| Abdomen 2 views (74019) |
$211.64 |
$542.66 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$326.76 |
$837.85 |
0.9× |
| Ankle 2 views (73600) |
$127.02 |
$325.70 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$322.50 |
$826.94 |
0.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$318.53 |
$816.76 |
0.9× |
| Bone &/joint imaging whole body (78306) |
$1,245.19 |
$3,192.80 |
3.6× |
| Bone age studies (77072) |
$70.67 |
$181.23 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$669.25 |
$1,716.05 |
1.9× |
| Bone survey complete (77075) |
$92.75 |
$237.84 |
1.0× |
| Cervical spine 2 or 3 views (72040) |
$190.72 |
$489.05 |
2.5× |
| Chest 1 view (71045) |
$141.12 |
$361.86 |
1.9× |
| Chest 3 views (71047) |
$166.30 |
$426.42 |
2.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$208.96 |
$535.82 |
1.4× |
| Clavicle complete (73000) |
$110.69 |
$283.84 |
1.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$858 |
$2,200 |
2.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,254.98 |
$3,217.92 |
6.1× |
| CT abdomen w contrast (74160) |
$809.14 |
$2,074.73 |
5.4× |
| CT abdomen w wo contrast (74170) |
$1,229.29 |
$3,152.04 |
8.1× |
| CT abdomen w/o contrast (74150) |
$510.03 |
$1,307.79 |
5.7× |
| CT angiography upper extremity lt (73206) |
$487.46 |
$1,249.91 |
3.2× |
| CT c-spine w/o contrast (72125) |
$1,076.70 |
$2,760.79 |
11.9× |
| CT cervical spine w&w/o contrast (72127) |
$281.65 |
$722.18 |
1.9× |
| CT cervical spine with contrast (72126) |
$453.28 |
$1,162.27 |
1.5× |
| CT chest w/wo contrast (71270) |
$1,264.89 |
$3,243.33 |
8.4× |
| CT chest with contrast (71260) |
$1,002.88 |
$2,571.51 |
6.6× |
| CT head/brain with contrast (70460) |
$864.59 |
$2,216.91 |
5.7× |
| CT head/brain without and with contrast (70470) |
$1,074.80 |
$2,755.92 |
7.1× |
| CT iac w contrast (70481) |
$281.65 |
$722.18 |
1.9× |
| CT limited/localized follow up study (76380) |
$173.78 |
$445.60 |
2.3× |
| CT lower ext w/o (73700) |
$568.42 |
$1,457.50 |
6.3× |
| CT lower extremity w wo contrast (73702) |
$629.15 |
$1,613.22 |
4.2× |
| CT lower extremity with contrast (73701) |
$281.65 |
$722.18 |
1.9× |
| CT lumbar spine w & w/o contrast (72133) |
$965.70 |
$2,476.16 |
6.4× |
| CT lumbar spine w/o contrast (72131) |
$948.03 |
$2,430.86 |
10.5× |
| CT lumbar spine with contrast (72132) |
$983.41 |
$2,521.58 |
3.3× |
| CT maxillofacial w contrast (70487) |
$281.65 |
$722.18 |
1.9× |
| CT maxillofacial w/o contrast (70486) |
$124.86 |
$320.18 |
1.4× |
| CT maxillofacial w/wo contrast (70488) |
$371.79 |
$953.32 |
2.5× |
| CT neck soft tissue w contrast (70491) |
$457.35 |
$1,172.70 |
3.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$468.95 |
$1,202.45 |
3.1× |
| CT orbits w/o contrast (70480) |
$419.92 |
$1,076.74 |
4.7× |
| CT pelvis w & w/o contrast (72194) |
$1,286.29 |
$3,298.20 |
8.5× |
| CT pelvis w/o contrast (72192) |
$802.23 |
$2,057.02 |
8.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$502.15 |
$1,287.58 |
3.3× |
| CT soft tissue neck w/o contrast (70490) |
$405.66 |
$1,040.17 |
4.5× |
| CT thoracic spine w/contrast (72129) |
$1,162.43 |
$2,980.61 |
7.7× |
| CT thoracic spine w/o contrast (72128) |
$582.26 |
$1,492.99 |
6.5× |
| CT thoracic spine w/wo contrast (72130) |
$630.50 |
$1,616.68 |
4.2× |
| CT thorax w/o contrast (71250) |
$771.59 |
$1,978.46 |
8.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$563.29 |
$1,444.35 |
3.7× |
| CT upper extremity w/o contrast rt (73200) |
$395.76 |
$1,014.78 |
4.4× |
| CT upper extremity with contrast (73201) |
$281.65 |
$722.18 |
0.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,759.75 |
$4,512.20 |
11.6× |
| Cta Abdomen (74175) |
$485.44 |
$1,244.72 |
3.2× |
| CTA abdomen pelvis (74174) |
$1,794 |
$4,600 |
6.0× |
| CTA chest (71275) |
$423.98 |
$1,087.13 |
2.8× |
| Cta Head (70496) |
$640 |
$1,641.03 |
4.2× |
| CTA lwr ext w&w/o contrast (73706) |
