| 3-D radiotherapy plan dose-volume histograms (77295) |
$856 |
$1,712 |
0.6× |
| Abdomen 2 views (74019) |
$213 |
$426 |
2.1× |
| Acute gi blood loss imaging (78278) |
$1,103.50 |
$2,207 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$5,676.50 |
$11,353 |
1.9× |
| Angiography extremity unilateral rs&i (75710) |
$5,676.50 |
$11,353 |
1.9× |
| Ankle 2 views (73600) |
$209 |
$418 |
2.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,102.50 |
$12,205 |
2.0× |
| Aortography abdominal serialography rs&i (75625) |
$5,676.50 |
$11,353 |
1.9× |
| Basic dosimetry (77300) |
$1,418 |
$2,836 |
11.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,097 |
$2,194 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$1,103.50 |
$2,207 |
2.9× |
| Bone age studies (77072) |
$338.75 |
$677.50 |
3.4× |
| Bone Imaging 3 Phase (78315) |
$254.75 |
$509.50 |
0.7× |
| Bone survey complete (77075) |
$65.50 |
$131 |
0.7× |
| Bone survey infant (77076) |
$322.50 |
$645 |
3.2× |
| Bowel imaging (78290) |
$1,063.50 |
$2,127 |
2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,633 |
$9,266 |
3.4× |
| Brain Imaging Vascular Flow Only (78610) |
$603 |
$1,206 |
1.2× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$264 |
$528 |
0.7× |
| Cervical spine 2 or 3 views (72040) |
$322.50 |
$645 |
3.9× |
| Chest 1 view (71045) |
$290.25 |
$580.50 |
3.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$367.50 |
$735 |
2.2× |
| Clavicle complete (73000) |
$100.50 |
$201 |
1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$120 |
$240 |
1.2× |
| Continuing medical physics consltj pr wk (77336) |
$368 |
$736 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,182 |
$4,364 |
6.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,652.75 |
$3,305.50 |
7.2× |
| CT abdomen w contrast (74160) |
$1,448 |
$2,896 |
8.6× |
| CT abdomen w wo contrast (74170) |
$1,448 |
$2,896 |
8.6× |
| CT abdomen w/o contrast (74150) |
$687 |
$1,374 |
6.9× |
| CT angio hrt w/3d image (75574) |
$227.25 |
$454.50 |
0.7× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,500.50 |
$3,001 |
8.9× |
| CT angiography upper extremity lt (73206) |
$1,448 |
$2,896 |
8.6× |
| CT c-spine w/contrast (72126) |
$2,029.50 |
$4,059 |
6.1× |
| CT c-spine w/o contrast (72125) |
$687 |
$1,374 |
6.9× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$1,578 |
$3,156 |
9.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,383.50 |
$2,767 |
8.2× |
| CT chest w contrast (71260) |
$1,500.50 |
$3,001 |
8.9× |
| CT chest w/wo contrast (71270) |
$113.75 |
$227.50 |
0.7× |
| CT head/brain with contrast (70460) |
$113.75 |
$227.50 |
0.7× |
| CT head/brain without and with contrast (70470) |
$1,448 |
$2,896 |
8.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$94.25 |
$188.50 |
1.1× |
| CT iac w contrast (70481) |
$118 |
$236 |
0.7× |
| CT lower ext w/o (73700) |
$712 |
$1,424 |
7.1× |
| CT lower extremity w wo contrast (73702) |
$109.50 |
$219 |
0.7× |
| CT lower extremity w/contrast material (73701) |
$118 |
$236 |
0.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,395.50 |
$2,791 |
8.3× |
| CT lumbar spine w/contrast (72132) |
$237.75 |
$475.50 |
0.7× |
| CT lumbar spine w/o contrast (72131) |
$681.75 |
$1,363.50 |
6.8× |
| CT maxillofacial w contrast (70487) |
$1,448 |
$2,896 |
8.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,448 |
$2,896 |
8.6× |
| CT maxillofacial wo contrast (70486) |
$687 |
$1,374 |
6.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$109.50 |
$219 |
0.7× |
| CT orbits w/o contrast (70480) |
$687 |
$1,374 |
6.9× |
| CT pelvis w/o contrast (72192) |
$712 |
$1,424 |
7.1× |
| CT pelvis w/wo contrast (72194) |
$1,395.50 |
$2,791 |
8.3× |
| CT scan of arm combo (73202) |
$1,395.50 |
$2,791 |
8.3× |
| CT soft tissue neck w contrast (70491) |
$1,448 |
$2,896 |
8.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$109.50 |
$219 |
0.7× |
| CT soft tissue neck w/o contrast (70490) |
$687 |
$1,374 |
6.9× |
| CT thoracic spine w/contrast (72129) |
$118 |
$236 |
0.7× |
| CT thoracic spine w/o contrast (72128) |
$681.75 |
$1,363.50 |
6.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,383.50 |
$2,767 |
8.2× |
| CT thorax w/o contrast (71250) |
$687 |
$1,374 |
6.9× |
| CT upper ext wo (73200) |
$687 |
$1,374 |
6.9× |
| CT upper extremity with contrast (73201) |
$2,105.75 |
$4,211.50 |
