| Abdomen 2 views (74019) |
$292.50 |
$585 |
2.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$429.50 |
$859 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$3,854.50 |
$7,709 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$3,011.50 |
$6,023 |
1.0× |
| Ankle 2 views (73600) |
$221.50 |
$443 |
2.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$398.50 |
$797 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,011.50 |
$6,023 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$3,011.50 |
$6,023 |
1.0× |
| Arthrogram hip (73525) |
$767 |
$1,534 |
2.3× |
| Arthrogram shoulder (73040) |
$397 |
$794 |
1.2× |
| Arthrogram wrist (73115) |
$521.50 |
$1,043 |
1.5× |
| Arthrography knee lt (73580) |
$436 |
$872 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$429.50 |
$859 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$429.50 |
$859 |
1.1× |
| Bone age studies (77072) |
$145.50 |
$291 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$429.50 |
$859 |
1.1× |
| Bone survey complete (77075) |
$508.50 |
$1,017 |
5.0× |
| Brain image w/flow 4 + views (78606) |
$488 |
$976 |
0.9× |
| Cervical spine 2 or 3 views (72040) |
$180 |
$360 |
2.1× |
| Chest 1 view (71045) |
$207 |
$414 |
2.4× |
| Chest 3 views (71047) |
$289.50 |
$579 |
3.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$268 |
$536 |
1.6× |
| Clavicle complete (73000) |
$346 |
$692 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$44.50 |
$89 |
0.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$686 |
$1,372 |
2.0× |
| CT abdomen and pelvis without contrast (74176) |
$431 |
$862 |
1.9× |
| CT abdomen w contrast (74160) |
$2,054 |
$4,108 |
12.1× |
| CT abdomen w wo contrast (74170) |
$2,054 |
$4,108 |
12.1× |
| CT abdomen w/o contrast (74150) |
$1,856.50 |
$3,713 |
18.3× |
| CT angio hrt w/3d image (75574) |
$3,125 |
$6,250 |
9.2× |
| CT angiography upper extremity lt (73206) |
$397.50 |
$795 |
2.3× |
| CT c-spine w/o contrast (72125) |
$330.50 |
$661 |
3.3× |
| CT cervical spine w&w/o contrast (72127) |
$546.50 |
$1,093 |
3.2× |
| CT cervical spine with contrast (72126) |
$527.50 |
$1,055 |
1.6× |
| CT chest w/wo contrast (71270) |
$1,318.50 |
$2,637 |
7.7× |
| CT chest with contrast (71260) |
$1,125.50 |
$2,251 |
6.6× |
| CT head/brain with contrast (70460) |
$1,024 |
$2,048 |
6.0× |
| CT head/brain without and with contrast (70470) |
$1,024 |
$2,048 |
6.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$65 |
$130 |
0.8× |
| CT iac w contrast (70481) |
$962 |
$1,924 |
5.6× |
| CT limited/localized follow up study (76380) |
$417 |
$834 |
4.9× |
| CT lower ext w/o (73700) |
$1,609 |
$3,218 |
15.8× |
| CT lower extremity w wo contrast (73702) |
$1,787.50 |
$3,575 |
10.5× |
| CT lower extremity with contrast (73701) |
$1,787.50 |
$3,575 |
10.5× |
| CT lumbar spine w & w/o contrast (72133) |
$1,431 |
$2,862 |
8.4× |
| CT lumbar spine w/o contrast (72131) |
$1,094 |
$2,188 |
10.8× |
| CT lumbar spine with contrast (72132) |
$1,176.50 |
$2,353 |
3.5× |
| CT maxillofacial w contrast (70487) |
$822 |
$1,644 |
4.8× |
| CT maxillofacial w/o contrast (70486) |
$742.50 |
$1,485 |
7.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,029.50 |
$2,059 |
6.0× |
| CT neck soft tissue w contrast (70491) |
$845.50 |
$1,691 |
5.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$962 |
$1,924 |
5.6× |
| CT orbits w/o contrast (70480) |
$940.50 |
$1,881 |
9.3× |
| CT pelvis w & w/o contrast (72194) |
$2,008.50 |
$4,017 |
11.8× |
| CT pelvis w/o contrast (72192) |
$1,541 |
$3,082 |
15.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$845.50 |
$1,691 |
5.0× |
| CT soft tissue neck w/o contrast (70490) |
$565.50 |
$1,131 |
5.6× |
| CT thoracic spine w/contrast (72129) |
$563.50 |
$1,127 |
3.3× |
| CT thoracic spine w/o contrast (72128) |
$455.50 |
$911 |
4.5× |
| CT thoracic spine w/wo contrast (72130) |
$667.50 |
$1,335 |
3.9× |
| CT thorax w/o contrast (71250) |
$1,064 |
$2,128 |
10.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,258 |
$2,516 |
7.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,112.50 |
$2,225 |
11.0× |
| CT upper extremity with contrast (73201) |
$2,601.50 |
$5,203 |
7.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$875 |
$1,750 |
5.1× |
| Cta Abdomen (74175) |
$889 |
$1,778 |
5.2× |
| CTA abdomen pelvis (74174) |
$375.50 |
$751 |
1.1× |
| CTA chest (71275) |
$1,145 |
$2,290 |
6.7× |
| Cta Head (70496) |
$951.50 |
$1,903 |
