| Abdomen 2 views (74019) |
$276.37 |
$425.19 |
2.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,500.40 |
$2,308.31 |
3.6× |
| Ankle 2 views (73600) |
$255.42 |
$392.97 |
2.8× |
| Arthrography knee lt (73580) |
$839.87 |
$1,292.12 |
2.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,105.35 |
$1,700.55 |
2.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$830.89 |
$1,278.30 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$1,364.88 |
$2,099.82 |
3.2× |
| Bone age studies (77072) |
$299.94 |
$461.46 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$1,432.39 |
$2,203.68 |
3.4× |
| Bone survey complete (77075) |
$569.48 |
$876.13 |
5.2× |
| Brain image w/flow 4 + views (78606) |
$1,305.16 |
$2,007.94 |
2.3× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,028.61 |
$1,582.48 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$238.49 |
$366.91 |
2.6× |
| Chest 1 view (71045) |
$235.48 |
$362.28 |
2.6× |
| Chest 3 views (71047) |
$278.47 |
$428.43 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$480.08 |
$738.59 |
2.6× |
| Clavicle complete (73000) |
$291.98 |
$449.20 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,051.23 |
$1,617.29 |
9.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,905.28 |
$4,469.67 |
7.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,358.62 |
$3,628.66 |
9.4× |
| CT abdomen w contrast (74160) |
$1,362.30 |
$2,095.85 |
7.4× |
| CT abdomen w wo contrast (74170) |
$1,232.59 |
$1,896.30 |
6.7× |
| CT abdomen w/o contrast (74150) |
$1,043.69 |
$1,605.68 |
9.5× |
| CT angio hrt w/3d image (75574) |
$1,778.80 |
$2,736.63 |
4.8× |
| CT angiography upper extremity lt (73206) |
$1,033.42 |
$1,589.89 |
5.6× |
| CT c-spine w/o contrast (72125) |
$1,193.25 |
$1,835.78 |
10.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,352.09 |
$2,080.14 |
7.3× |
| CT cervical spine with contrast (72126) |
$1,234.67 |
$1,899.50 |
3.4× |
| CT chest w/wo contrast (71270) |
$1,736.38 |
$2,671.36 |
9.4× |
| CT chest with contrast (71260) |
$1,217.11 |
$1,872.49 |
6.6× |
| CT head/brain with contrast (70460) |
$1,031.60 |
$1,587.08 |
5.6× |
| CT head/brain without and with contrast (70470) |
$1,266.12 |
$1,947.88 |
6.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$176.76 |
$271.95 |
1.9× |
| CT iac w contrast (70481) |
$1,103.03 |
$1,696.97 |
6.0× |
| CT lower ext w/o (73700) |
$931.46 |
$1,433.03 |
8.4× |
| CT lower extremity with contrast (73701) |
$1,003.13 |
$1,543.28 |
5.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,469.98 |
$2,261.51 |
7.9× |
| CT lumbar spine w/o contrast (72131) |
$990.53 |
$1,523.90 |
9.0× |
| CT lumbar spine with contrast (72132) |
$857.08 |
$1,318.59 |
2.3× |
| CT maxillofacial w contrast (70487) |
$1,163.01 |
$1,789.25 |
6.3× |
| CT maxillofacial w/o contrast (70486) |
$940.31 |
$1,446.64 |
8.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,257.82 |
$1,935.11 |
6.8× |
| CT neck soft tissue w contrast (70491) |
$1,002.11 |
$1,541.72 |
5.4× |
| CT orbits w/o contrast (70480) |
$859.93 |
$1,322.97 |
7.8× |
| CT pelvis w & w/o contrast (72194) |
$1,479.55 |
$2,276.24 |
8.0× |
| CT pelvis w/o contrast (72192) |
$1,099.73 |
$1,691.90 |
10.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$931.52 |
$1,433.11 |
5.0× |
| CT soft tissue neck w/o contrast (70490) |
$834.80 |
$1,284.31 |
7.6× |
| CT thoracic spine w/contrast (72129) |
$1,266.17 |
$1,947.96 |
6.8× |
| CT thoracic spine w/o contrast (72128) |
$1,205.26 |
$1,854.25 |
10.9× |
| CT thorax w/o contrast (71250) |
$943.50 |
$1,451.55 |
8.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,024.92 |
$1,576.81 |
5.5× |
| CT upper extremity w/o contrast rt (73200) |
$992.35 |
$1,526.70 |
9.0× |
| CT upper extremity with contrast (73201) |
$991.64 |
$1,525.60 |
2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,706.13 |
$2,624.83 |
9.2× |
| Cta Abdomen (74175) |
$859.95 |
$1,323 |
4.6× |
| CTA abdomen pelvis (74174) |
