| Abdomen 2 views (74019) |
$81 |
$324 |
0.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$256 |
$1,024 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$1,575 |
$6,300 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,399 |
$5,594 |
0.4× |
| Ankle 2 views (73600) |
$56 |
$223 |
0.6× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,399 |
$5,594 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,400 |
$5,600 |
0.4× |
| Aortography abdominal serialography rs&i (75625) |
$1,399 |
$5,594 |
0.4× |
| Arthrogram elbow (73085) |
$126 |
$504.50 |
0.4× |
| Arthrogram hip (73525) |
$141.50 |
$567 |
0.4× |
| Arthrogram shoulder (73040) |
$159.50 |
$637.50 |
0.5× |
| Arthrogram wrist (73115) |
$143.50 |
$574.50 |
0.4× |
| Arthrography knee lt (73580) |
$140.50 |
$563 |
0.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$149 |
$594 |
0.4× |
| Bone &/joint imaging whole body (78306) |
$297 |
$1,187 |
0.7× |
| Bone age studies (77072) |
$38 |
$150 |
0.4× |
| Bone Imaging 3 Phase (78315) |
$296 |
$1,182 |
0.7× |
| Bone survey complete (77075) |
$132 |
$528 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$67.50 |
$270.50 |
0.8× |
| Chest 1 view (71045) |
$68 |
$271 |
0.8× |
| Chest 3 views (71047) |
$75 |
$300 |
0.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$179 |
$714 |
1.0× |
| Clavicle complete (73000) |
$59 |
$235 |
0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$81 |
$324 |
0.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$694 |
$2,775 |
2.0× |
| CT abdomen and pelvis without contrast (74176) |
$569 |
$2,275 |
2.4× |
| CT abdomen w contrast (74160) |
$611 |
$2,444 |
3.5× |
| CT abdomen w wo contrast (74170) |
$667 |
$2,669 |
3.8× |
| CT abdomen w/o contrast (74150) |
$530 |
$2,119 |
5.0× |
| CT angio hrt w/3d image (75574) |
$357 |
$1,429 |
1.0× |
| CT angiography upper extremity lt (73206) |
$650 |
$2,600 |
3.7× |
| CT c-spine w/o contrast (72125) |
$588 |
$2,351 |
5.6× |
| CT cervical spine w&w/o contrast (72127) |
$626 |
$2,502 |
3.6× |
| CT cervical spine with contrast (72126) |
$607 |
$2,426 |
1.7× |
| CT chest w/wo contrast (71270) |
$626 |
$2,502 |
3.6× |
| CT chest with contrast (71260) |
$568 |
$2,271 |
3.2× |
| CT head/brain with contrast (70460) |
$563 |
$2,252 |
3.2× |
| CT head/brain without and with contrast (70470) |
$626 |
$2,502 |
3.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$357 |
$1,429 |
1.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$71 |
$284 |
0.8× |
| CT hrt w/3d image congen (75573) |
$357 |
$1,429 |
1.0× |
| CT iac w contrast (70481) |
$563 |
$2,252 |
3.2× |
| CT limited/localized follow up study (76380) |
$189 |
$757 |
2.2× |
| CT lower ext w/o (73700) |
$501 |
$2,002 |
4.8× |
| CT lower extremity w wo contrast (73702) |
$626 |
$2,502 |
3.6× |
| CT lower extremity with contrast (73701) |
$563 |
$2,252 |
3.2× |
| CT lumbar spine w & w/o contrast (72133) |
$626 |
$2,502 |
3.6× |
| CT lumbar spine w/o contrast (72131) |
$501 |
$2,002 |
4.8× |
| CT lumbar spine with contrast (72132) |
$563 |
$2,252 |
1.6× |
| CT maxillofacial w contrast (70487) |
$563 |
$2,252 |
3.2× |
| CT maxillofacial w/o contrast (70486) |
$501 |
$2,002 |
4.8× |
| CT maxillofacial w/wo contrast (70488) |
$626 |
$2,502 |
3.6× |
| CT neck soft tissue w contrast (70491) |
$563 |
$2,252 |
3.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$626 |
$2,502 |
3.6× |
| CT orbits w/o contrast (70480) |
$501 |
$2,002 |
4.8× |
| CT pelvis w & w/o contrast (72194) |
$626 |
$2,502 |
3.6× |
| CT pelvis w/o contrast (72192) |
$501 |
$2,002 |
4.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$626 |
$2,502 |
3.6× |
| CT soft tissue neck w/o contrast (70490) |
$501 |
$2,002 |
4.8× |
| CT thoracic spine w/contrast (72129) |
$563 |
$2,252 |
3.2× |
| CT thoracic spine w/o contrast (72128) |
$501 |
$2,002 |
4.8× |
| CT thoracic spine w/wo contrast (72130) |
$626 |
$2,502 |
3.6× |
| CT thorax w/o contrast (71250) |
$502 |
$2,006 |
