| Abdomen 2 views (74019) |
$87.13 |
$348.50 |
0.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$544.31 |
$2,177.25 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$34.88 |
$139.50 |
0.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,750.63 |
$15,002.50 |
1.2× |
| Ankle 2 views (73600) |
$139.25 |
$557 |
1.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$388.69 |
$1,554.75 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$409.50 |
$1,638 |
0.1× |
| Arthrogram elbow (73085) |
$496.06 |
$1,984.25 |
1.4× |
| Arthrogram hip (73525) |
$496.06 |
$1,984.25 |
1.4× |
| Arthrogram shoulder (73040) |
$496.06 |
$1,984.25 |
1.4× |
| Arthrogram wrist (73115) |
$496.06 |
$1,984.25 |
1.4× |
| Arthrography knee lt (73580) |
$496.06 |
$1,984.25 |
1.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$486.75 |
$1,947 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$486.75 |
$1,947 |
1.2× |
| Bone age studies (77072) |
$139.25 |
$557 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$552.88 |
$2,211.50 |
1.4× |
| Bone survey complete (77075) |
$488.75 |
$1,955 |
4.7× |
| Brain imaging < 4 static views w vascular flow (78601) |
$816.19 |
$3,264.75 |
2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,155.25 |
$8,621 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$139.25 |
$557 |
1.6× |
| Chest 1 view (71045) |
$87.13 |
$348.50 |
1.0× |
| Chest 3 views (71047) |
$98.50 |
$394 |
1.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$186.13 |
$744.50 |
1.1× |
| Clavicle complete (73000) |
$87.13 |
$348.50 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$189.94 |
$759.75 |
1.8× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$149 |
$596 |
0.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,220.69 |
$4,882.75 |
3.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,073.84 |
$4,295.38 |
4.5× |
| CT abdomen w contrast (74160) |
$506.75 |
$2,027 |
2.9× |
| CT abdomen w wo contrast (74170) |
$548.31 |
$2,193.25 |
3.1× |
| CT abdomen w/o contrast (74150) |
$525.75 |
$2,103 |
5.0× |
| CT angiography upper extremity lt (73206) |
$342.88 |
$1,371.50 |
2.0× |
| CT c-spine w/o contrast (72125) |
$689.38 |
$2,757.50 |
6.6× |
| CT cervical spine w&w/o contrast (72127) |
$510.94 |
$2,043.75 |
2.9× |
| CT cervical spine with contrast (72126) |
$473.13 |
$1,892.50 |
1.4× |
| CT chest w/wo contrast (71270) |
$473.13 |
$1,892.50 |
2.7× |
| CT chest with contrast (71260) |
$556.38 |
$2,225.50 |
3.2× |
| CT head/brain with contrast (70460) |
$532.18 |
$2,128.75 |
3.0× |
| CT head/brain without and with contrast (70470) |
$606.06 |
$2,424.25 |
3.4× |
| CT iac w contrast (70481) |
$271.76 |
$1,087 |
1.5× |
| CT limited/localized follow up study (76380) |
$197.13 |
$788.50 |
2.3× |
| CT lower ext w/o (73700) |
$689.38 |
$2,757.50 |
6.6× |
| CT lower extremity w wo contrast (73702) |
$505.06 |
$2,020.25 |
2.9× |
| CT lower extremity with contrast (73701) |
$473.13 |
$1,892.50 |
2.7× |
| CT lumbar spine w & w/o contrast (72133) |
$505.06 |
$2,020.25 |
2.9× |
| CT lumbar spine w/o contrast (72131) |
$689.38 |
$2,757.50 |
6.6× |
| CT lumbar spine with contrast (72132) |
$473.13 |
$1,892.50 |
1.4× |
| CT maxillofacial w contrast (70487) |
$453.88 |
$1,815.50 |
2.6× |
| CT maxillofacial w/o contrast (70486) |
$407.53 |
$1,630.12 |
3.9× |
| CT maxillofacial w/wo contrast (70488) |
$485.50 |
$1,942 |
2.8× |
| CT neck soft tissue w contrast (70491) |
$515.31 |
$2,061.25 |
2.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$755.06 |
$3,020.25 |
4.3× |
| CT orbits w/o contrast (70480) |
$483.62 |
$1,934.50 |
4.6× |
| CT pelvis w & w/o contrast (72194) |
$517.31 |
$2,069.25 |
2.9× |
| CT pelvis w/o contrast (72192) |
$527.25 |
$2,109 |
5.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$421.81 |
$1,687.25 |
2.4× |
| CT soft tissue neck w/o contrast (70490) |
$483.56 |
$1,934.25 |
4.6× |
| CT thoracic spine w/contrast (72129) |
$353.13 |
$1,412.50 |
2.0× |
| CT thoracic spine w/o contrast (72128) |
$689.38 |
$2,757.50 |
6.6× |
| CT thoracic spine w/wo contrast (72130) |
$510.94 |
$2,043.75 |
2.9× |
| CT thorax w/o contrast (71250) |
$535.94 |
$2,143.75 |
5.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$505.06 |
