| Abdomen 2 views (74019) |
$304.47 |
$1,449.84 |
2.8× |
| Acute gi blood loss imaging (78278) |
$801.70 |
$3,817.63 |
1.9× |
| Angiography extremity bilateral rs&i (75716) |
$2,640.74 |
$12,574.96 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$2,640.74 |
$12,574.96 |
0.8× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,640.74 |
$12,574.96 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,217.22 |
$15,320.08 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,731.27 |
$8,244.12 |
0.5× |
| Angiography Spinal Selective Rs&I (75705) |
$4,626.01 |
$22,028.63 |
0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,454.68 |
$21,212.74 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$959.69 |
$4,569.96 |
0.3× |
| Ankle 2 views (73600) |
$270.42 |
$1,287.71 |
3.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,701.45 |
$22,387.88 |
1.4× |
| Aortography abdominal serialography rs&i (75625) |
$4,701.45 |
$22,387.88 |
1.4× |
| Arthrogram hip (73525) |
$869.80 |
$4,141.89 |
2.4× |
| Arthrogram knee (73580) |
$783.58 |
$3,731.31 |
2.2× |
| Arthrogram shoulder (73040) |
$783.58 |
$3,731.31 |
2.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$737.04 |
$3,509.70 |
1.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$574.88 |
$2,737.54 |
1.4× |
| Bone &/joint imaging whole body (78306) |
$1,189.45 |
$5,664.04 |
2.8× |
| Bone age studies (77072) |
$113.65 |
$541.21 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$1,873.82 |
$8,922.96 |
4.5× |
| Bone survey complete (77075) |
$358.84 |
$1,708.78 |
3.3× |
| Bowel imaging (78290) |
$707.15 |
$3,367.40 |
1.7× |
| Brain Imaging Vascular Flow Only (78610) |
$546.47 |
$2,602.24 |
1.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$972.18 |
$4,629.44 |
2.3× |
| Cervical spine 2 or 3 views (72040) |
$368.40 |
$1,754.27 |
4.1× |
| Chest 1 view (71045) |
$154.80 |
$737.16 |
1.7× |
| Chest xray 3 views (71047) |
$279.24 |
$1,329.70 |
3.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$331.90 |
$1,580.47 |
1.8× |
| Clavicle complete (73000) |
$470.29 |
$2,239.49 |
5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$43.35 |
$206.45 |
0.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,494.37 |
$16,639.86 |
9.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,700.02 |
$12,857.23 |
10.8× |
| CT abdomen w contrast (74160) |
$1,779.27 |
$8,472.73 |
9.7× |
| CT abdomen w wo contrast (74170) |
$1,676.15 |
$7,981.68 |
9.2× |
| CT abdomen w/o contrast (74150) |
$1,069.92 |
$5,094.84 |
9.8× |
| CT angio hrt w/3d image (75574) |
$1,055.22 |
$5,024.85 |
2.9× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,012.46 |
$9,583.14 |
11.0× |
| CT angiography upper extremity lt (73206) |
$1,719.75 |
$8,189.29 |
9.4× |
| CT c-spine w/contrast (72126) |
$1,539.23 |
$7,329.66 |
4.2× |
| CT c-spine w/o contrast (72125) |
$1,737.63 |
$8,274.44 |
15.9× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$1,878.48 |
$8,945.12 |
10.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,342.78 |
$6,394.20 |
7.3× |
| CT chest w contrast (71260) |
$1,827.53 |
$8,702.51 |
10.0× |
| CT chest w/wo contrast (71270) |
$2,071.98 |
$9,866.58 |
11.3× |
| CT head/brain with contrast (70460) |
$1,448.11 |
$6,895.76 |
7.9× |
| CT head/brain without and with contrast (70470) |
$1,878.48 |
$8,945.12 |
10.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,648.96 |
$7,852.20 |
4.5× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$67.11 |
$319.59 |
0.7× |
| CT iac w contrast (70481) |
$1,439.29 |
$6,853.77 |
7.9× |
| CT lower ext w/o (73700) |
$1,330.53 |
$6,335.88 |
12.2× |
| CT lower extremity w wo contrast (73702) |
$1,829.24 |
$8,710.68 |
10.0× |
| CT lower extremity w/contrast material (73701) |
$982.47 |
$4,678.43 |
5.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,590.67 |
$7,574.60 |
8.7× |
| CT lumbar spine w/contrast (72132) |
$1,560.78 |
$7,432.30 |
4.3× |
| CT lumbar spine w/o contrast (72131) |
$1,749.64 |
$8,331.60 |
16.0× |
| CT maxillofacial w contrast (70487) |
$1,614.92 |
$7,690.08 |
8.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,729.80 |
$8,237.12 |
9.4× |
| CT maxillofacial wo contrast (70486) |
$1,858.15 |
$8,848.31 |
17.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,780.99 |
$8,480.89 |
9.7× |
| CT orbits w/o contrast (70480) |
$1,523.80 |
$7,256.17 |
14.0× |
| CT pelvis w/o contrast (72192) |
$1,517.67 |
$7,227.01 |
13.9× |
| CT pelvis w/wo contrast (72194) |
$2,006.83 |
$9,556.32 |
11.0× |
