| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,843.55 |
$12,067 |
5.1× |
| Abdomen 2 views (74019) |
$309.40 |
$476 |
2.7× |
| Acute gi blood loss imaging (78278) |
$1,442.35 |
$2,219 |
3.2× |
| Ankle 2 views (73600) |
$271.05 |
$417 |
2.8× |
| Arthrogram hip (73525) |
$947.05 |
$1,457 |
2.4× |
| Arthrogram knee (73580) |
$863.20 |
$1,328 |
2.2× |
| Arthrogram shoulder (73040) |
$898.30 |
$1,382 |
2.3× |
| Arthrogram wrist (73115) |
$878.15 |
$1,351 |
2.3× |
| Basic dosimetry (77300) |
$668.85 |
$1,029 |
4.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$696.15 |
$1,071 |
1.6× |
| Bone &/joint imaging whole body (78306) |
$1,554.15 |
$2,391 |
3.5× |
| Bone age studies (77072) |
$177.45 |
$273 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$2,197 |
$3,380 |
4.9× |
| Bone survey complete (77075) |
$596.70 |
$918 |
5.1× |
| Bone survey infant (77076) |
$325.65 |
$501 |
2.8× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,058.85 |
$1,629 |
2.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,221.70 |
$3,418 |
5.7× |
| Cervical spine 2 or 3 views (72040) |
$353.28 |
$543.50 |
3.6× |
| Chest 1 view (71045) |
$199.55 |
$307 |
2.1× |
| Chest xray 3 views (71047) |
$320.45 |
$493 |
3.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$744.25 |
$1,145 |
3.8× |
| Clavicle complete (73000) |
$243.10 |
$374 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$205.40 |
$316 |
1.8× |
| Continuing medical physics consltj pr wk (77336) |
$827.45 |
$1,273 |
5.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,119.35 |
$4,799 |
8.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,976 |
$3,040 |
7.4× |
| CT abdomen w contrast (74160) |
$2,159.95 |
$3,323 |
11.1× |
| CT abdomen w wo contrast (74170) |
$2,523.30 |
$3,882 |
12.9× |
| CT abdomen w/o contrast (74150) |
$1,318.85 |
$2,029 |
11.3× |
| CT angio hrt w/3d image (75574) |
$1,432.92 |
$2,204.50 |
3.7× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,264.95 |
$5,023 |
16.7× |
| CT angiography upper extremity lt (73206) |
$1,282.78 |
$1,973.50 |
6.6× |
| CT c-spine w/contrast (72126) |
$1,651 |
$2,540 |
4.2× |
| CT c-spine w/o contrast (72125) |
$1,715.35 |
$2,639 |
14.7× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$2,896.40 |
$4,456 |
14.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,847.95 |
$2,843 |
9.5× |
| CT chest w contrast (71260) |
$2,119 |
$3,260 |
10.8× |
| CT chest w/wo contrast (71270) |
$1,157 |
$1,780 |
5.9× |
| CT head/brain with contrast (70460) |
$1,135.55 |
$1,747 |
5.8× |
| CT head/brain without and with contrast (70470) |
$1,422.85 |
$2,189 |
7.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$150.48 |
$231.50 |
1.6× |
| CT iac w contrast (70481) |
$1,379.30 |
$2,122 |
7.1× |
| CT lower ext w/o (73700) |
$1,688.70 |
$2,598 |
14.5× |
| CT lower extremity w wo contrast (73702) |
$1,238.90 |
$1,906 |
6.3× |
| CT lower extremity w/contrast material (73701) |
$2,121.60 |
$3,264 |
10.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,284.10 |
$3,514 |
11.7× |
| CT lumbar spine w/contrast (72132) |
$1,929.20 |
$2,968 |
5.0× |
| CT lumbar spine w/o contrast (72131) |
$1,686.10 |
$2,594 |
14.5× |
| CT maxillofacial w contrast (70487) |
$2,214.55 |
$3,407 |
11.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,166.75 |
$1,795 |
6.0× |
| CT maxillofacial wo contrast (70486) |
$1,816.10 |
$2,794 |
15.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,693.90 |
$2,606 |
8.7× |
| CT orbits w/o contrast (70480) |
$833.30 |
$1,282 |
7.2× |
| CT pelvis w/o contrast (72192) |
$1,315.60 |
$2,024 |
11.3× |
| CT pelvis w/wo contrast (72194) |
$1,464.45 |
$2,253 |
7.5× |
| CT scan of arm combo (73202) |
$1,578.85 |
$2,429 |
8.1× |
| CT soft tissue neck w contrast (70491) |
$2,118.35 |
$3,259 |
10.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,355.90 |
$2,086 |
6.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,714.70 |
$2,638 |
14.7× |
| CT thoracic spine w/contrast (72129) |
$1,489.15 |
$2,291 |
7.6× |
| CT thoracic spine w/o contrast (72128) |
$1,694.55 |
$2,607 |
14.5× |
| CT thoracic spine w/wo contrast (72130) |
$1,837.55 |
$2,827 |
9.4× |
| CT thorax w/o contrast (71250) |
$1,681.55 |
$2,587 |
14.4× |
| CT unlisted procedure (76497) |
$200.20 |
$308 |
2.1× |
| CT upper ext wo (73200) |
$2,522.32 |
$3,880.50 |
21.7× |
| CT upper extremity with contrast (73201) |
$2,083.25 |
$3,205 |
