| Abdomen 2 views (74019) |
$252.45 |
$297 |
2.2× |
| Acute gi blood loss imaging (78278) |
$1,325.15 |
$1,559 |
3.0× |
| Ankle 2 views (73600) |
$197.20 |
$232 |
2.0× |
| Arthrogram elbow (73085) |
$770.95 |
$907 |
2.0× |
| Arthrogram hip (73525) |
$771.80 |
$908 |
2.0× |
| Arthrogram shoulder (73040) |
$847.45 |
$997 |
2.2× |
| Arthrogram wrist (73115) |
$516.80 |
$608 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$999.60 |
$1,176 |
2.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$47.60 |
$56 |
0.1× |
| Bone &/joint imaging whole body (78306) |
$1,483.25 |
$1,745 |
3.3× |
| Bone age studies (77072) |
$383.35 |
$451 |
3.3× |
| Bone Imaging 3 Phase (78315) |
$1,129.65 |
$1,329 |
2.5× |
| Bone survey complete (77075) |
$1,402.50 |
$1,650 |
12.0× |
| Bowel imaging (78290) |
$1,059.95 |
$1,247 |
2.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,695.45 |
$7,877 |
4.2× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) |
$1,059.95 |
$1,247 |
1.8× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,426.30 |
$1,678 |
3.2× |
| Cervical spine 2 or 3 views (72040) |
$265.62 |
$312.50 |
2.7× |
| Chest 1 view (71045) |
$223.55 |
$263 |
2.3× |
| Chest xray 3 views (71047) |
$346.80 |
$408 |
3.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$646.85 |
$761 |
3.3× |
| Clavicle complete (73000) |
$220.58 |
$259.50 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,528.30 |
$1,798 |
13.1× |
| Corpora cavernosography (74445) |
$1,213.80 |
$1,428 |
10.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,713.20 |
$3,192 |
7.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,854.70 |
$2,182 |
7.0× |
| CT abdomen w contrast (74160) |
$1,526.60 |
$1,796 |
7.8× |
| CT abdomen w wo contrast (74170) |
$1,852.15 |
$2,179 |
9.5× |
| CT abdomen w/o contrast (74150) |
$1,526.60 |
$1,796 |
13.1× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,563.60 |
$3,016 |
13.1× |
| CT angiography upper extremity lt (73206) |
$2,563.60 |
$3,016 |
13.1× |
| CT c-spine w/contrast (72126) |
$1,857.25 |
$2,185 |
4.8× |
| CT c-spine w/o contrast (72125) |
$1,857.25 |
$2,185 |
15.9× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$2,082.50 |
$2,450 |
10.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,522.80 |
$2,968 |
12.9× |
| CT chest w contrast (71260) |
$2,346.85 |
$2,761 |
12.0× |
| CT chest w/wo contrast (71270) |
$2,624.80 |
$3,088 |
13.4× |
| CT head/brain with contrast (70460) |
$1,576.75 |
$1,855 |
8.1× |
| CT head/brain without and with contrast (70470) |
$2,102.05 |
$2,473 |
10.8× |
| CT iac w contrast (70481) |
$1,609.05 |
$1,893 |
8.2× |
| CT limited/localized follow up study (76380) |
$1,439.90 |
$1,694 |
14.8× |
| CT lower ext w/o (73700) |
$1,583.55 |
$1,863 |
13.6× |
| CT lower extremity w wo contrast (73702) |
$2,165.80 |
$2,548 |
11.1× |
| CT lower extremity w/contrast material (73701) |
$1,498.55 |
$1,763 |
7.7× |
| CT lumbar spine w/contrast (72132) |
$1,723.80 |
$2,028 |
4.4× |
| CT lumbar spine w/o contrast (72131) |
$1,821.55 |
$2,143 |
15.6× |
| CT maxillofacial w contrast (70487) |
$1,134.75 |
$1,335 |
5.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,278 |
$2,680 |
11.7× |
| CT maxillofacial wo contrast (70486) |
$1,083.32 |
$1,274.50 |
9.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,501.55 |
$2,943 |
12.8× |
| CT orbits w/o contrast (70480) |
$1,305.60 |
$1,536 |
11.2× |
| CT pelvis w/o contrast (72192) |
$1,923.55 |
$2,263 |
16.5× |
| CT pelvis w/wo contrast (72194) |
$2,644.35 |
$3,111 |
13.5× |
| CT scan of arm combo (73202) |
$2,393.60 |
$2,816 |
12.2× |
| CT soft tissue neck w contrast (70491) |
$1,682.15 |
$1,979 |
8.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,799.45 |
$2,117 |
