Imaging prices at Memorial Health

Lawton, OK · every code in this section with a posted price and a Medicare benchmark.

270 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,868.20 $2,294.56 2.2×
Abdomen 2 views (74019) $512.83 $410.26 5.1×
Acute gastrointestinal blood loss imaging (78278) $1,654.53 $1,323.62 4.3×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $6,526.83 $5,221.46 2.1×
Angiography extremity bilateral rs&i (75716) $10,066 $8,052.80 3.3×
Angiography extremity unilateral rs&i (75710) $9,965.89 $7,972.71 3.3×
Angiography pelvic slctv/supraslctv rs&i (75736) $8,784.26 $7,027.41 1.6×
Angiography pulmonary bilateral slctv rs&i (75743) $8,307.85 $6,646.28 2.7×
Angiography pulmonary unilateral slctv rs&i (75741) $12,474.08 $9,979.26 4.1×
Angiography Spinal Selective Rs&I (75705)
likely a partial charge, not the full procedure
$1,248.78 $999.02 0.2×
Angiography visceral slctv/supraslctv rs&i (75726) $6,631.55 $5,305.24 1.2×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $1,923.26 $1,538.61 0.6×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,744.09 $1,395.27 0.6×
Antegrade urography radiological supvj & interpj (74425) $1,499.96 $1,199.97 4.5×
Aortogram thoracic (75605) $8,321.90 $6,657.52 1.6×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $4,933.74 $3,946.99 1.6×
Aortography abdominal serialography rs&i (75625) $14,998.04 $11,998.43 4.9×
Aortography thoracic w/o serialography rs&i (75600) $665.64 $532.51 0.2×
Arthrogram hip (73525) $1,701.93 $1,361.54 5.1×
Arthrogram shoulder (73040) $1,975.94 $1,580.75 5.9×
Basic radiation dosimetry calculation (77300) $407.46 $325.97 3.2×
Bone &/Joint Imaging Limited Area (78300) $1,307.60 $1,046.08 3.4×
Bone &/joint imaging whole body (78306) $2,005.78 $1,604.62 5.2×
Bone age studies (77072) $337.21 $269.77 3.4×
Bone Imaging 3 Phase (78315) $3,022.78 $2,418.22 7.9×
Bone survey complete (77075) $1,032.74 $826.19 10.3×
Brachytx isodose complex (77318) $2,044.44 $1,635.55 5.7×
Brachytx isodose intermed (77317) $1,413.89 $1,131.11 3.9×
Brachytx isodose pln smpl w/dosimetry cal (77316) $1,083.69 $866.95 3.0×
Brain image w/flow 4 + views (78606) $2,334.25 $1,867.40 4.5×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,798.55 $1,438.84 3.4×
Cervical spine 2 or 3 views (72040) $509.33 $407.46 6.1×
Chest 1 view (71045) $335.45 $268.36 4.0×
Chest 3 views (71047) $576.08 $460.86 6.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $1,167.99 $934.39 6.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $296.81 $237.44 3.0×
Continuing medical physics consltj pr wk (77336) $430.30 $344.24 3.3×
CT abdomen and pelvis without and with contrast (74178) $6,814.89 $5,451.91 20.3×
CT abdomen and pelvis without contrast (74176) $3,774.50 $3,019.60 16.4×
CT abdomen w contrast (74160) $2,966.56 $2,373.25 17.6×
CT abdomen w wo contrast (74170) $3,804.38 $3,043.50 22.6×
CT abdomen w/o contrast (74150) $1,888.13 $1,510.50 18.8×
CT angio hrt w/3d image (75574) $1,928.51 $1,542.81 5.7×
CT angiography upper extremity lt (73206) $2,586.10 $2,068.88 15.3×
CT c-spine w/o contrast (72125) $2,462.46 $1,969.97 24.5×
CT cervical spine w&w/o contrast (72127) $3,804.38 $3,043.50 22.6×
CT cervical spine with contrast (72126) $2,639.86 $2,111.89 7.9×
CT chest w/wo contrast (71270) $3,802.61 $3,042.09 22.5×
CT chest with contrast (71260) $2,641.64 $2,113.31 15.7×
CT head/brain with contrast (70460) $2,966.56 $2,373.25 17.6×
CT head/brain without and with contrast (70470) $3,804.38 $3,043.50 22.6×
