| Abdomen 1 View (74018) |
$161.55 |
$225 |
1.8× |
| 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× |
| Bone age studies (77072) |
$172.32 |
$240 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,769.17 |
$2,773 |
4.3× |
| Bone Imaging Limited Area (78300) |
$715.84 |
$1,122 |
1.7× |
| Bone Imaging Multiple Areas (78305) |
$849.82 |
$1,332 |
2.0× |
| Bone Imaging Whole Body (78306) |
$1,538.86 |
$2,412 |
3.7× |
| Bone survey infant (77076) |
$356.85 |
$497 |
3.3× |
| Brain Flow Imaging Only (78610) |
$473.40 |
$742 |
0.8× |
| Cat Scan Follow-Up Study (76380) |
$700.06 |
$993 |
7.7× |
| Cerebrospinal Fluid Scan (78630) |
$749.65 |
$1,175 |
1.3× |
| Chest 1 view (71045) |
$140.14 |
$220 |
1.6× |
| Chest 2 views (71046) |
$294.29 |
$462 |
3.3× |
| Chest 3 views (71047) |
$303.21 |
$476 |
3.4× |
| Chest 4 or more views (71048) |
$342.71 |
$538 |
3.2× |
| Cholecystography Oral Contrast (74290) |
$317.36 |
$442 |
1.7× |
| Clavicle complete (73000) |
$254.17 |
$354 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$350.26 |
$549 |
3.2× |
| Contrast X-Ray Bladder (74430) |
$387 |
$539 |
1.1× |
| 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 Angio Abdomen and Pelvis (74174) |
$2,134.75 |
$3,346 |
5.9× |
| CT Angio Chest (71275) |
$1,526.73 |
$2,393 |
8.4× |
| CT Angio Head (70496) |
$1,445.54 |
$2,362 |
7.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,647.32 |
$2,582 |
9.0× |
| CT Angio Neck (70498) |
$1,588.14 |
$2,595 |
8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,275.11 |
$3,566 |
12.5× |
| CT bone density (77078) |
$414.70 |
$650 |
4.6× |
| CT cervical spine w/ contrast (72126) |
$2,362.51 |
$3,703 |
6.5× |
| CT cervical spine w/o contrast (72125) |
$1,889.76 |
$2,962 |
17.4× |
| CT cervical spine w/wo cont (72127) |
$2,834.63 |
$4,443 |
15.6× |
| CT chest w contrast (71260) |
$1,211.56 |
$1,899 |
6.7× |
| CT chest w/wo contrast (71270) |
$1,454 |
$2,279 |
8.0× |
| 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 l-spine w&w/o contrast (72133) |
$2,991.58 |
$4,689 |
16.4× |
| CT lower ext w/o (73700) |
$1,045.68 |
$1,639 |
9.6× |
| CT lower extremity w/contrast material (73701) |
$1,307.26 |
$2,049 |
7.2× |
| CT lumbar spine w contrast (72132) |
$2,493.30 |
$3,908 |
6.9× |
| CT lumbar spine w/o contrast (72131) |
$1,994.39 |
$3,126 |
18.4× |
| CT maxillofacial w contrast (70487) |
$1,878.84 |
$3,070 |
10.3× |
| CT maxillofacial wo contrast (70486) |
$1,503.07 |
$2,456 |
13.8× |
| CT neck tissue combo (70492) |
$1,512.25 |
$2,471 |
8.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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 of leg combo (73702) |
$1,568.84 |
$2,459 |
8.6× |
| CT scans face/jaw combo (70488) |
$2,254.61 |
$3,684 |
12.4× |
| CT soft tissue neck w contrast (70491) |
$1,260.11 |
$2,059 |
6.9× |
| 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 ext wo (73200) |
$1,444.43 |
$2,264 |
13.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,166.65 |
$3,396 |
11.9× |
| 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 pelvis (72191) |
$2,997.96 |
$4,699 |
16.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$431.97 |
$510 |
4.0× |
| Dxa Bone Density Axial (77080) |
$325.97 |
$454 |
3.0× |
| Echo exam of fetal heart (76825) |
$914.76 |
$1,080 |
1.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$420.96 |
$497 |
1.7× |
| Esophageal Motility Study (78258) |
$630.98 |
$989 |
1.5× |
| Esophagram (74220) |
$313.77 |
$437 |
1.7× |
| Fetal Biophys Profile W/Nst (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× |
| Gastric emptying imaging study (78264) |
$1,370.42 |
$2,148 |
3.3× |
| Gastroesophageal Reflux Exam (78262) |
$782.19 |
$1,226 |
1.9× |
| Gated Heart Planar Single (78472) |
$1,212.20 |
$1,900 |
2.9× |
