| Abdomen 2 views (74019) |
$284.40 |
$474 |
2.6× |
| Ankle 2 views (73600) |
$195.60 |
$326 |
2.2× |
| Arthrogram hip (73525) |
$600 |
$1,000 |
1.7× |
| Arthrogram shoulder (73040) |
$600 |
$1,000 |
1.7× |
| Arthrogram wrist (73115) |
$468.60 |
$781 |
1.3× |
| Arthrography knee lt (73580) |
$600 |
$1,000 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$733.80 |
$1,223 |
1.8× |
| Bone &/joint imaging whole body (78306) |
$1,305 |
$2,175 |
3.1× |
| Bone age studies (77072) |
$170.40 |
$284 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,611 |
$2,685 |
3.9× |
| Bone survey complete (77075) |
$564.60 |
$941 |
5.2× |
| Cervical spine 2 or 3 views (72040) |
$233.40 |
$389 |
2.6× |
| Chest 1 view (71045) |
$231.60 |
$386 |
2.6× |
| Chest 3 views (71047) |
$286.20 |
$477 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$419.40 |
$699 |
2.3× |
| Clavicle complete (73000) |
$203.40 |
$339 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,279.80 |
$2,133 |
11.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,816 |
$6,360 |
10.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,640.90 |
$4,401.50 |
10.7× |
| CT abdomen w contrast (74160) |
$1,929.60 |
$3,216 |
10.6× |
| CT abdomen w wo contrast (74170) |
$2,079.60 |
$3,466 |
11.4× |
| CT abdomen w/o contrast (74150) |
$1,491.60 |
$2,486 |
13.7× |
| CT c-spine w/o contrast (72125) |
$1,639.20 |
$2,732 |
15.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,960.20 |
$3,267 |
10.8× |
| CT cervical spine with contrast (72126) |
$1,785.60 |
$2,976 |
4.9× |
| CT chest w/wo contrast (71270) |
$1,978.20 |
$3,297 |
10.9× |
| CT chest with contrast (71260) |
$1,785.60 |
$2,976 |
9.8× |
| CT head/brain with contrast (70460) |
$1,639.20 |
$2,732 |
9.0× |
| CT head/brain without and with contrast (70470) |
$1,785.60 |
$2,976 |
9.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$75 |
$125 |
0.8× |
| CT iac w contrast (70481) |
$1,753.80 |
$2,923 |
9.6× |
| CT limited/localized follow up study (76380) |
$823.20 |
$1,372 |
9.1× |
| CT lower ext w/o (73700) |
$1,507.20 |
$2,512 |
13.9× |
| CT lower extremity w wo contrast (73702) |
$1,785.60 |
$2,976 |
9.8× |
| CT lower extremity with contrast (73701) |
$1,639.20 |
$2,732 |
9.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,978.20 |
$3,297 |
10.9× |
| CT lumbar spine w/o contrast (72131) |
$1,639.20 |
$2,732 |
15.1× |
| CT lumbar spine with contrast (72132) |
$1,785.60 |
$2,976 |
4.9× |
| CT maxillofacial w contrast (70487) |
$1,492.20 |
$2,487 |
8.2× |
| CT maxillofacial w/o contrast (70486) |
$1,347.60 |
$2,246 |
12.4× |
| CT maxillofacial w/wo contrast (70488) |
$1,639.20 |
$2,732 |
9.0× |
| CT neck soft tissue w contrast (70491) |
$1,639.20 |
$2,732 |
9.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,789.80 |
$2,983 |
9.8× |
| CT orbits w/o contrast (70480) |
$1,519.80 |
$2,533 |
14.0× |
| CT pelvis w & w/o contrast (72194) |
$1,929.60 |
$3,216 |
10.6× |
| CT pelvis w/o contrast (72192) |
$1,639.20 |
$2,732 |
15.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,785.60 |
$2,976 |
9.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,492.20 |
$2,487 |
13.7× |
| CT thoracic spine w/contrast (72129) |
$1,785.60 |
$2,976 |
9.8× |
| CT thoracic spine w/o contrast (72128) |
$1,639.20 |
$2,732 |
15.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,833 |
$3,055 |
10.1× |
| CT thorax w/o contrast (71250) |
$1,639.20 |
$2,732 |
15.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,785.60 |
$2,976 |
9.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,492.20 |
$2,487 |
13.7× |
| CT upper extremity with contrast (73201) |
$1,639.20 |
$2,732 |
4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,346.90 |
$3,911.50 |
12.9× |
| Cta Abdomen (74175) |
$2,166 |
$3,610 |
11.9× |
| CTA abdomen pelvis (74174) |
$2,913 |
$4,855 |
8.0× |
| CTA chest (71275) |
$2,166 |
$3,610 |
11.9× |
| Cta Head (70496) |
$2,166 |
$3,610 |
11.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,827 |
$3,045 |
10.0× |
