| Abdomen 2 views (74019) |
$231.20 |
$289 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$685.60 |
$857 |
1.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$3,170.40 |
$3,963 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$4,557.60 |
$5,697 |
1.6× |
| Angiography extremity unilateral rs&i (75710) |
$4,557.60 |
$5,697 |
1.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,170.40 |
$3,963 |
0.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,170.40 |
$3,963 |
0.6× |
| Ankle 2 views (73600) |
$125.60 |
$157 |
1.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$321.60 |
$402 |
1.0× |
| Aortogram thoracic (75605) |
$3,170.40 |
$3,963 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,557.60 |
$5,697 |
1.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,638.40 |
$2,048 |
0.6× |
| Artery X-Rays Adrenal Gland (75731) |
$3,170.40 |
$3,963 |
1.1× |
| Arthrogram hip (73525) |
$412.80 |
$516 |
1.3× |
| Arthrogram shoulder (73040) |
$354.40 |
$443 |
1.1× |
| Arthrogram wrist (73115) |
$335.20 |
$419 |
1.0× |
| Arthrography knee lt (73580) |
$480.80 |
$601 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$435.20 |
$544 |
1.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$539.20 |
$674 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$571.20 |
$714 |
1.6× |
| Bone age studies (77072) |
$124 |
$155 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$672.80 |
$841 |
1.8× |
| Bone survey complete (77075) |
$425.60 |
$532 |
4.4× |
| Cervical spine 2 or 3 views (72040) |
$176.80 |
$221 |
2.2× |
| Chest 1 view (71045) |
$104.80 |
$131 |
1.3× |
| Chest 3 views (71047) |
$160.80 |
$201 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$296 |
$370 |
1.8× |
| Clavicle complete (73000) |
$101.60 |
$127 |
1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$160 |
$200 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,083.20 |
$2,604 |
6.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,657.60 |
$2,072 |
7.6× |
| CT abdomen w contrast (74160) |
$1,027.20 |
$1,284 |
6.4× |
| CT abdomen w wo contrast (74170) |
$1,235.20 |
$1,544 |
7.7× |
| CT abdomen w/o contrast (74150) |
$824 |
$1,030 |
8.6× |
| CT angiography upper extremity lt (73206) |
$1,260.80 |
$1,576 |
7.8× |
| CT c-spine w/o contrast (72125) |
$876 |
$1,095 |
9.1× |
| CT cervical spine w&w/o contrast (72127) |
$992.80 |
$1,241 |
6.2× |
| CT cervical spine with contrast (72126) |
$934.40 |
$1,168 |
2.9× |
| CT chest w/wo contrast (71270) |
$1,240.80 |
$1,551 |
7.7× |
| CT chest with contrast (71260) |
$1,054.40 |
$1,318 |
6.5× |
| CT head/brain with contrast (70460) |
$879.20 |
$1,099 |
5.5× |
| CT head/brain without and with contrast (70470) |
$1,068.80 |
$1,336 |
6.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$200 |
$250 |
2.5× |
| CT iac w contrast (70481) |
$893.60 |
$1,117 |
5.5× |
| CT limited/localized follow up study (76380) |
$594.40 |
$743 |
7.4× |
| CT lower ext w/o (73700) |
$752 |
$940 |
7.8× |
| CT lower extremity w wo contrast (73702) |
$1,008.80 |
$1,261 |
6.3× |
| CT lower extremity with contrast (73701) |
$840.80 |
$1,051 |
5.2× |
| CT lumbar spine w & w/o contrast (72133) |
$992.80 |
$1,241 |
6.2× |
| CT lumbar spine w/o contrast (72131) |
$888.80 |
$1,111 |
9.2× |
| CT lumbar spine with contrast (72132) |
$955.20 |
$1,194 |
3.0× |
| CT maxillofacial w contrast (70487) |
$943.20 |
$1,179 |
5.8× |
| CT maxillofacial w/o contrast (70486) |
$772 |
$965 |
8.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,120.80 |
$1,401 |
6.9× |
| CT neck soft tissue w contrast (70491) |
$956 |
$1,195 |
5.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,006.40 |
$1,258 |
6.2× |
| CT orbits w/o contrast (70480) |
$714.40 |
$893 |
7.4× |
| CT pelvis w & w/o contrast (72194) |
$1,203.20 |
$1,504 |
7.5× |
| CT pelvis w/o contrast (72192) |
$834.40 |
$1,043 |
8.7× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$708.80 |
$886 |
8.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,124.80 |
$1,406 |
7.0× |
| CT soft tissue neck w/o contrast (70490) |
$772 |
$965 |
8.0× |
| CT thoracic spine w/contrast (72129) |
$784.80 |
$981 |
4.9× |
| CT thoracic spine w/o contrast (72128) |
$824.80 |
$1,031 |
8.6× |
| CT thoracic spine w/wo contrast (72130) |
$864 |
$1,080 |
5.4× |
| CT thorax w/o contrast (71250) |
$844.80 |
$1,056 |
