| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,369.25 |
$3,645 |
1.8× |
| Abdomen 1 View (74018) |
$276.25 |
$425 |
3.4× |
| Abdomen 2 views (74019) |
$302.90 |
$466 |
3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,640.60 |
$2,524 |
4.3× |
| Ankle 2 views (73600) |
$222.30 |
$342 |
2.7× |
| Basic radiation dosimetry calculation (77300) |
$271.05 |
$417 |
2.1× |
| Bone age studies (77072) |
$203.45 |
$313 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$1,653.60 |
$2,544 |
4.4× |
| Bone Imaging Limited Area (78300) |
$1,225.90 |
$1,886 |
3.2× |
| Bone Imaging Multiple Areas (78305) |
$1,439.10 |
$2,214 |
3.8× |
| Bone Imaging Whole Body (78306) |
$1,544.40 |
$2,376 |
4.1× |
| Bone marrow imaging limited area (78102) |
$813.80 |
$1,252 |
2.2× |
| Bone survey infant (77076) |
$385.45 |
$593 |
3.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,142.40 |
$3,296 |
1.6× |
| Cerebrospinal Fluid Scan (78630) |
$2,577.90 |
$3,966 |
5.0× |
| Chest 1 view (71045) |
$232.70 |
$358 |
2.8× |
| Chest 2 views (71046) |
$328.90 |
$506 |
4.0× |
| Chest 3 views (71047) |
$369.20 |
$568 |
4.5× |
| Chest 4 or more views (71048) |
$409.50 |
$630 |
4.1× |
| Clavicle complete (73000) |
$286.65 |
$441 |
3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$987.35 |
$1,519 |
10.0× |
| Continuing medical physics consltj pr wk (77336) |
$673.40 |
$1,036 |
5.3× |
| Contrast X-Ray Bladder (74430) |
$691.60 |
$1,064 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,734.90 |
$5,746 |
11.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,167.10 |
$3,334 |
9.6× |
| CT abdomen w contrast (74160) |
$1,708.20 |
$2,628 |
10.3× |
| CT abdomen w wo contrast (74170) |
$1,862.25 |
$2,865 |
11.2× |
| CT abdomen w/o contrast (74150) |
$1,083.55 |
$1,667 |
11.0× |
| CT Angio Abdomen and Pelvis (74174) |
$3,227.25 |
$4,965 |
9.8× |
| CT Angio Chest (71275) |
$1,587.30 |
$2,442 |
9.6× |
| CT Angio Head (70496) |
$1,985.10 |
$3,054 |
12.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,587.30 |
$2,442 |
9.6× |
| CT Angio Neck (70498) |
$2,261.35 |
$3,479 |
13.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,672.45 |
$2,573 |
10.1× |
| CT cervical spine w/ contrast (72126) |
$1,870.70 |
$2,878 |
5.7× |
| CT cervical spine w/o contrast (72125) |
$1,274 |
$1,960 |
12.9× |
| CT cervical spine w/wo cont (72127) |
$2,013.70 |
$3,098 |
12.1× |
| CT chest w contrast (71260) |
$1,693.25 |
$2,605 |
10.2× |
| CT chest w/wo contrast (71270) |
$1,858.35 |
$2,859 |
11.2× |
| CT head/brain with contrast (70460) |
$2,272.40 |
$3,496 |
13.7× |
| CT head/brain without and with contrast (70470) |
$2,730.65 |
$4,201 |
16.5× |
| CT iac w contrast (70481) |
$2,119.65 |
$3,261 |
12.8× |
| CT l-spine w&w/o contrast (72133) |
$2,013.70 |
$3,098 |
12.1× |
| CT lower ext w/o (73700) |
$1,306.50 |
$2,010 |
13.2× |
| CT lower extremity w/contrast material (73701) |
$1,835.60 |
$2,824 |
11.1× |
| CT lumbar spine w contrast (72132) |
$1,870.70 |
$2,878 |
5.7× |
| CT lumbar spine w/o contrast (72131) |
$1,307.15 |
$2,011 |
13.2× |
| CT maxillofacial w contrast (70487) |
$2,119.65 |
$3,261 |
12.8× |
| CT maxillofacial wo contrast (70486) |
$1,537.90 |
$2,366 |
15.5× |
| CT neck tissue combo (70492) |
$2,535.65 |
$3,901 |
15.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,535.65 |
$3,901 |
15.3× |
| CT orbits w/o contrast (70480) |
$1,536.60 |
$2,364 |
15.5× |
| CT pelvis w&w/o contrast (72194) |
$1,870.70 |
$2,878 |
11.3× |
| CT pelvis w/o contrast (72192) |
$1,083.55 |
$1,667 |
11.0× |
| CT scan of leg combo (73702) |
$1,859 |
$2,860 |
11.2× |
| CT scans face/jaw combo (70488) |
$2,535.65 |
$3,901 |
15.3× |
| CT soft tissue neck w contrast (70491) |