4.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$626 |
$2,502 |
3.6× |
| CT upper extremity w/o contrast rt (73200) |
$501 |
$2,002 |
4.8× |
| CT upper extremity with contrast (73201) |
$563 |
$2,252 |
1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$668 |
$2,673 |
3.8× |
| Cta Abdomen (74175) |
$650 |
$2,600 |
3.7× |
| CTA abdomen pelvis (74174) |
$1,050 |
$4,200 |
3.0× |
| CTA chest (71275) |
$835 |
$3,339 |
4.7× |
| Cta Head (70496) |
$650 |
$2,600 |
3.7× |
| CTA lwr ext w&w/o contrast (73706) |
$650 |
$2,600 |
3.7× |
| Cta Neck (70498) |
$650 |
$2,600 |
3.7× |
| Cta Pelvis (72191) |
$650 |
$2,600 |
3.7× |
| Cystography minimum 3 views rs&i (74430) |
$181 |
$722 |
0.5× |
| Diskogram cervical (72285) |
$95 |
$378 |
0.0× |
| Diskography lumbar (72295) |
$81 |
$325 |
0.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$233 |
$933 |
2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$64 |
$256 |
0.7× |
| Esophagus (74220) |
$125 |
$501 |
0.7× |
| Fetal biophysical profile non-stress testing (76818) |
$164 |
$656 |
1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$109 |
$436 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$131 |
$522 |
0.5× |
| Foot 2 views (73620) |
$55 |
$220 |
0.6× |
| Forearm 2 views (73090) |
$59 |
$235 |
0.7× |
| Gated Heart Planar Single (78472) |
$182 |
$729 |
0.5× |
| Hand 2 views (73120) |
$59 |
$235 |
0.6× |
| Hand 3 views (73130) |
$64 |
$256 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$558 |
$2,233 |
1.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$483 |
$1,933 |
1.2× |
| Ht muscle image spect sing (78451) |
$465 |
$1,861 |
0.4× |
| Humerus Min 2 Views Left (73060) |
$55 |
$220 |
0.6× |
| Hysterosalpingogram (74740) |
$220 |
$879 |
0.9× |
| Kidney imaging morphology (78700) |
$153 |
$611 |
0.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$183 |
$733 |
0.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$205 |
$818 |
0.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$297 |
$1,188 |
0.5× |
| Knee 3 views (73562) |
$67.50 |
$269.50 |
0.8× |
| Liver & spleen imaging static only (78215) |
$245 |
$979 |
0.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$136 |
$544 |
0.3× |
| Lung Ventilation Imaging (78579) |
$201 |
$804 |
0.5× |
| Lymphoscintigraphy (78195) |
$296 |
$1,183 |
0.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$40 |
$159 |
0.5× |
| MRA head w & w/o contrast (70546) |
$763 |
$3,050 |
2.2× |
| MRA head w/o contrast (70544) |
$638 |
$2,550 |
2.7× |
| MRA head with contrast (70545) |
$700 |
$2,800 |
2.0× |
| MRA neck w contrast (70548) |
$700 |
$2,800 |
2.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$763 |
$3,050 |
2.2× |
| MRA neck w/o contrast (70547) |
$638 |
$2,550 |
2.7× |
| MRI abdomen w contrast (74182) |
$700 |
$2,800 |
2.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,078 |
$4,311 |
3.1× |
| MRI abdomen w/o contrast (74181) |
$638 |
$2,550 |
2.7× |
| MRI any jnt lwr ext with con lt (73722) |
$700 |
$2,800 |
0.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$700 |
$2,800 |
0.9× |
| MRI c-spine with contrast (72142) |
$700 |
$2,800 |
2.0× |
| MRI cervical spine w/o contrast (72141) |
$666 |
$2,665 |
2.8× |
| MRI chest w/o & w/contrast material (71552) |
$763 |
$3,050 |
2.2× |
| MRI chest w/o contrast (71550) |
$638 |
$2,550 |
2.7× |
| MRI chest with contrast (71551) |
$700 |
$2,800 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$700 |
$2,800 |
2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$700 |
$2,800 |
2.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$642 |
$2,567 |
2.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$638 |
$2,550 |
2.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,078 |
$4,311 |
3.1× |
| MRI orbit/face/neck w/contrast (70542) |
$700 |
$2,800 |
2.0× |
| MRI pelvis w contrast (72196) |
$700 |
$2,800 |
2.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$866 |
$3,464 |
2.5× |
| MRI pelvis w/o contrast (72195) |
$667 |
