| 3-D radiotherapy plan dose-volume histograms (77295) |
$11,880.50 |
$11,880.50 |
9.0× |
| Abdomen 2 views (74019) |
$701.25 |
$701.25 |
7.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$4,701.50 |
$4,701.50 |
12.4× |
| Angiography extremity bilateral rs&i (75716) |
$31,433.25 |
$31,433.25 |
10.5× |
| Angiography extremity unilateral rs&i (75710) |
$31,433.25 |
$31,433.25 |
10.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,908.75 |
$8,908.75 |
1.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$9,660.25 |
$9,660.25 |
3.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,717.75 |
$10,717.75 |
3.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$31,433.25 |
$31,433.25 |
5.9× |
| Ankle 2 views (73600) |
$820.25 |
$820.25 |
9.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$31,433.25 |
$31,433.25 |
10.5× |
| Aortography abdominal serialography rs&i (75625) |
$31,433.25 |
$31,433.25 |
10.5× |
| Arthrogram elbow (73085) |
$4,066.50 |
$4,066.50 |
12.3× |
| Arthrogram hip (73525) |
$4,066.50 |
$4,066.50 |
12.3× |
| Arthrogram shoulder (73040) |
$4,066.50 |
$4,066.50 |
12.3× |
| Arthrogram wrist (73115) |
$2,589.25 |
$2,589.25 |
7.8× |
| Arthrography knee lt (73580) |
$2,793.25 |
$2,793.25 |
8.4× |
| Basic radiation dosimetry calculation (77300) |
$1,090.75 |
$1,090.75 |
8.5× |
| Bone &/joint imaging whole body (78306) |
$6,717 |
$6,717 |
17.7× |
| Bone age studies (77072) |
$1,163 |
$1,163 |
11.7× |
| Bone Imaging 3 Phase (78315) |
$6,717 |
$6,717 |
17.7× |
| Bone survey complete (77075) |
$1,938.50 |
$1,938.50 |
19.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$9,813.25 |
$9,813.25 |
7.2× |
| Brain Imaging Vascular Flow Only (78610) |
$2,912 |
$2,912 |
5.6× |
| Cervical spine 2 or 3 views (72040) |
$1,356 |
$1,356 |
16.4× |
| Chest 1 view (71045) |
$701.25 |
$701.25 |
8.5× |
| Chest 3 views (71047) |
$820.25 |
$820.25 |
9.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,356 |
$1,356 |
8.1× |
| Clavicle complete (73000) |
$820.25 |
$820.25 |
9.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,262.75 |
$1,262.75 |
12.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,719 |
$6,719 |
20.3× |
| CT abdomen and pelvis without contrast (74176) |
$4,313 |
$4,313 |
19.0× |
| CT abdomen w contrast (74160) |
$6,179.75 |
$6,179.75 |
37.0× |
| CT abdomen w wo contrast (74170) |
$6,179.75 |
$6,179.75 |
37.0× |
| CT abdomen w/o contrast (74150) |
$3,463.25 |
$3,463.25 |
34.8× |
| CT angio hrt w/3d image (75574) |
$4,432.50 |
$4,432.50 |
13.4× |
| CT angiography upper extremity lt (73206) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT c-spine w/o contrast (72125) |
$3,463.25 |
$3,463.25 |
34.8× |
| CT cervical spine w&w/o contrast (72127) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT cervical spine with contrast (72126) |
$6,511.25 |
$6,511.25 |
19.6× |
| CT chest w/wo contrast (71270) |
$6,511.25 |
$6,511.25 |
39.0× |
| CT chest with contrast (71260) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT head/brain with contrast (70460) |
$3,183 |
$3,183 |
19.1× |
| CT head/brain without and with contrast (70470) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$6,159.25 |
$6,159.25 |
18.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$477 |
$477 |
5.8× |
| CT hrt w/3d image congen (75573) |
$5,779.50 |
$5,779.50 |
17.4× |
| CT iac w contrast (70481) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT lower ext w/o (73700) |
$2,528.25 |
$2,528.25 |
25.4× |