$1,968.85 |
$3,029 |
11.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,257.10 |
$1,934 |
12.7× |
| CT thoracic spine w contrast (72129) |
$1,870.70 |
$2,878 |
11.3× |
| CT thoracic spine w/o contrast (72128) |
$1,325.35 |
$2,039 |
13.4× |
| CT thorax w/o contrast (71250) |
$987.35 |
$1,519 |
10.0× |
| CT unlisted procedure (76497) |
$265.85 |
$409 |
3.2× |
| CT upper ext wo (73200) |
$1,305.85 |
$2,009 |
13.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,013.70 |
$3,098 |
12.1× |
| CT upper extremity with contrast (73201) |
$1,834.95 |
$2,823 |
5.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,587.30 |
$2,442 |
9.6× |
| Cta Abdomen (74175) |
$1,587.30 |
$2,442 |
9.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$579.15 |
$891 |
1.8× |
| CTA pelvis (72191) |
$1,374.75 |
$2,115 |
8.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$173.55 |
$267 |
1.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$585 |
$900 |
5.9× |
| Dxa Bone Density Axial (77080) |
$427.70 |
$658 |
4.3× |
| Dxa bone density study (77085) |
$629.20 |
$968 |
6.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$342.55 |
$527 |
4.2× |
| Echo exam of fetal heart (76825) |
$1,043.90 |
$1,606 |
2.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$501.15 |
$771 |
2.2× |
| Esophagram (74220) |
$456.95 |
$703 |
2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$912.60 |
$1,404 |
9.2× |
| Fluoroscopy up to 1 hr (76000) |
$373.75 |
$575 |
1.7× |
| Foot 2 views (73620) |
$216.45 |
$333 |
2.6× |
| Forearm 2 views (73090) |
$249.60 |
$384 |
3.0× |
| Gastric emptying imaging study (78264) |
$698.10 |
$1,074 |
1.8× |
| Gated Heart Planar Single (78472) |
$1,899.95 |
$2,923 |
5.0× |
| Hand 2 views (73120) |
$216.45 |
$333 |
2.2× |
| Hepatobil Syst Image W/Drug (78227) |
$1,605.50 |
$2,470 |
3.1× |
| Hepatobiliary System Imaging (78226) |
$1,605.50 |
$2,470 |
4.2× |
| Ht Muscle Image Spect Sing (78451) |
$2,219.10 |
$3,414 |
1.8× |
| Hysterosalpingogram (74740) |
$709.80 |
$1,092 |
3.1× |
| Image fusion (77399) |
$1,045.20 |
$1,608 |
8.2× |
| K Flow/Funct Image W/Drug (78708) |
$1,842.10 |
$2,834 |
3.6× |
| K Flow/Funct Image W/O Drug (78707) |
$1,842.10 |
$2,834 |
3.6× |
| Knee 3 Views (73562) |
$235.95 |
$363 |
2.9× |
| Lung perfusion differential (78597) |
$1,489.15 |
$2,291 |
3.9× |
| Lung Ventilat&Perfus Imaging (78582) |
$2,747.55 |
$4,227 |
5.3× |
| Lymph System Imaging (78195) |
$1,623.70 |
$2,498 |
3.2× |
| Magnetic Image Jaw Joint (70336) |
$2,736.50 |
$4,210 |
12.1× |
| Meckels Divert Exam (78290) |
$1,640.60 |
$2,524 |
4.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$673.40 |
$1,036 |
1.9× |
| Mr safety determination physician/other qhp (76016) |
$148.20 |
$228 |
1.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$40.95 |
$63 |
1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$155.35 |
$239 |
1.7× |
| Mr safety implt pos&/immoblj (76019) |
$101.40 |
$156 |
1.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$408.20 |
$628 |
1.8× |
| Mra Head W/O & W/Contrast Material (70546) |
$1,734.85 |
$2,669 |
5.3× |
| MRA head w/o contrast (70544) |
$1,615.25 |
$2,485 |
7.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,929.20 |
$2,968 |
5.8× |
| MRA neck w/o contrast (70547) |
$1,615.25 |
$2,485 |
7.2× |
| MRI abdomen w contrast (74182) |
$3,699.15 |
$5,691 |
11.2× |
| MRI abdomen w/o contrast (74181) |
$3,013.40 |
$4,636 |
13.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,363.10 |
$5,174 |
4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,823.95 |
$5,883 |
11.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,113.50 |
$4,790 |
4.2× |
