| Abdomen 2 views (74019) |
$105.60 |
$165 |
1.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$451.84 |
$706 |
1.3× |
| Ankle 2 views (73600) |
$86.08 |
$134.50 |
1.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$297.60 |
$465 |
1.0× |
| Arthrogram hip (73525) |
$41.60 |
$65 |
0.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$470.40 |
$735 |
1.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$450.24 |
$703.50 |
1.3× |
| Bone &/joint imaging whole body (78306) |
$528 |
$825 |
1.5× |
| Bone age studies (77072) |
$86.08 |
$134.50 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$577.28 |
$902 |
1.7× |
| Bone survey complete (77075) |
$196.48 |
$307 |
2.2× |
| Brain imaging < 4 static views w vascular flow (78601) |
$438.59 |
$685.30 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$195.20 |
$305 |
2.6× |
| Chest 1 view (71045) |
$137.60 |
$215 |
1.8× |
| Chest 3 views (71047) |
$88.64 |
$138.50 |
1.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$184 |
$287.50 |
1.2× |
| Clavicle complete (73000) |
$105.60 |
$165 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$160 |
$250 |
1.8× |
| Corpora cavernosography (74445) |
$266.24 |
$416 |
3.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,699.84 |
$2,656 |
5.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,699.84 |
$2,656 |
8.3× |
| CT abdomen w contrast (74160) |
$915.20 |
$1,430 |
6.1× |
| CT abdomen w wo contrast (74170) |
$918.40 |
$1,435 |
6.1× |
| CT abdomen w/o contrast (74150) |
$767.04 |
$1,198.50 |
8.5× |
| CT angio hrt w/3d image (75574) |
$604.16 |
$944 |
2.0× |
| CT angiography upper extremity lt (73206) |
$646.72 |
$1,010.50 |
4.3× |
| CT c-spine w/o contrast (72125) |
$800 |
$1,250 |
8.9× |
| CT cervical spine w&w/o contrast (72127) |
$752.51 |
$1,175.80 |
5.0× |
| CT cervical spine with contrast (72126) |
$873.60 |
$1,365 |
2.9× |
| CT chest w/wo contrast (71270) |
$698.88 |
$1,092 |
4.6× |
| CT chest with contrast (71260) |
$672 |
$1,050 |
4.4× |
| CT head/brain with contrast (70460) |
$672 |
$1,050 |
4.4× |
| CT head/brain without and with contrast (70470) |
$739.20 |
$1,155 |
4.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$96 |
$150 |
1.3× |
| CT iac w contrast (70481) |
$665.28 |
$1,039.50 |
4.4× |
| CT lower ext w/o (73700) |
$456.96 |
$714 |
5.1× |
| CT lower extremity w wo contrast (73702) |
$596.80 |
$932.50 |
3.9× |
| CT lower extremity with contrast (73701) |
$512 |
$800 |
3.4× |
| CT lumbar spine w & w/o contrast (72133) |
$776.32 |
$1,213 |
5.1× |
| CT lumbar spine w/o contrast (72131) |
$746.88 |
$1,167 |
8.3× |
| CT lumbar spine with contrast (72132) |
$749.44 |
$1,171 |
2.5× |
| CT maxillofacial w contrast (70487) |
$655.36 |
$1,024 |
4.3× |
| CT maxillofacial w/o contrast (70486) |
$645.12 |
$1,008 |
7.2× |
| CT maxillofacial w/wo contrast (70488) |
$692.16 |
$1,081.50 |
4.6× |
| CT neck soft tissue w contrast (70491) |
$521.28 |
$814.50 |
3.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$685.44 |
$1,071 |
4.5× |
| CT orbits w/o contrast (70480) |
$645.12 |
$1,008 |
7.2× |
| CT pelvis w & w/o contrast (72194) |
$918.40 |
$1,435 |
6.1× |
| CT pelvis w/o contrast (72192) |
$767.04 |
$1,198.50 |
8.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$564.48 |
$882 |
3.7× |
| CT soft tissue neck w/o contrast (70490) |
$430.08 |
$672 |
4.8× |
| CT thoracic spine w/contrast (72129) |
$706.24 |
$1,103.50 |
4.7× |
| CT thoracic spine w/o contrast (72128) |
$736 |
$1,150 |
8.2× |
| CT thoracic spine w/wo contrast (72130) |
$764.42 |
$1,194.40 |
5.1× |
| CT thorax w/o contrast (71250) |
$626.56 |
$979 |
7.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$596.80 |
$932.50 |
3.9× |
| CT upper extremity w/o contrast rt (73200) |
$456.96 |
$714 |
5.1× |
| CT upper extremity with contrast (73201) |
$512 |
$800 |
1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$618.88 |
$967 |
4.1× |
| Cta Abdomen (74175) |
$646.72 |
$1,010.50 |
4.3× |
| CTA abdomen pelvis (74174) |
$2,512.64 |
