| 3-D radiotherapy plan dose-volume histograms (77295) |
— |
$2,723 |
— |
| Abdomen 1 View (74018) |
— |
$224 |
— |
| Abdomen 2 views (74019) |
— |
$273 |
— |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
— |
$3,600 |
— |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) |
— |
$3,173 |
— |
| Angiography extremity bilateral rs&i (75716) |
— |
$749 |
— |
| Angiography extremity unilateral rs&i (75710) |
— |
$707 |
— |
| Ankle 2 views (73600) |
— |
$256 |
— |
| Aortography thoracic serialography rs&i (75605) |
— |
$711 |
— |
| Artery X-Rays Abdomen (75726) |
— |
$812 |
— |
| Arthrogram hip (73525) |
— |
$1,019 |
— |
| Arthrogram Wrist (73115) |
— |
$1,092 |
— |
| Basic radiation dosimetry calculation (77300) |
— |
$361 |
— |
| Bone age studies (77072) |
— |
$175 |
— |
| Bone Imaging 3 Phase (78315) |
— |
$3,551 |
— |
| Bone Imaging Limited Area (78300) |
— |
$2,345 |
— |
| Bone Imaging Multiple Areas (78305) |
— |
$2,813 |
— |
| Bone Imaging Whole Body (78306) |
— |
$3,029 |
— |
Bone survey infant (77076)
range across 3 matching MRF lines |
— |
$225–$774 |
— |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
— |
$3,582 |
— |
| Brain Imaging Minimum 4 Static Views (78605) |
— |
$2,138 |
— |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) |
— |
$2,030 |
— |
| Cat Scan Follow-Up Study (76380) |
— |
$1,439 |
— |
| Cerebrospinal Fluid Scan (78630) |
— |
$3,645 |
— |
Chest 1 view (71045)
range across 3 matching MRF lines |
— |
$59–$182 |
— |
Chest 2 views (71046)
range across 3 matching MRF lines |
— |
$70–$245 |
— |
| Chest 3 views (71047) |
— |
$305 |
— |
| Chest 4 or more views (71048) |
— |
$326 |
— |
| Cholecystography Oral Contrast (74290) |
— |
$714 |
— |
| Cisternography Positive Contrast Rs&I (70015) |
— |
$1,131 |
— |
| Clavicle complete (73000) |
— |
$259 |
— |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
— |
$1,455 |
— |
| Continuing medical physics consltj pr wk (77336) |
— |
$959 |
— |
| Contrast Exam Abdominl Aorta (75625) |
— |
$616 |
— |
| Contrast X-Ray Bladder (74430) |
— |
$277 |
— |
| Contrast X-Ray Of Elbow (73085) |
— |
$760 |
— |
| Contrast X-Ray Of Knee Joint (73580) |
— |
$812 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$4,066 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$1,711 |
— |
| CT abdomen w contrast (74160) |
— |
$2,850 |
— |
| CT abdomen w wo contrast (74170) |
— |
$3,232 |
— |
| CT abdomen w/o contrast (74150) |
— |
$1,352 |
— |
| CT Angio Abdomen and Pelvis (74174) |
— |
$4,616 |
— |
| CT Angio Chest (71275) |
— |
$3,281 |
— |
| CT Angio Head (70496) |
— |
$3,248 |
— |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
— |
$3,908 |
— |
| CT Angio Neck (70498) |
— |
$3,243 |
— |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
— |
$3,553 |
— |
| CT cervical spine w/ contrast (72126) |
— |
$1,864 |
— |
| CT cervical spine w/o contrast (72125) |
— |
$1,395 |
— |
| CT cervical spine w/wo cont (72127) |
— |
$2,289 |
— |
| CT chest w contrast (71260) |
— |
$1,875 |
— |
| CT chest w/wo contrast (71270) |
— |
$2,294 |
— |
| CT head/brain with contrast (70460) |
— |
$1,597 |
— |
| CT head/brain without and with contrast (70470) |
— |
$1,902 |
— |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$1,221 |
— |
| CT iac w contrast (70481) |
— |
$2,126 |
— |
| CT l-spine w&w/o contrast (72133) |
— |
$2,294 |
— |
| CT lower ext w/o (73700) |
— |
$1,390 |
— |
| CT lower extremity w/contrast material (73701) |
— |
$1,875 |
— |
| CT lumbar spine w contrast (72132) |
— |
$1,875 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$1,384 |
— |
CT maxillofacial w contrast (70487)
range across 3 matching MRF lines |
— |
$358–$1,657 |
— |
CT maxillofacial wo contrast (70486)
range across 3 matching MRF lines |
— |
$272–$1,466 |
— |
| CT neck tissue combo (70492) |
— |
$2,425 |
— |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
