| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,341.40 |
$9,756 |
4.5× |
| Abdomen 1 View (74018) |
$288.60 |
$444 |
3.2× |
| Abdomen 2 views (74019) |
$344.50 |
$530 |
3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,727.05 |
$2,657 |
4.2× |
| Ankle 2 views (73600) |
$330.20 |
$508 |
3.7× |
| Basic radiation dosimetry calculation (77300) |
$650 |
$1,000 |
4.7× |
| Bone age studies (77072) |
$287.30 |
$442 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$1,860.95 |
$2,863 |
4.5× |
| Bone Imaging Limited Area (78300) |
$1,023.10 |
$1,574 |
2.5× |
| Bone Imaging Multiple Areas (78305) |
$1,416.35 |
$2,179 |
3.4× |
| Bone Imaging Whole Body (78306) |
$1,616.55 |
$2,487 |
3.9× |
| Bone marrow imaging limited area (78102) |
$1,057.55 |
$1,627 |
2.6× |
| Bone survey infant (77076) |
$399.10 |
$614 |
3.7× |
| Brachytx isodose complex (77318) |
$2,413.45 |
$3,713 |
6.3× |
| Brachytx isodose intermed (77317) |
$1,987.70 |
$3,058 |
5.2× |
| Brachytx Isodose Plan Simple (77316) |
$1,557.40 |
$2,396 |
4.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,267.90 |
$6,566 |
2.9× |
| Cerebrospinal Fluid Scan (78630) |
$1,849.90 |
$2,846 |
3.3× |
| Chest 1 view (71045) |
$288.60 |
$444 |
3.2× |
| Chest 2 views (71046) |
$413.40 |
$636 |
4.6× |
| Chest 3 views (71047) |
$436.80 |
$672 |
4.9× |
| Chest 4 or more views (71048) |
$475.80 |
$732 |
4.4× |
| Clavicle complete (73000) |
$277.55 |
$427 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$365.95 |
$563 |
3.4× |
| Continuing medical physics consltj pr wk (77336) |
$733.20 |
$1,128 |
5.3× |
| Contrast X-Ray Bladder (74430) |
$802.10 |
$1,234 |
2.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,414.15 |
$6,791 |
12.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,716.70 |
$5,718 |
15.2× |
| CT abdomen w contrast (74160) |
$1,858.35 |
$2,859 |
10.3× |
| CT abdomen w wo contrast (74170) |
$2,206.75 |
$3,395 |
12.2× |
| CT abdomen w/o contrast (74150) |
$1,858.35 |
$2,859 |
17.3× |
| CT Angio Abdomen and Pelvis (74174) |
$4,415.45 |
$6,793 |
12.3× |
| CT Angio Chest (71275) |
$2,206.75 |
$3,395 |
12.2× |
| CT Angio Head (70496) |
$2,206.75 |
$3,395 |
12.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$2,206.75 |
$3,395 |
12.2× |
| CT Angio Neck (70498) |
$2,206.75 |
$3,395 |
12.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,101.45 |
$3,233 |
11.7× |
| CT cervical spine w/ contrast (72126) |
$1,858.35 |
$2,859 |
5.2× |
| CT cervical spine w/o contrast (72125) |
$1,858.35 |
$2,859 |
17.3× |
| CT cervical spine w/wo cont (72127) |
$2,207.40 |
$3,396 |
12.3× |
| CT chest w contrast (71260) |
$1,858.35 |
$2,859 |
10.3× |
| CT chest w/wo contrast (71270) |
$2,206.75 |
$3,395 |
12.2× |
| CT head/brain with contrast (70460) |
$1,858.35 |
$2,859 |
10.3× |
| CT head/brain without and with contrast (70470) |
$2,206.75 |
$3,395 |
12.2× |
| CT iac w contrast (70481) |
$1,858.35 |
$2,859 |
10.3× |
| CT l-spine w&w/o contrast (72133) |
$1,858.35 |
$2,859 |
10.3× |
| CT lower ext w/o (73700) |
$1,858.35 |
$2,859 |
17.3× |
| CT lower extremity w/contrast material (73701) |
$1,858.35 |
$2,859 |
10.3× |
| CT lumbar spine w contrast (72132) |
$1,858.35 |
$2,859 |
5.2× |
| CT lumbar spine w/o contrast (72131) |
$1,858.35 |
$2,859 |
17.3× |
| CT maxillofacial w contrast (70487) |
$1,858.35 |
$2,859 |
10.3× |
| CT maxillofacial wo contrast (70486) |
$1,858.35 |
$2,859 |
17.3× |
| CT neck tissue combo (70492) |
$2,206.75 |
$3,395 |
12.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,811.55 |
$2,787 |
10.1× |
| CT orbits w/o contrast (70480) |
$1,858.35 |
