| Abdomen 2 views (74019) |
$292.23 |
$407 |
2.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,139.47 |
$1,786 |
2.7× |
| Ankle 2 views (73600) |
$190.27 |
$265 |
2.1× |
| Arthrogram hip (73525) |
$673.89 |
$967 |
1.9× |
| Arthrogram shoulder (73040) |
$639.75 |
$918 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$715.84 |
$1,122 |
1.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$849.82 |
$1,332 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$1,538.86 |
$2,412 |
3.7× |
| Bone age studies (77072) |
$172.32 |
$240 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,769.17 |
$2,773 |
4.3× |
| Bone survey complete (77075) |
$353.97 |
$493 |
3.3× |
| Brain Imaging Vascular Flow Only (78610) |
$473.40 |
$742 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$337.46 |
$470 |
3.7× |
| Chest 1 view (71045) |
$140.14 |
$220 |
1.6× |
| Chest 3 views (71047) |
$303.21 |
$476 |
3.4× |
| Clavicle complete (73000) |
$254.17 |
$354 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$350.26 |
$549 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,032.67 |
$3,186 |
5.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,355.11 |
$2,124 |
5.5× |
| CT abdomen w contrast (74160) |
$1,087.15 |
$1,704 |
6.0× |
| CT abdomen w wo contrast (74170) |
$1,304.71 |
$2,045 |
7.2× |
| CT abdomen w/o contrast (74150) |
$869.59 |
$1,363 |
8.0× |
| CT angiography upper extremity lt (73206) |
$2,275.11 |
$3,566 |
12.5× |
| CT c-spine w/o contrast (72125) |
$1,889.76 |
$2,962 |
17.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,834.63 |
$4,443 |
15.6× |
| CT cervical spine with contrast (72126) |
$2,362.51 |
$3,703 |
6.5× |
| CT chest w/wo contrast (71270) |
$1,454 |
$2,279 |
8.0× |
| CT chest with contrast (71260) |
$1,211.56 |
$1,899 |
6.7× |
| CT head/brain with contrast (70460) |
$1,146.89 |
$1,874 |
6.3× |
| CT head/brain without and with contrast (70470) |
$1,376.39 |
$2,249 |
7.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$117.03 |
$166 |
1.3× |
| CT iac w contrast (70481) |
$1,870.88 |
$3,057 |
10.3× |
| CT limited/localized follow up study (76380) |
$700.06 |
$993 |
7.7× |
| CT lower ext w/o (73700) |
$1,045.68 |
$1,639 |
9.6× |
| CT lower extremity w wo contrast (73702) |
$1,568.84 |
$2,459 |
8.6× |
| CT lower extremity with contrast (73701) |
$1,307.26 |
$2,049 |
7.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,991.58 |
$4,689 |
16.4× |
| CT lumbar spine w/o contrast (72131) |
$1,994.39 |
$3,126 |
18.4× |
| CT lumbar spine with contrast (72132) |
$2,493.30 |
$3,908 |
6.9× |
| CT maxillofacial w contrast (70487) |
$1,878.84 |
$3,070 |
10.3× |
| CT maxillofacial w/o contrast (70486) |
$1,503.07 |
$2,456 |
13.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,254.61 |
$3,684 |
12.4× |
| CT neck soft tissue w contrast (70491) |
$1,260.11 |
$2,059 |
6.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,244.82 |
$3,668 |
12.3× |
| CT orbits w/o contrast (70480) |
$1,496.34 |
$2,445 |
13.8× |
| CT pelvis w & w/o contrast (72194) |
$2,855.05 |
$4,475 |
15.7× |
| CT pelvis w/o contrast (72192) |
$1,903.15 |
$2,983 |
17.5× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$414.70 |
$650 |
4.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,512.25 |
$2,471 |
8.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,007.96 |
$1,647 |
9.3× |
| CT thoracic spine w/contrast (72129) |
$2,512.44 |
$3,938 |
13.8× |
| CT thoracic spine w/o contrast (72128) |
$2,009.70 |
$3,150 |
18.5× |
| CT thorax w/o contrast (71250) |
$969.12 |
$1,519 |
8.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,166.65 |
$3,396 |
11.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,444.43 |
$2,264 |
13.3× |
| CT upper extremity with contrast (73201) |
$1,805.54 |
$2,830 |
5.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,105.84 |
$2,987 |
11.6× |
| Cta Abdomen (74175) |
$1,370.42 |
$2,148 |
7.5× |
| CTA abdomen pelvis (74174) |
$2,134.75 |
$3,346 |
5.9× |
| CTA chest (71275) |
$1,526.73 |
$2,393 |
8.4× |
| Cta Head (70496) |
$1,445.54 |
$2,362 |
7.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,647.32 |
$2,582 |
9.0× |
| Cta Neck (70498) |
$1,588.14 |
$2,595 |
8.7× |
| Cta Pelvis (72191) |
$2,997.96 |
$4,699 |
16.5× |
| Cystography minimum 3 views rs&i (74430) |
$387 |
$539 |
1.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$431.97 |
$510 |
4.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$325.97 |
$454 |
3.0× |
| Echo exam of fetal heart (76825) |
$914.76 |
$1,080 |
1.6× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$420.96 |