9.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,406.75 |
$1,655 |
12.1× |
| CT thoracic spine w/contrast (72129) |
$1,598.85 |
$1,881 |
8.2× |
| CT thoracic spine w/o contrast (72128) |
$1,598.85 |
$1,881 |
13.7× |
| CT thorax w/o contrast (71250) |
$1,918.45 |
$2,257 |
16.5× |
| CT upper ext wo (73200) |
$1,803.70 |
$2,122 |
15.5× |
| CT upper extremity with contrast (73201) |
$1,803.70 |
$2,122 |
4.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,653.70 |
$3,122 |
13.6× |
| Cta Abdomen (74175) |
$1,852.15 |
$2,179 |
9.5× |
| CTA abdomen pelvis (74174) |
$2,425.90 |
$2,854 |
6.2× |
| CTA chest (71275) |
$2,329.85 |
$2,741 |
11.9× |
| Cta Head (70496) |
$2,256.75 |
$2,655 |
11.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,256.75 |
$2,655 |
5.8× |
| Cta Neck (70498) |
$2,256.75 |
$2,655 |
11.5× |
| Cta Pelvis (72191) |
$2,644.35 |
$3,111 |
13.5× |
| Cystography minimum 3 views rs&i (74430) |
$707.20 |
$832 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$98.18 |
$115.50 |
0.8× |
| Dxa bone density study axial skeleton (77085) |
$99.45 |
$117 |
0.9× |
| Esophagus (74220) |
$858.50 |
$1,010 |
4.4× |
| Facial bones min 3 views (70150) |
$311.10 |
$366 |
2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,022.55 |
$1,203 |
8.8× |
| Fluoroscopy up to 1 hr (76000) |
$521.05 |
$613 |
2.0× |
| Foot 2 views (73620) |
$212.92 |
$250.50 |
2.2× |
| Forearm 2 views (73090) |
$220.58 |
$259.50 |
2.3× |
| Hand 2 views (73120) |
$212.92 |
$250.50 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,745.05 |
$2,053 |
2.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$995.35 |
$1,171 |
2.2× |
| Hysterosalpingogram (74740) |
$681.70 |
$802 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,059.10 |
$1,246 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,008.95 |
$1,187 |
1.7× |
| Knee 3 views (73562) |
$246.50 |
$290 |
2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,024.25 |
$1,205 |
2.3× |
| Lung ventilation imaging (78579) |
$1,024.25 |
$1,205 |
2.3× |
| Lymphoscintigraphy (78195) |
$1,130.50 |
$1,330 |
1.9× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,538.95 |
$2,987 |
2.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,538.10 |
$2,986 |
6.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$3,388.10 |
$3,986 |
8.7× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$185.30 |
$218 |
1.9× |
| MRA head w & w/o contrast (70546) |
$2,354.50 |
$2,770 |
6.1× |
| MRA head w/o contrast (70544) |
$3,030.25 |
$3,565 |
11.4× |
| MRA neck w contrast (70548) |
$3,030.25 |
$3,565 |
7.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,907.85 |
$3,421 |
7.5× |
| MRA neck w/o contrast (70547) |
$2,204.05 |
$2,593 |
8.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,813.95 |
$4,487 |
9.8× |
| MRI abdomen w/o contrast (74181) |
$3,264 |
$3,840 |
12.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,538.10 |
$2,986 |
2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,895.95 |
$3,407 |
7.4× |
| MRI bone marrow blood supply (77084) |
$3,953.35 |
$4,651 |
14.9× |
| MRI c-spine with contrast (72142) |
$662.15 |
$779 |
1.7× |
| MRI cervical spine w/o contrast (72141) |
$1,967.75 |
$2,315 |
7.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,767.20 |
$4,432 |
9.7× |
| MRI chest w/o contrast (71550) |
$2,898.50 |
$3,410 |
10.9× |
| MRI chest with contrast (71551) |
$2,898.50 |
$3,410 |
3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,334.55 |
$3,923 |
8.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,538.10 |
$2,986 |
9.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,425.05 |
$2,853 |
9.1× |
| MRI orbit face neck w contrast (70542) |
$2,425.05 |
$2,853 |