— |
$2,512 |
— |
| CT orbits w/o contrast (70480) |
— |
$1,651 |
— |
| CT pelvis w&w/o contrast (72194) |
— |
$3,221 |
— |
| CT pelvis w/o contrast (72192) |
— |
$1,373 |
— |
| CT scan of leg combo (73702) |
— |
$2,311 |
— |
| CT scans face/jaw combo (70488) |
— |
$2,082 |
— |
| CT soft tissue neck w contrast (70491) |
— |
$1,995 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$1,504 |
— |
| CT thoracic spine w contrast (72129) |
— |
$1,886 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$1,390 |
— |
| CT thoracic spine w/wo cont (72130) |
— |
$2,322 |
— |
| CT thorax w/o contrast (71250) |
— |
$1,379 |
— |
| CT upper ext wo (73200) |
— |
$1,902 |
— |
| CT upper extremity w/o & w/contrast material (73202) |
— |
$3,156 |
— |
| CT upper extremity with contrast (73201) |
— |
$2,425 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$4,998 |
— |
| Cta Abdomen (74175) |
— |
$3,679 |
— |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
— |
$3,248 |
— |
| CTA pelvis (72191) |
— |
$3,673 |
— |
| Echo exam uterus (76831) |
— |
$900 |
— |
| Esophagram (74220) |
— |
$711 |
— |
Fetal Biophys Profile W/Nst (76818)
range across 3 matching MRF lines |
— |
$333–$780 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$294 |
— |
| Follow-Up Angiography (75898) |
— |
$373 |
— |
| Foot 2 views (73620) |
— |
$221 |
— |
| Forearm 2 views (73090) |
— |
$228 |
— |
| Gastric emptying imaging study (78264) |
— |
$3,501 |
— |
| Gastroesophageal Reflux Exam (78262) |
— |
$2,574 |
— |
| Gated Heart Planar Single (78472) |
— |
$2,178 |
— |
| Gated Heart, Multiple (78473) |
— |
$2,628 |
— |
| Hand 2 views (73120) |
— |
$245 |
— |
| Heart first pass single,planar (78481) |
— |
$1,571 |
— |
| Hepatobil Syst Image W/Drug (78227) |
— |
$4,694 |
— |
| Hepatobiliary System Imaging (78226) |
— |
$3,452 |
— |
| Ht Muscle Image Spect Sing (78451) |
— |
$3,281 |
— |
| Hysterosalpingogram (74740) |
— |
$760 |
— |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
— |
$1,118 |
— |
| K Flow/Funct Image Multiple (78709) |
— |
$3,609 |
— |
| K Flow/Funct Image W/Drug (78708) |
— |
$1,625 |
— |
| K Flow/Funct Image W/O Drug (78707) |
— |
$2,277 |
— |
Knee 3 Views (73562)
range across 4 matching MRF lines |
— |
$61–$333 |
— |
| Liver & Spleen Imaging Static Only (78215) |
— |
$2,120 |
— |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
— |
$1,467 |
— |
| Liver imaging w/vascular flow (78202) |
— |
$2,304 |
— |
| Lung perfusion differential (78597) |
— |
$1,998 |
— |
| Lung Ventilat&Perfus Imaging (78582) |
— |
$3,339 |
— |
| Lung Ventilation Imaging (78579) |
— |
$1,976 |
— |
| Lymph System Imaging (78195) |
— |
$3,542 |
— |
| Magnetic Image Jaw Joint (70336) |
— |
$3,540 |
— |
| Meckels Divert Exam (78290) |
— |
$3,560 |
— |
| Mlc imrt design & construction per imrt plan (77338) |
— |
$2,611 |
— |
| Mra Head W/O & W/Contrast Material (70546) |
— |
$4,776 |
— |
| MRA head w/o contrast (70544) |
— |
$2,928 |
— |
| MRA head with contrast (70545) |
— |
$3,150 |
— |
| MRA neck w contrast (70548) |
— |
$3,234 |
— |
| Mra Neck W/O &W/Contrast Material (70549) |
— |
$4,794 |
— |
| MRA neck w/o contrast (70547) |
— |
$2,934 |
— |
| MRI abdomen w contrast (74182) |
— |
$4,056 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$2,340 |
— |
MRI any jt lower extrem w/contrast material (73722)
range across 4 matching MRF lines |
— |
$4,326–$6,489 |
— |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
— |
$5,172 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$4,296 |
— |
| MRI bone marrow blood supply (77084) |
— |
$4,404 |
— |
| MRI Breast W/O Contrast Bilateral (77047) |
— |
$2,640 |
— |
| MRI Breast Without Contrast Material Unilateral (77046) |
— |
$2,652 |
— |
| MRI cervical spine w contrast (72142) |
— |
$3,504 |
— |
| MRI cervical spine w/o cont (72141) |
— |
$2,226 |
— |
