| Abdomen 2 views (74019) |
$179.40 |
$276 |
1.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$595.72 |
$916.50 |
1.5× |
| Ankle 2 views (73600) |
$87.10 |
$134 |
1.0× |
| Arthrogram hip (73525) |
$361.08 |
$555.50 |
1.0× |
| Arthrogram shoulder (73040) |
$355.55 |
$547 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$533.65 |
$821 |
1.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$676.32 |
$1,040.50 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$1,233.70 |
$1,898 |
3.1× |
| Bone age studies (77072) |
$171.60 |
$264 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,303.25 |
$2,005 |
3.3× |
| Bone survey complete (77075) |
$388.05 |
$597 |
3.7× |
| Brain imaging < 4 static views w vascular flow (78601) |
$592.15 |
$911 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$188.50 |
$290 |
2.2× |
| Chest 1 view (71045) |
$105.95 |
$163 |
1.2× |
| Chest 3 views (71047) |
$156.65 |
$241 |
1.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$259.02 |
$398.50 |
1.5× |
| Clavicle complete (73000) |
$154.05 |
$237 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$754.65 |
$1,161 |
7.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,140.45 |
$3,293 |
6.1× |
| CT abdomen and pelvis without contrast (74176) |
$1,462.82 |
$2,250.50 |
6.1× |
| CT abdomen w contrast (74160) |
$1,068.28 |
$1,643.50 |
6.1× |
| CT abdomen w wo contrast (74170) |
$956.15 |
$1,471 |
5.4× |
| CT abdomen w/o contrast (74150) |
$841.42 |
$1,294.50 |
8.0× |
| CT angiography upper extremity lt (73206) |
$856.38 |
$1,317.50 |
4.9× |
| CT c-spine w/o contrast (72125) |
$896.35 |
$1,379 |
8.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,386.45 |
$2,133 |
7.9× |
| CT cervical spine with contrast (72126) |
$853.78 |
$1,313.50 |
2.4× |
| CT chest w/wo contrast (71270) |
$1,089.08 |
$1,675.50 |
6.2× |
| CT chest with contrast (71260) |
$1,038.38 |
$1,597.50 |
5.9× |
| CT head/brain with contrast (70460) |
$854.42 |
$1,314.50 |
4.9× |
| CT head/brain without and with contrast (70470) |
$1,050.72 |
$1,616.50 |
6.0× |
| CT iac w contrast (70481) |
$935.68 |
$1,439.50 |
5.3× |
| CT limited/localized follow up study (76380) |
$405.28 |
$623.50 |
4.6× |
| CT lower ext w/o (73700) |
$683.48 |
$1,051.50 |
6.5× |
| CT lower extremity w wo contrast (73702) |
$922.02 |
$1,418.50 |
5.2× |
| CT lower extremity with contrast (73701) |
$788.12 |
$1,212.50 |
4.5× |
| CT lumbar spine w & w/o contrast (72133) |
$1,114.75 |
$1,715 |
6.3× |
| CT lumbar spine w/o contrast (72131) |
$912.60 |
$1,404 |
8.7× |
| CT lumbar spine with contrast (72132) |
$1,177.80 |
$1,812 |
3.4× |
| CT maxillofacial w contrast (70487) |
$945.75 |
$1,455 |
5.4× |
| CT maxillofacial w/o contrast (70486) |
$696.15 |
$1,071 |
6.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,211.28 |
$1,863.50 |
6.9× |
| CT neck soft tissue w contrast (70491) |
$997.75 |
$1,535 |
5.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,111.50 |
$1,710 |
6.3× |
| CT orbits w/o contrast (70480) |
$834.60 |
$1,284 |
8.0× |
| CT pelvis w & w/o contrast (72194) |
$1,167.40 |
$1,796 |
6.6× |
| CT pelvis w/o contrast (72192) |
$866.45 |
$1,333 |
8.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,113.45 |
$1,713 |
6.3× |
| CT soft tissue neck w/o contrast (70490) |
$833.62 |
$1,282.50 |
8.0× |
| CT thoracic spine w/contrast (72129) |
$1,154.72 |
$1,776.50 |
6.6× |
| CT thoracic spine w/o contrast (72128) |
$927.55 |
$1,427 |
8.9× |
| CT thoracic spine w/wo contrast (72130) |
$885.95 |
$1,363 |
5.0× |
| CT thorax w/o contrast (71250) |
$877.18 |
$1,349.50 |
8.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$956.48 |
$1,471.50 |
5.4× |
| CT upper extremity w/o contrast rt (73200) |
$741.98 |
$1,141.50 |
7.1× |
| CT upper extremity with contrast (73201) |
$836.55 |
$1,287 |
2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,543.75 |
$2,375 |
8.8× |
| Cta Abdomen (74175) |
$1,340.30 |
$2,062 |
7.6× |
| CTA abdomen pelvis (74174) |
$1,797.25 |
$2,765 |
5.1× |
| CTA chest (71275) |
$1,321.45 |
$2,033 |
7.5× |
| Cta Head (70496) |
$1,138.80 |
$1,752 |
6.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,412.45 |
$2,173 |
4.0× |
