| 3-D radiotherapy plan dose-volume histograms (77295) |
$11,319.60 |
$18,866 |
8.6× |
| Abdomen 1 View (74018) |
$314.40 |
$524 |
3.8× |
| Abdomen 2 views (74019) |
$556.20 |
$927 |
5.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,497 |
$2,495 |
4.0× |
| Angiography extremity unilateral rs&i (75710) |
$4,999.80 |
$8,333 |
1.7× |
| Ankle 2 views (73600) |
$219.60 |
$366 |
2.7× |
| Arthrogram ankle (73615) |
$901.80 |
$1,503 |
2.7× |
| Arthrogram hip (73525) |
$901.80 |
$1,503 |
2.7× |
| Arthrogram Wrist (73115) |
$901.80 |
$1,503 |
2.7× |
| Basic radiation dosimetry calculation (77300) |
$861.60 |
$1,436 |
6.8× |
| Bone age studies (77072) |
$219.60 |
$366 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$1,928.40 |
$3,214 |
5.1× |
| Bone Imaging Limited Area (78300) |
$1,252.80 |
$2,088 |
3.3× |
| Bone Imaging Whole Body (78306) |
$1,372.80 |
$2,288 |
3.6× |
| Bone marrow imaging limited area (78102) |
$1,222.80 |
$2,038 |
3.2× |
| Bone survey infant (77076) |
$401.40 |
$669 |
4.1× |
| Brachytx isodose complex (77318) |
$2,638.20 |
$4,397 |
7.4× |
| Brachytx isodose intermed (77317) |
$2,095.20 |
$3,492 |
5.9× |
| Brachytx Isodose Plan Simple (77316) |
$1,398 |
$2,330 |
3.9× |
| Brain Image W/Flow < 4 Views (78601) |
$1,365 |
$2,275 |
3.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$2,098.20 |
$3,497 |
4.1× |
| Cat Scan Follow-Up Study (76380) |
$246 |
$410 |
3.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,399.20 |
$2,332 |
2.7× |
| Cerebrospinal Fluid Scan (78630) |
$1,335.60 |
$2,226 |
2.6× |
Chest 1 view (71045)
range across 10 matching MRF lines |
$57–$11,307.89 |
$95–$18,846.48 |
varies |
| Chest 2 views (71046) |
$123.60 |
$206 |
1.5× |
| Chest 3 views (71047) |
$202.20 |
$337 |
2.5× |
| Chest 4 or more views (71048) |
$279.60 |
$466 |
2.8× |
| Clavicle complete (73000) |
$321.60 |
$536 |
3.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$253.80 |
$423 |
2.6× |
| Continuing medical physics consltj pr wk (77336) |
$1,378.20 |
$2,297 |
10.8× |
| Contrast Exam Abdominl Aorta (75625) |
$5,328.60 |
$8,881 |
1.8× |
| Contrast X-Ray Bladder (74430) |
$792 |
$1,320 |
2.4× |
| Contrast X-Ray Of Elbow (73085) |
$901.80 |
$1,503 |
2.7× |
| Contrast X-Ray Of Knee Joint (73580) |
$835.20 |
$1,392 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,097.60 |
$3,496 |
6.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,813.20 |
$3,022 |
8.0× |
| CT abdomen w contrast (74160) |
$1,208.40 |
$2,014 |
7.3× |
| CT abdomen w wo contrast (74170) |
$1,306.20 |
$2,177 |
7.9× |
| CT abdomen w/o contrast (74150) |
$1,016.40 |
$1,694 |
10.3× |
| CT Angio Abdomen and Pelvis (74174) |
$4,044.60 |
$6,741 |
12.3× |
| CT Angio Chest (71275) |
$411 |
$685 |
2.5× |
| CT Angio Head (70496) |
$2,799.60 |
$4,666 |
16.9× |
| CT angio hrt w/3d image (75574) |
$3,330 |
$5,550 |
10.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$460.20 |
$767 |
2.8× |
| CT Angio Neck (70498) |
$2,799.60 |
$4,666 |
16.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$460.20 |
$767 |
2.8× |
| CT cervical spine w/ contrast (72126) |
$1,106.40 |
$1,844 |
3.4× |
| CT cervical spine w/o contrast (72125) |
$778.80 |
$1,298 |
7.9× |
| CT cervical spine w/wo cont (72127) |
$1,271.40 |
$2,119 |
7.7× |
| CT chest w contrast (71260) |
$1,074 |
$1,790 |
6.5× |
| CT chest w/wo contrast (71270) |
$1,432.20 |
$2,387 |
8.6× |
| CT head/brain with contrast (70460) |
$1,214.40 |
$2,024 |
7.3× |
| CT head/brain without and with contrast (70470) |
$1,397.40 |
$2,329 |