6.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,487.50 |
$2,975 |
8.8× |
| Cta Abdomen (74175) |
$109.50 |
$219 |
0.7× |
| CTA abdomen pelvis (74174) |
$2,105.75 |
$4,211.50 |
6.3× |
| CTA chest (71275) |
$1,448 |
$2,896 |
8.6× |
| Cta Head (70496) |
$1,448 |
$2,896 |
8.6× |
| Cta Neck (70498) |
$1,448 |
$2,896 |
8.6× |
| Cystography minimum 3 views rs&i (74430) |
$719 |
$1,438 |
2.1× |
| Diskography lumbar (72295) |
$2,197 |
$4,394 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$347 |
$694 |
3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$172.50 |
$345 |
2.1× |
| Dxa bone density study axial skeleton (77085) |
$627.50 |
$1,255 |
6.3× |
| Esophagus (74220) |
$367.50 |
$735 |
2.2× |
| Facial bones min 3 views (70150) |
$93.25 |
$186.50 |
0.9× |
| Fetal biophysical profile non-stress testing (76818) |
$363 |
$726 |
3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$600 |
$1,200 |
6.0× |
| Fluoroscopy up to 1 hr (76000) |
$692 |
$1,384 |
3.0× |
| Foot 2 views (73620) |
$194 |
$388 |
2.3× |
| Forearm 2 views (73090) |
$194 |
$388 |
2.3× |
| Hand 2 views (73120) |
$209 |
$418 |
2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,463.50 |
$2,927 |
2.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$245.50 |
$491 |
0.6× |
| Hysterosalpingogram (74740) |
$1,297.50 |
$2,595 |
5.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,552 |
$3,104 |
3.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,410.50 |
$2,821 |
2.7× |
| Knee 3 views (73562) |
$209 |
$418 |
2.5× |
| Lung perfusion differential (78597) |
$1,063.50 |
$2,127 |
2.8× |
| Lymphoscintigraphy (78195) |
$1,463.50 |
$2,927 |
2.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,888 |
$5,776 |
3.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,888 |
$5,776 |
8.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$228.25 |
$456.50 |
0.6× |
| MRA head w & w/o contrast (70546) |
$2,860.50 |
$5,721 |
8.5× |
| MRA head w/o contrast (70544) |
$1,737.50 |
$3,475 |
7.6× |
| MRA head with contrast (70545) |
$2,757 |
$5,514 |
8.2× |
| MRA neck w contrast (70548) |
$2,757 |
$5,514 |
8.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,860.50 |
$5,721 |
8.5× |
| MRA neck w/o contrast (70547) |
$1,674.50 |
$3,349 |
7.3× |
| MRI abdomen w contrast (74182) |
$2,783.50 |
$5,567 |
8.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,888 |
$5,776 |
8.6× |
| MRI abdomen w/o contrast (74181) |
$1,754 |
$3,508 |
7.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,888 |
$5,776 |
3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,888 |
$5,776 |
8.6× |
| MRI c-spine with contrast (72142) |
$2,757 |
$5,514 |
8.2× |
| MRI cervical spine w/o contrast (72141) |
$1,800.50 |
$3,601 |
7.9× |
| MRI chest w/o & w/contrast material (71552) |
$2,888 |
$5,776 |
8.6× |
| MRI chest w/o contrast (71550) |
$1,754 |
$3,508 |
7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,888 |
$5,776 |
8.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,754 |
$3,508 |
7.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,674.50 |
$3,349 |
7.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,860.50 |
$5,721 |
8.5× |
| MRI pelvis w/contrast (72196) |
$2,783.50 |
$5,567 |
8.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,888 |
$5,776 |
8.6× |
| MRI pelvis w/o contrast (72195) |
$1,754 |
$3,508 |
7.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,860.50 |
$5,721 |
8.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,783.50 |
$5,567 |
8.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,888 |
$5,776 |
8.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,783.50 |
$5,567 |
8.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,888 |
$5,776 |
8.6× |
| MRI temporomandibular joint (70336) |
$1,690.50 |
$3,381 |
7.4× |
| MRI thoracic spine w/o contrast (72146) |
$1,817.50 |
$3,635 |
7.9× |
| MRI up ext w/o contrast (73218) |
$1,817.50 |
$3,635 |
7.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,817.50 |
$3,635 |
7.9× |
| MRI, joint upper extrem combo (73223) |
$237.75 |
$475.50 |
0.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,676 |
$7,352 |
3.0× |
| N-invas est c ffr sw aly CTA (75580) |
$2,287.50 |
$4,575 |
2.8× |
| Neck soft tissue (70360) |
$56.25 |
$112.50 |
0.7× |
| Nm gastric emptying study (78264) |
$1,103.50 |
$2,207 |
2.9× |
| Nonvascular shunt X-ray (75809) |
$119.50 |
$239 |
