| Abdomen 2 views (74019) |
$53.88 |
$134.72 |
0.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$444.16 |
$1,110.40 |
1.3× |
| Ankle 2 views (73600) |
$66.60 |
$166.50 |
0.9× |
| Arthrogram shoulder (73040) |
$125.38 |
$313.45 |
0.4× |
| Arthrogram wrist (73115) |
$192.60 |
$481.50 |
0.6× |
| Arthrography knee lt (73580) |
$204.20 |
$510.50 |
0.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$258.72 |
$646.80 |
0.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$401.58 |
$1,003.95 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$413.14 |
$1,032.85 |
1.2× |
| Bone age studies (77072) |
$21.38 |
$53.44 |
0.2× |
| Bone Imaging 3 Phase (78315) |
$361.94 |
$904.85 |
1.1× |
| Bone Marrow Imaging Limited Area (78102) |
$282.60 |
$706.50 |
0.8× |
| Brain image w/flow 4 + views (78606) |
$398.20 |
$995.50 |
0.9× |
| Cervical spine 2 or 3 views (72040) |
$48.75 |
$121.88 |
0.7× |
| Chest 1 view (71045) |
$54.30 |
$135.75 |
0.7× |
| Chest 3 views (71047) |
$74.02 |
$185.06 |
1.0× |
| Clavicle complete (73000) |
$49.60 |
$123.99 |
0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$83.80 |
$209.50 |
0.9× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$135 |
$337.50 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$659.40 |
$1,648.50 |
2.2× |
| CT abdomen and pelvis without contrast (74176) |
$495.50 |
$1,238.75 |
2.4× |
| CT abdomen w contrast (74160) |
$390.86 |
$977.15 |
2.6× |
| CT abdomen w wo contrast (74170) |
$241.76 |
$604.40 |
1.6× |
| CT abdomen w/o contrast (74150) |
$199.72 |
$499.30 |
2.2× |
| CT angiography upper extremity lt (73206) |
$373.20 |
$933 |
2.5× |
| CT c-spine w/o contrast (72125) |
$416.32 |
$1,040.80 |
4.6× |
| CT cervical spine w&w/o contrast (72127) |
$708.80 |
$1,772 |
4.7× |
| CT cervical spine with contrast (72126) |
$429.42 |
$1,073.55 |
1.4× |
| CT chest w/wo contrast (71270) |
$450.94 |
$1,127.35 |
3.0× |
| CT chest with contrast (71260) |
$416.86 |
$1,042.15 |
2.8× |
| CT head/brain with contrast (70460) |
$372.16 |
$930.40 |
2.5× |
| CT head/brain without and with contrast (70470) |
$426.28 |
$1,065.70 |
2.8× |
| CT iac w contrast (70481) |
$204.82 |
$512.05 |
1.4× |
| CT limited/localized follow up study (76380) |
$193.60 |
$484 |
2.6× |
| CT lower ext w/o (73700) |
$266.20 |
$665.50 |
3.0× |
| CT lower extremity w wo contrast (73702) |
$265.24 |
$663.10 |
1.8× |
| CT lower extremity with contrast (73701) |
$372.04 |
$930.10 |
2.5× |
| CT lumbar spine w & w/o contrast (72133) |
$736.40 |
$1,841 |
4.9× |
| CT lumbar spine w/o contrast (72131) |
$414.24 |
$1,035.60 |
4.6× |
| CT lumbar spine with contrast (72132) |
$429.42 |
$1,073.55 |
1.4× |
| CT maxillofacial w contrast (70487) |
$279.50 |
$698.75 |
1.8× |
| CT maxillofacial w/o contrast (70486) |
$208.76 |
$521.90 |
2.3× |
| CT maxillofacial w/wo contrast (70488) |
$329.16 |
$822.90 |
2.2× |
| CT neck soft tissue w contrast (70491) |
$316.50 |
$791.25 |
2.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$223.26 |
$558.15 |
1.5× |
| CT orbits w/o contrast (70480) |
$139.40 |
$348.50 |
1.5× |
| CT pelvis w & w/o contrast (72194) |
$444.50 |
$1,111.25 |
2.9× |
| CT pelvis w/o contrast (72192) |
$198.24 |
$495.60 |
2.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$409.02 |
$1,022.55 |
2.7× |
| CT soft tissue neck w/o contrast (70490) |
$148.30 |
$370.75 |
1.6× |
| CT thoracic spine w/contrast (72129) |
$441.42 |
$1,103.55 |
2.9× |
| CT thoracic spine w/o contrast (72128) |
$186.74 |
$466.85 |
2.1× |
| CT thoracic spine w/wo contrast (72130) |
$242 |
$605 |
1.6× |
| CT thorax w/o contrast (71250) |
$342.04 |
$855.10 |
3.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$403.60 |
$1,009 |
2.7× |
| CT upper extremity w/o contrast rt (73200) |
$310.74 |
$776.85 |
3.4× |
| CT upper extremity with contrast (73201) |
$321.40 |
$803.50 |
1.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$454.40 |
$1,136 |
3.0× |
| Cta Abdomen (74175) |
$427.20 |
$1,068 |
2.8× |
| CTA abdomen pelvis (74174) |
$551.20 |
$1,378 |
1.8× |
| CTA chest (71275) |
$283.40 |
$708.50 |
1.9× |
| Cta Head (70496) |
$418.80 |
$1,047 |
2.8× |
| CTA lwr ext w&w/o contrast (73706) |
$414 |
$1,035 |
2.7× |
| Cta Neck (70498) |
$418.40 |
$1,046 |
2.8× |
| Cta Pelvis (72191) |
$422 |
