| Abdomen 2 views (74019) |
$104.22 |
$166.50 |
0.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$85.07 |
$126 |
0.2× |
| Ankle 2 views (73600) |
$155.20 |
$241 |
1.7× |
| Arthrogram hip (73525) |
$67.49 |
$152 |
0.2× |
| Arthrogram shoulder (73040) |
$63.05 |
$142 |
0.2× |
| Arthrogram wrist (73115) |
$64.82 |
$146 |
0.2× |
| Arthrography knee lt (73580) |
$106.80 |
$390 |
0.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$54.01 |
$80 |
0.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$71.57 |
$106 |
0.2× |
| Bone &/joint imaging whole body (78306) |
$74.27 |
$110 |
0.2× |
| Bone age studies (77072) |
$126.94 |
$201 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$87.77 |
$130 |
0.2× |
| Bone survey complete (77075) |
$157.98 |
$256.50 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$182.90 |
$288.50 |
2.0× |
| Chest 1 view (71045) |
$135.44 |
$228.50 |
1.5× |
| Chest 3 views (71047) |
$166.36 |
$281.50 |
1.8× |
| Clavicle complete (73000) |
$19.54 |
$44 |
0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$214.24 |
$386 |
1.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,770.32 |
$3,087.50 |
4.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,191.58 |
$2,084 |
4.7× |
| CT abdomen w contrast (74160) |
$997.55 |
$1,742 |
5.3× |
| CT abdomen w wo contrast (74170) |
$1,193.33 |
$2,082 |
6.4× |
| CT abdomen w/o contrast (74150) |
$802.88 |
$1,404.50 |
7.2× |
| CT angiography upper extremity lt (73206) |
$646.27 |
$1,143 |
3.5× |
| CT c-spine w/o contrast (72125) |
$609.38 |
$1,067.50 |
5.5× |
| CT cervical spine w&w/o contrast (72127) |
$907.29 |
$1,586 |
4.8× |
| CT cervical spine with contrast (72126) |
$760.92 |
$1,332.50 |
2.0× |
| CT chest w/wo contrast (71270) |
$1,137.44 |
$1,985 |
6.1× |
| CT chest with contrast (71260) |
$950.92 |
$1,661 |
5.1× |
| CT head/brain with contrast (70460) |
$573.78 |
$956 |
3.1× |
| CT head/brain without and with contrast (70470) |
$685.96 |
$1,141.50 |
3.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$104.88 |
$168 |
1.1× |
| CT iac w contrast (70481) |
$599.83 |
$998.50 |
3.2× |
| CT limited/localized follow up study (76380) |
$386.38 |
$593.50 |
4.2× |
| CT lower ext w/o (73700) |
$114.55 |
$258 |
1.0× |
| CT lower extremity w wo contrast (73702) |
$138.53 |
$312 |
0.7× |
| CT lower extremity with contrast (73701) |
$131.42 |
$296 |
0.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,046.90 |
$1,827 |
5.6× |
| CT lumbar spine w/o contrast (72131) |
$702.60 |
$1,228.50 |
6.3× |
| CT lumbar spine with contrast (72132) |
$877.30 |
$1,533.50 |
2.4× |
| CT maxillofacial w contrast (70487) |
$557.53 |
$929.50 |
3.0× |
| CT maxillofacial w/o contrast (70486) |
$444.85 |
$741 |
4.0× |
| CT maxillofacial w/wo contrast (70488) |
$666.66 |
$1,110 |
3.6× |
| CT neck soft tissue w contrast (70491) |
$541.65 |
$908 |
2.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$717.01 |
$1,192 |
3.8× |
| CT orbits w/o contrast (70480) |
$490.34 |
$822.50 |
4.4× |
| CT pelvis w & w/o contrast (72194) |
$1,212.54 |
$2,112.50 |
6.5× |
| CT pelvis w/o contrast (72192) |
$815.98 |
$1,425.50 |
7.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$106.40 |
$187.50 |
1.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$649.28 |
$1,088 |
3.5× |
| CT soft tissue neck w/o contrast (70490) |
$438.45 |
$738 |
3.9× |
| CT thoracic spine w/contrast (72129) |
$795.95 |
$1,393 |
4.3× |
| CT thoracic spine w/o contrast (72128) |
$637.46 |
$1,116 |
5.7× |
| CT thoracic spine w/wo contrast (72130) |
$949.56 |
$1,659 |
5.1× |
| CT thorax w/o contrast (71250) |
$765 |
$1,338.50 |
6.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$139.42 |
$314 |
0.7× |
| CT upper extremity w/o contrast rt (73200) |
$114.55 |
$258 |
1.0× |
| CT upper extremity with contrast (73201) |
$131.42 |
$296 |
0.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,475.65 |
$2,237.50 |
7.9× |
| Cta Abdomen (74175) |
$1,262.78 |
$2,208 |
6.7× |
| CTA abdomen pelvis (74174) |
$1,861.12 |
$3,247 |
5.0× |
| CTA chest (71275) |
$1,205.10 |
$2,108.50 |
6.4× |
| Cta Head (70496) |
$732 |
$1,225 |
3.9× |
| CTA lwr ext w&w/o contrast (73706) |
$213.12 |
$480 |
1.1× |
| Cta Neck (70498) |
$682.96 |
$1,145 |
3.6× |
| Cta Pelvis (72191) |
$639.90 |
$1,132 |
3.4× |
| Cystography minimum 3 views rs&i (74430) |
$142.73 |
$228 |
0.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$314.32 |
$448 |
2.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$246.95 |
$387.50 |
2.2× |
