| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,913 |
$6,020 |
2.9× |
| Abdomen 2 views (74019) |
$284.70 |
$438 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,028.95 |
$1,583 |
2.7× |
| Angiography extremity bilateral rs&i (75716) |
$3,236.35 |
$4,979 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$2,171.65 |
$3,341 |
0.7× |
| Angiography internal mammary rs&i (75756) |
$1,815.45 |
$2,793 |
0.6× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,378.35 |
$3,659 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,787.85 |
$4,289 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,171.65 |
$3,341 |
0.7× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,378.35 |
$3,659 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$788.45 |
$1,213 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,699.75 |
$2,615 |
0.6× |
| Ankle 2 views (73600) |
$237.90 |
$366 |
2.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$333.45 |
$513 |
1.0× |
| Aortogram thoracic (75605) |
$3,121.95 |
$4,803 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,086.85 |
$4,749 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$2,958.15 |
$4,551 |
1.0× |
| Arthrogram hip (73525) |
$659.10 |
$1,014 |
2.0× |
| Arthrogram shoulder (73040) |
$630.50 |
$970 |
1.9× |
| Arthrography knee lt (73580) |
$518.05 |
$797 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$401.70 |
$618 |
3.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$941.85 |
$1,449 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,642.55 |
$2,527 |
4.3× |
| Bone age studies (77072) |
$154.05 |
$237 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$1,642.55 |
$2,527 |
4.3× |
| Bone survey complete (77075) |
$891.80 |
$1,372 |
8.9× |
| Brain imaging < 4 static views w vascular flow (78601) |
$946.40 |
$1,456 |
2.5× |
| Brain Imaging Vascular Flow Only (78610) |
$785.20 |
$1,208 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$287.30 |
$442 |
3.4× |
| Chest 1 view (71045) |
$171.60 |
$264 |
2.1× |
| Chest 3 views (71047) |
$306.15 |
$471 |
3.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$297.70 |
$458 |
1.8× |
| Clavicle complete (73000) |
$245.05 |
$377 |
2.9× |
| Continuing medical physics consltj pr wk (77336) |
$507.65 |
$781 |
3.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,328 |
$5,120 |
9.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,300.35 |
$3,539 |
10.0× |
| CT abdomen w contrast (74160) |
$2,128.75 |
$3,275 |
12.6× |
| CT abdomen w wo contrast (74170) |
$2,197.65 |
$3,381 |
13.0× |
| CT abdomen w/o contrast (74150) |
$1,763.45 |
$2,713 |
17.5× |
| CT angiography upper extremity lt (73206) |
$1,374.75 |
$2,115 |
8.1× |
| CT c-spine w/o contrast (72125) |
$1,873.95 |
$2,883 |
18.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,687.75 |
$4,135 |
15.9× |
| CT cervical spine with contrast (72126) |
$1,978.60 |
$3,044 |
5.9× |
| CT chest w/wo contrast (71270) |
$2,193.10 |
$3,374 |
13.0× |
| CT chest with contrast (71260) |
$2,063.10 |
$3,174 |
12.2× |
| CT head/brain with contrast (70460) |
$1,822.60 |
$2,804 |
10.8× |
| CT head/brain without and with contrast (70470) |
$2,133.30 |
$3,282 |
12.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$219.70 |
$338 |
2.6× |
| CT iac w contrast (70481) |
$1,432.60 |
$2,204 |
8.5× |
| CT limited/localized follow up study (76380) |
$741.65 |
$1,141 |
8.9× |
| CT lower ext w/o (73700) |
$1,678.30 |
$2,582 |
16.7× |
| CT lower extremity w wo contrast (73702) |
$1,989.65 |
$3,061 |
11.8× |
| CT lower extremity with contrast (73701) |
$1,801.80 |
$2,772 |
10.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,533.05 |
$3,897 |
15.0× |
| CT lumbar spine w/o contrast (72131) |
$1,963 |
$3,020 |
19.5× |
| CT lumbar spine with contrast (72132) |
$2,406.95 |
$3,703 |
7.2× |
| CT maxillofacial w contrast (70487) |
$1,844.70 |
$2,838 |
10.9× |
| CT maxillofacial w/o contrast (70486) |
$1,272.38 |
$1,957.50 |
12.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,299.05 |
$3,537 |
13.6× |
| CT neck soft tissue w contrast (70491) |
$1,577.55 |
$2,427 |
9.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,606.80 |
$2,472 |
9.5× |
| CT orbits w/o contrast (70480) |
$916.50 |
$1,410 |
9.1× |
| CT pelvis w & w/o contrast (72194) |
$2,237.30 |
$3,442 |
13.3× |
| CT pelvis w/o contrast (72192) |
$1,637.35 |
$2,519 |
16.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$384.80 |
$592 |
4.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,160.60 |
$3,324 |
12.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,243.45 |
$1,913 |
12.4× |
| CT thoracic spine w/contrast (72129) |
$2,103.40 |
$3,236 |
12.5× |