5.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$3,526.25 |
$5,425 |
18.0× |
| Cta Abdomen (74175) |
$3,275.35 |
$5,039 |
16.8× |
| CTA abdomen pelvis (74174) |
$4,078.10 |
$6,274 |
10.5× |
| CTA chest (71275) |
$3,256.50 |
$5,010 |
16.7× |
| Cta Head (70496) |
$5,411.25 |
$8,325 |
27.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$4,592.58 |
$7,065.50 |
11.8× |
| Cta Neck (70498) |
$4,395.95 |
$6,763 |
22.5× |
| Cta Pelvis (72191) |
$1,907.75 |
$2,935 |
9.8× |
| Cystography minimum 3 views rs&i (74430) |
$583.05 |
$897 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$318.50 |
$490 |
2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$107.25 |
$165 |
1.1× |
| Esophagus (74220) |
$774.15 |
$1,191 |
4.0× |
| Facial bones min 3 views (70150) |
$358.80 |
$552 |
3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$507.65 |
$781 |
4.4× |
| Fluoroscopy up to 1 hr (76000) |
$480.35 |
$739 |
1.8× |
| Foot 2 views (73620) |
$221 |
$340 |
2.3× |
| Forearm 2 views (73090) |
$304.20 |
$468 |
3.1× |
| Hand 2 views (73120) |
$312.65 |
$481 |
2.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,341.65 |
$5,141 |
5.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,449.20 |
$3,768 |
5.5× |
| Hysterosalpingogram (74740) |
$587.60 |
$904 |
2.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$302.90 |
$466 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,475.50 |
$2,270 |
2.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,372.15 |
$2,111 |
2.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,209 |
$1,860 |
2.0× |
| Knee 3 views (73562) |
$293.80 |
$452 |
3.0× |
| Lung perfusion differential (78597) |
$895.05 |
$1,377 |
2.0× |
| Lung ventilation imaging (78579) |
$923.65 |
$1,421 |
2.1× |
| Lymphoscintigraphy (78195) |
$2,215.85 |
$3,409 |
3.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,961.70 |
$3,018 |
2.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,074.80 |
$3,192 |
5.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$3,285.75 |
$5,055 |
8.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,411.20 |
$5,248 |
8.2× |
| MRA head w & w/o contrast (70546) |
$3,972.15 |
$6,111 |
10.2× |
| MRA head w/o contrast (70544) |
$2,754.70 |
$4,238 |
10.4× |
| MRA head with contrast (70545) |
$3,110.90 |
$4,786 |
8.0× |
| MRA neck w contrast (70548) |
$2,932.15 |
$4,511 |
7.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,174.95 |
$6,423 |
10.7× |
| MRA neck w/o contrast (70547) |
$2,756.65 |
$4,241 |
10.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,307.20 |
$5,088 |
8.5× |
| MRI abdomen w/o contrast (74181) |
$2,154.10 |
$3,314 |
8.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,281.50 |
$3,510 |
2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,387.45 |
$3,673 |
6.1× |
| MRI c-spine with contrast (72142) |
$2,326.35 |
$3,579 |
6.0× |
| MRI cardiac w/o contrast (75557) |
$1,145.95 |
$1,763 |
4.3× |
| MRI cervical spine w/o contrast (72141) |
$1,997.45 |
$3,073 |
7.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,443.35 |
$3,759 |
6.3× |
| MRI chest w/o contrast (71550) |
$1,960.40 |
$3,016 |
7.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,155.40 |
$3,316 |
5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,314.35 |
$5,099 |
8.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,584.70 |
$2,438 |
6.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,802.45 |
$2,773 |
6.8× |
| MRI orbit face neck w contrast (70542) |
$2,170.35 |
$3,339 |
5.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,231.15 |
$4,971 |
8.3× |
| MRI pelvis w/contrast (72196) |
$1,559.35 |
$2,399 |
4.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,294.20 |
$5,068 |
8.5× |
| MRI pelvis w/o contrast (72195) |
$2,473.25 |
$3,805 |
9.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,896.40 |
$4,456 |
7.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,204.15 |
$3,391 |
5.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,104.40 |
$4,776 |
8.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,983.15 |
$3,051 |
5.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,877.55 |
$4,427 |
7.4× |
| MRI temporomandibular joint (70336) |
$1,387.10 |
$2,134 |
5.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,091.70 |
$3,218 |
7.9× |
| MRI up ext w/o contrast (73218) |
$1,362.40 |
$2,096 |
5.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,707.55 |
$2,627 |
6.4× |