| CT scan of arm combo (73202) |
$1,711.67 |
$8,150.80 |
9.3× |
| CT soft tissue neck w contrast (70491) |
$1,485.83 |
$7,075.38 |
8.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,107.99 |
$10,038.04 |
11.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,293.30 |
$6,158.59 |
11.8× |
| CT thoracic spine w/contrast (72129) |
$1,528.21 |
$7,277.17 |
8.3× |
| CT thoracic spine w/o contrast (72128) |
$1,807.93 |
$8,609.20 |
16.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,681.54 |
$8,007.34 |
9.2× |
| CT thorax w/o contrast (71250) |
$1,327.60 |
$6,321.89 |
12.2× |
| CT upper ext wo (73200) |
$1,703.83 |
$8,113.48 |
15.6× |
| CT upper extremity with contrast (73201) |
$1,436.11 |
$6,838.60 |
3.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,688.64 |
$8,041.16 |
9.2× |
| Cta Abdomen (74175) |
$1,481.91 |
$7,056.72 |
8.1× |
| CTA abdomen pelvis (74174) |
$669.19 |
$3,186.60 |
1.8× |
| CTA chest (71275) |
$1,343.27 |
$6,396.54 |
7.3× |
| Cta Head (70496) |
$1,025.82 |
$4,884.88 |
5.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,025.82 |
$4,884.88 |
2.8× |
| Cta Neck (70498) |
$1,236.48 |
$5,887.99 |
6.8× |
| Cta Pelvis (72191) |
$1,258.52 |
$5,992.96 |
6.9× |
| Cystography minimum 3 views rs&i (74430) |
$381.38 |
$1,816.08 |
1.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$1,236.23 |
$5,886.82 |
0.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$173.91 |
$828.14 |
1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$88.18 |
$419.90 |
1.0× |
| Esophagus (74220) |
$312.79 |
$1,489.49 |
1.7× |
| Facial bones min 3 views (70150) |
$513.65 |
$2,445.94 |
4.7× |
| Fluoroscopy up to 1 hr (76000) |
$662.82 |
$3,156.28 |
2.7× |
| Foot 2 views (73620) |
$215.31 |
$1,025.27 |
2.4× |
| Forearm 2 views (73090) |
$545.25 |
$2,596.41 |
6.0× |
| Hand 2 views (73120) |
$213.34 |
$1,015.94 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$415.67 |
$1,979.38 |
0.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$449.47 |
$2,140.34 |
1.1× |
| Hysterosalpingogram (74740) |
$581.99 |
$2,771.37 |
2.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$865.63 |
$4,122.06 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,102 |
$5,247.63 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$593.74 |
$2,827.35 |
1.0× |
| Knee 3 views (73562) |
$286.34 |
$1,363.52 |
3.2× |
| Lung perf&ventilat diferentl (78598) |
$441.63 |
$2,103.02 |
0.8× |
| Lung perfusion differential (78597) |
$245.94 |
$1,171.12 |
0.6× |
| Lymphoscintigraphy (78195) |
$1,572.05 |
$7,485.96 |
2.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,328.82 |
$6,327.72 |
1.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,285.47 |
$6,121.27 |
3.5× |
| MRA head w & w/o contrast (70546) |
$796.07 |
$3,790.80 |
2.2× |
| MRA head w/o contrast (70544) |
$1,598.75 |
$7,613.09 |
6.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,174.37 |
$10,354.13 |
6.0× |
| MRA neck w/o contrast (70547) |
$1,696.48 |
$8,078.49 |
6.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,590.04 |
$12,333.51 |
7.1× |
| MRI abdomen w/o contrast (74181) |
$1,642.35 |
$7,820.71 |
6.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,067.71 |
$5,084.34 |
1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,735.18 |
$8,262.78 |
4.8× |
| MRI c-spine with contrast (72142) |
$1,662.44 |
$7,916.36 |
4.6× |
| MRI cervical spine w/o contrast (72141) |
$1,395.45 |
$6,644.98 |
5.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,609.77 |
$7,665.58 |
4.4× |
| MRI chest w/o contrast (71550) |
$979.78 |
$4,665.60 |
3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,296.24 |
$6,172.59 |
3.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,102.35 |
$10,011.21 |
5.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$865.63 |
$4,122.06 |
3.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,024.46 |
$9,640.30 |
8.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,349.01 |
$11,185.78 |
6.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,508.23 |
$11,943.94 |
6.9× |
| MRI pelvis w/o contrast (72195) |
$1,658.27 |
$7,896.53 |
6.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,581.95 |
$12,295.02 |
7.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,279.59 |
$6,093.27 |
3.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,037.69 |
$9,703.28 |
5.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,355.52 |
$6,454.86 |
3.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,223.60 |
$10,588.58 |
