| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,443.46 |
$11,874 |
2.5× |
| Abdomen 2 views (74019) |
$149.06 |
$514 |
1.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$984.55 |
$3,395 |
2.5× |
| Ankle 2 views (73600) |
$114.55 |
$395 |
1.3× |
| Basic radiation dosimetry calculation (77300) |
$358.44 |
$1,236 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$984.55 |
$3,395 |
2.5× |
| Bone age studies (77072) |
$116.87 |
$403 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$984.55 |
$3,395 |
2.5× |
| Bone survey complete (77075) |
$212.57 |
$733 |
2.0× |
| Brain imaging < 4 static views w vascular flow (78601) |
$984.55 |
$3,395 |
2.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,888.98 |
$9,962 |
2.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$730.22 |
$2,518 |
2.1× |
| Cardiac shunt detection (78428) |
$984.55 |
$3,395 |
2.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$984.55 |
$3,395 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$195.46 |
$674 |
2.2× |
| Chest 1 view (71045) |
$102.37 |
$353 |
1.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$298.70 |
$1,030 |
1.7× |
| Clavicle complete (73000) |
$127.89 |
$441 |
1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$434.71 |
$1,499 |
4.2× |
| Continuing medical physics consltj pr wk (77336) |
$396.72 |
$1,368 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,240.91 |
$4,279 |
3.6× |
| CT abdomen and pelvis without contrast (74176) |
$910.31 |
$3,139 |
3.8× |
| CT abdomen w contrast (74160) |
$537.66 |
$1,854 |
3.1× |
| CT abdomen w wo contrast (74170) |
$620.60 |
$2,140 |
3.5× |
| CT abdomen w/o contrast (74150) |
$454.72 |
$1,568 |
4.3× |
| CT angio hrt w/3d image (75574) |
$620.60 |
$2,140 |
1.8× |
| CT angiography upper extremity lt (73206) |
$620.60 |
$2,140 |
3.5× |
| CT c-spine w/o contrast (72125) |
$454.72 |
$1,568 |
4.3× |
| CT cervical spine w&w/o contrast (72127) |
$620.60 |
$2,140 |
3.5× |
| CT cervical spine with contrast (72126) |
$537.66 |
$1,854 |
1.5× |
| CT chest w/wo contrast (71270) |
$620.60 |
$2,140 |
3.5× |
| CT chest with contrast (71260) |
$537.66 |
$1,854 |
3.1× |
| CT colonography w/dye (74262) |
$537.66 |
$1,854 |
3.1× |
| CT colonography w/o cntrst (74261) |
$454.72 |
$1,568 |
4.3× |
| CT head/brain with contrast (70460) |
$537.66 |
$1,854 |
3.1× |
| CT head/brain without and with contrast (70470) |
$620.60 |
$2,140 |
3.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$537.66 |
$1,854 |
1.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$433.26 |
$1,494 |
5.0× |
| CT iac w contrast (70481) |
$537.66 |
$1,854 |
3.1× |
| CT lower ext w/o (73700) |
$454.72 |
$1,568 |
4.3× |
| CT lower extremity w wo contrast (73702) |
$620.60 |
$2,140 |
3.5× |
| CT lower extremity with contrast (73701) |
$537.66 |
$1,854 |
3.1× |
| CT lumbar spine w & w/o contrast (72133) |
$620.60 |
$2,140 |
3.5× |
| CT lumbar spine w/o contrast (72131) |
$454.72 |
$1,568 |
4.3× |
| CT lumbar spine with contrast (72132) |
$537.66 |
$1,854 |
1.5× |
| CT maxillofacial w contrast (70487) |
$537.66 |
$1,854 |
3.1× |
| CT maxillofacial w/o contrast (70486) |
$454.72 |
$1,568 |
4.3× |
| CT maxillofacial w/wo contrast (70488) |
$620.60 |
$2,140 |
3.5× |
| CT neck soft tissue w contrast (70491) |
$537.66 |
$1,854 |
3.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$620.60 |
$2,140 |
3.5× |
| CT orbits w/o contrast (70480) |
$454.72 |
$1,568 |
4.3× |
| CT pelvis w & w/o contrast (72194) |
$620.60 |
$2,140 |
3.5× |
| CT pelvis w/o contrast (72192) |
$454.72 |
$1,568 |
4.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$620.60 |
$2,140 |
3.5× |
| CT soft tissue neck w/o contrast (70490) |
$454.72 |
$1,568 |
4.3× |
| CT thoracic spine w/contrast (72129) |
$537.66 |
$1,854 |
3.1× |
| CT thoracic spine w/o contrast (72128) |
$454.72 |
$1,568 |
4.3× |
| CT thoracic spine w/wo contrast (72130) |
$620.60 |
$2,140 |
3.5× |
| CT thorax w/o contrast (71250) |
$454.72 |
$1,568 |
4.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$620.60 |
$2,140 |
3.5× |
| CT upper extremity w/o contrast rt (73200) |
$454.72 |
$1,568 |
4.3× |
| CT upper extremity with contrast (73201) |
$537.66 |
$1,854 |
1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$620.60 |
$2,140 |
3.5× |
| Cta Abdomen (74175) |
$620.60 |
$2,140 |
3.5× |
| CTA abdomen pelvis (74174) |
$1,240.91 |
$4,279 |
3.6× |
| CTA chest (71275) |
$620.60 |
$2,140 |
3.5× |
| Cta Head (70496) |
$620.60 |
$2,140 |
3.5× |
| CTA lwr ext w&w/o contrast (73706) |
$620.60 |
$2,140 |
3.5× |
| Cta Neck (70498) |
$620.60 |
$2,140 |
3.5× |
| Cta Pelvis (72191) |
$620.60 |
$2,140 |
3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$140.36 |
$484 |