$2,007.20 |
$3,088 |
5.5× |
| CTA chest (71275) |
$1,646.65 |
$2,533.32 |
8.9× |
| Cta Head (70496) |
$931.52 |
$1,433.11 |
5.0× |
| CTA lwr ext w&w/o contrast (73706) |
$1,105.59 |
$1,700.92 |
6.0× |
| Cta Neck (70498) |
$1,820.96 |
$2,801.49 |
9.8× |
| Cta Pelvis (72191) |
$1,159.71 |
$1,784.18 |
6.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$315.78 |
$485.82 |
2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$193.81 |
$298.18 |
2.1× |
| Dxa bone density study axial skeleton (77085) |
$204.75 |
$315 |
1.9× |
| Echoencephalography real time imaging (76506) |
$500.90 |
$770.63 |
4.5× |
| Esophagus (74220) |
$510.90 |
$786 |
2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$510.47 |
$785.34 |
4.6× |
| Fluoroscopy up to 1 hr (76000) |
$624.50 |
$960.78 |
2.5× |
| Foot 2 views (73620) |
$233.40 |
$359.08 |
2.5× |
| Forearm 2 views (73090) |
$249.91 |
$384.49 |
2.7× |
| Gated Heart Planar Single (78472) |
$2,086.55 |
$3,210.09 |
4.9× |
| Hand 2 views (73120) |
$268.14 |
$412.53 |
2.4× |
| Hand 3 views (73130) |
$258.37 |
$397.50 |
2.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,543.32 |
$2,374.34 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,018.32 |
$1,566.65 |
2.4× |
| Ht muscle image spect sing (78451) |
$2,761.15 |
$4,247.93 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$237.26 |
$365.04 |
2.6× |
| Kidney imaging morphology (78700) |
$1,042.15 |
$1,603.31 |
2.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,410.85 |
$2,170.55 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,885.44 |
$2,900.68 |
3.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,953.37 |
$3,005.19 |
3.4× |
| Knee 3 views (73562) |
$279.31 |
$429.71 |
3.0× |
| Liver & spleen imaging static only (78215) |
$1,076.76 |
$1,656.56 |
2.6× |
| Lung Ventilation Imaging (78579) |
$1,231.76 |
$1,895.03 |
2.9× |
| Meckels Diverticulum (78290) |
$922.51 |
$1,419.25 |
2.2× |
| MRA head w & w/o contrast (70546) |
$1,496.30 |
$2,302.01 |
4.1× |
| MRA head w/o contrast (70544) |
$1,191.08 |
$1,832.44 |
4.7× |
| MRA head with contrast (70545) |
$1,426.91 |
$2,195.26 |
3.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,485.93 |
$2,286.06 |
4.0× |
| MRA neck w/o contrast (70547) |
$1,128.61 |
$1,736.33 |
4.5× |
| MRI abdomen w contrast (74182) |
$1,399.62 |
$2,153.27 |
3.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,528.13 |
$2,350.97 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$1,271.10 |
$1,955.55 |
5.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,323.32 |
$2,035.88 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,783.58 |
$2,743.97 |
2.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,244.25 |
$1,914.24 |
4.9× |
| MRI breast w/o contrast unilat (77046) |
$1,012.96 |
$1,558.40 |
4.0× |
| MRI cervical spine w/o contrast (72141) |
$1,258.34 |
$1,935.91 |
5.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,509.42 |
$2,322.20 |
4.1× |
| MRI chest w/o contrast (71550) |
$1,004.18 |
$1,544.90 |
4.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,487.53 |
$2,288.52 |
4.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,561.70 |
$2,402.62 |
4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,321.20 |
$2,032.63 |
5.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,347.95 |
$2,073.77 |
5.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,669.64 |
$2,568.69 |
4.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,913.48 |
$2,943.83 |
5.2× |
| MRI pelvis w/o contrast (72195) |
$1,067.33 |
$1,642.06 |
4.2× |
| MRI scan of arm joint before and after contrast (73223) |
$2,370.02 |
$3,646.19 |
6.4× |
| MRI scan of leg joint before and after contrast (73723) |
$2,370.02 |
$3,646.19 |
6.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,707.43 |
$2,626.82 |
4.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,487.68 |
$2,288.74 |
4.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,697.96 |
$2,612.26 |
