| Abdomen 2 views (74019) |
$270.40 |
$416 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$692.25 |
$1,065 |
1.9× |
| Ankle 2 views (73600) |
$183.30 |
$282 |
2.3× |
| Arthrogram hip (73525) |
$584.35 |
$899 |
1.8× |
| Arthrogram shoulder (73040) |
$703.30 |
$1,082 |
2.2× |
| Arthrography knee lt (73580) |
$617.50 |
$950 |
1.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$725.40 |
$1,116 |
2.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$910.65 |
$1,401 |
2.5× |
| Bone &/joint imaging whole body (78306) |
$3,188.74 |
$4,905.76 |
8.8× |
| Bone age studies (77072) |
$212.55 |
$327 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$1,310.72 |
$2,016.50 |
3.6× |
| Bone Marrow Imaging Limited Area (78102) |
$594.75 |
$915 |
1.6× |
| Bone survey complete (77075) |
$685.10 |
$1,054 |
7.2× |
| Brain image w/flow 4 + views (78606) |
$1,097.85 |
$1,689 |
2.2× |
| Brain Imaging Minimum 4 Static Views (78605) |
$767 |
$1,180 |
1.6× |
| Cervical spine 2 or 3 views (72040) |
$286 |
$440 |
3.6× |
| Chest 1 view (71045) |
$157.30 |
$242 |
2.0× |
| Chest 3 views (71047) |
$237.25 |
$365 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$398.45 |
$613 |
2.5× |
| Clavicle complete (73000) |
$224.90 |
$346 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$402.35 |
$619 |
4.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,602.30 |
$5,542 |
11.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,493.40 |
$3,836 |
11.5× |
| CT abdomen w contrast (74160) |
$1,804.40 |
$2,776 |
11.3× |
| CT abdomen w wo contrast (74170) |
$2,193.75 |
$3,375 |
13.7× |
| CT abdomen w/o contrast (74150) |
$1,389.05 |
$2,137 |
14.6× |
| CT angiography upper extremity lt (73206) |
$2,032.22 |
$3,126.50 |
12.7× |
| CT c-spine w/o contrast (72125) |
$1,498.90 |
$2,306 |
15.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,057.25 |
$3,165 |
12.9× |
| CT cervical spine with contrast (72126) |
$1,903.85 |
$2,929 |
6.0× |
| CT chest w/wo contrast (71270) |
$2,017.60 |
$3,104 |
12.6× |
| CT chest with contrast (71260) |
$1,755 |
$2,700 |
11.0× |
| CT head/brain with contrast (70460) |
$1,558.05 |
$2,397 |
9.8× |
| CT head/brain without and with contrast (70470) |
$1,771.90 |
$2,726 |
11.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$32.50 |
$50 |
0.4× |
| CT iac w contrast (70481) |
$1,525.55 |
$2,347 |
9.6× |
| CT limited/localized follow up study (76380) |
$518.70 |
$798 |
6.5× |
| CT lower ext w/o (73700) |
$1,192.75 |
$1,835 |
12.5× |
| CT lower extremity w wo contrast (73702) |
$1,617.85 |
$2,489 |
10.1× |
| CT lower extremity with contrast (73701) |
$1,474.20 |
$2,268 |
9.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,057.25 |
$3,165 |
12.9× |
| CT lumbar spine w/o contrast (72131) |
$1,530.75 |
$2,355 |
16.1× |
| CT lumbar spine with contrast (72132) |
$1,788.15 |
$2,751 |
5.6× |
| CT maxillofacial w contrast (70487) |
$1,567.80 |
$2,412 |
9.8× |
| CT maxillofacial w/o contrast (70486) |
$1,224.92 |
$1,884.50 |
12.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,840.15 |
$2,831 |
11.5× |
| CT neck soft tissue w contrast (70491) |
$1,652.30 |
$2,542 |
10.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,897.35 |
$2,919 |
11.9× |
| CT orbits w/o contrast (70480) |
$1,360.45 |
$2,093 |
14.3× |
| CT pelvis w & w/o contrast (72194) |
$2,163.20 |
$3,328 |
13.5× |
| CT pelvis w/o contrast (72192) |
$1,454.05 |
$2,237 |
15.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$310.70 |
$478 |
3.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,859.65 |
$2,861 |
11.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,366.30 |
$2,102 |
14.4× |
| CT thoracic spine w/contrast (72129) |
$1,821.95 |
$2,803 |
11.4× |
| CT thoracic spine w/o contrast (72128) |
$1,558.05 |
$2,397 |
16.4× |
| CT thoracic spine w/wo contrast (72130) |
$1,937 |
$2,980 |
12.1× |
| CT thorax w/o contrast (71250) |
$1,461.85 |
$2,249 |
15.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,674.40 |
$2,576 |
10.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,177.80 |
$1,812 |
12.4× |
| CT upper extremity with contrast (73201) |
$1,321.45 |
$2,033 |
4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,424.50 |
$3,730 |
15.2× |
| Cta Abdomen (74175) |
$1,937 |
$2,980 |
12.1× |
| CTA abdomen pelvis (74174) |
$3,009.50 |
$4,630 |
9.5× |
| CTA chest (71275) |
$2,170.35 |
$3,339 |
13.6× |