| CT lower extremity w wo contrast (73702) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT lower extremity with contrast (73701) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT lumbar spine w & w/o contrast (72133) |
$5,318.25 |
$5,318.25 |
31.9× |
| CT lumbar spine w/o contrast (72131) |
$3,446 |
$3,446 |
34.7× |
| CT lumbar spine with contrast (72132) |
$6,511.25 |
$6,511.25 |
19.6× |
| CT maxillofacial w contrast (70487) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT maxillofacial w/o contrast (70486) |
$3,183 |
$3,183 |
32.0× |
| CT maxillofacial w/wo contrast (70488) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT neck soft tissue w contrast (70491) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,179.75 |
$6,179.75 |
37.0× |
| CT orbits w/o contrast (70480) |
$3,463.25 |
$3,463.25 |
34.8× |
| CT pelvis w & w/o contrast (72194) |
$8,362.50 |
$8,362.50 |
50.1× |
| CT pelvis w/o contrast (72192) |
$3,463.25 |
$3,463.25 |
34.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT soft tissue neck w/o contrast (70490) |
$2,528.25 |
$2,528.25 |
25.4× |
| CT thoracic spine w/contrast (72129) |
$4,432.50 |
$4,432.50 |
26.6× |
| CT thoracic spine w/o contrast (72128) |
$3,463.25 |
$3,463.25 |
34.8× |
| CT thoracic spine w/wo contrast (72130) |
$7,012.25 |
$7,012.25 |
42.0× |
| CT thorax w/o contrast (71250) |
$2,995.75 |
$2,995.75 |
30.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$6,256.50 |
$6,256.50 |
37.5× |
| CT upper extremity w/o contrast rt (73200) |
$2,528.25 |
$2,528.25 |
25.4× |
| CT upper extremity with contrast (73201) |
$6,511.25 |
$6,511.25 |
19.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,432.50 |
$4,432.50 |
26.6× |
| Cta Abdomen (74175) |
$4,432.50 |
$4,432.50 |
26.6× |
| CTA abdomen pelvis (74174) |
$6,511.25 |
$6,511.25 |
19.6× |
| CTA chest (71275) |
$4,432.50 |
$4,432.50 |
26.6× |
| Cta Head (70496) |
$4,432.50 |
$4,432.50 |
26.6× |
| CTA lwr ext w&w/o contrast (73706) |
$4,432.50 |
$4,432.50 |
26.6× |
| Cta Neck (70498) |
$4,432.50 |
$4,432.50 |
26.6× |
| Cta Pelvis (72191) |
$4,432.50 |
$4,432.50 |
26.6× |
| Cystography minimum 3 views rs&i (74430) |
$2,220 |
$2,220 |
6.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,938.50 |
$1,938.50 |
19.5× |
| Esophagus (74220) |
$1,356 |
$1,356 |
8.1× |
| Fetal biophysical profile non-stress testing (76818) |
$2,348.50 |
$2,348.50 |
23.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,055 |
$2,055 |
20.7× |
| Fluoroscopy up to 1 hr (76000) |
$2,404.62 |
$2,404.62 |
10.6× |
| Foot 2 views (73620) |
$703 |
$703 |
8.5× |
| Forearm 2 views (73090) |
$820.25 |
$820.25 |
9.9× |
| Gated Heart Planar Single (78472) |
$6,717 |
$6,717 |
17.7× |
| Hand 2 views (73120) |
$1,163 |
$1,163 |
11.7× |
| Hand 3 views (73130) |
$820.25 |
$820.25 |
9.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$6,717 |
$6,717 |
13.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,701.50 |
$4,701.50 |
12.4× |
| Ht muscle image spect sing (78451) |
$10,614 |
$10,614 |
8.6× |
| Humerus Min 2 Views Left (73060) |
$820.25 |
$820.25 |
9.9× |
| Hysterosalpingogram (74740) |
$4,066.50 |
$4,066.50 |
17.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,000.50 |
$4,000.50 |
7.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,351.25 |
$5,351.25 |
10.4× |
| Knee 3 views (73562) |
$1,173.25 |
$1,173.25 |
14.2× |
| Lymphoscintigraphy (78195) |
$4,031.25 |
$4,031.25 |
7.8× |
| Mammary ductogram or galactogram multiple (77054) |
$2,546.75 |
$2,546.75 |
11.2× |
| Mammary ductogram or galactogram single (77053) |
$2,220 |
$2,220 |
9.8× |
| Meckels Diverticulum (78290) |
