| Abdomen 2 views (74019) |
$90.06 |
$237 |
0.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$414.20 |
$1,090 |
1.1× |
| Ankle 2 views (73600) |
$75.24 |
$198 |
0.9× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,894.68 |
$4,986 |
0.6× |
| Arthrogram elbow (73085) |
$346.94 |
$913 |
1.1× |
| Arthrogram hip (73525) |
$174.04 |
$458 |
0.5× |
| Arthrogram shoulder (73040) |
$328.32 |
$864 |
1.0× |
| Arthrogram wrist (73115) |
$171 |
$450 |
0.5× |
| Arthrography knee lt (73580) |
$261.06 |
$687 |
0.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$282.34 |
$743 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$579.50 |
$1,525 |
1.6× |
| Bone age studies (77072) |
$50.92 |
$134 |
0.5× |
| Bone Imaging 3 Phase (78315) |
$528.58 |
$1,391 |
1.4× |
| Bone survey complete (77075) |
$174.80 |
$460 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$91.96 |
$242 |
1.1× |
| Chest 1 view (71045) |
$82.84 |
$218 |
1.0× |
| Chest 3 views (71047) |
$96.14 |
$253 |
1.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$187.72 |
$494 |
1.1× |
| Clavicle complete (73000) |
$95.76 |
$252 |
1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$62.70 |
$165 |
0.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,040.06 |
$2,737 |
3.2× |
| CT abdomen and pelvis without contrast (74176) |
$861.08 |
$2,266 |
3.9× |
| CT abdomen w contrast (74160) |
$631.94 |
$1,663 |
3.9× |
| CT abdomen w wo contrast (74170) |
$715.54 |
$1,883 |
4.4× |
| CT abdomen w/o contrast (74150) |
$625.48 |
$1,646 |
6.4× |
| CT angio hrt w/3d image (75574) |
$715.54 |
$1,883 |
2.2× |
| CT angiography upper extremity lt (73206) |
$761.90 |
$2,005 |
4.7× |
| CT c-spine w/o contrast (72125) |
$636.12 |
$1,674 |
6.5× |
| CT cervical spine w&w/o contrast (72127) |
$874 |
$2,300 |
5.3× |
| CT cervical spine with contrast (72126) |
$816.24 |
$2,148 |
2.5× |
| CT chest w/wo contrast (71270) |
$872.86 |
$2,297 |
5.3× |
| CT chest with contrast (71260) |
$701.48 |
$1,846 |
4.3× |
| CT head/brain with contrast (70460) |
$636.12 |
$1,674 |
3.9× |
| CT head/brain without and with contrast (70470) |
$677.54 |
$1,783 |
4.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$653.98 |
$1,721 |
8.1× |
| CT iac w contrast (70481) |
$636.12 |
$1,674 |
3.9× |
| CT limited/localized follow up study (76380) |
$693.12 |
$1,824 |
8.6× |
| CT lower ext w/o (73700) |
$993.51 |
$2,614.50 |
10.2× |
| CT lower extremity w wo contrast (73702) |
$1,142.85 |
$3,007.50 |
7.0× |
| CT lower extremity with contrast (73701) |
$993.51 |
$2,614.50 |
6.1× |
| CT lumbar spine w & w/o contrast (72133) |
$874 |
$2,300 |
5.3× |
| CT lumbar spine w/o contrast (72131) |
$636.12 |
$1,674 |
6.5× |
| CT lumbar spine with contrast (72132) |
$791.16 |
$2,082 |
2.4× |
| CT maxillofacial w contrast (70487) |
$653.98 |
$1,721 |
4.0× |
| CT maxillofacial w/o contrast (70486) |
$653.98 |
$1,721 |
6.7× |
| CT maxillofacial w/wo contrast (70488) |
$653.98 |
$1,721 |
4.0× |
| CT neck soft tissue w contrast (70491) |
$692.74 |
$1,823 |
4.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$737.20 |
$1,940 |
4.5× |
| CT orbits w/o contrast (70480) |
$623.20 |
$1,640 |
6.4× |
| CT pelvis w & w/o contrast (72194) |
$831.44 |
$2,188 |
5.1× |
| CT pelvis w/o contrast (72192) |
$601.92 |
$1,584 |
6.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$751.64 |
$1,978 |
4.6× |
| CT soft tissue neck w/o contrast (70490) |
$692.74 |
$1,823 |
7.1× |
| CT thoracic spine w/contrast (72129) |
$791.16 |
$2,082 |
4.8× |
| CT thoracic spine w/o contrast (72128) |
$636.12 |
$1,674 |
6.5× |
| CT thoracic spine w/wo contrast (72130) |
$874 |
$2,300 |
5.3× |
| CT thorax w/o contrast (71250) |
$601.92 |
$1,584 |
6.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,142.85 |
$3,007.50 |
7.0× |
| CT upper extremity w/o contrast rt (73200) |
$993.51 |
$2,614.50 |
10.2× |
| CT upper extremity with contrast (73201) |
$993.51 |
$2,614.50 |
3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$715.54 |
$1,883 |
4.4× |
| Cta Abdomen (74175) |
$715.54 |
$1,883 |
4.4× |
| CTA abdomen pelvis (74174) |
$722 |
$1,900 |
2.2× |
| CTA chest (71275) |
$715.54 |
$1,883 |
4.4× |
| Cta Head (70496) |
$739.86 |
$1,947 |
4.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,142.85 |
$3,007.50 |
7.0× |
| Cta Neck (70498) |
$739.86 |
$1,947 |
4.5× |
| Cta Pelvis (72191) |
$693.12 |
$1,824 |
4.2× |
| Cystography minimum 3 views rs&i (74430) |
$133 |
$350 |
0.4× |
| Diskography lumbar (72295) |
$1,650.34 |
$4,343 |
0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$233.70 |
$615 |