| Cta Head (70496) |
$1,856.40 |
$2,856 |
11.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,856.40 |
$2,856 |
5.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,750.78 |
$2,693.50 |
11.0× |
| Cta Neck (70498) |
$1,856.40 |
$2,856 |
11.6× |
| Cta Pelvis (72191) |
$2,087.80 |
$3,212 |
13.1× |
| Cystography minimum 3 views rs&i (74430) |
$542.10 |
$834 |
1.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$327.60 |
$504 |
3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$229.45 |
$353 |
2.9× |
| Esophagus (74220) |
$392.60 |
$604 |
2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$428.35 |
$659 |
4.5× |
| Fluoroscopy up to 1 hr (76000) |
$421.20 |
$648 |
1.9× |
| Foot 2 views (73620) |
$228.15 |
$351 |
2.9× |
| Forearm 2 views (73090) |
$216.45 |
$333 |
2.7× |
| Gated Heart Planar Single (78472) |
$509.92 |
$784.50 |
1.4× |
| Hand 2 views (73120) |
$187.20 |
$288 |
2.0× |
| Hand 3 views (73130) |
$242.45 |
$373 |
3.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,445.66 |
$2,224.10 |
2.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,421.31 |
$2,186.63 |
3.9× |
| Ht muscle image spect sing (78451) |
$1,383.20 |
$2,128 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$238.55 |
$367 |
3.0× |
| Hysterosalpingogram (74740) |
$547.30 |
$842 |
2.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,132.95 |
$1,743 |
2.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,154.40 |
$1,776 |
2.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,264.25 |
$1,945 |
2.6× |
| Knee 3 views (73562) |
$257.40 |
$396 |
3.2× |
| Liver & spleen imaging static only (78215) |
$841.10 |
$1,294 |
2.3× |
| Lung perf&ventilat diferentl (78598) |
$1,252.55 |
$1,927 |
2.5× |
| Lung perfusion differential (78597) |
$1,228.50 |
$1,890 |
3.4× |
| Lung Ventilation Imaging (78579) |
$722.15 |
$1,111 |
2.0× |
| Meckels Diverticulum (78290) |
$960.70 |
$1,478 |
2.6× |
| MRA head w & w/o contrast (70546) |
$2,456.35 |
$3,779 |
7.7× |
| MRA head w/o contrast (70544) |
$1,587.30 |
$2,442 |
7.3× |
| MRA head with contrast (70545) |
$2,090.40 |
$3,216 |
6.6× |
| MRA neck w contrast (70548) |
$1,926.60 |
$2,964 |
6.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,533.70 |
$3,898 |
8.0× |
| MRI abdomen w contrast (74182) |
$2,195.70 |
$3,378 |
6.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,670.85 |
$4,109 |
8.4× |
| MRI abdomen w/o contrast (74181) |
$1,602.90 |
$2,466 |
7.4× |
| MRI any jnt lwr ext with con lt (73722) |
$2,106 |
$3,240 |
3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,210.65 |
$3,401 |
3.1× |
| MRI c-spine with contrast (72142) |
$2,147.60 |
$3,304 |
6.8× |
| MRI cervical spine w/o contrast (72141) |
$1,847.30 |
$2,842 |
8.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,512.25 |
$3,865 |
7.9× |
| MRI chest w/o contrast (71550) |
$1,725.75 |
$2,655 |
7.9× |
| MRI chest with contrast (71551) |
$2,125.50 |
$3,270 |
3.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,087.15 |
$3,211 |
6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,955.85 |
$3,009 |
6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,738.10 |
$2,674 |
8.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,930.50 |
$2,970 |
8.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,509.65 |
$3,861 |
7.9× |
| MRI orbit/face/neck w/contrast (70542) |
$2,123.55 |
$3,267 |
6.7× |
| MRI pelvis w contrast (72196) |
$2,114.45 |
$3,253 |
6.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,400.45 |
$3,693 |
7.6× |
| MRI pelvis w/o contrast (72195) |
$1,732.25 |
$2,665 |
8.0× |
| MRI scan of arm joint before and after contrast (73223) |
$2,574.65 |
$3,961 |
8.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,443.35 |
$3,759 |
7.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,301.65 |
$3,541 |
7.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,145.65 |
$3,301 |
6.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,301.65 |
$3,541 |
7.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,139.80 |
$3,292 |
6.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,301.65 |
$3,541 |
7.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,841.45 |
$2,833 |
8.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,903.85 |
$2,929 |
8.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,198.95 |
$3,383 |
6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,731.60 |
$2,664 |