CT heart no contrast quant eval coronry calcium (75571) $143.09 $114.47 1.7×
CT iac w contrast (70481) $2,081.33 $1,665.06 12.3×
CT limited/localized follow up study (76380) $834.28 $667.42 10.0×
CT lumbar spine w & w/o contrast (72133) $3,804.38 $3,043.50 22.6×
CT lumbar spine w/o contrast (72131) $2,462.46 $1,969.97 24.5×
CT lumbar spine with contrast (72132) $2,639.86 $2,111.89 7.9×
CT maxillofacial w contrast (70487) $2,081.33 $1,665.06 12.3×
CT maxillofacial w/o contrast (70486) $1,886.38 $1,509.10 18.8×
CT maxillofacial w/wo contrast (70488) $2,966.56 $2,373.25 17.6×
CT neck soft tissue w contrast (70491) $2,081.33 $1,665.06 12.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,966.56 $2,373.25 17.6×
CT orbits w/o contrast (70480) $1,886.38 $1,509.10 18.8×
CT pelvis w & w/o contrast (72194) $3,010.48 $2,408.38 17.8×
CT pelvis w/o contrast (72192) $1,888.13 $1,510.50 18.8×
CT soft tissue neck w/o & w/contrast material (70492) $2,966.56 $2,373.25 17.6×
CT soft tissue neck w/o contrast (70490) $1,886.38 $1,509.10 18.8×
CT thoracic spine w/contrast (72129) $2,641.64 $2,113.31 15.7×
CT thoracic spine w/o contrast (72128) $2,462.46 $1,969.97 24.5×
CT thoracic spine w/wo contrast (72130) $3,804.38 $3,043.50 22.6×
CT thorax w/o contrast (71250) $2,462.46 $1,969.97 24.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,741.74 $2,193.39 16.3×
Cta Abdomen (74175) $2,741.74 $2,193.39 16.3×
CTA abdomen pelvis (74174) $2,585.40 $2,068.32 7.7×
CTA chest (71275) $2,691.69 $2,153.35 16.0×
Cta Head (70496) $2,741.74 $2,193.39 16.3×
Cta Neck (70498) $2,741.74 $2,193.39 16.3×
Cystography minimum 3 views rs&i (74430) $1,499.96 $1,199.97 4.5×
Dacryocystography (70170) $1,851.23 $1,480.98 8.1×
Dxa bone density study 1/> sites axial skel (77080) $525.13 $420.10 5.2×
Echo exam of fetal heart (76825) $1,692.56 $1,354.05 3.2×
Echoencephalography real time imaging (76506) $720.10 $576.08 7.2×
Esophagus (74220) $821.98 $657.58 4.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $909.79 $727.83 9.0×
Fluoroscopy up to 1 hr (76000) $1,183.80 $947.04 5.2×
Foot 2 views (73620) $283.26 $226.60 3.4×
Gated Heart Planar Single (78472) $3,421.48 $2,737.18 8.9×
Hand 2 views (73120) $337.21 $269.77 3.4×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $1,830.15 $1,464.12 2.7×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $3,410.93 $2,728.74 5.1×
Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) $5,200.73 $4,160.58 7.8×
Heart Infarct Image (78466) $2,000.54 $1,600.43 5.2×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,276.28 $1,821.02 4.4×
Ht muscle image spect sing (78451) $4,772.16 $3,817.72 3.8×
Hysterosalpingogram (74740) $1,631.68 $1,305.34 7.1×
Intracavitary Radiation Source Applic Complex (77763) $4,308.46 $3,446.77 6.4×
Intracavitary Radiation Source Applic Intermed (77762) $3,033.30 $2,426.64 5.7×
Intracavitary radiation source applic simple (77761) $2,263.99 $1,811.19 4.3×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $370.59 $296.47 3.7×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,910.95 $1,528.76 3.7×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,363.83 $1,091.06 2.6×
Liver & spleen imaging static only (78215) $2,639.86 $2,111.89 6.9×
Lymphoscintigraphy (78195) $3,999.35 $3,199.48 7.7×
Meckels Diverticulum (78290) $2,299.11 $1,839.29 6.0×
Mlc imrt design & construction per imrt plan (77338) $3,019.26 $2,415.41 8.4×
MRA head w/o contrast (70544) $4,225.93 $3,380.74 18.4×
MRA neck w contrast (70548) $4,153.91 $3,323.13 12.4×
