| Abdomen 2 views (74019) |
$372.80 |
$466 |
3.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,056 |
$1,320 |
2.6× |
| Ankle 2 views (73600) |
$157.60 |
$197 |
1.8× |
| Arthrogram elbow (73085) |
$874.40 |
$1,093 |
2.5× |
| Arthrogram hip (73525) |
$874.40 |
$1,093 |
2.5× |
| Arthrogram shoulder (73040) |
$874.40 |
$1,093 |
2.5× |
| Arthrogram wrist (73115) |
$848.80 |
$1,061 |
2.4× |
| Arthrography knee lt (73580) |
$874.40 |
$1,093 |
2.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,140.80 |
$1,426 |
2.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,100 |
$1,375 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$152.80 |
$191 |
0.4× |
| Bone age studies (77072) |
$278.40 |
$348 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$944 |
$1,180 |
2.4× |
| Bone survey complete (77075) |
$737.60 |
$922 |
7.0× |
| Cervical spine 2 or 3 views (72040) |
$54.40 |
$68 |
0.6× |
| Chest 1 view (71045) |
$266.40 |
$333 |
3.0× |
| Chest 3 views (71047) |
$355.20 |
$444 |
4.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$358.80 |
$448.50 |
2.0× |
| Clavicle complete (73000) |
$158 |
$197.50 |
1.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,064 |
$5,080 |
11.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,651.20 |
$3,314 |
11.1× |
| CT abdomen w contrast (74160) |
$279.20 |
$349 |
1.6× |
| CT abdomen w wo contrast (74170) |
$372 |
$465 |
2.1× |
| CT abdomen w/o contrast (74150) |
$269.60 |
$337 |
2.6× |
| CT angiography upper extremity lt (73206) |
$2,840 |
$3,550 |
16.1× |
| CT c-spine w/o contrast (72125) |
$262.40 |
$328 |
2.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,496.80 |
$3,121 |
14.2× |
| CT cervical spine with contrast (72126) |
$2,277.60 |
$2,847 |
6.5× |
| CT chest w/wo contrast (71270) |
$372 |
$465 |
2.1× |
| CT chest with contrast (71260) |
$279.20 |
$349 |
1.6× |
| CT colonography w/dye (74262) |
$1,848.80 |
$2,311 |
10.5× |
| CT colonography w/o cntrst (74261) |
$1,848.80 |
$2,311 |
17.6× |
| CT head/brain with contrast (70460) |
$264.80 |
$331 |
1.5× |
| CT head/brain without and with contrast (70470) |
$372 |
$465 |
2.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$178.40 |
$223 |
2.0× |
| CT iac w contrast (70481) |
$1,828.80 |
$2,286 |
10.4× |
| CT limited/localized follow up study (76380) |
$640.80 |
$801 |
7.3× |
| CT lower ext w/o (73700) |
$1,434.40 |
$1,793 |
13.7× |
| CT lower extremity w wo contrast (73702) |
$2,194.40 |
$2,743 |
12.5× |
| CT lower extremity with contrast (73701) |
$1,568.80 |
$1,961 |
8.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,400 |
$1,750 |
7.9× |
| CT lumbar spine w/o contrast (72131) |
$262.40 |
$328 |
2.5× |
| CT lumbar spine with contrast (72132) |
$2,277.60 |
$2,847 |
6.5× |
| CT maxillofacial w contrast (70487) |
$1,793.20 |
$2,241.50 |
10.2× |
| CT maxillofacial w/o contrast (70486) |
$245.60 |
$307 |
2.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,496.80 |
$3,121 |
14.2× |
| CT neck soft tissue w contrast (70491) |
$1,061.60 |
$1,327 |
6.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,496.80 |
$3,121 |
14.2× |
| CT orbits w/o contrast (70480) |
$1,847.20 |
$2,309 |
17.6× |
| CT pelvis w & w/o contrast (72194) |
$1,579.20 |
$1,974 |
9.0× |
| CT pelvis w/o contrast (72192) |
$234.40 |
$293 |
2.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,466 |
$1,832.50 |
8.3× |
| CT soft tissue neck w/o contrast (70490) |
$985.20 |
$1,231.50 |
9.4× |
| CT thoracic spine w/contrast (72129) |
$2,277.60 |
$2,847 |
12.9× |
| CT thoracic spine w/o contrast (72128) |
$1,115.60 |
$1,394.50 |
10.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,496.80 |
$3,121 |
14.2× |
| CT thorax w/o contrast (71250) |
$269.60 |
$337 |
2.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,194.40 |
$2,743 |
12.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,434.40 |
$1,793 |
13.7× |
| CT upper extremity with contrast (73201) |
$1,568.80 |
$1,961 |
4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,652 |
$5,815 |
26.4× |
| Cta Abdomen (74175) |
$2,897.60 |
$3,622 |
16.4× |
| CTA chest (71275) |
$1,635.60 |
$2,044.50 |
9.3× |
| Cta Head (70496) |
$2,755.20 |
$3,444 |
15.6× |
| CTA lwr ext w&w/o contrast (73706) |
$2,139.20 |
$2,674 |
12.1× |
| Cta Neck (70498) |
$3,192 |
$3,990 |
18.1× |
