| Abdomen 2 views (74019) |
$179.50 |
$179.50 |
1.7× |
| Ankle 2 views (73600) |
$226.50 |
$226.50 |
2.5× |
| Arthrogram ankle (73615) |
$880 |
$880 |
2.4× |
| Arthrogram elbow (73085) |
$862 |
$862 |
2.4× |
| Arthrogram hip (73525) |
$1,371 |
$1,371 |
3.8× |
| Arthrogram knee (73580) |
$966 |
$966 |
2.7× |
| Arthrogram shoulder (73040) |
$859 |
$859 |
2.4× |
| Arthrogram wrist (73115) |
$561.50 |
$561.50 |
1.6× |
| Bone age studies (77072) |
$320 |
$320 |
3.0× |
| Bone survey complete (77075) |
$233 |
$233 |
2.2× |
| Cervical spine 2 or 3 views (72040) |
$180.50 |
$180.50 |
2.0× |
| Chest 1 view (71045) |
$170 |
$170 |
1.9× |
| Chest xray 3 views (71047) |
$178.50 |
$178.50 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$348 |
$348 |
1.9× |
| Clavicle complete (73000) |
$220 |
$220 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$731 |
$731 |
6.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,710 |
$1,710 |
4.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,208 |
$1,208 |
4.9× |
| CT abdomen w contrast (74160) |
$1,085.50 |
$1,085.50 |
6.0× |
| CT abdomen w wo contrast (74170) |
$1,217 |
$1,217 |
6.7× |
| CT abdomen w/o contrast (74150) |
$731 |
$731 |
6.8× |
| CT angio hrt w/3d image (75574) |
$1,908 |
$1,908 |
5.3× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,456 |
$2,456 |
13.5× |
| CT angiography upper extremity lt (73206) |
$1,771.50 |
$1,771.50 |
9.8× |
| CT c-spine w/contrast (72126) |
$966 |
$966 |
2.7× |
| CT c-spine w/o contrast (72125) |
$731 |
$731 |
6.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,056 |
$1,056 |
5.8× |
| CT chest w contrast (71260) |
$1,028.50 |
$1,028.50 |
5.7× |
| CT chest w/wo contrast (71270) |
$1,056 |
$1,056 |
5.8× |
| CT colonography screening (74263) |
$2,022 |
$2,022 |
8.2× |
| CT colonography w/dye (74262) |
$1,211 |
$1,211 |
6.7× |
| CT head/brain with contrast (70460) |
$901 |
$901 |
5.0× |
| CT head/brain without and with contrast (70470) |
$1,081.50 |
$1,081.50 |
6.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$439 |
$439 |
4.9× |
| CT iac w contrast (70481) |
$958.50 |
$958.50 |
5.3× |
| CT lower ext w/o (73700) |
$860 |
$860 |
8.0× |
| CT lower extremity w wo contrast (73702) |
$1,303.50 |
$1,303.50 |
7.2× |
| CT lower extremity w/contrast material (73701) |
$960 |
$960 |
5.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,030.50 |
$1,030.50 |
5.7× |
| CT lumbar spine w/contrast (72132) |
$952.50 |
$952.50 |
2.6× |
| CT lumbar spine w/o contrast (72131) |
$713.50 |
$713.50 |
6.6× |
| CT maxillofacial w contrast (70487) |
$937 |
$937 |
5.2× |
| CT maxillofacial w/wo contrast (70488) |
$1,151 |
$1,151 |
6.3× |
| CT maxillofacial wo contrast (70486) |
$679 |
$679 |
6.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,045.50 |
$1,045.50 |
5.8× |
| CT orbits w/o contrast (70480) |
$722 |
$722 |
6.7× |
| CT pelvis w/o contrast (72192) |
$731 |
$731 |
6.8× |
| CT pelvis w/wo contrast (72194) |
$1,071 |
$1,071 |
5.9× |
| CT scan of arm combo (73202) |
$1,979.50 |
$1,979.50 |
10.9× |
| CT soft tissue neck w contrast (70491) |
$1,023 |
$1,023 |
5.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$937 |
$937 |
5.2× |
| CT soft tissue neck w/o contrast (70490) |
$563 |
$563 |
5.2× |
| CT thoracic spine w/contrast (72129) |
$888 |
$888 |
4.9× |
| CT thoracic spine w/o contrast (72128) |
$705.50 |
$705.50 |
6.5× |
| CT thoracic spine w/wo contrast (72130) |
$1,071 |
$1,071 |
5.9× |
| CT thorax w/o contrast (71250) |
$687 |
$687 |
6.4× |
| CT upper ext wo (73200) |
$833.50 |
$833.50 |
7.7× |
| CT upper extremity with contrast (73201) |
$1,346 |
$1,346 |
3.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,692.50 |
$1,692.50 |
9.3× |
| Cta Abdomen (74175) |
$1,194.50 |
$1,194.50 |
6.6× |
| CTA abdomen pelvis (74174) |
$1,549 |
$1,549 |
4.3× |
| CTA chest (71275) |
$1,380 |
$1,380 |
7.6× |
| Cta Head (70496) |
$1,380 |
$1,380 |
7.6× |
| Cta Neck (70498) |
$1,380 |
$1,380 |
7.6× |
| Cta Pelvis (72191) |
$2,047 |
$2,047 |
11.3× |
| Cystography minimum 3 views rs&i (74430) |
$452 |
$452 |
1.3× |
| Diskogram cervical (72285) |
$520 |
$520 |
0.3× |
