| Abdomen 2 views (74019) |
$376.35 |
$579 |
3.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,026.35 |
$1,579 |
2.6× |
| Ankle 2 views (73600) |
$273.65 |
$421 |
3.1× |
| Arthrogram hip (73525) |
$1,380.60 |
$2,124 |
4.0× |
| Arthrogram shoulder (73040) |
$1,613.95 |
$2,483 |
4.6× |
| Arthrogram wrist (73115) |
$1,525.55 |
$2,347 |
4.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$988 |
$1,520 |
2.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,181.05 |
$1,817 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$1,713.08 |
$2,635.50 |
4.3× |
| Bone age studies (77072) |
$209.95 |
$323 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$1,790.10 |
$2,754 |
4.5× |
| Bone Marrow Imaging Limited Area (78102) |
$399.10 |
$614 |
1.0× |
| Bone survey complete (77075) |
$720.20 |
$1,108 |
6.9× |
| Brain image w/flow 4 + views (78606) |
$2,170.35 |
$3,339 |
4.0× |
| Cervical spine 2 or 3 views (72040) |
$356.20 |
$548 |
4.1× |
| Chest 1 view (71045) |
$244.40 |
$376 |
2.8× |
| Chest 3 views (71047) |
$352.30 |
$542 |
4.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$659.10 |
$1,014 |
3.8× |
| Clavicle complete (73000) |
$358.15 |
$551 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$995.15 |
$1,531 |
9.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,630.90 |
$5,586 |
10.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,429.70 |
$3,738 |
10.2× |
| CT abdomen w contrast (74160) |
$2,225.60 |
$3,424 |
12.7× |
| CT abdomen w wo contrast (74170) |
$2,386.80 |
$3,672 |
13.6× |
| CT abdomen w/o contrast (74150) |
$1,856.40 |
$2,856 |
17.7× |
| CT angiography upper extremity lt (73206) |
$1,714.70 |
$2,638 |
9.8× |
| CT c-spine w/o contrast (72125) |
$921.05 |
$1,417 |
8.8× |
| CT cervical spine w&w/o contrast (72127) |
$2,048.15 |
$3,151 |
11.7× |
| CT cervical spine with contrast (72126) |
$1,724.45 |
$2,653 |
4.9× |
| CT chest w/wo contrast (71270) |
$1,975.35 |
$3,039 |
11.2× |
| CT chest with contrast (71260) |
$1,806.35 |
$2,779 |
10.3× |
| CT head/brain with contrast (70460) |
$1,184.95 |
$1,823 |
6.7× |
| CT head/brain without and with contrast (70470) |
$1,619.15 |
$2,491 |
9.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$35.75 |
$55 |
0.4× |
| CT iac w contrast (70481) |
$1,617.85 |
$2,489 |
9.2× |
| CT limited/localized follow up study (76380) |
$618.80 |
$952 |
7.1× |
| CT lower ext w/o (73700) |
$1,086.15 |
$1,671 |
10.4× |
| CT lower extremity w wo contrast (73702) |
$1,287.65 |
$1,981 |
7.3× |
| CT lower extremity with contrast (73701) |
$1,171.95 |
$1,803 |
6.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,964.30 |
$3,022 |
11.2× |
| CT lumbar spine w/o contrast (72131) |
$1,458.60 |
$2,244 |
13.9× |
| CT lumbar spine with contrast (72132) |
$1,591.85 |
$2,449 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,860.95 |
$2,863 |
10.6× |
| CT maxillofacial w/o contrast (70486) |
$1,263.28 |
$1,943.50 |
12.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,048.15 |
$3,151 |
11.7× |
| CT neck soft tissue w contrast (70491) |
$1,459.90 |
$2,246 |
8.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,768 |
$2,720 |
10.1× |
| CT orbits w/o contrast (70480) |
$1,495.65 |
$2,301 |
14.3× |
| CT pelvis w & w/o contrast (72194) |
$2,068.30 |
$3,182 |
11.8× |
| CT pelvis w/o contrast (72192) |
$1,328.60 |
$2,044 |
12.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,871.35 |
$2,879 |
10.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,248 |
$1,920 |
11.9× |
| CT thoracic spine w/contrast (72129) |
$1,738.10 |
$2,674 |
9.9× |
| CT thoracic spine w/o contrast (72128) |
$991.25 |
$1,525 |
9.5× |
| CT thoracic spine w/wo contrast (72130) |
$2,455.70 |
$3,778 |
14.0× |
| CT thorax w/o contrast (71250) |
$900.90 |
$1,386 |
8.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,415.70 |
$2,178 |
8.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,077.05 |
$1,657 |
10.3× |
| CT upper extremity with contrast (73201) |
$1,175.85 |
$1,809 |
3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,216.50 |
$3,410 |
12.6× |
| Cta Abdomen (74175) |
$2,524.60 |
$3,884 |
14.4× |
| CTA abdomen pelvis (74174) |
$2,754.05 |
$4,237 |
7.9× |
| CTA chest (71275) |
$1,195.35 |
$1,839 |
6.8× |
| Cta Head (70496) |
$1,180.40 |
$1,816 |
6.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,967.90 |
$4,566 |
8.5× |
| CTA lwr ext w&w/o contrast (73706) |
$2,336.10 |
$3,594 |
13.3× |
| Cta Neck (70498) |
$1,157 |
$1,780 |
6.6× |
| Cta Pelvis (72191) |
$2,340.65 |
$3,601 |
13.3× |
| Cystography minimum 3 views rs&i (74430) |
$685.75 |
$1,055 |
2.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$466.70 |
