| Abdomen 2 views (74019) |
$93.48 |
$246 |
1.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$292.06 |
$859 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$2,051.22 |
$6,033 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,051.22 |
$6,033 |
0.7× |
| Angiography internal mammary rs&i (75756) |
$1,973.70 |
$5,805 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,195.32 |
$9,398 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$779.62 |
$2,293 |
0.3× |
| Ankle 2 views (73600) |
$56.70 |
$135 |
0.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$183.26 |
$539 |
0.6× |
| Aortogram thoracic (75605) |
$2,948.48 |
$8,672 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,051.22 |
$6,033 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,051.22 |
$6,033 |
0.7× |
| Arthrogram hip (73525) |
$399.50 |
$1,175 |
1.3× |
| Arthrogram shoulder (73040) |
$522.75 |
$1,537.50 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$387.94 |
$1,141 |
1.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$292.06 |
$859 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$292.06 |
$859 |
0.8× |
| Bone age studies (77072) |
$93.86 |
$247 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$326.06 |
$959 |
0.9× |
| Bone survey complete (77075) |
$90.10 |
$265 |
1.0× |
| Brain image w/flow 4 + views (78606) |
$327.08 |
$962 |
0.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$396.44 |
$1,166 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$51.30 |
$135 |
0.7× |
| Chest 1 view (71045) |
$51.30 |
$135 |
0.7× |
| Chest 3 views (71047) |
$45.90 |
$135 |
0.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$91.80 |
$270 |
0.6× |
| Cineradiography/videoradiography (76120) |
$83.98 |
$247 |
0.9× |
| Clavicle complete (73000) |
$56.70 |
$135 |
0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$102 |
$300 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$513.40 |
$1,510 |
1.6× |
| CT abdomen and pelvis without contrast (74176) |
$290.02 |
$853 |
1.3× |
| CT abdomen w contrast (74160) |
$307.70 |
$905 |
1.9× |
| CT abdomen w wo contrast (74170) |
$368.90 |
$1,085 |
2.3× |
| CT abdomen w/o contrast (74150) |
$228.48 |
$672 |
2.4× |
| CT angio hrt w/3d image (75574) |
$187 |
$550 |
0.6× |
| CT angiography upper extremity lt (73206) |
$360.74 |
$1,061 |
2.3× |
| CT c-spine w/o contrast (72125) |
$228.48 |
$672 |
2.4× |
| CT cervical spine w&w/o contrast (72127) |
$368.90 |
$1,085 |
2.3× |
| CT cervical spine with contrast (72126) |
$399.50 |
$1,175 |
1.3× |
| CT chest w/wo contrast (71270) |
$368.90 |
$1,085 |
2.3× |
| CT chest with contrast (71260) |
$310.08 |
$912 |
2.0× |
| CT head/brain with contrast (70460) |
$254.66 |
$749 |
1.6× |
| CT head/brain without and with contrast (70470) |
$317.90 |
$935 |
2.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$187 |
$550 |
0.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$71.40 |
$210 |
0.9× |
| CT hrt w/3d image congen (75573) |
$187 |
$550 |
0.6× |
| CT iac w contrast (70481) |
$254.66 |
$749 |
1.6× |
| CT lower ext w/o (73700) |
$333.54 |
$981 |
3.5× |
| CT lower extremity w wo contrast (73702) |
$500.82 |
$1,473 |
3.2× |
| CT lower extremity with contrast (73701) |
$398.82 |
$1,173 |
2.5× |
| CT lumbar spine w & w/o contrast (72133) |
$368.90 |
$1,085 |
2.3× |
| CT lumbar spine w/o contrast (72131) |
$228.48 |
$672 |
2.4× |
| CT lumbar spine with contrast (72132) |
$399.50 |
$1,175 |
1.3× |
| CT maxillofacial w contrast (70487) |
$254.66 |
$749 |
1.6× |
| CT maxillofacial w/o contrast (70486) |
$212.50 |
$625 |
2.2× |
| CT maxillofacial w/wo contrast (70488) |
$317.90 |
$935 |
2.0× |
| CT neck soft tissue w contrast (70491) |
$254.66 |
$749 |
1.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$317.90 |
$935 |
2.0× |
| CT orbits w/o contrast (70480) |
$212.50 |
$625 |
2.2× |
| CT pelvis w & w/o contrast (72194) |
$368.90 |
$1,085 |
2.3× |
| CT pelvis w/o contrast (72192) |
$228.48 |
$672 |
2.4× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$88.40 |
$260 |
1.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$317.90 |
$935 |
2.0× |
| CT soft tissue neck w/o contrast (70490) |
$212.50 |
$625 |
2.2× |
| CT thoracic spine w/contrast (72129) |
$310.08 |
$912 |
2.0× |
| CT thoracic spine w/o contrast (72128) |
$228.48 |
$672 |
2.4× |
| CT thoracic spine w/wo contrast (72130) |
$368.90 |
$1,085 |
2.3× |
| CT thorax w/o contrast (71250) |
$228.48 |
$672 |
