| Abdomen 2 views (74019) |
$107.75 |
$431 |
1.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$426.93 |
$1,707.75 |
1.2× |
| Angiography extremity bilateral rs&i (75716) |
$2,037.25 |
$8,149 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,477.56 |
$9,910.25 |
0.9× |
| Angiography internal mammary rs&i (75756) |
$2,499.81 |
$9,999.25 |
0.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,033.68 |
$8,134.75 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,033.68 |
$8,134.75 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,229.25 |
$16,917 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,499.81 |
$9,999.25 |
0.9× |
| Ankle 2 views (73600) |
$104.06 |
$416.25 |
1.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$270.68 |
$1,082.75 |
0.9× |
| Aortogram thoracic (75605) |
$2,033.68 |
$8,134.75 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,132.62 |
$8,530.50 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,132.62 |
$8,530.50 |
0.8× |
| Arthrogram elbow (73085) |
$430.06 |
$1,720.25 |
1.4× |
| Arthrogram hip (73525) |
$456.50 |
$1,826 |
1.5× |
| Arthrogram shoulder (73040) |
$393.62 |
$1,574.50 |
1.3× |
| Arthrogram wrist (73115) |
$237.93 |
$951.75 |
0.8× |
| Arthrography knee lt (73580) |
$456.50 |
$1,826 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$671.31 |
$2,685.25 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$1,218.56 |
$4,874.25 |
3.5× |
| Bone age studies (77072) |
$91.46 |
$365.88 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$732.18 |
$2,928.75 |
2.1× |
| Bone survey complete (77075) |
$588.94 |
$2,355.75 |
6.5× |
| Brain image w/flow 4 + views (78606) |
$671.31 |
$2,685.25 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$331.50 |
$1,326 |
4.4× |
| Chest 1 view (71045) |
$118 |
$472 |
1.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$26.93 |
$107.75 |
0.2× |
| Clavicle complete (73000) |
$210.84 |
$843.38 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$112.50 |
$450 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$918.56 |
$3,674.25 |
3.0× |
| CT abdomen and pelvis without contrast (74176) |
$613.68 |
$2,454.75 |
3.0× |
| CT abdomen w contrast (74160) |
$706.18 |
$2,824.75 |
4.6× |
| CT abdomen w wo contrast (74170) |
$376.93 |
$1,507.75 |
2.5× |
| CT abdomen w/o contrast (74150) |
$625.56 |
$2,502.25 |
6.9× |
| CT angiography upper extremity lt (73206) |
$417.81 |
$1,671.25 |
2.7× |
| CT c-spine w/o contrast (72125) |
$1,036.87 |
$4,147.50 |
11.4× |
| CT cervical spine w&w/o contrast (72127) |
$457.96 |
$1,831.88 |
3.0× |
| CT cervical spine with contrast (72126) |
$447.87 |
$1,791.50 |
1.5× |
| CT chest w/wo contrast (71270) |
$604.09 |
$2,416.38 |
4.0× |
| CT chest with contrast (71260) |
$515.62 |
$2,062.50 |
3.4× |
| CT head/brain with contrast (70460) |
$663.06 |
$2,652.25 |
4.3× |
| CT head/brain without and with contrast (70470) |
$818.68 |
$3,274.75 |
5.4× |
| CT iac w contrast (70481) |
$278.25 |
$1,113 |
1.8× |
| CT limited/localized follow up study (76380) |
$518.25 |
$2,073 |
6.8× |
| CT lower ext w/o (73700) |
$768.84 |
$3,075.38 |
8.4× |
| CT lower extremity w wo contrast (73702) |
$1,197.88 |
$4,791.50 |
7.8× |
| CT lower extremity with contrast (73701) |
$671.12 |
$2,684.50 |
4.4× |
| CT lumbar spine w & w/o contrast (72133) |
$694.43 |
$2,777.75 |
4.5× |
| CT lumbar spine w/o contrast (72131) |
$702.68 |
$2,810.75 |
7.7× |
| CT lumbar spine with contrast (72132) |
$888.93 |
$3,555.75 |
2.9× |
| CT maxillofacial w contrast (70487) |
$278.25 |
$1,113 |
1.8× |
| CT maxillofacial w/o contrast (70486) |
$727.37 |
$2,909.50 |
8.0× |
| CT maxillofacial w/wo contrast (70488) |
$777.56 |
$3,110.25 |
5.1× |
| CT neck soft tissue w contrast (70491) |
$639.37 |
$2,557.50 |
4.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$501.62 |
$2,006.50 |
3.3× |
| CT orbits w/o contrast (70480) |
$377.68 |
$1,510.75 |
4.1× |
| CT pelvis w & w/o contrast (72194) |
$859 |
$3,436 |
5.6× |
| CT pelvis w/o contrast (72192) |
$625.56 |
$2,502.25 |
6.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$615.87 |
$2,463.50 |
4.0× |
| CT soft tissue neck w/o contrast (70490) |
$391.31 |
$1,565.25 |
4.3× |
| CT thoracic spine w/contrast (72129) |
$596 |
$2,384 |
3.9× |
| CT thoracic spine w/o contrast (72128) |
$729.50 |
$2,918 |
8.0× |
| CT thoracic spine w/wo contrast (72130) |
$966.06 |
$3,864.25 |
6.3× |
| CT thorax w/o contrast (71250) |
$374.78 |
$1,499.12 |
4.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$530.09 |