| Echoencephalography real time imaging (76506) |
$253.85 |
$364 |
2.3× |
| Esophagus (74220) |
$232.52 |
$373 |
1.2× |
| Fetal biophysical profile non-stress testing (76818) |
$257.51 |
$379 |
2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$219.08 |
$319.50 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$281.94 |
$444 |
1.1× |
| Foot 2 views (73620) |
$146.19 |
$227 |
1.6× |
| Forearm 2 views (73090) |
$144.90 |
$225 |
1.6× |
| Gated Heart Planar Single (78472) |
$83.72 |
$124 |
0.2× |
| Hand 2 views (73120) |
$244.08 |
$379 |
2.2× |
| Hand 3 views (73130) |
$20.42 |
$46 |
0.2× |
| Heart Infarct Image (78466) |
$61.44 |
$91 |
0.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$77.64 |
$115 |
0.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$62.79 |
$93 |
0.1× |
| Ht muscle image spect sing (78451) |
$116.13 |
$172 |
0.1× |
| Humerus Min 2 Views Left (73060) |
$218.32 |
$339 |
2.4× |
| Hysterosalpingogram (74740) |
$345.44 |
$544 |
1.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$126.88 |
$204 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$81.02 |
$120 |
0.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$101.95 |
$151 |
0.2× |
| Knee 3 views (73562) |
$22.20 |
$50 |
0.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$47.26 |
$70 |
0.1× |
| Liver imaging w/vascular flow (78202) |
$41.86 |
$62 |
0.1× |
| Lung perf&ventilat diferentl (78598) |
$70.89 |
$105 |
0.1× |
| Lung perfusion differential (78597) |
$61.44 |
$91 |
0.1× |
| Lung Ventilation Imaging (78579) |
$41.86 |
$62 |
0.1× |
| Meckels Diverticulum (78290) |
$57.39 |
$85 |
0.1× |
| Mr safety determination physician/other qhp (76016) |
$51.64 |
$92 |
0.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$110.03 |
$182.50 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$24.47 |
$38 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$82.27 |
$142.50 |
0.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$166.76 |
$274 |
0.7× |
| MRA head w & w/o contrast (70546) |
$657.19 |
$1,648 |
1.8× |
| MRA head w/o contrast (70544) |
$444.05 |
$1,112 |
1.7× |
| MRA head with contrast (70545) |
$546.62 |
$1,371 |
1.5× |
| MRA neck w contrast (70548) |
$902.96 |
$2,268.50 |
2.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,083.46 |
$2,722 |
2.9× |
| MRA neck w/o contrast (70547) |
$722.46 |
$1,815 |
2.8× |
| MRI abdomen w contrast (74182) |
$1,305.92 |
$2,151 |
3.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,570.13 |
$2,588 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$1,047.04 |
$1,726 |
4.1× |
| MRI any jnt lwr ext with con lt (73722) |
$186.48 |
$420 |
0.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$186.48 |
$420 |
0.2× |
| MRI breast w/o contrast bilateral (77047) |
$595.90 |
$996 |
2.3× |
| MRI breast w/o contrast unilat (77046) |
$506.98 |
$849 |
2.0× |
| MRI c-spine with contrast (72142) |
$1,001.96 |
$1,634 |
2.7× |
| MRI cervical spine w/o contrast (72141) |
$802.99 |
$1,310.50 |
3.2× |
| MRI chest w/o & w/contrast material (71552) |
$1,057.94 |
$1,757.50 |
2.8× |
| MRI chest w/o contrast (71550) |
$704.55 |
$1,170 |
2.8× |
| MRI chest with contrast (71551) |
$877.80 |
$1,456 |
1.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$186.48 |
$420 |
0.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$638.68 |
$1,066 |
1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$153.62 |
$346 |
0.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,230.54 |
$2,018.50 |
4.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,849.52 |
$3,036 |
5.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,537.07 |
$2,520.50 |
4.1× |
| MRI pelvis w contrast (72196) |
$961.89 |
$1,592.50 |
2.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,157.10 |
$1,917.50 |
3.1× |
| MRI pelvis w/o contrast (72195) |
$771.70 |
$1,279 |
3.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,015.24 |
$1,686.50 |
2.7× |
| MRI scan of leg joint before and after contrast (73723) |
$244.20 |
$550 |
0.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,206.16 |
$1,969.50 |
3.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,737.28 |
$2,808.50 |
4.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,088.82 |
$3,379.50 |
5.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$931.31 |
$1,521 |
2.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,121.64 |
$1,834.50 |
3.0× |
| MRI thoracic spine w/o contrast (72146) |
$746.65 |
$1,220.50 |
2.9× |
| MRI tmj (70336) |
$509.11 |
$853 |