$718 |
4.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$742.30 |
$1,142 |
7.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$380.25 |
$585 |
3.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$233.35 |
$359 |
2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$162.50 |
$250 |
1.9× |
| Dxa bone density study axial skeleton (77085) |
$649.35 |
$999 |
6.2× |
| Echo exam of fetal heart (76825) |
$1,426.10 |
$2,194 |
2.6× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$926.90 |
$1,426 |
3.9× |
| Echoencephalography real time imaging (76506) |
$586.95 |
$903 |
5.6× |
| Esophagus (74220) |
$592.15 |
$911 |
3.4× |
| Fetal biophysical profile non-stress testing (76818) |
$777.40 |
$1,196 |
7.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$571.35 |
$879 |
5.5× |
| Fluoroscopy up to 1 hr (76000) |
$290.55 |
$447 |
1.2× |
| Foot 2 views (73620) |
$287.95 |
$443 |
3.3× |
| Forearm 2 views (73090) |
$306.80 |
$472 |
3.5× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$4,037.80 |
$6,212 |
7.4× |
| Gated Heart Planar Single (78472) |
$962.65 |
$1,481 |
2.4× |
| Hand 2 views (73120) |
$273.65 |
$421 |
2.6× |
| Hand 3 views (73130) |
$334.75 |
$515 |
3.8× |
| Heart Infarct Image (78466) |
$1,901.90 |
$2,926 |
4.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,884.24 |
$2,898.83 |
3.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,726.40 |
$2,656 |
4.3× |
| Ht muscle image spect sing (78451) |
$3,413.48 |
$5,251.50 |
2.6× |
| Humerus Min 2 Views Left (73060) |
$302.25 |
$465 |
3.5× |
| Hysterosalpingogram (74740) |
$609.70 |
$938 |
2.6× |
| Kidney imaging morphology (78700) |
$553.80 |
$852 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,784.90 |
$2,746 |
3.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,485.22 |
$2,284.95 |
2.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,683.50 |
$2,590 |
3.1× |
| Knee 3 views (73562) |
$334.10 |
$514 |
3.8× |
| Liver & spleen imaging static only (78215) |
$2,016.30 |
$3,102 |
5.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,045.55 |
$3,147 |
5.1× |
| Lung perf&ventilat diferentl (78598) |
$1,550.25 |
$2,385 |
2.9× |
| Lung perfusion differential (78597) |
$1,198.60 |
$1,844 |
3.0× |
| Lymphoscintigraphy (78195) |
$819.65 |
$1,261 |
1.5× |
| Meckels Diverticulum (78290) |
$1,073.15 |
$1,651 |
2.7× |
| MRA head w & w/o contrast (70546) |
$3,070.60 |
$4,724 |
8.8× |
| MRA head w/o contrast (70544) |
$1,514.50 |
$2,330 |
6.3× |
| MRA head with contrast (70545) |
$2,765.75 |
$4,255 |
7.9× |
| MRA neck w contrast (70548) |
$2,518.10 |
$3,874 |
7.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,558.40 |
$3,936 |
7.3× |
| MRA neck w/o contrast (70547) |
$2,325.05 |
$3,577 |
9.7× |
| MRI abdomen w contrast (74182) |
$2,193.10 |
$3,374 |
6.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,550.60 |
$3,924 |
7.3× |
| MRI abdomen w/o contrast (74181) |
$1,913.60 |
$2,944 |
8.0× |
| MRI any jnt lwr ext with con lt (73722) |
$2,737.80 |
$4,212 |
3.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,034.20 |
$4,668 |
3.9× |
| MRI c-spine with contrast (72142) |
$2,672.80 |
$4,112 |
7.6× |
| MRI cervical spine w/o contrast (72141) |
$2,535.65 |
$3,901 |
10.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,355.30 |
$5,162 |
9.6× |
| MRI chest w/o contrast (71550) |
$1,381.90 |
$2,126 |
5.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,213.25 |
$3,405 |
6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,731.95 |
$4,203 |
7.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,499.25 |
$3,845 |
10.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,682.20 |
$2,588 |
7.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,806.72 |
$5,856.50 |
10.9× |
| MRI pelvis w contrast (72196) |
$2,496.65 |
$3,841 |
7.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,635.75 |
$4,055 |
7.5× |
| MRI pelvis w/o contrast (72195) |
$2,259.40 |
$3,476 |
9.5× |
| MRI scan of arm joint before and after contrast (73223) |
$3,185.65 |
$4,901 |
9.1× |
| MRI scan of leg joint before and after contrast (73723) |
$3,218.80 |
$4,952 |
9.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,800.20 |
$4,308 |
8.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,461.55 |
$3,787 |
7.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,632.50 |
$4,050 |
7.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,632.50 |
$4,050 |
7.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,672.80 |
$4,112 |
7.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,527.85 |
$3,889 |
10.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,613 |
$4,020 |