$2,020.25 |
2.9× |
| CT upper extremity w/o contrast rt (73200) |
$670.69 |
$2,682.75 |
6.4× |
| CT upper extremity with contrast (73201) |
$473.13 |
$1,892.50 |
1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$910.31 |
$3,641.25 |
5.2× |
| Cta Abdomen (74175) |
$125.81 |
$503.25 |
0.7× |
| CTA abdomen pelvis (74174) |
$882.47 |
$3,529.88 |
2.5× |
| CTA chest (71275) |
$613.25 |
$2,453 |
3.5× |
| Cta Head (70496) |
$715.31 |
$2,861.25 |
4.1× |
| CTA lwr ext w&w/o contrast (73706) |
$343.06 |
$1,372.25 |
2.0× |
| Cta Neck (70498) |
$716.44 |
$2,865.75 |
4.1× |
| Cystography minimum 3 views rs&i (74430) |
$388.69 |
$1,554.75 |
1.1× |
| Diskogram cervical (72285) |
$4,881.88 |
$19,527.50 |
2.5× |
| Esophagus (74220) |
$164.56 |
$658.25 |
0.9× |
| Fetal biophysical profile non-stress testing (76818) |
$223.53 |
$894.12 |
2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$231 |
$924 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$233.75 |
$935 |
1.0× |
| Foot 2 views (73620) |
$87.13 |
$348.50 |
1.0× |
| Forearm 2 views (73090) |
$87.13 |
$348.50 |
1.0× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$353.25 |
$1,413 |
0.6× |
| Gated Heart Planar Single (78472) |
$547.25 |
$2,189 |
1.4× |
| Hand 2 views (73120) |
$139.25 |
$557 |
1.3× |
| Hand 3 views (73130) |
$87.13 |
$348.50 |
1.0× |
| Heart Infarct Image (78466) |
$547.25 |
$2,189 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$572.63 |
$2,290.50 |
1.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$546.50 |
$2,186 |
1.4× |
| Ht muscle image spect sing (78451) |
$1,670.75 |
$6,683 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$87.13 |
$348.50 |
1.0× |
| Hysterosalpingogram (74740) |
$493.75 |
$1,975 |
2.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$139.25 |
$557 |
1.3× |
| Kidney imaging morphology (78700) |
$616.25 |
$2,465 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$616.25 |
$2,465 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$616.25 |
$2,465 |
1.1× |
| Knee 3 views (73562) |
$139.25 |
$557 |
1.6× |
| Liver & spleen imaging static only (78215) |
$546.50 |
$2,186 |
1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$546.50 |
$2,186 |
1.4× |
| Liver imaging w/vascular flow (78202) |
$546.50 |
$2,186 |
1.0× |
| Lymphoscintigraphy (78195) |
$541.63 |
$2,166.50 |
1.0× |
| Meckels Diverticulum (78290) |
$479 |
$1,916 |
1.2× |
| MRA head w & w/o contrast (70546) |
$921.94 |
$3,687.75 |
2.6× |
| MRA head w/o contrast (70544) |
$416.18 |
$1,664.75 |
1.7× |
| MRA head with contrast (70545) |
$749.31 |
$2,997.25 |
2.1× |
| MRA neck w contrast (70548) |
$576.31 |
$2,305.25 |
1.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$921.94 |
$3,687.75 |
2.6× |
| MRA neck w/o contrast (70547) |
$576.44 |
$2,305.75 |
2.4× |
| MRI abdomen w contrast (74182) |
$863 |
$3,452 |
2.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$863 |
$3,452 |
2.5× |
| MRI abdomen w/o contrast (74181) |
$721.28 |
$2,885.12 |
3.0× |
| MRI any jnt lwr ext with con lt (73722) |
$863 |
$3,452 |
1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$863 |
$3,452 |
1.1× |
| MRI c-spine with contrast (72142) |
$806.50 |
$3,226 |
2.3× |
| MRI cervical spine w/o contrast (72141) |
$795.19 |
$3,180.75 |
3.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$863 |
$3,452 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$863 |
$3,452 |
2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$735.38 |
$2,941.50 |
3.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$543.88 |
$2,175.50 |
2.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$909.06 |
$3,636.25 |
2.6× |
| MRI orbit/face/neck w/contrast (70542) |
$829.81 |
$3,319.25 |
2.4× |
| MRI pelvis w contrast (72196) |
$863 |
$3,452 |
2.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$711.50 |
$2,846 |
2.0× |
| MRI pelvis w/o contrast (72195) |
$501.72 |
$2,006.88 |
2.1× |
| MRI scan of arm joint before and after contrast (73223) |
$863 |
$3,452 |
2.5× |
| MRI scan of leg joint before and after contrast (73723) |
$863 |
$3,452 |
2.5× |
| MRI spectroscopy (76390) |
$728.69 |
$2,914.75 |
8.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$881 |
$3,524 |
2.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$829.81 |
