882.48 |
$2,091.64 |
10.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,395.66 |
$2,661.84 |
13.6× |
| CT orbits w/o contrast (70480) |
$1,625.89 |
$1,806.54 |
15.5× |
| CT pelvis w & w/o contrast (72194) |
$2,207.54 |
$2,452.82 |
12.5× |
| CT pelvis w/o contrast (72192) |
$1,711.63 |
$1,901.81 |
16.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,505.46 |
$1,672.72 |
8.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,711.63 |
$1,901.81 |
16.3× |
| CT thoracic spine w/contrast (72129) |
$2,224.80 |
$2,471.99 |
12.6× |
| CT thoracic spine w/o contrast (72128) |
$2,053.95 |
$2,282.16 |
19.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,430.19 |
$2,700.21 |
13.8× |
| CT thorax w/o contrast (71250) |
$1,968.21 |
$2,186.89 |
18.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,715.94 |
$1,906.60 |
9.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,250.87 |
$1,389.85 |
11.9× |
| CT upper extremity with contrast (73201) |
$1,506.24 |
$1,673.59 |
4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,823.72 |
$3,137.46 |
16.0× |
| Cta Abdomen (74175) |
$2,823.72 |
$3,137.46 |
16.0× |
| CTA abdomen pelvis (74174) |
$3,176.91 |
$3,529.89 |
9.1× |
| CTA chest (71275) |
$2,604.34 |
$2,893.71 |
14.8× |
| Cta Head (70496) |
$2,310.53 |
$2,567.25 |
13.1× |
| CTA lwr ext w&w/o contrast (73706) |
$2,395.66 |
$2,661.84 |
13.6× |
| Cta Neck (70498) |
$2,310.53 |
$2,567.25 |
13.1× |
| Cta Pelvis (72191) |
$2,395.66 |
$2,661.84 |
13.6× |
| Cystography minimum 3 views rs&i (74430) |
$634.07 |
$704.52 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$547.73 |
$608.58 |
5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$355.90 |
$395.44 |
4.1× |
| Dxa bone density study axial skeleton (77085) |
$361.68 |
$401.86 |
3.4× |
| Echoencephalography real time imaging (76506) |
$880.20 |
$977.99 |
8.4× |
| Esophagus (74220) |
$410.79 |
$456.43 |
2.3× |
| Fetal biophysical profile non-stress testing (76818) |
$301.50 |
$335 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$625.44 |
$694.93 |
6.0× |
| Fluoroscopy up to 1 hr (76000) |
$347.88 |
$386.53 |
1.5× |
| Foot 2 views (73620) |
$209.12 |
$232.35 |
2.4× |
| Forearm 2 views (73090) |
$241.17 |
$267.96 |
2.8× |
| Hand 2 views (73120) |
$165.31 |
$183.67 |
1.6× |
| Hand 3 views (73130) |
$247.96 |
$275.51 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$195.54 |
$217.26 |
2.2× |
| Hysterosalpingogram (74740) |
$775.95 |
$862.16 |
3.2× |
| Knee 3 views (73562) |
$371.02 |
$412.24 |
4.2× |
| Mammary ductogram or galactogram multiple (77054) |
$849.96 |
$944.39 |
3.5× |
| MRA head w & w/o contrast (70546) |
$3,417.09 |
$3,796.76 |
9.8× |
| MRA head w/o contrast (70544) |
$3,161.72 |
$3,513.02 |
13.2× |
| MRA head with contrast (70545) |
$3,353.55 |
$3,726.16 |
9.6× |
| MRA neck w contrast (70548) |
$2,931.66 |
$3,257.39 |
8.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,995.21 |
$3,328.01 |
8.5× |
| MRA neck w/o contrast (70547) |
$2,741.07 |
$3,045.63 |
11.4× |
| MRI abdomen w contrast (74182) |
$3,080.31 |
$3,422.56 |
8.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,524.40 |
$3,915.99 |
10.1× |
| MRI abdomen w/o contrast (74181) |
$2,737.98 |
$3,042.20 |
11.4× |
| MRI any jnt lwr ext with con lt (73722) |
$2,369.74 |
$2,633.04 |
3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,267.36 |
$2,519.28 |
2.9× |
| MRI breast w/o contrast bilateral (77047) |
$1,255.50 |
$1,395 |
5.2× |
| MRI breast w/o contrast unilat (77046) |
$1,165.50 |
$1,295 |
4.9× |
| MRI c-spine with contrast (72142) |
$2,823.72 |
$3,137.46 |
8.1× |
| MRI cervical spine w/o contrast (72141) |
$2,567.13 |
$2,852.36 |
10.7× |
| MRI chest w/o & w/contrast material (71552) |
$2,936.59 |
$3,262.87 |
8.4× |
| MRI chest w/o contrast (71550) |
$2,395.66 |
$2,661.84 |
10.0× |
| MRI chest with contrast (71551) |
$2,580.69 |
$2,867.43 |
3.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,303.77 |
$2,559.74 |
6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,303.77 |
$2,559.74 |
6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,200.77 |
$2,445.29 |
9.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,567.13 |
$2,852.36 |
10.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,354.16 |
$3,726.84 |
9.6× |
| MRI orbit/face/neck w/contrast (70542) |
$3,014.92 |
$3,349.91 |
8.6× |
| MRI pelvis w contrast (72196) |
$2,823.72 |
$3,137.46 |