5.6× |
| CTA lwr ext w&w/o contrast (73706) |
$749 |
$1,498 |
4.4× |
| Cta Neck (70498) |
$611.50 |
$1,223 |
3.6× |
| Cystography minimum 3 views rs&i (74430) |
$429 |
$858 |
1.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$249.50 |
$499 |
2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$56 |
$112 |
0.7× |
| Echoencephalography real time imaging (76506) |
$223.50 |
$447 |
2.2× |
| Esophagus (74220) |
$209 |
$418 |
1.2× |
| Fetal biophysical profile non-stress testing (76818) |
$533.50 |
$1,067 |
5.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$151 |
$302 |
1.5× |
| Fluoroscopy up to 1 hr (76000) |
$347 |
$694 |
1.5× |
| Foot 2 views (73620) |
$192.50 |
$385 |
2.3× |
| Forearm 2 views (73090) |
$232 |
$464 |
2.7× |
| Gated Heart Planar Single (78472) |
$462 |
$924 |
1.2× |
| Hand 2 views (73120) |
$346 |
$692 |
3.4× |
| Hand 3 views (73130) |
$191 |
$382 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,941.50 |
$3,883 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,683 |
$3,366 |
4.3× |
| Ht muscle image spect sing (78451) |
$805.50 |
$1,611 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$237 |
$474 |
2.8× |
| Hysterosalpingogram (74740) |
$416 |
$832 |
1.8× |
| Kidney imaging morphology (78700) |
$488 |
$976 |
1.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$682.50 |
$1,365 |
1.3× |
| Knee 3 views (73562) |
$436 |
$872 |
5.2× |
| Liver & spleen imaging static only (78215) |
$460 |
$920 |
1.2× |
| Lung Ventilation Imaging (78579) |
$429.50 |
$859 |
1.1× |
| Lymphoscintigraphy (78195) |
$553 |
$1,106 |
1.0× |
| Mammary ductogram or galactogram multiple (77054) |
$289.50 |
$579 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$248 |
$496 |
1.1× |
| Meckels Diverticulum (78290) |
$309.50 |
$619 |
0.8× |
| MRA head w & w/o contrast (70546) |
$1,702.50 |
$3,405 |
5.0× |
| MRA head w/o contrast (70544) |
$1,396 |
$2,792 |
6.0× |
| MRA head with contrast (70545) |
$1,702.50 |
$3,405 |
5.0× |
| MRA neck w contrast (70548) |
$3,077 |
$6,154 |
9.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,302 |
$6,604 |
9.7× |
| MRA neck w/o contrast (70547) |
$2,102.50 |
$4,205 |
9.1× |
| MRI abdomen w contrast (74182) |
$703.50 |
$1,407 |
2.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$979.50 |
$1,959 |
2.9× |
| MRI abdomen w/o contrast (74181) |
$486.50 |
$973 |
2.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,598 |
$3,196 |
2.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,159.50 |
$2,319 |
1.5× |
| MRI c-spine with contrast (72142) |
$1,393 |
$2,786 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$1,322.50 |
$2,645 |
5.7× |
| MRI chest w/o & w/contrast material (71552) |
$720.50 |
$1,441 |
2.1× |
| MRI chest w/o contrast (71550) |
$521.50 |
$1,043 |
2.2× |
| MRI chest with contrast (71551) |
$703.50 |
$1,407 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$703.50 |
$1,407 |
2.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$857 |
$1,714 |
2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$723 |
$1,446 |
3.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,100 |
$6,200 |
13.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,124 |
$8,248 |
12.2× |
| MRI orbit/face/neck w/contrast (70542) |
$3,405 |
$6,810 |
10.0× |
| MRI pelvis w contrast (72196) |
$703.50 |
$1,407 |
2.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$881 |
$1,762 |
2.6× |
| MRI pelvis w/o contrast (72195) |
$527 |
$1,054 |
2.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,598 |
$3,196 |
4.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,557 |
$3,114 |
4.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,393 |
$2,786 |
4.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,172.50 |
$2,345 |
3.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,380.50 |
$2,761 |
4.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,042.50 |
$2,085 |
3.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,042.50 |
$2,085 |
3.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,002.50 |
$2,005 |
4.3× |
| MRI tmj (70336) |
$443.50 |
$887 |
1.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,438 |
$2,876 |
6.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$801 |
$1,602 |
2.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$664 |
$1,328 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$1,719 |
$3,438 |
1.4× |
| Neck soft tissue (70360) |
$173.50 |
$347 |
2.1× |
| Nm gastric emptying study (78264) |