| MRI cervical spine w contrast (72142) |
$1,301.95 |
$2,003 |
3.9× |
| MRI cervical spine w/o cont (72141) |
$3,012.75 |
$4,635 |
13.3× |
| MRI chest w/o contrast (71550) |
$3,013.40 |
$4,636 |
13.3× |
| MRI chest wo w contrast (71552) |
$4,206.15 |
$6,471 |
12.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,781.65 |
$2,741 |
5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,363.10 |
$5,174 |
10.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,738.45 |
$4,213 |
12.1× |
| MRI lumbar spine w contrast (72149) |
$3,012.75 |
$4,635 |
9.1× |
| Mri Neck Spine W/O & W/Dye (72156) |
$4,206.15 |
$6,471 |
12.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,465.45 |
$3,793 |
10.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,363.10 |
$5,174 |
10.2× |
| MRI pelvis w/o & w contrast (72197) |
$3,363.10 |
$5,174 |
10.2× |
| MRI pelvis w/o contrast (72195) |
$2,464.15 |
$3,791 |
10.9× |
| MRI thoracic spine w/o contrast (72146) |
$3,013.40 |
$4,636 |
13.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,738.45 |
$4,213 |
12.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,363.10 |
$5,174 |
10.2× |
| MRI, abdomen, combo (74183) |
$4,206.15 |
$6,471 |
12.7× |
| MRI, dorsal spine combo (72157) |
$4,206.80 |
$6,472 |
12.7× |
| MRI, dorsal spine contrast (72147) |
$3,699.15 |
$5,691 |
11.2× |
| MRI, joint upper extrem (73221) |
$3,012.75 |
$4,635 |
13.3× |
| MRI, joint upper extrem combo (73223) |
$3,539.90 |
$5,446 |
10.7× |
| MRI, lumbar spine combo (72158) |
$3,522.35 |
$5,419 |
10.7× |
| Myocardial Spect Multiple Studies (78452) |
$4,031.30 |
$6,202 |
3.3× |
| Neck soft tissue (70360) |
$365.30 |
$562 |
4.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,369.25 |
$3,645 |
1.8× |
| Ob us nuchal meas 1 gest (76813) |
$585 |
$900 |
5.9× |
| Parathyroid Planar Imaging (78070) |
$1,626.95 |
$2,503 |
4.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,795.30 |
$2,762 |
4.7× |
| Pelvis 1 or 2 views (72170) |
$283.40 |
$436 |
2.9× |
| PET image w/CT, full body (78816) |
$4,903.60 |
$7,544 |
3.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$4,903.60 |
$7,544 |
3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,489.15 |
$2,291 |
3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$649.35 |
$999 |
6.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$885.95 |
$1,363 |
1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$277.55 |
$427 |
3.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$286.65 |
$441 |
3.5× |
| Radex elbow complete minimum 3 views (73080) |
$238.55 |
$367 |
2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$462.15 |
$711 |
4.7× |
| Radex fingr minimum 2 views (73140) |
$222.30 |
$342 |
2.7× |
| Radex foot complete minimum 3 views (73630) |
$283.40 |
$436 |
3.4× |
| Radex Hand Minimum 3 Views (73130) |
$236.60 |
$364 |
2.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$297.70 |
$458 |
3.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$509.60 |
$784 |
5.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$332.80 |
$512 |
4.0× |
| Radex Ribs Unilateral 2 Views (71100) |
$435.50 |
$670 |
5.3× |
| Radex shoulder complete minimum 2 views (73030) |
$276.90 |
$426 |
3.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$291.20 |
$448 |
3.5× |
| Radex Spine 1 View Specify Level (72020) |
$294.45 |
$453 |
3.6× |
| Radex Sternum Minimum 2 Views (71120) |
$354.25 |
$545 |
4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$219.05 |
$337 |
2.7× |
| Radex Toe Minimum 2 Views (73660) |
$261.95 |
$403 |
3.2× |
| Radex upper extremity infant minimum 2 views (73092) |
$216.45 |
$333 |
2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$284.70 |
$438 |
