| Abdomen 2 views (74019) |
$159.36 |
$664 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$754.56 |
$3,144 |
1.9× |
| Angiography extremity bilateral rs&i (75716) |
$4,020.72 |
$16,753 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$4,760.64 |
$19,836 |
1.5× |
| Ankle 2 views (73600) |
$159.36 |
$664 |
1.8× |
| Aortography abdominal serialography rs&i (75625) |
$4,028.52 |
$16,785.50 |
1.3× |
| Arthrogram shoulder (73040) |
$617.28 |
$2,572 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$794.88 |
$3,312 |
2.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$794.88 |
$3,312 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$794.88 |
$3,312 |
2.0× |
| Bone age studies (77072) |
$159.36 |
$664 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$794.88 |
$3,312 |
2.0× |
| Bone survey complete (77075) |
$265.20 |
$1,105 |
2.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$582.24 |
$2,426 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$199.20 |
$830 |
2.3× |
| Chest 1 view (71045) |
$160.80 |
$670 |
1.8× |
| Chest 3 views (71047) |
$318.72 |
$1,328 |
3.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$475.44 |
$1,981 |
2.7× |
| Clavicle complete (73000) |
$159.36 |
$664 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$124.80 |
$520 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,054.12 |
$12,725.50 |
8.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,798.92 |
$7,495.50 |
7.5× |
| CT abdomen w contrast (74160) |
$1,301.04 |
$5,421 |
7.4× |
| CT abdomen w wo contrast (74170) |
$1,527.12 |
$6,363 |
8.7× |
| CT abdomen w/o contrast (74150) |
$899.28 |
$3,747 |
8.6× |
| CT angio hrt w/3d image (75574) |
$327.84 |
$1,366 |
0.9× |
| CT angiography upper extremity lt (73206) |
$575.28 |
$2,397 |
3.3× |
| CT c-spine w/o contrast (72125) |
$899.28 |
$3,747 |
8.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,527.12 |
$6,363 |
8.7× |
| CT cervical spine with contrast (72126) |
$1,734.72 |
$7,228 |
4.9× |
| CT chest w/wo contrast (71270) |
$1,527.12 |
$6,363 |
8.7× |
| CT chest with contrast (71260) |
$1,301.04 |
$5,421 |
7.4× |
| CT head/brain with contrast (70460) |
$1,301.04 |
$5,421 |
7.4× |
| CT head/brain without and with contrast (70470) |
$1,527.12 |
$6,363 |
8.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$32.64 |
$136 |
0.4× |
| CT iac w contrast (70481) |
$1,734.72 |
$7,228 |
9.8× |
| CT lower ext w/o (73700) |
$599.52 |
$2,498 |
5.7× |
| CT lower extremity w wo contrast (73702) |
$1,527.12 |
$6,363 |
8.7× |
| CT lower extremity with contrast (73701) |
$1,301.04 |
$5,421 |
7.4× |
| CT lumbar spine w & w/o contrast (72133) |
$2,036.16 |
$8,484 |
11.6× |
| CT lumbar spine w/o contrast (72131) |
$899.28 |
$3,747 |
8.6× |
| CT lumbar spine with contrast (72132) |
$1,301.04 |
$5,421 |
3.7× |
| CT maxillofacial w contrast (70487) |
$1,734.72 |
$7,228 |
9.8× |
| CT maxillofacial w/o contrast (70486) |
$899.28 |
$3,747 |
8.6× |
| CT maxillofacial w/wo contrast (70488) |
$2,036.16 |
$8,484 |
11.6× |
| CT neck soft tissue w contrast (70491) |
$1,301.04 |
$5,421 |
7.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,527.12 |
$6,363 |
8.7× |
| CT orbits w/o contrast (70480) |
$899.28 |
$3,747 |
8.6× |
| CT pelvis w & w/o contrast (72194) |
$2,036.16 |
$8,484 |
11.6× |
| CT pelvis w/o contrast (72192) |
$899.28 |
$3,747 |
8.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,036.16 |
$8,484 |
11.6× |
| CT soft tissue neck w/o contrast (70490) |
$899.28 |
$3,747 |
8.6× |
| CT thoracic spine w/contrast (72129) |
$1,734.72 |
$7,228 |
9.8× |
| CT thoracic spine w/o contrast (72128) |
$899.28 |
$3,747 |
8.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,036.16 |
$8,484 |
11.6× |
| CT thorax w/o contrast (71250) |
$899.28 |
$3,747 |
8.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,036.16 |
$8,484 |
11.6× |
| CT upper extremity w/o contrast rt (73200) |
$899.28 |
$3,747 |
8.6× |
| CT upper extremity with contrast (73201) |
$1,301.04 |
$5,421 |
3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,056.56 |