8.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,335.20 |
$3,892 |
7.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$324 |
$324 |
3.9× |
| CT iac w contrast (70481) |
$1,214.40 |
$2,024 |
7.3× |
| CT l-spine w&w/o contrast (72133) |
$1,344 |
$2,240 |
8.1× |
| CT lower ext w/o (73700) |
$822.60 |
$1,371 |
8.3× |
| CT lower extremity w/contrast material (73701) |
$1,168.80 |
$1,948 |
7.0× |
| CT lumbar spine w contrast (72132) |
$1,168.80 |
$1,948 |
3.5× |
| CT lumbar spine w/o contrast (72131) |
$822.60 |
$1,371 |
8.3× |
| CT maxillofacial w contrast (70487) |
$1,214.40 |
$2,024 |
7.3× |
| CT maxillofacial wo contrast (70486) |
$1,055.40 |
$1,759 |
10.7× |
| CT neck tissue combo (70492) |
$1,397.40 |
$2,329 |
8.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,397.40 |
$2,329 |
8.4× |
| CT orbits w/o contrast (70480) |
$1,055.40 |
$1,759 |
10.7× |
| CT pelvis w&w/o contrast (72194) |
$1,344 |
$2,240 |
8.1× |
| CT pelvis w/o contrast (72192) |
$1,016.40 |
$1,694 |
10.3× |
| CT scan of leg combo (73702) |
$117.60 |
$196 |
0.7× |
| CT scans face/jaw combo (70488) |
$1,397.40 |
$2,329 |
8.4× |
| CT soft tissue neck w contrast (70491) |
$1,214.40 |
$2,024 |
7.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,055.40 |
$1,759 |
10.7× |
| CT thoracic spine w contrast (72129) |
$1,168.80 |
$1,948 |
7.0× |
| CT thoracic spine w/o contrast (72128) |
$1,016.40 |
$1,694 |
10.3× |
| CT thoracic spine w/wo cont (72130) |
$1,344 |
$2,240 |
8.1× |
| CT thorax w/o contrast (71250) |
$822.60 |
$1,371 |
8.3× |
| CT upper ext wo (73200) |
$1,016.40 |
$1,694 |
10.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$117.60 |
$196 |
0.7× |
| CT upper extremity with contrast (73201) |
$2,181.60 |
$3,636 |
6.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,006.20 |
$1,677 |
6.1× |
| Cta Abdomen (74175) |
$3,330 |
$5,550 |
20.1× |
| CTA pelvis (72191) |
$2,421 |
$4,035 |
14.6× |
| Dilation ureters/urethra rs&i (74485) |
$3,527.40 |
$5,879 |
1.8× |
Doppler Fetal Mid Cerebral Artery (76821)
range across 9 matching MRF lines |
$286.80–$3,760.92 |
$478–$6,268.20 |
varies |
| Dxa Bone Density Axial (77080) |
$221.40 |
$369 |
2.2× |
| Dxa bone density study (77085) |
$153.60 |
$256 |
1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$252.60 |
$421 |
3.1× |
| Esophagram (74220) |
$311.40 |
$519 |
1.9× |
| Fluoroscopy up to 1 hr (76000) |
$842.40 |
$1,404 |
3.7× |
| Foot 2 views (73620) |
$265.20 |
$442 |
3.2× |
| Forearm 2 views (73090) |
$339 |
$565 |
4.1× |
| Gastric emptying imaging study (78264) |
$1,323 |
$2,205 |
3.5× |
| Gated Heart Planar Single (78472) |
$2,102.40 |
$3,504 |
5.6× |
| Hand 2 views (73120) |
$523.20 |
$872 |
5.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$3,378 |
$5,630 |
5.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$3,378 |
$5,630 |
5.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$3,378 |
$5,630 |
5.1× |
| Hepatobil Syst Image W/Drug (78227) |
$2,488.80 |
$4,148 |
4.8× |
| Hepatobiliary System Imaging (78226) |
$2,488.80 |
$4,148 |
6.6× |
| Ht Musc Image Planar Mult (78454) |
$3,289.80 |
$5,483 |
2.7× |
| Ht Muscle Image Spect Sing (78451) |
$892.80 |
$1,488 |
0.7× |
| Hysterosalpingogram (74740) |
$1,126.20 |
$1,877 |
5.0× |
| Image fusion (77399) |
$1,074 |
$1,790 |
8.4× |
| Infant hip ultrasound, limited static exam (76886) |
$554.40 |
$924 |
6.7× |
| Interstitial radiation source applic complex (77778) |
$6,726.60 |
$11,211 |
10.2× |
| Joint Survey Single View (77077) |
$238.80 |
$398 |
2.4× |
| K Flow/Funct Image W/Drug (78708) |
$1,360.80 |