| Cta Neck (70498) |
$2,166 |
$3,610 |
11.9× |
| Cta Pelvis (72191) |
$2,246.40 |
$3,744 |
12.3× |
| Cystography minimum 3 views rs&i (74430) |
$318.60 |
$531 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$349.80 |
$583 |
3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$189.60 |
$316 |
2.1× |
| Echoencephalography real time imaging (76506) |
$385.80 |
$643 |
3.6× |
| Esophagus (74220) |
$455.40 |
$759 |
2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$334.20 |
$557 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$469.20 |
$782 |
1.9× |
| Foot 2 views (73620) |
$184.80 |
$308 |
2.0× |
| Forearm 2 views (73090) |
$199.20 |
$332 |
2.2× |
| Gated Heart Planar Single (78472) |
$1,519.80 |
$2,533 |
3.7× |
| Hand 2 views (73120) |
$173.40 |
$289 |
1.6× |
| Hand 3 views (73130) |
$227.40 |
$379 |
2.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,251.60 |
$2,086 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,251.60 |
$2,086 |
3.0× |
| Ht muscle image spect sing (78451) |
$1,519.80 |
$2,533 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$220.20 |
$367 |
2.4× |
| Hysterosalpingogram (74740) |
$516 |
$860 |
2.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$190.80 |
$318 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$987.60 |
$1,646 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$987.60 |
$1,646 |
1.8× |
| Knee 3 views (73562) |
$247.20 |
$412 |
2.7× |
| Lymphoscintigraphy (78195) |
$1,519.80 |
$2,533 |
2.7× |
| Mammary ductogram or galactogram single (77053) |
$337.20 |
$562 |
1.4× |
| Meckels Diverticulum (78290) |
$978 |
$1,630 |
2.4× |
| MRA head w & w/o contrast (70546) |
$3,076.80 |
$5,128 |
8.5× |
| MRA head w/o contrast (70544) |
$2,369.10 |
$3,948.50 |
9.6× |
| MRA head with contrast (70545) |
$2,872.50 |
$4,787.50 |
7.9× |
| MRA neck w contrast (70548) |
$2,112 |
$3,520 |
5.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,530.20 |
$4,217 |
7.0× |
| MRA neck w/o contrast (70547) |
$1,894.20 |
$3,157 |
7.6× |
| MRI abdomen w contrast (74182) |
$2,597.40 |
$4,329 |
7.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,980.80 |
$4,968 |
8.2× |
| MRI abdomen w/o contrast (74181) |
$2,562 |
$4,270 |
10.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,906.20 |
$3,177 |
2.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,019.60 |
$3,366 |
2.5× |
| MRI c-spine with contrast (72142) |
$2,620.80 |
$4,368 |
7.2× |
| MRI cervical spine w/o contrast (72141) |
$2,408.40 |
$4,014 |
9.7× |
| MRI chest w/o & w/contrast material (71552) |
$2,980.80 |
$4,968 |
8.2× |
| MRI chest w/o contrast (71550) |
$2,620.80 |
$4,368 |
10.6× |
| MRI chest with contrast (71551) |
$2,712 |
$4,520 |
3.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,982.40 |
$3,304 |
5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,493.60 |
$4,156 |
6.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,806.60 |
$3,011 |
7.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,834.80 |
$3,058 |
7.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,177.10 |
$3,628.50 |
6.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,971 |
$3,285 |
5.4× |
| MRI pelvis w contrast (72196) |
$2,287.20 |
$3,812 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,638.20 |
$4,397 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$2,408.40 |
$4,014 |
9.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,229 |
$3,715 |
6.2× |
| MRI scan of leg joint before and after contrast (73723) |
$2,229 |
$3,715 |
6.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,831.40 |
$4,719 |
7.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,620.80 |
$4,368 |
7.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,831.40 |
$4,719 |
7.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,620.80 |
$4,368 |
7.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,831.40 |
$4,719 |
7.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,408.40 |
$4,014 |
9.7× |
| MRI tmj (70336) |
$1,891.50 |
$3,152.50 |