$8,569 |
11.7× |
| Cta Abdomen (74175) |
$2,056.56 |
$8,569 |
11.7× |
| CTA abdomen pelvis (74174) |
$4,113.60 |
$17,140 |
11.7× |
| CTA chest (71275) |
$1,542.48 |
$6,427 |
8.8× |
| Cta Head (70496) |
$2,056.56 |
$8,569 |
11.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,056.56 |
$8,569 |
5.9× |
| CTA lwr ext w&w/o contrast (73706) |
$298.32 |
$1,243 |
1.7× |
| Cta Neck (70498) |
$2,056.56 |
$8,569 |
11.7× |
| Cta Pelvis (72191) |
$1,847.76 |
$7,699 |
10.5× |
| Cystography minimum 3 views rs&i (74430) |
$598.80 |
$2,495 |
1.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$254.88 |
$1,062 |
2.4× |
| Echoencephalography real time imaging (76506) |
$331.68 |
$1,382 |
3.2× |
| Esophagus (74220) |
$317.28 |
$1,322 |
1.8× |
| Fetal biophysical profile non-stress testing (76818) |
$549.36 |
$2,289 |
5.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$412.08 |
$1,717 |
3.9× |
| Fluoroscopy up to 1 hr (76000) |
$304.32 |
$1,268 |
1.3× |
| Foot 2 views (73620) |
$159.36 |
$664 |
1.8× |
| Forearm 2 views (73090) |
$159.36 |
$664 |
1.8× |
| Gated Heart Planar Single (78472) |
$1,016.16 |
$4,234 |
2.5× |
| Hand 2 views (73120) |
$159.36 |
$664 |
1.5× |
| Hand 3 views (73130) |
$239.04 |
$996 |
2.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$931.92 |
$3,883 |
1.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$931.92 |
$3,883 |
2.3× |
| Ht muscle image spect sing (78451) |
$1,640.40 |
$6,835 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$159.36 |
$664 |
1.8× |
| Hysterosalpingogram (74740) |
$615.12 |
$2,563 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,062 |
$4,425 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,062 |
$4,425 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,062 |
$4,425 |
1.9× |
| Knee 3 views (73562) |
$246.72 |
$1,028 |
2.8× |
| Lymphoscintigraphy (78195) |
$820.80 |
$3,420 |
1.5× |
| Meckels Diverticulum (78290) |
$754.56 |
$3,144 |
1.9× |
| MRA head w & w/o contrast (70546) |
$1,490.88 |
$6,212 |
4.3× |
| MRA head w/o contrast (70544) |
$975.12 |
$4,063 |
4.1× |
| MRA head with contrast (70545) |
$1,122.72 |
$4,678 |
3.2× |
| MRA neck w contrast (70548) |
$1,122.72 |
$4,678 |
3.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,485.12 |
$6,188 |
4.2× |
| MRA neck w/o contrast (70547) |
$971.28 |
$4,047 |
4.1× |
| MRI abdomen w contrast (74182) |
$1,122.72 |
$4,678 |
3.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,485.12 |
$6,188 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$971.28 |
$4,047 |
4.1× |
| MRI any jnt lwr ext with con lt (73722) |
$385.20 |
$1,605 |
0.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$385.20 |
$1,605 |
0.5× |
| MRI c-spine with contrast (72142) |
$1,127.52 |
$4,698 |
3.2× |
| MRI cardiac w/o contrast (75557) |
$390.96 |
$1,629 |
1.6× |
| MRI cervical spine w/o contrast (72141) |
$971.28 |
$4,047 |
4.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,485.12 |
$6,188 |
4.2× |
| MRI chest w/o contrast (71550) |
$326.88 |
$1,362 |
1.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,122.72 |
$4,678 |
3.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,457.04 |
$6,071 |
6.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$288.48 |
$1,202 |
1.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$447.84 |
$1,866 |
1.3× |
| MRI pelvis w contrast (72196) |
$1,122.72 |
$4,678 |
3.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,485.12 |
$6,188 |
4.2× |
| MRI pelvis w/o contrast (72195) |
$971.28 |
$4,047 |
4.1× |
| MRI scan of arm joint before and after contrast (73223) |
$470.16 |
$1,959 |
1.3× |
| MRI scan of leg joint before and after contrast (73723) |
$2,227.68 |
$9,282 |
6.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,485.12 |
$6,188 |
4.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,122.72 |
$4,678 |
3.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,485.12 |
$6,188 |
4.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,122.72 |
$4,678 |
3.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,485.12 |
$6,188 |
4.2× |