$3,319.25 |
2.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$924.13 |
$3,696.50 |
2.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$577.50 |
$2,310 |
1.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$924.13 |
$3,696.50 |
2.6× |
| MRI thoracic spine w/o contrast (72146) |
$707.06 |
$2,828.25 |
3.0× |
| MRI tmj (70336) |
$565.50 |
$2,262 |
2.4× |
| MRI upper ext joint w/o contrast (73221) |
$827 |
$3,308 |
3.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$863 |
$3,452 |
2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$735.38 |
$2,941.50 |
3.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,797.63 |
$7,190.50 |
1.4× |
| Neck soft tissue (70360) |
$87.13 |
$348.50 |
1.0× |
| Nm gastric emptying study (78264) |
$479 |
$1,916 |
1.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,670.75 |
$6,683 |
1.3× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,670.75 |
$6,683 |
1.3× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$308.44 |
$1,233.75 |
0.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$142.88 |
$571.50 |
1.4× |
| Osseous survey infant (77076) |
$449.19 |
$1,796.75 |
4.3× |
| Parathyroid imaging (78070) |
$413.06 |
$1,652.25 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$139.25 |
$557 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$2,155.25 |
$8,621 |
1.5× |
| PET imaging for CT attenuation whole body (78816) |
$2,218.75 |
$8,875 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$863 |
$3,452 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$462.75 |
$1,851 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$707.19 |
$2,828.75 |
1.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$474.75 |
$1,899 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$186.50 |
$746 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$173.88 |
$695.50 |
1.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$139.25 |
$557 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$133.94 |
$535.75 |
1.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$87.13 |
$348.50 |
1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$139.25 |
$557 |
1.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$107.44 |
$429.75 |
1.2× |
| Radiologic exam colon single contrast study (74270) |
$267.31 |
$1,069.25 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$252.63 |
$1,010.50 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$233.72 |
$934.88 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$87.13 |
$348.50 |
1.0× |
| Radiological examination surgical specimen (76098) |
$493.75 |
$1,975 |
0.9× |
| Ribs bilateral 3 views (71110) |
$235.06 |
$940.25 |
2.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$367.38 |
$1,469.50 |
0.7× |
| Sacroiliac Joints < 3 Views (72200) |
$87.13 |
$348.50 |
0.8× |
| Scanogram (77073) |
$139.25 |
$557 |
1.3× |
| Scapula complete (73010) |
$87.13 |
$348.50 |
0.8× |
| Screening digital breast tomosynthesis (77063) |
$60 |
$240 |
2.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$151.81 |
$607.25 |
1.4× |
| Sialogram (70390) |
$493.75 |
$1,975 |
2.1× |
| Small bowel series (74250) |
$210.60 |
$842.38 |
1.2× |
| Spine thoracic 3 views (72072) |
$139.25 |
$557 |
1.3× |
| Spleen imaging only (78185) |
$541.56 |
$2,166.25 |
1.4× |
| Testicular Imaging With Vascular Flow (78761) |
$616.25 |
$2,465 |
1.5× |
| Thoracolumbar 2 views (72080) |
$88.31 |
$353.25 |
1.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$595.19 |
$2,380.75 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$278.25 |
$1,113 |
0.7× |
| Thyroid uptake measurement (78012) |
$277.19 |
$1,108.75 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$413.06 |
$1,652.25 |
1.0× |
| Tmj unilateral (70328) |
$87.13 |
$348.50 |
1.0× |
| Tomogram (76100) |
$128.75 |
$515 |
1.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$367.38 |
$1,469.50 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$224.56 |
$898.25 |
2.1× |
| Unlisted Ultrasound Procedure (76999) |
$136.13 |
$544.50 |
1.6× |
| Upper Extremity Infant (73092) |
$139.25 |
$557 |
1.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$616.25 |
$2,465 |
1.5× |
| Urethrocystography retrograde rs&i (74450) |
