| Abdomen 2 views (74019) |
$107.66 |
$307.59 |
1.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$266.22 |
$760.63 |
0.7× |
| Angiography extremity bilateral rs&i (75716) |
$9,923.02 |
— |
3.3× |
| Angiography extremity unilateral rs&i (75710) |
$23,114.35 |
— |
7.6× |
| Angiography internal mammary rs&i (75756) |
$656.63 |
$1,876.08 |
0.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$26,688.76 |
— |
5.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,027.95 |
$5,794.14 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,027.95 |
$5,794.14 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,528.85 |
— |
1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$188.46 |
$538.46 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,793.45 |
$7,981.29 |
0.9× |
| Ankle 2 views (73600) |
$155.67 |
$444.78 |
1.9× |
| Aortogram thoracic (75605) |
$11,580.95 |
— |
2.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$8,881.24 |
— |
2.9× |
| Aortography abdominal serialography rs&i (75625) |
$13,285.73 |
— |
4.4× |
| Arthrogram hip (73525) |
$364.14 |
$1,040.40 |
1.1× |
| Arthrogram shoulder (73040) |
$364.14 |
$1,040.40 |
1.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$264.02 |
$754.33 |
0.7× |
| Bone &/joint imaging whole body (78306) |
$412.70 |
$1,179.15 |
1.1× |
| Bone age studies (77072) |
$107.66 |
$307.59 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$264.02 |
$754.33 |
0.7× |
| Bone Marrow Imaging Limited Area (78102) |
$372.76 |
$1,065.03 |
1.0× |
| Bone survey complete (77075) |
$107.66 |
$307.59 |
1.1× |
| Brain imaging < 4 static views w vascular flow (78601) |
$443.34 |
$1,266.69 |
1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$978.67 |
$2,796.21 |
2.9× |
| Cervical spine 2 or 3 views (72040) |
$79.99 |
$228.54 |
1.0× |
| Chest 1 view (71045) |
$13,063.93 |
— |
156.1× |
| Chest 3 views (71047) |
$79.99 |
$228.54 |
1.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$176.63 |
$504.66 |
1.0× |
| Cineradiography/videoradiography (76120) |
$97.16 |
$277.59 |
1.0× |
| Clavicle complete (73000) |
$79.99 |
$228.54 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,097.08 |
$3,134.52 |
3.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,058.69 |
— |
4.6× |
| CT abdomen w contrast (74160) |
$718.59 |
$2,053.12 |
4.3× |
| CT abdomen w wo contrast (74170) |
$1,082.20 |
$3,092 |
6.4× |
| CT abdomen w/o contrast (74150) |
$632.89 |
$1,808.27 |
6.3× |
| CT angio hrt w/3d image (75574) |
$330.08 |
$943.08 |
1.0× |
| CT angiography upper extremity lt (73206) |
$430.44 |
$1,229.82 |
2.6× |
| CT c-spine w/o contrast (72125) |
$431.78 |
$1,233.67 |
4.3× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$547.21 |
$1,563.45 |
3.2× |
| CT cervical spine w&w/o contrast (72127) |
$705.34 |
$2,015.25 |
4.2× |
| CT cervical spine with contrast (72126) |
$431.78 |
$1,233.67 |
1.3× |
| CT chest w/wo contrast (71270) |
$547.36 |
$1,563.90 |
3.2× |
| CT chest with contrast (71260) |
$547.36 |
$1,563.90 |
3.2× |
| CT head/brain with contrast (70460) |
$884.06 |
$2,525.88 |
5.2× |
| CT head/brain without and with contrast (70470) |
$430.44 |
$1,229.82 |
2.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$330.08 |
$943.08 |
1.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$17.50 |
$50 |
0.2× |
| CT hrt w/3d image congen (75573) |
$330.08 |
$943.08 |
1.0× |
| CT iac w contrast (70481) |
$305.92 |
$874.06 |
1.8× |
| CT limited/localized follow up study (76380) |
$111.22 |
$317.77 |
1.3× |
| CT lower ext w/o (73700) |
$430.44 |
$1,229.82 |
4.3× |
| CT lower extremity w wo contrast (73702) |
$430.44 |
$1,229.82 |
2.6× |
| CT lower extremity with contrast (73701) |
$430.44 |
$1,229.82 |
2.6× |
| CT lumbar spine w & w/o contrast (72133) |
$430.44 |
$1,229.82 |
2.6× |
| CT lumbar spine w/o contrast (72131) |
$221.77 |
$633.63 |
2.2× |
| CT lumbar spine with contrast (72132) |
$431.78 |
$1,233.67 |
1.3× |
| CT maxillofacial w contrast (70487) |
$707.13 |
$2,020.38 |
4.2× |
| CT maxillofacial w/o contrast (70486) |
$430.44 |