3.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$16,833.70 |
$25,898 |
2.4× |
| Radiation treatment delivery level 1 (77402) |
$826.80 |
$1,272 |
8.6× |
| Radiation treatment delivery level 2 (77407) |
$1,033.50 |
$1,590 |
2.8× |
| Radiation treatment delivery level 3 (77412) |
$1,240.20 |
$1,908 |
2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$454.35 |
$699 |
4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$354.90 |
$546 |
3.6× |
| Radiologic exam colon double contrast study (74280) |
$1,275.95 |
$1,963 |
7.7× |
| Radiologic exam colon single contrast study (74270) |
$963.30 |
$1,482 |
5.8× |
| Radiologic exam knee complete 4/more views (73564) |
$267.80 |
$412 |
2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$490.10 |
$754 |
5.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$551.20 |
$848 |
3.3× |
| Radiologic exam swallow function contrast study (74230) |
$502.45 |
$773 |
3.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$933.40 |
$1,436 |
5.6× |
| Radiologic examination femur 1 view (73551) |
$154.05 |
$237 |
1.9× |
| Radiologic examination femur minimum 2 views (73552) |
$284.05 |
$437 |
3.5× |
| Radiologic examination knee 1/2 views (73560) |
$122.20 |
$188 |
1.5× |
| Radiologic Examination Osseous Survey Limited (77074) |
$447.20 |
$688 |
4.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$265.85 |
$409 |
3.2× |
| Ribs bilateral 3 views (71110) |
$546 |
$840 |
5.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,665.30 |
$2,562 |
4.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,665.30 |
$2,562 |
4.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,761.50 |
$2,710 |
3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,875.25 |
$2,885 |
3.7× |
| Scapula (73010) |
$266.50 |
$410 |
2.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$42.25 |
$65 |
1.8× |
| Shoulder 1 view (73020) |
$175.50 |
$270 |
2.1× |
| Shoulder Arthrography (73040) |
$1,290.25 |
$1,985 |
3.9× |
| Skull less than 4 views (70250) |
$328.90 |
$506 |
3.3× |
| Special dosimetry (77331) |
$248.95 |
$383 |
2.0× |
| Special Physics Consult (77370) |
$1,045.20 |
$1,608 |
8.2× |
| Special teletherapy port plan (77321) |
$563.55 |
$867 |
1.6× |
| Special treatment procedure (77470) |
$932.75 |
$1,435 |
1.8× |
| Stereotactic Body Radiation Delivery (77373) |
$3,845.40 |
$5,916 |
2.3× |
| Sternoclavicular joints (71130) |
$299.65 |
$461 |
3.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$673.40 |
$1,036 |
1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$673.40 |
$1,036 |
1.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$384.80 |
$592 |
3.0× |
| Thoracic spine 2 views (72070) |
$219.05 |
$337 |
2.2× |
| Thoracic spine 3 views (72072) |
$444.60 |
$684 |
4.5× |
| Thoracolumbar 2 views (72080) |
$308.75 |
$475 |
3.8× |
| Thyroid Uptake Measurement (78012) |
$556.40 |
$856 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,697.80 |
$2,612 |
4.5× |
| Tx Devices Design & Construction Complex (77334) |
$673.40 |
$1,036 |
1.9× |
| Tx devices design & construction intermediate (77333) |
$384.80 |
$592 |
3.0× |
| Tx devices design & construction simple (77332) |
$248.95 |
$383 |
2.0× |
| Ultrasound Breast Limited (76642) |
$676 |
$1,040 |
8.2× |
| Ultrasound Exam Aaa Screen (76706) |
$746.20 |
$1,148 |
7.5× |
| Ultrasound, abdomen limited (76705) |
$1,084.20 |
$1,668 |
11.0× |
| Umbilical-artery Doppler (OB) (76820) |
$585 |
$900 |
5.9× |
| Unlisted magnetic resonance procedure (76498) |
$557.70 |
$858 |
6.8× |
| Unlisted us procedure (76999) |
$304.20 |
$468 |
3.7× |
| Upper gi w/o kub (74240) |
$821.60 |
$1,264 |
5.0× |
| Urethrocystogram voiding (74455) |
$708.50 |
$1,090 |