$497 |
1.7× |
| Echoencephalography real time imaging (76506) |
$439.59 |
$519 |
4.0× |
| Esophageal motility (78258) |
$630.98 |
$989 |
1.5× |
| Esophagus (74220) |
$313.77 |
$437 |
1.7× |
| Fetal biophysical profile non-stress testing (76818) |
$718.26 |
$848 |
6.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$661.51 |
$781 |
6.1× |
| Fluoroscopy up to 1 hr (76000) |
$538.50 |
$750 |
2.2× |
| Foot 2 views (73620) |
$222.58 |
$310 |
2.5× |
| Forearm 2 views (73090) |
$231.20 |
$322 |
2.6× |
| Gated Heart Planar Single (78472) |
$1,212.20 |
$1,900 |
2.9× |
| Hand 2 views (73120) |
$164.42 |
$229 |
1.5× |
| Hand 3 views (73130) |
$255.61 |
$356 |
2.8× |
| Heart Infarct Image (78466) |
$647.57 |
$1,015 |
1.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,653.06 |
$2,591 |
2.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,207.10 |
$1,892 |
2.9× |
| Ht muscle image spect sing (78451) |
$2,631.75 |
$4,125 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$307.30 |
$428 |
3.4× |
| Kidney imaging morphology (78700) |
$488.07 |
$765 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$667.99 |
$1,047 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$508.49 |
$797 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,059.08 |
$1,660 |
1.9× |
| Knee 3 views (73562) |
$275.71 |
$384 |
3.1× |
| Liver & spleen imaging static only (78215) |
$921.27 |
$1,444 |
2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$437.03 |
$685 |
1.1× |
| Lung perf&ventilat diferentl (78598) |
$991.45 |
$1,554 |
1.8× |
| Lung Ventilation Imaging (78579) |
$520.61 |
$816 |
1.3× |
| Lymphoscintigraphy (78195) |
$1,081.41 |
$1,695 |
1.9× |
| Meckels Diverticulum (78290) |
$1,082.69 |
$1,697 |
2.6× |
| Mr safety determination physician/other qhp (76016) |
$95.49 |
$133 |
1.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$224.73 |
$313 |
3.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$27.28 |
$38 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$147.19 |
$205 |
1.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$349.67 |
$487 |
1.4× |
| MRA head w & w/o contrast (70546) |
$1,948.73 |
$3,179 |
5.4× |
| MRA head w/o contrast (70544) |
$1,298.95 |
$2,119 |
5.2× |
| MRA head with contrast (70545) |
$1,623.84 |
$2,649 |
4.5× |
| MRA neck w contrast (70548) |
$2,815.51 |
$4,593 |
7.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,378.24 |
$5,511 |
9.3× |
| MRA neck w/o contrast (70547) |
$2,252.16 |
$3,674 |
9.1× |
| MRI abdomen w contrast (74182) |
$2,774.06 |
$3,980 |
7.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,328.87 |
$4,776 |
9.2× |
| MRI abdomen w/o contrast (74181) |
$2,219.25 |
$3,184 |
9.0× |
| MRI any jnt lwr ext with con lt (73722) |
$2,082.64 |
$2,988 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,654.68 |
$2,374 |
2.0× |
| MRI bone marrow blood supply (77084) |
$1,635.86 |
$2,347 |
6.6× |
| MRI breast w/o contrast bilateral (77047) |
$1,253.21 |
$1,798 |
5.1× |
| MRI breast w/o contrast unilat (77046) |
$795.97 |
$1,142 |
3.2× |
| MRI c-spine with contrast (72142) |
$1,430.03 |
$2,170 |
3.9× |
| MRI cervical spine w/o contrast (72141) |
$1,144.02 |
$1,736 |
4.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,017.31 |
$4,329 |
8.3× |
| MRI chest w/o contrast (71550) |
$2,011.54 |
$2,886 |
8.1× |
| MRI chest with contrast (71551) |
$2,514.78 |
$3,608 |
3.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,021.30 |
$2,900 |
5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,548.73 |
$2,222 |
4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,238.57 |
$1,777 |
5.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,074.27 |
$2,976 |
8.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,111.41 |
$4,464 |
8.6× |
| MRI orbit/face/neck w/contrast (70542) |
$2,592.84 |
$3,720 |
7.2× |
| MRI pelvis w contrast (72196) |
$1,801.05 |
$2,584 |
5.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,161.40 |
$3,101 |
6.0× |
| MRI pelvis w/o contrast (72195) |
$1,440.70 |
$2,067 |
5.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,985.75 |
$2,849 |
5.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,498.74 |
$3,585 |
6.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,716.04 |
$2,604 |
4.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,430.03 |
$2,170 |
3.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,716.04 |
$2,604 |
4.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,430.03 |
$2,170 |
3.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,716.04 |