1.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$191.69 |
$661 |
1.8× |
| Echoencephalography real time imaging (76506) |
$293.19 |
$1,011 |
2.8× |
| Esophagus (74220) |
$215.18 |
$742 |
1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$432.39 |
$1,491 |
4.1× |
| Fluoroscopy up to 1 hr (76000) |
$87 |
$300 |
0.4× |
| Foot 2 views (73620) |
$110.78 |
$382 |
1.3× |
| Forearm 2 views (73090) |
$123.54 |
$426 |
1.4× |
| Gated Heart Planar Single (78472) |
$1,073.87 |
$3,703 |
2.7× |
| Hand 2 views (73120) |
$106.43 |
$367 |
1.0× |
| Hand 3 views (73130) |
$131.66 |
$454 |
1.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$984.55 |
$3,395 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$984.55 |
$3,395 |
2.5× |
| Ht muscle image spect sing (78451) |
$1,234.82 |
$4,258 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$127.89 |
$441 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$984.55 |
$3,395 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$984.55 |
$3,395 |
1.8× |
| Knee 3 views (73562) |
$134.56 |
$464 |
1.5× |
| Liver & spleen imaging static only (78215) |
$744.43 |
$2,567 |
1.9× |
| Lung perfusion differential (78597) |
$984.55 |
$3,395 |
2.5× |
| Lung Ventilation Imaging (78579) |
$744.43 |
$2,567 |
1.9× |
| Lymphoscintigraphy (78195) |
$1,296.30 |
$4,470 |
2.4× |
| Meckels Diverticulum (78290) |
$984.55 |
$3,395 |
2.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$957.29 |
$3,301 |
2.6× |
| MRA head w & w/o contrast (70546) |
$730.22 |
$2,518 |
2.1× |
| MRA head w/o contrast (70544) |
$681.50 |
$2,350 |
2.9× |
| MRA head with contrast (70545) |
$697.16 |
$2,404 |
2.0× |
| MRA neck w contrast (70548) |
$697.16 |
$2,404 |
2.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$730.22 |
$2,518 |
2.1× |
| MRA neck w/o contrast (70547) |
$681.50 |
$2,350 |
2.9× |
| MRI abdomen w contrast (74182) |
$697.16 |
$2,404 |
2.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$730.22 |
$2,518 |
2.1× |
| MRI abdomen w/o contrast (74181) |
$681.50 |
$2,350 |
2.9× |
| MRI any jnt lwr ext with con lt (73722) |
$697.16 |
$2,404 |
0.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$697.16 |
$2,404 |
0.9× |
| MRI breast w/o contrast bilateral (77047) |
$1,363 |
$4,700 |
5.7× |
| MRI breast w/o contrast unilat (77046) |
$681.50 |
$2,350 |
2.9× |
| MRI c-spine with contrast (72142) |
$697.16 |
$2,404 |
2.0× |
| MRI cardiac w/o contrast (75557) |
$681.50 |
$2,350 |
2.9× |
| MRI cervical spine w/o contrast (72141) |
$681.50 |
$2,350 |
2.9× |
| MRI chest w/o & w/contrast material (71552) |
$730.22 |
$2,518 |
2.1× |
| MRI chest w/o contrast (71550) |
$681.50 |
$2,350 |
2.9× |
| MRI chest with contrast (71551) |
$697.16 |
$2,404 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$697.16 |
$2,404 |
2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$697.16 |
$2,404 |
2.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$681.50 |
$2,350 |
2.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$681.50 |
$2,350 |
2.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$730.22 |
$2,518 |
2.1× |
| MRI orbit/face/neck w/contrast (70542) |
$697.16 |
$2,404 |
2.0× |
| MRI pelvis w contrast (72196) |
$697.16 |
$2,404 |
2.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$730.22 |
$2,518 |
2.1× |
| MRI pelvis w/o contrast (72195) |
$681.50 |
$2,350 |
2.9× |
| MRI scan of arm joint before and after contrast (73223) |
$730.22 |
$2,518 |
2.1× |
| MRI scan of leg joint before and after contrast (73723) |
$730.22 |
$2,518 |
2.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$730.22 |
$2,518 |
2.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$697.16 |
$2,404 |
2.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$730.22 |
$2,518 |
2.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$697.16 |
$2,404 |
2.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$730.22 |
$2,518 |
2.1× |
| MRI thoracic spine w/o contrast (72146) |
$681.50 |
$2,350 |
2.9× |
| MRI tmj (70336) |
$681.50 |
$2,350 |
2.9× |
| MRI upper ext joint w/o contrast (73221) |
$681.50 |
$2,350 |
2.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$730.22 |
$2,518 |
2.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$681.50 |
$2,350 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$1,234.82 |
$4,258 |
1.0× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$3,061.82 |
$10,558 |
2.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$4,049.27 |
$13,963 |
2.8× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$4,334.92 |
$14,948 |
2.0× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$4,049.27 |
$13,963 |
1.8× |
| Neck soft tissue (70360) |
$113.97 |
$393 |
1.3× |
| Nm adrenal scan (78075) |
$744.43 |
$2,567 |