$2,268 |
2.6× |
| K Flow/Funct Image W/O Drug (78707) |
$1,323 |
$2,205 |
2.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$633 |
$1,055 |
1.7× |
| Knee 3 Views (73562) |
$378.60 |
$631 |
4.6× |
| Leveen/Shunt Patency Exam (78291) |
$1,102.80 |
$1,838 |
2.9× |
| Liver & Spleen Imaging Static Only (78215) |
$1,616.40 |
$2,694 |
4.3× |
| Lung Perf&Ventilat Diferentl (78598) |
$2,630.40 |
$4,384 |
5.1× |
| Lung perfusion differential (78597) |
$2,469.60 |
$4,116 |
6.5× |
| Lung Ventilat&Perfus Imaging (78582) |
$2,520.60 |
$4,201 |
4.9× |
| Lung Ventilation Imaging (78579) |
$1,699.20 |
$2,832 |
4.5× |
| Lymph System Imaging (78195) |
$1,102.80 |
$1,838 |
2.1× |
| Mammary ductogram or galactogram multiple (77054) |
$712.80 |
$1,188 |
3.2× |
| Mammary ductogram or galactogram single (77053) |
$640.20 |
$1,067 |
2.8× |
| Meckels Divert Exam (78290) |
$1,497 |
$2,495 |
4.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,792.60 |
$6,321 |
10.7× |
| Myelogram cervical (72240) |
$985.80 |
$1,643 |
1.3× |
| Myelogram Lumbar (72265) |
$985.80 |
$1,643 |
1.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$1,285.80 |
$2,143 |
3.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$1,842 |
$3,070 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,532.40 |
$7,554 |
3.7× |
| Neck soft tissue (70360) |
$390.60 |
$651 |
4.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$657.60 |
$1,096 |
1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,054.40 |
$8,424 |
3.9× |
| Nuclear Rx Oral Admin (79005) |
$1,717.80 |
$2,863 |
7.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$910.80 |
$1,518 |
1.8× |
| Parathyroid Planar Imaging (78070) |
$1,323 |
$2,205 |
3.5× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,350 |
$2,250 |
3.6× |
| Pelvis 1 or 2 views (72170) |
$401.40 |
$669 |
4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$845.40 |
$1,409 |
2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$494.40 |
$824 |
5.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$493.80 |
$823 |
1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$357.60 |
$596 |
4.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$363 |
$605 |
4.4× |
| Radex elbow complete minimum 3 views (73080) |
$366.60 |
$611 |
4.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$655.80 |
$1,093 |
6.6× |
| Radex fingr minimum 2 views (73140) |
$210.60 |
$351 |
2.6× |
| Radex foot complete minimum 3 views (73630) |
$264.60 |
$441 |
3.2× |
| Radex Hand Minimum 3 Views (73130) |
$510.60 |
$851 |
6.2× |
| Radex lower extremity infant minimum 2 views (73592) |
$304.20 |
$507 |
3.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$292.80 |
$488 |
3.6× |
| Radex Ribs Unilateral 2 Views (71100) |
$396 |
$660 |
4.8× |
| Radex shoulder complete minimum 2 views (73030) |
$393.60 |
$656 |
4.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$316.80 |
$528 |
3.8× |
| Radex Spine 1 View Specify Level (72020) |
$219.60 |
$366 |
2.7× |
| Radex Sternum Minimum 2 Views (71120) |
$331.80 |
$553 |
4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$523.20 |
$872 |
6.4× |
| Radex Toe Minimum 2 Views (73660) |
$244.80 |
$408 |
3.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$286.80 |
$478 |
2.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$354.60 |
$591 |
4.3× |
| Radiation treatment delivery level 1 (77402) |
$992.40 |
$1,654 |
10.3× |
| Radiation treatment delivery level 2 (77407) |
$2,968.80 |
$4,948 |
8.1× |
| Radiation treatment delivery level 3 (77412) |
$3,808.20 |
$6,347 |
