| Abdomen 1 View (74018) |
$331.20 |
$552 |
4.0× |
| Abdomen 2 views (74019) |
$263.40 |
$439 |
2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,218.60 |
$2,031 |
3.2× |
| Ankle 2 views (73600) |
$162.60 |
$271 |
2.0× |
| Arthrogram hip (73525) |
$1,668 |
$2,780 |
5.1× |
| Bone age studies (77072) |
$241.20 |
$402 |
2.4× |
| Bone Imaging 3 Phase (78315) |
$1,852.20 |
$3,087 |
4.9× |
| Bone Imaging Limited Area (78300) |
$814.20 |
$1,357 |
2.2× |
| Bone Imaging Multiple Areas (78305) |
$1,124.40 |
$1,874 |
3.0× |
| Bone Imaging Whole Body (78306) |
$1,234.80 |
$2,058 |
3.3× |
| Bone marrow imaging limited area (78102) |
$1,285.20 |
$2,142 |
3.4× |
| Bone survey infant (77076) |
$420 |
$700 |
4.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,918.60 |
$11,531 |
5.1× |
| Cat Scan Follow-Up Study (76380) |
$300.60 |
$501 |
3.7× |
| Chest 1 view (71045) |
$96.60 |
$161 |
1.2× |
| Chest 2 views (71046) |
$66.60 |
$111 |
0.8× |
| Chest 3 views (71047) |
$515.40 |
$859 |
6.3× |
| Chest 4 or more views (71048) |
$528 |
$880 |
5.3× |
| Clavicle complete (73000) |
$243.60 |
$406 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$127.80 |
$213 |
1.3× |
| Contrast X-Ray Bladder (74430) |
$470.40 |
$784 |
1.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,264.40 |
$3,774 |
6.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,929.80 |
$4,883 |
13.0× |
| CT abdomen w contrast (74160) |
$1,270.20 |
$2,117 |
7.7× |
| CT abdomen w wo contrast (74170) |
$1,441.20 |
$2,402 |
8.7× |
| CT abdomen w/o contrast (74150) |
$918.60 |
$1,531 |
9.3× |
| CT Angio Abdomen and Pelvis (74174) |
$1,873.80 |
$3,123 |
5.7× |
| CT Angio Chest (71275) |
$936.60 |
$1,561 |
5.6× |
| CT Angio Head (70496) |
$730.80 |
$1,218 |
4.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,116.60 |
$1,861 |
6.7× |
| CT Angio Neck (70498) |
$730.80 |
$1,218 |
4.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,116.60 |
$1,861 |
6.7× |
| CT cervical spine w/ contrast (72126) |
$1,234.20 |
$2,057 |
3.7× |
| CT cervical spine w/o contrast (72125) |
$822 |
$1,370 |
8.3× |
| CT cervical spine w/wo cont (72127) |
$845.40 |
$1,409 |
5.1× |
| CT chest w contrast (71260) |
$1,116 |
$1,860 |
6.7× |
| CT chest w/wo contrast (71270) |
$1,395 |
$2,325 |
8.4× |
| CT head/brain with contrast (70460) |
$973.80 |
$1,623 |
5.9× |
| CT head/brain without and with contrast (70470) |
$1,248 |
$2,080 |
7.5× |
| CT iac w contrast (70481) |
$1,007.40 |
$1,679 |
6.1× |
| CT l-spine w&w/o contrast (72133) |
$1,419 |
$2,365 |
8.6× |
| CT lower ext w/o (73700) |
$969 |
$1,615 |
9.8× |
| CT lower extremity w/contrast material (73701) |
$1,022.40 |
$1,704 |
6.2× |
| CT lumbar spine w contrast (72132) |
$1,179 |
$1,965 |
3.6× |
| CT lumbar spine w/o contrast (72131) |
$898.20 |
$1,497 |
9.1× |
| CT maxillofacial w contrast (70487) |
$765 |
$1,275 |
4.6× |
| CT maxillofacial wo contrast (70486) |
$595.20 |
$992 |
6.0× |
| CT neck tissue combo (70492) |
$1,377 |
$2,295 |
8.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,272.60 |
$2,121 |
7.7× |
| CT orbits w/o contrast (70480) |
$718.20 |
$1,197 |
7.3× |
| CT pelvis w&w/o contrast (72194) |
$1,389.60 |
$2,316 |
8.4× |
| CT pelvis w/o contrast (72192) |
$913.80 |
$1,523 |
9.2× |
| CT scan of leg combo (73702) |
$1,610.40 |
$2,684 |
9.7× |
| CT scans face/jaw combo (70488) |
$1,288.20 |
$2,147 |
7.8× |