4.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,678.37 |
$4,120.57 |
7.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,006.14 |
$1,547.91 |
4.0× |
| MRI tmj (70336) |
$1,048.25 |
$1,612.70 |
4.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,179.78 |
$1,815.05 |
4.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,529.87 |
$2,353.66 |
4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,177.91 |
$1,812.18 |
4.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,307.22 |
$5,088.04 |
2.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,700.79 |
$2,616.60 |
1.9× |
| Neck soft tissue (70360) |
$216.39 |
$332.91 |
2.4× |
| Nm gastric emptying study (78264) |
$1,552.21 |
$2,388.02 |
3.7× |
| Nuclear Rx Oral Admin (79005) |
$1,327.33 |
$2,042.05 |
5.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$335.79 |
$516.60 |
3.0× |
| Osseous survey infant (77076) |
$496.90 |
$764.47 |
4.5× |
| Parathyroid imaging (78070) |
$823.19 |
$1,266.45 |
2.0× |
| Pelvis 1 or 2 views (72170) |
$252.38 |
$388.28 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,761.58 |
$4,248.59 |
7.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,206.19 |
$1,855.68 |
2.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,814.18 |
$4,329.52 |
4.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$407.14 |
$626.38 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$232.83 |
$358.21 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$208.18 |
$320.28 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$303.07 |
$466.27 |
2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$300.29 |
$461.99 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$227.12 |
$349.43 |
2.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$246.88 |
$379.82 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$715.03 |
$1,100.05 |
3.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$575.46 |
$885.33 |
3.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$599.69 |
$922.61 |
3.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$272.48 |
$419.21 |
3.0× |
| Radiological examination surgical specimen (76098) |
$661.41 |
$1,017.56 |
1.1× |
| Ribs bilateral 3 views (71110) |
$278.47 |
$428.43 |
2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,374.73 |
$2,114.98 |
3.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,871.49 |
$4,417.68 |
5.0× |
| Scanogram (77073) |
$312.56 |
$480.87 |
2.8× |
| Scapula complete (73010) |
$271.30 |
$417.39 |
2.5× |
| Screening digital breast tomosynthesis (77063) |
$31.53 |
$48.51 |
1.3× |
| Small bowel series (74250) |
$558.32 |
$858.96 |
3.0× |
| Spine thoracic 3 views (72072) |
$326.87 |
$502.88 |
3.0× |
| Thoracolumbar 2 views (72080) |
$265.44 |
$408.37 |
2.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,885.65 |
$2,901.01 |
3.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$720.85 |
$1,109.01 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$930.18 |
$1,431.05 |
2.2× |
| Tmj unilateral (70328) |
$174.68 |
$268.74 |
1.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,114.38 |
$1,714.44 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$442.87 |
$681.35 |
4.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$150.15 |
$231 |
1.6× |
| Unlisted magnetic resonance procedure (76498) |
$1,529.80 |
$2,353.54 |
16.7× |
| Upper Extremity Infant (73092) |
$276.74 |
$425.76 |
2.5× |
| Us abdl aorta screen aaa (76706) |
$385.97 |
$593.81 |
3.5× |
| Us breast unilateral complete (76641) |
$295.91 |
$455.25 |
2.7× |
| Us breast unilateral limited (76642) |
$264.71 |
$407.26 |
2.9× |
| Us chest (76604) |
$356.69 |
$548.76 |
3.2× |
| Us compl joint r-t w/image documentation (76881) |
$362.64 |
$557.91 |
3.3× |
| Us infant hips dynamic (76885) |
$278.72 |
$428.81 |
3.0× |
| Us ob detailed single fetus (76811) |
$650.26 |
$1,000.41 |
2.6× |
| Us ob transvaginal (76817) |
$400.76 |
$616.56 |
3.6× |
| Us pelvic non ob complete (76856) |