8.0× |
| Myelogram Cervical (72240) |
$1,164.80 |
$1,792 |
1.6× |
| Myelogram Lumbar (72265) |
$1,164.80 |
$1,792 |
1.6× |
| Myelogram thoracic (72255) |
$1,164.80 |
$1,792 |
1.6× |
| Myelography 2 or more regions (72270) |
$1,468.35 |
$2,259 |
2.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,535.65 |
$3,901 |
2.2× |
| Neck soft tissue (70360) |
$212.55 |
$327 |
2.7× |
| Nm cisternogram (78630) |
$1,264.25 |
$1,945 |
2.6× |
| Nm gastric emptying study (78264) |
$1,095.90 |
$1,686 |
3.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,383.20 |
$2,128 |
1.2× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,255.80 |
$1,932 |
3.5× |
| Osseous survey infant (77076) |
$364 |
$560 |
3.8× |
| Osseous survey limited (77074) |
$362.70 |
$558 |
3.8× |
| Parathyrd planar w/wo subtrj (78071) |
$1,301.95 |
$2,003 |
3.6× |
| Parathyroid imaging (78070) |
$692.90 |
$1,066 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$198.25 |
$305 |
2.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,408.90 |
$3,706 |
7.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$911.30 |
$1,402 |
2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,298.05 |
$1,997 |
2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$401.70 |
$618 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$258.05 |
$397 |
3.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$362.70 |
$558 |
3.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$302.90 |
$466 |
3.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$650.65 |
$1,001 |
6.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$334.75 |
$515 |
3.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$191.10 |
$294 |
2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$341.90 |
$526 |
3.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$197.60 |
$304 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$603.85 |
$929 |
3.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$597.35 |
$919 |
3.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$593.45 |
$913 |
3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$237.90 |
$366 |
3.0× |
| Radiological examination surgical specimen (76098) |
$420.55 |
$647 |
0.8× |
| Ribs bilateral 3 views (71110) |
$364 |
$560 |
3.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,251.25 |
$1,925 |
2.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,654.90 |
$2,546 |
3.3× |
| Sacroiliac Joints < 3 Views (72200) |
$238.55 |
$367 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$399.75 |
$615 |
1.8× |
| Scanogram (77073) |
$258.70 |
$398 |
2.7× |
| Scapula complete (73010) |
$263.25 |
$405 |
2.8× |
| Screening digital breast tomosynthesis (77063) |
$62.40 |
$96 |
2.7× |
| Small bowel series (74250) |
$618.80 |
$952 |
3.9× |
| Spine thoracic 3 views (72072) |
$307.45 |
$473 |
3.2× |
| Testicular Imaging With Vascular Flow (78761) |
$663.65 |
$1,021 |
1.8× |
| Thoracolumbar 2 views (72080) |
$246.35 |
$379 |
3.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$536.25 |
$825 |
1.5× |
| Tmj unilateral (70328) |
$180.05 |
$277 |
2.3× |
| Tomogram (76100) |
$491.40 |
$756 |
5.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,955.20 |
$3,008 |
4.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$787.80 |
$1,212 |
2.2× |
| Ultrasound, abdomen limited (76705) |
$457.60 |
$704 |
4.8× |
| Upper Extremity Infant (73092) |
$160.55 |
$247 |
1.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$692.90 |
$1,066 |
1.9× |
| Urethrocystography retrograde rs&i (74450) |
$564.20 |
$868 |
2.6× |
| Urethrocystography voiding (74455) |
$615.55 |
$947 |
2.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$885.95 |
$1,363 |
5.5× |
| Us abdl aorta screen aaa (76706) |
$330.20 |
$508 |
3.5× |
| Us breast unilateral limited (76642) |
$265.85 |
$409 |
3.4× |
| Us chest (76604) |
$419.90 |
$646 |
4.4× |
| Us compl joint r-t w/image documentation (76881) |
$466.70 |
$718 |
4.9× |
| Us ob transvaginal (76817) |
$410.80 |
$632 |
4.3× |
| Us pelvic non ob complete (76856) |
$600.60 |
$924 |
6.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$421.20 |
$648 |
4.4× |
| Us pregnancy ltd (76815) |
$332.80 |
$512 |
3.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$486.85 |
$749 |
5.1× |
| Us retroperitoneal complete (76770) |
$627.90 |
$966 |
6.6× |
| Us retroperitoneal limited (76775) |
$288.92 |
$444.50 |
3.0× |