$2,120.38 |
3.5× |
| CT upper extremity w/o contrast rt (73200) |
$542.44 |
$2,169.75 |
6.0× |
| CT upper extremity with contrast (73201) |
$460.78 |
$1,843.12 |
1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$602.62 |
$2,410.50 |
3.9× |
| Cta Abdomen (74175) |
$541.66 |
$2,166.62 |
3.5× |
| CTA abdomen pelvis (74174) |
$669.62 |
$2,678.50 |
2.2× |
| CTA chest (71275) |
$1,333.12 |
$5,332.50 |
8.7× |
| Cta Head (70496) |
$1,038.93 |
$4,155.75 |
6.8× |
| CTA lwr ext w&w/o contrast (73706) |
$464.06 |
$1,856.25 |
3.0× |
| Cta Neck (70498) |
$602.62 |
$2,410.50 |
3.9× |
| Cta Pelvis (72191) |
$890.31 |
$3,561.25 |
5.8× |
| Cystography minimum 3 views rs&i (74430) |
$431.06 |
$1,724.25 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$269.56 |
$1,078.25 |
3.0× |
| Echoencephalography real time imaging (76506) |
$153.12 |
$612.50 |
1.7× |
| Esophagus (74220) |
$248.06 |
$992.25 |
1.6× |
| Fetal biophysical profile non-stress testing (76818) |
$302.12 |
$1,208.50 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$310.06 |
$1,240.25 |
3.4× |
| Fluoroscopy up to 1 hr (76000) |
$115.74 |
$463 |
0.6× |
| Foot 2 views (73620) |
$141.18 |
$564.75 |
1.9× |
| Forearm 2 views (73090) |
$234.96 |
$939.88 |
3.1× |
| Gated Heart Planar Single (78472) |
$645.81 |
$2,583.25 |
1.9× |
| Hand 2 views (73120) |
$104.06 |
$416.25 |
1.1× |
| Hand 3 views (73130) |
$235.75 |
$943 |
3.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$682.75 |
$2,731 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$447.68 |
$1,790.75 |
1.3× |
| Ht muscle image spect sing (78451) |
$948.31 |
$1,964.62 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$248.18 |
$992.75 |
3.3× |
| Hysterosalpingogram (74740) |
$646.62 |
$2,586.50 |
3.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$374.25 |
$1,497 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$723.62 |
$2,894.50 |
1.5× |
| Knee 3 views (73562) |
$156.12 |
$624.50 |
2.1× |
| Liver & spleen imaging static only (78215) |
$524.31 |
$2,097.25 |
1.5× |
| Liver imaging static only (78201) |
$430.12 |
$1,720.50 |
0.9× |
| Lung perf&ventilat diferentl (78598) |
$376.93 |
$1,507.75 |
0.8× |
| Lung perfusion differential (78597) |
$289.94 |
$1,159.75 |
0.8× |
| Lung Ventilation Imaging (78579) |
$524.31 |
$2,097.25 |
1.5× |
| Lymphoscintigraphy (78195) |
$1,049.06 |
$4,196.25 |
2.2× |
| Mammary ductogram or galactogram multiple (77054) |
$221.06 |
$884.25 |
1.1× |
| Meckels Diverticulum (78290) |
$657.37 |
$2,629.50 |
1.9× |
| MRA head w & w/o contrast (70546) |
$1,136.31 |
$4,545.25 |
3.7× |
| MRA head w/o contrast (70544) |
$863.12 |
$3,452.50 |
4.2× |
| MRA head with contrast (70545) |
$887.75 |
$3,551 |
2.9× |
| MRA neck w contrast (70548) |
$887.75 |
$3,551 |
2.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,136.31 |
$4,545.25 |
3.7× |
| MRA neck w/o contrast (70547) |
$665.18 |
$2,660.75 |
3.2× |
| MRI abdomen w contrast (74182) |
$832.75 |
$3,331 |
2.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,018.18 |
$4,072.75 |
3.4× |
| MRI abdomen w/o contrast (74181) |
$381.31 |
$1,525.25 |
1.8× |
| MRI any jnt lwr ext with con lt (73722) |
$855 |
$3,420 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,663.87 |
$6,655.50 |
2.4× |
| MRI c-spine with contrast (72142) |
$718.25 |
$2,873 |
2.4× |
| MRI cervical spine w/o contrast (72141) |
$665.18 |
$2,660.75 |
3.2× |
| MRI chest w/o & w/contrast material (71552) |
$625.50 |
$2,502 |
2.1× |
| MRI chest w/o contrast (71550) |
$552.43 |
$2,209.75 |
2.7× |
| MRI chest with contrast (71551) |
$642 |
$2,568 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$855 |
$3,420 |
2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$855 |
$3,420 |
2.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$568.18 |
$2,272.75 |
2.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$653 |
$2,612 |
3.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,018.18 |
$4,072.75 |
3.4× |
| MRI orbit/face/neck w/contrast (70542) |
$855 |
$3,420 |
2.8× |
| MRI pelvis w contrast (72196) |
$704.87 |
$2,819.50 |
2.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$479.18 |
$1,916.75 |
1.6× |
| MRI pelvis w/o contrast (72195) |
$543.87 |
$2,175.50 |
2.6× |
| MRI scan of arm joint before and after contrast (73223) |
$876.75 |
$3,507 |
2.9× |
| MRI scan of leg joint before and after contrast (73723) |
$701.50 |
$2,806 |
2.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$854.12 |
$3,416.50 |
2.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$781.18 |