8.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,008.80 |
$1,261 |
6.3× |
| CT upper extremity w/o contrast rt (73200) |
$83.20 |
$104 |
0.9× |
| CT upper extremity with contrast (73201) |
$840.80 |
$1,051 |
2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,543.20 |
$1,929 |
9.6× |
| Cta Abdomen (74175) |
$1,543.20 |
$1,929 |
9.6× |
| CTA abdomen pelvis (74174) |
$2,284.80 |
$2,856 |
7.1× |
| CTA chest (71275) |
$1,550.40 |
$1,938 |
9.6× |
| Cta Head (70496) |
$1,272 |
$1,590 |
7.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,632 |
$3,290 |
8.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,260.80 |
$1,576 |
7.8× |
| Cta Neck (70498) |
$1,360 |
$1,700 |
8.4× |
| Cta Pelvis (72191) |
$1,504 |
$1,880 |
9.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$196.80 |
$246 |
2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$97.60 |
$122 |
1.2× |
| Echoencephalography real time imaging (76506) |
$520.80 |
$651 |
5.4× |
| Esophagus (74220) |
$262.40 |
$328 |
1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$141.60 |
$177 |
1.5× |
| Fluoroscopy up to 1 hr (76000) |
$53.60 |
$67 |
0.2× |
| Foot 2 views (73620) |
$120 |
$150 |
1.5× |
| Forearm 2 views (73090) |
$148 |
$185 |
1.8× |
| Gated Heart Planar Single (78472) |
$860 |
$1,075 |
2.3× |
| Hand 2 views (73120) |
$125.60 |
$157 |
1.3× |
| Hand 3 views (73130) |
$159.20 |
$199 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$671.20 |
$839 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$596.80 |
$746 |
1.6× |
| Ht muscle image spect sing (78451) |
$975.20 |
$1,219 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$132.80 |
$166 |
1.7× |
| Hysterosalpingogram (74740) |
$340 |
$425 |
1.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$128 |
$160 |
1.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$677.60 |
$847 |
1.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$707.20 |
$884 |
1.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$746.40 |
$933 |
1.5× |
| Knee 3 views (73562) |
$260 |
$325 |
3.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$420.80 |
$526 |
1.1× |
| Liver imaging w/vascular flow (78202) |
$420.80 |
$526 |
0.8× |
| Lymphoscintigraphy (78195) |
$1,550.40 |
$1,938 |
3.1× |
| Meckels Diverticulum (78290) |
$441.60 |
$552 |
1.2× |
| MRA head w & w/o contrast (70546) |
$1,512 |
$1,890 |
4.7× |
| MRA head w/o contrast (70544) |
$1,270.40 |
$1,588 |
5.8× |
| MRA head with contrast (70545) |
$1,391.20 |
$1,739 |
4.3× |
| MRA neck w contrast (70548) |
$1,391.20 |
$1,739 |
4.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,512 |
$1,890 |
4.7× |
| MRA neck w/o contrast (70547) |
$1,270.40 |
$1,588 |
5.8× |
| MRI abdomen w contrast (74182) |
$1,391.20 |
$1,739 |
4.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,512 |
$1,890 |
4.7× |
| MRI abdomen w/o contrast (74181) |
$1,270.40 |
$1,588 |
5.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,414.40 |
$1,768 |
2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,414.40 |
$1,768 |
2.0× |
| MRI breast w/o contrast bilateral (77047) |
$1,270.40 |
$1,588 |
5.8× |
| MRI breast w/o contrast unilat (77046) |
$1,270.40 |
$1,588 |
5.8× |
| MRI c-spine with contrast (72142) |
$1,414.40 |
$1,768 |
4.4× |
| MRI cervical spine w/o contrast (72141) |
$1,292 |
$1,615 |
5.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,512 |
$1,890 |
4.7× |
| MRI chest w/o contrast (71550) |
$1,186.40 |
$1,483 |
5.4× |
| MRI chest with contrast (71551) |
$1,391.20 |
$1,739 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,414.40 |
$1,768 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,414.40 |
$1,768 |
4.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,292 |
$1,615 |
5.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,270.40 |
$1,588 |
5.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,512 |
$1,890 |
4.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,391.20 |
$1,739 |
4.3× |
| MRI pelvis w contrast (72196) |
$1,391.20 |
$1,739 |
4.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,512 |
$1,890 |
4.7× |
| MRI pelvis w/o contrast (72195) |
$1,270.40 |
$1,588 |
5.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,536.80 |
$1,921 |
4.8× |
| MRI scan of leg joint before and after contrast (73723) |
$1,536.80 |
$1,921 |