1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$856 |
$1,712 |
0.6× |
| Nuclear Rx Oral Admin (79005) |
$935 |
$1,870 |
4.2× |
| Parathyroid Planar Imaging (78070) |
$1,063.50 |
$2,127 |
2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,103.50 |
$2,207 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$347 |
$694 |
3.5× |
| Peritoneogram after injection (74190) |
$663.50 |
$1,327 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$4,806.75 |
$9,613.50 |
3.5× |
| PET imaging for CT attenuation whole body (78816) |
$4,806.75 |
$9,613.50 |
3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,063.50 |
$2,127 |
2.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$322 |
$644 |
0.6× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,069.50 |
$2,139 |
1.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$194 |
$388 |
2.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$56.25 |
$112.50 |
0.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$194 |
$388 |
2.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$194 |
$388 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$334.75 |
$669.50 |
3.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$227 |
$454 |
2.3× |
| Radex fingr minimum 2 views (73140) |
$194 |
$388 |
2.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$194 |
$388 |
2.3× |
| Radex Hand Minimum 3 Views (73130) |
$194 |
$388 |
2.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$56.25 |
$112.50 |
0.7× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$197 |
$394 |
2.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$190 |
$380 |
1.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$200.50 |
$401 |
2.0× |
| Radex Humerus Minimum 2 Views (73060) |
$194 |
$388 |
2.3× |
| Radex Kne 1/2 Views (73560) |
$209 |
$418 |
2.5× |
| Radex Kne Compl 4/More Views (73564) |
$322.50 |
$645 |
3.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$68 |
$136 |
0.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$56.25 |
$112.50 |
0.7× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$322.50 |
$645 |
3.2× |
| Radex Sho Compl Minimum 2 Views (73030) |
$194 |
$388 |
2.3× |
| Radex Sinuses Paransl < 3 Views (70210) |
$194 |
$388 |
2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$56.25 |
$112.50 |
0.7× |
| Radex Toe Minimum 2 Views (73660) |
$77.25 |
$154.50 |
0.9× |
| Radex upper extremity infant minimum 2 views (73092) |
$319.50 |
$639 |
3.2× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$194 |
$388 |
2.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$221 |
$442 |
2.2× |
| Radiation treatment delivery level 1 (77402) |
$377 |
$754 |
3.9× |
| Radiation treatment delivery level 2 (77407) |
$377 |
$754 |
1.0× |
| Radiation treatment delivery level 3 (77412) |
$397.50 |
$795 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$213 |
$426 |
2.6× |
| Radiologic exam chest 2 views (71046) |
$193.50 |
$387 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$354 |
$708 |
2.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$367.50 |
$735 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$367.50 |
$735 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$367.50 |
$735 |
2.2× |
| Radiologic examination femur 1 view (73551) |
$194 |
$388 |
2.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$194 |
$388 |
2.3× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$319.50 |
$639 |
3.2× |
| Radiological examination surgical specimen (76098) |
$1,193.50 |
$2,387 |
2.3× |
| Ribs bilateral 3 views (71110) |
$334.75 |
$669.50 |
3.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$3,543 |
$7,086 |
6.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,543 |
$7,086 |
6.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$877.25 |
$1,754.50 |
0.7× |
| Scapula (73010) |
$70.50 |
$141 |
0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$31.50 |
$63 |
1.3× |
| Shoulder 1 view (73020) |
$209 |
$418 |
2.5× |
| Small bowel series (74250) |
$354 |
$708 |
2.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$220 |
$440 |
0.6× |
| Special dosimetry (77331) |
$87.50 |
$175 |
0.7× |
| Special treatment procedure (77470) |
$363.75 |
$727.50 |
0.7× |
| Spine thoracic 3 views (72072) |
$93.25 |
$186.50 |
0.9× |
| Stereotactic Body Radiation Delivery (77373) |
$1,737 |
$3,474 |
1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$370.50 |