$1,229.82 |
4.3× |
| CT neck soft tissue w contrast (70491) |
$305.92 |
$874.06 |
1.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$430.44 |
$1,229.82 |
2.6× |
| CT orbits w/o contrast (70480) |
$221.77 |
$633.63 |
2.2× |
| CT pelvis w & w/o contrast (72194) |
$866.58 |
$2,475.94 |
5.1× |
| CT pelvis w/o contrast (72192) |
$626.88 |
$1,791.09 |
6.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$430.44 |
$1,229.82 |
2.6× |
| CT soft tissue neck w/o contrast (70490) |
$430.44 |
$1,229.82 |
4.3× |
| CT thoracic spine w/contrast (72129) |
$431.78 |
$1,233.67 |
2.6× |
| CT thoracic spine w/o contrast (72128) |
$431.78 |
$1,233.67 |
4.3× |
| CT thoracic spine w/wo contrast (72130) |
$705.34 |
$2,015.25 |
4.2× |
| CT thorax w/o contrast (71250) |
$547.36 |
$1,563.90 |
5.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$430.44 |
$1,229.82 |
2.6× |
| CT upper extremity w/o contrast rt (73200) |
$430.44 |
$1,229.82 |
4.3× |
| CT upper extremity with contrast (73201) |
$430.44 |
$1,229.82 |
1.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$548.75 |
$1,567.86 |
3.3× |
| Cta Abdomen (74175) |
$904.66 |
$2,584.75 |
5.4× |
| CTA abdomen pelvis (74174) |
$1,319.09 |
$3,768.84 |
3.9× |
| CTA chest (71275) |
$753.55 |
$2,153.01 |
4.5× |
| Cta Head (70496) |
$430.44 |
$1,229.82 |
2.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$977.64 |
$2,793.27 |
2.9× |
| CTA lwr ext w&w/o contrast (73706) |
$671.05 |
$1,917.28 |
4.0× |
| Cta Neck (70498) |
$547.21 |
$1,563.45 |
3.2× |
| Cta Pelvis (72191) |
$430.44 |
$1,229.82 |
2.6× |
| Cystography minimum 3 views rs&i (74430) |
$180.81 |
$516.60 |
0.5× |
| Diskogram cervical (72285) |
$1,790.09 |
$5,114.55 |
1.0× |
| Diskography lumbar (72295) |
$1,790.09 |
$5,114.55 |
1.0× |
| Esophagus (74220) |
$176.63 |
$504.66 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$224.96 |
$642.75 |
1.0× |
| Foot 2 views (73620) |
$155.67 |
$444.78 |
1.9× |
| Forearm 2 views (73090) |
$79.99 |
$228.54 |
1.0× |
| Gated Heart Planar Single (78472) |
$316.08 |
$903.10 |
0.8× |
| Hand 2 views (73120) |
$107.66 |
$307.59 |
1.1× |
| Hand 3 views (73130) |
$79.99 |
$228.54 |
1.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$448.30 |
$1,280.86 |
0.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$372.76 |
$1,065.03 |
1.0× |
| Ht muscle image spect sing (78451) |
$797.88 |
$2,279.66 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$79.99 |
$228.54 |
1.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$107.66 |
$307.59 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$483.90 |
$1,382.58 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$484.95 |
$1,385.58 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$427.20 |
$1,220.58 |
0.8× |
| Knee 3 views (73562) |
$79.99 |
$228.54 |
1.0× |
| Liver & spleen imaging static only (78215) |
$372.76 |
$1,065.03 |
1.0× |
| Lung Ventilation Imaging (78579) |
$238.44 |
$681.25 |
0.6× |
| Meckels Diverticulum (78290) |
$266.22 |
$760.63 |
0.7× |
| MRA head w & w/o contrast (70546) |
$109.30 |
$312.30 |
0.3× |
| MRA head w/o contrast (70544) |
$1,724.55 |
— |
7.5× |
| MRA head with contrast (70545) |
$109.30 |
$312.30 |
0.3× |
| MRA neck w contrast (70548) |
$480.55 |
$1,373 |
1.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$579.08 |
$1,654.51 |
1.7× |
| MRA neck w/o contrast (70547) |
$378.73 |
$1,082.09 |
1.7× |
| MRI abdomen w contrast (74182) |
$500.14 |
$1,428.98 |
1.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$570.76 |
$1,630.76 |
1.7× |
| MRI abdomen w/o contrast (74181) |
$470.59 |
$1,344.54 |
2.1× |
| MRI any jnt lwr ext with con lt (73722) |
$437.84 |
$1,250.96 |
0.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$437.84 |
$1,250.96 |
0.6× |
| MRI c-spine with contrast (72142) |
$728.75 |
$2,082.15 |
2.2× |
| MRI cardiac w/o cont stress (75559) |
$978.67 |
$2,796.21 |
1.9× |
| MRI cardiac w/o contrast (75557) |
$978.67 |
$2,796.21 |
4.3× |
| MRI cervical spine w/o contrast (72141) |
$723.53 |
$2,067.24 |
3.2× |
| MRI chest w/o & w/contrast material (71552) |