$565.95 |
$1,451.17 |
3.7× |
| Cta Neck (70498) |
$640 |
$1,641.03 |
4.2× |
| Cta Pelvis (72191) |
$708.38 |
$1,816.37 |
4.7× |
| Cystography minimum 3 views rs&i (74430) |
$227.72 |
$583.90 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$151.99 |
$389.74 |
1.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$86.03 |
$220.60 |
1.1× |
| Dxa bone density study axial skeleton (77085) |
$182.59 |
$468.19 |
2.0× |
| Esophagus (74220) |
$277.48 |
$711.50 |
1.8× |
| Fetal biophysical profile non-stress testing (76818) |
$149.76 |
$384 |
1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$178.43 |
$457.53 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$211.50 |
$542.31 |
1.0× |
| Foot 2 views (73620) |
$159.75 |
$409.63 |
2.1× |
| Forearm 2 views (73090) |
$363.25 |
$931.43 |
4.8× |
| Gated Heart Planar Single (78472) |
$353.98 |
$907.65 |
1.0× |
| Hand 2 views (73120) |
$177.80 |
$455.93 |
2.0× |
| Hand 3 views (73130) |
$278.82 |
$714.95 |
3.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$319.95 |
$820.41 |
0.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$415.68 |
$1,065.86 |
1.2× |
| Ht muscle image spect sing (78451) |
$895.16 |
$2,295.30 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$186.85 |
$479.12 |
2.5× |
| Hysterosalpingogram (74740) |
$281.19 |
$721.01 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$395.04 |
$1,012.93 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$658.34 |
$1,688.06 |
1.4× |
| Knee 3 views (73562) |
$268.41 |
$688.24 |
3.6× |
| Liver & spleen imaging static only (78215) |
$324.82 |
$832.89 |
0.9× |
| Lymphoscintigraphy (78195) |
$551.07 |
$1,413 |
1.2× |
| MRA head w & w/o contrast (70546) |
$688.57 |
$1,765.58 |
2.3× |
| MRA head w/o contrast (70544) |
$619.37 |
$1,588.13 |
3.0× |
| MRA head with contrast (70545) |
$619.73 |
$1,589.07 |
2.1× |
| MRA neck w contrast (70548) |
$560.53 |
$1,437.28 |
1.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$656.12 |
$1,682.38 |
2.2× |
| MRA neck w/o contrast (70547) |
$619.37 |
$1,588.13 |
3.0× |
| MRI abdomen w contrast (74182) |
$621.20 |
$1,592.84 |
2.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$992.85 |
$2,545.77 |
3.3× |
| MRI abdomen w/o contrast (74181) |
$443.40 |
$1,136.93 |
2.2× |
| MRI any jnt lwr ext with con lt (73722) |
$854.88 |
$2,192 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$909.92 |
$2,333.14 |
1.3× |
| MRI c-spine with contrast (72142) |
$1,984.62 |
$5,088.79 |
6.6× |
| MRI cervical spine w/o contrast (72141) |
$963.38 |
$2,470.22 |
4.7× |
| MRI chest w/o & w/contrast material (71552) |
$656.12 |
$1,682.38 |
2.2× |
| MRI chest w/o contrast (71550) |
$462.82 |
$1,186.74 |
2.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$649.30 |
$1,664.90 |
2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$649.30 |
$1,664.90 |
2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$412.42 |
$1,057.50 |
2.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$443.40 |
$1,136.93 |
2.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$718.66 |
$1,842.72 |
2.4× |
| MRI orbit/face/neck w/contrast (70542) |
$620.71 |
$1,591.58 |
2.1× |
| MRI pelvis w contrast (72196) |
$621.20 |
$1,592.83 |
2.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$783.54 |
$2,009.10 |
2.6× |
| MRI pelvis w/o contrast (72195) |
$483.64 |
$1,240.12 |
2.4× |
| MRI scan of arm joint before and after contrast (73223) |
$1,064.45 |
$2,729.38 |
3.5× |
| MRI scan of leg joint before and after contrast (73723) |
$1,644 |
$4,215.38 |
5.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,371.46 |
$3,516.58 |
4.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$751.11 |
$1,925.93 |
2.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,371.46 |
$3,516.58 |
4.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$929.60 |
$2,383.59 |
3.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,083.89 |
$2,779.22 |