| MRI thoracic spine w/o contrast (72146) |
$971.28 |
$4,047 |
4.1× |
| MRI tmj (70336) |
$971.28 |
$4,047 |
4.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,457.04 |
$6,071 |
6.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,485.12 |
$6,188 |
4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,457.04 |
$6,071 |
6.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,476.32 |
$10,318 |
1.9× |
| Neck soft tissue (70360) |
$159.36 |
$664 |
1.8× |
| Nm gastric emptying study (78264) |
$792.24 |
$3,301 |
2.0× |
| Osseous survey infant (77076) |
$159.36 |
$664 |
1.5× |
| Parathyroid imaging (78070) |
$720.96 |
$3,004 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$159.36 |
$664 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,227.68 |
$9,282 |
6.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$709.68 |
$2,957 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,034.40 |
$4,310 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$442.80 |
$1,845 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$265.20 |
$1,105 |
3.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$265.20 |
$1,105 |
2.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$265.20 |
$1,105 |
2.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$530.40 |
$2,210 |
5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$159.36 |
$664 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$159.36 |
$664 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$250.32 |
$1,043 |
2.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$201.12 |
$838 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$317.28 |
$1,322 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$317.28 |
$1,322 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$317.28 |
$1,322 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$159.36 |
$664 |
1.8× |
| Radiological examination surgical specimen (76098) |
$286.80 |
$1,195 |
0.5× |
| Ribs bilateral 3 views (71110) |
$318.72 |
$1,328 |
3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,169.36 |
$9,039 |
5.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$536.64 |
$2,236 |
1.0× |
| Sacroiliac Joints < 3 Views (72200) |
$92.52 |
$385.50 |
0.9× |
| Scanogram (77073) |
$79.68 |
$332 |
0.8× |
| Scapula complete (73010) |
$159.36 |
$664 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$30.48 |
$127 |
1.3× |
| Small bowel series (74250) |
$317.28 |
$1,322 |
1.8× |
| Spine thoracic 3 views (72072) |
$239.04 |
$996 |
2.3× |
| Thoracolumbar 2 views (72080) |
$159.36 |
$664 |
1.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$403.44 |
$1,681 |
1.0× |
| Tmj unilateral (70328) |
$97.44 |
$406 |
1.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,477.20 |
$6,155 |
2.7× |
| Ultrasound, abdomen limited (76705) |
$412.08 |
$1,717 |
3.9× |
| Upper Extremity Infant (73092) |
$159.36 |
$664 |
1.5× |
| Urethrocystography retrograde rs&i (74450) |
$598.80 |
$2,495 |
2.5× |
| Urethrocystography voiding (74455) |
$598.80 |
$2,495 |
2.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$598.80 |
$2,495 |
3.4× |
| Us abdl aorta screen aaa (76706) |
$106.68 |
$444.50 |
1.0× |
| Us breast unilateral complete (76641) |
$348.24 |
$1,451 |
3.3× |
| Us breast unilateral limited (76642) |
$348.24 |
$1,451 |
4.0× |
| Us chest (76604) |
$261.24 |
$1,088.50 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$536.28 |
$2,234.50 |
5.1× |
| Us infant hips dynamic (76885) |
$261.24 |
$1,088.50 |
3.0× |
| Us infant hips limited static (76886) |
$348.24 |
$1,451 |
4.0× |
| Us ob detailed single fetus (76811) |
$650.04 |
$2,708.50 |
2.7× |
| Us ob transvaginal (76817) |
$412.08 |
$1,717 |
3.9× |
| Us pelvic non ob complete (76856) |
$412.08 |
$1,717 |
3.9× |
| Us pregnancy ltd (76815) |
$261.24 |
$1,088.50 |
2.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$412.08 |
$1,717 |
3.9× |
| Us retroperitoneal complete (76770) |
$412.08 |
$1,717 |
3.9× |
| Us retroperitoneal limited (76775) |
$412.08 |
$1,717 |
3.9× |
| Us scrotum and contents (76870) |
$412.08 |
$1,717 |