$3,124.75 |
2.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$914.31 |
$3,657.25 |
3.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$966.81 |
$3,867.25 |
3.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$949.12 |
$3,796.50 |
3.1× |
| MRI thoracic spine w/o contrast (72146) |
$573.81 |
$2,295.25 |
2.8× |
| MRI tmj (70336) |
$523.62 |
$2,094.50 |
2.5× |
| MRI upper ext joint w/o contrast (73221) |
$656.25 |
$2,625 |
3.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$966.81 |
$3,867.25 |
3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$668.75 |
$2,675 |
3.2× |
| Myocardial Spect Multiple Studies (78452) |
$1,523.31 |
$3,119.62 |
1.4× |
| Neck soft tissue (70360) |
$93.50 |
$374 |
1.2× |
| Nm gastric emptying study (78264) |
$1,777.31 |
$7,109.25 |
5.1× |
| Nm gastroesophageal reflux study (78262) |
$329 |
$1,316 |
0.9× |
| Nuclear medicine of heart pumping function (78473) |
$816.18 |
$3,264.75 |
2.3× |
| Nuclear Rx Oral Admin (79005) |
$779 |
$3,116 |
3.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$72.81 |
$291.25 |
0.8× |
| Osseous survey infant (77076) |
$305.06 |
$1,220.25 |
3.4× |
| Osseous survey limited (77074) |
$107.75 |
$431 |
1.2× |
| Parathyroid imaging (78070) |
$1,309.43 |
$5,237.75 |
3.8× |
| Pelvis 1 or 2 views (72170) |
$165.81 |
$663.25 |
1.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$631.12 |
$2,524.50 |
2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$419.43 |
$1,677.75 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,181.25 |
$4,725 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$221.06 |
$884.25 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$234.12 |
$936.50 |
3.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$234.12 |
$936.50 |
2.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$18.31 |
$73.25 |
0.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$154.25 |
$617 |
1.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$468.31 |
$1,873.25 |
5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$234.25 |
$937 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$133.50 |
$534 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$208.62 |
$834.50 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$165.81 |
$663.25 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$269.43 |
$1,077.75 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$306.81 |
$1,227.25 |
2.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$234.25 |
$937 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$234.18 |
$936.75 |
3.1× |
| Radiological examination surgical specimen (76098) |
$276 |
$1,104 |
0.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,334.93 |
$9,339.75 |
0.8× |
| Ribs bilateral 3 views (71110) |
$298.12 |
$1,192.50 |
3.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$512.16 |
$2,048.62 |
1.1× |
| Scanogram (77073) |
$168.87 |
$675.50 |
1.9× |
| Scapula complete (73010) |
$234.18 |
$936.75 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$15.78 |
$63.15 |
0.7× |
| Sialogram (70390) |
$221.06 |
$884.25 |
1.1× |
| Small bowel series (74250) |
$374.68 |
$1,498.75 |
2.5× |
| Spine thoracic 3 views (72072) |
$234.25 |
$937 |
2.6× |
| Testicular Imaging With Vascular Flow (78761) |
$329 |
$1,316 |
0.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$839.25 |
$3,357 |
1.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$157.93 |
$631.75 |
0.5× |
| Thyroid uptake measurement (78012) |
$143.09 |
$572.36 |
0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$234.50 |
$938 |
0.7× |
| Tomogram (76100) |
$194.06 |
$776.25 |
2.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,491.56 |
$5,966.25 |
3.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$329 |
$1,316 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$369.56 |
$1,478.25 |
4.1× |
| Unlisted Ultrasound Procedure (76999) |
$102.87 |
$411.50 |
1.4× |
| Urethrocystography retrograde rs&i (74450) |
$549.12 |
$2,196.50 |
2.6× |
| Urethrocystography voiding (74455) |
$540.25 |
$2,161 |
2.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$880.75 |
$3,523 |
5.8× |
| Us breast unilateral complete (76641) |
$328.62 |
$1,314.50 |
3.6× |
| Us breast unilateral limited (76642) |
$328.62 |
$1,314.50 |
4.3× |
| Us chest (76604) |
$221.75 |
$887 |
2.4× |
| Us compl joint r-t w/image documentation (76881) |
$107.75 |
$431 |
1.2× |
| Us infant hips dynamic (76885) |
$185.37 |
$741.50 |
2.4× |
| Us kidney transplant (76776) |
