| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,500 |
$8,750 |
2.7× |
| Abdomen 2 views (74019) |
$140 |
$350 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$836 |
$2,090 |
2.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,308 |
$5,770 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$2,544 |
$6,360 |
0.9× |
| Ankle 2 views (73600) |
$120 |
$300 |
1.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$504 |
$1,260 |
1.6× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,584 |
$3,960 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,828 |
$4,570 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,524 |
$3,810 |
0.5× |
| Arthrogram hip (73525) |
$544 |
$1,360 |
1.7× |
| Arthrogram shoulder (73040) |
$428 |
$1,070 |
1.3× |
| Arthrogram wrist (73115) |
$492 |
$1,230 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$316 |
$790 |
2.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$512 |
$1,280 |
1.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$612 |
$1,530 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$724 |
$1,810 |
2.0× |
| Bone age studies (77072) |
$140 |
$350 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$848 |
$2,120 |
2.3× |
| Bone Marrow Imaging Limited Area (78102) |
$760 |
$1,900 |
2.1× |
| Bone survey complete (77075) |
$320 |
$800 |
3.3× |
| Brain image w/flow 4 + views (78606) |
$804 |
$2,010 |
1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,632 |
$6,580 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$90.60 |
$226.50 |
1.1× |
| Chest 1 view (71045) |
$62.40 |
$156 |
0.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$328 |
$820 |
2.0× |
| Clavicle complete (73000) |
$132 |
$330 |
1.6× |
| Continuing medical physics consltj pr wk (77336) |
$404 |
$1,010 |
3.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,744 |
$4,360 |
5.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,232 |
$3,080 |
5.6× |
| CT abdomen w contrast (74160) |
$804 |
$2,010 |
5.0× |
| CT abdomen w wo contrast (74170) |
$1,008 |
$2,520 |
6.2× |
| CT abdomen w/o contrast (74150) |
$760 |
$1,900 |
7.9× |
| CT angio hrt w/3d image (75574) |
$912 |
$2,280 |
2.8× |
| CT angiography upper extremity lt (73206) |
$824 |
$2,060 |
5.1× |
| CT c-spine w/o contrast (72125) |
$724 |
$1,810 |
7.5× |
| CT cervical spine with contrast (72126) |
$876 |
$2,190 |
2.7× |
| CT chest w/wo contrast (71270) |
$872 |
$2,180 |
5.4× |
| CT chest with contrast (71260) |
$804 |
$2,010 |
5.0× |
| CT head/brain with contrast (70460) |
$696 |
$1,740 |
4.3× |
| CT head/brain without and with contrast (70470) |
$936 |
$2,340 |
5.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$868 |
$2,170 |
2.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$264 |
$660 |
3.3× |
| CT iac w contrast (70481) |
$700 |
$1,750 |
4.3× |
| CT limited/localized follow up study (76380) |
$340 |
$850 |
4.2× |
| CT lower ext w/o (73700) |
$560 |
$1,400 |
5.8× |
| CT lower extremity w wo contrast (73702) |
$736 |
$1,840 |
4.6× |
| CT lower extremity with contrast (73701) |
$632 |
$1,580 |
3.9× |
| CT lumbar spine w & w/o contrast (72133) |
$932 |
$2,330 |
5.8× |
| CT lumbar spine w/o contrast (72131) |
$768 |
$1,920 |
8.0× |
| CT lumbar spine with contrast (72132) |
$812 |
$2,030 |
2.5× |
| CT maxillofacial w contrast (70487) |
$772 |
$1,930 |
4.8× |
| CT maxillofacial w/o contrast (70486) |
$636 |
$1,590 |
6.6× |
| CT maxillofacial w/wo contrast (70488) |
$816 |
$2,040 |
5.1× |
| CT neck soft tissue w contrast (70491) |
$772 |
$1,930 |
4.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$824 |
$2,060 |
5.1× |
| CT orbits w/o contrast (70480) |
$604 |
$1,510 |
6.3× |
| CT pelvis w & w/o contrast (72194) |
$948 |
$2,370 |
5.9× |
| CT pelvis w/o contrast (72192) |
$652 |
$1,630 |
6.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$804 |
$2,010 |
5.0× |
| CT soft tissue neck w/o contrast (70490) |
$628 |
$1,570 |
6.5× |
| CT thoracic spine w/contrast (72129) |
$724 |
$1,810 |
4.5× |
| CT thoracic spine w/o contrast (72128) |
$708 |
$1,770 |
7.4× |
| CT thoracic spine w/wo contrast (72130) |
$932 |
$2,330 |
5.8× |
| CT thorax w/o contrast (71250) |
$682 |
$1,705 |
7.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$820 |
$2,050 |
5.1× |
| CT upper extremity w/o contrast rt (73200) |
$560 |
$1,400 |
5.8× |
| CT upper extremity with contrast (73201) |
$612 |
$1,530 |
1.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,108 |
$2,770 |
6.9× |
| Cta Abdomen (74175) |
$1,072 |
$2,680 |
6.6× |
| CTA abdomen pelvis (74174) |
$1,476 |
$3,690 |
4.6× |
| CTA chest (71275) |
$1,056 |
$2,640 |
6.5× |
| Cta Head (70496) |
$1,032 |
$2,580 |
6.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,696 |
