| Abdomen 2 views (74019) |
$74.25 |
$247.50 |
0.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$535.20 |
$1,784 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$3,364.80 |
$11,216 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$4,106.70 |
$13,689 |
1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,062 |
$13,540 |
1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,062 |
$13,540 |
1.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,812 |
$26,040 |
1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$40.62 |
$135.40 |
0.0× |
| Ankle 2 views (73600) |
$56.40 |
$188 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$3,364.80 |
$11,216 |
1.2× |
| Arthrogram elbow (73085) |
$363 |
$1,210 |
1.1× |
| Arthrogram hip (73525) |
$778.50 |
$2,595 |
2.5× |
| Arthrogram shoulder (73040) |
$363 |
$1,210 |
1.1× |
| Arthrography knee lt (73580) |
$363 |
$1,210 |
1.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$489.75 |
$1,632.50 |
1.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$987.90 |
$3,293 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$1,152.60 |
$3,842 |
3.2× |
| Bone age studies (77072) |
$61.50 |
$205 |
0.6× |
| Bone Imaging 3 Phase (78315) |
$1,066.95 |
$3,556.50 |
2.9× |
| Bone survey complete (77075) |
$300.22 |
$1,000.75 |
3.2× |
| Cervical spine 2 or 3 views (72040) |
$199.95 |
$666.50 |
2.5× |
| Chest 1 view (71045) |
$142.42 |
$474.75 |
1.8× |
| Chest 3 views (71047) |
$286.80 |
$956 |
3.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$223.50 |
$745 |
1.4× |
| Clavicle complete (73000) |
$132.15 |
$440.50 |
1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$186.15 |
$620.50 |
2.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,289.75 |
$7,632.50 |
7.2× |
| CT abdomen and pelvis without contrast (74176) |
$1,493.10 |
$4,977 |
6.9× |
| CT abdomen w contrast (74160) |
$1,219.05 |
$4,063.50 |
7.7× |
| CT abdomen w wo contrast (74170) |
$1,340.85 |
$4,469.50 |
8.4× |
| CT abdomen w/o contrast (74150) |
$1,219.05 |
$4,063.50 |
12.9× |
| CT angiography upper extremity lt (73206) |
$1,377.60 |
$4,592 |
8.7× |
| CT c-spine w/o contrast (72125) |
$1,219.05 |
$4,063.50 |
12.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,340.85 |
$4,469.50 |
8.4× |
| CT cervical spine with contrast (72126) |
$1,419 |
$4,730 |
4.5× |
| CT chest w/wo contrast (71270) |
$1,340.85 |
$4,469.50 |
8.4× |
| CT chest with contrast (71260) |
$1,219.05 |
$4,063.50 |
7.7× |
| CT head/brain with contrast (70460) |
$1,521.60 |
$5,072 |
9.6× |
| CT head/brain without and with contrast (70470) |
$1,971.90 |
$6,573 |
12.4× |
| CT iac w contrast (70481) |
$1,413.90 |
$4,713 |
8.9× |
| CT limited/localized follow up study (76380) |
$386.70 |
$1,289 |
4.9× |
| CT lower ext w/o (73700) |
$1,265.25 |
$4,217.50 |
13.4× |
| CT lower extremity w wo contrast (73702) |
$1,361.85 |
$4,539.50 |
8.6× |
| CT lower extremity with contrast (73701) |
$1,243.50 |
$4,145 |
7.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,340.85 |
$4,469.50 |
8.4× |
| CT lumbar spine w/o contrast (72131) |
$1,219.05 |
$4,063.50 |
12.9× |
| CT lumbar spine with contrast (72132) |
$609 |
$2,030 |
1.9× |
| CT maxillofacial w contrast (70487) |
$1,219.05 |
$4,063.50 |
7.7× |
| CT maxillofacial w/o contrast (70486) |
$1,219.05 |
$4,063.50 |
12.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,340.85 |
$4,469.50 |
8.4× |
| CT neck soft tissue w contrast (70491) |
$1,487.55 |
$4,958.50 |
9.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,478.40 |
$4,928 |
9.3× |
| CT orbits w/o contrast (70480) |
$1,247.70 |
$4,159 |
13.2× |
| CT pelvis w & w/o contrast (72194) |
$1,191.45 |
$3,971.50 |
7.5× |
| CT pelvis w/o contrast (72192) |
$1,269 |
$4,230 |
13.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,261.05 |
$4,203.50 |
7.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,239.60 |
$4,132 |
13.1× |
| CT thoracic spine w/contrast (72129) |
$657.90 |
$2,193 |
4.1× |
| CT thoracic spine w/o contrast (72128) |
$1,422.30 |
$4,741 |
15.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,532.25 |
$5,107.50 |
9.6× |
| CT thorax w/o contrast (71250) |
$1,219.05 |
$4,063.50 |
12.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,361.85 |
$4,539.50 |
