| Abdomen 1 View (74018) |
$215.60 |
$308 |
2.5× |
| Abdomen 2 views (74019) |
$281.40 |
$402 |
2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$748.30 |
$1,069 |
1.9× |
| Ankle 2 views (73600) |
$316.40 |
$452 |
3.6× |
| Arthrogram hip (73525) |
$673.40 |
$962 |
1.9× |
| Arthrogram Wrist (73115) |
$793.10 |
$1,133 |
2.3× |
| Bone age studies (77072) |
$186.20 |
$266 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$1,124.90 |
$1,607 |
2.8× |
| Bone Imaging Limited Area (78300) |
$812 |
$1,160 |
2.0× |
| Bone Imaging Whole Body (78306) |
$1,124.90 |
$1,607 |
2.8× |
| Cat Scan Follow-Up Study (76380) |
$394.80 |
$564 |
4.5× |
| Chest 1 view (71045) |
$218.40 |
$312 |
2.5× |
| Chest 2 views (71046) |
$251.30 |
$359 |
2.9× |
| Chest 3 views (71047) |
$289.10 |
$413 |
3.3× |
| Chest 4 or more views (71048) |
$375.90 |
$537 |
3.6× |
| Clavicle complete (73000) |
$331.80 |
$474 |
3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$126.70 |
$181 |
1.2× |
| Contrast X-Ray Bladder (74430) |
$538.30 |
$769 |
1.5× |
| Contrast X-Ray Of Knee Joint (73580) |
$782.60 |
$1,118 |
2.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,643.10 |
$6,633 |
13.2× |
| CT abdomen and pelvis without contrast (74176) |
$3,325.70 |
$4,751 |
13.8× |
| CT abdomen w contrast (74160) |
$2,090.20 |
$2,986 |
11.8× |
| CT abdomen w wo contrast (74170) |
$2,125.90 |
$3,037 |
12.0× |
| CT abdomen w/o contrast (74150) |
$1,360.80 |
$1,944 |
12.9× |
| CT Angio Abdomen and Pelvis (74174) |
$4,427.50 |
$6,325 |
12.6× |
| CT Angio Chest (71275) |
$3,226.30 |
$4,609 |
18.2× |
| CT Angio Head (70496) |
$996.80 |
$1,424 |
5.6× |
| CT angio hrt w/3d image (75574) |
$896 |
$1,280 |
2.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$2,854.60 |
$4,078 |
16.1× |
| CT Angio Neck (70498) |
$2,800 |
$4,000 |
15.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,031.80 |
$1,474 |
5.8× |
| CT cervical spine w/ contrast (72126) |
$2,438.80 |
$3,484 |
6.9× |
| CT cervical spine w/o contrast (72125) |
$1,999.20 |
$2,856 |
19.0× |
| CT cervical spine w/wo cont (72127) |
$2,683.80 |
$3,834 |
15.2× |
| CT chest w contrast (71260) |
$1,978.90 |
$2,827 |
11.2× |
| CT chest w/wo contrast (71270) |
$2,387.70 |
$3,411 |
13.5× |
| CT head/brain with contrast (70460) |
$1,727.60 |
$2,468 |
9.8× |
| CT head/brain without and with contrast (70470) |
$1,836.80 |
$2,624 |
10.4× |
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines |
$109.20–$168 |
$156–$240 |
varies |
| CT iac w contrast (70481) |
$1,395.80 |
$1,994 |
7.9× |
| CT l-spine w&w/o contrast (72133) |
$2,449.30 |
$3,499 |
13.8× |
| CT lower ext w/o (73700) |
$1,264.90 |
$1,807 |
12.0× |
| CT lower extremity w/contrast material (73701) |
$1,789.20 |
$2,556 |
10.1× |
| CT lumbar spine w contrast (72132) |
$2,270.80 |
$3,244 |
6.5× |
| CT lumbar spine w/o contrast (72131) |
$1,554.70 |
$2,221 |
14.7× |
| CT maxillofacial w contrast (70487) |
$1,387.40 |
$1,982 |
7.8× |
| CT maxillofacial wo contrast (70486) |
$902.30 |
$1,289 |
8.6× |
| CT neck tissue combo (70492) |
$2,053.80 |
$2,934 |
11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,605.10 |
$2,293 |
9.1× |
| CT orbits w/o contrast (70480) |
$1,066.80 |
$1,524 |
10.1× |
| CT pelvis w&w/o contrast (72194) |
$2,568.30 |
$3,669 |
14.5× |
| CT pelvis w/o contrast (72192) |
$1,605.80 |