$2,667 |
2.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,033 |
$4,133 |
2.9× |
| MRI scan of leg joint before and after contrast (73723) |
$763 |
$3,050 |
2.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,078 |
$4,311 |
3.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$700 |
$2,800 |
2.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,078 |
$4,311 |
3.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$700 |
$2,800 |
2.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,078 |
$4,311 |
3.1× |
| MRI thoracic spine w/o contrast (72146) |
$666 |
$2,665 |
2.8× |
| MRI tmj (70336) |
$688 |
$2,752 |
2.9× |
| MRI upper ext joint w/o contrast (73221) |
$642 |
$2,567 |
2.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$763 |
$3,050 |
2.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$642 |
$2,567 |
2.7× |
| Myocardial Spect Multiple Studies (78452) |
$543 |
$2,171 |
0.4× |
| Neck soft tissue (70360) |
$44 |
$174 |
0.5× |
| Nm adrenal scan (78075) |
$465 |
$1,861 |
0.4× |
| Nm cisternogram (78630) |
$308 |
$1,231 |
0.6× |
| Nm gastric emptying study (78264) |
$213 |
$851 |
0.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$757 |
$3,029 |
0.6× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$465 |
$1,861 |
0.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$86.50 |
$346 |
0.8× |
| Parathyroid imaging (78070) |
$256 |
$1,025 |
0.6× |
| Pelvis 1 or 2 views (72170) |
$56 |
$222 |
0.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$763 |
$3,050 |
2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$200 |
$799 |
0.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$371 |
$1,484 |
0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$209 |
$835 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$87 |
$346 |
1.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$71 |
$284 |
0.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$95 |
$381 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$85 |
$341 |
0.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$60 |
$241 |
0.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$108 |
$430 |
1.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$53 |
$211 |
0.6× |
| Radiologic exam colon single contrast study (74270) |
$117 |
$468 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$107 |
$426.50 |
0.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$213 |
$850 |
1.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$48 |
$191 |
0.5× |
| Radiological examination surgical specimen (76098) |
$220 |
$879 |
0.4× |
| Red Cell Volume Determination Spx 1 Sampling (78120) |
— |
$5 |
— |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
— |
$5 |
— |
| Ribs bilateral 3 views (71110) |
$113 |
$450 |
1.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$329 |
$1,316.50 |
0.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$184 |
$734 |
0.8× |
| Scapula complete (73010) |
$55 |
$220 |
0.5× |
| Screening digital breast tomosynthesis (77063) |
$95.50 |
$381.50 |
4.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$59 |
$234 |
0.6× |
| Sialogram (70390) |
$8 |
$31 |
0.0× |
| Small bowel series (74250) |
$121 |
$482 |
0.7× |
| Spine thoracic 3 views (72072) |
$29 |
$115 |
0.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$165 |
$661 |
0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$198.50 |
$793 |
0.5× |
| Tmj unilateral (70328) |
$44 |
$174 |
0.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$712 |
$2,846 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$212 |
$848 |
2.0× |
| Umbilical-artery Doppler (OB) (76820) |
$58 |
$231 |
0.6× |
| Upper Extremity Infant (73092) |
$71 |
$282 |
0.7× |
| Urethrocystography voiding (74455) |
$181 |
$722 |
0.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$169 |
$676 |
1.0× |
| Us breast unilateral complete (76641) |
$148.50 |
$594 |
1.4× |
| Us breast unilateral limited (76642) |
$53 |
$213 |
0.6× |
| Us chest (76604) |
$102 |
