| Abdomen 2 views (74019) |
$95.22 |
$414 |
1.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$521.18 |
$2,266 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$2,370.38 |
$10,306 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$2,370.38 |
$10,306 |
0.8× |
| Ankle 2 views (73600) |
$138.92 |
$604 |
1.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$93.38 |
$406 |
0.3× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,370.38 |
$10,306 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,370.38 |
$10,306 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,370.38 |
$10,306 |
0.8× |
| Arthrogram hip (73525) |
$546.25 |
$2,375 |
1.7× |
| Arthrogram shoulder (73040) |
$312.11 |
$1,357 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$521.64 |
$2,268 |
1.4× |
| Bone age studies (77072) |
$92.80 |
$403.50 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$521.64 |
$2,268 |
1.4× |
| Bone survey complete (77075) |
$146.28 |
$636 |
1.5× |
| Brain image w/flow 4 + views (78606) |
$299.13 |
$1,300.56 |
0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,739.72 |
$7,564 |
1.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$290.26 |
$1,262 |
0.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$285.89 |
$1,243 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$95.22 |
$414 |
1.2× |
| Chest 1 view (71045) |
$92.80 |
$403.50 |
1.2× |
| Chest 3 views (71047) |
$55.82 |
$242.70 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$163.99 |
$713 |
1.0× |
| Cisternography Positive Contrast Rs&I (70015) |
$961.86 |
$4,182 |
1.4× |
| Clavicle complete (73000) |
$138.92 |
$604 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$143.75 |
$625 |
1.5× |
| Continuing medical physics consltj pr wk (77336) |
$64.86 |
$282 |
0.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$163.99 |
$713 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$628.13 |
$2,731 |
2.0× |
| CT abdomen and pelvis without contrast (74176) |
$389.39 |
$1,693 |
1.8× |
| CT abdomen w contrast (74160) |
$400.89 |
$1,743 |
2.5× |
| CT abdomen w wo contrast (74170) |
$451.49 |
$1,963 |
2.8× |
| CT abdomen w/o contrast (74150) |
$203.55 |
$885 |
2.2× |
| CT angio hrt w/3d image (75574) |
$310.30 |
$1,349.13 |
1.0× |
| CT angiography upper extremity lt (73206) |
$470.12 |
$2,044 |
3.0× |
| CT c-spine w/o contrast (72125) |
$203.55 |
$885 |
2.2× |
| CT cervical spine w&w/o contrast (72127) |
$300.24 |
$1,305.39 |
1.9× |
| CT cervical spine with contrast (72126) |
$430.87 |
$1,873.33 |
1.4× |
| CT chest w/wo contrast (71270) |
$451.49 |
$1,963 |
2.8× |
| CT chest with contrast (71260) |
$340.80 |
$1,481.73 |
2.1× |
| CT head/brain with contrast (70460) |
$400.89 |
$1,743 |
2.5× |
| CT head/brain without and with contrast (70470) |
$451.49 |
$1,963 |
2.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$123.20 |
$535.65 |
0.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$55.82 |
$242.70 |
0.7× |
| CT iac w contrast (70481) |
$400.89 |
$1,743 |
2.5× |
| CT lower ext w/o (73700) |
$305.32 |
$1,327.50 |
3.2× |
| CT lower extremity w wo contrast (73702) |
$677.24 |
$2,944.50 |
4.3× |
| CT lower extremity with contrast (73701) |
$601.34 |
$2,614.50 |
3.8× |
| CT lumbar spine w & w/o contrast (72133) |
$451.49 |
$1,963 |
2.8× |
| CT lumbar spine w/o contrast (72131) |
$203.55 |
$885 |
2.2× |
| CT lumbar spine with contrast (72132) |
$400.89 |
$1,743 |
1.3× |
| CT maxillofacial w contrast (70487) |
$400.89 |
$1,743 |
2.5× |
| CT maxillofacial w/o contrast (70486) |
$243.46 |
$1,058.50 |
2.6× |
| CT maxillofacial w/wo contrast (70488) |
$451.49 |
$1,963 |
2.8× |
| CT neck soft tissue w contrast (70491) |
$400.89 |
$1,743 |
2.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$451.49 |
$1,963 |
2.8× |
| CT orbits w/o contrast (70480) |
$203.55 |
$885 |
2.2× |
| CT pelvis w & w/o contrast (72194) |
$451.49 |
$1,963 |
2.8× |
| CT pelvis w/o contrast (72192) |
$203.55 |
$885 |
