| 3-D radiotherapy plan dose-volume histograms (77295) |
$883.89 |
$1,403 |
0.7× |
| Abdomen 2 views (74019) |
$81.90 |
$130 |
0.9× |
| Ankle 2 views (73600) |
$64.26 |
$102 |
0.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$85.36 |
$135.50 |
0.3× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$749.07 |
$1,189 |
0.1× |
| Artery X-Rays Adrenal Gland (75731) |
$1,953 |
$3,100 |
0.7× |
| Arthrogram elbow (73085) |
$465.57 |
$739 |
1.5× |
| Arthrogram shoulder (73040) |
$465.57 |
$739 |
1.5× |
| Arthrogram wrist (73115) |
$154.98 |
$246 |
0.5× |
| Arthrography knee lt (73580) |
$698.36 |
$1,108.50 |
2.2× |
| Basic radiation dosimetry calculation (77300) |
$44.10 |
$70 |
0.4× |
| Bone age studies (77072) |
$66.46 |
$105.50 |
0.7× |
| Bone survey complete (77075) |
$474.39 |
$753 |
5.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$104.90 |
$166.50 |
0.2× |
| Cervical spine 2 or 3 views (72040) |
$44.73 |
$71 |
0.6× |
| Chest 1 view (71045) |
$48.20 |
$76.50 |
0.6× |
| Chest 3 views (71047) |
$248.22 |
$394 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$306.18 |
$486 |
1.9× |
| Clavicle complete (73000) |
$70.56 |
$112 |
0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$208.53 |
$331 |
2.2× |
| Continuing medical physics consltj pr wk (77336) |
$146.16 |
$232 |
1.2× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$397.53 |
$631 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,673.91 |
$2,657 |
5.3× |
| CT abdomen and pelvis without contrast (74176) |
$970.20 |
$1,540 |
4.5× |
| CT abdomen w contrast (74160) |
$1,171.80 |
$1,860 |
7.4× |
| CT abdomen w wo contrast (74170) |
$1,397.34 |
$2,218 |
8.8× |
| CT abdomen w/o contrast (74150) |
$719.46 |
$1,142 |
7.6× |
| CT angiography upper extremity lt (73206) |
$1,171.80 |
$1,860 |
7.4× |
| CT c-spine w/o contrast (72125) |
$900.90 |
$1,430 |
9.5× |
| CT cervical spine w&w/o contrast (72127) |
$1,706.04 |
$2,708 |
10.8× |
| CT cervical spine with contrast (72126) |
$1,402.38 |
$2,226 |
4.5× |
| CT chest w/wo contrast (71270) |
$1,529.01 |
$2,427 |
9.7× |
| CT chest with contrast (71260) |
$1,393.56 |
$2,212 |
8.8× |
| CT head/brain with contrast (70460) |
$1,171.80 |
$1,860 |
7.4× |
| CT head/brain without and with contrast (70470) |
$1,436.40 |
$2,280 |
9.1× |
| CT iac w contrast (70481) |
$1,222.83 |
$1,941 |
7.7× |
| CT limited/localized follow up study (76380) |
$766.08 |
$1,216 |
9.8× |
| CT lower ext w/o (73700) |
$1,079.50 |
$1,713.50 |
11.4× |
| CT lower extremity w wo contrast (73702) |
$2,293.20 |
$3,640 |
14.5× |
| CT lower extremity with contrast (73701) |
$1,834.24 |
$2,911.50 |
11.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,706.04 |
$2,708 |
10.8× |
| CT lumbar spine w/o contrast (72131) |
$900.90 |
$1,430 |
9.5× |
| CT lumbar spine with contrast (72132) |
$1,402.38 |
$2,226 |
4.5× |
| CT maxillofacial w contrast (70487) |
$1,222.83 |
$1,941 |
7.7× |
| CT maxillofacial w/o contrast (70486) |
$570.46 |
$905.50 |
6.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,529.01 |
$2,427 |
9.7× |
| CT neck soft tissue w contrast (70491) |
$1,222.83 |
$1,941 |
7.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,529.01 |
$2,427 |
9.7× |
| CT orbits w/o contrast (70480) |
$719.46 |
$1,142 |
7.6× |
| CT pelvis w & w/o contrast (72194) |
$1,436.40 |
$2,280 |
9.1× |
| CT pelvis w/o contrast (72192) |
$719.46 |
$1,142 |
7.6× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$514.71 |
$817 |
6.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,529.01 |
$2,427 |
9.7× |
| CT soft tissue neck w/o contrast (70490) |
$719.46 |
$1,142 |
7.6× |
| CT thoracic spine w/contrast (72129) |
$1,402.38 |
$2,226 |
8.9× |
| CT thoracic spine w/o contrast (72128) |
$900.90 |
$1,430 |
9.5× |
| CT thoracic spine w/wo contrast (72130) |
$1,706.04 |
$2,708 |
10.8× |
| CT thorax w/o contrast (71250) |
$719.46 |
$1,142 |
7.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,293.20 |
$3,640 |
14.5× |
| CT upper extremity w/o contrast rt (73200) |
$476.28 |
$756 |
5.0× |
| CT upper extremity with contrast (73201) |
$547.16 |
$868.50 |
1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,171.80 |
$1,860 |
7.4× |
| Cta Abdomen (74175) |
$1,159.20 |
$1,840 |
7.3× |
| CTA abdomen pelvis (74174) |
$1,249.92 |
$1,984 |
4.0× |
| CTA chest (71275) |
$1,171.80 |
$1,860 |
7.4× |
| Cta Head (70496) |
$1,171.80 |
$1,860 |
7.4× |
| CTA lwr ext w&w/o contrast (73706) |
$1,171.80 |
$1,860 |
7.4× |
| Cta Neck (70498) |
$1,171.80 |
$1,860 |
7.4× |
| Cta Pelvis (72191) |
$1,159.20 |
$1,840 |
7.3× |
| Cystography minimum 3 views rs&i (74430) |
$77.80 |
$123.50 |
