| Abdomen 2 views (74019) |
$66.20 |
$331 |
0.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$205.40 |
$1,027 |
0.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$574.60 |
$2,873 |
0.2× |
| Angiography extremity bilateral rs&i (75716) |
$564.80 |
$2,824 |
0.2× |
| Angiography extremity unilateral rs&i (75710) |
$498.60 |
$2,493 |
0.2× |
| Angiography internal mammary rs&i (75756) |
$503.60 |
$2,518 |
0.2× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$492.80 |
$2,464 |
0.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$461.60 |
$2,308 |
0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$440.20 |
$2,201 |
0.2× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$490.80 |
$2,454 |
0.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$105.60 |
$528 |
0.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$473.40 |
$2,367 |
0.2× |
| Ankle 2 views (73600) |
$74.70 |
$373.50 |
0.9× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$456.80 |
$2,284 |
0.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$468.40 |
$2,342 |
0.2× |
| Aortography abdominal serialography rs&i (75625) |
$454.80 |
$2,274 |
0.2× |
| Aortography thoracic w/o serialography rs&i (75600) |
$674 |
$3,370 |
0.2× |
| Artery X-Rays Adrenal Gland (75731) |
$497.80 |
$2,489 |
0.2× |
| Arthrogram elbow (73085) |
$173.40 |
$867 |
0.5× |
| Arthrogram hip (73525) |
$174.40 |
$872 |
0.6× |
| Arthrogram shoulder (73040) |
$299.40 |
$1,497 |
0.9× |
| Arthrogram wrist (73115) |
$193.80 |
$969 |
0.6× |
| Arthrography knee lt (73580) |
$481.30 |
$2,406.50 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$176.80 |
$884 |
0.5× |
| Bone &/joint imaging whole body (78306) |
$179.80 |
$899 |
0.5× |
| Bone age studies (77072) |
$35.20 |
$176 |
0.4× |
| Bone Imaging 3 Phase (78315) |
$231 |
$1,155 |
0.6× |
| Bone survey complete (77075) |
$86.40 |
$432 |
0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$748.40 |
$3,742 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$66.20 |
$331 |
0.8× |
| Chest 1 view (71045) |
$38 |
$190 |
0.5× |
| Chest 3 views (71047) |
$51.60 |
$258 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$159.80 |
$799 |
1.0× |
| Clavicle complete (73000) |
$74.70 |
$373.50 |
0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$63.60 |
$318 |
0.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$554 |
$2,770 |
1.8× |
| CT abdomen and pelvis without contrast (74176) |
$313 |
$1,565 |
1.4× |
| CT abdomen w contrast (74160) |
$295.60 |
$1,478 |
1.9× |
| CT abdomen w wo contrast (74170) |
$380.80 |
$1,904 |
2.4× |
| CT abdomen w/o contrast (74150) |
$207.40 |
$1,037 |
2.2× |
| CT angio hrt w/3d image (75574) |
$307 |
$1,535 |
1.0× |
| CT angiography upper extremity lt (73206) |
$388.60 |
$1,943 |
2.4× |
| CT c-spine w/o contrast (72125) |
$221.80 |
$1,109 |
2.3× |
| CT cervical spine w&w/o contrast (72127) |
$345 |
$1,725 |
2.2× |
| CT cervical spine with contrast (72126) |
$274.40 |
$1,372 |
0.9× |
| CT chest w/wo contrast (71270) |
$345.40 |
$1,727 |
2.2× |
| CT chest with contrast (71260) |
$273.60 |
$1,368 |
1.7× |
| CT head/brain with contrast (70460) |
$220.60 |
$1,103 |
1.4× |
| CT head/brain without and with contrast (70470) |
$271.60 |
$1,358 |
1.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$250.60 |
$1,253 |
0.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$51.60 |
$258 |
0.7× |
| CT iac w contrast (70481) |
$318.60 |
$1,593 |
2.0× |
| CT lower ext w/o (73700) |
$319.50 |
$1,597.50 |
3.4× |
| CT lower extremity w wo contrast (73702) |
$528.60 |
$2,643 |
3.3× |
| CT lower extremity with contrast (73701) |
$398.10 |
$1,990.50 |
2.5× |
| CT lumbar spine w & w/o contrast (72133) |
$345.40 |
$1,727 |
2.2× |
| CT lumbar spine w/o contrast (72131) |
$220.60 |
$1,103 |
2.3× |
| CT lumbar spine with contrast (72132) |
$273.60 |
$1,368 |
0.9× |
| CT maxillofacial w contrast (70487) |
$272.40 |
$1,362 |
1.7× |
| CT maxillofacial w/o contrast (70486) |
$222.60 |
$1,113 |
2.4× |
| CT maxillofacial w/wo contrast (70488) |
$340.40 |
$1,702 |
2.1× |
| CT neck soft tissue w contrast (70491) |
$262.20 |
$1,311 |
1.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$370 |
$1,850 |
2.3× |
| CT orbits w/o contrast (70480) |
$223 |
$1,115 |
2.4× |
| CT pelvis w & w/o contrast (72194) |
$346.60 |
$1,733 |
2.2× |
| CT pelvis w/o contrast (72192) |
$209.40 |
$1,047 |
2.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$329.80 |
$1,649 |
2.1× |
| CT soft tissue neck w/o contrast (70490) |
$211 |
$1,055 |
2.2× |