2.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$451.49 |
$1,963 |
2.8× |
| CT soft tissue neck w/o contrast (70490) |
$203.55 |
$885 |
2.2× |
| CT thoracic spine w/contrast (72129) |
$400.89 |
$1,743 |
2.5× |
| CT thoracic spine w/o contrast (72128) |
$203.55 |
$885 |
2.2× |
| CT thoracic spine w/wo contrast (72130) |
$451.49 |
$1,963 |
2.8× |
| CT thorax w/o contrast (71250) |
$203.55 |
$885 |
2.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$677.24 |
$2,944.50 |
4.3× |
| CT upper extremity w/o contrast rt (73200) |
$338.90 |
$1,473.50 |
3.6× |
| CT upper extremity with contrast (73201) |
$535.32 |
$2,327.50 |
1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$470.12 |
$2,044 |
3.0× |
| Cta Abdomen (74175) |
$470.12 |
$2,044 |
3.0× |
| CTA abdomen pelvis (74174) |
$628.13 |
$2,731 |
2.0× |
| CTA chest (71275) |
$470.12 |
$2,044 |
3.0× |
| Cta Head (70496) |
$470.12 |
$2,044 |
3.0× |
| CTA lwr ext w&w/o contrast (73706) |
$705.18 |
$3,066 |
4.4× |
| Cta Neck (70498) |
$470.12 |
$2,044 |
3.0× |
| Cta Pelvis (72191) |
$470.12 |
$2,044 |
3.0× |
| Cystography minimum 3 views rs&i (74430) |
$254.04 |
$1,104.50 |
0.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$56.92 |
$247.50 |
0.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$54.74 |
$238 |
0.6× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$84.64 |
$368 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$145.13 |
$631 |
1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$82.34 |
$358 |
1.0× |
| Echo exam of eye (76529) |
$81.08 |
$352.50 |
1.0× |
| Echo exam of fetal heart (76825) |
$178.02 |
$774 |
0.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$108.79 |
$473 |
0.5× |
| Echoencephalography real time imaging (76506) |
$107.30 |
$466.50 |
1.1× |
| Esophageal motility (78258) |
$86.11 |
$374.39 |
0.2× |
| Esophagus (74220) |
$128.68 |
$559.50 |
0.8× |
| Fetal biophysical profile non-stress testing (76818) |
$109.14 |
$474.50 |
1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$123.74 |
$538 |
1.3× |
| Fluoroscopy up to 1 hr (76000) |
$172.84 |
$751.50 |
0.8× |
| Foot 2 views (73620) |
$138.92 |
$604 |
1.8× |
| Forearm 2 views (73090) |
$138.92 |
$604 |
1.8× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$68.54 |
$298 |
0.3× |
| Gated Heart Planar Single (78472) |
$447.46 |
$1,945.50 |
1.2× |
| Hand 2 views (73120) |
$138.92 |
$604 |
1.5× |
| Hand 3 views (73130) |
$141.34 |
$614.50 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$599.84 |
$2,608 |
1.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$599.84 |
$2,608 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$93.38 |
$406 |
1.2× |
| Hysterosalpingogram (74740) |
$511.75 |
$2,225 |
2.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$77.27 |
$335.97 |
0.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$299.13 |
$1,300.56 |
0.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$196.93 |
$856.23 |
0.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$671.37 |
$2,919 |
1.4× |
| Knee 3 views (73562) |
$141.34 |
$614.50 |
1.8× |
| Liver & spleen imaging static only (78215) |
$158.88 |
$690.80 |
0.4× |
| Liver imaging static only (78201) |
$599.84 |
$2,608 |
1.2× |
| Lymphoscintigraphy (78195) |
$557.52 |
$2,424 |
1.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$92.23 |
$401 |
1.2× |
| Meckels Diverticulum (78290) |
$260.21 |
$1,131.36 |
0.7× |
| MRA head w & w/o contrast (70546) |
$793.50 |
$3,450 |
2.5× |
| MRA head w/o contrast (70544) |
$474.49 |
$2,063 |
2.2× |
| MRA head with contrast (70545) |
$686.55 |
$2,985 |
2.2× |
| MRA neck w contrast (70548) |
$686.55 |
$2,985 |
2.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$262.81 |
$1,142.67 |
0.8× |
| MRA neck w/o contrast (70547) |
$474.49 |
$2,063 |
2.2× |
| MRI abdomen w contrast (74182) |
$686.55 |
$2,985 |
2.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$793.50 |
$3,450 |
2.5× |
| MRI abdomen w/o contrast (74181) |
$474.49 |