7.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$544.20 |
$907 |
5.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$556.20 |
$927 |
5.6× |
| Radiologic exam colon double contrast study (74280) |
$1,116 |
$1,860 |
6.7× |
| Radiologic exam colon single contrast study (74270) |
$779.40 |
$1,299 |
4.7× |
| Radiologic exam knee complete 4/more views (73564) |
$464.40 |
$774 |
4.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$417.60 |
$696 |
4.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$685.80 |
$1,143 |
4.1× |
| Radiologic exam swallow function contrast study (74230) |
$289.80 |
$483 |
1.7× |
| Radiologic examination femur 1 view (73551) |
$388.20 |
$647 |
4.7× |
| Radiologic examination femur minimum 2 views (73552) |
$388.20 |
$647 |
4.7× |
| Radiologic examination knee 1/2 views (73560) |
$363 |
$605 |
4.4× |
| Radiologic Examination Osseous Survey Limited (77074) |
$364.80 |
$608 |
3.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$379.80 |
$633 |
4.6× |
| Ribs bilateral 3 views (71110) |
$537 |
$895 |
5.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,102.80 |
$1,838 |
2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,521.60 |
$2,536 |
4.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,030.80 |
$6,718 |
7.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,872.60 |
$3,121 |
3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,837.80 |
$3,063 |
3.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,711.60 |
$6,186 |
3.0× |
| Rp Therapy Intravenous Administration (79101) |
$1,598.40 |
$2,664 |
7.2× |
| Scapula (73010) |
$354.60 |
$591 |
3.6× |
| Shoulder 1 view (73020) |
$246 |
$410 |
3.0× |
| Shoulder Arthrography (73040) |
$1,074.60 |
$1,791 |
3.3× |
| Sialogram (70390) |
$885 |
$1,475 |
3.9× |
| Skull less than 4 views (70250) |
$412.20 |
$687 |
4.2× |
| Special dosimetry (77331) |
$556.80 |
$928 |
4.4× |
| Special Physics Consult (77370) |
$1,155.60 |
$1,926 |
9.1× |
| Special teletherapy port plan (77321) |
$2,772 |
$4,620 |
7.8× |
| Special treatment procedure (77470) |
$3,091.80 |
$5,153 |
5.9× |
| Stereotactic Body Radiation Delivery (77373) |
$3,414.60 |
$5,691 |
2.0× |
| Sternoclavicular joints (71130) |
$374.40 |
$624 |
4.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,772 |
$4,620 |
7.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$807 |
$1,345 |
2.3× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$975 |
$1,625 |
4.3× |
| Testicular Imaging W/Flow (78761) |
$1,081.80 |
$1,803 |
2.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,880.40 |
$3,134 |
5.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$1,468.80 |
$2,448 |
4.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,242.60 |
$2,071 |
9.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$724.80 |
$1,208 |
4.4× |
| Thoracic spine 2 views (72070) |
$529.20 |
$882 |
5.4× |
| Thoracic spine 3 views (72072) |
$601.20 |
$1,002 |
6.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) |
$1,371.60 |
$2,286 |
3.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,054.20 |
$1,757 |
2.8× |
| Thyroid Met Imaging Body (78018) |
$2,842.80 |
$4,738 |
5.5× |
| Thyroid Uptake Measurement (78012) |
$1,039.80 |
$1,733 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,310 |
$3,850 |
6.1× |
| Tx Devices Design & Construction Complex (77334) |
$1,236 |
$2,060 |
3.5× |
| Tx devices design & construction intermediate (77333) |
$1,021.80 |
$1,703 |
8.0× |
| Tx devices design & construction simple (77332) |
$87.60 |
$146 |
0.7× |
| Ultrasound Breast Limited (76642) |