$1,055 |
2.8× |
| Cystography minimum 3 views rs&i (74430) |
$93.04 |
$232.60 |
0.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$104.36 |
$260.90 |
1.2× |
| Esophagus (74220) |
$95.02 |
$237.55 |
0.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$90.96 |
$227.40 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$73.66 |
$184.14 |
0.4× |
| Foot 2 views (73620) |
$30.62 |
$76.54 |
0.4× |
| Forearm 2 views (73090) |
$37.30 |
$93.25 |
0.5× |
| Gated Heart Planar Single (78472) |
$399.40 |
$998.50 |
1.2× |
| Hand 2 views (73120) |
$40.40 |
$101 |
0.4× |
| Hand 3 views (73130) |
$32.40 |
$80.99 |
0.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$412.24 |
$1,030.60 |
0.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$381.22 |
$953.05 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$65.20 |
$163 |
0.9× |
| Hysterosalpingogram (74740) |
$118.70 |
$296.75 |
0.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$221.16 |
$552.90 |
0.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$421.20 |
$543.25 |
0.9× |
| Knee 3 views (73562) |
$59.28 |
$148.22 |
0.8× |
| Liver & spleen imaging static only (78215) |
$234.40 |
$586 |
0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$344.60 |
$861.50 |
1.0× |
| Liver imaging static only (78201) |
$231.94 |
$579.85 |
0.5× |
| Liver imaging w/vascular flow (78202) |
$344.60 |
$861.50 |
0.7× |
| Lymphoscintigraphy (78195) |
$255.76 |
$639.40 |
0.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$47.16 |
$117.90 |
0.6× |
| Meckels Diverticulum (78290) |
$251.60 |
$629 |
0.7× |
| MRA head w & w/o contrast (70546) |
$812.68 |
$2,031.70 |
2.7× |
| MRA head w/o contrast (70544) |
$435.70 |
$1,089.25 |
2.1× |
| MRA head with contrast (70545) |
$481.72 |
$1,204.30 |
1.6× |
| MRA neck w contrast (70548) |
$456.84 |
$1,142.10 |
1.5× |
| MRA neck w/o contrast (70547) |
$564.60 |
$1,411.50 |
2.7× |
| MRI abdomen w contrast (74182) |
$553.26 |
$1,383.15 |
1.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$774.12 |
$1,935.30 |
2.6× |
| MRI abdomen w/o contrast (74181) |
$435.60 |
$1,089 |
2.1× |
| MRI any jnt lwr ext with con lt (73722) |
$445.90 |
$1,114.75 |
0.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$494.14 |
$1,235.35 |
0.7× |
| MRI c-spine with contrast (72142) |
$543.50 |
$1,358.75 |
1.8× |
| MRI cervical spine w/o contrast (72141) |
$364.17 |
$910.42 |
1.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,415 |
$3,537.50 |
4.7× |
| MRI chest w/o contrast (71550) |
$635.80 |
$1,589.50 |
3.1× |
| MRI chest with contrast (71551) |
$661.20 |
$1,653 |
1.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$465.76 |
$1,164.40 |
1.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$520.16 |
$1,300.40 |
1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$414.28 |
$1,035.70 |
2.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$422.08 |
$1,055.20 |
2.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$877.96 |
$2,194.90 |
2.9× |
| MRI orbit/face/neck w/contrast (70542) |
$519.58 |
$1,298.95 |
1.7× |
| MRI pelvis w contrast (72196) |
$644.66 |
$1,611.65 |
2.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$886.22 |
$2,215.55 |
2.9× |
| MRI pelvis w/o contrast (72195) |
$433.22 |
$1,083.05 |
2.1× |
| MRI scan of arm joint before and after contrast (73223) |
$746.22 |
$1,865.55 |
2.5× |
| MRI scan of leg joint before and after contrast (73723) |
$746.90 |
$1,867.25 |
2.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$733.44 |
$1,833.60 |
2.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$542.12 |
$1,355.30 |
1.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$733.24 |
$1,833.10 |
2.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$390.06 |
$975.15 |
1.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$733.64 |
$1,834.10 |
2.4× |
| MRI thoracic spine w/o contrast (72146) |
$383.94 |
$959.85 |
1.9× |
| MRI tmj (70336) |
$638.80 |
$1,597 |
3.1× |
| MRI upper ext joint w/o contrast (73221) |
$373.20 |
$933 |
1.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$849.74 |
$2,124.35 |
2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$414.28 |
$1,035.70 |
2.0× |
| Myelogram Cervical (72240) |
$351.20 |
$878 |
0.5× |
| Myelogram thoracic (72255) |
$243.20 |