$2,859 |
17.3× |
| CT pelvis w&w/o contrast (72194) |
$2,206.75 |
$3,395 |
12.2× |
| CT pelvis w/o contrast (72192) |
$1,858.35 |
$2,859 |
17.3× |
| CT scan of leg combo (73702) |
$2,206.75 |
$3,395 |
12.2× |
| CT scans face/jaw combo (70488) |
$2,206.75 |
$3,395 |
12.2× |
| CT soft tissue neck w contrast (70491) |
$1,858.35 |
$2,859 |
10.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,858.35 |
$2,859 |
17.3× |
| CT thoracic spine w contrast (72129) |
$1,858.35 |
$2,859 |
10.3× |
| CT thoracic spine w/o contrast (72128) |
$1,858.35 |
$2,859 |
17.3× |
| CT thorax w/o contrast (71250) |
$1,858.35 |
$2,859 |
17.3× |
| CT unlisted procedure (76497) |
$269.75 |
$415 |
3.0× |
| CT upper ext wo (73200) |
$1,858.35 |
$2,859 |
17.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,206.75 |
$3,395 |
12.2× |
| CT upper extremity with contrast (73201) |
$1,858.35 |
$2,859 |
5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$978.25 |
$1,505 |
5.4× |
| Cta Abdomen (74175) |
$2,206.75 |
$3,395 |
12.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$826.80 |
$1,272 |
2.3× |
| CTA pelvis (72191) |
$1,821.30 |
$2,802 |
10.1× |
| Diskography lumbar (72295) |
$3,236.35 |
$4,979 |
1.6× |
| Dxa Bone Density Axial (77080) |
$577.85 |
$889 |
5.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$371.80 |
$572 |
4.2× |
| Esophagram (74220) |
$514.80 |
$792 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$537.55 |
$827 |
5.0× |
| Fluoroscopy up to 1 hr (76000) |
$469.30 |
$722 |
1.9× |
| Foot 2 views (73620) |
$330.20 |
$508 |
3.7× |
| Forearm 2 views (73090) |
$330.20 |
$508 |
3.7× |
| Gastric emptying imaging study (78264) |
$1,186.90 |
$1,826 |
2.9× |
| Gated Heart Planar Single (78472) |
$1,859 |
$2,860 |
4.5× |
| Hand 2 views (73120) |
$330.20 |
$508 |
3.1× |
| Hepatobil Syst Image W/Drug (78227) |
$1,402.70 |
$2,158 |
2.5× |
| Hepatobiliary System Imaging (78226) |
$1,301.30 |
$2,002 |
3.2× |
| Ht Muscle Image Spect Sing (78451) |
$3,589.95 |
$5,523 |
2.7× |
| Hysterosalpingogram (74740) |
$1,045.85 |
$1,609 |
4.3× |
| Image fusion (77399) |
$902.20 |
$1,388 |
6.5× |
| Interstitial radiation source applic complex (77778) |
$4,906.85 |
$7,549 |
6.9× |
| K Flow/Funct Image W/Drug (78708) |
$1,371.50 |
$2,110 |
2.5× |
| K Flow/Funct Image W/O Drug (78707) |
$1,371.50 |
$2,110 |
2.5× |
| Knee 3 Views (73562) |
$413.40 |
$636 |
4.6× |
| Liver & Spleen Imaging Static Only (78215) |
$1,173.90 |
$1,806 |
2.9× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,385.15 |
$2,131 |
2.5× |
| Lung Ventilation Imaging (78579) |
$1,385.15 |
$2,131 |
3.4× |
| Lymph System Imaging (78195) |
$1,755.65 |
$2,701 |
3.1× |
| Magnetic Image Jaw Joint (70336) |
$1,858.35 |
$2,859 |
7.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,285.40 |
$3,516 |
5.9× |
| Mr safety determination physician/other qhp (76016) |
$147.55 |
$227 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$40.95 |
$63 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$154.05 |
$237 |
1.6× |
| Mr safety implt pos&/immoblj (76019) |
$100.75 |
$155 |
1.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$404.95 |
$623 |
1.7× |
| MRA head w/o contrast (70544) |
$1,974.05 |
$3,037 |
8.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,901.60 |
$4,464 |
8.1× |
| MRA neck w/o contrast (70547) |
$1,974.05 |
$3,037 |
8.1× |
| MRI abdomen w contrast (74182) |
$1,974.05 |
$3,037 |
5.5× |
| MRI abdomen w/o contrast (74181) |
$1,974.05 |
$3,037 |
8.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,974.05 |
$3,037 |
2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,901.60 |