3.9× |
| Us soft tissue head/neck (76536) |
$361.80 |
$1,507.50 |
3.4× |
| Us spinal canal and contents (76800) |
$412.08 |
$1,717 |
3.9× |
| Us xtr non-vasc lmtd (76882) |
$261.60 |
$1,090 |
2.5× |
| Venography extremity unilateral rs&i (75820) |
$847.20 |
$3,530 |
0.5× |
| Wrist 2 views (73100) |
$159.36 |
$664 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$265.20 |
$1,105 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$318.72 |
$1,328 |
3.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$239.04 |
$996 |
2.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$509.28 |
$2,122 |
2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$159.36 |
$664 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$239.04 |
$996 |
2.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$530.40 |
$2,210 |
5.1× |
| X-ray exam hip uni 1 view (73501) |
$159.36 |
$664 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$239.04 |
$996 |
2.7× |
| X-ray exam hip uni 4/> views (73503) |
$358.56 |
$1,494 |
3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$265.20 |
$1,105 |
2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$530.40 |
$2,210 |
5.1× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$317.28 |
$1,322 |
1.8× |
| X-ray eye for foreign body (70030) |
$239.04 |
$996 |
2.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$278.88 |
$1,162 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$159.36 |
$664 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$239.04 |
$996 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$159.36 |
$664 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$318.72 |
$1,328 |
3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$318.72 |
$1,328 |
3.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$159.36 |
$664 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$159.36 |
$664 |
1.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$265.20 |
$1,105 |
2.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$265.20 |
$1,105 |
2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$159.36 |
$664 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$159.36 |
$664 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$159.36 |
$664 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$318.72 |
$1,328 |
3.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$598.80 |
$2,495 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$159.36 |
$664 |
1.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$149.04 |
$621 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$397.68 |
$1,657 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$159.36 |
$664 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$159.36 |
$664 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$318.72 |
$1,328 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$159.36 |
$664 |
1.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$159.36 |
$664 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$265.20 |
$1,105 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$159.36 |
$664 |
1.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$159.36 |
$664 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$97.44 |
$406 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$159.36 |
$664 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$159.36 |
$664 |
1.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$318.72 |
$1,328 |
3.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$159.36 |
$664 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$239.04 |
$996 |
2.7× |
| Xr c-spine 6 or more views (72052) |
$331.92 |
$1,383 |
3.2× |
| Xr chest 4+ views (71048) |
$278.88 |
$1,162 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$159.36 |
$664 |
1.8× |
| Xr shoulder 1 view (73020) |
$159.36 |
$664 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$265.20 |
$1,105 |
2.5× |
| Xr tibia/fibula 2 views (73590) |
$159.36 |
$664 |
1.8× |
| Xr tmj bilateral (70330) |
$194.76 |
$811.50 |
2.2× |
| Xray knee 1 or 2 views rt (73560) |
$159.36 |
$664 |
1.8× |