2.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$142.12 |
$374 |
1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$53.96 |
$142 |
0.7× |
| Dxa bone density study axial skeleton (77085) |
$152 |
$400 |
1.6× |
| Echoencephalography real time imaging (76506) |
$207.86 |
$547 |
2.1× |
| Esophagus (74220) |
$161.88 |
$426 |
1.0× |
| Fetal biophysical profile non-stress testing (76818) |
$233.70 |
$615 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$66.12 |
$174 |
0.7× |
| Fluoroscopy up to 1 hr (76000) |
$142.12 |
$374 |
0.6× |
| Foot 2 views (73620) |
$89.49 |
$235.50 |
1.1× |
| Forearm 2 views (73090) |
$108.87 |
$286.50 |
1.3× |
| Gated Heart Planar Single (78472) |
$354.92 |
$934 |
1.0× |
| Hand 2 views (73120) |
$75.24 |
$198 |
0.8× |
| Hand 3 views (73130) |
$94.62 |
$249 |
1.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$618.64 |
$1,628 |
1.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$484.12 |
$1,274 |
1.3× |
| Ht muscle image spect sing (78451) |
$1,077.30 |
$2,835 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$67.26 |
$177 |
0.8× |
| Hysterosalpingogram (74740) |
$349.22 |
$919 |
1.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$45.22 |
$119 |
0.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$324.14 |
$853 |
0.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$346.18 |
$911 |
0.7× |
| Knee 3 views (73562) |
$137.94 |
$363 |
1.7× |
| Lung perfusion differential (78597) |
$1,077.30 |
$2,835 |
2.9× |
| Lymphoscintigraphy (78195) |
$212.80 |
$560 |
0.4× |
| Mammary ductogram or galactogram multiple (77054) |
$249.28 |
$656 |
1.1× |
| Mammary ductogram or galactogram single (77053) |
$167.20 |
$440 |
0.8× |
| Meckels Diverticulum (78290) |
$1,077.30 |
$2,835 |
2.9× |
| Mr elastography (76391) |
$175.56 |
$462 |
0.8× |
| MRA head w & w/o contrast (70546) |
$728.46 |
$1,917 |
2.2× |
| MRA head w/o contrast (70544) |
$937.84 |
$2,468 |
4.2× |
| MRA head with contrast (70545) |
$728.46 |
$1,917 |
2.2× |
| MRA neck w contrast (70548) |
$728.46 |
$1,917 |
2.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$728.46 |
$1,917 |
2.2× |
| MRA neck w/o contrast (70547) |
$937.84 |
$2,468 |
4.2× |
| MRI abdomen w contrast (74182) |
$872.86 |
$2,297 |
2.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$872.86 |
$2,297 |
2.7× |
| MRI abdomen w/o contrast (74181) |
$777.48 |
$2,046 |
3.5× |
| MRI any jnt lwr ext with con lt (73722) |
$1,189.02 |
$3,129 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,189.02 |
$3,129 |
1.6× |
| MRI c-spine with contrast (72142) |
$872.86 |
$2,297 |
2.7× |
| MRI cervical spine w/o contrast (72141) |
$792.68 |
$2,086 |
3.6× |
| MRI chest w/o & w/contrast material (71552) |
$872.86 |
$2,297 |
2.7× |
| MRI chest w/o contrast (71550) |
$792.68 |
$2,086 |
3.6× |
| MRI chest with contrast (71551) |
$872.86 |
$2,297 |
1.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,189.02 |
$3,129 |
3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,189.02 |
$3,129 |
3.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,092.69 |
$2,875.50 |
4.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$937.84 |
$2,468 |
4.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$842.08 |
$2,216 |
2.6× |
| MRI pelvis w contrast (72196) |
$872.86 |
$2,297 |
2.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$909.34 |
$2,393 |
2.8× |
| MRI pelvis w/o contrast (72195) |
$792.68 |
$2,086 |
3.6× |
| MRI scan of arm joint before and after contrast (73223) |
$1,364.01 |
$3,589.50 |
4.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,309.29 |
$3,445.50 |
4.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,198.52 |
$3,154 |
3.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$872.86 |
$2,297 |
2.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,198.52 |
$3,154 |
3.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$872.86 |
$2,297 |
2.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,198.52 |
$3,154 |
3.7× |
| MRI thoracic spine w/o contrast (72146) |
$792.68 |
$2,086 |
3.6× |
| MRI tmj (70336) |
$937.84 |
$2,468 |
4.2× |
| MRI upper ext joint w/o contrast (73221) |
$728.46 |
$1,917 |
3.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$792.68 |
$2,086 |
2.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,092.69 |
$2,875.50 |
4.9× |
| Myelogram Cervical (72240) |
$291.84 |
$768 |
0.4× |
| Myelogram Lumbar (72265) |
$291.84 |
$768 |
0.4× |
| Myelogram thoracic (72255) |
$327.56 |
$862 |
0.4× |
| Myelography 2 or more regions (72270) |
$699.58 |
$1,841 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,476.68 |