$4,464 |
8.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,974.05 |
$3,037 |
2.5× |
| MRI cervical spine w contrast (72142) |
$1,949.35 |
$2,999 |
5.4× |
| MRI cervical spine w/o cont (72141) |
$1,974.05 |
$3,037 |
8.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,901.60 |
$4,464 |
8.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,974.05 |
$3,037 |
8.1× |
| MRI lumbar spine w contrast (72149) |
$1,974.05 |
$3,037 |
5.5× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,901.60 |
$4,464 |
8.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,974.05 |
$3,037 |
8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,901.60 |
$4,464 |
8.1× |
| MRI pelvis w/o & w contrast (72197) |
$2,901.60 |
$4,464 |
8.1× |
| MRI pelvis w/o contrast (72195) |
$1,974.05 |
$3,037 |
8.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,974.05 |
$3,037 |
8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,974.05 |
$3,037 |
8.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,901.60 |
$4,464 |
8.1× |
| MRI, abdomen, combo (74183) |
$2,901.60 |
$4,464 |
8.1× |
| MRI, dorsal spine combo (72157) |
$2,901.60 |
$4,464 |
8.1× |
| MRI, dorsal spine contrast (72147) |
$1,974.05 |
$3,037 |
5.5× |
| MRI, joint upper extrem (73221) |
$1,974.05 |
$3,037 |
8.1× |
| MRI, joint upper extrem combo (73223) |
$2,901.60 |
$4,464 |
8.1× |
| MRI, lumbar spine combo (72158) |
$2,901.60 |
$4,464 |
8.1× |
| Myocardial Spect Multiple Studies (78452) |
$5,227.30 |
$8,042 |
3.9× |
| Neck soft tissue (70360) |
$301.60 |
$464 |
3.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,268.25 |
$8,105 |
3.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$3,044.60 |
$4,684 |
5.5× |
| Parathyroid Planar Imaging (78070) |
$1,260.35 |
$1,939 |
3.1× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$3,044.60 |
$4,684 |
7.4× |
| Pelvis 1 or 2 views (72170) |
$330.20 |
$508 |
3.1× |
| PET image w/CT, full body (78816) |
$4,267.90 |
$6,566 |
2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$4,267.90 |
$6,566 |
2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,385.15 |
$2,131 |
3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$495.30 |
$762 |
4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$409.50 |
$630 |
0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$475.80 |
$732 |
5.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$413.40 |
$636 |
4.6× |
| Radex elbow complete minimum 3 views (73080) |
$475.80 |
$732 |
5.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$475.80 |
$732 |
4.4× |
| Radex fingr minimum 2 views (73140) |
$413.40 |
$636 |
4.6× |
| Radex foot complete minimum 3 views (73630) |
$475.80 |
$732 |
5.3× |
| Radex Hand Minimum 3 Views (73130) |
$475.80 |
$732 |
5.3× |
| Radex lower extremity infant minimum 2 views (73592) |
$413.40 |
$636 |
4.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$397.15 |
$611 |
3.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$413.40 |
$636 |
4.6× |
| Radex Ribs Unilateral 2 Views (71100) |
$226.20 |
$348 |
2.5× |
| Radex shoulder complete minimum 2 views (73030) |
$413.40 |
$636 |
4.6× |
| Radex Spine 1 View Specify Level (72020) |
$288.60 |
$444 |
3.2× |
| Radex Sternum Minimum 2 Views (71120) |
$413.40 |
$636 |
4.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$330.20 |
$508 |
3.7× |
| Radex Toe Minimum 2 Views (73660) |
$413.40 |
$636 |
4.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$413.40 |
$636 |
3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$475.80 |
$732 |
5.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$17,747.60 |