2.0× |
| MRI upper ext joint w/o contrast (73221) |
$156.29 |
$352 |
0.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$244.20 |
$550 |
0.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$154.51 |
$348 |
0.6× |
| Myelogram Cervical (72240) |
$684.04 |
$1,080.50 |
0.8× |
| Myelogram Lumbar (72265) |
$690.50 |
$1,088.50 |
0.8× |
| Myelogram thoracic (72255) |
$684.93 |
$1,082.50 |
0.8× |
| Myelography 2 or more regions (72270) |
$732 |
$1,163.50 |
0.9× |
| Myocardial Spect Multiple Studies (78452) |
$137.06 |
$203 |
0.1× |
| Neck soft tissue (70360) |
$150.88 |
$238 |
1.6× |
| Nm gastric emptying study (78264) |
$67.52 |
$100 |
0.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$288.82 |
$417 |
2.6× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$270.10 |
$370 |
2.4× |
| Osseous survey infant (77076) |
$227.35 |
$367 |
2.0× |
| Parathyroid imaging (78070) |
$67.52 |
$100 |
0.2× |
| Pelvis 1 or 2 views (72170) |
$130.04 |
$205.50 |
1.2× |
| Pr heart first pass single,planar (78481) |
$83.72 |
$124 |
0.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$243.31 |
$548 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$62.79 |
$93 |
0.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$91.15 |
$135 |
0.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$156.24 |
$253 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$135.60 |
$216 |
1.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$151.32 |
$241.50 |
1.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$179.68 |
$283.50 |
1.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$39.96 |
$90 |
0.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$212.60 |
$338.50 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$146.75 |
$233 |
1.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$71.66 |
$115 |
0.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$121.76 |
$194.50 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$157.06 |
$265 |
1.7× |
| Radiologic exam colon single contrast study (74270) |
$202.76 |
$335.50 |
1.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$412.15 |
$658 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$385.02 |
$614 |
2.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$21.31 |
$48 |
0.2× |
| Radiological examination surgical specimen (76098) |
$64.80 |
$107 |
0.1× |
| Ribs bilateral 3 views (71110) |
$191.01 |
$302.50 |
1.7× |
| Sacroiliac Joints < 3 Views (72200) |
$122.96 |
$194.50 |
1.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$306.80 |
$438.50 |
1.2× |
| Scanogram (77073) |
$208.92 |
$330 |
1.9× |
| Scapula complete (73010) |
$21.31 |
$48 |
0.2× |
| Screening digital breast tomosynthesis (77063) |
$36.72 |
$70 |
1.6× |
| Sella turcica (70240) |
$78.86 |
$126.50 |
0.8× |
| Small bowel series (74250) |
$177.55 |
$292 |
0.9× |
| Spine thoracic 3 views (72072) |
$238.18 |
$374.50 |
2.1× |
| Therapeutic Enema (74283) |
$311.82 |
$525.50 |
1.7× |
| Thoracolumbar 2 views (72080) |
$108.94 |
$173.50 |
1.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$31.73 |
$47 |
0.1× |
| Thyroid uptake measurement (78012) |
$16.88 |
$25 |
0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$42.54 |
$63 |
0.1× |
| Tmj unilateral (70328) |
$75.85 |
$121.50 |
0.8× |
| Ultrasound, abdomen limited (76705) |
$395.52 |
$556.50 |
3.5× |
| Umbilical-artery Doppler (OB) (76820) |
$133.06 |
$195 |
1.2× |
| Upper Extremity Infant (73092) |
$18.65 |
$42 |
0.2× |
| Urethrocystography retrograde rs&i (74450) |
$252.44 |
$398.50 |
1.0× |
| Urethrocystography voiding (74455) |
$369.32 |
$580 |
1.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$316.98 |
$502 |
1.7× |
| Us abdl aorta screen aaa (76706) |
$178.18 |
$258 |
1.6× |
| Us breast unilateral complete (76641) |
$296.80 |
$434 |
2.7× |
| Us breast unilateral limited (76642) |
$264.50 |
$388 |
2.8× |
| Us chest (76604) |
$229.59 |
$329 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$242.82 |
$348.50 |
2.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$272.96 |
$403.50 |
2.4× |
| Us infant hips dynamic (76885) |
$162.71 |
$241.50 |
1.8× |
| Us kidney transplant (76776) |
$227.84 |
$331.50 |
2.0× |
| Us ob detailed single fetus (76811) |
$355.94 |
$535 |
1.4× |
| Us ob transvaginal (76817) |
$314.04 |
$449 |
2.8× |
| Us pelvic non ob complete (76856) |
$403.88 |
$570.50 |
3.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$318.98 |
$449.50 |
2.9× |
| Us pregnancy ltd (76815) |
$273.42 |
$391 |