$3,926 |
8.4× |
| CTA chest (71275) |
$672 |
$1,050 |
4.4× |
| Cta Head (70496) |
$646.72 |
$1,010.50 |
4.3× |
| CTA lwr ext w&w/o contrast (73706) |
$646.72 |
$1,010.50 |
4.3× |
| Cta Neck (70498) |
$646.72 |
$1,010.50 |
4.3× |
| Cta Pelvis (72191) |
$601.92 |
$940.50 |
4.0× |
| Cystography minimum 3 views rs&i (74430) |
$297.28 |
$464.50 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$359.84 |
$562.25 |
4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$110.40 |
$172.50 |
1.5× |
| Esophagus (74220) |
$175.04 |
$273.50 |
1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$184.96 |
$289 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$155.84 |
$243.50 |
0.8× |
| Foot 2 views (73620) |
$86.08 |
$134.50 |
1.1× |
| Forearm 2 views (73090) |
$105.60 |
$165 |
1.4× |
| Gated Heart Planar Single (78472) |
$687.04 |
$1,073.50 |
2.0× |
| Hand 2 views (73120) |
$86.08 |
$134.50 |
1.0× |
| Hand 3 views (73130) |
$105.60 |
$165 |
1.4× |
| Heart Infarct Image (78466) |
$438.59 |
$685.30 |
1.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$577.28 |
$902 |
1.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$345.60 |
$540 |
1.0× |
| Ht muscle image spect sing (78451) |
$755.52 |
$1,180.50 |
0.7× |
| Humerus Min 2 Views Left (73060) |
$88.64 |
$138.50 |
1.2× |
| Hysterosalpingogram (74740) |
$333.44 |
$521 |
1.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$81.73 |
$127.70 |
0.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$608 |
$950 |
1.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$443.01 |
$692.20 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$490.43 |
$766.30 |
1.0× |
| Knee 3 views (73562) |
$89.28 |
$139.50 |
1.2× |
| Liver & spleen imaging static only (78215) |
$438.59 |
$685.30 |
1.3× |
| Lung Ventilation Imaging (78579) |
$390.40 |
$610 |
1.1× |
| Lymphoscintigraphy (78195) |
$451.84 |
$706 |
1.0× |
| Meckels Diverticulum (78290) |
$474.24 |
$741 |
1.4× |
| MRA head w & w/o contrast (70546) |
$1,017.98 |
$1,590.60 |
3.4× |
| MRA head w/o contrast (70544) |
$980.80 |
$1,532.50 |
4.8× |
| MRA head with contrast (70545) |
$959.94 |
$1,499.90 |
3.2× |
| MRA neck w contrast (70548) |
$873.28 |
$1,364.50 |
2.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,069.12 |
$1,670.50 |
3.6× |
| MRA neck w/o contrast (70547) |
$799.36 |
$1,249 |
3.9× |
| MRI abdomen w contrast (74182) |
$809.41 |
$1,264.70 |
2.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,012.80 |
$1,582.50 |
3.4× |
| MRI abdomen w/o contrast (74181) |
$799.36 |
$1,249 |
3.9× |
| MRI any jnt lwr ext with con lt (73722) |
$904.64 |
$1,413.50 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$950.08 |
$1,484.50 |
1.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,120 |
$1,750 |
5.4× |
| MRI breast w/o contrast unilat (77046) |
$800 |
$1,250 |
3.9× |
| MRI c-spine with contrast (72142) |
$846.72 |
$1,323 |
2.8× |
| MRI cervical spine w/o contrast (72141) |
$836.48 |
$1,307 |
4.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,018.18 |
$1,590.90 |
3.4× |
| MRI chest w/o contrast (71550) |
$799.36 |
$1,249 |
3.9× |
| MRI chest with contrast (71551) |
$831.42 |
$1,299.10 |
1.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$950.08 |
$1,484.50 |
3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$904.64 |
$1,413.50 |
3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$876.16 |
$1,369 |
4.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$967.36 |
$1,511.50 |
4.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,012.80 |
$1,582.50 |
3.4× |
| MRI orbit/face/neck w/contrast (70542) |
$942.78 |
$1,473.10 |
3.1× |
| MRI pelvis w contrast (72196) |
$809.41 |
$1,264.70 |
2.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,012.80 |
$1,582.50 |
3.4× |
| MRI pelvis w/o contrast (72195) |
$814.40 |
$1,272.50 |
4.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,145.92 |
$1,790.50 |
3.8× |
| MRI scan of leg joint before and after contrast (73723) |
$1,145.92 |
$1,790.50 |