$27,304 |
2.3× |
| Radiation treatment delivery level 1 (77402) |
$1,830.40 |
$2,816 |
17.5× |
| Radiation treatment delivery level 2 (77407) |
$2,288 |
$3,520 |
5.8× |
| Radiation treatment delivery level 3 (77412) |
$2,745.60 |
$4,224 |
4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$475.80 |
$732 |
4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$393.25 |
$605 |
3.7× |
| Radiologic exam colon double contrast study (74280) |
$989.30 |
$1,522 |
5.5× |
| Radiologic exam colon single contrast study (74270) |
$562.90 |
$866 |
3.1× |
| Radiologic exam knee complete 4/more views (73564) |
$475.80 |
$732 |
4.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$475.80 |
$732 |
4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$594.10 |
$914 |
3.3× |
| Radiologic exam swallow function contrast study (74230) |
$514.80 |
$792 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$740.35 |
$1,139 |
4.1× |
| Radiologic examination femur 1 view (73551) |
$230.10 |
$354 |
2.6× |
| Radiologic examination femur minimum 2 views (73552) |
$330.20 |
$508 |
3.7× |
| Radiologic examination knee 1/2 views (73560) |
$330.20 |
$508 |
3.7× |
| Radiologic Examination Osseous Survey Limited (77074) |
$577.85 |
$889 |
5.4× |
| Radiologic examination tibia & fibula 2 views (73590) |
$330.20 |
$508 |
3.7× |
| Ribs bilateral 3 views (71110) |
$254.80 |
$392 |
2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,224.30 |
$3,422 |
5.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,224.30 |
$3,422 |
5.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,341.30 |
$3,602 |
4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,371.85 |
$3,649 |
4.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$2,573.35 |
$3,959 |
1.9× |
| Scapula (73010) |
$277.55 |
$427 |
2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$48.10 |
$74 |
2.1× |
| Shoulder 1 view (73020) |
$288.60 |
$444 |
3.2× |
| Skull less than 4 views (70250) |
$330.20 |
$508 |
3.1× |
| Special dosimetry (77331) |
$431.60 |
$664 |
3.1× |
| Special Physics Consult (77370) |
$902.20 |
$1,388 |
6.5× |
| Special teletherapy port plan (77321) |
$1,237.60 |
$1,904 |
3.2× |
| Special treatment procedure (77470) |
$2,237.30 |
$3,442 |
3.9× |
| Stereotactic Body Radiation Delivery (77373) |
$14,533.35 |
$22,359 |
7.9× |
| Sternoclavicular joints (71130) |
$475.80 |
$732 |
5.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,158.65 |
$3,321 |
5.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,168.70 |
$1,798 |
3.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,851.20 |
$2,848 |
4.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$791.70 |
$1,218 |
5.7× |
| Thoracic spine 2 views (72070) |
$330.20 |
$508 |
3.1× |
| Thoracic spine 3 views (72072) |
$413.40 |
$636 |
3.9× |
| Thoracolumbar 2 views (72080) |
$338 |
$520 |
3.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$822.25 |
$1,265 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,376.05 |
$2,117 |
3.4× |
| Tx Devices Design & Construction Complex (77334) |
$1,077.70 |
$1,658 |
2.8× |
| Tx devices design & construction intermediate (77333) |
$906.10 |
$1,394 |
6.6× |
| Tx devices design & construction simple (77332) |
$562.90 |
$866 |
4.1× |
| Ultrasound Breast Limited (76642) |
$308.10 |
$474 |
3.4× |
| Ultrasound Exam Aaa Screen (76706) |
$262.60 |
$404 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$537.55 |
$827 |
5.0× |
| Umbilical-artery Doppler (OB) (76820) |
$341.25 |
$525 |
3.2× |
| Upper gi w/o kub (74240) |
$562.90 |
$866 |
3.1× |
| Urethrocystogram voiding (74455) |