| MRI, joint upper extrem combo (73223) |
$3,069.30 |
$4,722 |
7.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$2,538.90 |
$3,906 |
1.8× |
| Myocardial Spect Multiple Studies (78452) |
$3,009.50 |
$4,630 |
2.1× |
| Myocardial spect single study at rest or stress (78451) |
$2,837.25 |
$4,365 |
2.0× |
| Neck soft tissue (70360) |
$226.85 |
$349 |
2.3× |
| Nm cardiac blood pool multiple (78473) |
$767.65 |
$1,181 |
1.7× |
| Nm gastric emptying study (78264) |
$1,833 |
$2,820 |
4.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,425.90 |
$9,886 |
4.2× |
| Parathyroid Planar Imaging (78070) |
$1,896.70 |
$2,918 |
4.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,366.95 |
$2,103 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$286.65 |
$441 |
2.5× |
| PET image w/CT, skull-thigh (78815) |
$3,484 |
$5,360 |
2.2× |
| PET imaging for CT attenuation whole body (78816) |
$2,986.10 |
$4,594 |
1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,004.25 |
$1,545 |
2.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,392 |
$3,680 |
4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$705.25 |
$1,085 |
1.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$284.05 |
$437 |
2.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$242.78 |
$373.50 |
2.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$284.05 |
$437 |
2.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$277.55 |
$427 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$280.80 |
$432 |
2.4× |
| Radex fingr minimum 2 views (73140) |
$300.30 |
$462 |
3.1× |
| Radex Foot Compl Minimum 3 Views (73630) |
$263.90 |
$406 |
2.7× |
| Radex Hand Minimum 3 Views (73130) |
$273 |
$420 |
2.8× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$222.30 |
$342 |
2.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$271.05 |
$417 |
2.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$475.80 |
$732 |
4.1× |
| Radex Humerus Minimum 2 Views (73060) |
$304.20 |
$468 |
3.1× |
| Radex Kne 1/2 Views (73560) |
$260 |
$400 |
2.7× |
| Radex Kne Compl 4/More Views (73564) |
$479.05 |
$737 |
4.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$323.70 |
$498 |
2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$267.48 |
$411.50 |
2.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$369.20 |
$568 |
3.2× |
| Radex Sho Compl Minimum 2 Views (73030) |
$254.15 |
$391 |
2.6× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$309.72 |
$476.50 |
2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$200.20 |
$308 |
2.1× |
| Radex Toe Minimum 2 Views (73660) |
$267.15 |
$411 |
2.8× |
| Radex upper extremity infant minimum 2 views (73092) |
$280.15 |
$431 |
2.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$327.60 |
$504 |
3.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$20,124 |
$30,960 |
2.5× |
| Radiation treatment delivery level 1 (77402) |
$423.15 |
$651 |
3.7× |
| Radiation treatment delivery level 2 (77407) |
$585 |
$900 |
1.4× |
| Radiation treatment delivery level 3 (77412) |
$720.20 |
$1,108 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$214.50 |
$330 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$403 |
$620 |
3.5× |
| Radiologic exam chest 2 views (71046) |
$265.20 |
$408 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$1,037.40 |
$1,596 |
5.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$510.90 |
$786 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$456.95 |
$703 |
2.3× |
| Radiologic examination femur 1 view (73551) |
$119.60 |
$184 |
1.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$223.60 |
$344 |
2.3× |
| Radiological examination surgical specimen (76098) |
$429 |
$660 |
0.7× |
| Ribs bilateral 3 views (71110) |
$384.15 |
$591 |
3.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,168.40 |
$3,336 |
3.6× |
| Sacroiliac Joints < 3 Views (72200) |
$253.50 |
$390 |
2.2× |
| Scapula (73010) |
$299.65 |
$461 |
2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$40.30 |
$62 |
1.7× |
| Shoulder 1 view (73020) |
$190.45 |
$293 |
2.0× |
| Simulation intermediate (77285) |
$1,470.30 |
$2,262 |
3.5× |
| Small bowel series (74250) |
$944.45 |
$1,453 |
4.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$945.75 |
$1,455 |
2.3× |
| Special dosimetry (77331) |
$265.20 |
$408 |
1.8× |
| Special Physics Consult (77370) |
$613.60 |
$944 |
4.1× |
| Special treatment procedure (77470) |
$2,564.90 |