$4,240 |
5.3× |
| CTA lwr ext w&w/o contrast (73706) |
$844 |
$2,110 |
5.2× |
| Cta Neck (70498) |
$956 |
$2,390 |
5.9× |
| Cta Pelvis (72191) |
$1,028 |
$2,570 |
6.4× |
| Cystography minimum 3 views rs&i (74430) |
$348 |
$870 |
1.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$200 |
$500 |
2.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$216 |
$540 |
2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$112 |
$280 |
1.4× |
| Echoencephalography real time imaging (76506) |
$280 |
$700 |
2.9× |
| Esophagus (74220) |
$292 |
$730 |
1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$240 |
$600 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$105.60 |
$264 |
0.5× |
| Foot 2 views (73620) |
$120 |
$300 |
1.5× |
| Forearm 2 views (73090) |
$128 |
$320 |
1.6× |
| Gated Heart Planar Single (78472) |
$888 |
$2,220 |
2.4× |
| Hand 2 views (73120) |
$152 |
$380 |
1.6× |
| Hand 3 views (73130) |
$140 |
$350 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$640 |
$1,600 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$824 |
$2,060 |
2.2× |
| Ht muscle image spect sing (78451) |
$1,360 |
$3,400 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$136 |
$340 |
1.7× |
| Hysterosalpingogram (74740) |
$392 |
$980 |
1.8× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$112 |
$280 |
1.2× |
| Kidney imaging morphology (78700) |
$600 |
$1,500 |
1.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$828 |
$2,070 |
1.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$864 |
$2,160 |
1.7× |
| Knee 3 views (73562) |
$148 |
$370 |
1.8× |
| Lung perf&ventilat diferentl (78598) |
$848 |
$2,120 |
1.7× |
| Lymphoscintigraphy (78195) |
$792 |
$1,980 |
1.6× |
| Mammary ductogram or galactogram multiple (77054) |
$288 |
$720 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$220 |
$550 |
1.0× |
| Meckels Diverticulum (78290) |
$652 |
$1,630 |
1.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,320 |
$3,300 |
3.8× |
| Mr safety determination physician/other qhp (76016) |
$108 |
$270 |
1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$32 |
$80 |
1.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$104 |
$260 |
1.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$290 |
$725 |
1.3× |
| MRA head w & w/o contrast (70546) |
$1,264 |
$3,160 |
3.9× |
| MRA head w/o contrast (70544) |
$1,102 |
$2,755 |
5.0× |
| MRA head with contrast (70545) |
$1,132 |
$2,830 |
3.5× |
| MRA neck w contrast (70548) |
$976 |
$2,440 |
3.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,466 |
$3,665 |
4.6× |
| MRA neck w/o contrast (70547) |
$1,020 |
$2,550 |
4.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,484 |
$3,710 |
4.6× |
| MRI abdomen w/o contrast (74181) |
$928 |
$2,320 |
4.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,524 |
$3,810 |
2.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,476 |
$3,690 |
2.0× |
| MRI breast w/o contrast bilateral (77047) |
$976 |
$2,440 |
4.4× |
| MRI breast w/o contrast unilat (77046) |
$692 |
$1,730 |
3.2× |
| MRI cervical spine w/o contrast (72141) |
$992 |
$2,480 |
4.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,496 |
$3,740 |
4.7× |
| MRI chest w/o contrast (71550) |
$1,100 |
$2,750 |
5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$892 |
$2,230 |
4.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,224 |
$3,060 |
5.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,528 |
$3,820 |
4.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,304 |
$3,260 |
4.1× |
| MRI pelvis w/o contrast (72195) |
$908 |
$2,270 |
4.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,256 |
$3,140 |
3.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,324 |
$3,310 |
4.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,356 |
$3,390 |
4.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,344 |
$3,360 |
4.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,492 |
$3,730 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$952 |
$2,380 |
4.3× |
| MRI tmj (70336) |
$904 |
$2,260 |
4.1× |
| MRI upper ext joint w/o contrast (73221) |
$976 |
$2,440 |
4.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,460 |
$3,650 |
4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$872 |
$2,180 |
4.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,958 |
$4,895 |
1.6× |
| Neck soft tissue (70360) |
$108 |
$270 |
1.3× |
| Nm cisternogram (78630) |
$860 |
$2,150 |
1.7× |
| Nm gastric emptying study (78264) |
$748 |
$1,870 |
2.0× |
| Nm peritoneal-venous shunt patency (78291) |
$580 |
$1,450 |
1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,044 |
$10,110 |
3.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,112 |