7.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,806.60 |
$3,011 |
7.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,229 |
$3,715 |
6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,806.60 |
$3,011 |
7.3× |
| Myelogram Cervical (72240) |
$622.80 |
$1,038 |
0.8× |
| Myelogram Lumbar (72265) |
$448.80 |
$748 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,928.60 |
$4,881 |
2.2× |
| Neck soft tissue (70360) |
$231 |
$385 |
2.6× |
| Nm gastric emptying study (78264) |
$1,218 |
$2,030 |
2.9× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$4,222.80 |
$7,038 |
2.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$282 |
$470 |
2.6× |
| Osseous survey infant (77076) |
$363 |
$605 |
3.3× |
| Osseous survey limited (77074) |
$342 |
$570 |
3.2× |
| Parathyrd planar w/spect&CT (78072) |
$1,395 |
$2,325 |
2.5× |
| Parathyroid imaging (78070) |
$933 |
$1,555 |
2.2× |
| Pelvis 1 or 2 views (72170) |
$199.20 |
$332 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$4,671 |
$7,785 |
3.1× |
| PET imaging for CT attenuation whole body (78816) |
$4,671 |
$7,785 |
3.1× |
| PET whole body (78813) |
$4,559.40 |
$7,599 |
3.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,229 |
$3,715 |
6.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,391.40 |
$2,319 |
2.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$184.20 |
$307 |
2.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$228 |
$380 |
2.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$301.20 |
$502 |
2.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$282 |
$470 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$290.40 |
$484 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$205.80 |
$343 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$361.80 |
$603 |
3.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$235.80 |
$393 |
2.6× |
| Radiologic exam colon single contrast study (74270) |
$499.20 |
$832 |
2.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$462.60 |
$771 |
2.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$428.40 |
$714 |
2.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$262.20 |
$437 |
2.9× |
| Radiological examination surgical specimen (76098) |
$127.20 |
$212 |
0.2× |
| Ribs bilateral 3 views (71110) |
$306.60 |
$511 |
2.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,068 |
$1,780 |
1.9× |
| Sacroiliac Joints < 3 Views (72200) |
$255 |
$425 |
2.3× |
| Salivary gland imaging (78230) |
$432.60 |
$721 |
1.0× |
| Scanogram (77073) |
$331.80 |
$553 |
3.1× |
| Scapula complete (73010) |
$221.40 |
$369 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$64.80 |
$108 |
2.8× |
| Small bowel series (74250) |
$479.40 |
$799 |
2.6× |
| Spine thoracic 3 views (72072) |
$337.20 |
$562 |
3.1× |
| Thoracolumbar 2 views (72080) |
$249 |
$415 |
2.8× |
| Tmj unilateral (70328) |
$145.20 |
$242 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$474.60 |
$791 |
4.4× |
| Upper Extremity Infant (73092) |
$170.40 |
$284 |
1.6× |
| Urethrocystography voiding (74455) |
$331.20 |
$552 |
1.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$435.60 |
$726 |
2.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$717.60 |
$1,196 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$442.20 |
$737 |
4.1× |
| Us breast unilateral complete (76641) |
$381 |
$635 |
3.5× |
| Us breast unilateral limited (76642) |
$327 |
$545 |
3.6× |
| Us chest (76604) |
$413.40 |
$689 |
3.8× |
| Us compl joint r-t w/image documentation (76881) |
$558.60 |
$931 |
5.1× |
| Us infant hips dynamic (76885) |
$391.20 |
$652 |
4.3× |
| Us ob transvaginal (76817) |
$375 |
$625 |
3.5× |
| Us pelvic non ob complete (76856) |
$628.20 |
$1,047 |
5.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$196.80 |
$328 |
1.8× |
| Us pregnancy ltd (76815) |
$336.60 |
$561 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$412.20 |
$687 |
3.8× |
| Us retroperitoneal complete (76770) |
$558.60 |
$931 |
5.1× |
| Us retroperitoneal limited (76775) |
$649.80 |
$1,083 |
6.0× |