| CTA lwr ext w&w/o contrast (73706) |
$1,147.25 |
$1,765 |
6.5× |
| Cta Neck (70498) |
$1,139.12 |
$1,752.50 |
6.5× |
| Cta Pelvis (72191) |
$861.90 |
$1,326 |
4.9× |
| Cystography minimum 3 views rs&i (74430) |
$355.55 |
$547 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$190.12 |
$292.50 |
1.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$174.52 |
$268.50 |
2.0× |
| Dxa bone density study axial skeleton (77085) |
$258.70 |
$398 |
2.5× |
| Esophagus (74220) |
$254.15 |
$391 |
1.4× |
| Fetal biophysical profile non-stress testing (76818) |
$336.05 |
$517 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$273 |
$420 |
2.6× |
| Fluoroscopy up to 1 hr (76000) |
$338.65 |
$521 |
1.4× |
| Foot 2 views (73620) |
$112.78 |
$173.50 |
1.3× |
| Forearm 2 views (73090) |
$114.08 |
$175.50 |
1.3× |
| Gated Heart Planar Single (78472) |
$527.15 |
$811 |
1.3× |
| Hand 2 views (73120) |
$108.55 |
$167 |
1.0× |
| Hand 3 views (73130) |
$169.98 |
$261.50 |
1.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,369.55 |
$2,107 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,551.55 |
$2,387 |
3.9× |
| Ht muscle image spect sing (78451) |
$1,124.82 |
$1,730.50 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$125.45 |
$193 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$802.10 |
$1,234 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,464.45 |
$2,253 |
2.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$797.22 |
$1,226.50 |
1.5× |
| Knee 3 views (73562) |
$179.08 |
$275.50 |
2.1× |
| Liver & spleen imaging static only (78215) |
$669.50 |
$1,030 |
1.7× |
| Liver imaging static only (78201) |
$571.02 |
$878.50 |
1.0× |
| Liver imaging w/vascular flow (78202) |
$598.32 |
$920.50 |
1.1× |
| Lung Ventilation Imaging (78579) |
$536.58 |
$825.50 |
1.3× |
| Meckels Diverticulum (78290) |
$546.32 |
$840.50 |
1.4× |
| MRA head w & w/o contrast (70546) |
$1,339.98 |
$2,061.50 |
3.8× |
| MRA head w/o contrast (70544) |
$942.50 |
$1,450 |
3.9× |
| MRA neck w contrast (70548) |
$1,277.58 |
$1,965.50 |
3.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,689.35 |
$2,599 |
4.8× |
| MRA neck w/o contrast (70547) |
$1,026.35 |
$1,579 |
4.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,607.45 |
$2,473 |
4.6× |
| MRI abdomen w/o contrast (74181) |
$1,142.38 |
$1,757.50 |
4.8× |
| MRI any jnt lwr ext with con lt (73722) |
$976.62 |
$1,502.50 |
1.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,117.35 |
$1,719 |
1.4× |
| MRI c-spine with contrast (72142) |
$1,429.68 |
$2,199.50 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$1,114.42 |
$1,714.50 |
4.7× |
| MRI chest w/o & w/contrast material (71552) |
$1,689.02 |
$2,598.50 |
4.8× |
| MRI chest w/o contrast (71550) |
$1,062.10 |
$1,634 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$288.60 |
$444 |
0.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,043.90 |
$1,606 |
4.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,094.92 |
$1,684.50 |
4.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,499.25 |
$3,845 |
7.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,287 |
$1,980 |
3.7× |
| MRI pelvis w contrast (72196) |
$1,303.90 |
$2,006 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,464.78 |
$2,253.50 |
4.2× |
| MRI pelvis w/o contrast (72195) |
$1,041.62 |
$1,602.50 |
4.4× |
| MRI scan of arm joint before and after contrast (73223) |
$1,191.78 |
$1,833.50 |
3.4× |
| MRI scan of leg joint before and after contrast (73723) |
$1,083.55 |
$1,667 |
3.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,439.42 |
$2,214.50 |
4.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,446.25 |
$2,225 |
4.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,421.22 |
$2,186.50 |
4.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,598.68 |
$2,459.50 |
4.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,439.75 |
$2,215 |
4.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,111.82 |
$1,710.50 |
4.7× |
| MRI tmj (70336) |
$937.95 |
$1,443 |
3.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,117.35 |
$1,719 |
4.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,191.78 |