0.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$61.11 |
$97 |
0.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$82.53 |
$131 |
0.9× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$77.49 |
$123 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$393.83 |
$625.12 |
4.2× |
| Dxa bone density study axial skeleton (77085) |
$75.25 |
$119.44 |
0.8× |
| Echo exam of eye (76529) |
$70.56 |
$112 |
0.9× |
| Echo exam of fetal heart (76825) |
$138.60 |
$220 |
0.3× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$86 |
$136.50 |
0.4× |
| Echoencephalography real time imaging (76506) |
$201.28 |
$319.50 |
2.1× |
| Esophagus (74220) |
$113.08 |
$179.50 |
0.7× |
| Fetal biophysical profile non-stress testing (76818) |
$100.80 |
$160 |
1.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$152.78 |
$242.50 |
1.6× |
| Fluoroscopy up to 1 hr (76000) |
$111.82 |
$177.50 |
0.5× |
| Foot 2 views (73620) |
$66.15 |
$105 |
0.8× |
| Forearm 2 views (73090) |
$52.92 |
$84 |
0.7× |
| Gated Heart Planar Single (78472) |
$368.55 |
$585 |
1.0× |
| Hand 2 views (73120) |
$60.48 |
$96 |
0.6× |
| Hand 3 views (73130) |
$63.63 |
$101 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$50.08 |
$79.50 |
0.6× |
| Hysterosalpingogram (74740) |
$384.30 |
$610 |
1.8× |
| Knee 3 views (73562) |
$68.67 |
$109 |
0.9× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$445.72 |
$707.50 |
0.2× |
| Mammary ductogram or galactogram multiple (77054) |
$465.57 |
$739 |
2.2× |
| Mammary ductogram or galactogram single (77053) |
$465.57 |
$739 |
2.2× |
| MRA head w & w/o contrast (70546) |
$1,821.96 |
$2,892 |
5.8× |
| MRA head w/o contrast (70544) |
$1,570.59 |
$2,493 |
7.3× |
| MRA head with contrast (70545) |
$1,637.37 |
$2,599 |
5.2× |
| MRA neck w contrast (70548) |
$1,821.96 |
$2,892 |
5.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,293.20 |
$3,640 |
7.3× |
| MRA neck w/o contrast (70547) |
$1,290.24 |
$2,048 |
6.0× |
| MRI abdomen w contrast (74182) |
$1,911.42 |
$3,034 |
6.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,170.98 |
$3,446 |
6.9× |
| MRI abdomen w/o contrast (74181) |
$1,572.48 |
$2,496 |
7.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,874.88 |
$2,976 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,871.10 |
$2,970 |
2.6× |
| MRI bone marrow blood supply (77084) |
$1,610.28 |
$2,556 |
7.5× |
| MRI breast w/o contrast bilateral (77047) |
$3,420.90 |
$5,430 |
15.9× |
| MRI breast w/o contrast unilat (77046) |
$2,603.16 |
$4,132 |
12.1× |
| MRI c-spine with contrast (72142) |
$1,421.91 |
$2,257 |
4.5× |
| MRI cervical spine w/o contrast (72141) |
$1,002.96 |
$1,592 |
4.7× |
| MRI chest w/o contrast (71550) |
$1,699.11 |
$2,697 |
7.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,693.44 |
$2,688 |
5.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,793.61 |
$2,847 |
5.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$972.09 |
$1,543 |
4.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,593.27 |
$2,529 |
7.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,110.50 |
$3,350 |
6.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,833.30 |
$2,910 |
5.8× |
| MRI pelvis w contrast (72196) |
$1,180.30 |
$1,873.50 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,827.63 |
$2,901 |
5.8× |
| MRI pelvis w/o contrast (72195) |
$1,323.63 |
$2,101 |
6.1× |
| MRI scan of arm joint before and after contrast (73223) |
$2,249.10 |
$3,570 |
7.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,252.88 |
$3,576 |
7.2× |
| MRI spectroscopy (76390) |
$1,390.41 |
$2,207 |
17.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,762.74 |
$2,798 |
5.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,522.71 |
$2,417 |
4.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,827.63 |
$2,901 |
5.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,602.09 |
$2,543 |
5.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,923.39 |
$3,053 |
6.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,393.56 |
$2,212 |
6.5× |
| MRI tmj (70336) |
$1,747.62 |
$2,774 |
8.1× |
| MRI upper ext joint w/o contrast (73221) |
$852.08 |
$1,352.50 |
4.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,336.23 |
$2,121 |
4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,460.97 |
$2,319 |
6.8× |
| Myocardial Spect Multiple Studies (78452) |
$126 |
$200 |
0.1× |
| Neck soft tissue (70360) |
$107.73 |
$171 |
1.4× |
| Nuclear Rx Oral Admin (79005) |
$126 |
$200 |
0.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$100.80 |
$160 |
1.1× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$51.98 |
$82.50 |
0.6× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$70.56 |