$2,604 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,144.02 |
$1,736 |
4.6× |
| MRI tmj (70336) |
$2,158.61 |
$3,097 |
8.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,323.60 |
$1,899 |
5.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,425.56 |
$3,480 |
6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,617.04 |
$2,320 |
6.5× |
| Myocardial Spect Multiple Studies (78452) |
$3,399.90 |
$5,329 |
2.5× |
| Neck soft tissue (70360) |
$223.30 |
$311 |
2.5× |
| Nm cisternogram (78630) |
$749.65 |
$1,175 |
1.3× |
| Nm gastric emptying study (78264) |
$1,370.42 |
$2,148 |
3.3× |
| Nm gastroesophageal reflux study (78262) |
$782.19 |
$1,226 |
1.9× |
| Nuclear medicine of heart pumping function (78473) |
$1,227.51 |
$1,924 |
3.0× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$604.19 |
$947 |
1.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$459.92 |
$543 |
4.2× |
| Osseous survey infant (77076) |
$356.85 |
$497 |
3.3× |
| Osseous survey limited (77074) |
$234.79 |
$327 |
2.2× |
| Parathyroid imaging (78070) |
$734.34 |
$1,151 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$177.35 |
$247 |
1.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,858.20 |
$2,666 |
5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$734.34 |
$1,151 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,162.44 |
$1,822 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$513.37 |
$715 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$249.15 |
$347 |
2.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$357.56 |
$498 |
3.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$196.01 |
$273 |
1.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$235.50 |
$328 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$356.85 |
$497 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$161.55 |
$225 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$305.87 |
$426 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$294.29 |
$462 |
3.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$634.71 |
$884 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$478.19 |
$666 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$198.17 |
$276 |
2.2× |
| Radiological examination surgical specimen (76098) |
$185.24 |
$258 |
0.3× |
| Ribs bilateral 3 views (71110) |
$328.13 |
$457 |
3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$554.42 |
$869 |
1.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,046.96 |
$1,641 |
1.9× |
| Sacroiliac Joints < 3 Views (72200) |
$247.71 |
$345 |
2.3× |
| Scanogram (77073) |
$408.54 |
$569 |
3.8× |
| Scapula complete (73010) |
$192.42 |
$268 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$38.47 |
$49 |
1.6× |
| Sella turcica (70240) |
$129.24 |
$180 |
1.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$206.55 |
$307.50 |
1.9× |
| Small bowel series (74250) |
$432.95 |
$603 |
2.4× |
| Spine thoracic 3 views (72072) |
$366.90 |
$511 |
3.4× |
| Testicular Imaging With Vascular Flow (78761) |
$586.96 |
$920 |
1.4× |
| Thoracolumbar 2 views (72080) |
$188.12 |
$262 |
2.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,419.55 |
$2,225 |
2.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$620.14 |
$972 |
1.5× |
| Thyroid uptake measurement (78012) |
$386.63 |
$606 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$844.07 |
$1,323 |
2.0× |
| Tmj unilateral (70328) |
$185.96 |
$259 |
2.1× |
| Tomogram (76100) |
$353.97 |
$493 |
3.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$523.80 |
$821 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$754.68 |
$891 |
7.0× |
| Umbilical-artery Doppler (OB) (76820) |
$253.25 |
$299 |
2.3× |
| Upper Extremity Infant (73092) |
$252.74 |
$352 |
2.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$537.83 |
$843 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$510.50 |
$711 |
2.1× |
| Urethrocystography voiding (74455) |
$577.99 |
$805 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,107.16 |
$1,542 |
6.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,000.17 |
$1,393 |
5.5× |
| Us abdl aorta screen aaa (76706) |
$325.25 |
$384 |
3.0× |
| Us breast unilateral complete (76641) |
$599.68 |
$708 |
5.5× |
| Us breast unilateral limited (76642) |
$492.11 |
$581 |
5.4× |
| Us chest (76604) |
$503.12 |
$594 |
4.6× |
| Us compl joint r-t w/image documentation (76881) |
$769.92 |
$909 |
7.1× |
| Us fetal nuchal translucency 1st gestation (76813) |
$356.59 |
$421 |
3.3× |
| Us ob detailed single fetus (76811) |
$528.53 |
$624 |
2.1× |
| Us ob transvaginal (76817) |
$583.58 |
$689 |
5.4× |