| Cystography minimum 3 views rs&i (74430) |
$685.60 |
$857 |
2.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$107.20 |
$134 |
1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$266.40 |
$333 |
3.0× |
| Echoencephalography real time imaging (76506) |
$695.20 |
$869 |
6.6× |
| Esophageal motility (78258) |
$1,056 |
$1,320 |
2.6× |
| Esophagus (74220) |
$472.80 |
$591 |
2.7× |
| Fetal biophysical profile non-stress testing (76818) |
$115.60 |
$144.50 |
1.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$550.40 |
$688 |
5.2× |
| Fluoroscopy up to 1 hr (76000) |
$430.40 |
$538 |
1.8× |
| Foot 2 views (73620) |
$48 |
$60 |
0.5× |
| Forearm 2 views (73090) |
$45.60 |
$57 |
0.5× |
| Gated Heart Planar Single (78472) |
$1,521.60 |
$1,902 |
3.8× |
| Hand 2 views (73120) |
$156.40 |
$195.50 |
1.5× |
| Hand 3 views (73130) |
$163.20 |
$204 |
1.9× |
| Heart infarct image w ef (78468) |
$1,174.40 |
$1,468 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,509.60 |
$1,887 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$52 |
$65 |
0.6× |
| Hysterosalpingogram (74740) |
$860.80 |
$1,076 |
3.6× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,067.20 |
$1,334 |
2.7× |
| Kidney imaging morphology (78700) |
$1,044.80 |
$1,306 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,044.80 |
$1,306 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,831.20 |
$2,289 |
3.4× |
| Knee 3 views (73562) |
$211.60 |
$264.50 |
2.4× |
| Liver & spleen imaging static only (78215) |
$1,184 |
$1,480 |
2.9× |
| Liver imaging w/vascular flow (78202) |
$1,184 |
$1,480 |
2.2× |
| Lung Ventilation Imaging (78579) |
$440.80 |
$551 |
1.1× |
| Mammary ductogram or galactogram multiple (77054) |
$625.60 |
$782 |
2.6× |
| Mammary ductogram or galactogram single (77053) |
$500.80 |
$626 |
2.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$288 |
$360 |
3.3× |
| Meckels Diverticulum (78290) |
$1,056 |
$1,320 |
2.6× |
| MRA head w & w/o contrast (70546) |
$3,227.20 |
$4,034 |
9.2× |
| MRA head w/o contrast (70544) |
$1,168.40 |
$1,460.50 |
4.9× |
| MRA head with contrast (70545) |
$2,352.80 |
$2,941 |
6.7× |
| MRA neck w contrast (70548) |
$2,352.80 |
$2,941 |
6.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,227.20 |
$4,034 |
9.2× |
| MRA neck w/o contrast (70547) |
$2,139.20 |
$2,674 |
8.9× |
| MRI abdomen w contrast (74182) |
$2,352.80 |
$2,941 |
6.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,071.20 |
$3,839 |
8.8× |
| MRI abdomen w/o contrast (74181) |
$2,139.20 |
$2,674 |
8.9× |
| MRI any jnt lwr ext with con lt (73722) |
$2,071.20 |
$2,589 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,071.20 |
$2,589 |
2.6× |
| MRI c-spine with contrast (72142) |
$2,352.80 |
$2,941 |
6.7× |
| MRI cervical spine w/o contrast (72141) |
$197.60 |
$247 |
0.8× |
| MRI chest w/o & w/contrast material (71552) |
$3,227.20 |
$4,034 |
9.2× |
| MRI chest w/o contrast (71550) |
$2,139.20 |
$2,674 |
8.9× |
| MRI chest with contrast (71551) |
$2,499.20 |
$3,124 |
3.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,071.20 |
$2,589 |
5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,071.20 |
$2,589 |
5.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,212.80 |
$2,766 |
9.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,139.20 |
$2,674 |
8.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,071.20 |
$3,839 |
8.8× |
| MRI orbit/face/neck w/contrast (70542) |
$2,352.80 |
$2,941 |
6.7× |
| MRI pelvis w contrast (72196) |
$2,352.80 |
$2,941 |
6.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,071.20 |
$3,839 |
8.8× |
| MRI pelvis w/o contrast (72195) |
$2,139.20 |
$2,674 |
8.9× |
| MRI scan of arm joint before and after contrast (73223) |
$2,854.40 |
$3,568 |
8.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,854.40 |
$3,568 |
8.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,242.40 |
$4,053 |
9.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,226.40 |
$2,783 |
6.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,707.20 |
$2,134 |
4.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,352.80 |
$2,941 |
6.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,242.40 |
$4,053 |
9.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,444.80 |
$1,806 |
6.0× |
| MRI tmj (70336) |
$2,083.20 |
$2,604 |
8.7× |