6.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,277.87 |
$6,085.11 |
5.1× |
| MRI up ext w/o contrast (73218) |
$890.37 |
$4,239.86 |
3.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,116.70 |
$5,317.62 |
4.5× |
| MRI, joint upper extrem combo (73223) |
$1,665.37 |
$7,930.35 |
4.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,530.27 |
$12,048.91 |
1.9× |
| Myocardial spect single study at rest or stress (78451) |
$1,182.34 |
$5,630.21 |
0.9× |
| Neck soft tissue (70360) |
$419.83 |
$1,999.21 |
4.6× |
| Nm cisternogram (78630) |
$619.71 |
$2,950.99 |
1.1× |
| Nm gastric emptying study (78264) |
$1,398.88 |
$6,661.31 |
3.4× |
| Nm kidney scan w/flow (78701) |
$427.43 |
$2,035.37 |
1.0× |
| Parathyroid Planar Imaging (78070) |
$851.43 |
$4,054.41 |
2.0× |
| Pelvis 1 or 2 views (72170) |
$195.71 |
$931.95 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$1,114.74 |
$5,308.29 |
0.7× |
| PET imaging CT for attenuation limited area (78814) |
$1,114.74 |
$5,308.29 |
0.7× |
| PET imaging for CT attenuation whole body (78816) |
$1,114.74 |
$5,308.29 |
0.7× |
| PET whole body (78813) |
$1,114.74 |
$5,308.29 |
0.7× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) |
$1,114.74 |
$5,308.29 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$812.48 |
$3,868.95 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$441.63 |
$2,103.02 |
0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$485.97 |
$2,314.14 |
0.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$398.52 |
$1,897.73 |
4.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$475.68 |
$2,265.14 |
5.2× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$224.37 |
$1,068.42 |
2.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$374.25 |
$1,782.14 |
4.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$419.59 |
$1,998.04 |
3.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$331.90 |
$1,580.47 |
3.0× |
| Radex fingr minimum 2 views (73140) |
$188.12 |
$895.80 |
2.1× |
| Radex Foot Compl Minimum 3 Views (73630) |
$341.45 |
$1,625.96 |
3.8× |
| Radex Hand Minimum 3 Views (73130) |
$308.14 |
$1,467.33 |
3.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$160.44 |
$763.99 |
1.8× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$295.40 |
$1,406.68 |
2.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$428.65 |
$2,041.20 |
3.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$857.55 |
$4,083.57 |
7.9× |
| Radex Humerus Minimum 2 Views (73060) |
$528.59 |
$2,517.09 |
5.8× |
| Radex Kne 1/2 Views (73560) |
$205.26 |
$977.44 |
2.3× |
| Radex Kne Compl 4/More Views (73564) |
$334.59 |
$1,593.30 |
3.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$269.68 |
$1,284.21 |
2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$534.22 |
$2,543.92 |
5.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$252.05 |
$1,200.23 |
2.3× |
| Radex Sho Compl Minimum 2 Views (73030) |
$360.07 |
$1,714.61 |
4.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$198.65 |
$945.95 |
2.2× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$347.82 |
$1,656.29 |
3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$257.68 |
$1,227.05 |
2.8× |
| Radex Toe Minimum 2 Views (73660) |
$198.40 |
$944.78 |
2.2× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$385.30 |
$1,834.75 |
4.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$838.69 |
$3,993.75 |
7.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$325.53 |
$1,550.15 |
3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$284.87 |
$1,356.52 |
2.6× |
| Radiologic exam chest 2 views (71046) |
$201.59 |
$959.95 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$707.15 |
$3,367.40 |
3.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$754.67 |
$3,593.68 |
4.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$706.42 |
$3,363.90 |
3.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$382.11 |
$1,819.58 |
4.2× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$195.96 |
$933.12 |
1.8× |
| Radiological examination surgical specimen (76098) |
$486.70 |
$2,317.64 |
0.9× |
| Ribs bilateral 3 views (71110) |
$245.43 |
$1,168.73 |
2.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,751.35 |
$8,339.76 |
3.1× |
| Scapula (73010) |
$517.08 |
$2,462.27 |
4.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$36.01 |
$171.46 |
1.5× |
| Shoulder 1 view (73020) |
$255.97 |
$1,218.89 |
2.8× |
| Small bowel series (74250) |
$590.56 |
$2,812.19 |