$4,031.25 |
$4,031.25 |
10.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,031.25 |
$3,031.25 |
8.5× |
| MRA head w & w/o contrast (70546) |
$9,179 |
$9,179 |
27.7× |
| MRA head w/o contrast (70544) |
$5,525.25 |
$5,525.25 |
24.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$9,179 |
$9,179 |
27.7× |
| MRA neck w/o contrast (70547) |
$5,525.25 |
$5,525.25 |
24.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$9,179 |
$9,179 |
27.7× |
| MRI abdomen w/o contrast (74181) |
$5,525.25 |
$5,525.25 |
24.3× |
| MRI any jnt lwr ext with con lt (73722) |
$3,486 |
$3,486 |
4.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$9,179 |
$9,179 |
12.3× |
| MRI cervical spine w/o contrast (72141) |
$6,667.50 |
$6,667.50 |
29.4× |
| MRI chest w/o & w/contrast material (71552) |
$5,525.25 |
$5,525.25 |
16.7× |
| MRI chest w/o contrast (71550) |
$8,612.50 |
$8,612.50 |
38.0× |
| MRI chest with contrast (71551) |
$5,525.25 |
$5,525.25 |
7.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,525.25 |
$5,525.25 |
24.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$6,667.50 |
$6,667.50 |
29.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$9,179 |
$9,179 |
27.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$9,179 |
$9,179 |
27.7× |
| MRI pelvis w/o contrast (72195) |
$6,667.50 |
$6,667.50 |
29.4× |
| MRI scan of arm joint before and after contrast (73223) |
$9,179 |
$9,179 |
27.7× |
| MRI scan of leg joint before and after contrast (73723) |
$9,179 |
$9,179 |
27.7× |
| MRI spectroscopy (76390) |
$8,672.25 |
$8,672.25 |
104.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$9,179 |
$9,179 |
27.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$9,179 |
$9,179 |
27.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$9,179 |
$9,179 |
27.7× |
| MRI thoracic spine w/o contrast (72146) |
$6,667.50 |
$6,667.50 |
29.4× |
| MRI tmj (70336) |
$9,724 |
$9,724 |
42.9× |
| MRI upper ext joint w/o contrast (73221) |
$6,667.50 |
$6,667.50 |
29.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$8,181.25 |
$8,181.25 |
24.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$6,667.50 |
$6,667.50 |
29.4× |
| Myelogram Lumbar (72265) |
$3,871.75 |
$3,871.75 |
5.2× |
| Myelography 2 or more regions (72270) |
$8,188.25 |
$8,188.25 |
11.0× |
| Myocardial Spect Multiple Studies (78452) |
$15,673.75 |
$15,673.75 |
12.7× |
| Neck soft tissue (70360) |
$703 |
$703 |
8.5× |
| Nm cisternogram (78630) |
$4,911.25 |
$4,911.25 |
9.5× |
| Nm gastric emptying study (78264) |
$4,701.50 |
$4,701.50 |
12.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,834.50 |
$10,834.50 |
8.2× |
| Nuclear Rx Oral Admin (79005) |
$3,536.75 |
$3,536.75 |
15.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,754.75 |
$1,754.75 |
17.6× |
| Osseous survey infant (77076) |
$1,163 |
$1,163 |
11.7× |
| Parathyroid imaging (78070) |
$4,031.25 |
$4,031.25 |
10.6× |
| Pelvis 1 or 2 views (72170) |
$1,163 |
$1,163 |
11.7× |
| PET image w/CT, skull-thigh (78815) |
$17,179.25 |
$17,179.25 |
12.6× |
| PET imaging for CT attenuation whole body (78816) |
$17,179.25 |
$17,179.25 |
12.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$9,179 |
$9,179 |
27.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,047.75 |
$3,047.75 |
8.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$6,240.50 |
$6,240.50 |
12.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$4,676.50 |
$4,676.50 |
9.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$703 |
$703 |
8.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,163 |