$2,294 |
15.2× |
| CT scan of leg combo (73702) |
$2,104.20 |
$3,006 |
11.9× |
| CT scans face/jaw combo (70488) |
$1,831.20 |
$2,616 |
10.4× |
| CT soft tissue neck w contrast (70491) |
$1,556.80 |
$2,224 |
8.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,001.70 |
$1,431 |
9.5× |
| CT thoracic spine w contrast (72129) |
$800.10 |
$1,143 |
4.5× |
| CT thoracic spine w/o contrast (72128) |
$526.40 |
$752 |
5.0× |
| CT thoracic spine w/wo cont (72130) |
$894.60 |
$1,278 |
5.1× |
| CT thorax w/o contrast (71250) |
$1,181.60 |
$1,688 |
11.2× |
| CT upper ext wo (73200) |
$1,324.40 |
$1,892 |
12.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,145.50 |
$3,065 |
12.1× |
| CT upper extremity with contrast (73201) |
$1,824.20 |
$2,606 |
5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,218.60 |
$4,598 |
18.2× |
| Cta Abdomen (74175) |
$3,154.20 |
$4,506 |
17.8× |
| CTA pelvis (72191) |
$3,144.40 |
$4,492 |
17.8× |
| Dxa Bone Density Axial (77080) |
$306.60 |
$438 |
2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$78.40 |
$112 |
0.9× |
| Esophageal Motility Study (78258) |
$861.70 |
$1,231 |
2.1× |
| Esophagram (74220) |
$508.20 |
$726 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$211.40 |
$302 |
2.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) |
$923.30 |
$1,319 |
3.8× |
| Fluoroscopy up to 1 hr (76000) |
$492.80 |
$704 |
2.0× |
| Foot 2 views (73620) |
$198.10 |
$283 |
2.3× |
| Forearm 2 views (73090) |
$392 |
$560 |
4.5× |
| Gastric emptying imaging study (78264) |
$721 |
$1,030 |
1.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$1,174.60 |
$1,678 |
2.9× |
| Gastroesophageal Reflux Exam (78262) |
$861.70 |
$1,231 |
2.1× |
| Gated Heart Planar Single (78472) |
$951.30 |
$1,359 |
2.4× |
| Hand 2 views (73120) |
$214.90 |
$307 |
2.0× |
| Hepatobil Syst Image W/Drug (78227) |
$1,122.10 |
$1,603 |
2.0× |
| Hepatobiliary System Imaging (78226) |
$695.10 |
$993 |
1.7× |
| Hysterosalpingogram (74740) |
$345.80 |
$494 |
1.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$394.80 |
$564 |
4.5× |
| K Flow/Funct Image W/Drug (78708) |
$1,091.30 |
$1,559 |
2.0× |
| K Flow/Funct Image W/O Drug (78707) |
$982.80 |
$1,404 |
1.8× |
| Knee 3 Views (73562) |
$515.90 |
$737 |
5.9× |
| Lung Perf&Ventilat Diferentl (78598) |
$766.50 |
$1,095 |
1.4× |
| Lung Ventilat&Perfus Imaging (78582) |
$921.20 |
$1,316 |
1.7× |
| Lymph System Imaging (78195) |
$913.50 |
$1,305 |
1.7× |
| Magnetic Image Jaw Joint (70336) |
$1,234.10 |
$1,763 |
5.1× |
| Meckels Divert Exam (78290) |
$781.90 |
$1,117 |
1.9× |
| Mr safety determination physician/other qhp (76016) |
$134.40 |
$192 |
1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$37.80 |
$54 |
1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$140 |
$200 |
1.5× |
| Mr safety implt pos&/immoblj (76019) |
$91 |
$130 |
1.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$368.20 |
$526 |
1.5× |
| Mra Head W/O & W/Contrast Material (70546) |
$1,549.80 |
$2,214 |
4.4× |
| MRA head w/o contrast (70544) |
$1,012.20 |
$1,446 |
4.2× |
| MRA head with contrast (70545) |
$1,227.80 |
$1,754 |
3.5× |
| MRA neck w contrast (70548) |
$1,416.80 |
$2,024 |
4.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,549.80 |
$2,214 |
4.4× |
| MRA neck w/o contrast (70547) |
$1,012.20 |
$1,446 |
4.2× |
