| Abdomen 1 View (74018) |
$264 |
$528 |
3.1× |
| 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× |
| Arthrogram hip (73525) |
$767 |
$1,534 |
2.3× |
| Arthrogram Wrist (73115) |
$521.50 |
$1,043 |
1.5× |
| Bone age studies (77072) |
$145.50 |
$291 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$429.50 |
$859 |
1.1× |
| Bone Imaging Limited Area (78300) |
$429.50 |
$859 |
1.1× |
| Bone Imaging Whole Body (78306) |
$429.50 |
$859 |
1.1× |
| Bone survey infant (77076) |
$184.50 |
$369 |
1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$488 |
$976 |
0.9× |
| Cat Scan Follow-Up Study (76380) |
$417 |
$834 |
4.9× |
| Chest 1 view (71045) |
$207 |
$414 |
2.4× |
| Chest 2 views (71046) |
$248 |
$496 |
2.9× |
| Chest 3 views (71047) |
$289.50 |
$579 |
3.4× |
| Chest 4 or more views (71048) |
$344.50 |
$689 |
3.4× |
| Clavicle complete (73000) |
$346 |
$692 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$44.50 |
$89 |
0.4× |
| Contrast Exam Abdominl Aorta (75625) |
$3,011.50 |
$6,023 |
1.0× |
| Contrast X-Ray Bladder (74430) |
$429 |
$858 |
1.3× |
| Contrast X-Ray Of Knee Joint (73580) |
$436 |
$872 |
1.3× |
| 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 Abdomen and Pelvis (74174) |
$375.50 |
$751 |
1.1× |
| CT Angio Chest (71275) |
$1,145 |
$2,290 |
6.7× |
| CT Angio Head (70496) |
$951.50 |
$1,903 |
5.6× |
| CT angio hrt w/3d image (75574) |
$3,125 |
$6,250 |
9.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$749 |
$1,498 |
4.4× |
| CT Angio Neck (70498) |
$611.50 |
$1,223 |
3.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$397.50 |
$795 |
2.3× |
| CT cervical spine w/ contrast (72126) |
$527.50 |
$1,055 |
1.6× |
| CT cervical spine w/o contrast (72125) |
$330.50 |
$661 |
3.3× |
| CT cervical spine w/wo cont (72127) |
$546.50 |
$1,093 |
3.2× |
| CT chest w contrast (71260) |
$1,125.50 |
$2,251 |
6.6× |
| CT chest w/wo contrast (71270) |
$1,318.50 |
$2,637 |
7.7× |
| 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 l-spine w&w/o contrast (72133) |
$1,431 |
$2,862 |
8.4× |
| CT lower ext w/o (73700) |
$1,609 |
$3,218 |
15.8× |
| CT lower extremity w/contrast material (73701) |
$1,787.50 |
$3,575 |
10.5× |
| CT lumbar spine w contrast (72132) |
$1,176.50 |
$2,353 |
3.5× |
| CT lumbar spine w/o contrast (72131) |
$1,094 |
$2,188 |
10.8× |
| CT maxillofacial w contrast (70487) |
$822 |
$1,644 |
4.8× |
| CT maxillofacial wo contrast (70486) |
$742.50 |
$1,485 |
7.3× |
| CT neck tissue combo (70492) |
$845.50 |
$1,691 |
5.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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 scan of leg combo (73702) |
$1,787.50 |
$3,575 |
10.5× |
| CT scans face/jaw combo (70488) |
$1,029.50 |
$2,059 |
6.0× |
| CT soft tissue neck w contrast (70491) |
$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 cont (72130) |
$667.50 |
$1,335 |
3.9× |
| CT thorax w/o contrast (71250) |
$1,064 |
$2,128 |
10.5× |
| CT upper ext wo (73200) |
$1,112.50 |
$2,225 |
11.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,258 |
$2,516 |
7.4× |
| 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× |
| Dxa Bone Density Axial (77080) |
$249.50 |
$499 |
2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$56 |
$112 |
0.7× |
| Esophagram (74220) |
$209 |
$418 |
1.2× |
| Fetal Biophys Profile W/Nst (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× |
| Gastric emptying imaging study (78264) |
$429.50 |
$859 |
1.1× |
| Gated Heart Planar Single (78472) |
$462 |
$924 |
1.2× |
| Hand 2 views (73120) |
$346 |
$692 |
3.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$2,229 |
$4,458 |