$1,163 |
11.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,356 |
$1,356 |
13.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,163 |
$1,163 |
11.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,055.25 |
$2,055.25 |
3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,356 |
$1,356 |
13.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,152 |
$1,152 |
13.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$820.25 |
$820.25 |
8.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$820.25 |
$820.25 |
9.9× |
| Radiologic exam colon single contrast study (74270) |
$1,938.50 |
$1,938.50 |
11.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,136.50 |
$1,136.50 |
6.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,938.75 |
$1,938.75 |
11.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$820.25 |
$820.25 |
9.9× |
| Radiological examination surgical specimen (76098) |
$1,448 |
$1,448 |
2.8× |
| Ribs bilateral 3 views (71110) |
$1,163 |
$1,163 |
11.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,364.50 |
$2,364.50 |
6.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$8,167.50 |
$8,167.50 |
15.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$8,167.50 |
$8,167.50 |
15.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$8,167.50 |
$8,167.50 |
6.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$8,167.50 |
$8,167.50 |
6.6× |
| Scanogram (77073) |
$1,173.25 |
$1,173.25 |
11.8× |
| Scapula complete (73010) |
$820.25 |
$820.25 |
8.3× |
| Screening digital breast tomosynthesis (77063) |
$139.25 |
$139.25 |
6.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,356 |
$1,356 |
13.6× |
| Small bowel series (74250) |
$1,938.50 |
$1,938.50 |
11.6× |
| Spine thoracic 3 views (72072) |
$1,356 |
$1,356 |
13.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,377 |
$3,377 |
9.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,927.75 |
$1,927.75 |
15.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,956.75 |
$3,956.75 |
7.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,052 |
$2,052 |
5.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,031.25 |
$4,031.25 |
10.6× |
| Treatment devices simple (77332) |
$2,073 |
$2,073 |
16.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$7,144.25 |
$7,144.25 |
13.8× |
| Tx devices design & construction complex (77334) |
$3,377 |
$3,377 |
9.5× |
| Ultrasound, abdomen limited (76705) |
$2,055 |
$2,055 |
20.7× |
| Umbilical-artery Doppler (OB) (76820) |
$1,669.50 |
$1,669.50 |
16.8× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$1,173.25 |
$1,173.25 |
14.2× |
| Unlisted magnetic resonance procedure (76498) |
$8,664.50 |
$8,664.50 |
104.7× |
| Upper Extremity Infant (73092) |
$1,163 |
$1,163 |
11.7× |
| Urethrocystography voiding (74455) |
$1,525.75 |
$1,525.75 |
6.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$3,698.75 |
$3,698.75 |
22.2× |
| Us abdl aorta screen aaa (76706) |
$1,229.25 |
$1,229.25 |
12.4× |
| Us breast unilateral complete (76641) |
$1,754.75 |
$1,754.75 |
17.6× |
| Us breast unilateral limited (76642) |
$1,754.75 |
$1,754.75 |
21.2× |
| Us chest (76604) |
$1,754.75 |
$1,754.75 |
17.6× |
| Us compl joint r-t w/image documentation (76881) |
$1,322 |
$1,322 |
13.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,046.75 |
$1,046.75 |
10.5× |
| Us guided compression repair (76936) |
$2,700 |
$2,700 |
13.1× |
| Us infant hips dynamic (76885) |
$1,754.75 |
$1,754.75 |
21.2× |
| Us kidney transplant (76776) |
$992 |
$992 |
10.0× |
| Us ob transvaginal (76817) |