| MRI abdomen w contrast (74182) |
$1,467.90 |
$2,097 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$1,276.10 |
$1,823 |
5.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,861.30 |
$2,659 |
2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,216.90 |
$3,167 |
6.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,687.70 |
$2,411 |
2.1× |
| MRI cervical spine w contrast (72142) |
$1,514.80 |
$2,164 |
4.3× |
| MRI cervical spine w/o cont (72141) |
$1,319.50 |
$1,885 |
5.5× |
| MRI chest w/o contrast (71550) |
$1,183 |
$1,690 |
4.9× |
| MRI chest wo w contrast (71552) |
$2,446.50 |
$3,495 |
7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,446.20 |
$2,066 |
4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,279.20 |
$3,256 |
6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,383.20 |
$1,976 |
5.7× |
| MRI lumbar spine w contrast (72149) |
$1,735.30 |
$2,479 |
4.9× |
| Mri Neck Spine W/O & W/Dye (72156) |
$1,819.30 |
$2,599 |
5.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,261.40 |
$1,802 |
5.2× |
| MRI orbit face neck w contrast (70542) |
$1,668.80 |
$2,384 |
4.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$1,919.40 |
$2,742 |
5.5× |
| MRI pelvis w contrast (72196) |
$2,085.30 |
$2,979 |
5.9× |
| MRI pelvis w/o & w contrast (72197) |
$2,501.80 |
$3,574 |
7.1× |
| MRI pelvis w/o contrast (72195) |
$1,813.70 |
$2,591 |
7.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,588.30 |
$2,269 |
6.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$1,416.10 |
$2,023 |
4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,290.80 |
$1,844 |
5.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$1,804.60 |
$2,578 |
5.1× |
| MRI, abdomen, combo (74183) |
$1,759.10 |
$2,513 |
5.0× |
| MRI, dorsal spine combo (72157) |
$2,191.70 |
$3,131 |
6.2× |
| MRI, dorsal spine contrast (72147) |
$1,890 |
$2,700 |
5.4× |
| MRI, joint upper extrem (73221) |
$1,466.50 |
$2,095 |
6.1× |
| MRI, joint upper extrem combo (73223) |
$2,236.50 |
$3,195 |
6.4× |
| MRI, lumbar spine combo (72158) |
$2,082.50 |
$2,975 |
5.9× |
| Myelogram Lumbar (72265) |
$1,719.90 |
$2,457 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$1,176.70 |
$1,681 |
0.9× |
| Neck soft tissue (70360) |
$312.90 |
$447 |
3.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$1,665.30 |
$2,379 |
3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,447.60 |
$2,068 |
3.6× |
| Pelvis 1 or 2 views (72170) |
$189 |
$270 |
1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$487.90 |
$697 |
1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$441.70 |
$631 |
4.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$841.40 |
$1,202 |
1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$364 |
$520 |
4.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$224 |
$320 |
2.6× |
| Radex elbow complete minimum 3 views (73080) |
$448 |
$640 |
5.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$402.50 |
$575 |
3.8× |
| Radex fingr minimum 2 views (73140) |
$298.90 |
$427 |
3.4× |
| Radex foot complete minimum 3 views (73630) |
$269.50 |
$385 |
3.1× |
| Radex Hand Minimum 3 Views (73130) |
$421.40 |
$602 |
4.8× |
| Radex lower extremity infant minimum 2 views (73592) |
$206.50 |
$295 |
2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$266 |
$380 |
3.0× |
| Radex Ribs Unilateral 2 Views (71100) |