0.6× |
| Nm bone marrow wb (78104) |
$744.43 |
$2,567 |
1.9× |
| Nm cisternogram (78630) |
$856.08 |
$2,952 |
1.6× |
| Nm gastric emptying study (78264) |
$984.55 |
$3,395 |
2.5× |
| Nm gastroesophageal reflux study (78262) |
$744.43 |
$2,567 |
1.9× |
| Nm peritoneal-venous shunt patency (78291) |
$533.31 |
$1,839 |
1.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,284.82 |
$18,223.50 |
3.8× |
| Nuclear Rx Oral Admin (79005) |
$984.55 |
$3,395 |
4.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$247.08 |
$852 |
2.4× |
| Osseous survey infant (77076) |
$140.65 |
$485 |
1.3× |
| Osseous survey limited (77074) |
$165.88 |
$572 |
1.6× |
| Parathyroid imaging (78070) |
$984.55 |
$3,395 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$123.54 |
$426 |
1.2× |
| PET image w/CT, skull-thigh (78815) |
$3,819.88 |
$13,172 |
2.7× |
| PET imaging CT for attenuation limited area (78814) |
$2,888.98 |
$9,962 |
2.0× |
| PET imaging for CT attenuation whole body (78816) |
$3,819.88 |
$13,172 |
2.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$730.22 |
$2,518 |
2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$984.55 |
$3,395 |
2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$984.55 |
$3,395 |
1.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$127.89 |
$441 |
1.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$127.89 |
$441 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$229.10 |
$790 |
2.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$6,219.92 |
$21,448 |
0.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$727.90 |
$2,510 |
1.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$264.77 |
$913 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$170.52 |
$588 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$119.48 |
$412 |
1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$157.18 |
$542 |
1.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$123.54 |
$426 |
1.4× |
| Radiologic exam colon single contrast study (74270) |
$446.89 |
$1,541 |
2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$220.98 |
$762 |
1.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$425.14 |
$1,466 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$459.07 |
$1,583 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$133.98 |
$462 |
1.5× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$980.20 |
$3,380 |
1.8× |
| Ribs bilateral 3 views (71110) |
$153.41 |
$529 |
1.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,127.23 |
$3,887 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,408.82 |
$4,858 |
2.6× |
| Rp Therapy Intravenous Administration (79101) |
$744.43 |
$2,567 |
3.2× |
| Sacroiliac Joints < 3 Views (72200) |
$106.43 |
$367 |
1.0× |
| Salivary gland imaging serial images (78231) |
$533.31 |
$1,839 |
1.3× |
| Scanogram (77073) |
$149.06 |
$514 |
1.4× |
| Scapula complete (73010) |
$136.30 |
$470 |
1.3× |
| Screening digital breast tomosynthesis (77063) |
$23.20 |
$80 |
1.0× |
| Small bowel series (74250) |
$340.46 |
$1,174 |
1.9× |
| Spec medical radj physics consltj (77370) |
$635.68 |
$2,192 |
4.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$450.95 |
$1,555 |
1.2× |
| Special treatment procedure (77470) |
$1,589.78 |
$5,482 |
2.9× |
| Spine thoracic 3 views (72072) |
$174 |
$600 |
1.7× |
| Stereotactic body radiation delivery (77373) |
$2,539.82 |
$8,758 |
1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$727.90 |
$2,510 |
1.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$345.10 |
$1,190 |
0.9× |
| Testicular Imaging With Vascular Flow (78761) |
$744.43 |
$2,567 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,740.58 |
$6,002 |
4.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,104.90 |
$3,810 |
8.2× |
| Thoracolumbar 2 views (72080) |
$149.06 |
$514 |
1.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$984.55 |
$3,395 |
1.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$984.55 |
$3,395 |
2.5× |
| Thyroid uptake measurement (78012) |
$533.31 |
$1,839 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$984.55 |
$3,395 |
2.5× |
| Treatment device intermediate (77333) |
$491.26 |
$1,694 |
3.6× |
| Treatment devices simple (77332) |
$396.72 |
$1,368 |
2.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,224.96 |
$4,224 |
2.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$933.80 |
$3,220 |
2.3× |
| Tx devices design & construction complex (77334) |
$727.90 |
$2,510 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$400.78 |
$1,382 |
3.8× |
| Umbilical-artery Doppler (OB) (76820) |
$185.31 |
$639 |
1.8× |
| Upper Extremity Infant (73092) |
$102.08 |
$352 |
1.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$744.43 |
