| Abdomen 2 views (74019) |
$340 |
$680 |
3.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,083.50 |
$2,167 |
2.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$4,410 |
$8,820 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$4,699.50 |
$9,399 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$4,409.50 |
$8,819 |
1.4× |
| Angiography internal mammary rs&i (75756) |
$1,613 |
$3,226 |
0.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,410 |
$8,820 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,410 |
$8,820 |
1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,409.50 |
$8,819 |
1.4× |
| Angiography Spinal Selective Rs&I (75705) |
$4,431.50 |
$8,863 |
0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,410 |
$8,820 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$553 |
$1,106 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,613 |
$3,226 |
0.5× |
| Ankle 2 views (73600) |
$243.50 |
$487 |
2.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$508 |
$1,016 |
1.5× |
| Aortogram thoracic (75605) |
$4,699.50 |
$9,399 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,493 |
$8,986 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$4,699.50 |
$9,399 |
1.5× |
| Artery X-Rays Adrenal Gland (75731) |
$4,409.50 |
$8,819 |
1.4× |
| Arthrogram elbow (73085) |
$770 |
$1,540 |
2.3× |
| Arthrogram hip (73525) |
$619 |
$1,238 |
1.8× |
| Arthrogram shoulder (73040) |
$667.50 |
$1,335 |
2.0× |
| Arthrogram wrist (73115) |
$625 |
$1,250 |
1.9× |
| Arthrography knee lt (73580) |
$614 |
$1,228 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,008.50 |
$2,017 |
2.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,045.50 |
$2,091 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$1,675 |
$3,350 |
4.3× |
| Bone age studies (77072) |
$206 |
$412 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$1,704.50 |
$3,409 |
4.4× |
| Bone survey complete (77075) |
$591.50 |
$1,183 |
5.9× |
| Brain image w/flow 4 + views (78606) |
$535.50 |
$1,071 |
1.0× |
| Brain Imaging Vascular Flow Only (78610) |
$825.50 |
$1,651 |
1.6× |
| Cervical spine 2 or 3 views (72040) |
$338.50 |
$677 |
4.0× |
| Chest 1 view (71045) |
$207 |
$414 |
2.5× |
| Chest 3 views (71047) |
$289.50 |
$579 |
3.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$444 |
$888 |
2.6× |
| Cineradiography/videoradiography (76120) |
$96.50 |
$193 |
1.0× |
| Clavicle complete (73000) |
$250.50 |
$501 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$45.50 |
$91 |
0.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,508.50 |
$7,017 |
10.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,769 |
$5,538 |
12.0× |
| CT abdomen w contrast (74160) |
$1,532.50 |
$3,065 |
9.0× |
| CT abdomen w wo contrast (74170) |
$1,941.50 |
$3,883 |
11.5× |
| CT abdomen w/o contrast (74150) |
$1,425 |
$2,850 |
14.1× |
| CT angio hrt w/3d image (75574) |
$1,354 |
$2,708 |
4.0× |
| CT angiography upper extremity lt (73206) |
$1,631.50 |
$3,263 |
9.6× |
| CT c-spine w/o contrast (72125) |
$1,761 |
$3,522 |
17.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,994 |
$3,988 |
11.8× |
| CT cervical spine with contrast (72126) |
$1,772 |
$3,544 |
5.3× |
| CT chest w/wo contrast (71270) |
$1,863 |
$3,726 |
11.0× |
| CT chest with contrast (71260) |
$1,716 |
$3,432 |
10.1× |
| CT head/brain with contrast (70460) |
$1,680.50 |
$3,361 |
9.9× |
| CT head/brain without and with contrast (70470) |
$1,967 |
$3,934 |
11.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$65 |
$130 |
0.8× |
| CT iac w contrast (70481) |
$1,795 |
$3,590 |
10.6× |
| CT limited/localized follow up study (76380) |
$1,259.50 |
$2,519 |
15.0× |
| CT lower ext w/o (73700) |
$1,337.50 |
$2,675 |
13.2× |
| CT lower extremity w wo contrast (73702) |
$1,492 |
$2,984 |
8.8× |
| CT lower extremity with contrast (73701) |
$1,474 |
$2,948 |
8.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,871 |
$3,742 |
11.0× |
| CT lumbar spine w/o contrast (72131) |
$1,554.50 |
$3,109 |
15.4× |
| CT lumbar spine with contrast (72132) |
$1,637 |
$3,274 |
4.9× |
| CT maxillofacial w contrast (70487) |
$1,683.50 |
$3,367 |
9.9× |
| CT maxillofacial w/o contrast (70486) |
$1,464.50 |
$2,929 |
14.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,760 |
$3,520 |
10.4× |
| CT neck soft tissue w contrast (70491) |
$1,761.50 |
$3,523 |
10.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,985 |
$3,970 |
11.7× |
| CT orbits w/o contrast (70480) |
$1,570.50 |
$3,141 |
15.5× |
| CT pelvis w & w/o contrast (72194) |
$1,836 |