| Us scrotum and contents (76870) |
$451.20 |
$752 |
4.2× |
| Us soft tissue head/neck (76536) |
$409.80 |
$683 |
3.8× |
| Us spinal canal and contents (76800) |
$304.80 |
$508 |
2.8× |
| Us transrectal (76872) |
$422.40 |
$704 |
3.9× |
| Us xtr non-vasc lmtd (76882) |
$230.10 |
$383.50 |
2.1× |
| Wrist 2 views (73100) |
$172.20 |
$287 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$339 |
$565 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$205.80 |
$343 |
2.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$228 |
$380 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$715.20 |
$1,192 |
3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$190.80 |
$318 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$224.40 |
$374 |
2.5× |
| X-ray exam hip uni 1 view (73501) |
$197.40 |
$329 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$226.80 |
$378 |
2.5× |
| X-ray exam hip uni 4/> views (73503) |
$247.80 |
$413 |
2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$352.80 |
$588 |
3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$352.80 |
$588 |
3.2× |
| X-ray exam of femur 1 (73551) |
$259.80 |
$433 |
2.9× |
| X-ray eye for foreign body (70030) |
$171 |
$285 |
1.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$283.80 |
$473 |
2.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$201 |
$335 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$237.60 |
$396 |
2.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$195.60 |
$326 |
2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$210.60 |
$351 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$274.20 |
$457 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$193.20 |
$322 |
2.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$177.60 |
$296 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$280.20 |
$467 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$373.20 |
$622 |
3.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$280.20 |
$467 |
2.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$234.60 |
$391 |
2.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$205.80 |
$343 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$294.60 |
$491 |
2.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$289.20 |
$482 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$275.40 |
$459 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$306.60 |
$511 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$385.20 |
$642 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$255 |
$425 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$205.80 |
$343 |
2.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$247.80 |
$413 |
2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$303.60 |
$506 |
3.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$199.80 |
$333 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$318 |
$530 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$215.40 |
$359 |
2.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$175.80 |
$293 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$205.80 |
$343 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$221.40 |
$369 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$258 |
$430 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$339 |
$565 |
3.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$171 |
$285 |
1.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$219.60 |
$366 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$464.40 |
$774 |
4.3× |
| Xr chest 4+ views (71048) |
$371.40 |
$619 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$160.20 |
$267 |
1.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$151.80 |
$253 |
1.4× |
| Xr shoulder 1 view (73020) |
$166.20 |
$277 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$373.20 |
$622 |
3.4× |
| Xr tibia/fibula 2 views (73590) |
$223.20 |
$372 |
2.5× |
| Xr tmj bilateral (70330) |
$264.60 |
$441 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$235.80 |
$393 |
2.6× |