$2,567 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$426.30 |
$1,470 |
2.4× |
| Us abdl aorta screen aaa (76706) |
$185.31 |
$639 |
1.8× |
| Us breast unilateral complete (76641) |
$258.39 |
$891 |
2.5× |
| Us breast unilateral limited (76642) |
$386.28 |
$1,332 |
4.4× |
| Us chest (76604) |
$278.69 |
$961 |
2.7× |
| Us compl joint r-t w/image documentation (76881) |
$356.41 |
$1,229 |
3.4× |
| Us guided compression repair (76936) |
$342.20 |
$1,180 |
1.6× |
| Us infant hips dynamic (76885) |
$112.52 |
$388 |
1.3× |
| Us infant hips limited static (76886) |
$112.52 |
$388 |
1.3× |
| Us ob detailed single fetus (76811) |
$399.91 |
$1,379 |
1.7× |
| Us ob transvaginal (76817) |
$432.39 |
$1,491 |
4.1× |
| Us pelvic non ob complete (76856) |
$307.98 |
$1,062 |
2.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$308.27 |
$1,063 |
2.9× |
| Us pregnancy ltd (76815) |
$370.48 |
$1,277.50 |
3.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$432.39 |
$1,491 |
4.1× |
| Us retroperitoneal complete (76770) |
$549.55 |
$1,895 |
5.2× |
| Us retroperitoneal limited (76775) |
$400.78 |
$1,382 |
3.8× |
| Us scrotum and contents (76870) |
$340.46 |
$1,174 |
3.3× |
| Us soft tissue head/neck (76536) |
$370.62 |
$1,278 |
3.5× |
| Us xtr non-vasc lmtd (76882) |
$247.08 |
$852 |
2.4× |
| Wrist 2 views (73100) |
$99.62 |
$343.50 |
1.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$191.69 |
$661 |
1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$124.99 |
$431 |
1.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$136.30 |
$470 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$446.89 |
$1,541 |
2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$110.78 |
$382 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$128.47 |
$443 |
1.5× |
| X-ray exam hip uni 1 view (73501) |
$98.02 |
$338 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$114.55 |
$395 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$352.64 |
$1,216 |
3.4× |
| X-ray exam of femur 1 (73551) |
$106.43 |
$367 |
1.2× |
| X-ray eye for foreign body (70030) |
$90.77 |
$313 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$200.68 |
$692 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$137.17 |
$473 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$136.30 |
$470 |
1.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$110.78 |
$382 |
1.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$119.77 |
$413 |
1.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$162.40 |
$560 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$117.74 |
$406 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$98.31 |
$339 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$165.88 |
$572 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$255.20 |
$880 |
2.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$165.88 |
$572 |
1.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$136.30 |
$470 |
1.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$161.24 |
$556 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$157.18 |
$542 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$127.89 |
$441 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$165.88 |
$572 |
1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$221.27 |
$763 |
2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$136.30 |
$470 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$136.30 |
$470 |
1.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$140.65 |
$485 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$191.69 |
$661 |
2.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$116.87 |
$403 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$212.57 |
$733 |
2.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$149.06 |
$514 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$116.87 |
$403 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$110.78 |
$382 |
1.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$131.66 |
$454 |
1.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$149.06 |
$514 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$98.02 |
$338 |
1.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$131.66 |
$454 |
1.5× |
| Xr c-spine 6 or more views (72052) |
$238.09 |
$821 |
2.3× |
| Xr chest 4+ views (71048) |
$154.57 |
$533 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$102.08 |
$352 |
1.2× |
| Xr shoulder 1 view (73020) |
$110.78 |
$382 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$238.09 |
$821 |
2.3× |
| Xr tibia/fibula 2 views (73590) |
$129.63 |
$447 |
1.5× |
| Xr tmj bilateral (70330) |
$161.24 |
$556 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$117.74 |
$406 |
1.4× |