3.1× |
| Urethrocystography retrograde (74450) |
$708.50 |
$1,090 |
3.1× |
| Us breast unilateral complete (76641) |
$700.05 |
$1,077 |
7.1× |
| Us chest (76604) |
$605.80 |
$932 |
6.1× |
| Us exam, pelvic, limited (76857) |
$721.50 |
$1,110 |
7.3× |
| Us head (76506) |
$763.10 |
$1,174 |
7.7× |
| Us kidney transplant (76776) |
$746.20 |
$1,148 |
7.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$387.40 |
$596 |
3.9× |
| Us ob detailed single fetus (76811) |
$1,043.90 |
$1,606 |
4.6× |
| Us ob limited 1 or more fetuses (76815) |
$585 |
$900 |
5.9× |
| Us ob transvaginal (76817) |
$580.45 |
$893 |
5.9× |
| Us pelvic non ob complete (76856) |
$1,027 |
$1,580 |
10.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,044.55 |
$1,607 |
10.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$531.05 |
$817 |
5.4× |
| Us retroperitoneal complete (76770) |
$1,471.60 |
$2,264 |
14.9× |
| Us retroperitoneal limited (76775) |
$1,029.60 |
$1,584 |
10.4× |
| Us scrotum and contents (76870) |
$793 |
$1,220 |
8.0× |
| Us spinal canal and contents (76800) |
$656.50 |
$1,010 |
6.6× |
| Us thyroid (76536) |
$785.85 |
$1,209 |
7.9× |
| Us transrectal (76872) |
$863.20 |
$1,328 |
8.7× |
| Wrist 2 views (73100) |
$208 |
$320 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$384.15 |
$591 |
4.7× |
| X-Ray Bend Only L-S Spine (72120) |
$423.15 |
$651 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$196.30 |
$302 |
2.4× |
| X-Ray Exam Breast Specimen (76098) |
$349.70 |
$538 |
0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$308.75 |
$475 |
3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$358.15 |
$551 |
3.6× |
| X-Ray Exam Hip Uni 1 View (73501) |
$234.65 |
$361 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$304.20 |
$468 |
3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$447.20 |
$688 |
4.5× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$304.20 |
$468 |
3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$447.20 |
$688 |
4.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$575.90 |
$886 |
5.8× |
| X-Ray Exam L-S Spine Bending (72114) |
$560.95 |
$863 |
5.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$358.15 |
$551 |
4.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$542.75 |
$835 |
5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$633.75 |
$975 |
6.4× |
| X-ray eye for foreign body (70030) |
$320.45 |
$493 |
3.9× |
| X-ray humerus (73060) |
$269.10 |
$414 |
3.3× |
| X-ray IV pyelogram (ivp) (74400) |
$1,602.25 |
$2,465 |
9.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$219.05 |
$337 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$119.60 |
$184 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$411.45 |
$633 |
4.2× |
| X-ray nose-rectum child f.b. (76010) |
$171.60 |
$264 |
2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$628.55 |
$967 |
6.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$395.85 |
$609 |
4.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$189.80 |
$292 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$371.15 |
$571 |
4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$495.30 |
$762 |
6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$495.30 |
$762 |
5.0× |
| X-ray thoracic spine 4 vw (72074) |
$480.35 |
$739 |
4.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$644.15 |
$991 |
2.0× |
| X-Rays Bone Length Studies (77073) |
$505.05 |
$777 |
5.1× |
| X-Rays Bone Survey Complete (77075) |
$620.75 |
$955 |
6.3× |
| Xr c-spine 4 or 5 views (72050) |
$425.75 |
$655 |
4.3× |
| Xr facial bones less than 3 views (70140) |
$302.90 |
$466 |
3.7× |
| Xr orbits complete 4 views (70200) |
$449.15 |
$691 |
4.5× |