$2,063 |
2.2× |
| MRI any jnt lwr ext with con lt (73722) |
$872.67 |
$3,794.22 |
1.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$686.55 |
$2,985 |
1.0× |
| MRI cervical spine w/o contrast (72141) |
$448.96 |
$1,952 |
2.1× |
| MRI chest w/o contrast (71550) |
$360.73 |
$1,568.37 |
1.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$208.05 |
$904.55 |
0.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$660.68 |
$2,872.50 |
3.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$492.22 |
$2,140.07 |
2.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$793.50 |
$3,450 |
2.5× |
| MRI orbit/face/neck w/contrast (70542) |
$686.55 |
$2,985 |
2.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$793.50 |
$3,450 |
2.5× |
| MRI pelvis w/o contrast (72195) |
$474.49 |
$2,063 |
2.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,190.25 |
$5,175 |
3.8× |
| MRI scan of leg joint before and after contrast (73723) |
$1,190.25 |
$5,175 |
3.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$793.50 |
$3,450 |
2.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$686.55 |
$2,985 |
2.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$793.50 |
$3,450 |
2.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$686.55 |
$2,985 |
2.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$793.50 |
$3,450 |
2.5× |
| MRI thoracic spine w/o contrast (72146) |
$474.49 |
$2,063 |
2.2× |
| MRI tmj (70336) |
$368.38 |
$1,601.64 |
1.7× |
| MRI upper ext joint w/o contrast (73221) |
$660.68 |
$2,872.50 |
3.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$793.50 |
$3,450 |
2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$474.49 |
$2,063 |
2.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$2,233.99 |
$9,713 |
1.9× |
| Myocardial Spect Multiple Studies (78452) |
$1,120.56 |
$4,872 |
1.0× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$995.67 |
$4,329 |
0.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$995.67 |
$4,329 |
0.8× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$1,552.96 |
$6,752 |
0.8× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$1,897.96 |
$8,252 |
1.0× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$1,897.96 |
$8,252 |
1.4× |
| Neck soft tissue (70360) |
$92.23 |
$401 |
1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$414.46 |
$1,802 |
1.1× |
| Nm gastric emptying study (78264) |
$521.18 |
$2,266 |
1.4× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$2,074.14 |
$9,018 |
1.6× |
| Nuclear Rx Oral Admin (79005) |
$265.54 |
$1,154.50 |
1.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$86.82 |
$377.50 |
0.9× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$145.59 |
$633 |
1.2× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$55.66 |
$242 |
0.6× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$98.67 |
$429 |
1.0× |
| Orthopantogram (70355) |
$80.96 |
$352 |
1.0× |
| Osseous survey infant (77076) |
$76.72 |
$333.57 |
0.8× |
| Parathyrd planar w/wo subtrj (78071) |
$260.21 |
$1,131.36 |
0.7× |
| Parathyroid imaging (78070) |
$462.07 |
$2,009 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$92.23 |
$401 |
1.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,190.25 |
$5,175 |
3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$492.66 |
$2,142 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$693.68 |
$3,016 |
1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$248.18 |
$1,079.05 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$41.87 |
$182.04 |
0.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$83.84 |
$364.54 |
0.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$104.77 |
$455.54 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$122.24 |
$531.50 |
1.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$92.80 |
$403.50 |
1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$79.12 |
$344 |
0.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$95.22 |
$414 |
1.2× |