| MRI chest w/o contrast (71550) |
— |
$4,878 |
— |
| MRI chest with contrast (71551) |
— |
$5,352 |
— |
| MRI chest wo w contrast (71552) |
— |
$6,642 |
— |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
— |
$3,426 |
— |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
— |
$4,320 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$2,922 |
— |
| MRI lumbar spine w contrast (72149) |
— |
$3,420 |
— |
| Mri Neck Spine W/O & W/Dye (72156) |
— |
$3,894 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$2,988 |
— |
| MRI orbit face neck w contrast (70542) |
— |
$3,510 |
— |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
— |
$4,362 |
— |
| MRI pelvis w contrast (72196) |
— |
$3,444 |
— |
| MRI pelvis w/o & w contrast (72197) |
— |
$4,278 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$2,928 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$2,232 |
— |
| MRI upper extremity oth than jt w/contr matrl (73219) |
— |
$4,650 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$4,350 |
— |
| Mri Uppr Extremity W/O&W/Dye (73220) |
— |
$5,628 |
— |
| MRI, abdomen, combo (74183) |
— |
$4,302 |
— |
| MRI, dorsal spine combo (72157) |
— |
$3,906 |
— |
| MRI, dorsal spine contrast (72147) |
— |
$3,468 |
— |
| MRI, joint upper extrem (73221) |
— |
$2,574 |
— |
| MRI, joint upper extrem combo (73223) |
— |
$5,190 |
— |
| MRI, lumbar spine combo (72158) |
— |
$3,882 |
— |
| Myelograpy 2/more regions rs&i (72270) |
— |
$907 |
— |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
— |
$1,733 |
— |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
— |
$12,166 |
— |
| Myocardial Spect Multiple Studies (78452) |
— |
$4,685 |
— |
| Neck soft tissue (70360) |
— |
$238 |
— |
| Nm csf leak detection (78650) |
— |
$2,948 |
— |
| Nm myocard infarct spect (78469) |
— |
$2,178 |
— |
| Nonvascular Shunt X-Ray (75809) |
— |
$613 |
— |
| Ntsty modul radthx pln dose-vol histos (77301) |
— |
$15,005 |
— |
| Nuclear Rx Oral Admin (79005) |
— |
$698 |
— |
| Optic foramina (70190) |
— |
$280 |
— |
| Parathyroid Planar Imaging (78070) |
— |
$3,069 |
— |
| Parathyroid planar imaging w/wo subtraction (78071) |
— |
$3,497 |
— |
Pelvis 1 or 2 views (72170)
range across 3 matching MRF lines |
— |
$56–$207 |
— |
| Peritoneogram Rs&I (74190) |
— |
$1,128 |
— |
PET image w/CT, full body (78816)
range across 4 matching MRF lines |
— |
$7,661–$7,908 |
— |
PET imaging CT attenuation skull base mid-thigh (78815)
range across 3 matching MRF lines |
— |
$7,661–$7,908 |
— |
| Pulmonary Perfusion Imaging Particulate (78580) |
— |
$2,412 |
— |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
— |
$364 |
— |
| Radex abscess/fistula/sinus tract rs&i (76080) |
— |
$371 |
— |
| Radex Ankle Complete Minimum 3 Views (73610) |
— |
$294 |
— |
| Radex Calcaneus Minimum 2 Views (73650) |
— |
$217 |
— |
| Radex elbow complete minimum 3 views (73080) |
— |
$256 |
— |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
— |
$361 |
— |
| Radex fingr minimum 2 views (73140) |
— |
$333 |
— |
| Radex foot complete minimum 3 views (73630) |
— |
$273 |
— |
| Radex Hand Minimum 3 Views (73130) |
— |
$305 |
— |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
— |
$483 |
— |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
— |
$308 |
— |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) |
— |
$921 |
— |
| Radex Ribs Unilateral 2 Views (71100) |
— |
$273 |
— |
| Radex shoulder complete minimum 2 views (73030) |
— |
$270 |
— |
| Radex Sinuses Paransl < 3 Views (70210) |
— |
$252 |
— |
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines |
— |
$52–$175 |
— |
| Radex Sternum Minimum 2 Views (71120) |
— |
$252 |
— |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
— |
$438 |
— |
| Radex Toe Minimum 2 Views (73660) |
— |
$238 |
— |
| Radex Wrist Complete Minimum 3 Views (73110) |
— |
$347 |
— |
