| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,066.28 |
$1,403 |
0.9× |
| Abdomen 2 views (74019) |
$98.80 |
$130 |
1.1× |
| Ankle 2 views (73600) |
$77.52 |
$102 |
1.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$102.98 |
$135.50 |
0.3× |
| Aortogram thoracic (75605) |
$903.64 |
$1,189 |
0.2× |
| Artery X-Rays Adrenal Gland (75731) |
$2,356 |
$3,100 |
0.9× |
| Arthrogram elbow (73085) |
$561.64 |
$739 |
1.9× |
| Arthrogram shoulder (73040) |
$561.64 |
$739 |
1.9× |
| Arthrogram wrist (73115) |
$186.96 |
$246 |
0.6× |
| Arthrography knee lt (73580) |
$842.46 |
$1,108.50 |
2.8× |
| Basic radiation dosimetry calculation (77300) |
$53.20 |
$70 |
0.5× |
| Bone age studies (77072) |
$80.18 |
$105.50 |
0.9× |
| Bone survey complete (77075) |
$572.28 |
$753 |
6.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$126.54 |
$166.50 |
0.3× |
| Cervical spine 2 or 3 views (72040) |
$53.96 |
$71 |
0.7× |
| Chest 1 view (71045) |
$58.14 |
$76.50 |
0.8× |
| Chest 3 views (71047) |
$175.18 |
$230.50 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$369.36 |
$486 |
2.4× |
| Clavicle complete (73000) |
$85.12 |
$112 |
1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$251.56 |
$331 |
2.8× |
| Continuing medical physics consltj pr wk (77336) |
$176.32 |
$232 |
1.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$479.56 |
$631 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,019.32 |
$2,657 |
6.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,170.40 |
$1,540 |
5.7× |
| CT abdomen w contrast (74160) |
$1,413.60 |
$1,860 |
9.4× |
| CT abdomen w wo contrast (74170) |
$1,685.68 |
$2,218 |
11.2× |
| CT abdomen w/o contrast (74150) |
$867.92 |
$1,142 |
9.6× |
| CT angiography upper extremity lt (73206) |
$1,413.60 |
$1,860 |
9.4× |
| CT c-spine w/o contrast (72125) |
$1,086.80 |
$1,430 |
12.1× |
| CT cervical spine w&w/o contrast (72127) |
$2,058.08 |
$2,708 |
13.6× |
| CT cervical spine with contrast (72126) |
$1,691.76 |
$2,226 |
5.6× |
| CT chest w/wo contrast (71270) |
$1,844.52 |
$2,427 |
12.2× |
| CT chest with contrast (71260) |
$1,681.12 |
$2,212 |
11.1× |
| CT head/brain with contrast (70460) |
$1,413.60 |
$1,860 |
9.4× |
| CT head/brain without and with contrast (70470) |
$1,732.80 |
$2,280 |
11.5× |
| CT iac w contrast (70481) |
$1,475.16 |
$1,941 |
9.8× |
| CT limited/localized follow up study (76380) |
$924.16 |
$1,216 |
12.3× |
| CT lower ext w/o (73700) |
$1,302.26 |
$1,713.50 |
14.5× |
| CT lower extremity w wo contrast (73702) |
$2,766.40 |
$3,640 |
18.3× |
| CT lower extremity with contrast (73701) |
$2,212.74 |
$2,911.50 |
14.6× |
| CT lumbar spine w & w/o contrast (72133) |
$2,058.08 |
$2,708 |
13.6× |
| CT lumbar spine w/o contrast (72131) |
$1,086.80 |
$1,430 |
12.1× |
| CT lumbar spine with contrast (72132) |
$1,691.76 |
$2,226 |
5.6× |
| CT maxillofacial w contrast (70487) |
$1,475.16 |
$1,941 |
9.8× |
| CT maxillofacial w/o contrast (70486) |
$688.18 |
$905.50 |
7.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,844.52 |
$2,427 |
12.2× |
| CT neck soft tissue w contrast (70491) |
$828.02 |
$1,089.50 |
5.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,844.52 |
$2,427 |
12.2× |
| CT orbits w/o contrast (70480) |
$867.92 |
$1,142 |
9.6× |
| CT pelvis w & w/o contrast (72194) |
$1,732.80 |
$2,280 |
11.5× |
| CT pelvis w/o contrast (72192) |
$867.92 |
$1,142 |
9.6× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$620.92 |
$817 |
8.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,844.52 |
$2,427 |
12.2× |
| CT soft tissue neck w/o contrast (70490) |
$512.62 |
$674.50 |
5.7× |
| CT thoracic spine w/contrast (72129) |
$1,691.76 |
$2,226 |
11.2× |
| CT thoracic spine w/o contrast (72128) |
$1,086.80 |
$1,430 |
12.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,058.08 |
$2,708 |
13.6× |
| CT thorax w/o contrast (71250) |
$867.92 |
$1,142 |
9.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,766.40 |
$3,640 |
18.3× |
| CT upper extremity w/o contrast rt (73200) |
$574.56 |
$756 |
6.4× |
| CT upper extremity with contrast (73201) |
$660.06 |
$868.50 |
2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,413.60 |
$1,860 |
9.4× |
| Cta Abdomen (74175) |
$1,398.40 |
$1,840 |
9.3× |
| CTA abdomen pelvis (74174) |
$1,507.84 |
$1,984 |
5.0× |
| CTA chest (71275) |
$1,413.60 |
$1,860 |
9.4× |
| Cta Head (70496) |
$845.12 |
$1,112 |
5.6× |
| CTA lwr ext w&w/o contrast (73706) |
$1,413.60 |
$1,860 |
9.4× |
| Cta Neck (70498) |
$854.24 |
$1,124 |
5.7× |
| Cta Pelvis (72191) |
$1,413.60 |
$1,860 |
9.4× |
| Cystography minimum 3 views rs&i (74430) |
$93.86 |
$123.50 |