| CT thoracic spine w/o contrast (72128) |
$1,815.45 |
$2,793 |
18.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,202.20 |
$3,388 |
13.1× |
| CT thorax w/o contrast (71250) |
$1,619.80 |
$2,492 |
16.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,756.30 |
$2,702 |
10.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,623.70 |
$2,498 |
16.1× |
| CT upper extremity with contrast (73201) |
$1,651.65 |
$2,541 |
4.9× |
| Cta Abdomen (74175) |
$2,376.40 |
$3,656 |
14.1× |
| CTA abdomen pelvis (74174) |
$3,777.80 |
$5,812 |
11.3× |
| CTA chest (71275) |
$2,191.80 |
$3,372 |
13.0× |
| Cta Head (70496) |
$2,146.95 |
$3,303 |
12.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,252.90 |
$3,466 |
6.7× |
| CTA lwr ext w&w/o contrast (73706) |
$2,060.50 |
$3,170 |
12.2× |
| Cta Neck (70498) |
$2,252.90 |
$3,466 |
13.4× |
| Cta Pelvis (72191) |
$2,017.60 |
$3,104 |
12.0× |
| Cystography minimum 3 views rs&i (74430) |
$514.80 |
$792 |
1.5× |
| Diskography lumbar (72295) |
$2,235.35 |
$3,439 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$220.02 |
$338.50 |
2.2× |
| Echoencephalography real time imaging (76506) |
$230.10 |
$354 |
2.3× |
| Esophagus (74220) |
$569.40 |
$876 |
3.4× |
| Fetal biophysical profile non-stress testing (76818) |
$235.30 |
$362 |
2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$219.05 |
$337 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$453.05 |
$697 |
2.0× |
| Foot 2 views (73620) |
$236.60 |
$364 |
2.8× |
| Forearm 2 views (73090) |
$280.80 |
$432 |
3.4× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$212.55 |
$327 |
0.9× |
| Gated Heart Planar Single (78472) |
$1,514.50 |
$2,330 |
3.9× |
| Hand 2 views (73120) |
$195 |
$300 |
1.9× |
| Hand 3 views (73130) |
$297.70 |
$458 |
3.6× |
| Ht muscle image spect sing (78451) |
$1,896.05 |
$2,917 |
1.5× |
| Humerus Min 2 Views Left (73060) |
$269.10 |
$414 |
3.2× |
| Hysterosalpingogram (74740) |
$644.15 |
$991 |
2.8× |
| Interstitial radiation source applic complex (77778) |
$1,386.45 |
$2,133 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,517.10 |
$2,334 |
2.9× |
| Knee 3 views (73562) |
$306.15 |
$471 |
3.7× |
| Liver & spleen imaging static only (78215) |
$770.25 |
$1,185 |
2.0× |
| Lymphoscintigraphy (78195) |
$1,505.40 |
$2,316 |
2.9× |
| Meckels Diverticulum (78290) |
$990.60 |
$1,524 |
2.6× |
| MRA head w & w/o contrast (70546) |
$2,667.60 |
$4,104 |
8.0× |
| MRA head w/o contrast (70544) |
$2,146.30 |
$3,302 |
9.4× |
| MRA head with contrast (70545) |
$2,316.60 |
$3,564 |
6.9× |
| MRA neck w contrast (70548) |
$2,248.35 |
$3,459 |
6.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,842.45 |
$4,373 |
8.5× |
| MRA neck w/o contrast (70547) |
$1,901.25 |
$2,925 |
8.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,156.40 |
$4,856 |
9.4× |
| MRI abdomen w/o contrast (74181) |
$2,225.60 |
$3,424 |
9.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,271.75 |
$3,495 |
3.0× |
| MRI c-spine with contrast (72142) |
$2,334.80 |
$3,592 |
7.0× |
| MRI cervical spine w/o contrast (72141) |
$2,118.35 |
$3,259 |
9.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,253.55 |
$3,467 |
6.7× |
| MRI chest w/o contrast (71550) |
$1,935.05 |
$2,977 |
8.4× |
| MRI chest with contrast (71551) |
$2,100.80 |
$3,232 |
2.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,113.15 |
$3,251 |
6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,281.50 |
$3,510 |
9.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,996.15 |
$3,071 |
8.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,525.90 |
$3,886 |
7.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,083.25 |
$3,205 |
6.2× |
| MRI pelvis w contrast (72196) |
$2,568.80 |
$3,952 |
7.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,152.50 |
$4,850 |
9.4× |
| MRI pelvis w/o contrast (72195) |
$2,312.70 |
$3,558 |
10.1× |
| MRI scan of arm joint before and after contrast (73223) |
$2,705.30 |
$4,162 |
8.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,780.05 |
$4,277 |
8.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,357.90 |
$5,166 |
10.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,620.15 |
$4,031 |
7.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,537.95 |
$5,443 |
10.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,257.15 |
$5,011 |
9.7× |
| MRI thoracic spine w/o contrast (72146) |
$2,566.20 |
$3,948 |
11.2× |
| MRI tmj (70336) |
$1,978.60 |
$3,044 |
8.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,356.25 |
$3,625 |
10.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,748.20 |
$4,228 |
8.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,174.90 |
$3,346 |