| MRI upper ext joint w/o contrast (73221) |
$2,212.80 |
$2,766 |
9.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,854.40 |
$3,568 |
8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,872.80 |
$2,341 |
7.8× |
| Myelogram Cervical (72240) |
$1,893.60 |
$2,367 |
2.4× |
| Myelogram Lumbar (72265) |
$1,893.60 |
$2,367 |
2.4× |
| Myelogram thoracic (72255) |
$1,690.40 |
$2,113 |
2.1× |
| Myelography 2 or more regions (72270) |
$1,732.80 |
$2,166 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,778.40 |
$3,473 |
2.1× |
| Neck soft tissue (70360) |
$78.80 |
$98.50 |
0.9× |
| Nm gastric emptying study (78264) |
$1,057.20 |
$1,321.50 |
2.6× |
| Nuclear medicine of heart pumping function (78473) |
$1,560 |
$1,950 |
3.9× |
| Nuclear medicine study of digestive tracts (78299) |
$667.20 |
$834 |
1.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$363.20 |
$454 |
3.5× |
| Osseous survey infant (77076) |
$264.40 |
$330.50 |
2.5× |
| Parathyrd planar w/wo subtrj (78071) |
$1,132 |
$1,415 |
2.8× |
| Parathyroid imaging (78070) |
$1,074 |
$1,342.50 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$51.60 |
$64.50 |
0.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,854.40 |
$3,568 |
8.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$545.20 |
$681.50 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,869.60 |
$2,337 |
3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$530.40 |
$663 |
1.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$337.60 |
$422 |
3.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$266.40 |
$333 |
2.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$527.20 |
$659 |
5.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$337.60 |
$422 |
3.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$260.80 |
$326 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$310.40 |
$388 |
3.6× |
| Radiologic exam colon single contrast study (74270) |
$527.20 |
$659 |
3.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$502.40 |
$628 |
2.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$585.60 |
$732 |
3.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$300.80 |
$376 |
3.4× |
| Radiological examination surgical specimen (76098) |
$291.20 |
$364 |
0.5× |
| Ribs bilateral 3 views (71110) |
$59.20 |
$74 |
0.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,841.60 |
$2,302 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,728.80 |
$2,161 |
3.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$444.80 |
$556 |
1.9× |
| Scanogram (77073) |
$317.60 |
$397 |
3.0× |
| Scapula complete (73010) |
$159.60 |
$199.50 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$154.40 |
$193 |
6.6× |
| Sella turcica (70240) |
$266.40 |
$333 |
3.0× |
| Small bowel series (74250) |
$414.40 |
$518 |
2.4× |
| Spine thoracic 3 views (72072) |
$44.80 |
$56 |
0.4× |
| Thoracolumbar 2 views (72080) |
$180.40 |
$225.50 |
2.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$820 |
$1,025 |
2.0× |
| Thyroid uptake measurement (78012) |
$580 |
$725 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$820 |
$1,025 |
2.0× |
| Tmj unilateral (70328) |
$53.60 |
$67 |
0.6× |
| Tomogram (76100) |
$460.80 |
$576 |
4.4× |
| Ultrasound, abdomen limited (76705) |
$592 |
$740 |
5.6× |
| Umbilical-artery Doppler (OB) (76820) |
$105.60 |
$132 |
1.0× |
| Unlisted Ultrasound Procedure (76999) |
$250.80 |
$313.50 |
2.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$945.60 |
$1,182 |
2.4× |
| Urethrocystography retrograde rs&i (74450) |
$685.60 |
$857 |
2.9× |
| Urethrocystography voiding (74455) |
$685.60 |
$857 |
2.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$209.60 |
$262 |
1.2× |
| Us abdl aorta screen aaa (76706) |
$504 |
$630 |
4.8× |
| Us breast unilateral complete (76641) |
$452.80 |
$566 |
4.3× |
| Us breast unilateral limited (76642) |
$276.80 |
$346 |
3.2× |
| Us chest (76604) |
$506.40 |
$633 |
4.8× |
| Us compl joint r-t w/image documentation (76881) |
$540 |
$675 |
5.1× |
| Us infant hips dynamic (76885) |
$568.80 |
$711 |
6.5× |
| Us ob transvaginal (76817) |
$289.20 |
$361.50 |
2.8× |
| Us pelvic non ob complete (76856) |
$369.20 |
$461.50 |
3.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$250.80 |
$313.50 |
2.4× |
| Us pregnancy ltd (76815) |
$263.60 |
$329.50 |