| CT thoracic spine w/contrast (72129) |
$274.40 |
$1,372 |
1.7× |
| CT thoracic spine w/o contrast (72128) |
$221 |
$1,105 |
2.3× |
| CT thoracic spine w/wo contrast (72130) |
$346.20 |
$1,731 |
2.2× |
| CT thorax w/o contrast (71250) |
$221 |
$1,105 |
2.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$527.40 |
$2,637 |
3.3× |
| CT upper extremity w/o contrast rt (73200) |
$318.90 |
$1,594.50 |
3.4× |
| CT upper extremity with contrast (73201) |
$394.50 |
$1,972.50 |
1.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$389 |
$1,945 |
2.4× |
| Cta Abdomen (74175) |
$388.60 |
$1,943 |
2.4× |
| CTA abdomen pelvis (74174) |
$552.60 |
$2,763 |
1.7× |
| CTA chest (71275) |
$388.60 |
$1,943 |
2.4× |
| Cta Head (70496) |
$388.60 |
$1,943 |
2.4× |
| CTA lwr ext w&w/o contrast (73706) |
$582.90 |
$2,914.50 |
3.7× |
| Cta Neck (70498) |
$388.60 |
$1,943 |
2.4× |
| Cta Pelvis (72191) |
$388.60 |
$1,943 |
2.4× |
| Cystography minimum 3 views rs&i (74430) |
$160.80 |
$804 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$71.80 |
$359 |
0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$37.80 |
$189 |
0.5× |
| Dxa bone density study axial skeleton (77085) |
$51.80 |
$259 |
0.5× |
| Echoencephalography real time imaging (76506) |
$64.80 |
$324 |
0.7× |
| Esophagus (74220) |
$165.60 |
$828 |
1.0× |
| Fetal biophysical profile non-stress testing (76818) |
$74.20 |
$371 |
0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$57.80 |
$289 |
0.6× |
| Fluoroscopy up to 1 hr (76000) |
$71 |
$355 |
0.3× |
| Foot 2 views (73620) |
$71.70 |
$358.50 |
0.9× |
| Forearm 2 views (73090) |
$74.70 |
$373.50 |
0.9× |
| Gated Heart Planar Single (78472) |
$238.20 |
$1,191 |
0.7× |
| Hand 2 views (73120) |
$73.20 |
$366 |
0.8× |
| Hand 3 views (73130) |
$86.40 |
$432 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$356.40 |
$1,782 |
0.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$258.40 |
$1,292 |
0.7× |
| Ht muscle image spect sing (78451) |
$281.80 |
$1,409 |
0.2× |
| Humerus Min 2 Views Left (73060) |
$51.60 |
$258 |
0.7× |
| Hysterosalpingogram (74740) |
$150 |
$750 |
0.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$45.20 |
$226 |
0.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$164.60 |
$823 |
0.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$247.40 |
$1,237 |
0.5× |
| Knee 3 views (73562) |
$96.60 |
$483 |
1.2× |
| Liver & spleen imaging static only (78215) |
$189.20 |
$946 |
0.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$173.80 |
$869 |
0.5× |
| Lung Ventilation Imaging (78579) |
$133.40 |
$667 |
0.4× |
| Lymphoscintigraphy (78195) |
$214.60 |
$1,073 |
0.4× |
| MRA head w & w/o contrast (70546) |
$555.60 |
$2,778 |
1.8× |
| MRA head w/o contrast (70544) |
$362.60 |
$1,813 |
1.7× |
| MRA head with contrast (70545) |
$440.20 |
$2,201 |
1.4× |
| MRA neck w contrast (70548) |
$440.20 |
$2,201 |
1.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$555.60 |
$2,778 |
1.8× |
| MRA neck w/o contrast (70547) |
$362.60 |
$1,813 |
1.7× |
| MRI abdomen w contrast (74182) |
$440.20 |
$2,201 |
1.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$555.60 |
$2,778 |
1.8× |
| MRI abdomen w/o contrast (74181) |
$362.60 |
$1,813 |
1.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,783.50 |
$8,917.50 |
2.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$659.70 |
$3,298.50 |
0.9× |
| MRI c-spine with contrast (72142) |
$439.80 |
$2,199 |
1.4× |
| MRI cervical spine w/o contrast (72141) |
$362.60 |
$1,813 |
1.7× |
| MRI chest w/o & w/contrast material (71552) |
$555.60 |
$2,778 |
1.8× |
| MRI chest w/o contrast (71550) |
$362.60 |
$1,813 |
1.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$659.70 |
$3,298.50 |
2.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$543.90 |
$2,719.50 |
2.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$362.60 |
$1,813 |
1.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$555.60 |
$2,778 |
1.8× |
| MRI orbit/face/neck w/contrast (70542) |
$439.80 |
$2,199 |
1.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$555.60 |
$2,778 |
1.8× |
| MRI pelvis w/o contrast (72195) |
$362.60 |
$1,813 |
1.7× |
| MRI scan of arm joint before and after contrast (73223) |
$833.40 |
$4,167 |
2.6× |
| MRI scan of leg joint before and after contrast (73723) |
$833.40 |
$4,167 |
2.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$555.60 |
$2,778 |
1.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$439.80 |
$2,199 |
1.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$555.60 |