| Diskography lumbar (72295) |
$423 |
$423 |
0.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$318 |
$318 |
2.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$422.50 |
$422.50 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$165.50 |
$165.50 |
1.8× |
| Dxa bone density study axial skeleton (77085) |
$422.50 |
$422.50 |
3.9× |
| Esophagus (74220) |
$334.50 |
$334.50 |
1.8× |
| Facial bones min 3 views (70150) |
$203 |
$203 |
1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$337.50 |
$337.50 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$300.50 |
$300.50 |
1.2× |
| Foot 2 views (73620) |
$155 |
$155 |
1.7× |
| Forearm 2 views (73090) |
$181 |
$181 |
2.0× |
| Hand 2 views (73120) |
$200.50 |
$200.50 |
1.9× |
| Hysterosalpingogram (74740) |
$547.50 |
$547.50 |
2.2× |
| Knee 3 views (73562) |
$230.50 |
$230.50 |
2.6× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,043 |
$2,043 |
2.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,755 |
$2,755 |
7.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,375 |
$2,375 |
6.6× |
| Mammary ductogram or galactogram multiple (77054) |
$552 |
$552 |
2.2× |
| Mammary ductogram or galactogram single (77053) |
$447 |
$447 |
1.8× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$6,867.33 |
$6,867.33 |
76.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$105 |
$105 |
3.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$281 |
$281 |
2.9× |
| MRA head w & w/o contrast (70546) |
$1,929.50 |
$1,929.50 |
5.4× |
| MRA head w/o contrast (70544) |
$1,534.50 |
$1,534.50 |
6.2× |
| MRA head with contrast (70545) |
$1,838 |
$1,838 |
5.1× |
| MRA neck w contrast (70548) |
$1,794 |
$1,794 |
5.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,974.50 |
$1,974.50 |
5.5× |
| MRA neck w/o contrast (70547) |
$1,572 |
$1,572 |
6.4× |
| MRI abdomen w contrast (74182) |
$1,659.50 |
$1,659.50 |
4.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,783.50 |
$1,783.50 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$1,534.50 |
$1,534.50 |
6.2× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,869 |
$1,869 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,034 |
$2,034 |
5.6× |
| MRI bone marrow blood supply (77084) |
$1,872 |
$1,872 |
7.6× |
| MRI breast w/o contrast bilateral (77047) |
$2,665 |
$2,665 |
10.8× |
| MRI breast wo contrast unilateral (77046) |
$1,812 |
$1,812 |
7.3× |
| MRI c-spine with contrast (72142) |
$1,659.50 |
$1,659.50 |
4.6× |
| MRI cervical spine w/o contrast (72141) |
$1,534.50 |
$1,534.50 |
6.2× |
| MRI chest w/o & w/contrast material (71552) |
$1,965 |
$1,965 |
5.4× |
| MRI chest w/o contrast (71550) |
$1,534.50 |
$1,534.50 |
6.2× |
| MRI chest with contrast (71551) |
$1,838 |
$1,838 |
2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,415 |
$2,415 |
6.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,010 |
$2,010 |
5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,511 |
$2,511 |
10.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,611.50 |
$1,611.50 |
6.5× |
| MRI orbit face neck w contrast (70542) |
$1,838 |
$1,838 |
5.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,872 |
$1,872 |
5.2× |
| MRI pelvis w/contrast (72196) |
$1,869 |
$1,869 |
5.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,140.50 |
$2,140.50 |
5.9× |
| MRI pelvis w/o contrast (72195) |
$1,688.50 |
$1,688.50 |
6.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,931.50 |
$1,931.50 |
5.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,659.50 |
$1,659.50 |
4.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,903.50 |
$1,903.50 |
5.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,659.50 |
$1,659.50 |
4.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,872 |
$1,872 |
5.2× |
| MRI temporomandibular joint (70336) |
$1,659.50 |
$1,659.50 |
6.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,611.50 |
$1,611.50 |
6.5× |
| MRI up ext w/o contrast (73218) |
$2,517.50 |
$2,517.50 |
10.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,660.50 |
$2,660.50 |
10.8× |
| MRI, joint upper extrem combo (73223) |
$2,013 |
$2,013 |
5.6× |
| Myelogram Cervical (72240) |