Mra Neck W/O &W/Contrast Material (70549) $4,482.35 $3,585.88 13.4×
MRA neck w/o contrast (70547) $4,225.93 $3,380.74 18.4×
MRI abdomen w contrast (74182) $4,290.90 $3,432.72 12.8×
MRI abdomen w/o & w/contrast material (74183) $5,694.29 $4,555.43 17.0×
MRI abdomen w/o contrast (74181) $3,021 $2,416.80 13.2×
MRI any jnt lwr ext with con lt (73722) $3,056.48 $2,445.18 4.1×
MRI bone marrow blood supply (77084) $1,984.73 $1,587.78 8.6×
MRI breast w/o contrast bilateral (77047) $2,254.39 $1,803.51 9.8×
MRI c-spine with contrast (72142) $4,294.41 $3,435.53 12.8×
MRI cervical spine w/o contrast (72141) $4,290.90 $3,432.72 18.7×
MRI chest w/o & w/contrast material (71552) $4,294.41 $3,435.53 12.8×
MRI chest w/o contrast (71550) $2,625.81 $2,100.65 11.4×
MRI chest with contrast (71551) $3,142.19 $2,513.75 4.2×
MRI orbit face &/neck w/o contrast (70540) $2,625.81 $2,100.65 11.4×
MRI orbit/face/neck w&w/o cont (70543) $3,142.19 $2,513.75 9.4×
MRI orbit/face/neck w/contrast (70542) $4,290.90 $3,432.72 12.8×
MRI pelvis w contrast (72196) $4,290.90 $3,432.72 12.8×
MRI pelvis w/o & w/contrast material (72197) $4,290.90 $3,432.72 12.8×
MRI pelvis w/o contrast (72195) $2,625.81 $2,100.65 11.4×
MRI spectroscopy (76390) $1,570.23 $1,256.18 18.8×
MRI spinal canal cervical w/o & w/contr matrl (72156) $5,694.29 $4,555.43 17.0×
MRI spinal canal lumbar w/contrast material (72149) $4,294.41 $3,435.53 12.8×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $5,694.29 $4,555.43 17.0×
MRI spinal canal thoracic w/contrast matrl (72147) $4,294.41 $3,435.53 12.8×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $5,694.29 $4,555.43 17.0×
MRI thoracic spine w/o contrast (72146) $4,290.90 $3,432.72 18.7×
MRI tmj (70336) $2,625.81 $2,100.65 11.4×
MRI upper ext joint w/o contrast (73221) $4,290.90 $3,432.72 18.7×
Myocardial Spect Multiple Studies (78452) $8,290.29 $6,632.23 6.7×
Neck soft tissue (70360) $337.21 $269.77 4.0×
Nm cisternogram (78630) $2,118.19 $1,694.55 4.1×
Nm csf leak detection (78650) $1,745.85 $1,396.68 1.4×
Nm gastric emptying study (78264) $2,290.35 $1,832.28 6.0×
Nm gastroesophageal reflux study (78262) $1,898.66 $1,518.92 4.9×
Nm red cell sequestration (78140) $4,803.79 $3,843.03 12.5×
Ntsty modul radthx pln dose-vol histos (77301) $11,515.05 $9,212.04 8.7×
Nuclear Rx Oral Admin (79005) $3,797.35 $3,037.88 16.9×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $909.79 $727.83 9.0×
Orthopantogram (70355) $272.21 $217.77 3.3×
Osseous survey infant (77076) $725.35 $580.28 7.2×
Osseous survey limited (77074) $706.05 $564.84 7.0×
Parathyroid imaging (78070) $1,956.63 $1,565.30 5.1×
Pelvis 1 or 2 views (72170) $337.21 $269.77 3.4×
Peritoneogram rs&i (74190) $1,487.75 $1,190.20 2.8×
PET image w/CT, skull-thigh (78815) $10,594.70 $8,475.76 7.7×
PET imaging for CT attenuation whole body (78816) $11,249.84 $8,999.87 8.2×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $5,423.79 $4,339.03 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $2,276.28 $1,821.02 5.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $4,552.60 $3,642.08 8.7×
Radex abscess/fistula/sinus tract rs&i (76080) $1,851.23 $1,480.98 3.5×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $317.89 $254.31 3.8×
Radex hips bilateral with pelvis 2 views (73521) $444.34 $355.47 4.4×
Radex mastoids compl minimum 3 views pr side (70130) $477.71 $382.17 4.8×
Radiation Delivery Stereotactic Cranial Linear (77372) $32,590.83 $26,072.66 4.6×
Radiation treatment delivery 1 mev >= complex (77412) $1,389.31 $1,111.45 2.6×