4.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,536.80 |
$1,921 |
4.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,414.40 |
$1,768 |
4.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,536.80 |
$1,921 |
4.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,391.20 |
$1,739 |
4.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,512 |
$1,890 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,270.40 |
$1,588 |
5.8× |
| MRI tmj (70336) |
$1,270.40 |
$1,588 |
5.8× |
| MRI upper ext joint w/o contrast (73221) |
$1,936.80 |
$2,421 |
8.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,536.80 |
$1,921 |
4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,292 |
$1,615 |
5.9× |
| Myelogram thoracic (72255) |
$3,050.40 |
$3,813 |
4.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,247.20 |
$2,809 |
1.9× |
| Neck soft tissue (70360) |
$121.60 |
$152 |
1.5× |
| Nm cisternogram (78630) |
$728 |
$910 |
1.5× |
| Nm csf leak detection (78650) |
$728 |
$910 |
0.6× |
| Nm gastric emptying study (78264) |
$600.80 |
$751 |
1.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$464 |
$580 |
1.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$141.60 |
$177 |
1.5× |
| Osseous survey infant (77076) |
$155.20 |
$194 |
1.6× |
| Parathyrd planar w/wo subtrj (78071) |
$462.40 |
$578 |
1.3× |
| Parathyroid imaging (78070) |
$373.60 |
$467 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$94.40 |
$118 |
1.0× |
| PET image w/CT, skull-thigh (78815) |
$3,941.60 |
$4,927 |
3.0× |
| PET imaging for CT attenuation whole body (78816) |
$3,941.60 |
$4,927 |
3.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,536.80 |
$1,921 |
4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$515.20 |
$644 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$756.80 |
$946 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$265.60 |
$332 |
0.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$160.80 |
$201 |
1.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$204.80 |
$256 |
2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$270.40 |
$338 |
2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$213.60 |
$267 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$125.60 |
$157 |
1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$311.20 |
$389 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$151.20 |
$189 |
1.9× |
| Radiologic exam colon single contrast study (74270) |
$1,090.40 |
$1,363 |
6.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$377.60 |
$472 |
2.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$358.40 |
$448 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$160.80 |
$201 |
2.0× |
| Ribs bilateral 3 views (71110) |
$216 |
$270 |
2.2× |
| Scanogram (77073) |
$201.60 |
$252 |
2.1× |
| Scapula complete (73010) |
$129.60 |
$162 |
1.3× |
| Screening digital breast tomosynthesis (77063) |
$77.60 |
$97 |
3.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$156 |
$195 |
1.6× |
| Small bowel series (74250) |
$278.40 |
$348 |
1.7× |
| Spine thoracic 3 views (72072) |
$188.80 |
$236 |
2.0× |
| Spleen imaging only (78185) |
$339.20 |
$424 |
0.9× |
| Therapeutic Enema (74283) |
$333.60 |
$417 |
2.1× |
| Thoracolumbar 2 views (72080) |
$208.80 |
$261 |
2.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$366.40 |
$458 |
0.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$272 |
$340 |
0.7× |
| Thyroid uptake measurement (78012) |
$272 |
$340 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$504.80 |
$631 |
1.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$473.60 |
$592 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$264 |
$330 |
2.7× |
| Unlisted Ultrasound Procedure (76999) |
$360.80 |
$451 |
4.5× |
| Upper Extremity Infant (73092) |
$103.20 |
$129 |
1.1× |
| Urethrocystography retrograde rs&i (74450) |
$235.20 |
$294 |
1.1× |
| Urethrocystography voiding (74455) |
$328.80 |
$411 |
1.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$397.60 |
$497 |
2.5× |
| Us abdl aorta screen aaa (76706) |
$128 |
$160 |
1.3× |
| Us breast unilateral complete (76641) |
$372 |
$465 |
3.9× |
| Us breast unilateral limited (76642) |
$520.80 |
$651 |
6.5× |
| Us chest (76604) |
$372 |
$465 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$360.80 |
$451 |
3.8× |
| Us guided compression repair (76936) |
$948 |
$1,185 |