3.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,093.76 |
$1,709 |
3.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$846.72 |
$1,323 |
2.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,093.76 |
$1,709 |
3.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$846.72 |
$1,323 |
2.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,093.76 |
$1,709 |
3.6× |
| MRI thoracic spine w/o contrast (72146) |
$836.48 |
$1,307 |
4.1× |
| MRI tmj (70336) |
$761.73 |
$1,190.20 |
3.7× |
| MRI upper ext joint w/o contrast (73221) |
$876.16 |
$1,369 |
4.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,145.92 |
$1,790.50 |
3.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$876.16 |
$1,369 |
4.3× |
| Myocardial Spect Multiple Studies (78452) |
$1,924.48 |
$3,007 |
1.7× |
| Neck soft tissue (70360) |
$86.08 |
$134.50 |
1.1× |
| Nm gastric emptying study (78264) |
$577.28 |
$902 |
1.7× |
| Nm gastroesophageal reflux study (78262) |
$345.60 |
$540 |
1.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$577.28 |
$902 |
1.7× |
| Nuclear Rx Oral Admin (79005) |
$470.40 |
$735 |
2.3× |
| Osseous survey infant (77076) |
$144.96 |
$226.50 |
1.6× |
| Osseous survey limited (77074) |
$149.12 |
$233 |
1.7× |
| Parathyroid imaging (78070) |
$465.28 |
$727 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$174.72 |
$273 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,145.92 |
$1,790.50 |
3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$418.88 |
$654.50 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$533.76 |
$834 |
1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$86.08 |
$134.50 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$152.32 |
$238 |
1.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$81.73 |
$127.70 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$86.08 |
$134.50 |
1.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$134.40 |
$210 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$153.60 |
$240 |
2.0× |
| Radiologic exam colon single contrast study (74270) |
$175.04 |
$273.50 |
1.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$175.04 |
$273.50 |
1.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$181.76 |
$284 |
1.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$86.08 |
$134.50 |
1.1× |
| Radiological examination surgical specimen (76098) |
$86.08 |
$134.50 |
0.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$451.58 |
$705.60 |
1.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$496.96 |
$776.50 |
1.1× |
| Scanogram (77073) |
$86.08 |
$134.50 |
1.0× |
| Scapula complete (73010) |
$86.08 |
$134.50 |
1.0× |
| Screening digital breast tomosynthesis (77063) |
$32 |
$50 |
1.4× |
| Sella turcica (70240) |
$81.73 |
$127.70 |
1.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$229.25 |
$358.20 |
2.5× |
| Small bowel series (74250) |
$175.04 |
$273.50 |
1.2× |
| Testicular Imaging With Vascular Flow (78761) |
$398.72 |
$623 |
1.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$418.88 |
$654.50 |
1.2× |
| Thyroid uptake measurement (78012) |
$202.88 |
$317 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$465.28 |
$727 |
1.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$546.24 |
$853.50 |
1.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$475.04 |
$742.25 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$266.88 |
$417 |
3.0× |
| Upper Extremity Infant (73092) |
$86.08 |
$134.50 |
1.0× |
| Urethrocystography retrograde rs&i (74450) |
$297.28 |
$464.50 |
1.4× |
| Urethrocystography voiding (74455) |
$297.28 |
$464.50 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$297.28 |
$464.50 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$211.84 |
$331 |
2.4× |
| Us breast unilateral complete (76641) |
$148.48 |
$232 |
1.6× |
| Us breast unilateral limited (76642) |
$148.48 |
$232 |
2.0× |
| Us chest (76604) |
$184.96 |
$289 |
2.1× |
| Us infant hips limited static (76886) |
$266.88 |
$417 |
3.6× |
| Us kidney transplant (76776) |