$3,946 |
4.2× |
| Spine thoracic 3 views (72072) |
$330.85 |
$509 |
2.8× |
| Stereotactic Body Radiation Delivery (77373) |
$3,974.10 |
$6,114 |
2.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$657.15 |
$1,011 |
1.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,953.25 |
$3,005 |
4.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,029.60 |
$1,584 |
6.9× |
| Thoracolumbar 2 views (72080) |
$221 |
$340 |
2.3× |
| Thyroid uptake measurement (78012) |
$725.40 |
$1,116 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,526.85 |
$2,349 |
3.4× |
| Treatment device complex (77334) |
$1,164.80 |
$1,792 |
2.8× |
| Treatment device intermediate (77333) |
$709.15 |
$1,091 |
4.7× |
| Treatment devices simple (77332) |
$377 |
$580 |
2.5× |
| Ultrasound breast complete (76641) |
$434.20 |
$668 |
3.7× |
| Ultrasound Exam Aaa Screen (76706) |
$280.80 |
$432 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$506.35 |
$779 |
4.3× |
| Urethrocystography retrograde rs&i (74450) |
$401.05 |
$617 |
1.5× |
| Us breast unilateral limited (76642) |
$347.10 |
$534 |
3.6× |
| Us chest (76604) |
$393.25 |
$605 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$851.18 |
$1,309.50 |
7.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$203.78 |
$313.50 |
1.7× |
| Us ob detailed single fetus (76811) |
$689 |
$1,060 |
2.6× |
| Us ob limited (76815) |
$386.10 |
$594 |
3.3× |
| Us ob transvaginal (76817) |
$434.85 |
$669 |
3.7× |
| Us pelvic non ob complete (76856) |
$579.15 |
$891 |
5.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$467.35 |
$719 |
4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$431.60 |
$664 |
3.7× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$505.70 |
$778 |
4.3× |
| Us retroperitoneal complete (76770) |
$614.90 |
$946 |
5.3× |
| Us retroperitoneal limited (76775) |
$505.70 |
$778 |
4.3× |
| Us scrotum and contents (76870) |
$583.05 |
$897 |
5.0× |
| Us soft tissue head/neck (76536) |
$586.30 |
$902 |
5.0× |
| Us transrectal prostate volume (76873) |
$276.90 |
$426 |
2.4× |
| Us,transplanted kidney, real time/ doppler (76776) |
$542.75 |
$835 |
4.7× |
| Wrist 2 views (73100) |
$273 |
$420 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$387.40 |
$596 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$343.85 |
$529 |
3.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$876.85 |
$1,349 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$251.22 |
$386.50 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$328.25 |
$505 |
3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$341.25 |
$525 |
2.9× |
| X-ray exam of femur 2/> (73552) |
$249.60 |
$384 |
2.6× |
| X-ray eye for foreign body (70030) |
$262.60 |
$404 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$229.45 |
$353 |
2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$273 |
$420 |
2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$326.62 |
$502.50 |
3.4× |
| X-ray leg, infant (73592) |
$276.90 |
$426 |
2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$297.05 |
$457 |
2.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$541.12 |
$832.50 |
4.6× |
| X-ray nose-rectum child f.b. (76010) |
$176.80 |
$272 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$356.20 |
$548 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$268.45 |
$413 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$334.42 |
$514.50 |
2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$455 |
$700 |
3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$254.15 |
$391 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$218.40 |
$336 |
2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$313.62 |
$482.50 |
3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$455 |
$700 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$289.90 |
$446 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$186.55 |
$287 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$254.15 |
$391 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$274.95 |
$423 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$292.18 |
$449.50 |
2.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$342.55 |
$527 |
2.9× |
| Xr bone length studies (77073) |
$323.70 |
$498 |
2.8× |
| Xr c-spine 4 or 5 views (72050) |
$450.78 |
$693.50 |
3.9× |
| Xr c-spine 6 or more views (72052) |
$468 |
$720 |
4.0× |
| Xr chest 4+ views (71048) |
$396.50 |
$610 |
3.4× |