$802.10 |
$1,234 |
3.3× |
| Urethrocystography retrograde (74450) |
$802.10 |
$1,234 |
3.3× |
| Us breast unilateral complete (76641) |
$459.55 |
$707 |
4.3× |
| Us chest (76604) |
$468.65 |
$721 |
4.4× |
| Us complete joint (76881) |
$665.60 |
$1,024 |
6.2× |
| Us exam, pelvic, limited (76857) |
$569.40 |
$876 |
5.3× |
| Us kidney transplant (76776) |
$537.55 |
$827 |
5.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$445.25 |
$685 |
4.1× |
| Us ob limited 1 or more fetuses (76815) |
$445.25 |
$685 |
4.1× |
| Us ob transvaginal (76817) |
$445.25 |
$685 |
4.1× |
| Us pelvic non ob complete (76856) |
$587.60 |
$904 |
5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$577.20 |
$888 |
5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$445.25 |
$685 |
4.1× |
| Us retroperitoneal complete (76770) |
$537.55 |
$827 |
5.0× |
| Us retroperitoneal limited (76775) |
$537.55 |
$827 |
5.0× |
| Us scrotum and contents (76870) |
$479.05 |
$737 |
4.5× |
| Us thyroid (76536) |
$486.85 |
$749 |
4.5× |
| Us transrectal (76872) |
$449.80 |
$692 |
4.2× |
| Wrist 2 views (73100) |
$330.20 |
$508 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$437.45 |
$673 |
4.9× |
| X-Ray Bend Only L-S Spine (72120) |
$590.20 |
$908 |
5.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$330.20 |
$508 |
3.7× |
| X-Ray Exam Breast Specimen (76098) |
$1,851.85 |
$2,849 |
3.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$288.60 |
$444 |
3.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$413.40 |
$636 |
3.9× |
| X-Ray Exam Hip Uni 1 View (73501) |
$288.60 |
$444 |
3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$452.40 |
$696 |
5.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$619.45 |
$953 |
5.8× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$452.40 |
$696 |
4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$619.45 |
$953 |
5.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$784.55 |
$1,207 |
7.3× |
| X-Ray Exam L-S Spine Bending (72114) |
$633.10 |
$974 |
5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$413.40 |
$636 |
4.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$549.25 |
$845 |
5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$413.40 |
$636 |
3.9× |
| X-ray eye for foreign body (70030) |
$382.85 |
$589 |
4.3× |
| X-ray humerus (73060) |
$413.40 |
$636 |
4.6× |
| X-ray IV pyelogram (ivp) (74400) |
$976.30 |
$1,502 |
5.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$330.20 |
$508 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$413.40 |
$636 |
4.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$413.40 |
$636 |
3.9× |
| X-ray nose-rectum child f.b. (76010) |
$174.20 |
$268 |
1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$475.80 |
$732 |
4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$475.80 |
$732 |
4.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$330.20 |
$508 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$413.40 |
$636 |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$475.80 |
$732 |
5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$475.80 |
$732 |
4.4× |
| X-ray thoracic spine 4 vw (72074) |
$475.80 |
$732 |
4.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$976.30 |
$1,502 |
2.7× |
| X-Rays Bone Length Studies (77073) |
$418.60 |
$644 |
3.9× |
| X-Rays Bone Survey Complete (77075) |
$749.45 |
$1,153 |
7.0× |
| Xr c-spine 4 or 5 views (72050) |
$475.80 |
$732 |
4.4× |
| Xr facial bones less than 3 views (70140) |
$330.20 |
$508 |
3.7× |
| Xr orbits complete 4 views (70200) |
$577.20 |
$888 |
5.4× |