$177.28 |
$277 |
2.0× |
| Us ob transvaginal (76817) |
$266.88 |
$417 |
3.0× |
| Us pelvic non ob complete (76856) |
$266.88 |
$417 |
3.0× |
| Us pregnancy ltd (76815) |
$211.20 |
$330 |
2.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$192.32 |
$300.50 |
2.1× |
| Us retroperitoneal complete (76770) |
$239.36 |
$374 |
2.7× |
| Us retroperitoneal limited (76775) |
$190.72 |
$298 |
2.1× |
| Us scrotum and contents (76870) |
$266.88 |
$417 |
3.0× |
| Us soft tissue head/neck (76536) |
$266.88 |
$417 |
3.0× |
| Us spinal canal and contents (76800) |
$184.32 |
$288 |
2.0× |
| Us transrectal (76872) |
$193.60 |
$302.50 |
2.1× |
| Us transrectal prostate volume (76873) |
$184.32 |
$288 |
2.0× |
| Us xtr non-vasc lmtd (76882) |
$160 |
$250 |
1.8× |
| Venogram extremity bilateral (75822) |
$691.71 |
$1,080.80 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$865.44 |
$1,352.25 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$691.71 |
$1,080.80 |
0.5× |
| Wrist 2 views (73100) |
$105.60 |
$165 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$182.40 |
$285 |
2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$95.84 |
$149.75 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$269.12 |
$420.50 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$105.60 |
$165 |
1.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$105.60 |
$165 |
1.4× |
| X-ray exam hip uni 1 view (73501) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$95.26 |
$148.85 |
1.3× |
| X-ray exam hip uni 4/> views (73503) |
$153.60 |
$240 |
1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$217.60 |
$340 |
2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$305.28 |
$477 |
3.4× |
| X-ray exam of femur 1 (73551) |
$96 |
$150 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$83.90 |
$131.10 |
0.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$105.60 |
$165 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$174.72 |
$273 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$105.60 |
$165 |
1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$201.60 |
$315 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$176 |
$275 |
2.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$82.91 |
$129.55 |
0.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$81.73 |
$127.70 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$81.73 |
$127.70 |
0.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$92.48 |
$144.50 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$297.28 |
$464.50 |
1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$174.72 |
$273 |
1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$86.72 |
$135.50 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$105.60 |
$165 |
1.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$105.60 |
$165 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$128 |
$200 |
1.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$144.96 |
$226.50 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$174.72 |
$273 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$141.92 |
$221.75 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$144 |
$225 |
1.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$86.08 |
$134.50 |
1.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$105.60 |
$165 |
1.4× |
| Xr c-spine 6 or more views (72052) |
$149.12 |
$233 |
1.7× |
| Xr chest 4+ views (71048) |
$163.52 |
$255.50 |
1.8× |
| Xr Cholecystography Oral Contrast (74290) |
$166.59 |
$260.30 |
1.1× |
| Xr finger(s) 2+ views (73140) |
$105.60 |
$165 |
1.4× |
| Xr internal auditory meati complete (70134) |
$138.05 |
$215.70 |
0.3× |
| Xr optic foramina (70190) |
$81.73 |
$127.70 |
1.1× |
| Xr shoulder 1 view (73020) |
$86.08 |
$134.50 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$144.96 |
$226.50 |
1.6× |
| Xr tibia/fibula 2 views (73590) |
$105.60 |
$165 |
1.4× |
| Xr tmj bilateral (70330) |
$81.73 |
$127.70 |
1.1× |
| Xray knee 1 or 2 views rt (73560) |
$105.60 |
$165 |
1.4× |