$3,672 |
10.8× |
| CT pelvis w/o contrast (72192) |
$1,446.50 |
$2,893 |
14.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,987 |
$3,974 |
11.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,511.50 |
$3,023 |
15.0× |
| CT thoracic spine w/contrast (72129) |
$1,553.50 |
$3,107 |
9.2× |
| CT thoracic spine w/o contrast (72128) |
$1,425 |
$2,850 |
14.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,682.50 |
$3,365 |
9.9× |
| CT thorax w/o contrast (71250) |
$1,425 |
$2,850 |
14.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,615 |
$3,230 |
9.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,322.50 |
$2,645 |
13.1× |
| CT upper extremity with contrast (73201) |
$1,589.50 |
$3,179 |
4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,163 |
$4,326 |
12.8× |
| Cta Abdomen (74175) |
$1,731 |
$3,462 |
10.2× |
| CTA abdomen pelvis (74174) |
$2,346 |
$4,692 |
7.0× |
| CTA chest (71275) |
$1,881.50 |
$3,763 |
11.1× |
| Cta Head (70496) |
$2,003 |
$4,006 |
11.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,937 |
$3,874 |
11.4× |
| Cta Neck (70498) |
$2,018.50 |
$4,037 |
11.9× |
| Cta Pelvis (72191) |
$1,816.50 |
$3,633 |
10.7× |
| Cystography minimum 3 views rs&i (74430) |
$503.50 |
$1,007 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$405.50 |
$811 |
4.0× |
| Dxa bone density study axial skeleton (77085) |
$402 |
$804 |
4.0× |
| Echoencephalography real time imaging (76506) |
$178 |
$356 |
1.8× |
| Esophagus (74220) |
$408.50 |
$817 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$290 |
$580 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$418.50 |
$837 |
4.1× |
| Fluoroscopy up to 1 hr (76000) |
$417 |
$834 |
1.8× |
| Foot 2 views (73620) |
$247 |
$494 |
2.9× |
| Forearm 2 views (73090) |
$257.50 |
$515 |
3.1× |
| Gated Heart Planar Single (78472) |
$1,514 |
$3,028 |
3.9× |
| Hand 2 views (73120) |
$239.50 |
$479 |
2.4× |
| Hand 3 views (73130) |
$288 |
$576 |
3.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,705.50 |
$3,411 |
3.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,545 |
$3,090 |
4.0× |
| Ht muscle image spect sing (78451) |
$2,241 |
$4,482 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$257.50 |
$515 |
3.1× |
| Hysterosalpingogram (74740) |
$562 |
$1,124 |
2.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$196 |
$392 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,378 |
$2,756 |
2.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,454 |
$2,908 |
2.8× |
| Knee 3 views (73562) |
$321 |
$642 |
3.8× |
| Liver & spleen imaging static only (78215) |
$1,104 |
$2,208 |
2.9× |
| Lymphoscintigraphy (78195) |
$1,266 |
$2,532 |
2.4× |
| Mammary ductogram or galactogram multiple (77054) |
$289.50 |
$579 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$248 |
$496 |
1.1× |
| MRA head w & w/o contrast (70546) |
$1,469 |
$2,938 |
4.4× |
| MRA head w/o contrast (70544) |
$1,801.50 |
$3,603 |
7.8× |
| MRA neck w contrast (70548) |
$1,801.50 |
$3,603 |
5.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$904.50 |
$1,809 |
2.7× |
| MRA neck w/o contrast (70547) |
$1,691 |
$3,382 |
7.3× |
| MRI abdomen w contrast (74182) |
$1,996 |
$3,992 |
5.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,444.50 |
$4,889 |
7.2× |
| MRI abdomen w/o contrast (74181) |
$1,863.50 |
$3,727 |
8.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,096 |
$4,192 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,056.50 |
$4,113 |
2.7× |
| MRI c-spine with contrast (72142) |
$2,434 |
$4,868 |
7.2× |
| MRI cervical spine w/o contrast (72141) |
$2,100 |
$4,200 |
9.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,197.50 |
$4,395 |
6.5× |
| MRI chest w/o contrast (71550) |
$1,878 |
$3,756 |
8.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,870 |
$3,740 |
8.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,213.50 |
$4,427 |
9.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,530.50 |
$5,061 |
7.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,525 |
$5,050 |
7.5× |
| MRI pelvis w/o contrast (72195) |
$1,749.50 |
$3,499 |
7.6× |
| MRI scan of arm joint before and after contrast (73223) |
$2,324 |
$4,648 |
6.9× |
| MRI scan of leg joint before and after contrast (73723) |
$2,429 |
$4,858 |
7.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,553 |
$5,106 |
7.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,112.50 |
$4,225 |
6.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,561.50 |
$5,123 |
7.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,074 |