$439.81 |
$1,759.25 |
1.8× |
| Urethrocystography voiding (74455) |
$370.06 |
$1,480.25 |
1.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$355.88 |
$1,423.50 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$38.88 |
$155.50 |
0.4× |
| Us breast unilateral complete (76641) |
$180.81 |
$723.25 |
1.7× |
| Us breast unilateral limited (76642) |
$110.50 |
$442 |
1.3× |
| Us chest (76604) |
$197.50 |
$790 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$56.38 |
$225.50 |
0.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$153.13 |
$612.50 |
1.5× |
| Us infant hips limited static (76886) |
$112.13 |
$448.50 |
1.3× |
| Us ob transvaginal (76817) |
$222.12 |
$888.50 |
2.1× |
| Us pelvic non ob complete (76856) |
$243.88 |
$975.50 |
2.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$134.25 |
$537 |
1.3× |
| Us pregnancy ltd (76815) |
$216.34 |
$865.38 |
2.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$231 |
$924 |
2.2× |
| Us retroperitoneal complete (76770) |
$180.63 |
$722.50 |
1.7× |
| Us retroperitoneal limited (76775) |
$247.82 |
$991.25 |
2.4× |
| Us scrotum and contents (76870) |
$236.19 |
$944.75 |
2.3× |
| Us soft tissue head/neck (76536) |
$217.75 |
$871 |
2.1× |
| Us spinal canal and contents (76800) |
$145.13 |
$580.50 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$136.13 |
$544.50 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,212.25 |
$4,849 |
0.8× |
| Wrist 2 views (73100) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$139.25 |
$557 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$278.44 |
$1,113.75 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$139.25 |
$557 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$208.13 |
$832.50 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$87.13 |
$348.50 |
1.0× |
| X-ray exam hip uni 1 view (73501) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$87.13 |
$348.50 |
1.0× |
| X-ray exam hip uni 4/> views (73503) |
$148 |
$592 |
1.4× |
| X-ray eye for foreign body (70030) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$139.25 |
$557 |
1.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$95.54 |
$382.12 |
1.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$139.25 |
$557 |
1.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$208.84 |
$835.38 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$139.25 |
$557 |
1.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$146.63 |
$586.50 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$139.25 |
$557 |
1.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$139.25 |
$557 |
1.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$388.69 |
$1,554.75 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$139.25 |
$557 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$139.25 |
$557 |
1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$139.25 |
$557 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$139.25 |
$557 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$139.25 |
$557 |
1.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$139.25 |
$557 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$139.25 |
$557 |
1.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$80.50 |
$322 |
0.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$88.31 |
$353.25 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$139.25 |
$557 |
1.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$139.25 |
$557 |
1.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$87.13 |
$348.50 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$87.13 |
$348.50 |
1.0× |
| Xr arthrogram ankle (73615) |
$496.06 |
$1,984.25 |
1.4× |
| Xr c-spine 6 or more views (72052) |
$150.44 |
$601.75 |
1.4× |
| Xr chest 4+ views (71048) |
$233.75 |
$935 |
2.2× |
| Xr finger(s) 2+ views (73140) |
$87.13 |
$348.50 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$87.13 |
$348.50 |
0.8× |
| Xr shoulder 1 view (73020) |
$87.13 |
$348.50 |
1.0× |
| Xr spine cervical 4 or 5 views (72050) |
$139.25 |
$557 |
1.3× |
| Xr tibia/fibula 2 views (73590) |
$87.13 |
$348.50 |
1.0× |
| Xr tmj bilateral (70330) |
$173.88 |
$695.50 |
2.0× |
| Xray knee 1 or 2 views rt (73560) |
$87.13 |
$348.50 |
1.0× |