$5,280 |
1.8× |
| Nuclear Rx Oral Admin (79005) |
$564 |
$1,410 |
2.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$156 |
$390 |
1.6× |
| Orthopantogram (70355) |
$144 |
$360 |
1.8× |
| Osseous survey infant (77076) |
$176 |
$440 |
1.8× |
| Osseous survey limited (77074) |
$232 |
$580 |
2.4× |
| Parathyrd planar w/wo subtrj (78071) |
$684 |
$1,710 |
1.9× |
| Parathyroid imaging (78070) |
$696 |
$1,740 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$84.80 |
$212 |
0.9× |
| PET image w/CT, skull-thigh (78815) |
$2,632 |
$6,580 |
2.0× |
| PET imaging CT for attenuation limited area (78814) |
$2,304 |
$5,760 |
1.8× |
| PET imaging for CT attenuation whole body (78816) |
$2,668 |
$6,670 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,348 |
$3,370 |
4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$524 |
$1,310 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$732 |
$1,830 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$492 |
$1,230 |
1.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$116 |
$290 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$139 |
$347.50 |
1.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$97 |
$242.50 |
1.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$9,680 |
$24,200 |
1.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$564 |
$1,410 |
1.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$320 |
$800 |
3.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$348 |
$870 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$200 |
$500 |
2.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$66.40 |
$166 |
0.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$264 |
$660 |
2.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$82.20 |
$205.50 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$456 |
$1,140 |
2.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$360 |
$900 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$420 |
$1,050 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$372 |
$930 |
2.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$128 |
$320 |
1.6× |
| Radiological examination surgical specimen (76098) |
$280 |
$700 |
0.6× |
| Ribs bilateral 3 views (71110) |
$218.40 |
$546 |
2.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,096 |
$2,740 |
2.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,364 |
$3,410 |
2.7× |
| Rp Therapy Intravenous Administration (79101) |
$548 |
$1,370 |
2.6× |
| Sacroiliac Joints < 3 Views (72200) |
$18.40 |
$46 |
0.2× |
| Scanogram (77073) |
$101.60 |
$254 |
1.1× |
| Scapula complete (73010) |
$140 |
$350 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$36 |
$90 |
1.5× |
| Small bowel series (74250) |
$332 |
$830 |
2.1× |
| Spec medical radj physics consltj (77370) |
$528 |
$1,320 |
4.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$744 |
$1,860 |
2.2× |
| Special treatment procedure (77470) |
$1,380 |
$3,450 |
2.7× |
| Spine thoracic 3 views (72072) |
$188 |
$470 |
2.0× |
| Stereotactic body radiation delivery (77373) |
$5,232 |
$13,080 |
3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$848 |
$2,120 |
2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$440 |
$1,100 |
1.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,116 |
$2,790 |
3.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$584 |
$1,460 |
4.7× |
| Thoracolumbar 2 views (72080) |
$21.20 |
$53 |
0.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$924 |
$2,310 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$424 |
$1,060 |
1.2× |
| Thyroid uptake measurement (78012) |
$288 |
$720 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$472 |
$1,180 |
1.3× |
| Tomogram (76100) |
$320 |
$800 |
3.3× |
| Treatment device intermediate (77333) |
$472 |
$1,180 |
3.8× |
| Treatment devices simple (77332) |
$388 |
$970 |
3.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,552 |
$3,880 |
3.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$648 |
$1,620 |
1.8× |
| Tx devices design & construction complex (77334) |
$724 |
$1,810 |
2.1× |
| Ultrasound, abdomen limited (76705) |
$250 |
$625 |
2.6× |
| Umbilical-artery Doppler (OB) (76820) |
$192 |
$480 |
2.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$256 |
$640 |
3.2× |
| Upper Extremity Infant (73092) |
$124 |
$310 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$408 |
$1,020 |
1.9× |
| Urethrocystography voiding (74455) |
$436 |
$1,090 |
2.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$492 |
$1,230 |
3.1× |
| Us abdl aorta screen aaa (76706) |
$204 |
$510 |
2.1× |
| Us breast unilateral complete (76641) |
$306 |
$765 |
3.2× |
| Us breast unilateral limited (76642) |