$3,886 |
1.2× |
| Neck soft tissue (70360) |
$49.40 |
$130 |
0.6× |
| Nm gastric emptying study (78264) |
$374.68 |
$986 |
1.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$201.78 |
$531 |
2.1× |
| Osseous survey limited (77074) |
$172.52 |
$454 |
1.8× |
| Parathyrd planar w/wo subtrj (78071) |
$268.66 |
$707 |
0.7× |
| Parathyroid imaging (78070) |
$424.84 |
$1,118 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$77.14 |
$203 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$728.46 |
$1,917 |
2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,076.16 |
$2,832 |
2.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$791.16 |
$2,082 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$176.32 |
$464 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$82.84 |
$218 |
1.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$120.84 |
$318 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$105.64 |
$278 |
1.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$132.62 |
$349 |
1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$182.40 |
$480 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$121.22 |
$319 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$73.34 |
$193 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$95.38 |
$251 |
1.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$63.84 |
$168 |
0.8× |
| Radiologic exam colon single contrast study (74270) |
$201.78 |
$531 |
1.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$226.48 |
$596 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$226.48 |
$596 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$129.39 |
$340.50 |
1.6× |
| Radiological examination surgical specimen (76098) |
$147.82 |
$389 |
0.3× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,007.92 |
$5,284 |
0.7× |
| Ribs bilateral 3 views (71110) |
$126.16 |
$332 |
1.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,077.30 |
$2,835 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,077.30 |
$2,835 |
2.1× |
| Sacroiliac Joints < 3 Views (72200) |
$85.50 |
$225 |
0.9× |
| Scanogram (77073) |
$45.22 |
$119 |
0.5× |
| Scapula complete (73010) |
$151.62 |
$399 |
1.6× |
| Screening digital breast tomosynthesis (77063) |
$19 |
$50 |
0.8× |
| Sella turcica (70240) |
$38.38 |
$101 |
0.5× |
| Small bowel series (74250) |
$201.78 |
$531 |
1.2× |
| Spine thoracic 3 views (72072) |
$101.08 |
$266 |
1.0× |
| Tbs Technical Calculation Only (77091) |
$66.12 |
$174 |
0.8× |
| Therapeutic Enema (74283) |
$247.38 |
$651 |
1.5× |
| Thoracolumbar 2 views (72080) |
$101.08 |
$266 |
1.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,077.30 |
$2,835 |
2.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,077.30 |
$2,835 |
2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$265.62 |
$699 |
0.7× |
| Tmj unilateral (70328) |
$142.50 |
$375 |
1.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,077.30 |
$2,835 |
2.9× |
| Ultrasound elastography first target lesion (76982) |
$85.88 |
$226 |
0.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$153.52 |
$404 |
0.5× |
| Ultrasound, abdomen limited (76705) |
$201.78 |
$531 |
2.1× |
| Umbilical-artery Doppler (OB) (76820) |
$229.52 |
$604 |
2.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$61.56 |
$162 |
0.8× |
| Unlisted Ultrasound Procedure (76999) |
$187.72 |
$494 |
2.3× |
| Upper Extremity Infant (73092) |
$74.10 |
$195 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$133 |
$350 |
0.6× |
| Urethrocystography voiding (74455) |
$133 |
$350 |
0.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$242.44 |
$638 |
1.5× |
| Us abdl aorta screen aaa (76706) |
$91.20 |
$240 |
0.9× |
| Us breast unilateral complete (76641) |
$105.26 |
$277 |
1.1× |
| Us breast unilateral limited (76642) |
$105.26 |
$277 |
1.3× |
| Us chest (76604) |
$152 |
$400 |
1.6× |
| Us compl joint r-t w/image documentation (76881) |
$124.64 |
$328 |
1.3× |
| Us elastography parenchyma (76981) |
$85.88 |
$226 |
0.9× |
| Us fetal nuchal translucency 1st gestation (76813) |
$87.02 |
$229 |
0.9× |
| Us guided compression repair (76936) |
$346.94 |
$913 |
1.7× |
| Us infant hips dynamic (76885) |
$85.12 |
$224 |
1.1× |
| Us infant hips limited static (76886) |
$69.92 |
$184 |
0.9× |
| Us kidney transplant (76776) |
$201.78 |
$531 |
2.1× |
| Us ob detailed single fetus (76811) |
$275.50 |
$725 |
1.2× |
| Us ob transvaginal (76817) |
$271.70 |
$715 |
2.8× |
| Us pelvic non ob complete (76856) |
$229.52 |
$604 |
2.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$105.26 |
