| Abdomen 2 views (74019) |
$204 |
$204 |
2.0× |
| Ankle 2 views (73600) |
$108 |
$108 |
1.3× |
| Bone age studies (77072) |
$69 |
$69 |
0.7× |
| Bone survey complete (77075) |
$296 |
$296 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$109 |
$109 |
1.3× |
| Chest 1 view (71045) |
$179.50 |
$179.50 |
2.2× |
| Chest xray 3 views (71047) |
$307.50 |
$307.50 |
3.7× |
| Clavicle complete (73000) |
$96 |
$96 |
1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$128 |
$128 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,236 |
$1,236 |
3.7× |
| CT abdomen and pelvis without contrast (74176) |
$556 |
$556 |
2.4× |
| CT abdomen w contrast (74160) |
$818 |
$818 |
4.9× |
| CT abdomen w wo contrast (74170) |
$939 |
$939 |
5.6× |
| CT abdomen w/o contrast (74150) |
$498.50 |
$498.50 |
5.0× |
| CT c-spine w/o contrast (72125) |
$641 |
$641 |
6.4× |
| CT chest w contrast (71260) |
$818 |
$818 |
4.9× |
| CT chest w/wo contrast (71270) |
$1,006 |
$1,006 |
6.0× |
| CT head/brain without and with contrast (70470) |
$627 |
$627 |
3.7× |
| CT lower ext w/o (73700) |
$635 |
$635 |
6.3× |
| CT lower extremity w/contrast material (73701) |
$822 |
$822 |
4.9× |
| CT lumbar spine w/o contrast (72131) |
$635 |
$635 |
6.3× |
| CT maxillofacial w contrast (70487) |
$543 |
$543 |
3.2× |
| CT maxillofacial wo contrast (70486) |
$472 |
$472 |
4.7× |
| CT pelvis w/o contrast (72192) |
$448 |
$448 |
4.5× |
| CT soft tissue neck w contrast (70491) |
$810 |
$810 |
4.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,002 |
$1,002 |
6.0× |
| CT soft tissue neck w/o contrast (70490) |
$631 |
$631 |
6.3× |
| CT thoracic spine w/o contrast (72128) |
$639 |
$639 |
6.4× |
| CT thorax w/o contrast (71250) |
$633 |
$633 |
6.3× |
| CT upper ext wo (73200) |
$633 |
$633 |
6.3× |
| CTA abdomen pelvis (74174) |
$1,361 |
$1,361 |
4.1× |
| CTA chest (71275) |
$919.50 |
$919.50 |
5.5× |
| Cta Head (70496) |
$1,005 |
$1,005 |
6.0× |
| Cta Neck (70498) |
$1,002 |
$1,002 |
6.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$204 |
$204 |
2.0× |
| Facial bones min 3 views (70150) |
$204 |
$204 |
2.0× |
| Foot 2 views (73620) |
$91 |
$91 |
1.1× |
| Forearm 2 views (73090) |
$114 |
$114 |
1.4× |
| Hand 2 views (73120) |
$204 |
$204 |
2.0× |
| Neck soft tissue (70360) |
$100 |
$100 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$204 |
$204 |
2.0× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$114 |
$114 |
1.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$114 |
$114 |
1.4× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$113 |
$113 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$229 |
$229 |
2.3× |
| Radex fingr minimum 2 views (73140) |
$124 |
$124 |
1.5× |
| Radex Foot Compl Minimum 3 Views (73630) |
$105 |
$105 |
1.3× |
| Radex Hand Minimum 3 Views (73130) |
$110 |
$110 |
1.3× |
| Radex Humerus Minimum 2 Views (73060) |
$105 |
$105 |
1.3× |
| Radex Kne 1/2 Views (73560) |
$113 |
$113 |
1.4× |
| Radex Kne Compl 4/More Views (73564) |
$204 |
$204 |
2.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$204 |
$204 |
2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$119 |
$119 |
1.4× |
| Radex Sho Compl Minimum 2 Views (73030) |
$179 |
$179 |
2.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$106 |
$106 |
1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$175 |
$175 |
2.1× |
| Radex Toe Minimum 2 Views (73660) |
$108 |
$108 |
1.3× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$134 |
$134 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$166 |
$166 |
2.0× |
| Radiologic exam chest 2 views (71046) |
$218 |
$218 |
2.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$104 |
$104 |
1.2× |
| Scapula (73010) |
$218 |
$218 |
2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$146 |
$146 |
6.2× |
| Spine thoracic 3 views (72072) |
$204 |
$204 |
2.0× |
| Thoracolumbar 2 views (72080) |
$100 |
$100 |
1.2× |
| Ultrasound breast complete (76641) |
$352 |
$352 |
3.5× |
| Ultrasound, abdomen limited (76705) |
$308 |
$308 |
3.1× |
| Us breast unilateral limited (76642) |
$270 |
$270 |
3.2× |
| Us compl joint r-t w/image documentation (76881) |
$213 |
$213 |
2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$60 |
$60 |
0.6× |
| Us pelvic non ob complete (76856) |
$376 |
$376 |
3.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$204 |
$204 |
2.0× |
| Us retroperitoneal limited (76775) |
$204 |
$204 |
2.0× |
| Us scrotum and contents (76870) |
$181 |
$181 |
1.8× |
| Us soft tissue head/neck (76536) |
$438 |
$438 |
4.4× |
| Wrist 2 views (73100) |
$105 |
$105 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$204 |
$204 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$151 |
$151 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$204 |
$204 |
2.0× |
| X-ray exam of femur 2/> (73552) |
$116 |
$116 |
1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$135 |
$135 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$204 |
$204 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$224 |
$224 |
2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$141 |
$141 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$109 |
$109 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$204 |
$204 |
2.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$204 |
$204 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$113 |
$113 |
1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$141 |
$141 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$118 |
$118 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$96 |
$96 |
1.1× |
| Xr c-spine 4 or 5 views (72050) |
$204 |
$204 |
2.0× |
| Xr c-spine 6 or more views (72052) |
$188 |
$188 |
1.9× |