8.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,540.07 |
$2,822.30 |
7.2× |
| MRI pelvis w/o contrast (72195) |
$1,545.72 |
$1,717.46 |
6.4× |
| MRI scan of arm joint before and after contrast (73223) |
$2,267.36 |
$2,519.28 |
6.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,501.13 |
$2,779.03 |
7.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,230.82 |
$3,589.80 |
9.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,892.19 |
$3,213.54 |
8.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,594.12 |
$3,993.46 |
10.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,686.79 |
$2,985.32 |
7.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,269.05 |
$3,632.27 |
9.3× |
| MRI thoracic spine w/o contrast (72146) |
$2,652.85 |
$2,947.61 |
11.1× |
| MRI tmj (70336) |
$2,990.25 |
$3,322.49 |
12.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,200.77 |
$2,445.29 |
9.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,485.09 |
$2,761.21 |
7.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,200.77 |
$2,445.29 |
9.2× |
| Myelogram Cervical (72240) |
$346.52 |
$385.02 |
0.4× |
| Myelogram Lumbar (72265) |
$329.83 |
$366.47 |
0.4× |
| Myelogram thoracic (72255) |
$311.87 |
$346.52 |
0.4× |
| Neck soft tissue (70360) |
$196.78 |
$218.64 |
2.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$485.56 |
$539.51 |
4.6× |
| Osseous survey infant (77076) |
$323.21 |
$359.12 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$258.46 |
$287.17 |
2.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,501.13 |
$2,779.03 |
7.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$775.95 |
$862.16 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$107 |
$118.88 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$125.60 |
$139.55 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$122.11 |
$135.67 |
1.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$270.18 |
$300.19 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$282.50 |
$313.88 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$265.23 |
$294.70 |
3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$333.71 |
$370.78 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$299.78 |
$333.08 |
3.4× |
| Radiologic exam colon single contrast study (74270) |
$616.20 |
$684.66 |
3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$616.20 |
$684.66 |
3.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$633.46 |
$703.84 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$323.21 |
$359.12 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$100.01 |
$111.12 |
1.1× |
| Radiological examination surgical specimen (76098) |
$1,393.98 |
$1,548.86 |
2.5× |
| Ribs bilateral 3 views (71110) |
$392.30 |
$435.88 |
3.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$742.03 |
$824.47 |
3.1× |
| Scanogram (77073) |
$389.83 |
$433.14 |
3.7× |
| Scapula complete (73010) |
$269.24 |
$299.16 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$70.23 |
$78.03 |
3.0× |
| Sella turcica (70240) |
$165.31 |
$183.67 |
1.9× |
| Small bowel series (74250) |
$333.07 |
$370.07 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$357.75 |
$397.50 |
3.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$165.31 |
$183.67 |
1.9× |
| Upper Extremity Infant (73092) |
$272.66 |
$302.94 |
2.6× |
| Urethrocystography retrograde rs&i (74450) |
$634.07 |
$704.52 |
2.6× |
| Urethrocystography voiding (74455) |
$634.07 |
$704.52 |
2.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$695.76 |
$773.06 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$382.51 |
$425.01 |
3.6× |
| Us breast unilateral complete (76641) |
$431.16 |
$479.06 |
4.1× |
| Us breast unilateral limited (76642) |
$330.56 |
$367.28 |
3.8× |
| Us chest (76604) |
$412.04 |
$457.82 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$532.32 |
$591.46 |
5.1× |
| Us elastography parenchyma (76981) |
$341.78 |
$379.75 |
3.3× |
| Us infant hips dynamic (76885) |
$610.64 |
$678.48 |
7.0× |
| Us ob transvaginal (76817) |
$684.64 |
$760.71 |
6.5× |
| Us pelvic non ob complete (76856) |
$746.34 |
$829.26 |
7.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$359.61 |
$399.56 |
3.4× |
| Us pregnancy ltd (76815) |
$411.43 |
$457.14 |
3.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$564.99 |
$627.76 |
5.4× |
| Us retroperitoneal complete (76770) |
$549.58 |
$610.63 |
5.2× |