3.2× |
| Spine thoracic 3 views (72072) |
$498.71 |
$2,374.79 |
4.6× |
| Thoracolumbar 2 views (72080) |
$160.19 |
$762.83 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$293.93 |
$1,399.68 |
0.7× |
| Ultrasound breast complete (76641) |
$246.29 |
$1,172.82 |
2.3× |
| Ultrasound Exam Aaa Screen (76706) |
$143.54 |
$683.51 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$533.73 |
$2,541.59 |
4.9× |
| Unlisted fluoroscopic procedure (76496) |
$160.19 |
$762.83 |
1.8× |
| Urethrocystogram voiding (74455) |
$291.48 |
$1,388.02 |
1.2× |
| Urethrocystography retrograde rs&i (74450) |
$269.44 |
$1,283.04 |
1.1× |
| Us breast unilateral limited (76642) |
$240.17 |
$1,143.66 |
2.6× |
| Us chest (76604) |
$200.37 |
$954.12 |
1.8× |
| Us compl joint r-t w/image documentation (76881) |
$509 |
$2,423.78 |
4.7× |
| Us elastography parenchyma (76981) |
$97.24 |
$463.06 |
0.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$298.71 |
$1,422.42 |
2.7× |
| Us ob limited (76815) |
$140.11 |
$667.18 |
1.3× |
| Us ob transvaginal (76817) |
$237.84 |
$1,132.57 |
2.2× |
| Us pelvic non ob complete (76856) |
$760.31 |
$3,620.51 |
7.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$187.14 |
$891.13 |
1.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$137.90 |
$656.68 |
1.3× |
| Us retroperitoneal complete (76770) |
$697.36 |
$3,320.74 |
6.4× |
| Us retroperitoneal limited (76775) |
$278.01 |
$1,323.86 |
2.5× |
| Us scrotum and contents (76870) |
$617.50 |
$2,940.49 |
5.7× |
| Us soft tissue head/neck (76536) |
$533.24 |
$2,539.25 |
4.9× |
| Us,transplanted kidney, real time/ doppler (76776) |
$392.40 |
$1,868.57 |
3.6× |
| Venogram extremity bilateral (75822) |
$823.99 |
$3,923.77 |
0.5× |
| Venogram Extremity Unilateral (75820) |
$847.75 |
$4,036.91 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,643.68 |
$12,588.96 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$1,289.88 |
$6,142.26 |
0.8× |
| Venography Renal Bilateral (75833) |
$2,640.74 |
$12,574.96 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$2,709.08 |
$12,900.38 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,706.90 |
$8,128.06 |
0.5× |
| Wrist 2 views (73100) |
$258.66 |
$1,231.72 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$664.53 |
$3,164.44 |
6.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$792.39 |
$3,773.30 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$170.73 |
$812.98 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$197.18 |
$938.95 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$428.65 |
$2,041.20 |
3.9× |
| X-ray exam of femur 2/> (73552) |
$337.04 |
$1,604.97 |
3.7× |
| X-ray eye for foreign body (70030) |
$357.86 |
$1,704.11 |
3.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$321.86 |
$1,532.65 |
3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$108.51 |
$516.72 |
1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$271.40 |
$1,292.37 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$382.60 |
$1,821.92 |
3.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$480.09 |
$2,286.14 |
4.4× |
| X-ray nose-rectum child f.b. (76010) |
$68.34 |
$325.43 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$357.86 |
$1,704.11 |
3.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$247.88 |
$1,180.40 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$383.83 |
$1,827.75 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$498.46 |
$2,373.62 |
4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$223.39 |
$1,063.76 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$478.87 |
$2,280.31 |
5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$300.79 |
$1,432.34 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$667.72 |
$3,179.61 |
6.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$349.78 |
$1,665.62 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$279.48 |
$1,330.86 |
3.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$424.73 |
$2,022.54 |
4.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$525.89 |
$2,504.26 |
5.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$282.67 |
$1,346.03 |
2.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$415.92 |
$1,980.55 |
3.8× |
| Xr bone length studies (77073) |
$120.76 |
$575.04 |
1.1× |
| Xr c-spine 4 or 5 views (72050) |
$697.11 |
$3,319.57 |
6.4× |
| Xr c-spine 6 or more views (72052) |
$594.72 |
$2,832.02 |
5.4× |
| Xr chest 4+ views (71048) |
$239.80 |
$1,141.91 |
2.2× |