$608 |
0.4× |
| Myelography 2 or more regions (72270) |
$546 |
$1,365 |
0.8× |
| Neck soft tissue (70360) |
$43 |
$107.52 |
0.6× |
| Nm bone marrow multiple (78103) |
$344.60 |
$861.50 |
1.0× |
| Nm bone marrow wb (78104) |
$320.60 |
$801.50 |
0.9× |
| Nm gastric emptying study (78264) |
$406.78 |
$1,016.95 |
1.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$83.98 |
$209.95 |
0.9× |
| Osseous survey infant (77076) |
$58.44 |
$146.10 |
0.6× |
| Osseous survey limited (77074) |
$95.18 |
$237.95 |
1.1× |
| Parathyroid imaging (78070) |
$347.60 |
$869 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$44.08 |
$110.20 |
0.5× |
| Perineogram (74775) |
$88 |
$220 |
0.4× |
| PET image w/CT, skull-thigh (78815) |
$3,400 |
$8,500 |
2.8× |
| PET imaging CT for attenuation limited area (78814) |
$3,400 |
$8,500 |
2.8× |
| PET imaging for CT attenuation whole body (78816) |
$3,400 |
$8,500 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$881.88 |
$2,204.70 |
2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$219.96 |
$549.90 |
0.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$109 |
$272.50 |
0.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$100 |
$250 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$157.60 |
$394 |
1.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$115.80 |
$289.50 |
1.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$42.18 |
$105.45 |
0.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$153.60 |
$384 |
1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$67.86 |
$169.66 |
0.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$41.76 |
$104.38 |
0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$93.20 |
$233 |
1.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$43.89 |
$109.72 |
0.6× |
| Radiologic exam colon single contrast study (74270) |
$130.46 |
$326.15 |
0.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$161.20 |
$403 |
1.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$144.70 |
$361.75 |
1.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$115.62 |
$289.05 |
0.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$82.60 |
$206.50 |
1.1× |
| Radiological examination surgical specimen (76098) |
$31.78 |
$79.44 |
0.1× |
| Ribs bilateral 3 views (71110) |
$71.10 |
$177.75 |
0.8× |
| Salivary gland imaging (78230) |
$147.80 |
$369.50 |
0.4× |
| Scanogram (77073) |
$121.60 |
$304 |
1.3× |
| Scapula complete (73010) |
$56.08 |
$140.21 |
0.6× |
| Sella turcica (70240) |
$32.60 |
$81.50 |
0.4× |
| Sialogram (70390) |
$156.40 |
$391 |
0.8× |
| Small bowel series (74250) |
$132.14 |
$330.35 |
0.9× |
| Spine thoracic 3 views (72072) |
$59.04 |
$147.61 |
0.7× |
| Spleen imaging only (78185) |
$344.60 |
$861.50 |
1.0× |
| Therapeutic Enema (74283) |
$113.20 |
$283 |
0.7× |
| Thoracolumbar 2 views (72080) |
$28.80 |
$71.98 |
0.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$188 |
$470 |
0.5× |
| Thyroid uptake measurement (78012) |
$178 |
$445 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$400.88 |
$1,002.20 |
1.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$178.62 |
$446.55 |
0.5× |
| Ultrasound, abdomen limited (76705) |
$75.68 |
$189.20 |
0.8× |
| Unlisted Ultrasound Procedure (76999) |
$100 |
$250 |
1.3× |
| Upper Extremity Infant (73092) |
$33.20 |
$82.99 |
0.4× |
| Urethrocystography voiding (74455) |
$142.18 |
$355.45 |
0.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$185.80 |
$464.50 |
1.2× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$223.60 |
$559 |
1.5× |
| Us abdl aorta screen aaa (76706) |
$95.70 |
$239.25 |
1.1× |
| Us breast unilateral complete (76641) |
$115.20 |
$288 |
1.3× |
| Us breast unilateral limited (76642) |
$78.90 |
$197.25 |
1.1× |
| Us chest (76604) |
$68 |
$170 |
0.8× |
| Us compl joint r-t w/image documentation (76881) |
$110.92 |
$277.30 |
1.2× |
| Us infant hips dynamic (76885) |
$125.20 |
$313 |
1.7× |
| Us infant hips limited static (76886) |
$125.20 |
$313 |
1.7× |
| Us ob transvaginal (76817) |
$178.40 |
$446 |
2.0× |
| Us pelvic non ob complete (76856) |
$125.52 |
$313.80 |
1.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$110.68 |
$276.70 |
1.2× |
| Us pregnancy ltd (76815) |
$89.14 |
$222.85 |