0.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$73.72 |
$97 |
0.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$99.56 |
$131 |
1.1× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$93.48 |
$123 |
1.0× |
| Dxa bone density study axial skeleton (77085) |
$90.77 |
$119.44 |
1.0× |
| Echo exam of eye (76529) |
$85.12 |
$112 |
1.1× |
| Echo exam of fetal heart (76825) |
$167.20 |
$220 |
0.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$103.74 |
$136.50 |
0.5× |
| Echoencephalography real time imaging (76506) |
$242.82 |
$319.50 |
2.7× |
| Esophagus (74220) |
$136.42 |
$179.50 |
0.9× |
| Fetal biophysical profile non-stress testing (76818) |
$121.60 |
$160 |
1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$184.30 |
$242.50 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$134.90 |
$177.50 |
0.7× |
| Foot 2 views (73620) |
$79.80 |
$105 |
1.1× |
| Forearm 2 views (73090) |
$63.84 |
$84 |
0.9× |
| Gated Heart Planar Single (78472) |
$444.60 |
$585 |
1.3× |
| Hand 2 views (73120) |
$72.96 |
$96 |
0.8× |
| Hand 3 views (73130) |
$76.76 |
$101 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$60.42 |
$79.50 |
0.8× |
| Hysterosalpingogram (74740) |
$463.60 |
$610 |
2.3× |
| Knee 3 views (73562) |
$82.84 |
$109 |
1.1× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$537.70 |
$707.50 |
0.2× |
| Mammary ductogram or galactogram multiple (77054) |
$561.64 |
$739 |
2.7× |
| Mammary ductogram or galactogram single (77053) |
$561.64 |
$739 |
2.7× |
| MRA head w & w/o contrast (70546) |
$2,197.92 |
$2,892 |
7.3× |
| MRA head w/o contrast (70544) |
$1,894.68 |
$2,493 |
9.2× |
| MRA head with contrast (70545) |
$1,975.24 |
$2,599 |
6.6× |
| MRA neck w contrast (70548) |
$2,197.92 |
$2,892 |
7.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,766.40 |
$3,640 |
9.2× |
| MRA neck w/o contrast (70547) |
$1,556.48 |
$2,048 |
7.6× |
| MRI abdomen w contrast (74182) |
$2,305.84 |
$3,034 |
7.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,618.96 |
$3,446 |
8.7× |
| MRI abdomen w/o contrast (74181) |
$1,896.96 |
$2,496 |
9.2× |
| MRI any jnt lwr ext with con lt (73722) |
$2,261.76 |
$2,976 |
3.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,257.20 |
$2,970 |
3.3× |
| MRI bone marrow blood supply (77084) |
$1,942.56 |
$2,556 |
9.4× |
| MRI breast w/o contrast bilateral (77047) |
$4,126.80 |
$5,430 |
20.1× |
| MRI breast w/o contrast unilat (77046) |
$3,140.32 |
$4,132 |
15.3× |
| MRI c-spine with contrast (72142) |
$1,715.32 |
$2,257 |
5.7× |
| MRI cervical spine w/o contrast (72141) |
$1,209.92 |
$1,592 |
5.9× |
| MRI chest w/o contrast (71550) |
$2,049.72 |
$2,697 |
10.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,042.88 |
$2,688 |
6.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,163.72 |
$2,847 |
7.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,172.68 |
$1,543 |
5.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,922.04 |
$2,529 |
9.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,546 |
$3,350 |
8.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,211.60 |
$2,910 |
7.4× |
| MRI pelvis w contrast (72196) |
$1,423.86 |
$1,873.50 |
4.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,204.76 |
$2,901 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$1,596.76 |
$2,101 |
7.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,713.20 |
$3,570 |
9.0× |
| MRI scan of leg joint before and after contrast (73723) |
$2,717.76 |
$3,576 |
9.0× |
| MRI spectroscopy (76390) |
$1,677.32 |
$2,207 |
22.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,126.48 |
$2,798 |
7.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,836.92 |
$2,417 |
6.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,204.76 |
$2,901 |
7.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,932.68 |
$2,543 |
6.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,320.28 |
$3,053 |
7.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,681.12 |
$2,212 |
8.2× |
| MRI tmj (70336) |
$2,108.24 |
$2,774 |
10.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,027.90 |
$1,352.50 |
5.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,611.96 |
$2,121 |
5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,762.44 |
$2,319 |
8.6× |
| Myocardial Spect Multiple Studies (78452) |
$152 |
$200 |
0.1× |
| Neck soft tissue (70360) |
$129.96 |
$171 |
1.7× |
| Nuclear Rx Oral Admin (79005) |
$152 |
$200 |
0.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$121.60 |
$160 |
1.3× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$62.70 |
$82.50 |
0.7× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$85.12 |