$741 |
1.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$236.50 |
$473 |
0.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$84.25 |
$168.50 |
0.7× |
| Thoracolumbar 2 views (72080) |
$194 |
$388 |
2.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$334.25 |
$668.50 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,103.50 |
$2,207 |
2.9× |
| Treatment device complex (77334) |
$558.25 |
$1,116.50 |
1.6× |
| Treatment device intermediate (77333) |
$331.50 |
$663 |
2.6× |
| Treatment devices simple (77332) |
$84.25 |
$168.50 |
0.7× |
| Ultrasound breast complete (76641) |
$223.34 |
$446.67 |
2.2× |
| Ultrasound Exam Aaa Screen (76706) |
$579 |
$1,158 |
5.8× |
| Ultrasound, abdomen limited (76705) |
$579 |
$1,158 |
5.8× |
| Urethrocystogram voiding (74455) |
$1,224.50 |
$2,449 |
5.3× |
| Us breast unilateral limited (76642) |
$360.50 |
$721 |
4.3× |
| Us chest (76604) |
$347.75 |
$695.50 |
3.5× |
| Us encephalogram (76506) |
$349.25 |
$698.50 |
3.5× |
| Us infant hips w manipulation (76885) |
$351.75 |
$703.50 |
4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$360.50 |
$721 |
3.6× |
| Us ob limited (76815) |
$558 |
$1,116 |
5.6× |
| Us ob transvaginal (76817) |
$579 |
$1,158 |
5.8× |
| Us pelvic non ob complete (76856) |
$579 |
$1,158 |
5.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$335 |
$670 |
3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$558 |
$1,116 |
5.6× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$347.75 |
$695.50 |
3.5× |
| Us retroperitoneal complete (76770) |
$579 |
$1,158 |
5.8× |
| Us retroperitoneal limited (76775) |
$579 |
$1,158 |
5.8× |
| Us scrotum and contents (76870) |
$558 |
$1,116 |
5.6× |
| Us soft tissue head/neck (76536) |
$579 |
$1,158 |
5.8× |
| Us spinal canal and contents (76800) |
$351.75 |
$703.50 |
3.5× |
| Us,transplanted kidney, real time/ doppler (76776) |
$558 |
$1,116 |
5.6× |
| Venogram Extremity Unilateral (75820) |
$1,591 |
$3,182 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$6,102.50 |
$12,205 |
2.0× |
| Wrist 2 views (73100) |
$58.50 |
$117 |
0.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$381 |
$762 |
3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$209 |
$418 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$668.50 |
$1,337 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$201.50 |
$403 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$194 |
$388 |
2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$322.50 |
$645 |
3.2× |
| X-ray exam of femur 2/> (73552) |
$194 |
$388 |
2.3× |
| X-ray eye for foreign body (70030) |
$211.50 |
$423 |
2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$201.50 |
$403 |
2.4× |
| X-ray IV pyelogram (ivp) (74400) |
$668.50 |
$1,337 |
4.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$58.50 |
$117 |
0.7× |
| X-ray leg, infant (73592) |
$194 |
$388 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$322.50 |
$645 |
3.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$322.50 |
$645 |
3.2× |
| X-ray nose-rectum child f.b. (76010) |
$702 |
$1,404 |
8.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$322.50 |
$645 |
3.2× |
| X-ray retrograde pyelogram (74420) |
$1,270.50 |
$2,541 |
3.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$194 |
$388 |
2.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$322.50 |
$645 |
3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$70.50 |
$141 |
0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$93.25 |
$186.50 |
0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$201.50 |
$403 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$56.25 |
$112.50 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$68 |
$136 |
0.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$334.75 |
$669.50 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$194 |
$388 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$194 |
$388 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$201.50 |
$403 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$322.50 |
$645 |
3.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$338.75 |
$677.50 |
3.4× |
| Xr bone length studies (77073) |
$68 |
$136 |
0.7× |
| Xr c-spine 4 or 5 views (72050) |
$322.50 |
$645 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$68 |
$136 |
0.7× |
| Xr chest 4+ views (71048) |
$65.50 |
$131 |
0.7× |