$259.70 |
$371 |
3.0× |
| Radex shoulder complete minimum 2 views (73030) |
$411.60 |
$588 |
4.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$202.30 |
$289 |
2.3× |
| Radex Spine 1 View Specify Level (72020) |
$198.10 |
$283 |
2.3× |
| Radex Sternum Minimum 2 Views (71120) |
$274.40 |
$392 |
3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$342.30 |
$489 |
3.9× |
| Radex Toe Minimum 2 Views (73660) |
$167.30 |
$239 |
1.9× |
| Radex upper extremity infant minimum 2 views (73092) |
$316.40 |
$452 |
3.0× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$478.80 |
$684 |
5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$355.60 |
$508 |
3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$288.40 |
$412 |
2.7× |
| Radiologic exam colon double contrast study (74280) |
$951.30 |
$1,359 |
5.4× |
| Radiologic exam colon single contrast study (74270) |
$672 |
$960 |
3.8× |
| Radiologic exam knee complete 4/more views (73564) |
$543.90 |
$777 |
5.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$343 |
$490 |
3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$531.30 |
$759 |
3.0× |
| Radiologic exam swallow function contrast study (74230) |
$376.60 |
$538 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$468.30 |
$669 |
2.6× |
| Radiologic examination femur minimum 2 views (73552) |
$308.70 |
$441 |
3.5× |
| Radiologic examination knee 1/2 views (73560) |
$285.60 |
$408 |
3.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$230.30 |
$329 |
2.6× |
| Ribs bilateral 3 views (71110) |
$356.30 |
$509 |
3.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$3,044.30 |
$4,349 |
5.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,833.30 |
$2,619 |
3.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$4,377.80 |
$6,254 |
3.4× |
| Scapula (73010) |
$226.80 |
$324 |
2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$73.50 |
$105 |
3.1× |
| Shoulder 1 view (73020) |
$357 |
$510 |
4.1× |
| Shoulder Arthrography (73040) |
$658.70 |
$941 |
1.9× |
| Skull less than 4 views (70250) |
$220.50 |
$315 |
2.1× |
| Sternoclavicular joints (71130) |
$268.10 |
$383 |
3.1× |
| Thoracic spine 2 views (72070) |
$282.10 |
$403 |
2.7× |
| Thoracic spine 3 views (72072) |
$350 |
$500 |
3.3× |
| Thoracolumbar 2 views (72080) |
$261.10 |
$373 |
3.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) |
$877.10 |
$1,253 |
2.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$137.20 |
$196 |
0.3× |
| Thyroid Met Imaging Body (78018) |
$877.10 |
$1,253 |
1.6× |
| Thyroid Uptake Measurement (78012) |
$571.90 |
$817 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$177.80 |
$254 |
0.4× |
| Ultrasound Breast Limited (76642) |
$329 |
$470 |
3.7× |
| Ultrasound Elastography Parenchyma (76981) |
$445.90 |
$637 |
4.2× |
| Ultrasound Exam Aaa Screen (76706) |
$101.50 |
$145 |
1.0× |
| Ultrasound, abdomen limited (76705) |
$704.20 |
$1,006 |
6.7× |
| Upper gi w/o kub (74240) |
$407.40 |
$582 |
2.3× |
| Ureteral Reflux Study (78740) |
$982.80 |
$1,404 |
2.4× |
| Urethrocystogram voiding (74455) |
$688.80 |
$984 |
2.9× |
| Urethrocystography retrograde (74450) |
$339.50 |
$485 |
1.4× |
| Us chest (76604) |
$352.80 |
$504 |
3.3× |
| Us complete joint (76881) |
$152.60 |
$218 |
1.4× |
| Us exam, pelvic, limited (76857) |
$331.10 |
$473 |
3.1× |