$277 |
1.1× |
| Us pregnancy ltd (76815) |
$201.78 |
$531 |
2.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$191.14 |
$503 |
2.0× |
| Us retroperitoneal complete (76770) |
$201.78 |
$531 |
2.1× |
| Us retroperitoneal limited (76775) |
$201.78 |
$531 |
2.1× |
| Us scrotum and contents (76870) |
$177.08 |
$466 |
1.8× |
| Us soft tissue head/neck (76536) |
$152 |
$400 |
1.6× |
| Us spinal canal and contents (76800) |
$124.64 |
$328 |
1.3× |
| Us transrectal (76872) |
$277.02 |
$729 |
2.8× |
| Us xtr non-vasc lmtd (76882) |
$124.64 |
$328 |
1.3× |
| Vertebral fracture assessment via dxa (77086) |
$142.12 |
$374 |
1.8× |
| Wrist 2 views (73100) |
$95.76 |
$252 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$171 |
$450 |
1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$77.14 |
$203 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$104.31 |
$274.50 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$277.02 |
$729 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$105.45 |
$277.50 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$133.95 |
$352.50 |
1.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$182.40 |
$480 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$67.26 |
$177 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$67.26 |
$177 |
0.8× |
| X-ray exam hip uni 4/> views (73503) |
$105.64 |
$278 |
1.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$105.64 |
$278 |
1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$182.40 |
$480 |
1.9× |
| X-ray exam of femur 1 (73551) |
$67.26 |
$177 |
0.8× |
| X-ray eye for foreign body (70030) |
$114.57 |
$301.50 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$96.14 |
$253 |
1.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$70.68 |
$186 |
0.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$108.87 |
$286.50 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$100.89 |
$265.50 |
1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$70.68 |
$186 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$144.21 |
$379.50 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$110.58 |
$291 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$74.10 |
$195 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$101.08 |
$266 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$174.04 |
$458 |
1.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$101.08 |
$266 |
1.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$81.32 |
$214 |
1.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$45.22 |
$119 |
0.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$101.08 |
$266 |
1.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$87.78 |
$231 |
0.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$232.18 |
$611 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$85.88 |
$226 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$126.54 |
$333 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$141.74 |
$373 |
1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$101.08 |
$266 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$91.96 |
$242 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$121.41 |
$319.50 |
1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$91.96 |
$242 |
1.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$55.86 |
$147 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$121.22 |
$319 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$91.96 |
$242 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$69.54 |
$183 |
0.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$82.46 |
$217 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$115.90 |
$305 |
1.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$83.60 |
$220 |
0.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$115.90 |
$305 |
1.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$57 |
$150 |
0.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$108.87 |
$286.50 |
1.3× |
| Xr arthrogram ankle (73615) |
$174.04 |
$458 |
0.5× |
| Xr c-spine 6 or more views (72052) |
$101.08 |
$266 |
1.0× |
| Xr chest 4+ views (71048) |
$99.56 |
$262 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$57 |
$150 |
0.7× |
| Xr internal auditory meati complete (70134) |
$111.72 |
$294 |
0.2× |
| Xr shoulder 1 view (73020) |
$101.46 |
$267 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$101.08 |
$266 |
1.0× |
| Xr tibia/fibula 2 views (73590) |
$113.43 |
$298.50 |
1.4× |
| Xr tmj bilateral (70330) |
$95.38 |
$251 |
1.2× |
| Xray knee 1 or 2 views rt (73560) |
$114.57 |
$301.50 |
1.4× |