| Abdomen 1 View (74018) |
$63 |
$175 |
0.7× |
| Ankle 2 views (73600) |
$39.60 |
$110 |
0.5× |
| Chest 1 view (71045) |
$40.68 |
$113 |
0.5× |
Chest 2 views (71046)
range across 3 matching MRF lines |
$63–$140.40 |
$175–$390 |
varies |
| Chest 3 views (71047) |
$63 |
$175 |
0.7× |
| Clavicle complete (73000) |
$63 |
$175 |
0.7× |
| CT lumbar spine w/o contrast (72131) |
$267.30 |
$742.50 |
2.5× |
| Discography Cerv/Thor Spine (72285) |
$2,334.60 |
$6,485 |
1.2× |
| Diskography lumbar (72295) |
$2,334.60 |
$6,485 |
1.2× |
| Foot 2 views (73620) |
$46.80 |
$130 |
0.5× |
| Forearm 2 views (73090) |
$30.60 |
$85 |
0.4× |
| Hand 2 views (73120) |
$45 |
$125 |
0.4× |
| Knee 3 Views (73562) |
$57.60 |
$160 |
0.7× |
| Neck soft tissue (70360) |
$63 |
$175 |
0.7× |
| Pelvis 1 or 2 views (72170) |
$63 |
$175 |
0.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$106.20 |
$295 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$320.81 |
$891.14 |
0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$63 |
$175 |
0.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$63 |
$175 |
0.7× |
| Radex elbow complete minimum 3 views (73080) |
$63 |
$175 |
0.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$63 |
$175 |
0.6× |
| Radex fingr minimum 2 views (73140) |
$23.40 |
$65 |
0.3× |
| Radex foot complete minimum 3 views (73630) |
$52.20 |
$145 |
0.6× |
| Radex Hand Minimum 3 Views (73130) |
$63 |
$175 |
0.7× |
| Radex lower extremity infant minimum 2 views (73592) |
$63 |
$175 |
0.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$63 |
$175 |
0.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$63 |
$175 |
0.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$63 |
$175 |
0.7× |
| Radex shoulder complete minimum 2 views (73030) |
$52.20 |
$145 |
0.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$63 |
$175 |
0.7× |
Radex Spine 1 View Specify Level (72020)
range across 4 matching MRF lines |
$34.20–$124.20 |
$95–$345 |
varies |
| Radex Sternum Minimum 2 Views (71120) |
$63 |
$175 |
0.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$63 |
$175 |
0.7× |
| Radex Toe Minimum 2 Views (73660) |
$45 |
$125 |
0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$52.20 |
$145 |
0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$63 |
$175 |
0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$68.40 |
$190 |
0.7× |
| Radiologic exam knee complete 4/more views (73564) |
$63 |
$175 |
0.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$63 |
$175 |
0.6× |
| Radiologic examination femur 1 view (73551) |
$57.60 |
$160 |
0.7× |
| Radiologic examination knee 1/2 views (73560) |
$52.20 |
$145 |
0.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$52.20 |
$145 |
0.6× |
| Scapula (73010) |
$63 |
$175 |
0.6× |
| Shoulder 1 view (73020) |
$41.40 |
$115 |
0.5× |
| Skull less than 4 views (70250) |
$52.20 |
$145 |
0.5× |
| Sternoclavicular joints (71130) |
$63 |
$175 |
0.7× |
| Thoracic spine 2 views (72070) |
$52.20 |
$145 |
0.5× |
| Thoracic spine 3 views (72072) |
$63 |
$175 |
0.6× |
| Thoracolumbar 2 views (72080) |
$45 |
$125 |
0.5× |
| Us breast unilateral complete (76641) |
$203.40 |
$565 |
1.9× |
| Wrist 2 views (73100) |
$63 |
$175 |
0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$48.60 |
$135 |
0.6× |
X-Ray Exam Hip Uni 1 View (73501)
range across 4 matching MRF lines |
$46.80–$63 |
$130–$175 |
varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$63 |
$175 |
0.7× |
X-Ray Exam Hip Uni 4/> Views (73503)
range across 2 matching MRF lines |
$57.60–$60.19 |
$160–$167.19 |
varies |
| X-Ray Exam L-S Spine Bending (72114) |
$106.20 |
$295 |
1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$46.80 |
$130 |
0.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$79.20 |
$220 |
0.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$63 |
$175 |
0.6× |
| X-ray eye for foreign body (70030) |
$63 |
$175 |
0.7× |
| X-ray humerus (73060) |
$50.40 |
$140 |
0.6× |
| X-ray IV pyelogram (ivp) (74400) |
$189 |
$525 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$63 |
$175 |
0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$63 |
$175 |
0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$145.80 |
$405 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$63 |
$175 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$63 |
$175 |
0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$63 |
$175 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$81 |
$225 |
0.8× |
| X-ray thoracic spine 4 vw (72074) |
$63 |
$175 |
0.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$700.56 |
$1,946 |
2.0× |
| X-Rays Bone Length Studies (77073) |
$115.20 |
$320 |
1.1× |
| Xr c-spine 4 or 5 views (72050) |
$106.20 |
$295 |
1.0× |
| Xr facial bones less than 3 views (70140) |
$63 |
$175 |
0.7× |
| Xr orbits complete 4 views (70200) |
$63 |
$175 |
0.6× |