0.7× |
| Hepatobil Syst Image W/Drug (78227) |
$1,941.50 |
$3,883 |
3.7× |
| Hepatobiliary System Imaging (78226) |
$1,683 |
$3,366 |
4.3× |
| Ht Muscle Image Spect Sing (78451) |
$805.50 |
$1,611 |
0.6× |
| Hysterosalpingogram (74740) |
$416 |
$832 |
1.8× |
| K Flow/Funct Image W/O Drug (78707) |
$682.50 |
$1,365 |
1.3× |
| Kidney Imaging Morphol (78700) |
$488 |
$976 |
1.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$488 |
$976 |
1.3× |
| Knee 3 Views (73562) |
$436 |
$872 |
5.2× |
| Liver & Spleen Imaging Static Only (78215) |
$460 |
$920 |
1.2× |
| Lung Ventilat&Perfus Imaging (78582) |
$561 |
$1,122 |
1.1× |
| Lung Ventilation Imaging (78579) |
$429.50 |
$859 |
1.1× |
| Lymph System Imaging (78195) |
$553 |
$1,106 |
1.0× |
| Magnetic Image Jaw Joint (70336) |
$443.50 |
$887 |
1.9× |
| Mammary ductogram or galactogram multiple (77054) |
$289.50 |
$579 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$248 |
$496 |
1.1× |
| Meckels Divert Exam (78290) |
$309.50 |
$619 |
0.8× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) |
$486.50 |
$973 |
2.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,598 |
$3,196 |
2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,557 |
$3,114 |
4.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,159.50 |
$2,319 |
1.5× |
| MRI cervical spine w contrast (72142) |
$1,393 |
$2,786 |
4.1× |
| MRI cervical spine w/o cont (72141) |
$1,322.50 |
$2,645 |
5.7× |
| MRI chest w/o contrast (71550) |
$521.50 |
$1,043 |
2.2× |
| MRI chest with contrast (71551) |
$703.50 |
$1,407 |
0.9× |
| MRI chest wo w contrast (71552) |
$720.50 |
$1,441 |
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 & w/contr matr (73720) |
$857 |
$1,714 |
2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$723 |
$1,446 |
3.1× |
| MRI lumbar spine w contrast (72149) |
$1,172.50 |
$2,345 |
3.5× |
| Mri Neck Spine W/O & W/Dye (72156) |
$1,393 |
$2,786 |
4.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,100 |
$6,200 |
13.4× |
| MRI orbit face neck w contrast (70542) |
$3,405 |
$6,810 |
10.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$4,124 |
$8,248 |
12.2× |
| MRI pelvis w contrast (72196) |
$703.50 |
$1,407 |
2.1× |
| MRI pelvis w/o & w contrast (72197) |
$881 |
$1,762 |
2.6× |
| MRI pelvis w/o contrast (72195) |
$527 |
$1,054 |
2.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,002.50 |
$2,005 |
4.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$703.50 |
$1,407 |
2.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$664 |
$1,328 |
2.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$801 |
$1,602 |
2.4× |
| MRI, abdomen, combo (74183) |
$979.50 |
$1,959 |
2.9× |
| MRI, dorsal spine combo (72157) |
$1,042.50 |
$2,085 |
3.1× |
| MRI, dorsal spine contrast (72147) |
$1,042.50 |
$2,085 |
3.1× |
| MRI, joint upper extrem (73221) |
$1,438 |
$2,876 |
6.2× |
| MRI, joint upper extrem combo (73223) |
$1,598 |
$3,196 |
4.7× |
| MRI, lumbar spine combo (72158) |
$1,380.50 |
$2,761 |
4.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,719 |
$3,438 |
1.4× |
| Neck soft tissue (70360) |
$173.50 |
$347 |
2.1× |
| Nonvascular Shunt X-Ray (75809) |
$438.50 |
$877 |
4.3× |
| Nuclear Rx Oral Admin (79005) |
$378 |
$756 |
1.7× |
| Parathyroid Planar Imaging (78070) |
$301.50 |
$603 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$145.50 |
$291 |
1.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$960.50 |
$1,921 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$429.50 |
$859 |
1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$458 |
$916 |
4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$486 |