$579.08 |
$1,654.51 |
1.7× |
| MRI chest w/o contrast (71550) |
$378.73 |
$1,082.09 |
1.7× |
| MRI chest with contrast (71551) |
$437.84 |
$1,250.96 |
0.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$454.64 |
$1,298.98 |
1.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$472.50 |
$1,350 |
1.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$651.03 |
$1,860.10 |
2.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$378.73 |
$1,082.09 |
1.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$579.08 |
$1,654.51 |
1.7× |
| MRI orbit/face/neck w/contrast (70542) |
$437.84 |
$1,250.96 |
1.3× |
| MRI pelvis w contrast (72196) |
$630.69 |
$1,801.98 |
1.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$579.08 |
$1,654.51 |
1.7× |
| MRI pelvis w/o contrast (72195) |
$471.45 |
$1,347 |
2.1× |
| MRI scan of arm joint before and after contrast (73223) |
$579.08 |
$1,654.51 |
1.7× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$978.67 |
$2,796.21 |
1.3× |
| MRI scan of leg joint before and after contrast (73723) |
$579.08 |
$1,654.51 |
1.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$579.08 |
$1,654.51 |
1.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$437.84 |
$1,250.96 |
1.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$728.75 |
$2,082.15 |
2.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$437.84 |
$1,250.96 |
1.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$579.08 |
$1,654.51 |
1.7× |
| MRI thoracic spine w/o contrast (72146) |
$732.34 |
$2,092.39 |
3.2× |
| MRI tmj (70336) |
$358.93 |
$1,025.51 |
1.6× |
| MRI upper ext joint w/o contrast (73221) |
$630.69 |
$1,801.98 |
2.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$471.45 |
$1,347 |
1.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$425.09 |
$1,214.54 |
1.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,544.58 |
$4,413.09 |
1.2× |
| Myocardial Spect Multiple Studies (78452) |
$1,468.06 |
$4,194.45 |
1.2× |
| Neck soft tissue (70360) |
$79.99 |
$228.54 |
1.0× |
| Nm adrenal scan (78075) |
$590.45 |
$1,687 |
0.5× |
| Nm gastric emptying study (78264) |
$266.22 |
$760.63 |
0.7× |
| Nm gastroesophageal reflux study (78262) |
$372.76 |
$1,065.03 |
1.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$811.19 |
$2,317.68 |
0.6× |
| Nuclear medicine of heart pumping function (78473) |
$340.84 |
$973.82 |
0.9× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$1,177.88 |
$3,365.38 |
0.9× |
| Orthopantogram (70355) |
$79.99 |
$228.54 |
1.0× |
| Parathyroid imaging (78070) |
$214.55 |
$613 |
0.6× |
| Pelvis 1 or 2 views (72170) |
$107.66 |
$307.59 |
1.1× |
| Peritoneogram rs&i (74190) |
$339.36 |
$969.60 |
0.6× |
| PET image w/CT, skull-thigh (78815) |
$1,537.09 |
$4,391.70 |
1.1× |
| PET imaging for CT attenuation whole body (78816) |
$1,456.81 |
$4,162.32 |
1.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$579.08 |
$1,654.51 |
1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$372.76 |
$1,065.03 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$238.44 |
$681.25 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$188.46 |
$538.46 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$107.66 |
$307.59 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$107.66 |
$307.59 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$79.99 |
$228.54 |
0.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$107.66 |
$307.59 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$107.66 |
$307.59 |
1.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$79.99 |
$228.54 |
1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$107.66 |
$307.59 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$697.66 |
— |
8.3× |
| Radiologic exam colon single contrast study (74270) |
$176.63 |
$504.66 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$177.69 |
$507.69 |
1.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$177.69 |
$507.69 |
1.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$79.99 |
$228.54 |
1.0× |
| Ribs bilateral 3 views (71110) |