| Gated Heart, Multiple (78473) |
$1,227.51 |
$1,924 |
3.0× |
| Hand 2 views (73120) |
$164.42 |
$229 |
1.5× |
| Hepatobil Syst Image W/Drug (78227) |
$1,653.06 |
$2,591 |
2.9× |
| Hepatobiliary System Imaging (78226) |
$1,207.10 |
$1,892 |
2.9× |
| Ht Muscle Image Spect Sing (78451) |
$2,631.75 |
$4,125 |
2.0× |
| K Flow/Funct Image Multiple (78709) |
$1,059.08 |
$1,660 |
1.9× |
| K Flow/Funct Image W/Drug (78708) |
$508.49 |
$797 |
0.9× |
| K Flow/Funct Image W/O Drug (78707) |
$667.99 |
$1,047 |
1.2× |
| Kidney Imaging Morphol (78700) |
$488.07 |
$765 |
1.2× |
| 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 Ventilat&Perfus Imaging (78582) |
$1,162.44 |
$1,822 |
2.1× |
| Lung Ventilation Imaging (78579) |
$520.61 |
$816 |
1.3× |
| Lymph System Imaging (78195) |
$1,081.41 |
$1,695 |
1.9× |
Magnetic Image Jaw Joint (70336)
range across 3 matching MRF lines |
$2,158.61–$3,238.26 |
$3,097–$4,646 |
varies |
| Meckels Divert Exam (78290) |
$1,082.69 |
$1,697 |
2.6× |
| Mr safety determination physician/other qhp (76016) |
$95.49 |
$133 |
1.1× |
| 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 implt pos&/immoblj (76019) |
$224.73 |
$313 |
3.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$349.67 |
$487 |
1.4× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) |
$2,219.25 |
$3,184 |
9.0× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,082.64 |
$2,988 |
2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,498.74 |
$3,585 |
6.9× |
| 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 Without Contrast Material Unilateral (77046) |
$795.97 |
$1,142 |
3.2× |
| MRI cervical spine w contrast (72142) |
$1,430.03 |
$2,170 |
3.9× |
| MRI cervical spine w/o cont (72141) |
$1,144.02 |
$1,736 |
4.6× |
| 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 chest wo w contrast (71552) |
$3,017.31 |
$4,329 |
8.3× |
| 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 & w/contr matr (73720) |
$1,858.20 |
$2,666 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,238.57 |
$1,777 |
5.0× |
| MRI lumbar spine w contrast (72149) |
$1,430.03 |
$2,170 |
3.9× |
| Mri Neck Spine W/O & W/Dye (72156) |
$1,716.04 |
$2,604 |
4.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,074.27 |
$2,976 |
8.4× |
| MRI orbit face neck w contrast (70542) |
$2,592.84 |
$3,720 |
7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,111.41 |
$4,464 |
8.6× |
| MRI pelvis w contrast (72196) |
$1,801.05 |
$2,584 |
5.0× |
| MRI pelvis w/o & w contrast (72197) |
$2,161.40 |
$3,101 |
6.0× |
| MRI pelvis w/o contrast (72195) |
$1,440.70 |
$2,067 |
5.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,144.02 |
$1,736 |
4.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$2,021.30 |
$2,900 |
5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,617.04 |
$2,320 |
6.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,425.56 |
$3,480 |
6.7× |
| MRI, abdomen, combo (74183) |
$3,328.87 |
$4,776 |
9.2× |
| MRI, dorsal spine combo (72157) |
$1,716.04 |
$2,604 |
4.7× |
| MRI, dorsal spine contrast (72147) |
$1,430.03 |
$2,170 |
3.9× |
| MRI, joint upper extrem (73221) |
$1,323.60 |
$1,899 |
5.3× |
| MRI, joint upper extrem combo (73223) |
$1,985.75 |
$2,849 |
5.5× |
| MRI, lumbar spine combo (72158) |
$1,716.04 |
$2,604 |
4.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$647.57 |
$1,015 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$3,399.90 |
$5,329 |
2.5× |
| Neck soft tissue (70360) |
$223.30 |
$311 |
2.5× |
Nonvascular Shunt X-Ray (75809)
range across 2 matching MRF lines |
$48.36–$364.74 |
$107–$508 |
varies |
| Ob us nuchal meas 1 gest (76813) |
$356.59 |
$421 |
3.3× |
| Optic foramina (70190) |
$201.04 |
$280 |
2.2× |
| Parathyroid Planar Imaging (78070) |
$734.34 |