2.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$403.64 |
$578 |
3.6× |
| Us retroperitoneal complete (76770) |
$405.22 |
$573.50 |
3.6× |
| Us retroperitoneal limited (76775) |
$258.42 |
$368.50 |
2.3× |
| Us scrotum and contents (76870) |
$372.62 |
$526.50 |
3.3× |
| Us soft tissue head/neck (76536) |
$400.55 |
$563 |
3.6× |
| Us spinal canal and contents (76800) |
$178.94 |
$274.50 |
1.6× |
| Us xtr non-vasc lmtd (76882) |
$262.18 |
$371.50 |
2.4× |
| Venography extremity unilateral rs&i (75820) |
$272.53 |
$437 |
0.2× |
| Wrist 2 views (73100) |
$139.10 |
$216 |
1.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$144.34 |
$230.50 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$109.56 |
$174 |
1.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$20.42 |
$46 |
0.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$322.96 |
$526.50 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$146.83 |
$228 |
1.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$20.42 |
$46 |
0.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$208.46 |
$331 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$72.85 |
$117 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$200.93 |
$316.50 |
2.2× |
| X-ray exam hip uni 4/> views (73503) |
$255.28 |
$402 |
2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$233.84 |
$369 |
2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$274.10 |
$432 |
2.5× |
| X-ray exam of femur 1 (73551) |
$19.54 |
$44 |
0.2× |
| X-ray eye for foreign body (70030) |
$19.54 |
$44 |
0.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$165.23 |
$262 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$91.64 |
$146.50 |
1.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$19.54 |
$44 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$18.65 |
$42 |
0.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$81.32 |
$130 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$25.75 |
$58 |
0.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$154.19 |
$243 |
1.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$18.65 |
$42 |
0.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$235.06 |
$369.50 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$375.10 |
$588.50 |
3.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$194.81 |
$307 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$109.76 |
$174 |
1.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$63.61 |
$102.50 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$143.46 |
$228.50 |
1.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$157.06 |
$249 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$174.52 |
$275.50 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$216.75 |
$342 |
1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$272.40 |
$429.50 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$204.04 |
$321.50 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$109.11 |
$173 |
1.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$22.20 |
$50 |
0.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$169.05 |
$267 |
1.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$147.75 |
$233 |
1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$154.08 |
$245 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$103.56 |
$165 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$128.63 |
$203 |
1.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$133.63 |
$212 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$105.82 |
$168.50 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$195.01 |
$307 |
1.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$243.13 |
$382.50 |
2.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$15.98 |
$36 |
0.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$20.42 |
$46 |
0.2× |
| Xr c-spine 6 or more views (72052) |
$296.20 |
$466 |
2.7× |
| Xr chest 4+ views (71048) |
$210.36 |
$355.50 |
1.9× |
| Xr Cholecystography Oral Contrast (74290) |
$149.17 |
$238 |
0.8× |
| Xr finger(s) 2+ views (73140) |
$16.87 |
$38 |
0.2× |
| Xr internal auditory meati complete (70134) |
$127.42 |
$205 |
0.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$21.31 |
$48 |
0.2× |
| Xr shoulder 1 view (73020) |
$17.76 |
$40 |
0.2× |
| Xr spine cervical 4 or 5 views (72050) |
$248.84 |
$392 |
2.2× |
| Xr tibia/fibula 2 views (73590) |
$170.66 |
$265 |
1.8× |
| Xr tmj bilateral (70330) |
$191.61 |
$302.50 |
2.1× |
| Xray knee 1 or 2 views rt (73560) |
$19.54 |
$44 |
0.2× |