Radiation treatment delivery 1 mev >= simple (77402) $804.40 $643.52 8.2×
Radiation tx delivery 1 mev >= intermediate (77407) $1,463.06 $1,170.45 3.9×
Radiolog exam mandible compl minimum 4 views (70110) $612.95 $490.36 6.1×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $400.43 $320.34 4.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $576.08 $460.86 5.7×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $512.83 $410.26 6.1×
Radiologic exam colon single contrast study (74270) $1,018.69 $814.95 6.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $414.93 $331.94 2.5×
Radiologic exam upr gi trc double contrast study (74246) $720.65 $576.52 4.3×
Radiologic exam upr gi trc single contrast study (74240) $720.51 $576.41 4.3×
Ribs bilateral 3 views (71110) $711.31 $569.05 7.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,957.78 $2,366.22 7.7×
Rp loclzj tum plnr whole body single day imaging (78802) $4,496.41 $3,597.13 8.6×
Rp loclzj tum spect 1 area single day imaging (78803) $2,121.40 $1,697.12 4.1×
Rp Therapy Intravenous Administration (79101) $865.89 $692.71 3.9×
Scanogram (77073) $720.10 $576.08 7.2×
Screening digital breast tomosynthesis (77063) $273.96 $219.17 11.7×
Sella turcica (70240) $410.98 $328.78 4.9×
Shuntogram indwelling nonvascular shunt rs&i (75809) $498.79 $399.03 5.0×
Sialogram (70390) $1,631.68 $1,305.34 7.1×
Small bowel series (74250) $744.70 $595.76 4.4×
Spec medical radj physics consltj (77370) $660.38 $528.30 5.1×
Spec telethx port pln parts hemibdy tot bdy (77321) $556.75 $445.40 1.5×
Special dosimetry (77331) $395.16 $316.13 3.1×
Special treatment procedure (77470) $936.14 $748.91 1.8×
Spine thoracic 3 views (72072) $530.39 $424.31 5.3×
Stereotactic body radiation delivery (77373) $6,503.70 $5,202.96 3.8×
Telethx isodose pln cplx w/basic dosimetry (77307) $681.45 $545.16 1.9×
Telethx isodose pln smpl w/dosimetry calculation (77306) $692 $553.60 1.9×
Ther rad simulaj-aided field setting complex (77290) $1,756.50 $1,405.20 4.9×
Ther rad simulaj-aided field setting simple (77280) $1,543.86 $1,235.09 11.9×
Thoracolumbar 2 views (72080) $374.08 $299.26 4.5×
Thyroid carcinoma metastases img whole body (78018) $4,947.80 $3,958.24 9.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,831.91 $1,465.53 4.8×
Tomogram (76100) $992.35 $793.88 9.9×
Treatment device intermediate (77333) $321.40 $257.12 2.5×
Treatment devices simple (77332) $479.48 $383.58 3.7×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $4,496.41 $3,597.13 8.6×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $2,957.78 $2,366.22 7.7×
Tx devices design & construction complex (77334) $892.23 $713.78 2.5×
Ultrasound, abdomen limited (76705) $1,135.66 $908.53 11.3×
Umbilical-artery Doppler (OB) (76820) $363.56 $290.85 3.6×
Unlisted Ultrasound Procedure (76999) $354.75 $283.80 4.2×
Upper Extremity Infant (73092) $530.39 $424.31 5.3×
Ureteral Reflux Study Rp Voiding Cystogram (78740) $890.48 $712.38 2.3×
Urethrocystography retrograde rs&i (74450) $1,364.71 $1,091.77 5.9×
Urethrocystography voiding (74455) $1,499.96 $1,199.97 6.5×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $1,499.96 $1,199.97 8.9×
Us breast unilateral limited (76642) $514.16 $411.33 6.1×
Us chest (76604) $864.13 $691.30 8.6×
Us compl joint r-t w/image documentation (76881) $565.54 $452.43 5.6×
Us guided compression repair (76936) $1,059.08 $847.26 5.1×
Us ob transvaginal (76817) $909.79 $727.83 9.0×
Us pelvic non ob complete (76856) $971.26 $777.01 9.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $263.43 $210.74 2.6×