9.5× |
| Myelogram Cervical (72240) |
$1,174.55 |
$1,807 |
1.6× |
| Myelogram Lumbar (72265) |
$1,174.55 |
$1,807 |
1.6× |
| Myelogram thoracic (72255) |
$1,174.55 |
$1,807 |
1.6× |
| Myelography 2 or more regions (72270) |
$1,310.40 |
$2,016 |
1.7× |
| Myocardial Spect Multiple Studies (78452) |
$1,989.65 |
$3,061 |
1.6× |
| Neck soft tissue (70360) |
$233.35 |
$359 |
2.8× |
| Nm cisternogram (78630) |
$1,409.85 |
$2,169 |
2.7× |
| Nm gastric emptying study (78264) |
$1,457.30 |
$2,242 |
3.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,755.75 |
$8,855 |
4.3× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$4,247.10 |
$6,534 |
3.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,688.70 |
$2,598 |
1.4× |
| Nuclear Rx Oral Admin (79005) |
$856.70 |
$1,318 |
3.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$328.25 |
$505 |
3.3× |
| Orthopantogram (70355) |
$237.90 |
$366 |
2.8× |
| Osseous survey infant (77076) |
$318.50 |
$490 |
3.2× |
| Parathyroid imaging (78070) |
$1,142.70 |
$1,758 |
3.0× |
| Pelvis 1 or 2 views (72170) |
$237.25 |
$365 |
2.4× |
| PET image w/CT, skull-thigh (78815) |
$5,523.05 |
$8,497 |
4.0× |
| PET imaging CT for attenuation limited area (78814) |
$5,370.30 |
$8,262 |
3.9× |
| PET imaging for CT attenuation whole body (78816) |
$5,770.70 |
$8,878 |
4.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,854.15 |
$4,391 |
8.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$941.20 |
$1,448 |
2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$377.65 |
$581 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$319.15 |
$491 |
3.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$350.35 |
$539 |
3.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$350.35 |
$539 |
3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$692.90 |
$1,066 |
6.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$369.20 |
$568 |
3.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$214.50 |
$330 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$384.15 |
$591 |
3.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$233.35 |
$359 |
2.8× |
| Radiologic exam colon single contrast study (74270) |
$666.90 |
$1,026 |
4.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$268.45 |
$413 |
3.2× |
| Radiological examination surgical specimen (76098) |
$288.60 |
$444 |
0.5× |
| Ribs bilateral 3 views (71110) |
$412.10 |
$634 |
4.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,708.85 |
$2,629 |
3.3× |
| Scapula complete (73010) |
$263.25 |
$405 |
2.6× |
| Sella turcica (70240) |
$126.10 |
$194 |
1.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$315.90 |
$486 |
3.1× |
| Sialogram (70390) |
$452.40 |
$696 |
2.0× |
| Simulation intermediate (77285) |
$810.55 |
$1,247 |
2.3× |
| Small bowel series (74250) |
$747.50 |
$1,150 |
4.4× |
| Spec medical radj physics consltj (77370) |
$777.40 |
$1,196 |
6.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$890.50 |
$1,370 |
2.5× |
| Special dosimetry (77331) |
$397.80 |
$612 |
3.1× |
| Special treatment procedure (77470) |
$1,862.25 |
$2,865 |
3.5× |
| Speech evaluation complex (70371) |
$304.20 |
$468 |
1.3× |
| Spine thoracic 3 views (72072) |
$345.80 |
$532 |
3.4× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$500.50 |
$770 |
2.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,112.80 |
$1,712 |
3.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$678.60 |
$1,044 |
5.2× |
| Thoracolumbar 2 views (72080) |
$269.10 |
$414 |
3.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,173.25 |
$1,805 |
2.2× |
| Tomogram (76100) |
$569.40 |
$876 |
5.7× |
| Treatment device intermediate (77333) |
$761.15 |
$1,171 |
5.9× |
| Treatment devices simple (77332) |
$620.10 |
$954 |
4.8× |
| Tx devices design & construction complex (77334) |
$1,179.75 |
$1,815 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$512.20 |
$788 |
5.1× |
| Upper Extremity Infant (73092) |
$171.60 |
$264 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$577.20 |
$888 |
2.5× |
| Urethrocystography voiding (74455) |
$448.50 |
$690 |
2.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$733.20 |
$1,128 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$394.55 |
$607 |
3.9× |
| Us breast unilateral complete (76641) |
$378.95 |
$583 |
3.8× |
| Us breast unilateral limited (76642) |
$331.50 |
$510 |
4.0× |
| Us chest (76604) |
$256.75 |
$395 |
2.6× |
| Us compl joint r-t w/image documentation (76881) |
$542.10 |
$834 |
5.4× |
| Us ob detailed single fetus (76811) |
$681.85 |
$1,049 |
3.0× |
| Us ob transvaginal (76817) |
$419.90 |
$646 |
4.2× |
| Us pelvic non ob complete (76856) |
$636.35 |
$979 |