| Us scrotum and contents (76870) |
$556.38 |
$618.19 |
5.3× |
| Us soft tissue head/neck (76536) |
$559.44 |
$621.60 |
5.3× |
| Us spinal canal and contents (76800) |
$412.04 |
$457.82 |
3.9× |
| Us transrectal (76872) |
$495.90 |
$551 |
4.7× |
| Us xtr non-vasc lmtd (76882) |
$372.66 |
$414.06 |
3.5× |
| Venogram extremity bilateral (75822) |
$2,562.21 |
$2,846.89 |
1.6× |
| Venography extremity unilateral rs&i (75820) |
$2,562.21 |
$2,846.89 |
1.6× |
| Vertebral fracture assessment via dxa (77086) |
$165.31 |
$183.67 |
1.9× |
| Wrist 2 views (73100) |
$275.74 |
$306.37 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$376.28 |
$418.08 |
3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$191.85 |
$213.16 |
2.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$273.87 |
$304.30 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$718.60 |
$798.44 |
4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$179.49 |
$199.43 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$334.01 |
$371.12 |
3.8× |
| X-ray exam hip uni 1 view (73501) |
$79.07 |
$87.85 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$88.38 |
$98.20 |
1.0× |
| X-ray exam hip uni 4/> views (73503) |
$125.60 |
$139.55 |
1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$125.60 |
$139.55 |
1.2× |
| X-ray exam of femur 1 (73551) |
$88.38 |
$98.20 |
1.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$442.43 |
$491.58 |
2.5× |
| X-ray eye for foreign body (70030) |
$214.21 |
$238.01 |
2.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$316.43 |
$351.58 |
3.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$239.32 |
$265.91 |
2.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$410.80 |
$456.44 |
4.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$372.88 |
$414.30 |
4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$229.46 |
$254.95 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$397.84 |
$442.05 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$241.17 |
$267.96 |
2.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$272.66 |
$302.94 |
3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$484.84 |
$538.71 |
4.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$574.32 |
$638.13 |
5.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$351 |
$389.99 |
3.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$251.67 |
$279.63 |
2.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$165.31 |
$183.67 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$307.80 |
$342 |
2.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$316.43 |
$351.58 |
3.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$359.61 |
$399.56 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$381.82 |
$424.24 |
3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$247.96 |
$275.51 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$265.23 |
$294.70 |
3.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$174.56 |
$193.95 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$323.21 |
$359.12 |
3.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$165.31 |
$183.67 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$453.37 |
$503.74 |
4.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$287.44 |
$319.37 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$196.78 |
$218.64 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$214.65 |
$238.50 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$245.49 |
$272.76 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$299.16 |
$332.40 |
2.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$434.25 |
$482.49 |
4.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$197.37 |
$219.30 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$256.59 |
$285.09 |
2.9× |
| Xr c-spine 6 or more views (72052) |
$518.74 |
$576.37 |
4.9× |
| Xr chest 4+ views (71048) |
$359.61 |
$399.56 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$201.69 |
$224.10 |
2.3× |
| XR Mastoids < 3 Views Bilateral (70120) |
$205.42 |
$228.24 |
2.0× |
| Xr optic foramina (70190) |
$287.44 |
$319.37 |
3.3× |
| Xr shoulder 1 view (73020) |
$254.14 |
$282.37 |
2.9× |
| Xr spine cervical 4 or 5 views (72050) |
$445.33 |
$494.81 |
4.2× |
| Xr tibia/fibula 2 views (73590) |
$258.46 |
$287.17 |
3.0× |
| Xr tmj bilateral (70330) |
$273.87 |
$304.30 |
3.1× |
| Xray knee 1 or 2 views rt (73560) |
$361.46 |
$401.61 |
4.1× |