$407 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$117 |
$469 |
1.1× |
| Us kidney transplant (76776) |
$137 |
$549 |
1.3× |
| Us ob detailed single fetus (76811) |
$114 |
$456 |
0.5× |
| Us ob transvaginal (76817) |
$80 |
$321 |
0.8× |
| Us pelvic non ob complete (76856) |
$187 |
$747 |
1.8× |
| Us pregnancy ltd (76815) |
$50 |
$201 |
0.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$94 |
$375 |
0.9× |
| Us retroperitoneal complete (76770) |
$163 |
$651 |
1.6× |
| Us scrotum and contents (76870) |
$183 |
$731 |
1.7× |
| Us soft tissue head/neck (76536) |
$150 |
$600 |
1.4× |
| Us spinal canal and contents (76800) |
$93 |
$370 |
0.9× |
| Vascular flow imaging (78445) |
$148 |
$591 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$83 |
$333 |
0.0× |
| Wrist 2 views (73100) |
$55 |
$220 |
0.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$80 |
$320 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$43 |
$170 |
0.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$74 |
$296 |
0.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$144 |
$574 |
0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$59 |
$235 |
0.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$74 |
$296 |
0.8× |
| X-ray exam hip uni 1 view (73501) |
$47 |
$187 |
0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$69 |
$277 |
0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$86.50 |
$344 |
0.8× |
| X-ray exam of femur 1 (73551) |
$21 |
$85 |
0.2× |
| X-ray eye for foreign body (70030) |
$65 |
$260 |
0.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$92 |
$367 |
0.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$44 |
$174 |
0.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$56 |
$223 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$59 |
$235 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$71 |
$284 |
0.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$92 |
$367 |
0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$24 |
$95 |
0.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$55 |
$220 |
0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$67.50 |
$271 |
0.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$55 |
$219 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$46 |
$182 |
0.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$76 |
$303 |
0.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$245 |
$980 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$73 |
$291 |
0.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$81 |
$325 |
0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$119 |
$475 |
1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$89 |
$354 |
0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$61 |
$244 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$73 |
$291 |
0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$115 |
$460 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$125 |
$499 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$109 |
$434 |
1.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$89 |
$354 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$88 |
$352 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$48 |
$192 |
0.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$63 |
$253 |
0.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$69 |
$277 |
0.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$55 |
$220 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$67.50 |
$269.50 |
0.8× |
| Xr arthrogram ankle (73615) |
$141.50 |
$565.50 |
0.4× |
| Xr c-spine 6 or more views (72052) |
$106 |
$425 |
1.0× |
| Xr chest 4+ views (71048) |
$109 |
$436 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$53 |
$210 |
0.6× |
| Xr shoulder 1 view (73020) |
$63 |
$250 |
0.7× |
| Xr spine cervical 4 or 5 views (72050) |
$94.50 |
$378 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$69 |
$277 |
0.8× |
| Xray knee 1 or 2 views rt (73560) |
$48.50 |
$192.50 |
0.6× |