$112 |
0.7× |
| Orthopantogram (70355) |
$47.56 |
$75.50 |
0.6× |
| Osseous survey infant (77076) |
$201.60 |
$320 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$155.61 |
$247 |
1.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,435.14 |
$2,278 |
4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$73.71 |
$117 |
0.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$72.45 |
$115 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$69.30 |
$110 |
0.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$28.98 |
$46 |
0.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$320.04 |
$508 |
3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$59.22 |
$94 |
0.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$90.72 |
$144 |
0.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$88.20 |
$140 |
1.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$81.27 |
$129 |
0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$76.54 |
$121.50 |
0.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$37.80 |
$60 |
0.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$215.46 |
$342 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$39.06 |
$62 |
0.5× |
| Radiologic exam colon single contrast study (74270) |
$374.85 |
$595 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$420.84 |
$668 |
2.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$420.84 |
$668 |
2.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$100.80 |
$160 |
1.3× |
| Radiological examination surgical specimen (76098) |
$124.74 |
$198 |
0.3× |
| Radiopharmaceutical therapy, by intra-articular administration Age Under 21 (79440) |
$137.02 |
$217.50 |
0.7× |
| Ribs bilateral 3 views (71110) |
$85.68 |
$136 |
0.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$320.04 |
$508 |
0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$185.22 |
$294 |
0.1× |
| Rp Therapy Intravenous Administration (79101) |
$220.50 |
$350 |
1.0× |
| Scanogram (77073) |
$234.99 |
$373 |
2.5× |
| Scapula complete (73010) |
$32.76 |
$52 |
0.3× |
| Screening digital breast tomosynthesis (77063) |
$52.60 |
$83.50 |
2.3× |
| Sella turcica (70240) |
$215.46 |
$342 |
2.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$482.58 |
$766 |
5.1× |
| Sialogram (70390) |
$465.57 |
$739 |
2.2× |
| Simulation intermediate (77285) |
$177.66 |
$282 |
0.5× |
| Small bowel series (74250) |
$370.44 |
$588 |
2.3× |
| Spec medical radj physics consltj (77370) |
$171.36 |
$272 |
1.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$104.58 |
$166 |
0.3× |
| Special dosimetry (77331) |
$38.12 |
$60.50 |
0.3× |
| Special treatment procedure (77470) |
$274.05 |
$435 |
0.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$51.66 |
$82 |
0.6× |
| Tbs Technical Calculation Only (77091) |
$77.49 |
$123 |
1.0× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$465.57 |
$739 |
2.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$199.40 |
$316.50 |
0.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$111.51 |
$177 |
0.9× |
| Therapeutic Enema (74283) |
$323.19 |
$513 |
2.0× |
| Thoracolumbar 2 views (72080) |
$215.46 |
$342 |
2.7× |
| Tomogram (76100) |
$526.68 |
$836 |
5.6× |
| Treatment device intermediate (77333) |
$60.80 |
$96.50 |
0.5× |
| Treatment devices simple (77332) |
$40.95 |
$65 |
0.3× |
| Tx devices design & construction complex (77334) |
$107.10 |
$170 |
0.3× |
| Ultrasound scan to determine eye length and lens power (76519) |
$52.92 |
$84 |
0.6× |
| Ultrasound, abdomen limited (76705) |
$102.69 |
$163 |
1.1× |
| Umbilical-artery Doppler (OB) (76820) |
$192.78 |
$306 |
2.0× |
| Unlisted Ultrasound Procedure (76999) |
$69.62 |
$110.50 |
0.9× |
| Upper Extremity Infant (73092) |
$93.24 |
$148 |
1.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$72.45 |
$115 |
0.2× |
| Urethrocystography retrograde rs&i (74450) |
$62.84 |
$99.75 |
0.3× |
| Urethrocystography voiding (74455) |
$119.38 |
$189.50 |
0.6× |
| Us abdl aorta screen aaa (76706) |
$159.18 |
$252.66 |
1.7× |
| Us breast unilateral complete (76641) |
$100.80 |
$160 |
1.1× |
| Us breast unilateral limited (76642) |
$92.92 |
$147.50 |
1.2× |
| Us chest (76604) |
$95.13 |
$151 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$47.25 |
$75 |
0.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$85.68 |
$136 |
0.9× |
| Us guided compression repair (76936) |
$783.72 |
$1,244 |
4.0× |
| Us infant hips dynamic (76885) |
$146.79 |
$233 |
1.9× |
| Us ob detailed single fetus (76811) |
$171.99 |
$273 |
0.8× |
| Us ob transvaginal (76817) |
$129.46 |
$205.50 |
1.4× |
| Us pelvic non ob complete (76856) |
$137.66 |
$218.50 |