$4,148 |
6.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,442.50 |
$4,885 |
7.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,946 |
$3,892 |
8.4× |
| MRI tmj (70336) |
$1,758 |
$3,516 |
7.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,015 |
$4,030 |
8.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,304.50 |
$4,609 |
6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,880.50 |
$3,761 |
8.2× |
| Myelogram Cervical (72240) |
$1,143 |
$2,286 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$3,601.50 |
$7,203 |
2.9× |
| Neck soft tissue (70360) |
$259.50 |
$519 |
3.1× |
| Nm gastric emptying study (78264) |
$1,420 |
$2,840 |
3.7× |
| Osseous survey infant (77076) |
$196 |
$392 |
1.9× |
| Osseous survey limited (77074) |
$363.50 |
$727 |
3.6× |
| Parathyrd planar w/wo subtrj (78071) |
$850.50 |
$1,701 |
2.2× |
| Parathyroid imaging (78070) |
$1,126 |
$2,252 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$243 |
$486 |
2.4× |
| PET image w/CT, skull-thigh (78815) |
$1,037.50 |
$2,075 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,372 |
$4,744 |
7.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$817.50 |
$1,635 |
2.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,405.50 |
$2,811 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$506 |
$1,012 |
1.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$337.50 |
$675 |
4.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$355 |
$710 |
3.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$574.50 |
$1,149 |
5.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$107.50 |
$215 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$352 |
$704 |
3.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$254.50 |
$509 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$248 |
$496 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$612.50 |
$1,225 |
3.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$410 |
$820 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$574.50 |
$1,149 |
3.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$267 |
$534 |
3.2× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$79.50 |
$159 |
0.9× |
| Radiological examination surgical specimen (76098) |
$496 |
$992 |
0.9× |
| Review by radiologist of adrenal gland vein image (75840) |
$4,409.50 |
$8,819 |
1.4× |
| Ribs bilateral 3 views (71110) |
$336 |
$672 |
3.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$853 |
$1,706 |
1.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,626.50 |
$3,253 |
3.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$377 |
$754 |
1.6× |
| Salivary gland imaging serial images (78231) |
$385 |
$770 |
1.0× |
| Scanogram (77073) |
$240.50 |
$481 |
2.4× |
| Scapula complete (73010) |
$238.50 |
$477 |
2.4× |
| Screening digital breast tomosynthesis (77063) |
$358.50 |
$717 |
15.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$350.50 |
$701 |
3.5× |
| Sialogram (70390) |
$525.50 |
$1,051 |
2.3× |
| Small bowel series (74250) |
$520.50 |
$1,041 |
3.1× |
| Spine thoracic 3 views (72072) |
$357.50 |
$715 |
3.5× |
| Splenoportograpy rs&i (75810) |
$4,409.50 |
$8,819 |
1.4× |
| Thoracolumbar 2 views (72080) |
$267 |
$534 |
3.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,333 |
$2,666 |
2.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$614.50 |
$1,229 |
1.6× |
| Thyroid uptake measurement (78012) |
$475 |
$950 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,083 |
$2,166 |
2.8× |
| Tomogram (76100) |
$406.50 |
$813 |
4.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,767 |
$3,534 |
3.4× |
| Ultrasound, abdomen limited (76705) |
$657 |
$1,314 |
6.5× |
| Urethrocystography retrograde rs&i (74450) |
$524.50 |
$1,049 |
2.3× |
| Urethrocystography voiding (74455) |
$531 |
$1,062 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$744 |
$1,488 |
4.4× |
| Us abdl aorta screen aaa (76706) |
$452.50 |
$905 |
4.5× |
| Us breast unilateral complete (76641) |
$367.50 |
$735 |
3.6× |
| Us breast unilateral limited (76642) |
$276.50 |
$553 |
3.3× |
| Us chest (76604) |
$422.50 |
$845 |
4.2× |
| Us compl joint r-t w/image documentation (76881) |
$110 |
$220 |
1.1× |
| Us guided compression repair (76936) |
$448 |
$896 |
2.1× |
| Us infant hips limited static (76886) |
$224.50 |
$449 |
2.7× |
| Us kidney transplant (76776) |
$202.50 |
$405 |
2.0× |
| Us ob transvaginal (76817) |
$486 |
$972 |
4.8× |
| Us pelvic non ob complete (76856) |
$619.50 |
$1,239 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$430.50 |
$861 |