$429.50 |
$859 |
1.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$488 |
$976 |
1.3× |
| Nuclear Rx Oral Admin (79005) |
$378 |
$756 |
1.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$127.50 |
$255 |
1.3× |
| Osseous survey infant (77076) |
$184.50 |
$369 |
1.8× |
| Osseous survey limited (77074) |
$107.50 |
$215 |
1.1× |
| Parathyroid imaging (78070) |
$301.50 |
$603 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$145.50 |
$291 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$960.50 |
$1,921 |
0.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$857 |
$1,714 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$429.50 |
$859 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$561 |
$1,122 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$486 |
$972 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$208 |
$416 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$208 |
$416 |
2.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$220.50 |
$441 |
2.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$280.50 |
$561 |
2.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$416 |
$832 |
4.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$296 |
$592 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$264 |
$528 |
3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$277 |
$554 |
2.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$248 |
$496 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$576.50 |
$1,153 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$209 |
$418 |
1.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$246 |
$492 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$252.50 |
$505 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$225 |
$450 |
2.7× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$71.50 |
$143 |
0.8× |
| Radiological examination surgical specimen (76098) |
$496 |
$992 |
0.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,229 |
$4,458 |
0.7× |
| Ribs bilateral 3 views (71110) |
$145.50 |
$291 |
1.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$660 |
$1,320 |
1.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$811.50 |
$1,623 |
1.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$728.50 |
$1,457 |
0.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$826.50 |
$1,653 |
0.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$728.50 |
$1,457 |
0.6× |
| Sacroiliac Joints < 3 Views (72200) |
$145.50 |
$291 |
1.4× |
| Salivary gland imaging serial images (78231) |
$298 |
$596 |
0.8× |
| Scanogram (77073) |
$189.50 |
$379 |
1.9× |
| Scapula complete (73010) |
$432.50 |
$865 |
4.3× |
| Screening digital breast tomosynthesis (77063) |
$358 |
$716 |
15.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$438.50 |
$877 |
4.3× |
| Sialogram (70390) |
$362.50 |
$725 |
1.6× |
| Small bowel series (74250) |
$457.50 |
$915 |
2.7× |
| Spine thoracic 3 views (72072) |
$282.50 |
$565 |
2.8× |
| Testicular Imaging With Vascular Flow (78761) |
$351 |
$702 |
0.9× |
| Thoracolumbar 2 views (72080) |
$341 |
$682 |
4.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$407 |
$814 |
0.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$429.50 |
$859 |
1.1× |
| Thyroid uptake measurement (78012) |
$121.50 |
$243 |
0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$248.50 |
$497 |
0.6× |
| Tmj unilateral (70328) |
$179.50 |
$359 |
2.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$334 |
$668 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$334 |
$668 |
3.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$67 |
$134 |
0.8× |
| Upper Extremity Infant (73092) |
$156.50 |
$313 |
1.5× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$58.50 |
$117 |
0.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$375.50 |
$751 |
1.0× |
| Urethrocystography voiding (74455) |
$548 |
$1,096 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$279 |
$558 |
1.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$447 |
$894 |
2.6× |
| Us abdl aorta screen aaa (76706) |
$209 |
$418 |
2.1× |
| Us breast unilateral complete (76641) |
$696 |
$1,392 |
6.9× |
| Us breast unilateral limited (76642) |
$520.50 |
$1,041 |
6.2× |
| Us chest (76604) |
$178.50 |
$357 |
1.8× |
| Us compl joint r-t w/image documentation (76881) |
$84.50 |
$169 |
0.8× |
| Us ob detailed single fetus (76811) |
$253.50 |
$507 |
1.1× |
| Us ob transvaginal (76817) |
$533.50 |