2.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$500.82 |
$1,473 |
3.2× |
| CT upper extremity w/o contrast rt (73200) |
$333.54 |
$981 |
3.5× |
| CT upper extremity with contrast (73201) |
$398.82 |
$1,173 |
1.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$360.74 |
$1,061 |
2.3× |
| Cta Abdomen (74175) |
$360.74 |
$1,061 |
2.3× |
| CTA abdomen pelvis (74174) |
$513.40 |
$1,510 |
1.6× |
| CTA chest (71275) |
$360.74 |
$1,061 |
2.3× |
| Cta Head (70496) |
$360.74 |
$1,061 |
2.3× |
| CTA lwr ext w&w/o contrast (73706) |
$541.11 |
$1,591.50 |
3.4× |
| Cta Neck (70498) |
$360.74 |
$1,061 |
2.3× |
| Cta Pelvis (72191) |
$360.74 |
$1,061 |
2.3× |
| Cystography minimum 3 views rs&i (74430) |
$225.42 |
$663 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$90.10 |
$265 |
1.0× |
| Echoencephalography real time imaging (76506) |
$82.96 |
$244 |
0.9× |
| Esophagus (74220) |
$182.92 |
$538 |
1.2× |
| Fetal biophysical profile non-stress testing (76818) |
$87.78 |
$231 |
0.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$85 |
$250 |
0.9× |
| Fluoroscopy up to 1 hr (76000) |
$170 |
$500 |
0.8× |
| Foot 2 views (73620) |
$56.70 |
$135 |
0.7× |
| Forearm 2 views (73090) |
$56.70 |
$136 |
0.7× |
| Gated Heart Planar Single (78472) |
$360.06 |
$1,059 |
1.0× |
| Hand 2 views (73120) |
$103.32 |
$246 |
1.1× |
| Hand 3 views (73130) |
$56.70 |
$135 |
0.7× |
| Heart Infarct Image (78466) |
$292.06 |
$859 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$333.88 |
$982 |
0.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$251.60 |
$740 |
0.7× |
| Ht muscle image spect sing (78451) |
$1,079.16 |
$3,174 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$51.30 |
$135 |
0.7× |
| Hysterosalpingogram (74740) |
$190.06 |
$559 |
0.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$326.40 |
$960 |
0.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$414.46 |
$1,219 |
0.8× |
| Knee 3 views (73562) |
$57.12 |
$136 |
0.7× |
| Liver & spleen imaging static only (78215) |
$251.94 |
$741 |
0.7× |
| Lung Ventilation Imaging (78579) |
$292.06 |
$859 |
0.8× |
| Lymphoscintigraphy (78195) |
$363.46 |
$1,069 |
0.7× |
| Mammary ductogram or galactogram single (77053) |
$168.30 |
$495 |
0.8× |
| Meckels Diverticulum (78290) |
$251.94 |
$741 |
0.7× |
| MRA head w/o contrast (70544) |
$423.98 |
$1,247 |
2.0× |
| MRA head with contrast (70545) |
$199.24 |
$586 |
0.6× |
| MRA neck w/o contrast (70547) |
$423.98 |
$1,247 |
2.0× |
| MRI abdomen w contrast (74182) |
$450.50 |
$1,325 |
1.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$614.72 |
$1,808 |
1.9× |
| MRI abdomen w/o contrast (74181) |
$423.98 |
$1,247 |
2.0× |
| MRI any jnt lwr ext with con lt (73722) |
$960.33 |
$2,824.50 |
1.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$805.29 |
$2,368.50 |
1.1× |
| MRI bone marrow blood supply (77084) |
$368.56 |
$1,084 |
1.7× |
| MRI breast w/o contrast bilateral (77047) |
$1,074.06 |
$3,159 |
5.0× |
| MRI c-spine with contrast (72142) |
$450.50 |
$1,325 |
1.4× |
| MRI cardiac w/o contrast (75557) |
$396.44 |
$1,166 |
1.8× |
| MRI cervical spine w/o contrast (72141) |
$423.98 |
$1,247 |
2.0× |
| MRI chest w/o & w/contrast material (71552) |
$614.72 |
$1,808 |
1.9× |
| MRI chest w/o contrast (71550) |
$423.98 |
$1,247 |
2.0× |
| MRI chest with contrast (71551) |
$640.22 |
$1,883 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$714 |
$2,100 |
2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$298.86 |
$879 |
0.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$274.38 |
$807 |
1.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$423.98 |
$1,247 |
2.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$544 |
$1,600 |
1.7× |
| MRI orbit/face/neck w/contrast (70542) |
$423.98 |
$1,247 |
1.3× |
| MRI pelvis w contrast (72196) |
$450.50 |
$1,325 |
1.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$614.72 |
$1,808 |
1.9× |
| MRI pelvis w/o contrast (72195) |
$423.98 |
$1,247 |
2.0× |
| MRI scan of arm joint before and after contrast (73223) |
$539.07 |
$1,585.50 |
1.7× |
| MRI scan of leg joint before and after contrast (73723) |
$922.08 |
$2,712 |
2.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$614.72 |
$1,808 |
1.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$450.50 |
$1,325 |
1.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$614.72 |
$1,808 |
1.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$450.50 |