$1,759.75 |
$1,759.75 |
17.7× |
| Us pelvic non ob complete (76856) |
$2,933.50 |
$2,933.50 |
29.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,229.25 |
$1,229.25 |
12.4× |
| Us pregnancy ltd (76815) |
$2,055 |
$2,055 |
20.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,933.50 |
$2,933.50 |
29.5× |
| Us retroperitoneal limited (76775) |
$2,055 |
$2,055 |
20.7× |
| Us scrotum and contents (76870) |
$1,759.75 |
$1,759.75 |
17.7× |
| Us soft tissue head/neck (76536) |
$2,055 |
$2,055 |
20.7× |
| Us transrectal (76872) |
$2,176.75 |
$2,176.75 |
21.9× |
| Us xtr non-vasc lmtd (76882) |
$1,754.75 |
$1,754.75 |
17.6× |
| Venogram extremity bilateral (75822) |
$4,033.75 |
$4,033.75 |
2.7× |
| Venography caval inferior serialography rs&i (75825) |
$31,433.25 |
$31,433.25 |
10.5× |
| Venography caval superior serialography rs&i (75827) |
$8,411.75 |
$8,411.75 |
5.6× |
| Venography extremity unilateral rs&i (75820) |
$3,607.50 |
$3,607.50 |
2.4× |
| Venography Renal Bilateral (75833) |
$8,594.75 |
$8,594.75 |
2.9× |
| Wrist 2 views (73100) |
$703 |
$703 |
8.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,356 |
$1,356 |
13.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$776 |
$776 |
9.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,589.25 |
$2,589.25 |
15.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$820.25 |
$820.25 |
9.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$2,220 |
$2,220 |
22.3× |
| X-ray exam hip uni 1 view (73501) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,356 |
$1,356 |
13.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,399.50 |
$1,399.50 |
8.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,356 |
$1,356 |
13.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$703 |
$703 |
8.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,356 |
$1,356 |
13.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$703 |
$703 |
8.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,163 |
$1,163 |
11.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,356 |
$1,356 |
13.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,152 |
$1,152 |
13.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,163 |
$1,163 |
11.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$4,066.50 |
$4,066.50 |
12.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,356 |
$1,356 |
13.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,163 |
$1,163 |
11.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,173.25 |
$1,173.25 |
14.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,356 |
$1,356 |
13.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,163 |
$1,163 |
11.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,174.75 |
$1,174.75 |
14.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$677.25 |
$677.25 |
8.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$820.25 |
$820.25 |
9.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$820.25 |
$820.25 |
9.9× |
| Xr c-spine 6 or more views (72052) |
$1,938.50 |
$1,938.50 |
19.5× |
| Xr chest 4+ views (71048) |
$1,173.25 |
$1,173.25 |
11.8× |
| Xr Cholecystography Oral Contrast (74290) |
$772.50 |
$772.50 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$703 |
$703 |
8.5× |
| Xr shoulder 1 view (73020) |
$703 |
$703 |
8.5× |
| Xr spine cervical 4 or 5 views (72050) |
$1,356 |
$1,356 |
13.6× |
| Xr tibia/fibula 2 views (73590) |
$820.25 |
$820.25 |
9.9× |
| Xr tmj bilateral (70330) |
$1,109.25 |
$1,109.25 |
13.4× |
| Xray knee 1 or 2 views rt (73560) |
$1,173.25 |
$1,173.25 |
14.2× |