$1,151 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$177.35 |
$247 |
1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$734.34 |
$1,151 |
1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$353.97 |
$493 |
3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$513.37 |
$715 |
0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$338.18 |
$471 |
3.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$168.01 |
$234 |
1.9× |
| Radex elbow complete minimum 3 views (73080) |
$345.36 |
$481 |
3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$328.84 |
$458 |
3.0× |
| Radex fingr minimum 2 views (73140) |
$188.12 |
$262 |
2.1× |
| Radex foot complete minimum 3 views (73630) |
$318.79 |
$444 |
3.5× |
| Radex Hand Minimum 3 Views (73130) |
$255.61 |
$356 |
2.8× |
| Radex lower extremity infant minimum 2 views (73592) |
$133.55 |
$186 |
1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$235.50 |
$328 |
2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$246.99 |
$344 |
2.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$282.17 |
$393 |
3.1× |
| Radex shoulder complete minimum 2 views (73030) |
$318.79 |
$444 |
3.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$198.89 |
$277 |
2.2× |
| Radex Spine 1 View Specify Level (72020) |
$236.94 |
$330 |
2.6× |
| Radex Sternum Minimum 2 Views (71120) |
$166.58 |
$232 |
1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$280.02 |
$390 |
3.1× |
| Radex Toe Minimum 2 Views (73660) |
$184.53 |
$257 |
2.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$252.74 |
$352 |
2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$317.36 |
$442 |
3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$356.85 |
$497 |
3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$305.87 |
$426 |
2.8× |
| Radiologic exam colon double contrast study (74280) |
$727.33 |
$1,013 |
4.0× |
| Radiologic exam knee complete 4/more views (73564) |
$420.03 |
$585 |
3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$265.66 |
$370 |
2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$432.95 |
$603 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$634.71 |
$884 |
3.5× |
| Radiologic examination femur minimum 2 views (73552) |
$198.17 |
$276 |
2.2× |
| Radiologic examination knee 1/2 views (73560) |
$226.17 |
$315 |
2.5× |
| Radiologic Examination Osseous Survey Limited (77074) |
$234.79 |
$327 |
2.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$190.99 |
$266 |
2.1× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) |
$352.54 |
$491 |
0.6× |
| Renal Cyst Study (74470) |
$338.90 |
$472 |
0.6× |
| Ribs bilateral 3 views (71110) |
$328.13 |
$457 |
3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$523.80 |
$821 |
1.3× |
| 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× |
| Scapula (73010) |
$192.42 |
$268 |
1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$38.47 |
$49 |
1.6× |
| Sella turcica (70240) |
$129.24 |
$180 |
1.4× |
| Shoulder 1 view (73020) |
$231.20 |
$322 |
2.6× |
| Shoulder Arthrography (73040) |
$639.75 |
$918 |
1.8× |
| Skull less than 4 views (70250) |
$295.10 |
$411 |
2.7× |
| Sternoclavicular joints (71130) |
$264.22 |
$368 |
2.9× |
| Testicular Imaging W/Flow (78761) |
$586.96 |
$920 |
1.4× |
| Thoracic spine 2 views (72070) |
$353.97 |
$493 |
3.3× |
| Thoracic spine 3 views (72072) |
$366.90 |
$511 |
3.4× |
| Thoracolumbar 2 views (72080) |
$188.12 |
$262 |
2.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$620.14 |
$972 |
1.5× |
| Thyroid Met Imaging Body (78018) |
$1,419.55 |
$2,225 |
2.5× |
| 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× |
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines |
$492.11–$738.58 |
$581–$872 |
varies |
| Ultrasound Exam Aaa Screen (76706) |
$325.25 |