$1,833.50 |
3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,117.35 |
$1,719 |
4.7× |
| Myelogram Lumbar (72265) |
$617.82 |
$950.50 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,670.20 |
$4,108 |
2.1× |
| Neck soft tissue (70360) |
$151.12 |
$232.50 |
1.7× |
| Nm gastric emptying study (78264) |
$1,033.50 |
$1,590 |
2.6× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$978.90 |
$1,506 |
0.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$259.02 |
$398.50 |
2.5× |
| Osseous survey infant (77076) |
$251.22 |
$386.50 |
2.4× |
| Osseous survey limited (77074) |
$233.02 |
$358.50 |
2.2× |
| Parathyrd planar w/wo subtrj (78071) |
$1,253.20 |
$1,928 |
3.1× |
| Parathyroid imaging (78070) |
$729.30 |
$1,122 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$138.12 |
$212.50 |
1.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,083.55 |
$1,667 |
3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$451.10 |
$694 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$872.30 |
$1,342 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$312.65 |
$481 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$162.18 |
$249.50 |
1.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$191.10 |
$294 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$214.50 |
$330 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$182.32 |
$280.50 |
1.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$375.70 |
$578 |
3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$213.52 |
$328.50 |
2.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$131.30 |
$202 |
1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$208.65 |
$321 |
2.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$135.20 |
$208 |
1.6× |
| Radiologic exam colon single contrast study (74270) |
$440.05 |
$677 |
2.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$389.02 |
$598.50 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$350.68 |
$539.50 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$166.08 |
$255.50 |
1.9× |
| Radiological examination surgical specimen (76098) |
$121.22 |
$186.50 |
0.2× |
| Ribs bilateral 3 views (71110) |
$240.50 |
$370 |
2.3× |
| Sacroiliac Joints < 3 Views (72200) |
$92.30 |
$142 |
0.9× |
| Scanogram (77073) |
$181.02 |
$278.50 |
1.7× |
| Scapula complete (73010) |
$149.50 |
$230 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$75.40 |
$116 |
3.2× |
| Small bowel series (74250) |
$326.62 |
$502.50 |
1.9× |
| Spine thoracic 3 views (72072) |
$193.05 |
$297 |
1.8× |
| Tbs Technical Calculation Only (77091) |
$248.30 |
$382 |
2.8× |
| Thoracolumbar 2 views (72080) |
$178.10 |
$274 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$577.85 |
$889 |
1.4× |
| Tmj unilateral (70328) |
$93.60 |
$144 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$339.30 |
$522 |
3.2× |
| Umbilical-artery Doppler (OB) (76820) |
$186.88 |
$287.50 |
1.8× |
| Upper Extremity Infant (73092) |
$131.95 |
$203 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$205.08 |
$315.50 |
0.9× |
| Urethrocystography voiding (74455) |
$372.45 |
$573 |
1.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$511.88 |
$787.50 |
2.9× |
| Us abdl aorta screen aaa (76706) |
$209.95 |
$323 |
2.0× |
| Us breast unilateral complete (76641) |
$242.78 |
$373.50 |
2.3× |
| Us breast unilateral limited (76642) |
$196.30 |
$302 |
2.3× |
| Us chest (76604) |
$260 |
$400 |
2.5× |
| Us infant hips dynamic (76885) |
$601.25 |
$925 |
6.9× |
| Us ob detailed single fetus (76811) |
$443.30 |
$682 |
1.9× |
| Us ob transvaginal (76817) |
$308.75 |
$475 |
2.9× |
| Us pelvic non ob complete (76856) |
$433.22 |
$666.50 |
4.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$293.48 |
$451.50 |
2.8× |
| Us pregnancy ltd (76815) |
$268.12 |
$412.50 |
2.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$386.10 |
$594 |
3.7× |
| Us retroperitoneal complete (76770) |
$398.78 |
$613.50 |
3.8× |
| Us retroperitoneal limited (76775) |
$291.52 |
$448.50 |
2.8× |
| Us scrotum and contents (76870) |
$341.25 |
$525 |
3.3× |
| Us soft tissue head/neck (76536) |
$325 |
$500 |
3.1× |
| Us spinal canal and contents (76800) |