| Radiation treatment delivery level 1 (77402) |
— |
$581 |
— |
| Radiation treatment delivery level 2 (77407) |
— |
$924 |
— |
| Radiation treatment delivery level 3 (77412) |
— |
$989 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$333 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$315 |
— |
| Radiologic exam colon double contrast study (74280) |
— |
$1,638 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$1,075 |
— |
Radiologic exam knee complete 4/more views (73564)
range across 4 matching MRF lines |
— |
$74–$382 |
— |
Radiologic exam pelvis compl minimum 3 views (72190)
range across 3 matching MRF lines |
— |
$81–$315 |
— |
| Radiologic Exam Small Int Single Contrast Study (74250) |
— |
$861 |
— |
| Radiologic exam swallow function contrast study (74230) |
— |
$1,015 |
— |
| Radiologic exam teeth complete full mouth (70320) |
— |
$455 |
— |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) |
— |
$343 |
— |
| Radiologic exam upr gi trc double contrast study (74246) |
— |
$991 |
— |
| Radiologic examination femur minimum 2 views (73552) |
— |
$284 |
— |
| Radiologic examination knee 1/2 views (73560) |
— |
$273 |
— |
| Radiologic Examination Osseous Survey Limited (77074) |
— |
$469 |
— |
| Radiologic Examination Salivary Gland Calculus (70380) |
— |
$308 |
— |
| Radiologic examination tibia & fibula 2 views (73590) |
— |
$252 |
— |
| Radiologic examination, teeth; single view Non-Facility (70300) |
— |
$88 |
— |
| Renal Cyst Study (74470) |
— |
$259 |
— |
| Ribs bilateral 3 views (71110) |
— |
$315 |
— |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
— |
$2,669 |
— |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
— |
$2,844 |
— |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
— |
$7,070 |
— |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
— |
$3,218 |
— |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
— |
$3,897 |
— |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
— |
$858 |
— |
| Rp Therapy Intravenous Administration (79101) |
— |
$725 |
— |
| Scapula (73010) |
— |
$161 |
— |
| Sella turcica (70240) |
— |
$249 |
— |
| Shoulder 1 view (73020) |
— |
$151 |
— |
| Shoulder Arthrography (73040) |
— |
$1,078 |
— |
| Sialogram (70390) |
— |
$998 |
— |
| Skull less than 4 views (70250) |
— |
$287 |
— |
| Special Physics Consult (77370) |
— |
$1,575 |
— |
| Special treatment procedure (77470) |
— |
$410 |
— |
| Spleen Imaging (78185) |
— |
$1,850 |
— |
| Stereotactic Body Radiation Delivery (77373) |
— |
$10,273 |
— |
| Sternoclavicular joints (71130) |
— |
$322 |
— |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
— |
$1,449 |
— |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
— |
$798 |
— |
| Testicular Imaging W/Flow (78761) |
— |
$2,174 |
— |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
— |
$3,759 |
— |
| Ther rad simulaj-aided field setting simple (77280) |
— |
$2,419 |
— |
Thoracic spine 2 views (72070)
range across 3 matching MRF lines |
— |
$65–$245 |
— |
| Thoracic spine 3 views (72072) |
— |
$301 |
— |
| Thoracolumbar 2 views (72080) |
— |
$259 |
— |
| Thyroid Imaging With Vascular Flow (78013) |
— |
$2,043 |
— |
| Thyroid Met Imaging Body (78018) |
— |
$3,254 |
— |
| Thyroid Uptake Measurement (78012) |
— |
$977 |
— |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
— |
$2,574 |
— |
| Tx Devices Design & Construction Complex (77334) |
— |
$693 |
— |
| Tx devices design & construction intermediate (77333) |
— |
$1,019 |
— |
| Tx devices design & construction simple (77332) |
— |
$179 |
— |
| Ultrasound Exam Aaa Screen (76706) |
— |
$911 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$664 |
— |
| Umbilical-artery Doppler (OB) (76820) |
— |
$233 |
— |
| Unlisted Dx Radiographic Procedure (76499) |
— |
$144 |
— |
| Unlisted us procedure (76999) |
— |
$197 |
— |
| Upper gi w/o kub (74240) |
— |