10.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,807.35 |
$4,319 |
8.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,653.60 |
$2,544 |
6.9× |
| Myelogram Lumbar (72265) |
$1,145.30 |
$1,762 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,420.98 |
$6,801.50 |
3.4× |
| Neck soft tissue (70360) |
$209.30 |
$322 |
2.4× |
| Nm bone marrow multiple (78103) |
$1,380.60 |
$2,124 |
3.4× |
| Nm bone marrow wb (78104) |
$1,249.95 |
$1,923 |
3.1× |
| Nm gastric emptying study (78264) |
$1,081.28 |
$1,663.50 |
2.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,774.50 |
$2,730 |
4.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$365.30 |
$562 |
3.5× |
| Orthopantogram (70355) |
$235.30 |
$362 |
2.7× |
| Osseous survey infant (77076) |
$362.05 |
$557 |
3.5× |
| Parathyrd planar w/wo subtrj (78071) |
$1,443 |
$2,220 |
3.6× |
| Parathyroid imaging (78070) |
$911.95 |
$1,403 |
2.3× |
| Pelvis 1 or 2 views (72170) |
$313.95 |
$483 |
3.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,023.15 |
$4,651 |
8.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$689.65 |
$1,061 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,406.92 |
$2,164.50 |
2.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$388.70 |
$598 |
4.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$434.20 |
$668 |
4.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$412.75 |
$635 |
3.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$250.25 |
$385 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$731.90 |
$1,126 |
7.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$611 |
$940 |
5.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$278.20 |
$428 |
3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$519.35 |
$799 |
5.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$304.85 |
$469 |
3.5× |
| Radiologic exam colon single contrast study (74270) |
$794.30 |
$1,222 |
4.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$740.35 |
$1,139 |
4.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$527.80 |
$812 |
3.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$356.85 |
$549 |
4.1× |
| Radiological examination surgical specimen (76098) |
$211.90 |
$326 |
0.4× |
| Ribs bilateral 3 views (71110) |
$291.20 |
$448 |
2.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,346.50 |
$3,610 |
4.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,224.62 |
$3,422.50 |
4.1× |
| Sacroiliac Joints < 3 Views (72200) |
$284.70 |
$438 |
2.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$481 |
$740 |
2.0× |
| Scanogram (77073) |
$314.60 |
$484 |
3.0× |
| Scapula complete (73010) |
$378.95 |
$583 |
3.6× |
| Screening digital breast tomosynthesis (77063) |
$66.30 |
$102 |
2.8× |
| Small bowel series (74250) |
$431.60 |
$664 |
2.5× |
| Spine thoracic 3 views (72072) |
$462.15 |
$711 |
4.4× |
| Testicular Imaging With Vascular Flow (78761) |
$815.10 |
$1,254 |
2.0× |
| Thoracolumbar 2 views (72080) |
$349.05 |
$537 |
4.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$626.60 |
$964 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$960.38 |
$1,477.50 |
2.4× |
| Tmj unilateral (70328) |
$202.15 |
$311 |
2.3× |
| Tomogram (76100) |
$1,240.20 |
$1,908 |
11.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,057.90 |
$3,166 |
3.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$601.90 |
$926 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$700.70 |
$1,078 |
6.7× |
| Umbilical-artery Doppler (OB) (76820) |
$215.15 |
$331 |
2.1× |
| Upper Extremity Infant (73092) |
$222.95 |
$343 |
2.1× |
| Urethrocystography voiding (74455) |
$680.55 |
$1,047 |
2.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,002.95 |
$1,543 |
5.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,068.60 |
$1,644 |
6.1× |
| Us abdl aorta screen aaa (76706) |
$245.70 |
$378 |
2.3× |
| Us breast unilateral complete (76641) |
$547.30 |
$842 |
5.2× |
| Us breast unilateral limited (76642) |
$434.20 |
$668 |
5.0× |
| Us chest (76604) |
$631.15 |
$971 |
6.0× |
| Us compl joint r-t w/image documentation (76881) |
$703.30 |
$1,082 |
6.7× |
| Us elastography parenchyma (76981) |
$367.90 |
$566 |
3.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$471.90 |
$726 |
4.5× |
| Us infant hips dynamic (76885) |
$616.85 |
$949 |
7.1× |
| Us infant hips limited static (76886) |
$387.40 |
$596 |
4.4× |
| Us kidney transplant (76776) |
$683.80 |
$1,052 |
6.5× |
| Us ob detailed single fetus (76811) |
$848.25 |
$1,305 |
3.5× |
| Us ob transvaginal (76817) |
$376.35 |
$579 |
3.6× |
| Us pelvic non ob complete (76856) |
$874.90 |
$1,346 |
8.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$551.85 |