$2,778 |
1.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$433 |
$2,165 |
1.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$555.60 |
$2,778 |
1.8× |
| MRI thoracic spine w/o contrast (72146) |
$362.60 |
$1,813 |
1.7× |
| MRI tmj (70336) |
$362.60 |
$1,813 |
1.7× |
| MRI upper ext joint w/o contrast (73221) |
$362.60 |
$1,813 |
1.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$555.60 |
$2,778 |
1.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$543.90 |
$2,719.50 |
2.5× |
| Myelogram Cervical (72240) |
$263 |
$1,315 |
0.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$741.20 |
$3,706 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$412.40 |
$2,062 |
0.4× |
| Neck soft tissue (70360) |
$47.80 |
$239 |
0.6× |
| Nm gastric emptying study (78264) |
$185.60 |
$928 |
0.5× |
| Nm red cell sequestration (78140) |
$190.60 |
$953 |
0.5× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$748.40 |
$3,742 |
0.6× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$748.40 |
$3,742 |
0.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$58.40 |
$292 |
0.6× |
| Osseous survey limited (77074) |
$81 |
$405 |
0.9× |
| Parathyroid imaging (78070) |
$148.80 |
$744 |
0.4× |
| Pelvis 1 or 2 views (72170) |
$44.80 |
$224 |
0.5× |
| PET image w/CT, skull-thigh (78815) |
$748.40 |
$3,742 |
0.6× |
| PET imaging CT for attenuation limited area (78814) |
$748.40 |
$3,742 |
0.6× |
| PET imaging for CT attenuation whole body (78816) |
$748.40 |
$3,742 |
0.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$555.60 |
$2,778 |
1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$149.80 |
$749 |
0.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$239.20 |
$1,196 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$89.60 |
$448 |
0.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$69.20 |
$346 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$77.40 |
$387 |
0.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$53.40 |
$267 |
0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$68.20 |
$341 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$42 |
$210 |
0.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$67.20 |
$336 |
0.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$51.60 |
$258 |
0.7× |
| Radiologic exam colon single contrast study (74270) |
$164 |
$820 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$130.40 |
$652 |
0.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$128.80 |
$644 |
0.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$93.60 |
$468 |
1.2× |
| Radiological examination surgical specimen (76098) |
$29.20 |
$146 |
0.1× |
| Review by radiologist of adrenal gland vein image (75840) |
$434.40 |
$2,172 |
0.2× |
| Ribs bilateral 3 views (71110) |
$68.20 |
$341 |
0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$180 |
$900 |
0.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$242.80 |
$1,214 |
0.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$258 |
$1,290 |
0.5× |
| Sacroiliac Joints < 3 Views (72200) |
$52.60 |
$263 |
0.6× |
| Scanogram (77073) |
$60.40 |
$302 |
0.6× |
| Scapula complete (73010) |
$77.40 |
$387 |
0.8× |
| Screening digital breast tomosynthesis (77063) |
$12 |
$60 |
0.5× |
| Small bowel series (74250) |
$140.40 |
$702 |
0.9× |
| Tbs Technical Calculation Only (77091) |
$65 |
$325 |
0.8× |
| Thoracolumbar 2 views (72080) |
$61.40 |
$307 |
0.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$210.20 |
$1,051 |
0.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$191.20 |
$956 |
0.5× |
| Thyroid uptake measurement (78012) |
$73.60 |
$368 |
0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$194 |
$970 |
0.5× |
| Tmj unilateral (70328) |
$53.60 |
$268 |
0.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$453.80 |
$2,269 |
0.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$132.20 |
$661 |
0.4× |
| Ultrasound, abdomen limited (76705) |
$73.40 |
$367 |
0.8× |
| Umbilical-artery Doppler (OB) (76820) |
$44.40 |
$222 |
0.5× |
| Upper Extremity Infant (73092) |
$78.90 |
$394.50 |
0.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$216.20 |
$1,081 |
1.4× |
| Us abdl aorta screen aaa (76706) |
$78 |
$390 |
0.8× |
| Us breast unilateral complete (76641) |
$106.50 |
$532.50 |
1.1× |
| Us breast unilateral limited (76642) |
$106.50 |
$532.50 |
1.4× |
| Us chest (76604) |
$57.80 |
$289 |
0.6× |
| Us compl joint r-t w/image documentation (76881) |
$105.20 |
$526 |
1.1× |
| Us kidney transplant (76776) |
$75 |
$375 |
0.8× |