$868 |
— |
| Ureteral Reflux Study (78740) |
— |
$2,462 |
— |
| Urethrocystogram voiding (74455) |
— |
$903 |
— |
| Urethrocystography retrograde (74450) |
— |
$560 |
— |
| Us chest (76604) |
— |
$349 |
— |
| Us complete joint (76881) |
— |
$288 |
— |
| Us exam, pelvic, limited (76857) |
— |
$300 |
— |
| Us head (76506) |
— |
$893 |
— |
| Us kidney transplant (76776) |
— |
$375 |
— |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
— |
$356 |
— |
Us ob detailed single fetus (76811)
range across 3 matching MRF lines |
— |
$601–$994 |
— |
| Us ob limited 1 or more fetuses (76815) |
— |
$563 |
— |
Us ob transvaginal (76817)
range across 3 matching MRF lines |
— |
$239–$634 |
— |
| Us pelvic non ob complete (76856) |
— |
$814 |
— |
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 3 matching MRF lines |
— |
$315–$784 |
— |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
— |
$769 |
— |
| Us retroperitoneal complete (76770) |
— |
$821 |
— |
| Us retroperitoneal limited (76775) |
— |
$375 |
— |
| Us scrotum and contents (76870) |
— |
$784 |
— |
| Us spinal canal and contents (76800) |
— |
$1,328 |
— |
| Us thyroid (76536) |
— |
$930 |
— |
| Us transrectal (76872) |
— |
$1,849 |
— |
| Vascular Flow Imaging (78445) |
— |
$1,998 |
— |
| Vasogram (74440) |
— |
$816 |
— |
| Vein X-Ray Chest (75827) |
— |
$679 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$641 |
— |
| Venography extremity unilateral rs&i (75820) |
— |
$609 |
— |
| Venous thrombosis imaging (78457) |
— |
$1,625 |
— |
| Venous Thrombosis Imaging Venogram Bilateral (78458) |
— |
$1,998 |
— |
| Wrist 2 views (73100) |
— |
$270 |
— |
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 3 matching MRF lines |
— |
$61–$210 |
— |
| X-ray antegrade pyelogram tube (74425) |
— |
$1,148 |
— |
| X-Ray Aorta Leg Arteries (75630) |
— |
$669 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$224 |
— |
| X-Ray Exam Breast Specimen (76098) |
— |
$294 |
— |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
— |
$581 |
— |
| X-Ray Exam Hip Uni 1 View (73501) |
— |
$256 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$389 |
— |
X-Ray Exam Hips Bi 2 Views (73521)
range across 3 matching MRF lines |
— |
$72–$322 |
— |
| X-Ray Exam L-S Spine Bending (72114) |
— |
$490 |
— |
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 3 matching MRF lines |
— |
$72–$305 |
— |
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 3 matching MRF lines |
— |
$97–$501 |
— |
| X-Ray Exam Unilat Ribs/Chest (71101) |
— |
$308 |
— |
X-ray eye for foreign body (70030)
range across 3 matching MRF lines |
— |
$59–$256 |
— |
| X-ray humerus (73060) |
— |
$256 |
— |
| X-ray IV pyelogram (ivp) (74400) |
— |
$1,152 |
— |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
— |
$315 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$333 |
— |
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 3 matching MRF lines |
— |
$72–$305 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$389 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$301 |
— |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
— |
$266 |
— |
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 3 matching MRF lines |
— |
$56–$256 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$287 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$329 |
— |
| X-Ray Tmj Unilat (70328) |
— |
$270 |
— |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
— |
$564 |
— |
X-Rays Bone Length Studies (77073)
range across 3 matching MRF lines |
— |
$88–$340 |
— |
| X-Rays Bone Survey Complete (77075) |
— |
$767 |
— |
Xr c-spine 4 or 5 views (72050)
range across 3 matching MRF lines |
— |
$88–$431 |
— |
| Xr facial bones less than 3 views (70140) |
— |
$235 |
— |
| XR Mastoids < 3 Views Bilateral (70120) |
— |
$312 |
— |
| Xr orbits complete 4 views (70200) |
— |
$361 |
— |