| CT soft tissue neck w contrast (70491) |
$706.80 |
$1,178 |
4.3× |
| CT soft tissue neck w/o contrast (70490) |
$758.40 |
$1,264 |
7.7× |
| CT thoracic spine w contrast (72129) |
$1,049.40 |
$1,749 |
6.3× |
| CT thoracic spine w/o contrast (72128) |
$1,032.60 |
$1,721 |
10.4× |
| CT thoracic spine w/wo cont (72130) |
$2,315.40 |
$3,859 |
14.0× |
| CT thorax w/o contrast (71250) |
$719.40 |
$1,199 |
7.3× |
| CT upper ext wo (73200) |
$1,189.80 |
$1,983 |
12.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,610.40 |
$2,684 |
9.7× |
| CT upper extremity with contrast (73201) |
$1,307.40 |
$2,179 |
4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,171.20 |
$1,952 |
7.1× |
| Cta Abdomen (74175) |
$1,171.20 |
$1,952 |
7.1× |
| CTA pelvis (72191) |
$1,171.20 |
$1,952 |
7.1× |
| Dxa Bone Density Axial (77080) |
$186.60 |
$311 |
1.9× |
| Dxa bone density study (77085) |
$517.80 |
$863 |
5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$241.20 |
$402 |
2.9× |
| Esophagram (74220) |
$388.80 |
$648 |
2.3× |
| Fetal Biophys Profile W/Nst (76818) |
$822.60 |
$1,371 |
8.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$561.60 |
$936 |
5.7× |
| Fluoroscopy up to 1 hr (76000) |
$265.80 |
$443 |
1.2× |
| Foot 2 views (73620) |
$194.40 |
$324 |
2.4× |
| Forearm 2 views (73090) |
$172.80 |
$288 |
2.1× |
| Gastric emptying imaging study (78264) |
$1,099.80 |
$1,833 |
2.9× |
| Gated Heart Planar Single (78472) |
$1,704 |
$2,840 |
4.5× |
| Hand 2 views (73120) |
$147 |
$245 |
1.5× |
| Hepatobil Syst Image W/Drug (78227) |
$1,446 |
$2,410 |
2.8× |
| Hepatobiliary System Imaging (78226) |
$1,446 |
$2,410 |
3.8× |
| Ht Muscle Image Spect Sing (78451) |
$1,918.80 |
$3,198 |
1.6× |
| Hysterosalpingogram (74740) |
$600 |
$1,000 |
2.7× |
| K Flow/Funct Image Multiple (78709) |
$1,861.20 |
$3,102 |
3.6× |
| K Flow/Funct Image W/Drug (78708) |
$1,642.20 |
$2,737 |
3.2× |
| K Flow/Funct Image W/O Drug (78707) |
$1,642.20 |
$2,737 |
3.2× |
| Knee 3 Views (73562) |
$202.20 |
$337 |
2.5× |
| Liver & Spleen Imaging Static Only (78215) |
$1,626.60 |
$2,711 |
4.3× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,803 |
$3,005 |
3.5× |
| Lung Ventilation Imaging (78579) |
$1,803 |
$3,005 |
4.8× |
| Lymph System Imaging (78195) |
$1,371.60 |
$2,286 |
2.7× |
| Magnetic Image Jaw Joint (70336) |
$3,114 |
$5,190 |
13.8× |
| Mammary ductogram or galactogram multiple (77054) |
$691.80 |
$1,153 |
3.1× |
| Mammary ductogram or galactogram single (77053) |
$691.80 |
$1,153 |
3.1× |
| Meckels Divert Exam (78290) |
$1,361.40 |
$2,269 |
3.6× |
| Mr safety determination physician/other qhp (76016) |
$138.60 |
$231 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$38.40 |
$64 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$144 |
$240 |
1.6× |
| Mr safety implt pos&/immoblj (76019) |
$93.60 |
$156 |
1.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$380.40 |
$634 |
1.7× |
| Mra Head W/O & W/Contrast Material (70546) |
$3,742.80 |
$6,238 |
11.3× |
| MRA head w/o contrast (70544) |
$2,567.40 |
$4,279 |
11.4× |
| MRA head with contrast (70545) |
$2,713.20 |
$4,522 |
8.2× |
| MRA neck w contrast (70548) |
$2,742.60 |
$4,571 |
8.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,742.80 |
$6,238 |
11.3× |
| MRA neck w/o contrast (70547) |
$1,813.20 |
$3,022 |
8.0× |
| MRI abdomen w contrast (74182) |
$3,014.40 |
$5,024 |