4.8× |
| Us ob transvaginal (76817) |
$141.60 |
$177 |
1.5× |
| Us pelvic non ob complete (76856) |
$384 |
$480 |
4.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$112 |
$140 |
1.2× |
| Us pregnancy ltd (76815) |
$141.60 |
$177 |
1.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$122.40 |
$153 |
1.3× |
| Us retroperitoneal complete (76770) |
$405.60 |
$507 |
4.2× |
| Us scrotum and contents (76870) |
$360.80 |
$451 |
3.8× |
| Us soft tissue head/neck (76536) |
$520.80 |
$651 |
5.4× |
| Us spinal canal and contents (76800) |
$128 |
$160 |
1.3× |
| Us xtr non-vasc lmtd (76882) |
$360.80 |
$451 |
3.8× |
| Venography caval inferior serialography rs&i (75825) |
$3,263.20 |
$4,079 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$781.60 |
$977 |
0.5× |
| Wrist 2 views (73100) |
$73.60 |
$92 |
0.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$281.60 |
$352 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$14.40 |
$18 |
0.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$274.40 |
$343 |
3.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,090.40 |
$1,363 |
6.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$192.80 |
$241 |
2.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$196.80 |
$246 |
2.5× |
| X-ray exam hip uni 1 view (73501) |
$124 |
$155 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$82.40 |
$103 |
1.0× |
| X-ray exam hip uni 4/> views (73503) |
$324.80 |
$406 |
3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$416.80 |
$521 |
4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$438.40 |
$548 |
4.6× |
| X-ray exam of femur 1 (73551) |
$14.40 |
$18 |
0.2× |
| X-ray eye for foreign body (70030) |
$120.80 |
$151 |
1.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$190.40 |
$238 |
2.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$146.40 |
$183 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$274.40 |
$343 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$125.60 |
$157 |
1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$165.60 |
$207 |
2.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$290.40 |
$363 |
3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$110.40 |
$138 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$116 |
$145 |
1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$206.40 |
$258 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$318.40 |
$398 |
3.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$162.40 |
$203 |
2.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$96 |
$120 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$158.40 |
$198 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$14.40 |
$18 |
0.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$354.40 |
$443 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$190.40 |
$238 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$231.20 |
$289 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$270.40 |
$338 |
2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$152 |
$190 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$178.40 |
$223 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$290.40 |
$363 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$229.60 |
$287 |
2.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$158.40 |
$198 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$244 |
$305 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$152 |
$190 |
1.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$16 |
$20 |
0.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$120.80 |
$151 |
1.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$130.40 |
$163 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$175.20 |
$219 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$16 |
$20 |
0.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$190.40 |
$238 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$292 |
$365 |
3.0× |
| Xr chest 4+ views (71048) |
$170.40 |
$213 |
1.8× |
| Xr finger(s) 2+ views (73140) |
$101.60 |
$127 |
1.3× |
| Xr shoulder 1 view (73020) |
$97.60 |
$122 |
1.2× |
| Xr spine cervical 4 or 5 views (72050) |
$269.60 |
$337 |
2.8× |
| Xr tibia/fibula 2 views (73590) |
$180 |
$225 |
2.2× |
| Xr tmj bilateral (70330) |
$146.40 |
$183 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$188 |
$235 |
2.3× |