3.6× |
| MRI thoracic spine w/o contrast (72146) |
$942.88 |
$2,417.66 |
4.6× |
| MRI upper ext joint w/o contrast (73221) |
$905.43 |
$2,321.63 |
4.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$563.29 |
$1,444.35 |
1.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$274.95 |
$705 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$933.84 |
$2,394.47 |
0.8× |
| Neck soft tissue (70360) |
$95.55 |
$245.02 |
1.3× |
| Nm gastric emptying study (78264) |
$261.31 |
$670.03 |
0.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$122.88 |
$315.10 |
1.4× |
| Osseous survey infant (77076) |
$106.62 |
$273.41 |
1.2× |
| Parathyroid imaging (78070) |
$325.67 |
$835.06 |
0.9× |
| Pelvis 1 or 2 views (72170) |
$162.94 |
$417.81 |
1.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,176.02 |
$3,015.44 |
3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$277.73 |
$712.13 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$81.97 |
$210.20 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$107.21 |
$274.91 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$267.69 |
$686.41 |
3.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$92.93 |
$238.30 |
1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$214.43 |
$549.83 |
2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$95.35 |
$244.51 |
1.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$155.77 |
$399.43 |
2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$171.19 |
$438.95 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$113.23 |
$290.34 |
1.5× |
| Radiologic exam colon single contrast study (74270) |
$266.22 |
$682.64 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$240.05 |
$615.52 |
1.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$266.22 |
$682.64 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$267.52 |
$685.97 |
3.6× |
| Radiological examination surgical specimen (76098) |
$497.81 |
$1,276.45 |
1.1× |
| Ribs bilateral 3 views (71110) |
$130.09 |
$333.57 |
1.4× |
| Sacroiliac Joints < 3 Views (72200) |
$119.67 |
$306.85 |
1.3× |
| Scapula complete (73010) |
$86.94 |
$222.92 |
1.0× |
| Small bowel series (74250) |
$149.22 |
$382.64 |
1.0× |
| Spine thoracic 3 views (72072) |
$86.70 |
$222.31 |
1.0× |
| Spleen imaging only (78185) |
$353.98 |
$907.65 |
1.0× |
| Testicular Imaging With Vascular Flow (78761) |
$387.88 |
$994.58 |
1.1× |
| Thoracolumbar 2 views (72080) |
$85.72 |
$219.82 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$179.30 |
$459.75 |
0.5× |
| Thyroid uptake measurement (78012) |
$353.98 |
$907.65 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$277.29 |
$711.01 |
0.8× |
| Tmj unilateral (70328) |
$96.72 |
$248 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$355.34 |
$911.14 |
3.9× |
| Upper Extremity Infant (73092) |
$119.80 |
$307.20 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$215.35 |
$552.19 |
1.0× |
| Urethrocystography voiding (74455) |
$277.82 |
$712.38 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$216.42 |
$554.94 |
1.4× |
| Us breast unilateral complete (76641) |
$326.04 |
$836.01 |
3.6× |
| Us breast unilateral limited (76642) |
$326.04 |
$836.01 |
4.3× |
| Us chest (76604) |
$140.68 |
$360.74 |
1.6× |
| Us compl joint r-t w/image documentation (76881) |
$119.80 |
$307.20 |
1.3× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$304.76 |
$781.46 |
3.4× |
| Us ob detailed single fetus (76811) |
$114.30 |
$293.10 |
0.6× |
| Us ob transvaginal (76817) |
$119.80 |
$307.20 |
1.3× |
| Us pelvic non ob complete (76856) |
$283.87 |
$727.89 |
3.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$272.76 |
$699.42 |
3.0× |
| Us pregnancy ltd (76815) |
$128.65 |
$329.88 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$119.80 |
$307.20 |
1.3× |
| Us retroperitoneal complete (76770) |
$357.85 |
$917.58 |
4.0× |
| Us retroperitoneal limited (76775) |
$238.64 |
$611.92 |