$427.91 |
$658.33 |
3.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$354.44 |
$545.30 |
3.2× |
| Us pregnancy ltd (76815) |
$338.91 |
$521.40 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$442.10 |
$680.16 |
4.0× |
| Us retroperitoneal complete (76770) |
$490.31 |
$754.33 |
4.4× |
| Us retroperitoneal limited (76775) |
$465.66 |
$716.40 |
4.2× |
| Us scrotum and contents (76870) |
$478.56 |
$736.25 |
4.3× |
| Us soft tissue head/neck (76536) |
$473.83 |
$728.97 |
4.3× |
| Us xtr non-vasc lmtd (76882) |
$386.54 |
$594.69 |
3.5× |
| Wrist 2 views (73100) |
$215.38 |
$331.36 |
2.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$384.24 |
$591.14 |
3.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$294.13 |
$452.51 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$243.26 |
$374.26 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$268.33 |
$412.82 |
2.9× |
| X-ray exam hip uni 1 view (73501) |
$215.79 |
$331.99 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$257.11 |
$395.56 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$352.54 |
$542.38 |
3.2× |
| X-ray exam of femur 1 (73551) |
$258.53 |
$397.74 |
2.8× |
| X-ray eye for foreign body (70030) |
$286.62 |
$440.96 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$356.33 |
$548.21 |
3.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$271.18 |
$417.21 |
3.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$297.15 |
$457.16 |
3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$280.76 |
$431.94 |
3.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$329.77 |
$507.35 |
3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$224.10 |
$344.78 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$187.48 |
$288.44 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$285.07 |
$438.57 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$512.06 |
$787.79 |
4.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$348.03 |
$535.44 |
3.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$325.65 |
$501 |
3.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$215.72 |
$331.89 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$337.54 |
$519.30 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$264.14 |
$406.38 |
2.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$292.46 |
$449.94 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$389.42 |
$599.12 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$286.19 |
$440.30 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$288.94 |
$444.53 |
3.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$275.92 |
$424.50 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$328.51 |
$505.41 |
3.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$217.74 |
$334.99 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$441.87 |
$679.80 |
4.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$321.36 |
$494.40 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$207.19 |
$318.76 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$227.31 |
$349.72 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$295.11 |
$454.02 |
3.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$259.56 |
$399.33 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$335.52 |
$516.19 |
3.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$235.31 |
$362.02 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$241 |
$370.78 |
2.6× |
| Xr arthrogram ankle (73615) |
$792.01 |
$1,218.49 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$508.65 |
$782.55 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$210.38 |
$323.67 |
2.3× |
| Xr shoulder 1 view (73020) |
$163.28 |
$251.21 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$348.71 |
$536.48 |
3.2× |
| Xr tibia/fibula 2 views (73590) |
$242.08 |
$372.44 |
2.6× |
| Xr tmj bilateral (70330) |
$256.83 |
$395.13 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$251.43 |
$386.82 |
2.7× |