2.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$124 |
$155 |
1.2× |
| Us retroperitoneal complete (76770) |
$305.60 |
$382 |
2.9× |
| Us scrotum and contents (76870) |
$107.20 |
$134 |
1.0× |
| Us soft tissue head/neck (76536) |
$369.60 |
$462 |
3.5× |
| Us spinal canal and contents (76800) |
$570.40 |
$713 |
5.4× |
| Us xtr non-vasc lmtd (76882) |
$341.60 |
$427 |
3.3× |
| Venogram extremity bilateral (75822) |
$3,450.40 |
$4,313 |
2.2× |
| Venography extremity unilateral rs&i (75820) |
$1,728.80 |
$2,161 |
1.1× |
| Vertebral fracture assessment via dxa (77086) |
$197.60 |
$247 |
2.3× |
| Wrist 2 views (73100) |
$52 |
$65 |
0.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$107.20 |
$134 |
1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$164.80 |
$206 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$288 |
$360 |
3.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$644.80 |
$806 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$158 |
$197.50 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$155.60 |
$194.50 |
1.8× |
| X-ray exam hip uni 1 view (73501) |
$266.40 |
$333 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$308.80 |
$386 |
3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$418.40 |
$523 |
4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$532.80 |
$666 |
5.1× |
| X-ray eye for foreign body (70030) |
$49.60 |
$62 |
0.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$69.60 |
$87 |
0.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$266.40 |
$333 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$189.60 |
$237 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$266.40 |
$333 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$266.40 |
$333 |
3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$388 |
$485 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$266.40 |
$333 |
3.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$266.40 |
$333 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$52 |
$65 |
0.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$527.20 |
$659 |
5.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$192.80 |
$241 |
1.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$55.20 |
$69 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$266.40 |
$333 |
3.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$184 |
$230 |
1.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$296.80 |
$371 |
2.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$685.60 |
$857 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$53.60 |
$67 |
0.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$44.80 |
$56 |
0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$496 |
$620 |
4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$170.80 |
$213.50 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$49.60 |
$62 |
0.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$49.60 |
$62 |
0.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$51.20 |
$64 |
0.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$174.80 |
$218.50 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$184.80 |
$231 |
1.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$44.80 |
$56 |
0.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$32.80 |
$41 |
0.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$180 |
$225 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$173.20 |
$216.50 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$170.80 |
$213.50 |
1.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$266.40 |
$333 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$274.40 |
$343 |
3.1× |
| Xr arthrogram ankle (73615) |
$874.40 |
$1,093 |
2.5× |
| Xr c-spine 6 or more views (72052) |
$269.20 |
$336.50 |
2.6× |
| Xr chest 4+ views (71048) |
$400 |
$500 |
3.8× |
| Xr Cholecystography Oral Contrast (74290) |
$381.60 |
$477 |
2.2× |
| Xr finger(s) 2+ views (73140) |
$266.40 |
$333 |
3.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$63.20 |
$79 |
0.6× |
| Xr shoulder 1 view (73020) |
$266.40 |
$333 |
3.0× |
| Xr spine cervical 4 or 5 views (72050) |
$91.20 |
$114 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$51.20 |
$64 |
0.6× |
| Xr tmj bilateral (70330) |
$310.40 |
$388 |
3.6× |
| Xray knee 1 or 2 views rt (73560) |
$334.40 |
$418 |
3.8× |