$1,325 |
1.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$614.72 |
$1,808 |
1.9× |
| MRI thoracic spine w/o contrast (72146) |
$423.98 |
$1,247 |
2.0× |
| MRI tmj (70336) |
$368.56 |
$1,084 |
1.7× |
| MRI upper ext joint w/o contrast (73221) |
$635.97 |
$1,870.50 |
2.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$614.72 |
$1,808 |
1.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$484.50 |
$1,425 |
2.2× |
| Myelogram Cervical (72240) |
$902.36 |
$2,654 |
1.3× |
| Myelogram Lumbar (72265) |
$536.52 |
$1,578 |
0.8× |
| Myelogram thoracic (72255) |
$536.52 |
$1,578 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$1,163.48 |
$3,422 |
1.0× |
| Neck soft tissue (70360) |
$48.96 |
$144 |
0.6× |
| Nm cisternogram (78630) |
$327.76 |
$964 |
0.7× |
| Nm gastric emptying study (78264) |
$292.06 |
$859 |
0.8× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$292.06 |
$859 |
0.8× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$863.94 |
$2,541 |
1.8× |
| Nuclear Rx Oral Admin (79005) |
$360.74 |
$1,061 |
1.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$71.40 |
$170 |
0.8× |
| Osseous survey infant (77076) |
$83.98 |
$247 |
0.9× |
| Osseous survey limited (77074) |
$83.98 |
$247 |
0.9× |
| Parathyrd planar w/wo subtrj (78071) |
$275.06 |
$809 |
0.8× |
| Parathyroid imaging (78070) |
$292.06 |
$859 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$83.64 |
$246 |
0.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$614.72 |
$1,808 |
1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$292.06 |
$859 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$363.46 |
$1,069 |
0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$194.14 |
$571 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$56.70 |
$135 |
0.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$93.48 |
$246 |
1.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$92.76 |
$244 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$92.59 |
$243.50 |
1.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$51.30 |
$135 |
0.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$51.68 |
$136 |
0.7× |
| Radiologic exam colon single contrast study (74270) |
$182.58 |
$537 |
1.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$208.42 |
$613 |
1.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$225.42 |
$663 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$56.70 |
$135 |
0.7× |
| Radiological examination surgical specimen (76098) |
$374 |
$1,100 |
0.8× |
| Ribs bilateral 3 views (71110) |
$92.76 |
$244 |
1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$292.06 |
$859 |
0.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$864.28 |
$2,542 |
1.8× |
| Sacroiliac Joints < 3 Views (72200) |
$82.62 |
$243 |
0.9× |
| Scanogram (77073) |
$82.28 |
$242 |
0.9× |
| Scapula complete (73010) |
$103.32 |
$246 |
1.1× |
| Screening digital breast tomosynthesis (77063) |
$25.50 |
$75 |
1.1× |
| Small bowel series (74250) |
$89.42 |
$263 |
0.6× |
| Spine thoracic 3 views (72072) |
$83.98 |
$247 |
0.9× |
| Testicular Imaging With Vascular Flow (78761) |
$326.06 |
$959 |
0.9× |
| Thoracolumbar 2 views (72080) |
$48.96 |
$144 |
0.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$326.06 |
$959 |
0.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$292.06 |
$859 |
0.8× |
| Thyroid uptake measurement (78012) |
$275.06 |
$809 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$251.94 |
$741 |
0.7× |
| Tmj unilateral (70328) |
$48.96 |
$144 |
0.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,084.26 |
$3,189 |
2.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$255.68 |
$752 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$83.98 |
$247 |
0.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$90.95 |
$267.50 |
1.2× |
| Upper Extremity Infant (73092) |
$135.15 |
$397.50 |
1.4× |
| Urethrocystography retrograde rs&i (74450) |
$167.96 |
$494 |
0.8× |
| Urethrocystography voiding (74455) |
$167.96 |
$494 |
0.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$183.26 |
$539 |
1.2× |
| Us breast unilateral complete (76641) |
$101.22 |
$241 |
1.1× |
| Us breast unilateral limited (76642) |
$121.89 |
$358.50 |
1.5× |
| Us chest (76604) |
$83.98 |
$247 |
0.9× |
| Us compl joint r-t w/image documentation (76881) |
$97.58 |
$287 |
1.0× |
| Us ob transvaginal (76817) |
$80.21 |
$214.50 |
0.8× |
| Us pelvic non ob complete (76856) |
$85.04 |
$226 |