| Us ob detailed single fetus (76811) |
$59.20 |
$296 |
0.3× |
| Us ob transvaginal (76817) |
$70.20 |
$351 |
0.7× |
| Us pelvic non ob complete (76856) |
$94 |
$470 |
1.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$71.40 |
$357 |
0.8× |
| Us pregnancy ltd (76815) |
$51.60 |
$258 |
0.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$63 |
$315 |
0.7× |
| Us retroperitoneal complete (76770) |
$73.80 |
$369 |
0.8× |
| Us retroperitoneal limited (76775) |
$79.80 |
$399 |
0.8× |
| Us scrotum and contents (76870) |
$95.20 |
$476 |
1.0× |
| Us soft tissue head/neck (76536) |
$84 |
$420 |
0.9× |
| Us spinal canal and contents (76800) |
$70.40 |
$352 |
0.7× |
| Us xtr non-vasc lmtd (76882) |
$55.20 |
$276 |
0.6× |
| Venogram extremity bilateral (75822) |
$243.60 |
$1,218 |
0.2× |
| Venography caval inferior serialography rs&i (75825) |
$432.40 |
$2,162 |
0.2× |
| Venography caval superior serialography rs&i (75827) |
$437.40 |
$2,187 |
0.3× |
| Wrist 2 views (73100) |
$80.40 |
$402 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$80.80 |
$404 |
0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$66.20 |
$331 |
0.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$87.60 |
$438 |
1.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$264.40 |
$1,322 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$75.90 |
$379.50 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$99.30 |
$496.50 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$38.40 |
$192 |
0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$56.60 |
$283 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$63.40 |
$317 |
0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$76.20 |
$381 |
0.8× |
| X-ray exam of femur 1 (73551) |
$52.60 |
$263 |
0.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$74 |
$370 |
0.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$50.60 |
$253 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$86.40 |
$432 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$73.20 |
$366 |
0.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$56.60 |
$283 |
0.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$111 |
$555 |
1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$57.60 |
$288 |
0.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$80.40 |
$402 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$71.20 |
$356 |
0.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$104.20 |
$521 |
1.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$96.40 |
$482 |
1.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$60.40 |
$302 |
0.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$33 |
$165 |
0.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$75 |
$375 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$74 |
$370 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$54.60 |
$273 |
0.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$65.20 |
$326 |
0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$91.60 |
$458 |
1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$63.40 |
$317 |
0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$51.60 |
$258 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$77.40 |
$387 |
1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$67.20 |
$336 |
0.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$54.60 |
$273 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$77 |
$385 |
0.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$61.40 |
$307 |
0.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$41 |
$205 |
0.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$66.20 |
$331 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$56.60 |
$283 |
0.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$56.60 |
$283 |
0.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$84.80 |
$424 |
0.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$54.60 |
$273 |
0.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$100.80 |
$504 |
1.3× |
| Xr arthrogram ankle (73615) |
$184.20 |
$921 |
0.6× |
| Xr c-spine 6 or more views (72052) |
$119.80 |
$599 |
1.3× |
| Xr chest 4+ views (71048) |
$78 |
$390 |
0.8× |
| Xr finger(s) 2+ views (73140) |
$58.40 |
$292 |
0.7× |
| XR Mastoids < 3 Views Bilateral (70120) |
$63.40 |
$317 |
0.7× |
| Xr shoulder 1 view (73020) |
$61.50 |
$307.50 |
0.8× |
| Xr spine cervical 4 or 5 views (72050) |
$92.60 |
$463 |
1.0× |
| Xr tibia/fibula 2 views (73590) |
$71.70 |
$358.50 |
0.9× |
| Xray knee 1 or 2 views rt (73560) |
$77.40 |
$387 |
1.0× |