| Us scrotum and contents (76870) |
$538.20 |
$828 |
5.7× |
| Us soft tissue head/neck (76536) |
$522.60 |
$804 |
5.5× |
| Us transrectal (76872) |
$462.15 |
$711 |
4.9× |
| Us xtr non-vasc lmtd (76882) |
$334.75 |
$515 |
3.5× |
| Vascular flow imaging (78445) |
$628.55 |
$967 |
1.7× |
| Venogram extremity bilateral (75822) |
$1,544.40 |
$2,376 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$1,029.60 |
$1,584 |
0.7× |
| Wrist 2 views (73100) |
$193.05 |
$297 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$343.85 |
$529 |
3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$227.50 |
$350 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$267.15 |
$411 |
3.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$743.60 |
$1,144 |
4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$199.55 |
$307 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$271.70 |
$418 |
3.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$537.55 |
$827 |
5.6× |
| X-ray exam hip uni 1 view (73501) |
$167.05 |
$257 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$222.30 |
$342 |
2.8× |
| X-ray exam hip uni 4/> views (73503) |
$279.50 |
$430 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$386.75 |
$595 |
4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$498.55 |
$767 |
5.2× |
| X-ray exam of femur 1 (73551) |
$202.15 |
$311 |
2.6× |
| X-ray eye for foreign body (70030) |
$134.55 |
$207 |
1.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$289.25 |
$445 |
3.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$196.30 |
$302 |
2.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$257.40 |
$396 |
3.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$174.20 |
$268 |
2.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$549.90 |
$846 |
3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$235.30 |
$362 |
3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$331.50 |
$510 |
3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$204.75 |
$315 |
2.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$186.88 |
$287.50 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$267.15 |
$411 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$498.55 |
$767 |
5.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$342.55 |
$527 |
3.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$241.15 |
$371 |
3.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$226.20 |
$348 |
2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$265.85 |
$409 |
2.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$295.75 |
$455 |
3.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$658.45 |
$1,013 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$219.70 |
$338 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$257.40 |
$396 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$386.10 |
$594 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$254.80 |
$392 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$244.40 |
$376 |
3.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$245.05 |
$377 |
3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$337.35 |
$519 |
4.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$173.55 |
$267 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$371.80 |
$572 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$219.70 |
$338 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$166.40 |
$256 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$236.60 |
$364 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$239.20 |
$368 |
3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$243.75 |
$375 |
2.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$336.70 |
$518 |
3.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$184.60 |
$284 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$235.95 |
$363 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$453.05 |
$697 |
4.8× |
| Xr chest 4+ views (71048) |
$296.40 |
$456 |
3.1× |
| Xr Cholecystography Oral Contrast (74290) |
$254.15 |
$391 |
1.6× |
| Xr finger(s) 2+ views (73140) |
$191.10 |
$294 |
2.4× |
| Xr shoulder 1 view (73020) |
$176.15 |
$271 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$382.85 |
$589 |
4.0× |
| Xr tibia/fibula 2 views (73590) |
$226.20 |
$348 |
2.9× |
| Xr tmj bilateral (70330) |
$299 |
$460 |
3.8× |
| Xray knee 1 or 2 views rt (73560) |
$195.65 |
$301 |
2.5× |