| Us head (76506) |
$137.90 |
$197 |
1.3× |
| Us kidney transplant (76776) |
$418.60 |
$598 |
4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$98 |
$140 |
0.9× |
| Us ob limited 1 or more fetuses (76815) |
$283.50 |
$405 |
2.7× |
| Us ob transvaginal (76817) |
$345.10 |
$493 |
3.3× |
| Us pelvic non ob complete (76856) |
$633.50 |
$905 |
6.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$541.80 |
$774 |
5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$443.80 |
$634 |
4.2× |
| Us retroperitoneal complete (76770) |
$493.50 |
$705 |
4.7× |
| Us retroperitoneal limited (76775) |
$428.40 |
$612 |
4.1× |
| Us scrotum and contents (76870) |
$407.40 |
$582 |
3.9× |
| Us spinal canal and contents (76800) |
$369.60 |
$528 |
3.5× |
| Us thyroid (76536) |
$471.10 |
$673 |
4.5× |
| Us transrectal (76872) |
$418.60 |
$598 |
4.0× |
| Wrist 2 views (73100) |
$350.70 |
$501 |
4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$305.20 |
$436 |
3.5× |
| X-ray antegrade pyelogram tube (74425) |
$682.50 |
$975 |
1.9× |
| X-Ray Bend Only L-S Spine (72120) |
$171.50 |
$245 |
1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$284.90 |
$407 |
3.2× |
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines |
$21.70–$346.50 |
$31–$495 |
varies |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$195.30 |
$279 |
2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$195.30 |
$279 |
1.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$717.50 |
$1,025 |
6.8× |
| X-Ray Exam Hip Uni 1 View (73501) |
$203 |
$290 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$245 |
$350 |
2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$305.90 |
$437 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$391.30 |
$559 |
3.7× |
| X-Ray Exam L-S Spine Bending (72114) |
$525 |
$750 |
5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$210.70 |
$301 |
2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$387.80 |
$554 |
3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$302.40 |
$432 |
2.9× |
| X-ray eye for foreign body (70030) |
$251.30 |
$359 |
2.9× |
| X-ray humerus (73060) |
$220.50 |
$315 |
2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$323.40 |
$462 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$186.20 |
$266 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$301.70 |
$431 |
2.9× |
| X-ray nose-rectum child f.b. (76010) |
$191.80 |
$274 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$409.50 |
$585 |
3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$308.70 |
$441 |
2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$153.30 |
$219 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$220.50 |
$315 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$343 |
$490 |
3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$273 |
$390 |
2.6× |
| X-ray thoracic spine 4 vw (72074) |
$444.50 |
$635 |
4.2× |
| X-Ray Tmj Unilat (70328) |
$236.60 |
$338 |
2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$272.30 |
$389 |
0.8× |
| X-Rays Bone Length Studies (77073) |
$288.40 |
$412 |
2.7× |
| X-Rays Bone Survey Complete (77075) |
$586.60 |
$838 |
5.6× |
| Xr c-spine 4 or 5 views (72050) |
$306.60 |
$438 |
2.9× |
| Xr facial bones less than 3 views (70140) |
$330.40 |
$472 |
3.8× |
| Xr orbits complete 4 views (70200) |
$373.80 |
$534 |
3.5× |