$107.87 |
$431.50 |
1.2× |
| Us ob transvaginal (76817) |
$219.12 |
$876.50 |
2.4× |
| Us pelvic non ob complete (76856) |
$291.56 |
$1,166.25 |
3.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$296.18 |
$1,184.75 |
3.3× |
| Us pregnancy ltd (76815) |
$314.93 |
$1,259.75 |
3.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$497.93 |
$1,991.75 |
5.5× |
| Us retroperitoneal complete (76770) |
$314.56 |
$1,258.25 |
3.5× |
| Us retroperitoneal limited (76775) |
$247.43 |
$989.75 |
2.7× |
| Us scrotum and contents (76870) |
$265.68 |
$1,062.75 |
2.9× |
| Us soft tissue head/neck (76536) |
$277.62 |
$1,110.50 |
3.0× |
| Us spinal canal and contents (76800) |
$66.25 |
$265 |
0.7× |
| Us transrectal (76872) |
$98.35 |
$393.42 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$61.56 |
$246.25 |
0.7× |
| Venogram extremity bilateral (75822) |
$990.66 |
$3,962.62 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$2,132.62 |
$8,530.50 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$2,499.81 |
$9,999.25 |
1.8× |
| Venography extremity unilateral rs&i (75820) |
$687.56 |
$2,750.25 |
0.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,499.81 |
$9,999.25 |
0.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$2,128.87 |
$8,515.50 |
0.4× |
| Wrist 2 views (73100) |
$117.78 |
$471.12 |
1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$101.62 |
$406.50 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$327.81 |
$1,311.25 |
4.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$552 |
$2,208 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$248.18 |
$992.75 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$305.52 |
$1,222.12 |
4.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$468.31 |
$1,873.25 |
5.1× |
| X-ray exam hip uni 1 view (73501) |
$119.46 |
$477.88 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$58.50 |
$234 |
0.8× |
| X-ray exam hip uni 4/> views (73503) |
$234.43 |
$937.75 |
2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$183.25 |
$733 |
2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$366.43 |
$1,465.75 |
4.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$184.12 |
$736.50 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$247.50 |
$990 |
3.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$132.43 |
$529.75 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$312.25 |
$1,249 |
3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$234.25 |
$937 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$107.75 |
$431 |
1.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$107.75 |
$431 |
1.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$140.56 |
$562.25 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$62.06 |
$248.25 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$140.56 |
$562.25 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$107.75 |
$431 |
1.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$567.31 |
$2,269.25 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$216.37 |
$865.50 |
2.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$224.18 |
$896.75 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$413.25 |
$1,653 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$124.59 |
$498.38 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$184.43 |
$737.75 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$125.90 |
$503.62 |
1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$234.25 |
$937 |
3.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$161.56 |
$646.25 |
2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$245.93 |
$983.75 |
2.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$253.37 |
$1,013.50 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$126.53 |
$506.12 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$152.25 |
$609 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$156.12 |
$624.50 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$58.50 |
$234 |
0.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$282 |
$1,128 |
3.7× |
| Xr arthrogram ankle (73615) |
$430.06 |
$1,720.25 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$70.59 |
$282.38 |
0.9× |
| Xr shoulder 1 view (73020) |
$137.93 |
$551.75 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$107.75 |
$431 |
1.2× |
| Xr tibia/fibula 2 views (73590) |
$165.56 |
$662.25 |
2.2× |
| Xr tmj bilateral (70330) |
$405.31 |
$1,621.25 |
5.3× |
| Xray knee 1 or 2 views rt (73560) |
$184.87 |
$739.50 |
2.4× |