9.1× |
| MRI abdomen w/o contrast (74181) |
$2,622.60 |
$4,371 |
11.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,256.20 |
$5,427 |
4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,745.20 |
$6,242 |
11.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,352.60 |
$3,921 |
3.2× |
| MRI cervical spine w contrast (72142) |
$2,760.60 |
$4,601 |
8.4× |
| MRI cervical spine w/o cont (72141) |
$1,080.60 |
$1,801 |
4.8× |
| MRI chest w/o contrast (71550) |
$2,845.20 |
$4,742 |
12.6× |
| MRI chest wo w contrast (71552) |
$3,747 |
$6,245 |
11.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,018.60 |
$5,031 |
9.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,649.80 |
$6,083 |
11.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,533.80 |
$4,223 |
11.2× |
| MRI lumbar spine w contrast (72149) |
$3,271.80 |
$5,453 |
9.9× |
| Mri Neck Spine W/O & W/Dye (72156) |
$3,071.40 |
$5,119 |
9.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,376.60 |
$3,961 |
10.5× |
| MRI orbit face neck w contrast (70542) |
$2,737.80 |
$4,563 |
8.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,452.40 |
$5,754 |
10.5× |
| MRI pelvis w contrast (72196) |
$2,990.40 |
$4,984 |
9.1× |
| MRI pelvis w/o & w contrast (72197) |
$2,877.60 |
$4,796 |
8.7× |
| MRI pelvis w/o contrast (72195) |
$2,472.60 |
$4,121 |
11.0× |
| MRI thoracic spine w/o contrast (72146) |
$2,287.20 |
$3,812 |
10.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$3,184.80 |
$5,308 |
9.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,770.20 |
$4,617 |
12.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$5,863.20 |
$9,772 |
17.8× |
| MRI, abdomen, combo (74183) |
$2,516.40 |
$4,194 |
7.6× |
| MRI, dorsal spine combo (72157) |
$4,185 |
$6,975 |
12.7× |
| MRI, dorsal spine contrast (72147) |
$2,876.40 |
$4,794 |
8.7× |
| MRI, joint upper extrem (73221) |
$923.40 |
$1,539 |
4.1× |
| MRI, joint upper extrem combo (73223) |
$3,106.80 |
$5,178 |
9.4× |
| MRI, lumbar spine combo (72158) |
$2,963.40 |
$4,939 |
9.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$6,918.60 |
$11,531 |
5.6× |
| Myocardial Spect Multiple Studies (78452) |
$3,895.80 |
$6,493 |
3.2× |
| Neck soft tissue (70360) |
$214.20 |
$357 |
2.6× |
| Parathyroid Planar Imaging (78070) |
$1,504.20 |
$2,507 |
4.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,350.60 |
$2,251 |
3.6× |
| Pelvis 1 or 2 views (72170) |
$195.60 |
$326 |
2.0× |
| Pet Image W/Ct Lmtd (78814) |
$5,263.80 |
$8,773 |
3.9× |
| PET image w/CT, full body (78816) |
$5,263.80 |
$8,773 |
3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,263.80 |
$8,773 |
3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,646.40 |
$2,744 |
4.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$346.80 |
$578 |
3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$573.60 |
$956 |
1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$250.20 |
$417 |
3.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$223.20 |
$372 |
2.7× |
| Radex elbow complete minimum 3 views (73080) |
$580.80 |
$968 |
7.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$334.80 |
$558 |
3.4× |
| Radex fingr minimum 2 views (73140) |
$153.60 |
$256 |
1.9× |
| Radex foot complete minimum 3 views (73630) |
$200.40 |
$334 |
2.4× |
| Radex Hand Minimum 3 Views (73130) |
$400.20 |
$667 |
4.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$269.40 |