1.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$103.95 |
$165 |
1.1× |
| Us pregnancy ltd (76815) |
$132.93 |
$211 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$129.46 |
$205.50 |
1.4× |
| Us retroperitoneal complete (76770) |
$135.14 |
$214.50 |
1.4× |
| Us retroperitoneal limited (76775) |
$106.47 |
$169 |
1.1× |
| Us scrotum and contents (76870) |
$111.20 |
$176.50 |
1.2× |
| Us soft tissue head/neck (76536) |
$115.92 |
$184 |
1.2× |
| Us spinal canal and contents (76800) |
$245.07 |
$389 |
2.6× |
| Us transrectal (76872) |
$132.99 |
$211.09 |
1.4× |
| Us transrectal prostate volume (76873) |
$105.52 |
$167.50 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$80.64 |
$128 |
0.9× |
| Us, eye b-scan (76512) |
$67.10 |
$106.50 |
0.7× |
| Vertebral fracture assessment via dxa (77086) |
$38.43 |
$61 |
0.5× |
| Wrist 2 views (73100) |
$50.40 |
$80 |
0.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$96.70 |
$153.50 |
1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$203.49 |
$323 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$59.54 |
$94.50 |
0.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$475.02 |
$754 |
3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$63.63 |
$101 |
0.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$78.44 |
$124.50 |
1.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$49.14 |
$78 |
0.5× |
| X-ray exam hip uni 1 view (73501) |
$32.13 |
$51 |
0.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$86.62 |
$137.50 |
1.1× |
| X-ray exam hip uni 4/> views (73503) |
$57.96 |
$92 |
0.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$54.18 |
$86 |
0.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$63.63 |
$101 |
0.7× |
| X-ray exam of femur 1 (73551) |
$21.10 |
$33.50 |
0.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$181.44 |
$288 |
1.1× |
| X-ray eye for foreign body (70030) |
$80.01 |
$127 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$248.22 |
$394 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$44.73 |
$71 |
0.6× |
| X-ray head for orthodontia (70350) |
$114.03 |
$181 |
1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$52.92 |
$84 |
0.7× |
| X-ray IV pyelogram+drip infusn (74410) |
$856.17 |
$1,359 |
5.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$74.34 |
$118 |
0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$46.30 |
$73.50 |
0.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$93.24 |
$148 |
1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$55.76 |
$88.50 |
0.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$355.32 |
$564 |
3.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$355.32 |
$564 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$46.94 |
$74.50 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$210.42 |
$334 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$266.49 |
$423 |
2.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$59.85 |
$95 |
0.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$153.09 |
$243 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$58.59 |
$93 |
0.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$44.10 |
$70 |
0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$349.65 |
$555 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$215.46 |
$342 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$67.41 |
$107 |
0.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$78.75 |
$125 |
1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$79.38 |
$126 |
1.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$46.94 |
$74.50 |
0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$79.38 |
$126 |
0.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$170.10 |
$270 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$165.06 |
$262 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$34.65 |
$55 |
0.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$51.66 |
$82 |
0.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$63 |
$100 |
0.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$39.38 |
$62.50 |
0.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$138.60 |
$220 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$90.40 |
$143.50 |
1.0× |
| Xr chest 4+ views (71048) |
$248.22 |
$394 |
2.6× |
| Xr finger(s) 2+ views (73140) |
$54.50 |
$86.50 |
0.7× |
| Xr shoulder 1 view (73020) |
$107.73 |
$171 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$81.58 |
$129.50 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$64.89 |
$103 |
0.8× |
| Xr tmj bilateral (70330) |
$266.49 |
$423 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$66.78 |
$106 |
0.8× |