$1,908 |
$1,908 |
2.4× |
| Myelogram Lumbar (72265) |
$1,908 |
$1,908 |
2.4× |
| Myelogram thoracic (72255) |
$1,774 |
$1,774 |
2.2× |
| Myelography 2 or more regions (72270) |
$1,774 |
$1,774 |
2.2× |
| Neck soft tissue (70360) |
$167.50 |
$167.50 |
1.9× |
| Nonvascular shunt X-ray (75809) |
$449 |
$449 |
4.2× |
| Ob us nuchal meas 1 gest (76813) |
$451 |
$451 |
4.2× |
| Orthopantogram (70355) |
$255 |
$255 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$200 |
$200 |
1.9× |
| Peritoneogram after injection (74190) |
$1,065 |
$1,065 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,673 |
$1,673 |
3.0× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$325.50 |
$325.50 |
3.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$163 |
$163 |
1.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$208.50 |
$208.50 |
2.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$311 |
$311 |
3.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$255.50 |
$255.50 |
2.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$270 |
$270 |
2.5× |
| Radex fingr minimum 2 views (73140) |
$264.50 |
$264.50 |
2.9× |
| Radex Foot Compl Minimum 3 Views (73630) |
$237 |
$237 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$225.50 |
$225.50 |
2.5× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$166.50 |
$166.50 |
1.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$438 |
$438 |
4.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$288.50 |
$288.50 |
2.7× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$551 |
$551 |
5.1× |
| Radex Humerus Minimum 2 Views (73060) |
$181 |
$181 |
2.0× |
| Radex Kne 1/2 Views (73560) |
$211.50 |
$211.50 |
2.4× |
| Radex Kne Compl 4/More Views (73564) |
$203 |
$203 |
1.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$208.50 |
$208.50 |
1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$174.50 |
$174.50 |
1.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$191 |
$191 |
1.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$184 |
$184 |
2.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$193 |
$193 |
2.1× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$297 |
$297 |
2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$198 |
$198 |
2.2× |
| Radex Toe Minimum 2 Views (73660) |
$167 |
$167 |
1.9× |
| Radex upper extremity infant minimum 2 views (73092) |
$147 |
$147 |
1.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$257 |
$257 |
2.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$314 |
$314 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$159 |
$159 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$184.50 |
$184.50 |
1.7× |
| Radiologic exam chest 2 views (71046) |
$163 |
$163 |
1.8× |
| Radiologic exam colon single contrast study (74270) |
$480 |
$480 |
2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$322 |
$322 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$402 |
$402 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$375.50 |
$375.50 |
2.1× |
| Radiologic examination femur 1 view (73551) |
$160 |
$160 |
1.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$282 |
$282 |
3.1× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$264 |
$264 |
2.4× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$158 |
$158 |
1.5× |
| Ribs bilateral 3 views (71110) |
$292 |
$292 |
2.7× |
| Sacroiliac Joints < 3 Views (72200) |
$164 |
$164 |
1.5× |
| Scapula (73010) |
$185.50 |
$185.50 |
1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$97.50 |
$97.50 |
4.2× |
| Sella turcica (70240) |
$250 |
$250 |
2.8× |
| Shoulder 1 view (73020) |
$180 |
$180 |
2.0× |
| Sialogram (70390) |
$580 |
$580 |
2.4× |
| Small bowel series (74250) |
$264 |
$264 |
1.5× |
| Spine thoracic 3 views (72072) |
$229 |
$229 |
2.1× |
| Thoracolumbar 2 views (72080) |
$172.50 |
$172.50 |
1.9× |
| Tmj unilateral (70328) |
$151 |
$151 |
1.7× |
| Tomogram (76100) |
$307 |
$307 |
2.8× |
| Ultrasound breast complete (76641) |
$425 |
$425 |
3.9× |
| Ultrasound elastography first target lesion (76982) |
$448 |
$448 |
4.1× |
| Ultrasound Exam Aaa Screen (76706) |
$434 |
$434 |
4.0× |
| Ultrasound, abdomen limited (76705) |