8.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,175.40 |
$3,918 |
12.4× |
| CT upper extremity with contrast (73201) |
$1,231.28 |
$4,104.25 |
3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,394.40 |
$4,648 |
8.8× |
| Cta Abdomen (74175) |
$1,491.45 |
$4,971.50 |
9.4× |
| CTA abdomen pelvis (74174) |
$1,299.60 |
$4,332 |
4.1× |
| CTA chest (71275) |
$1,403.85 |
$4,679.50 |
8.8× |
| Cta Head (70496) |
$1,300.80 |
$4,336 |
8.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,275.15 |
$4,250.50 |
8.0× |
| Cta Neck (70498) |
$1,487.55 |
$4,958.50 |
9.4× |
| Cta Pelvis (72191) |
$1,275.15 |
$4,250.50 |
8.0× |
| Cystography minimum 3 views rs&i (74430) |
$311.70 |
$1,039 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$145.20 |
$484 |
1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$135.60 |
$452 |
1.7× |
| Echoencephalography real time imaging (76506) |
$425.55 |
$1,418.50 |
4.5× |
| Esophagus (74220) |
$236.85 |
$789.50 |
1.5× |
| Fetal biophysical profile non-stress testing (76818) |
$260.70 |
$869 |
2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$320.85 |
$1,069.50 |
3.4× |
| Fluoroscopy up to 1 hr (76000) |
$220.05 |
$733.50 |
1.0× |
| Foot 2 views (73620) |
$57.90 |
$193 |
0.7× |
| Forearm 2 views (73090) |
$109.65 |
$365.50 |
1.4× |
| Gated Heart Planar Single (78472) |
$818.25 |
$2,727.50 |
2.3× |
| Hand 2 views (73120) |
$65.40 |
$218 |
0.7× |
| Hand 3 views (73130) |
$109.50 |
$365 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$742.20 |
$2,474 |
1.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$795.30 |
$2,651 |
2.2× |
| Ht muscle image spect sing (78451) |
$2,046.90 |
$6,823 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$128.25 |
$427.50 |
1.6× |
| Hysterosalpingogram (74740) |
$441.68 |
$1,472.25 |
2.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$245.25 |
$817.50 |
0.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$240.60 |
$802 |
0.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$609.30 |
$2,031 |
1.2× |
| Knee 3 views (73562) |
$122.10 |
$407 |
1.5× |
| Liver & spleen imaging static only (78215) |
$610.80 |
$2,036 |
1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,542.60 |
$5,142 |
4.3× |
| Lymphoscintigraphy (78195) |
$599.25 |
$1,997.50 |
1.2× |
| Meckels Diverticulum (78290) |
$959.70 |
$3,199 |
2.7× |
| MRA head w/o contrast (70544) |
$1,612.95 |
$5,376.50 |
7.5× |
| MRA head with contrast (70545) |
$1,382.85 |
$4,609.50 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,753.80 |
$5,846 |
5.6× |
| MRA neck w/o contrast (70547) |
$1,612.95 |
$5,376.50 |
7.5× |
| MRI any jnt lwr ext with con lt (73722) |
$1,382.85 |
$4,609.50 |
1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,382.85 |
$4,609.50 |
1.9× |
| MRI c-spine with contrast (72142) |
$1,493.25 |
$4,977.50 |
4.7× |
| MRI cervical spine w/o contrast (72141) |
$1,612.95 |
$5,376.50 |
7.5× |
| MRI chest w/o contrast (71550) |
$1,382.85 |
$4,609.50 |
6.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,382.85 |
$4,609.50 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,316.40 |
$4,388 |
4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,612.95 |
$5,376.50 |
7.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,421.55 |
$4,738.50 |
6.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,472.85 |
$4,909.50 |
4.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,382.85 |
$4,609.50 |
4.4× |
| MRI pelvis w contrast (72196) |
$594 |
$1,980 |
1.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,753.50 |
$5,845 |
5.6× |
| MRI pelvis w/o contrast (72195) |
$1,493.25 |
$4,977.50 |
6.9× |
| MRI scan of arm joint before and after contrast (73223) |
$1,753.50 |
$5,845 |
5.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,823.55 |
$6,078.50 |
5.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,044.95 |
$6,816.50 |
6.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,753.80 |
$5,846 |
5.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,044.95 |
$6,816.50 |
6.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,382.85 |
$4,609.50 |
4.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,044.95 |
$6,816.50 |
6.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,612.95 |
$5,376.50 |
7.5× |