6.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$298.35 |
$459 |
3.0× |
| Us pregnancy ltd (76815) |
$358.15 |
$551 |
3.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$541.45 |
$833 |
5.4× |
| Us retroperitoneal complete (76770) |
$661.05 |
$1,017 |
6.6× |
| Us retroperitoneal limited (76775) |
$248.30 |
$382 |
2.5× |
| Us scrotum and contents (76870) |
$331.50 |
$510 |
3.3× |
| Us soft tissue head/neck (76536) |
$375.70 |
$578 |
3.7× |
| Us spinal canal and contents (76800) |
$298.35 |
$459 |
3.0× |
| Us transrectal prostate volume (76873) |
$663.65 |
$1,021 |
6.6× |
| Us xtr non-vasc lmtd (76882) |
$495.95 |
$763 |
4.9× |
| Venogram extremity bilateral (75822) |
$1,257.75 |
$1,935 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,171.65 |
$3,341 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$1,188.20 |
$1,828 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,060.15 |
$1,631 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,928.55 |
$2,967 |
0.6× |
| Wrist 2 views (73100) |
$215.80 |
$332 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$366.60 |
$564 |
3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$131.30 |
$202 |
1.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$228.15 |
$351 |
2.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$915.85 |
$1,409 |
5.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$227.50 |
$350 |
2.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$299 |
$460 |
3.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$610.35 |
$939 |
6.1× |
| X-ray exam hip uni 1 view (73501) |
$179.40 |
$276 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$294.45 |
$453 |
3.5× |
| X-ray exam hip uni 4/> views (73503) |
$359.45 |
$553 |
3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$445.25 |
$685 |
4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$449.15 |
$691 |
4.5× |
| X-ray exam of femur 1 (73551) |
$241.80 |
$372 |
2.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$266.50 |
$410 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$251.55 |
$387 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$208.65 |
$321 |
2.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$248.95 |
$383 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$239.20 |
$368 |
2.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$360.75 |
$555 |
3.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$192.40 |
$296 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$336.05 |
$517 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$559.65 |
$861 |
5.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$208.65 |
$321 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$224.25 |
$345 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$338 |
$520 |
3.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$267.15 |
$411 |
2.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$564.85 |
$869 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$267.80 |
$412 |
3.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$284.70 |
$438 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$395.20 |
$608 |
3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$306.15 |
$471 |
3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$258.05 |
$397 |
3.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$304.85 |
$469 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$330.20 |
$508 |
3.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$225.55 |
$347 |
2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$286 |
$440 |
2.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$189.80 |
$292 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$213.85 |
$329 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$215.80 |
$332 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$267.80 |
$412 |
3.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$282.75 |
$435 |
2.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$419.25 |
$645 |
4.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$219.70 |
$338 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$273.65 |
$421 |
3.3× |
| Xr c-spine 6 or more views (72052) |
$445.25 |
$685 |
4.4× |
| Xr chest 4+ views (71048) |
$359.45 |
$553 |
3.6× |
| Xr Cholecystography Oral Contrast (74290) |
$316.55 |
$487 |
1.9× |
| Xr finger(s) 2+ views (73140) |
$242.45 |
$373 |
2.9× |
| Xr shoulder 1 view (73020) |
$208 |
$320 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$319.15 |
$491 |
3.2× |
| Xr tibia/fibula 2 views (73590) |
$216.45 |
$333 |
2.6× |
| Xr tmj bilateral (70330) |
$241.15 |
$371 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$253.50 |
$390 |
3.0× |