4.3× |
| Us pregnancy ltd (76815) |
$391 |
$782 |
3.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$512 |
$1,024 |
5.1× |
| Us retroperitoneal complete (76770) |
$329 |
$658 |
3.3× |
| Us retroperitoneal limited (76775) |
$545 |
$1,090 |
5.4× |
| Us scrotum and contents (76870) |
$549 |
$1,098 |
5.4× |
| Us soft tissue head/neck (76536) |
$561 |
$1,122 |
5.6× |
| Us spinal canal and contents (76800) |
$337.50 |
$675 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$417 |
$834 |
4.1× |
| Venogram extremity bilateral (75822) |
$1,744.50 |
$3,489 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$4,409.50 |
$8,819 |
1.4× |
| Venography caval superior serialography rs&i (75827) |
$4,409.50 |
$8,819 |
2.9× |
| Venography Renal Bilateral (75833) |
$4,409.50 |
$8,819 |
1.4× |
| Venography renal unilateral selective rs&i (75831) |
$4,409.50 |
$8,819 |
1.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,613.50 |
$3,227 |
0.5× |
| Wrist 2 views (73100) |
$234.50 |
$469 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$415.50 |
$831 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$296 |
$592 |
3.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$313.50 |
$627 |
3.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$780.50 |
$1,561 |
4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$237.50 |
$475 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$282 |
$564 |
3.4× |
| X-ray exam hip uni 1 view (73501) |
$190.50 |
$381 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$545.50 |
$1,091 |
6.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$357 |
$714 |
3.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$173.50 |
$347 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$345.50 |
$691 |
3.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$224 |
$448 |
2.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$306 |
$612 |
3.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$249.50 |
$499 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$243 |
$486 |
2.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$374 |
$748 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$239.50 |
$479 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$355 |
$710 |
3.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$512 |
$1,024 |
5.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$387.50 |
$775 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$275 |
$550 |
3.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$204 |
$408 |
2.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$313.50 |
$627 |
3.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$277 |
$554 |
2.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$620.50 |
$1,241 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$262 |
$524 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$162 |
$324 |
1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$240.50 |
$481 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$275 |
$550 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$268 |
$536 |
3.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$308.50 |
$617 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$370.50 |
$741 |
4.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$217 |
$434 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$165.50 |
$331 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$263 |
$526 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$217 |
$434 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$209.50 |
$419 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$268 |
$536 |
3.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$313 |
$626 |
3.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$213.50 |
$427 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$283.50 |
$567 |
3.4× |
| Xr arthrogram ankle (73615) |
$614 |
$1,228 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$487 |
$974 |
4.8× |
| Xr chest 4+ views (71048) |
$344.50 |
$689 |
3.4× |
| Xr Cholecystography Oral Contrast (74290) |
$110 |
$220 |
0.6× |
| Xr finger(s) 2+ views (73140) |
$222 |
$444 |
2.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$105.50 |
$211 |
1.0× |
| Xr optic foramina (70190) |
$108 |
$216 |
1.3× |
| Xr shoulder 1 view (73020) |
$171 |
$342 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$421 |
$842 |
4.2× |
| Xr tibia/fibula 2 views (73590) |
$267 |
$534 |
3.2× |
| Xr tmj bilateral (70330) |
$293.50 |
$587 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$257.50 |
$515 |
3.1× |