$972 |
0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$221.50 |
$443 |
2.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$457.50 |
$915 |
5.4× |
| Radex elbow complete minimum 3 views (73080) |
$352 |
$704 |
4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$325.50 |
$651 |
3.2× |
| Radex fingr minimum 2 views (73140) |
$352 |
$704 |
4.2× |
| Radex foot complete minimum 3 views (73630) |
$232.50 |
$465 |
2.7× |
| Radex Hand Minimum 3 Views (73130) |
$191 |
$382 |
2.3× |
| Radex lower extremity infant minimum 2 views (73592) |
$132 |
$264 |
1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$280.50 |
$561 |
2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$242.50 |
$485 |
2.9× |
| Radex Ribs Unilateral 2 Views (71100) |
$272 |
$544 |
3.2× |
| Radex shoulder complete minimum 2 views (73030) |
$170 |
$340 |
2.0× |
| Radex Spine 1 View Specify Level (72020) |
$90.50 |
$181 |
1.1× |
| Radex Sternum Minimum 2 Views (71120) |
$188 |
$376 |
2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$179.50 |
$359 |
2.1× |
| Radex Toe Minimum 2 Views (73660) |
$339.50 |
$679 |
4.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$156.50 |
$313 |
1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$237 |
$474 |
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 3+ Views - Xr Abdomen 3+ Views (74021) |
$277 |
$554 |
2.7× |
| Radiologic exam colon double contrast study (74280) |
$682.50 |
$1,365 |
4.0× |
| 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 knee complete 4/more views (73564) |
$436 |
$872 |
4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$194 |
$388 |
1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$457.50 |
$915 |
2.7× |
| Radiologic exam swallow function contrast study (74230) |
$268 |
$536 |
1.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$246 |
$492 |
1.4× |
| Radiologic examination femur minimum 2 views (73552) |
$225 |
$450 |
2.7× |
| Radiologic examination knee 1/2 views (73560) |
$245 |
$490 |
2.9× |
| Radiologic Examination Osseous Survey Limited (77074) |
$107.50 |
$215 |
1.1× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$71.50 |
$143 |
0.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$197 |
$394 |
2.3× |
| Ribs bilateral 3 views (71110) |
$145.50 |
$291 |
1.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$334 |
$668 |
0.9× |
| 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/acquisj 1day img (78830) |
$728.50 |
$1,457 |
0.6× |
| Salivary Gland Imaging Serial Images (78231) |
$298 |
$596 |
0.8× |
| Scapula (73010) |
$432.50 |
$865 |
4.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$358 |
$716 |
15.3× |
| Shoulder 1 view (73020) |
$170 |
$340 |
2.0× |
| Shoulder Arthrography (73040) |
$397 |
$794 |
1.2× |
| Sialogram (70390) |
$362.50 |
$725 |
1.6× |
| Skull less than 4 views (70250) |
$256.50 |
$513 |
2.5× |
| Sternoclavicular joints (71130) |
$131.50 |
$263 |
1.6× |
| Testicular Imaging W/Flow (78761) |
$351 |
$702 |
0.9× |
| Thoracic spine 2 views (72070) |
$282.50 |
$565 |
2.8× |
| Thoracic spine 3 views (72072) |
$282.50 |
$565 |
2.8× |
| Thoracolumbar 2 views (72080) |
$341 |
$682 |
4.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$429.50 |
$859 |
1.1× |
| Thyroid Met Imaging Body (78018) |
$407 |
$814 |
0.8× |
| Thyroid Uptake Measurement (78012) |
$121.50 |
$243 |
0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$248.50 |
$497 |
0.6× |
| Ultrasound Breast Limited (76642) |
$520.50 |
$1,041 |
6.2× |
| Ultrasound Exam Aaa Screen (76706) |
$209 |
$418 |
2.1× |
| Ultrasound, abdomen limited (76705) |
$334 |
$668 |
3.3× |