$57 |
$95 |
0.7× |
| Ultrasound Exam Aaa Screen (76706) |
$442.20 |
$737 |
4.5× |
| Ultrasound, abdomen limited (76705) |
$909.60 |
$1,516 |
9.2× |
| Upper gi w/o kub (74240) |
$883.80 |
$1,473 |
5.3× |
| Urethrocystogram voiding (74455) |
$1,005.60 |
$1,676 |
4.5× |
| Urethrocystography retrograde (74450) |
$1,018.80 |
$1,698 |
4.5× |
| Us breast unilateral complete (76641) |
$69 |
$115 |
0.7× |
| Us chest (76604) |
$327 |
$545 |
3.3× |
| Us head (76506) |
$783 |
$1,305 |
7.9× |
| Us kidney transplant (76776) |
$510.60 |
$851 |
5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$848.40 |
$1,414 |
8.6× |
| Us retroperitoneal complete (76770) |
$510.60 |
$851 |
5.2× |
| Us retroperitoneal limited (76775) |
$510.60 |
$851 |
5.2× |
| Us spinal canal and contents (76800) |
$510.60 |
$851 |
5.2× |
| Us thyroid (76536) |
$1,818 |
$3,030 |
18.4× |
| Venography extremity bilateral rs&i (75822) |
$1,780.20 |
$2,967 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$1,718.40 |
$2,864 |
1.2× |
| Vertebral fracture assessment via dxa (77086) |
$124.20 |
$207 |
1.5× |
| Wrist 2 views (73100) |
$273 |
$455 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$430.80 |
$718 |
5.2× |
| X-ray antegrade pyelogram tube (74425) |
$537 |
$895 |
1.6× |
| X-Ray Bend Only L-S Spine (72120) |
$568.20 |
$947 |
5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$338.40 |
$564 |
4.1× |
| X-Ray Exam Breast Specimen (76098) |
$1,089 |
$1,815 |
2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$430.80 |
$718 |
5.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$759.60 |
$1,266 |
7.7× |
| X-Ray Exam Hip Uni 1 View (73501) |
$189.60 |
$316 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$834.60 |
$1,391 |
10.1× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$501 |
$835 |
5.1× |
| X-Ray Exam L-S Spine Bending (72114) |
$1,350.60 |
$2,251 |
13.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$816 |
$1,360 |
9.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$832.20 |
$1,387 |
8.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$436.20 |
$727 |
4.4× |
| X-ray eye for foreign body (70030) |
$514.80 |
$858 |
6.3× |
| X-ray humerus (73060) |
$393.60 |
$656 |
4.8× |
| X-ray IV pyelogram (ivp) (74400) |
$1,041.60 |
$1,736 |
6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$210.60 |
$351 |
2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$219.60 |
$366 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$223.20 |
$372 |
2.3× |
| X-ray nose-rectum child f.b. (76010) |
$233.40 |
$389 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$554.40 |
$924 |
5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$339 |
$565 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$461.40 |
$769 |
5.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$570.60 |
$951 |
6.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$514.80 |
$858 |
5.2× |
| X-Ray Stress View (77071) |
$342 |
$570 |
4.2× |
| X-ray thoracic spine 4 vw (72074) |
$617.40 |
$1,029 |
6.2× |
| X-Ray Tmj Unilat (70328) |
$153.60 |
$256 |
1.9× |
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 3 matching MRF lines |
$1,508.40–$12,028.42 |
$2,514–$20,047.37 |
varies |
| X-Rays Bone Length Studies (77073) |
$219.60 |
$366 |
2.2× |
| X-Rays Bone Survey Complete (77075) |
$847.20 |
$1,412 |
8.6× |
| Xr c-spine 4 or 5 views (72050) |
$824.40 |
$1,374 |
8.3× |
| Xr facial bones less than 3 views (70140) |
$360.60 |
$601 |
4.4× |
| Xr orbits complete 4 views (70200) |
$730.80 |
$1,218 |
7.4× |