$112 |
0.9× |
| Orthopantogram (70355) |
$57.38 |
$75.50 |
0.8× |
| Osseous survey infant (77076) |
$243.20 |
$320 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$187.72 |
$247 |
2.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,731.28 |
$2,278 |
5.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$88.92 |
$117 |
0.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$87.40 |
$115 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$83.60 |
$110 |
0.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$34.96 |
$46 |
0.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$386.08 |
$508 |
4.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$71.44 |
$94 |
0.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$109.44 |
$144 |
0.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$106.40 |
$140 |
1.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$98.04 |
$129 |
0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$92.34 |
$121.50 |
1.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$45.60 |
$60 |
0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$259.92 |
$342 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$47.12 |
$62 |
0.6× |
| Radiologic exam colon single contrast study (74270) |
$452.20 |
$595 |
3.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$507.68 |
$668 |
3.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$507.68 |
$668 |
3.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$121.60 |
$160 |
1.6× |
| Radiological examination surgical specimen (76098) |
$150.48 |
$198 |
0.3× |
| Radiopharmaceutical therapy, by intra-articular administration Age Under 21 (79440) |
$165.30 |
$217.50 |
0.8× |
| Ribs bilateral 3 views (71110) |
$103.36 |
$136 |
1.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$386.08 |
$508 |
0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$223.44 |
$294 |
0.2× |
| Rp Therapy Intravenous Administration (79101) |
$266 |
$350 |
1.3× |
| Scanogram (77073) |
$283.48 |
$373 |
3.1× |
| Scapula complete (73010) |
$39.52 |
$52 |
0.4× |
| Screening digital breast tomosynthesis (77063) |
$63.46 |
$83.50 |
2.7× |
| Sella turcica (70240) |
$259.92 |
$342 |
3.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$582.16 |
$766 |
6.5× |
| Sialogram (70390) |
$561.64 |
$739 |
2.7× |
| Simulation intermediate (77285) |
$214.32 |
$282 |
0.7× |
| Small bowel series (74250) |
$446.88 |
$588 |
3.0× |
| Spec medical radj physics consltj (77370) |
$206.72 |
$272 |
1.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$126.16 |
$166 |
0.4× |
| Special dosimetry (77331) |
$45.98 |
$60.50 |
0.4× |
| Special treatment procedure (77470) |
$330.60 |
$435 |
0.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$62.32 |
$82 |
0.7× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$561.64 |
$739 |
2.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$240.54 |
$316.50 |
0.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$134.52 |
$177 |
1.2× |
| Therapeutic Enema (74283) |
$389.88 |
$513 |
2.6× |
| Thoracolumbar 2 views (72080) |
$147.06 |
$193.50 |
2.0× |
| Tomogram (76100) |
$635.36 |
$836 |
7.1× |
| Treatment device intermediate (77333) |
$73.34 |
$96.50 |
0.6× |
| Treatment devices simple (77332) |
$49.40 |
$65 |
0.4× |
| Tx devices design & construction complex (77334) |
$129.20 |
$170 |
0.4× |
| Ultrasound scan to determine eye length and lens power (76519) |
$63.84 |
$84 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$123.88 |
$163 |
1.4× |
| Umbilical-artery Doppler (OB) (76820) |
$232.56 |
$306 |
2.6× |
| Unlisted Ultrasound Procedure (76999) |
$83.98 |
$110.50 |
1.1× |
| Upper Extremity Infant (73092) |
$112.48 |
$148 |
1.2× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$87.40 |
$115 |
0.3× |
| Urethrocystography retrograde rs&i (74450) |
$75.81 |
$99.75 |
0.4× |
| Urethrocystography voiding (74455) |
$144.02 |
$189.50 |
0.7× |
| Us abdl aorta screen aaa (76706) |
$192.03 |
$252.66 |
2.1× |
| Us breast unilateral complete (76641) |
$121.60 |
$160 |
1.3× |
| Us breast unilateral limited (76642) |
$112.10 |
$147.50 |
1.5× |
| Us chest (76604) |
$114.76 |
$151 |
1.3× |
| Us compl joint r-t w/image documentation (76881) |
$57 |
$75 |
0.6× |
| Us fetal nuchal translucency 1st gestation (76813) |
$103.36 |
$136 |
1.1× |
| Us guided compression repair (76936) |
$945.44 |
$1,244 |
5.1× |
| Us infant hips dynamic (76885) |
$177.08 |
$233 |
2.4× |
| Us ob detailed single fetus (76811) |
$207.48 |
$273 |
1.0× |
| Us ob transvaginal (76817) |
$156.18 |
$205.50 |
1.7× |
| Us pelvic non ob complete (76856) |
$166.06 |
$218.50 |