1.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$127.18 |
$317.95 |
1.4× |
| Us retroperitoneal complete (76770) |
$128.28 |
$320.70 |
1.4× |
| Us retroperitoneal limited (76775) |
$101.44 |
$253.60 |
1.1× |
| Us scrotum and contents (76870) |
$109.76 |
$274.40 |
1.2× |
| Us soft tissue head/neck (76536) |
$108.48 |
$271.20 |
1.2× |
| Us xtr non-vasc lmtd (76882) |
$34.80 |
$87 |
0.4× |
| Venogram extremity bilateral (75822) |
$434.20 |
$1,085.50 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$321.60 |
$804 |
0.2× |
| Wrist 2 views (73100) |
$56 |
$140 |
0.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$77.42 |
$193.55 |
0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$69.70 |
$174.26 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$51.90 |
$129.74 |
0.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$223 |
$557.50 |
1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$41.40 |
$103.50 |
0.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$59.30 |
$148.24 |
0.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$153.60 |
$384 |
1.7× |
| X-ray exam hip uni 1 view (73501) |
$76.20 |
$190.50 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$84 |
$210 |
1.1× |
| X-ray exam hip uni 4/> views (73503) |
$55.80 |
$139.49 |
0.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$80.40 |
$201 |
0.9× |
| X-ray exam of femur 1 (73551) |
$72.60 |
$181.50 |
1.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$210 |
$525 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$64.36 |
$160.90 |
0.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$34.68 |
$86.70 |
0.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$33.21 |
$83.02 |
0.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$46.20 |
$115.52 |
0.6× |
| X-ray IV pyelogram+drip infusn (74410) |
$213.64 |
$534.10 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$38.59 |
$96.47 |
0.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$72.24 |
$180.60 |
0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$56.48 |
$141.18 |
0.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$32.01 |
$80.03 |
0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$88.40 |
$221 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$94.30 |
$235.75 |
1.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$88.40 |
$221 |
1.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$51.27 |
$128.18 |
0.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$24.94 |
$62.34 |
0.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$68.58 |
$171.46 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$59.48 |
$148.71 |
0.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$77.36 |
$193.40 |
0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$100.19 |
$250.48 |
1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$58.74 |
$146.86 |
0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$54 |
$135 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$33.77 |
$84.43 |
0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$71.97 |
$179.92 |
1.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$39.50 |
$98.74 |
0.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$64.84 |
$162.10 |
0.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$47.76 |
$119.40 |
0.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$30 |
$75 |
0.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$62.08 |
$155.21 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$57.94 |
$144.86 |
0.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$43.74 |
$109.36 |
0.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$44.61 |
$111.52 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$52.40 |
$131 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$95.78 |
$239.45 |
1.1× |
| Xr chest 4+ views (71048) |
$95.40 |
$238.50 |
1.1× |
| Xr Cholecystography Oral Contrast (74290) |
$60.40 |
$151 |
0.4× |
| Xr finger(s) 2+ views (73140) |
$42.70 |
$106.75 |
0.6× |
| Xr shoulder 1 view (73020) |
$47 |
$117.51 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$63.50 |
$158.74 |
0.7× |
| Xr tibia/fibula 2 views (73590) |
$65 |
$162.50 |
0.9× |
| Xr tmj bilateral (70330) |
$76.08 |
$190.21 |
1.0× |
| Xray knee 1 or 2 views rt (73560) |
$49.78 |
$124.46 |
0.7× |