$439 |
$439 |
4.1× |
| Umbilical-artery Doppler (OB) (76820) |
$318 |
$318 |
2.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$105 |
$105 |
1.2× |
| Urethrocystogram voiding (74455) |
$472 |
$472 |
1.9× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$431 |
$431 |
2.4× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$472 |
$472 |
2.6× |
| Us breast unilateral limited (76642) |
$340 |
$340 |
3.8× |
| Us chest (76604) |
$319 |
$319 |
3.0× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$1,276 |
$1,276 |
5.7× |
| Us compl joint r-t w/image documentation (76881) |
$399 |
$399 |
3.7× |
| Us elastography parenchyma (76981) |
$437 |
$437 |
4.0× |
| Us infant hips w manipulation (76885) |
$502 |
$502 |
5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$407 |
$407 |
3.8× |
| Us ob detailed single fetus (76811) |
$779 |
$779 |
3.2× |
| Us ob limited (76815) |
$313 |
$313 |
2.9× |
| Us ob transvaginal (76817) |
$343.50 |
$343.50 |
3.2× |
| Us pelvic non ob complete (76856) |
$503.50 |
$503.50 |
4.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$435 |
$435 |
4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$344.50 |
$344.50 |
3.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$361 |
$361 |
3.3× |
| Us retroperitoneal complete (76770) |
$557 |
$557 |
5.2× |
| Us retroperitoneal limited (76775) |
$434 |
$434 |
4.0× |
| Us scrotum and contents (76870) |
$495.50 |
$495.50 |
4.6× |
| Us soft tissue head/neck (76536) |
$395 |
$395 |
3.7× |
| Us spinal canal and contents (76800) |
$1,161 |
$1,161 |
10.7× |
| Us,transplanted kidney, real time/ doppler (76776) |
$542.50 |
$542.50 |
5.0× |
| Vertebral fracture assessment via dxa (77086) |
$247 |
$247 |
2.7× |
| Wrist 2 views (73100) |
$220 |
$220 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$213.50 |
$213.50 |
2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$249.50 |
$249.50 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$485 |
$485 |
2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$207 |
$207 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$188 |
$188 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$329.50 |
$329.50 |
3.0× |
| X-ray exam of femur 2/> (73552) |
$189 |
$189 |
2.1× |
| X-ray eye for foreign body (70030) |
$154 |
$154 |
1.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$104 |
$104 |
1.2× |
| X-ray IV pyelogram (ivp) (74400) |
$585 |
$585 |
3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$176.50 |
$176.50 |
2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$138 |
$138 |
1.5× |
| X-ray leg, infant (73592) |
$101 |
$101 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$188 |
$188 |
1.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$325 |
$325 |
3.0× |
| X-ray nose-rectum child f.b. (76010) |
$204 |
$204 |
2.3× |
| X-ray optic foramen (70190) |
$195 |
$195 |
2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$193 |
$193 |
1.8× |
| X-ray retrograde pyelogram (74420) |
$887 |
$887 |
2.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$213 |
$213 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$261.50 |
$261.50 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$412.50 |
$412.50 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$186 |
$186 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$172.50 |
$172.50 |
1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$231 |
$231 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$405 |
$405 |
3.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$172 |
$172 |
1.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$163 |
$163 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$121 |
$121 |
1.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$107 |
$107 |
1.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$194 |
$194 |
1.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$229 |
$229 |
2.1× |
| Xr bone length studies (77073) |
$352 |
$352 |
3.3× |
| Xr c-spine 4 or 5 views (72050) |
$319 |
$319 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$329.50 |
$329.50 |
3.0× |
| Xr chest 4+ views (71048) |
$189 |
$189 |
1.7× |