$107.66 |
$307.59 |
1.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,240.74 |
$3,544.98 |
2.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,240.61 |
$3,544.59 |
2.4× |
| Sacroiliac Joints < 3 Views (72200) |
$107.66 |
$307.59 |
1.1× |
| Scanogram (77073) |
$107.66 |
$307.59 |
1.1× |
| Scapula complete (73010) |
$107.66 |
$307.59 |
1.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$227.50 |
$650 |
2.3× |
| Small bowel series (74250) |
$176.63 |
$504.66 |
1.0× |
| Spine thoracic 3 views (72072) |
$107.66 |
$307.59 |
1.1× |
| Therapeutic Enema (74283) |
$176.63 |
$504.66 |
1.0× |
| Thoracolumbar 2 views (72080) |
$107.55 |
$307.29 |
1.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$346.87 |
$991.05 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$338.83 |
$968.10 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$169.73 |
$484.93 |
1.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$48.83 |
$139.51 |
0.6× |
| Unlisted magnetic resonance procedure (76498) |
$471.45 |
$1,347 |
5.6× |
| Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) |
$1,240.74 |
$3,544.98 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$943.11 |
— |
9.4× |
| Us breast unilateral limited (76642) |
$163.80 |
$468 |
2.0× |
| Us chest (76604) |
$169.30 |
$483.71 |
1.7× |
| Us guided compression repair (76936) |
$247.58 |
$707.37 |
1.2× |
| Us kidney transplant (76776) |
$294 |
$840 |
2.9× |
| Us pelvic non ob complete (76856) |
$107.55 |
$307.29 |
1.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$107.55 |
$307.29 |
1.1× |
| Us pregnancy ltd (76815) |
$107.66 |
$307.59 |
1.1× |
| Us retroperitoneal complete (76770) |
$226.82 |
$648.04 |
2.3× |
| Us retroperitoneal limited (76775) |
$169.73 |
— |
1.7× |
| Us scrotum and contents (76870) |
$107.55 |
$307.29 |
1.1× |
| Us soft tissue head/neck (76536) |
$109.30 |
$312.30 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$110.41 |
$315.45 |
1.1× |
| Venogram extremity bilateral (75822) |
$656.63 |
$1,876.08 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$12,361.48 |
— |
4.1× |
| Venography caval superior serialography rs&i (75827) |
$5,113.58 |
— |
3.4× |
| Venography extremity unilateral rs&i (75820) |
$5,275.13 |
— |
3.5× |
| Venography Renal Bilateral (75833) |
$2,147.19 |
$6,134.82 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$2,147.19 |
$6,134.82 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$656.63 |
$1,876.08 |
0.2× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,040.97 |
$5,831.34 |
0.4× |
| Wrist 2 views (73100) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$97.66 |
$279.02 |
1.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$195.53 |
$558.66 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$79.99 |
$228.54 |
1.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$107.66 |
$307.59 |
1.1× |
| X-ray exam hip uni 1 view (73501) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$107.66 |
$307.59 |
1.3× |
| X-ray eye for foreign body (70030) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$245 |
— |
2.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$86.74 |
$247.83 |
0.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$183.43 |
$524.10 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$107.66 |
$307.59 |
1.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$107.44 |
$306.96 |
1.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$107.66 |
$307.59 |
1.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$79.99 |
$228.54 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$79.99 |
$228.54 |
1.0× |
| Xr c-spine 6 or more views (72052) |
$107.66 |
$307.59 |
1.1× |
| Xr chest 4+ views (71048) |
$107.66 |
$307.59 |
1.1× |
| Xr finger(s) 2+ views (73140) |
$79.99 |
$228.54 |
1.0× |
| Xr shoulder 1 view (73020) |
$79.99 |
$228.54 |
1.0× |
| Xr spine cervical 4 or 5 views (72050) |
$107.66 |
$307.59 |
1.1× |
| Xr tibia/fibula 2 views (73590) |
$79.99 |
$228.54 |
1.0× |
| Xray knee 1 or 2 views rt (73560) |
$79.99 |
$228.54 |
1.0× |