| Unlisted Dx Radiographic Procedure (76499) |
$67 |
$134 |
0.8× |
| Upper gi w/o kub (74240) |
$252.50 |
$505 |
1.5× |
| Urea breath test c-14 isotopic analysis (78268) |
$58.50 |
$117 |
0.6× |
| Ureteral Reflux Study (78740) |
$375.50 |
$751 |
1.0× |
| Urethrocystogram voiding (74455) |
$548 |
$1,096 |
2.4× |
| Us breast unilateral complete (76641) |
$696 |
$1,392 |
6.9× |
| Us chest (76604) |
$178.50 |
$357 |
1.8× |
| Us complete joint (76881) |
$84.50 |
$169 |
0.8× |
| Us exam, pelvic, limited (76857) |
$255 |
$510 |
2.5× |
| Us head (76506) |
$223.50 |
$447 |
2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$157.50 |
$315 |
1.6× |
| Us ob detailed single fetus (76811) |
$253.50 |
$507 |
1.1× |
| Us ob limited 1 or more fetuses (76815) |
$230.50 |
$461 |
2.3× |
| Us ob transvaginal (76817) |
$533.50 |
$1,067 |
5.3× |
| Us pelvic non ob complete (76856) |
$363.50 |
$727 |
3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$348.50 |
$697 |
3.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$127.50 |
$255 |
1.3× |
| 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 spinal canal and contents (76800) |
$420 |
$840 |
4.1× |
| Us thyroid (76536) |
$218 |
$436 |
2.1× |
| Us transrectal (76872) |
$421.50 |
$843 |
4.1× |
| Vein X-Ray Chest (75827) |
$898 |
$1,796 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$3,598 |
$7,196 |
1.2× |
| Venography extremity bilateral rs&i (75822) |
$925 |
$1,850 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$925 |
$1,850 |
0.6× |
| Wrist 2 views (73100) |
$237 |
$474 |
2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$276 |
$552 |
3.3× |
| X-ray antegrade pyelogram tube (74425) |
$398.50 |
$797 |
1.2× |
| X-Ray Aorta Leg Arteries (75630) |
$3,011.50 |
$6,023 |
1.0× |
| X-Ray Bend Only L-S Spine (72120) |
$145.50 |
$291 |
1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$194 |
$388 |
2.3× |
| X-Ray Exam Breast Specimen (76098) |
$496 |
$992 |
0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$208 |
$416 |
2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$208 |
$416 |
2.0× |
| 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 2 Views (73521) |
$220.50 |
$441 |
2.2× |
| 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 Exam Neck Spine 2-3 Vw (72040) |
$180 |
$360 |
2.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$367.50 |
$735 |
3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$289.50 |
$579 |
2.8× |
| X-ray eye for foreign body (70030) |
$153.50 |
$307 |
1.8× |
| X-ray humerus (73060) |
$237 |
$474 |
2.8× |
| X-ray IV pyelogram (ivp) (74400) |
$279 |
$558 |
1.6× |
| X-ray IV pyelogram+tomography (74415) |
$447 |
$894 |
2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$253 |
$506 |
3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$77 |
$154 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$331 |
$662 |
3.3× |
| 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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$145.50 |
$291 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$227 |
$454 |
2.7× |
| 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 Tmj Unilat (70328) |
$179.50 |
$359 |
2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$751 |
$1,502 |
2.2× |
| X-Rays Bone Length Studies (77073) |
$189.50 |
$379 |
1.9× |
| X-Rays Bone Survey Complete (77075) |
$508.50 |
$1,017 |
5.0× |
| Xr c-spine 4 or 5 views (72050) |
$339.50 |
$679 |
3.3× |
| Xr facial bones less than 3 views (70140) |
$325.50 |
$651 |
3.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$194 |
$388 |
1.9× |
| Xr orbits complete 4 views (70200) |
$191.50 |
$383 |
1.9× |