$301.28 |
$463.50 |
2.9× |
| Us transrectal (76872) |
$365.95 |
$563 |
3.5× |
| Us xtr non-vasc lmtd (76882) |
$230.10 |
$354 |
2.2× |
| Wrist 2 views (73100) |
$105.30 |
$162 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$231.72 |
$356.50 |
2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$164.78 |
$253.50 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$193.70 |
$298 |
2.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$518.70 |
$798 |
3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$125.78 |
$193.50 |
1.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$184.60 |
$284 |
2.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$281.12 |
$432.50 |
2.7× |
| X-ray exam hip uni 1 view (73501) |
$104.32 |
$160.50 |
1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$164.45 |
$253 |
1.9× |
| X-ray exam hip uni 4/> views (73503) |
$157.95 |
$243 |
1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$244.72 |
$376.50 |
2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$288.92 |
$444.50 |
2.8× |
| X-ray exam of femur 1 (73551) |
$126.75 |
$195 |
1.5× |
| X-ray eye for foreign body (70030) |
$110.50 |
$170 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$219.38 |
$337.50 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$122.85 |
$189 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$169.32 |
$260.50 |
1.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$124.80 |
$192 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$146.90 |
$226 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$226.20 |
$348 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$156.98 |
$241.50 |
1.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$138.45 |
$213 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$174.52 |
$268.50 |
1.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$360.75 |
$555 |
3.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$157.95 |
$243 |
1.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$170.95 |
$263 |
2.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$132.28 |
$203.50 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$238.88 |
$367.50 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$211.90 |
$326 |
2.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$583.70 |
$898 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$149.82 |
$230.50 |
1.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$176.48 |
$271.50 |
1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$273 |
$420 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$159.25 |
$245 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$161.85 |
$249 |
1.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$184.60 |
$284 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$231.40 |
$356 |
2.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$129.02 |
$198.50 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$265.20 |
$408 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$172.25 |
$265 |
1.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$104.98 |
$161.50 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$186.88 |
$287.50 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$184.60 |
$284 |
2.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$165.10 |
$254 |
1.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$231.08 |
$355.50 |
2.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$102.05 |
$157 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$165.10 |
$254 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$308.75 |
$475 |
2.9× |
| Xr chest 4+ views (71048) |
$186.22 |
$286.50 |
1.8× |
| Xr Cholecystography Oral Contrast (74290) |
$86.12 |
$132.50 |
0.5× |
| Xr finger(s) 2+ views (73140) |
$103.68 |
$159.50 |
1.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$143.32 |
$220.50 |
1.4× |
| Xr shoulder 1 view (73020) |
$129.02 |
$198.50 |
1.5× |
| Xr spine cervical 4 or 5 views (72050) |
$257.08 |
$395.50 |
2.5× |
| Xr tibia/fibula 2 views (73590) |
$165.42 |
$254.50 |
1.9× |
| Xr tmj bilateral (70330) |
$300.95 |
$463 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$139.75 |
$215 |
1.6× |