Us pregnancy ltd (76815) $909.79 $727.83 9.0×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $563.79 $451.03 5.6×
Us retroperitoneal complete (76770) $1,113.54 $890.83 11.1×
Us retroperitoneal limited (76775) $579.59 $463.67 5.8×
Us scrotum and contents (76870) $786.85 $629.48 7.8×
Us soft tissue head/neck (76536) $732.39 $585.91 7.3×
Us spinal canal and contents (76800) $649.85 $519.88 6.5×
Us xtr non-vasc lmtd (76882) $363.56 $290.85 3.6×
Venogram extremity bilateral (75822) $4,299.69 $3,439.75 2.8×
Venography caval inferior serialography rs&i (75825) $7,912.64 $6,330.11 2.6×
Venography caval superior serialography rs&i (75827) $7,912.64 $6,330.11 5.2×
Venography extremity unilateral rs&i (75820) $3,432.88 $2,746.30 2.3×
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure
$1,171.50 $937.20 0.2×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $772.80 $618.24 7.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $375.84 $300.67 4.5×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,382.28 $1,105.82 8.2×
X-ray exam hip uni 1 view (73501) $317.89 $254.31 3.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $317.89 $254.31 3.8×
X-ray exam hip uni 4/> views (73503) $528.65 $422.92 5.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $528.65 $422.92 5.3×
X-Ray Exam Hips Bi 5/> Views (73523) $615.64 $492.50 6.1×
X-ray exam of femur 1 (73551) $317.89 $254.31 3.8×
X-ray eye for foreign body (70030) $598.91 $479.13 7.2×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $695.51 $556.41 6.9×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $337.21 $269.77 4.0×
X-ray guide gu dilation - ir nephrostomy dilation (74485) $5,649.48 $4,519.59 2.8×
X-ray IV pyelogram+drip infusn (74410) $1,499.96 $1,199.97 8.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $502.29 $401.83 6.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $577.83 $462.26 5.7×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $1,211.90 $969.52 12.1×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $530.39 $424.31 5.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $460.14 $368.11 5.5×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $937.91 $750.33 11.2×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $598.91 $479.13 6.0×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $577.83 $462.26 5.7×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,499.96 $1,199.97 4.5×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $530.39 $424.31 5.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $530.39 $424.31 5.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $375.84 $300.67 3.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $337.21 $269.77 4.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $509.33 $407.46 6.1×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $337.21 $269.77 4.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $756.98 $605.58 7.5×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $410.98 $328.78 4.1×
X-Ray Spine One View - Xr Spine (72020) $337.21 $269.77 4.0×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $344.21 $275.37 4.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $453.11 $362.49 4.5×
Xr c-spine 6 or more views (72052) $874.66 $699.73 8.7×
Xr chest 4+ views (71048) $660.38 $528.30 6.6×
Xr finger(s) 2+ views (73140) $337.21 $269.77 4.0×
Xr optic foramina (70190) $337.21 $269.77 4.0×
Xr spine cervical 4 or 5 views (72050) $913.30 $730.64 9.1×
Xr tmj bilateral (70330) $509.33 $407.46 6.1×