| MRI tmj (70336) |
$1,327.50 |
$4,425 |
6.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,612.95 |
$5,376.50 |
7.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,753.50 |
$5,845 |
5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,493.25 |
$4,977.50 |
6.9× |
| Myocardial Spect Multiple Studies (78452) |
$2,046.90 |
$6,823 |
1.7× |
| Neck soft tissue (70360) |
$109.95 |
$366.50 |
1.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$343.20 |
$1,144 |
0.9× |
| Nm gastric emptying study (78264) |
$1,233.30 |
$4,111 |
3.4× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,233.60 |
$4,112 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$261.30 |
$871 |
2.8× |
| Osseous survey infant (77076) |
$188.70 |
$629 |
2.0× |
| Osseous survey limited (77074) |
$248.10 |
$827 |
2.6× |
| Parathyrd planar w/wo subtrj (78071) |
$1,066.95 |
$3,556.50 |
2.9× |
| Parathyroid imaging (78070) |
$861.90 |
$2,873 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$78.30 |
$261 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,493.25 |
$4,977.50 |
4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$618.15 |
$2,060.50 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$757.20 |
$2,524 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$450.22 |
$1,500.75 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$336.90 |
$1,123 |
4.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$311.70 |
$1,039 |
3.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$199.95 |
$666.50 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$116.70 |
$389 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$105.45 |
$351.50 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$211.20 |
$704 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$136.65 |
$455.50 |
1.7× |
| Radiologic exam colon single contrast study (74270) |
$454.95 |
$1,516.50 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$313.58 |
$1,045.25 |
2.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$198 |
$660 |
1.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$103.20 |
$344 |
1.3× |
| Radiological examination surgical specimen (76098) |
$685.35 |
$2,284.50 |
1.4× |
| Ribs bilateral 3 views (71110) |
$187.80 |
$626 |
2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,093.95 |
$3,646.50 |
3.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,362.90 |
$4,543 |
2.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,067.25 |
$3,557.50 |
2.2× |
| Sacroiliac Joints < 3 Views (72200) |
$69.75 |
$232.50 |
0.7× |
| Scanogram (77073) |
$61.50 |
$205 |
0.6× |
| Scapula complete (73010) |
$115.50 |
$385 |
1.2× |
| Screening digital breast tomosynthesis (77063) |
$24.90 |
$83 |
1.1× |
| Sella turcica (70240) |
$179.55 |
$598.50 |
2.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$130.65 |
$435.50 |
1.4× |
| Small bowel series (74250) |
$148.12 |
$493.75 |
0.9× |
| Spine thoracic 3 views (72072) |
$57.75 |
$192.50 |
0.6× |
| Therapeutic Enema (74283) |
$680.40 |
$2,268 |
4.3× |
| Thyroid uptake measurement (78012) |
$1,209.90 |
$4,033 |
3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,209.90 |
$4,033 |
3.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$953.25 |
$3,177.50 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$359.85 |
$1,199.50 |
3.8× |
| Unlisted Ultrasound Procedure (76999) |
$144.75 |
$482.50 |
1.8× |
| Upper Extremity Infant (73092) |
$101.85 |
$339.50 |
1.1× |
| Urethrocystography voiding (74455) |
$311.70 |
$1,039 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$198 |
$660 |
1.2× |
| Us abdl aorta screen aaa (76706) |
$253.20 |
$844 |
2.7× |
| Us breast unilateral complete (76641) |
$505.35 |
$1,684.50 |
5.3× |
| Us breast unilateral limited (76642) |
$482.55 |
$1,608.50 |
6.1× |
| Us chest (76604) |
$52.35 |
$174.50 |
0.6× |
| Us compl joint r-t w/image documentation (76881) |
$357.22 |
$1,190.75 |
3.8× |
| Us guided compression repair (76936) |
$261.30 |
$871 |
1.3× |
| Us infant hips dynamic (76885) |
$160.20 |
$534 |
2.0× |
| Us infant hips limited static (76886) |
$228 |
$760 |
2.9× |
| Us kidney transplant (76776) |
$49.50 |
$165 |
0.5× |
| Us ob transvaginal (76817) |
$261.30 |
$871 |
2.8× |
| Us pelvic non ob complete (76856) |
$260.70 |
$869 |