0.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$83.98 |
$247 |
0.9× |
| Us pregnancy ltd (76815) |
$60.42 |
$159 |
0.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$96.11 |
$255.50 |
1.0× |
| Us retroperitoneal complete (76770) |
$89.08 |
$262 |
0.9× |
| Us retroperitoneal limited (76775) |
$97.85 |
$256.50 |
1.0× |
| Us scrotum and contents (76870) |
$83.98 |
$247 |
0.9× |
| Us soft tissue head/neck (76536) |
$83.98 |
$247 |
0.9× |
| Us spinal canal and contents (76800) |
$83.98 |
$247 |
0.9× |
| Us transrectal (76872) |
$90.78 |
$267 |
1.0× |
| Us xtr non-vasc lmtd (76882) |
$90.10 |
$265 |
1.0× |
| Venogram extremity bilateral (75822) |
$932.62 |
$2,743 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$1,973.70 |
$5,805 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$517.14 |
$1,521 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$507.28 |
$1,492 |
0.4× |
| Venography Renal Bilateral (75833) |
$1,973.70 |
$5,805 |
0.7× |
| Wrist 2 views (73100) |
$56.70 |
$135 |
0.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$90.10 |
$265 |
1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$46.24 |
$136 |
0.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$56.70 |
$136 |
0.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$182.24 |
$536 |
1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$56.70 |
$135 |
0.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$57.12 |
$136 |
0.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$83.64 |
$246 |
0.9× |
| X-ray exam hip uni 1 view (73501) |
$51.30 |
$135 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$51.30 |
$135 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$90.10 |
$265 |
1.0× |
| X-ray exam of femur 1 (73551) |
$56.70 |
$135 |
0.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$82.62 |
$243 |
0.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$57.12 |
$136 |
0.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$56.70 |
$135 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$48.96 |
$144 |
0.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$102.90 |
$265 |
1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$51.30 |
$135 |
0.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$73.44 |
$216 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$92.76 |
$244 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$83.30 |
$245 |
0.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$50.96 |
$134 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$48.96 |
$144 |
0.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$82.28 |
$242 |
0.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$92.59 |
$243.50 |
1.0× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$194.14 |
$571 |
0.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$50.79 |
$133.50 |
0.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$93.48 |
$246 |
1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$90.10 |
$265 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$50.96 |
$134 |
0.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$57.12 |
$136 |
0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$45.22 |
$133 |
0.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$51.30 |
$135 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$83.64 |
$246 |
0.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$83.30 |
$245 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$45.90 |
$135 |
0.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$45.90 |
$135 |
0.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$51.30 |
$135 |
0.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$92.76 |
$244 |
1.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$90.10 |
$265 |
1.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$51.30 |
$135 |
0.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$56.70 |
$135 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$83.30 |
$245 |
0.9× |
| Xr chest 4+ views (71048) |
$90.10 |
$265 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$51.30 |
$135 |
0.7× |
| XR Mastoids < 3 Views Bilateral (70120) |
$85 |
$250 |
0.9× |
| Xr shoulder 1 view (73020) |
$73.44 |
$216 |
0.9× |
| Xr spine cervical 4 or 5 views (72050) |
$93.86 |
$247 |
1.0× |
| Xr tibia/fibula 2 views (73590) |
$56.70 |
$135 |
0.7× |
| Xr tmj bilateral (70330) |
$56.78 |
$167 |
0.7× |
| Xray knee 1 or 2 views rt (73560) |
$56.70 |
$135 |
0.7× |