| Radiologic exam colon single contrast study (74270) |
$243.57 |
$1,059 |
1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$125.81 |
$547 |
0.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$243.57 |
$1,059 |
1.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$243.57 |
$1,059 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$91.06 |
$395.90 |
1.2× |
| Radiological examination surgical specimen (76098) |
$511.75 |
$2,225 |
1.0× |
| Ribs bilateral 3 views (71110) |
$143.18 |
$622.50 |
1.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$383.87 |
$1,669 |
0.8× |
| Rp Therapy Intravenous Administration (79101) |
$172.49 |
$749.94 |
0.8× |
| Sacroiliac Joints < 3 Views (72200) |
$92.23 |
$401 |
1.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$81.19 |
$353 |
0.4× |
| Scanogram (77073) |
$76.72 |
$333.57 |
0.8× |
| Scapula complete (73010) |
$138.92 |
$604 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$15.34 |
$66.68 |
0.7× |
| Small bowel series (74250) |
$163.99 |
$713 |
1.0× |
| Special treatment procedure (77470) |
$136.16 |
$592 |
0.3× |
| Spine thoracic 3 views (72072) |
$146.28 |
$636 |
1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$78.05 |
$339.36 |
0.2× |
| Thoracolumbar 2 views (72080) |
$92.23 |
$401 |
1.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$616.17 |
$2,679 |
1.3× |
| Thyroid uptake measurement (78012) |
$253.92 |
$1,104 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$462.07 |
$2,009 |
1.3× |
| Tmj unilateral (70328) |
$57 |
$247.83 |
0.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,863.46 |
$8,102 |
3.8× |
| Ultrasound scan of cornea to determine thickness (76514) |
$5.75 |
$25 |
0.2× |
| Ultrasound scan to determine eye length and lens power (76519) |
$62.10 |
$270 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$159.74 |
$694.50 |
1.7× |
| Umbilical-artery Doppler (OB) (76820) |
$58.19 |
$253 |
0.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$55.82 |
$242.70 |
0.7× |
| Unlisted Ultrasound Procedure (76999) |
$82.80 |
$360 |
1.1× |
| Upper Extremity Infant (73092) |
$219.42 |
$954 |
2.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$248.17 |
$1,079 |
0.7× |
| Urethrocystography retrograde rs&i (74450) |
$274.28 |
$1,192.50 |
1.3× |
| Urethrocystography voiding (74455) |
$96.14 |
$417.98 |
0.4× |
| Us abdl aorta screen aaa (76706) |
$75.19 |
$326.91 |
0.8× |
| Us breast unilateral complete (76641) |
$108.44 |
$471.48 |
1.1× |
| Us breast unilateral limited (76642) |
$108.44 |
$471.48 |
1.4× |
| Us chest (76604) |
$148.81 |
$647 |
1.6× |
| Us compl joint r-t w/image documentation (76881) |
$128.80 |
$560 |
1.4× |
| Us elastography parenchyma (76981) |
$206.74 |
$898.86 |
2.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$108.90 |
$473.50 |
1.2× |
| Us infant hips dynamic (76885) |
$55.82 |
$242.70 |
0.7× |
| Us infant hips limited static (76886) |
$55.82 |
$242.70 |
0.7× |
| Us ob detailed single fetus (76811) |
$156.74 |
$681.50 |
0.7× |
| Us ob transvaginal (76817) |
$106.49 |
$463 |
1.1× |
| Us pelvic non ob complete (76856) |
$168.24 |
$731.50 |
1.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$86.82 |
$377.50 |
0.9× |
| Us pregnancy ltd (76815) |
$102 |
$443.50 |
1.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$116.96 |
$508.50 |
1.2× |
| Us retroperitoneal complete (76770) |
$172.96 |
$752 |
1.8× |
| Us retroperitoneal limited (76775) |
$164.22 |
$714 |
1.7× |
| Us scrotum and contents (76870) |
$168.94 |
$734.50 |
1.8× |
| Us soft tissue head/neck (76536) |
$167.10 |
$726.50 |
1.8× |
| Us spinal canal and contents (76800) |
$82.80 |
$360 |
0.9× |
| Us transrectal (76872) |
$132.71 |
$577 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$144.90 |
$630 |
1.5× |
| Us, eye b-scan (76512) |
$82.80 |
$360 |
0.9× |
| Venogram extremity bilateral (75822) |
$254.56 |
$1,106.80 |
0.2× |
| Venography caval inferior serialography rs&i (75825) |
$4,148.05 |
$18,035 |