2.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$112.05 |
$373.50 |
1.2× |
| Us pregnancy ltd (76815) |
$250.20 |
$834 |
2.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$261.30 |
$871 |
2.8× |
| Us retroperitoneal complete (76770) |
$561.60 |
$1,872 |
5.9× |
| Us retroperitoneal limited (76775) |
$635.70 |
$2,119 |
6.7× |
| Us scrotum and contents (76870) |
$450.45 |
$1,501.50 |
4.8× |
| Us soft tissue head/neck (76536) |
$256.35 |
$854.50 |
2.7× |
| Us spinal canal and contents (76800) |
$85.20 |
$284 |
0.9× |
| Us xtr non-vasc lmtd (76882) |
$261.30 |
$871 |
2.8× |
| Venogram extremity bilateral (75822) |
$900 |
$3,000 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$553.28 |
$1,844.25 |
0.4× |
| Wrist 2 views (73100) |
$145.20 |
$484 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$144.75 |
$482.50 |
1.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$91.65 |
$305.50 |
1.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$576.45 |
$1,921.50 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$108.90 |
$363 |
1.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$99 |
$330 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$58.80 |
$196 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$101.85 |
$339.50 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$136.65 |
$455.50 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$336.90 |
$1,123 |
3.6× |
| X-ray eye for foreign body (70030) |
$137.10 |
$457 |
1.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$147.90 |
$493 |
1.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$49.50 |
$165 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$155.84 |
$519.48 |
2.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$86.85 |
$289.50 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$143.40 |
$478 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$132.75 |
$442.50 |
1.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$102.75 |
$342.50 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$150.45 |
$501.50 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$320.85 |
$1,069.50 |
3.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$129 |
$430 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$107.55 |
$358.50 |
1.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$128.55 |
$428.50 |
1.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$147.90 |
$493 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$112.50 |
$375 |
1.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$632.25 |
$2,107.50 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$90 |
$300 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$339.60 |
$1,132 |
3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$99 |
$330 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$145.50 |
$485 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$224.25 |
$747.50 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$152.40 |
$508 |
1.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$107.55 |
$358.50 |
1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$110.85 |
$369.50 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$221.55 |
$738.50 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$130.95 |
$436.50 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$188.70 |
$629 |
2.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$123.60 |
$412 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$176.85 |
$589.50 |
1.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$139.50 |
$465 |
1.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$40.20 |
$134 |
0.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$109.95 |
$366.50 |
1.4× |
| Xr arthrogram ankle (73615) |
$363 |
$1,210 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$199.95 |
$666.50 |
2.1× |
| Xr chest 4+ views (71048) |
$300.60 |
$1,002 |
3.2× |
| Xr finger(s) 2+ views (73140) |
$38.25 |
$127.50 |
0.5× |
| Xr shoulder 1 view (73020) |
$130.20 |
$434 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$209.85 |
$699.50 |
2.2× |
| Xr tibia/fibula 2 views (73590) |
$109.95 |
$366.50 |
1.4× |
| Xr tmj bilateral (70330) |
$267.75 |
$892.50 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$220.05 |
$733.50 |
2.8× |