6.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,886.60 |
$3,396 |
7.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,654.15 |
$4,299 |
9.4× |
| MRI pelvis w/o contrast (72195) |
$2,635 |
$3,100 |
9.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,660.92 |
$3,130.50 |
6.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$560.15 |
$659 |
1.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,161.15 |
$3,719 |
8.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$616.25 |
$725 |
1.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,116.52 |
$3,666.50 |
8.0× |
| MRI temporomandibular joint (70336) |
$2,465 |
$2,900 |
9.3× |
| MRI thoracic spine w/o contrast (72146) |
$2,717.45 |
$3,197 |
10.2× |
| MRI up ext w/o contrast (73218) |
$2,538.10 |
$2,986 |
9.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,538.10 |
$2,986 |
9.5× |
| MRI, joint upper extrem combo (73223) |
$3,388.10 |
$3,986 |
8.7× |
| Myelogram Cervical (72240) |
$1,312.40 |
$1,544 |
1.5× |
| Myelogram Lumbar (72265) |
$1,397.40 |
$1,644 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,710.20 |
$2,012 |
1.2× |
| Myocardial spect single study at rest or stress (78451) |
$1,519.80 |
$1,788 |
1.1× |
| N-invas est c ffr sw aly CTA (75580) |
$1,326 |
$1,560 |
1.4× |
| Neck soft tissue (70360) |
$311.95 |
$367 |
3.2× |
| Nm cisternogram (78630) |
$1,317.50 |
$1,550 |
2.2× |
| Nm gastric emptying study (78264) |
$1,745.05 |
$2,053 |
3.9× |
| Nm gastroesophageal reflux study (78262) |
$952 |
$1,120 |
2.1× |
| Ob us nuchal meas 1 gest (76813) |
$553.35 |
$651 |
4.7× |
| Osseous survey limited (77074) |
$355.30 |
$418 |
3.0× |
| Parathyrd planar w/spect&CT (78072) |
$1,059.95 |
$1,247 |
1.8× |
| Parathyroid Planar Imaging (78070) |
$1,166.20 |
$1,372 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$203.58 |
$239.50 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$5,094.90 |
$5,994 |
3.2× |
| PET imaging CT for attenuation limited area (78814) |
$4,788.90 |
$5,634 |
3.0× |
| PET imaging for CT attenuation whole body (78816) |
$5,442.55 |
$6,403 |
3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$842.35 |
$991 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,923.55 |
$2,263 |
3.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$227.80 |
$268 |
2.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$201.02 |
$236.50 |
2.1× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$239.28 |
$281.50 |
2.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$125.80 |
$148 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$192.95 |
$227 |
1.7× |
| Radex fingr minimum 2 views (73140) |
$181.90 |
$214 |
1.9× |
| Radex Foot Compl Minimum 3 Views (73630) |
$227.80 |
$268 |
2.3× |
| Radex Hand Minimum 3 Views (73130) |
$227.80 |
$268 |
2.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$66.30 |
$78 |
0.7× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$168.30 |
$198 |
1.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$112.20 |
$132 |
1.0× |
| Radex Humerus Minimum 2 Views (73060) |
$239.28 |
$281.50 |
2.5× |
| Radex Kne 1/2 Views (73560) |
$214.62 |
$252.50 |
2.2× |
| Radex Kne Compl 4/More Views (73564) |
$287.72 |
$338.50 |
2.5× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$474.30 |
$558 |
4.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$327.25 |
$385 |
3.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$244.38 |
$287.50 |
2.1× |
| Radex Sho Compl Minimum 2 Views (73030) |
$241.40 |
$284 |
2.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$421.60 |
$496 |
4.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$150.02 |
$176.50 |
1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$572.90 |
$674 |
5.9× |
| Radex Toe Minimum 2 Views (73660) |