1.5× |
| Venography extremity unilateral rs&i (75820) |
$990.95 |
$4,308.48 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$2,017.30 |
$8,770.89 |
0.7× |
| Wrist 2 views (73100) |
$138.92 |
$604 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$127.42 |
$554 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$61.98 |
$269.50 |
0.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$141.34 |
$614.50 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$243.57 |
$1,059 |
1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$138.92 |
$604 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$141.34 |
$614.50 |
1.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$75.19 |
$326.91 |
0.8× |
| X-ray exam hip uni 1 view (73501) |
$67.67 |
$294.20 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$70.08 |
$304.70 |
0.9× |
| X-ray exam hip uni 4/> views (73503) |
$86.37 |
$375.54 |
0.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$108.34 |
$471.04 |
1.1× |
| X-ray exam of femur 1 (73551) |
$67.67 |
$294.20 |
0.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$243.57 |
$1,059 |
1.5× |
| X-ray eye for foreign body (70030) |
$138.34 |
$601.50 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$146.28 |
$636 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$92.23 |
$401 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$141.34 |
$614.50 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$138.92 |
$604 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$92.23 |
$401 |
1.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$143.86 |
$625.50 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$116.15 |
$505 |
1.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$138.34 |
$601.50 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$92.80 |
$403.50 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$146.28 |
$636 |
1.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$146.28 |
$636 |
1.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$97.75 |
$425 |
1.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$55.82 |
$242.70 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$92.23 |
$401 |
1.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$92.23 |
$401 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$254.04 |
$1,104.50 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$92.80 |
$403.50 |
1.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$122.24 |
$531.50 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$146.28 |
$636 |
1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$92.23 |
$401 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$97.75 |
$425 |
1.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$141.34 |
$614.50 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$95.22 |
$414 |
1.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$92.80 |
$403.50 |
1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$122.24 |
$531.50 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$92.23 |
$401 |
1.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$92.23 |
$401 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$62.91 |
$273.53 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$92.80 |
$403.50 |
1.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$92.80 |
$403.50 |
1.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$92.23 |
$401 |
1.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$93.38 |
$406 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$141.34 |
$614.50 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$127.30 |
$553.50 |
1.3× |
| Xr finger(s) 2+ views (73140) |
$93.38 |
$406 |
1.2× |
| Xr shoulder 1 view (73020) |
$138.34 |
$601.50 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$146.28 |
$636 |
1.5× |
| Xr tibia/fibula 2 views (73590) |
$138.92 |
$604 |
1.8× |
| Xr tmj bilateral (70330) |
$92.23 |
$401 |
1.2× |
| Xray knee 1 or 2 views rt (73560) |
$138.92 |
$604 |
1.8× |