$449 |
3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$244.80 |
$408 |
3.0× |
| Radex Ribs Unilateral 2 Views (71100) |
$170.40 |
$284 |
2.1× |
| Radex shoulder complete minimum 2 views (73030) |
$222 |
$370 |
2.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$163.20 |
$272 |
2.0× |
| Radex Spine 1 View Specify Level (72020) |
$216 |
$360 |
2.6× |
| Radex Sternum Minimum 2 Views (71120) |
$273 |
$455 |
3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$417.60 |
$696 |
5.1× |
| Radex Toe Minimum 2 Views (73660) |
$148.80 |
$248 |
1.8× |
| Radex upper extremity infant minimum 2 views (73092) |
$269.40 |
$449 |
2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$428.40 |
$714 |
5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$241.80 |
$403 |
2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$346.80 |
$578 |
3.5× |
| Radiologic exam colon double contrast study (74280) |
$718.80 |
$1,198 |
4.3× |
| Radiologic exam colon single contrast study (74270) |
$501.60 |
$836 |
3.0× |
| Radiologic exam knee complete 4/more views (73564) |
$220.80 |
$368 |
2.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$198.60 |
$331 |
2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$466.80 |
$778 |
2.8× |
| Radiologic exam swallow function contrast study (74230) |
$374.40 |
$624 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$586.20 |
$977 |
3.5× |
| Radiologic examination femur 1 view (73551) |
$87 |
$145 |
1.1× |
| Radiologic examination femur minimum 2 views (73552) |
$234.60 |
$391 |
2.8× |
| Radiologic examination knee 1/2 views (73560) |
$163.80 |
$273 |
2.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$258.60 |
$431 |
3.1× |
| Ribs bilateral 3 views (71110) |
$278.40 |
$464 |
2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$3,775.80 |
$6,293 |
7.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,310 |
$3,850 |
4.5× |
| Scapula (73010) |
$250.20 |
$417 |
2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$30 |
$50 |
1.3× |
| Shoulder 1 view (73020) |
$159 |
$265 |
1.9× |
| Shoulder Arthrography (73040) |
$607.20 |
$1,012 |
1.8× |
| Skull less than 4 views (70250) |
$202.80 |
$338 |
2.1× |
| Sternoclavicular joints (71130) |
$306 |
$510 |
3.7× |
| Testicular Imaging W/Flow (78761) |
$1,145.40 |
$1,909 |
3.0× |
| Thoracic spine 2 views (72070) |
$307.20 |
$512 |
3.1× |
| Thoracic spine 3 views (72072) |
$341.40 |
$569 |
3.5× |
| Thoracolumbar 2 views (72080) |
$307.20 |
$512 |
3.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$457.20 |
$762 |
1.2× |
| Thyroid Uptake Measurement (78012) |
$406.20 |
$677 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,255.20 |
$2,092 |
3.3× |
| Ultrasound Breast Limited (76642) |
$102.60 |
$171 |
1.2× |
| Ultrasound Exam Aaa Screen (76706) |
$422.40 |
$704 |
4.3× |
| Ultrasound, abdomen limited (76705) |
$843.60 |
$1,406 |
8.5× |
| Unlisted us procedure (76999) |
$679.80 |
$1,133 |
8.3× |
| Upper gi w/o kub (74240) |
$501 |
$835 |
3.0× |
| Urethrocystogram voiding (74455) |
$275.40 |
$459 |
1.2× |
| Urethrocystography retrograde (74450) |
$275.40 |
$459 |
1.2× |
| Us breast unilateral complete (76641) |
$102.60 |
$171 |
1.0× |
| Us chest (76604) |
$558 |
$930 |
5.6× |
| Us complete joint (76881) |
$558 |
$930 |
5.6× |
| Us exam, pelvic, limited (76857) |
$247.80 |
$413 |
2.5× |
| Us head (76506) |
$1,019.40 |