$200 |
$500 |
2.5× |
| Us chest (76604) |
$148 |
$370 |
1.5× |
| Us compl joint r-t w/image documentation (76881) |
$268 |
$670 |
2.8× |
| Us elastography parenchyma (76981) |
$204 |
$510 |
2.1× |
| Us guided compression repair (76936) |
$272 |
$680 |
1.4× |
| Us infant hips dynamic (76885) |
$264 |
$660 |
3.3× |
| Us kidney transplant (76776) |
$236 |
$590 |
2.5× |
| Us ob transvaginal (76817) |
$212 |
$530 |
2.2× |
| Us pelvic non ob complete (76856) |
$300 |
$750 |
3.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$142.80 |
$357 |
1.5× |
| Us pregnancy ltd (76815) |
$202 |
$505 |
2.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$228 |
$570 |
2.4× |
| Us retroperitoneal complete (76770) |
$276 |
$690 |
2.9× |
| Us retroperitoneal limited (76775) |
$236 |
$590 |
2.5× |
| Us scrotum and contents (76870) |
$240 |
$600 |
2.5× |
| Us soft tissue head/neck (76536) |
$320 |
$800 |
3.3× |
| Us spinal canal and contents (76800) |
$232 |
$580 |
2.4× |
| Us transrectal (76872) |
$195.20 |
$488 |
2.0× |
| Us xtr non-vasc lmtd (76882) |
$212 |
$530 |
2.2× |
| Venography caval inferior serialography rs&i (75825) |
$1,216 |
$3,040 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$756 |
$1,890 |
0.5× |
| Venography Renal Bilateral (75833) |
$1,504 |
$3,760 |
0.5× |
| Wrist 2 views (73100) |
$68.20 |
$170.50 |
0.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$176 |
$440 |
1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$164 |
$410 |
2.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$140 |
$350 |
1.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$536 |
$1,340 |
3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$124 |
$310 |
1.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$144 |
$360 |
1.8× |
| X-ray exam hip uni 1 view (73501) |
$70 |
$175 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$156 |
$390 |
1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$206.40 |
$516 |
2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$276 |
$690 |
2.9× |
| X-ray eye for foreign body (70030) |
$128 |
$320 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$168 |
$420 |
1.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$148 |
$370 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$140 |
$350 |
1.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$112 |
$280 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$116 |
$290 |
1.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$180 |
$450 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$78.80 |
$197 |
1.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$124 |
$310 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$94.60 |
$236.50 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$161.60 |
$404 |
1.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$24.80 |
$62 |
0.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$118 |
$295 |
1.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$182 |
$455 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$164 |
$410 |
1.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$204 |
$510 |
2.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$572 |
$1,430 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$136 |
$340 |
1.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$160 |
$400 |
1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$244 |
$610 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$156 |
$390 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$67 |
$167.50 |
0.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$158 |
$395 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$172 |
$430 |
2.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$124 |
$310 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$212 |
$530 |
2.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$86.60 |
$216.50 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$124 |
$310 |
1.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$152 |
$380 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$82 |
$205 |
1.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$148 |
$370 |
1.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$108 |
$270 |
1.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$144 |
$360 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$153.20 |
$383 |
1.6× |
| Xr finger(s) 2+ views (73140) |
$104 |
$260 |
1.3× |
| Xr shoulder 1 view (73020) |
$112 |
$280 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$132.60 |
$331.50 |
1.4× |
| Xr tibia/fibula 2 views (73590) |
$128 |
$320 |
1.6× |
| Xr tmj bilateral (70330) |
$220 |
$550 |
2.7× |
| Xray knee 1 or 2 views rt (73560) |
$128 |
$320 |
1.6× |