$1,067 |
5.3× |
| Us pelvic non ob complete (76856) |
$363.50 |
$727 |
3.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$255 |
$510 |
2.5× |
| Us pregnancy ltd (76815) |
$230.50 |
$461 |
2.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$348.50 |
$697 |
3.4× |
| Us retroperitoneal complete (76770) |
$261 |
$522 |
2.6× |
| Us retroperitoneal limited (76775) |
$233 |
$466 |
2.3× |
| Us scrotum and contents (76870) |
$291.50 |
$583 |
2.9× |
| Us soft tissue head/neck (76536) |
$218 |
$436 |
2.1× |
| Us spinal canal and contents (76800) |
$420 |
$840 |
4.1× |
| Us transrectal (76872) |
$421.50 |
$843 |
4.1× |
| Us xtr non-vasc lmtd (76882) |
$157.50 |
$315 |
1.6× |
| Venogram extremity bilateral (75822) |
$925 |
$1,850 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$3,598 |
$7,196 |
1.2× |
| Venography caval superior serialography rs&i (75827) |
$898 |
$1,796 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$925 |
$1,850 |
0.6× |
| Wrist 2 views (73100) |
$237 |
$474 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$458 |
$916 |
4.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$276 |
$552 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$221.50 |
$443 |
2.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$682.50 |
$1,365 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$194 |
$388 |
2.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$352 |
$704 |
4.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$416 |
$832 |
4.1× |
| X-ray exam hip uni 1 view (73501) |
$183 |
$366 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$215.50 |
$431 |
2.5× |
| X-ray exam hip uni 4/> views (73503) |
$323.50 |
$647 |
3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$220.50 |
$441 |
2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$440.50 |
$881 |
4.3× |
| X-ray eye for foreign body (70030) |
$153.50 |
$307 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$325.50 |
$651 |
3.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$325.50 |
$651 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$232.50 |
$465 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$457.50 |
$915 |
5.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$253 |
$506 |
3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$436 |
$872 |
4.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$77 |
$154 |
0.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$132 |
$264 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$331 |
$662 |
3.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$145.50 |
$291 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$242.50 |
$485 |
2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$191.50 |
$383 |
1.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$194 |
$388 |
1.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$751 |
$1,502 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$272 |
$544 |
3.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$289.50 |
$579 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$271 |
$542 |
2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$169 |
$338 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$227 |
$454 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$170 |
$340 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$288.50 |
$577 |
3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$292.50 |
$585 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$256.50 |
$513 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$90.50 |
$181 |
1.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$131.50 |
$263 |
1.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$188 |
$376 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$282.50 |
$565 |
2.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$339.50 |
$679 |
4.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$237 |
$474 |
2.8× |
| Xr c-spine 6 or more views (72052) |
$367.50 |
$735 |
3.6× |
| Xr chest 4+ views (71048) |
$344.50 |
$689 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$352 |
$704 |
4.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$194 |
$388 |
1.9× |
| Xr shoulder 1 view (73020) |
$170 |
$340 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$339.50 |
$679 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$197 |
$394 |
2.3× |
| Xr tmj bilateral (70330) |
$179.50 |
$359 |
2.1× |
| Xray knee 1 or 2 views rt (73560) |
$245 |
$490 |
2.9× |