1.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$125.40 |
$165 |
1.4× |
| Us pregnancy ltd (76815) |
$160.36 |
$211 |
1.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$156.18 |
$205.50 |
1.7× |
| Us retroperitoneal complete (76770) |
$163.02 |
$214.50 |
1.8× |
| Us retroperitoneal limited (76775) |
$128.44 |
$169 |
1.4× |
| Us scrotum and contents (76870) |
$134.14 |
$176.50 |
1.5× |
| Us soft tissue head/neck (76536) |
$139.84 |
$184 |
1.6× |
| Us spinal canal and contents (76800) |
$295.64 |
$389 |
3.3× |
| Us transrectal (76872) |
$160.43 |
$211.09 |
1.8× |
| Us transrectal prostate volume (76873) |
$127.30 |
$167.50 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$97.28 |
$128 |
1.1× |
| Us, eye b-scan (76512) |
$80.94 |
$106.50 |
0.9× |
| Vertebral fracture assessment via dxa (77086) |
$46.36 |
$61 |
0.6× |
| Wrist 2 views (73100) |
$60.80 |
$80 |
0.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$116.66 |
$153.50 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$245.48 |
$323 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$71.82 |
$94.50 |
1.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$573.04 |
$754 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$76.76 |
$101 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$94.62 |
$124.50 |
1.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$59.28 |
$78 |
0.7× |
| X-ray exam hip uni 1 view (73501) |
$38.76 |
$51 |
0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$104.50 |
$137.50 |
1.4× |
| X-ray exam hip uni 4/> views (73503) |
$69.92 |
$92 |
0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$65.36 |
$86 |
0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$76.76 |
$101 |
0.9× |
| X-ray exam of femur 1 (73551) |
$25.46 |
$33.50 |
0.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$218.88 |
$288 |
1.4× |
| X-ray eye for foreign body (70030) |
$96.52 |
$127 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$299.44 |
$394 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$53.96 |
$71 |
0.7× |
| X-ray head for orthodontia (70350) |
$137.56 |
$181 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$63.84 |
$84 |
0.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,032.84 |
$1,359 |
6.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$89.68 |
$118 |
1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$55.86 |
$73.50 |
0.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$112.48 |
$148 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$67.26 |
$88.50 |
0.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$428.64 |
$564 |
4.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$428.64 |
$564 |
4.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$56.62 |
$74.50 |
0.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$253.84 |
$334 |
3.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$321.48 |
$423 |
3.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$72.20 |
$95 |
0.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$184.68 |
$243 |
0.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$70.68 |
$93 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$53.20 |
$70 |
0.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$421.80 |
$555 |
4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$259.92 |
$342 |
2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$81.32 |
$107 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$95 |
$125 |
1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$95.76 |
$126 |
1.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$56.62 |
$74.50 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$95.76 |
$126 |
1.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$205.20 |
$270 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$199.12 |
$262 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$41.80 |
$55 |
0.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$62.32 |
$82 |
0.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$76 |
$100 |
0.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$47.50 |
$62.50 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$167.20 |
$220 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$109.06 |
$143.50 |
1.2× |
| Xr chest 4+ views (71048) |
$299.44 |
$394 |
3.3× |
| Xr finger(s) 2+ views (73140) |
$65.74 |
$86.50 |
0.9× |
| Xr shoulder 1 view (73020) |
$129.96 |
$171 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$98.42 |
$129.50 |
1.1× |
| Xr tibia/fibula 2 views (73590) |
$78.28 |
$103 |
1.0× |
| Xr tmj bilateral (70330) |
$321.48 |
$423 |
4.3× |
| Xray knee 1 or 2 views rt (73560) |
$80.56 |
$106 |
1.1× |