$1,699 |
10.3× |
| Us kidney transplant (76776) |
$867 |
$1,445 |
8.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$373.20 |
$622 |
3.8× |
| Us ob detailed single fetus (76811) |
$871.80 |
$1,453 |
3.9× |
| Us ob limited 1 or more fetuses (76815) |
$511.80 |
$853 |
5.2× |
| Us ob transvaginal (76817) |
$465.60 |
$776 |
4.7× |
| Us pelvic non ob complete (76856) |
$247.80 |
$413 |
2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,139.40 |
$1,899 |
11.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$173.40 |
$289 |
1.8× |
| Us retroperitoneal complete (76770) |
$660 |
$1,100 |
6.7× |
| Us retroperitoneal limited (76775) |
$867 |
$1,445 |
8.8× |
| Us scrotum and contents (76870) |
$759 |
$1,265 |
7.7× |
| Us spinal canal and contents (76800) |
$697.20 |
$1,162 |
7.0× |
| Us thyroid (76536) |
$517.20 |
$862 |
5.2× |
| Us transrectal (76872) |
$678.60 |
$1,131 |
6.9× |
| Venography extremity unilateral rs&i (75820) |
$4,051.80 |
$6,753 |
2.7× |
| Vertebral fracture assessment via dxa (77086) |
$193.20 |
$322 |
2.3× |
| Wrist 2 views (73100) |
$210.60 |
$351 |
2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$273.60 |
$456 |
3.3× |
| X-Ray Bend Only L-S Spine (72120) |
$259.20 |
$432 |
2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$279.60 |
$466 |
3.4× |
| X-Ray Exam Breast Specimen (76098) |
$436.80 |
$728 |
0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$214.20 |
$357 |
2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$223.20 |
$372 |
2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$370.20 |
$617 |
3.7× |
| X-Ray Exam Hip Uni 1 View (73501) |
$258.60 |
$431 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$232.20 |
$387 |
2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$549.60 |
$916 |
5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$321.60 |
$536 |
3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$325.80 |
$543 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$342 |
$570 |
3.5× |
| X-Ray Exam L-S Spine Bending (72114) |
$453.60 |
$756 |
4.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$220.80 |
$368 |
2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$480 |
$800 |
4.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$335.40 |
$559 |
3.4× |
| X-ray eye for foreign body (70030) |
$304.80 |
$508 |
3.7× |
| X-ray humerus (73060) |
$168 |
$280 |
2.0× |
| X-ray IV pyelogram (ivp) (74400) |
$792 |
$1,320 |
4.8× |
| X-ray IV pyelogram+tomography (74415) |
$695.40 |
$1,159 |
4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$259.20 |
$432 |
2.6× |
| X-ray nose-rectum child f.b. (76010) |
$198.60 |
$331 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$317.40 |
$529 |
3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$309 |
$515 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$249 |
$415 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$360.60 |
$601 |
4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$375 |
$625 |
3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$391.20 |
$652 |
1.2× |
| X-Rays Bone Length Studies (77073) |
$272.40 |
$454 |
2.8× |
| X-Rays Bone Survey Complete (77075) |
$571.20 |
$952 |
5.8× |
| Xr c-spine 4 or 5 views (72050) |
$379.80 |
$633 |
3.8× |
| Xr facial bones less than 3 views (70140) |
$202.20 |
$337 |
2.5× |
| Xr orbits complete 4 views (70200) |
$289.80 |
$483 |
2.9× |