$384 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$754.68 |
$891 |
7.0× |
| Umbilical-artery Doppler (OB) (76820) |
$253.25 |
$299 |
2.3× |
| Upper gi w/o kub (74240) |
$478.19 |
$666 |
2.6× |
| Ureteral Reflux Study (78740) |
$537.83 |
$843 |
1.3× |
| Urethrocystogram voiding (74455) |
$577.99 |
$805 |
2.3× |
| Urethrocystography retrograde (74450) |
$510.50 |
$711 |
2.1× |
Us breast unilateral complete (76641)
range across 3 matching MRF lines |
$599.68–$899.51 |
$708–$1,062 |
varies |
| Us chest (76604) |
$503.12 |
$594 |
4.6× |
| Us complete joint (76881) |
$769.92 |
$909 |
7.1× |
| Us exam, pelvic, limited (76857) |
$648.80 |
$766 |
6.0× |
| Us head (76506) |
$439.59 |
$519 |
4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$496.34 |
$586 |
4.6× |
| Us ob detailed single fetus (76811) |
$528.53 |
$624 |
2.1× |
| Us ob limited 1 or more fetuses (76815) |
$452.30 |
$534 |
4.2× |
| Us ob transvaginal (76817) |
$583.58 |
$689 |
5.4× |
| Us pelvic non ob complete (76856) |
$885.12 |
$1,045 |
8.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$756.37 |
$893 |
7.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$459.92 |
$543 |
4.2× |
| 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 spinal canal and contents (76800) |
$344.73 |
$407 |
3.2× |
| Us thyroid (76536) |
$788.56 |
$931 |
7.3× |
| Us transrectal (76872) |
$509.05 |
$601 |
4.7× |
| Vascular Flow Imaging (78445) |
$515.50 |
$808 |
1.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) |
$604.19 |
$947 |
1.5× |
| Wrist 2 views (73100) |
$222.58 |
$310 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$270.69 |
$377 |
3.0× |
| X-Ray Bend Only L-S Spine (72120) |
$527.01 |
$734 |
4.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$280.02 |
$390 |
3.1× |
| X-Ray Exam Breast Specimen (76098) |
$185.24 |
$258 |
0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$249.15 |
$347 |
2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$357.56 |
$498 |
3.3× |
| 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 Exam Hips Bi 2 Views (73521) |
$196.01 |
$273 |
1.8× |
| X-Ray Exam L-S Spine Bending (72114) |
$611.74 |
$852 |
5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$337.46 |
$470 |
3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$547.83 |
$763 |
5.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$320.23 |
$446 |
2.9× |
| X-ray eye for foreign body (70030) |
$120.62 |
$168 |
1.3× |
| X-ray humerus (73060) |
$307.30 |
$428 |
3.4× |
| X-ray IV pyelogram (ivp) (74400) |
$1,107.16 |
$1,542 |
6.1× |
| X-ray IV pyelogram+tomography (74415) |
$1,000.17 |
$1,393 |
5.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$337.46 |
$470 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$377.67 |
$526 |
4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$269.25 |
$375 |
2.5× |
| X-ray nose-rectum child f.b. (76010) |
$97.65 |
$136 |
1.1× |
| 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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$247.71 |
$345 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$228.32 |
$318 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$312.33 |
$435 |
3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$338.90 |
$472 |
3.1× |
| X-ray thoracic spine 4 vw (72074) |
$422.18 |
$588 |
3.9× |
| X-Ray Tmj Unilat (70328) |
$185.96 |
$259 |
2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$616.76 |
$859 |
1.7× |
| X-Rays Bone Length Studies (77073) |
$408.54 |
$569 |
3.8× |
| X-Rays Bone Survey Complete (77075) |
$353.97 |
$493 |
3.3× |
| Xr c-spine 4 or 5 views (72050) |
$464.55 |
$647 |
4.3× |
| Xr facial bones less than 3 views (70140) |
$281.46 |
$392 |
3.1× |
| Xr orbits complete 4 views (70200) |
$373.36 |
$520 |
3.4× |
| Xr Tomogram Single Plane (76100) |
$353.97 |
$493 |
3.3× |