| Us pelvic non ob complete (76856) |
$885.12 |
$1,045 |
8.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$648.80 |
$766 |
6.0× |
| Us pregnancy ltd (76815) |
$452.30 |
$534 |
4.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$756.37 |
$893 |
7.0× |
| Us retroperitoneal complete (76770) |
$869.87 |
$1,027 |
8.0× |
| Us retroperitoneal limited (76775) |
$285.44 |
$337 |
2.6× |
| Us scrotum and contents (76870) |
$814.81 |
$962 |
7.5× |
| Us soft tissue head/neck (76536) |
$788.56 |
$931 |
7.3× |
| Us spinal canal and contents (76800) |
$344.73 |
$407 |
3.2× |
| Us transrectal (76872) |
$509.05 |
$601 |
4.7× |
| Us xtr non-vasc lmtd (76882) |
$496.34 |
$586 |
4.6× |
| Vascular flow imaging (78445) |
$515.50 |
$808 |
1.2× |
| Wrist 2 views (73100) |
$222.58 |
$310 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$353.97 |
$493 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$270.69 |
$377 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$338.18 |
$471 |
3.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$727.33 |
$1,013 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$280.02 |
$390 |
3.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$345.36 |
$481 |
3.8× |
| X-ray exam hip uni 1 view (73501) |
$158.68 |
$221 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$297.97 |
$415 |
3.3× |
| X-ray exam hip uni 4/> views (73503) |
$372.64 |
$519 |
3.4× |
| X-ray eye for foreign body (70030) |
$120.62 |
$168 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$328.84 |
$458 |
3.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$281.46 |
$392 |
3.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$318.79 |
$444 |
3.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$168.01 |
$234 |
1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$337.46 |
$470 |
3.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$420.03 |
$585 |
3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$377.67 |
$526 |
4.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$133.55 |
$186 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$269.25 |
$375 |
2.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$611.74 |
$852 |
5.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$527.01 |
$734 |
4.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$246.99 |
$344 |
2.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$97.65 |
$136 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$373.36 |
$520 |
3.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$265.66 |
$370 |
2.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$338.90 |
$472 |
0.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$616.76 |
$859 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$282.17 |
$393 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$320.23 |
$446 |
2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$402.80 |
$561 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$377.67 |
$526 |
3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$228.32 |
$318 |
2.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$318.79 |
$444 |
3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$312.33 |
$435 |
3.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$198.89 |
$277 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$338.90 |
$472 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$295.10 |
$411 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$236.94 |
$330 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$264.22 |
$368 |
2.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$166.58 |
$232 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$353.97 |
$493 |
3.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$422.18 |
$588 |
3.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$184.53 |
$257 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$317.36 |
$442 |
3.5× |
| Xr c-spine 6 or more views (72052) |
$547.83 |
$763 |
5.0× |
| Xr chest 4+ views (71048) |
$342.71 |
$538 |
3.2× |
| Xr Cholecystography Oral Contrast (74290) |
$317.36 |
$442 |
1.7× |
| Xr finger(s) 2+ views (73140) |
$188.12 |
$262 |
2.1× |
| Xr internal auditory meati complete (70134) |
$352.54 |
$491 |
0.6× |
| Xr optic foramina (70190) |
$201.04 |
$280 |
2.2× |
| Xr shoulder 1 view (73020) |
$231.20 |
$322 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$464.55 |
$647 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$190.99 |
$266 |
2.1× |
| Xr tmj bilateral (70330) |
$280.02 |
$390 |
3.1× |
| Xray knee 1 or 2 views rt (73560) |
$226.17 |
$315 |
2.5× |