$849 |
5.3× |
| Us pregnancy ltd (76815) |
$419.90 |
$646 |
4.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$733.20 |
$1,128 |
7.0× |
| Us retroperitoneal complete (76770) |
$945.10 |
$1,454 |
9.0× |
| Us retroperitoneal limited (76775) |
$469.30 |
$722 |
4.5× |
| Us scrotum and contents (76870) |
$763.10 |
$1,174 |
7.3× |
| Us soft tissue head/neck (76536) |
$785.20 |
$1,208 |
7.5× |
| Us spinal canal and contents (76800) |
$824.20 |
$1,268 |
7.9× |
| Us transrectal (76872) |
$1,070.55 |
$1,647 |
10.2× |
| Us xtr non-vasc lmtd (76882) |
$501.80 |
$772 |
4.8× |
| Venogram extremity bilateral (75822) |
$2,558.40 |
$3,936 |
1.6× |
| Venography extremity unilateral rs&i (75820) |
$2,200.90 |
$3,386 |
1.4× |
| Wrist 2 views (73100) |
$280.80 |
$432 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$527.15 |
$811 |
5.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$276.90 |
$426 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$378.95 |
$583 |
4.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,260.35 |
$1,939 |
7.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$285.35 |
$439 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$384.15 |
$591 |
4.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$555.75 |
$855 |
5.3× |
| X-ray exam hip uni 1 view (73501) |
$220.35 |
$339 |
2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$285.35 |
$439 |
3.3× |
| X-ray exam hip uni 4/> views (73503) |
$341.25 |
$525 |
3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$447.85 |
$689 |
4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$757.90 |
$1,166 |
7.2× |
| X-ray exam of femur 1 (73551) |
$262.60 |
$404 |
3.0× |
| X-ray eye for foreign body (70030) |
$241.15 |
$371 |
2.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$270.40 |
$416 |
2.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$222.95 |
$343 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$351 |
$540 |
4.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$263.90 |
$406 |
3.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$976.30 |
$1,502 |
5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$241.15 |
$371 |
2.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$367.25 |
$565 |
3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$205.40 |
$316 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$180.05 |
$277 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$387.40 |
$596 |
3.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$751.40 |
$1,156 |
7.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$281.45 |
$433 |
2.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$334.75 |
$515 |
3.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$286 |
$440 |
3.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$296.40 |
$456 |
2.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$370.50 |
$570 |
3.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$637 |
$980 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$327.60 |
$504 |
3.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$385.45 |
$593 |
3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$436.80 |
$672 |
4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$380.90 |
$586 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$365.95 |
$563 |
4.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$333.45 |
$513 |
3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$337.35 |
$519 |
3.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$220.35 |
$339 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$364.65 |
$561 |
3.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$200.20 |
$308 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$164.45 |
$253 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$398.45 |
$613 |
4.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$334.10 |
$514 |
3.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$365.30 |
$562 |
3.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$858 |
$1,320 |
8.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$281.45 |
$433 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$345.80 |
$532 |
4.0× |
| Xr c-spine 6 or more views (72052) |
$555.10 |
$854 |
5.3× |
| Xr chest 4+ views (71048) |
$494.65 |
$761 |
4.7× |
| Xr finger(s) 2+ views (73140) |
$255.45 |
$393 |
2.9× |
| Xr shoulder 1 view (73020) |
$260 |
$400 |
3.0× |
| Xr spine cervical 4 or 5 views (72050) |
$458.90 |
$706 |
4.4× |
| Xr tibia/fibula 2 views (73590) |
$333.45 |
$513 |
3.8× |
| Xr tmj bilateral (70330) |
$371.80 |
$572 |
4.3× |
| Xray knee 1 or 2 views rt (73560) |
$261.30 |
$402 |
3.0× |