2.6× |
| Us scrotum and contents (76870) |
$257.01 |
$659 |
2.9× |
| Us soft tissue head/neck (76536) |
$265.44 |
$680.63 |
2.9× |
| Vertebral fracture assessment via dxa (77086) |
$45.57 |
$116.85 |
0.6× |
| Wrist 2 views (73100) |
$170.10 |
$436.16 |
2.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$189.81 |
$486.70 |
2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$60.16 |
$154.26 |
0.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$196.95 |
$505 |
2.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$282.71 |
$724.90 |
1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$276.28 |
$708.41 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$283.20 |
$726.18 |
3.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$214.43 |
$549.83 |
2.4× |
| X-ray exam hip uni 1 view (73501) |
$86.92 |
$222.86 |
1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$191.75 |
$491.68 |
2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$130.06 |
$333.50 |
1.4× |
| X-ray eye for foreign body (70030) |
$96.65 |
$247.83 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$134.68 |
$345.35 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$65.58 |
$168.16 |
0.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$290.80 |
$745.67 |
3.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$127.80 |
$327.70 |
1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$63.60 |
$163.10 |
0.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$257.92 |
$661.34 |
2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$280.64 |
$719.59 |
3.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$74.71 |
$191.58 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$118.95 |
$305.02 |
1.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$380.95 |
$976.82 |
4.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$130.06 |
$333.50 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$104.58 |
$268.18 |
1.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$60.32 |
$154.69 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$74.71 |
$191.58 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$207.88 |
$533.03 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$221.54 |
$568.06 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$130.09 |
$333.57 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$430.61 |
$1,104.14 |
4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$119.67 |
$306.85 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$55.34 |
$141.92 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$289.86 |
$743.24 |
3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$76.53 |
$196.25 |
1.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$84.13 |
$215.72 |
1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$149.51 |
$383.37 |
1.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$71.94 |
$184.48 |
0.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$91.95 |
$235.78 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$73.36 |
$188.12 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$60.45 |
$155.02 |
0.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$301.63 |
$773.42 |
3.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$282.72 |
$724.94 |
3.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$63.60 |
$163.10 |
0.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$252.96 |
$648.63 |
3.4× |
| Xr c-spine 6 or more views (72052) |
$100.28 |
$257.13 |
1.1× |
| Xr finger(s) 2+ views (73140) |
$63.60 |
$163.10 |
0.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$130.06 |
$333.50 |
1.4× |
| Xr shoulder 1 view (73020) |
$95.35 |
$244.51 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$393.63 |
$1,009.33 |
4.4× |
| Xr tibia/fibula 2 views (73590) |
$130.36 |
$334.27 |
1.7× |
| Xr tmj bilateral (70330) |
$87.20 |
$223.60 |
1.2× |
| Xray knee 1 or 2 views rt (73560) |
$239.95 |
$615.28 |
3.2× |