$197.62 |
$232.50 |
2.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$64.18 |
$75.50 |
0.6× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$228.65 |
$269 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$368.90 |
$434 |
3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$520.20 |
$612 |
4.5× |
| Radiologic exam chest 2 views (71046) |
$218.88 |
$257.50 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$1,143.25 |
$1,345 |
5.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$858.50 |
$1,010 |
4.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,232.50 |
$1,450 |
6.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,071 |
$1,260 |
5.5× |
| Radiologic examination femur 1 view (73551) |
$84.15 |
$99 |
0.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$221 |
$260 |
2.3× |
| Radiological examination surgical specimen (76098) |
$225.25 |
$265 |
0.4× |
| Ribs bilateral 3 views (71110) |
$113.90 |
$134 |
1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,879.35 |
$2,211 |
3.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,125.40 |
$1,324 |
1.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,409.30 |
$1,658 |
2.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$895.90 |
$1,054 |
0.6× |
| Rp Therapy Intravenous Administration (79101) |
$872.10 |
$1,026 |
3.4× |
| Sacroiliac Joints < 3 Views (72200) |
$89.68 |
$105.50 |
0.8× |
| Scapula (73010) |
$203.15 |
$239 |
1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$101.15 |
$119 |
4.3× |
| Shoulder 1 view (73020) |
$186.15 |
$219 |
1.9× |
| Small bowel series (74250) |
$1,076.95 |
$1,267 |
5.5× |
| Spine thoracic 3 views (72072) |
$306.85 |
$361 |
2.6× |
| Thoracolumbar 2 views (72080) |
$294.95 |
$347 |
3.0× |
| Thyroid imaging w/blood flow (78013) |
$919.70 |
$1,082 |
2.1× |
| Thyroid uptake measurement (78012) |
$776.90 |
$914 |
1.7× |
| Ultrasound breast complete (76641) |
$318.32 |
$374.50 |
2.7× |
| Ultrasound Exam Aaa Screen (76706) |
$425.85 |
$501 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$484.08 |
$569.50 |
4.2× |
| Umbilical-artery Doppler (OB) (76820) |
$724.20 |
$852 |
6.2× |
| Ureteral reflux study (78740) |
$1,059.95 |
$1,247 |
2.4× |
| Urethrocystogram voiding (74455) |
$946.05 |
$1,113 |
3.6× |
| Urethrocystography retrograde rs&i (74450) |
$809.20 |
$952 |
3.0× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$1,453.50 |
$1,710 |
7.4× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$1,670.25 |
$1,965 |
8.5× |
| Us breast unilateral limited (76642) |
$530.40 |
$624 |
5.5× |
| Us chest (76604) |
$396.95 |
$467 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$668.95 |
$787 |
5.7× |
| Us elastography parenchyma (76981) |
$667.25 |
$785 |
5.7× |
| Us encephalogram (76506) |
$866.15 |
$1,019 |
7.4× |
| Us infant hips w manipulation (76885) |
$769.25 |
$905 |
7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$135.15 |
$159 |
1.2× |
| Us ob detailed single fetus (76811) |
$890.80 |
$1,048 |
3.4× |
| Us ob limited (76815) |
$317.05 |
$373 |
2.7× |
| Us ob transvaginal (76817) |
$180.20 |
$212 |
1.5× |
| Us pelvic non ob complete (76856) |
$593.30 |
$698 |
5.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$429.68 |
$505.50 |
3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$698.70 |
$822 |
6.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$725.05 |
$853 |
6.2× |
| Us retroperitoneal complete (76770) |
$1,167.05 |
$1,373 |
10.0× |
| Us retroperitoneal limited (76775) |
$113.05 |
$133 |
1.0× |
| Us scrotum and contents (76870) |
$481.10 |
$566 |
4.1× |
| Us soft tissue head/neck (76536) |
$489.60 |
$576 |
4.2× |
| Us spinal canal and contents (76800) |
$1,102.45 |
$1,297 |
9.5× |
| Us transrectal (76872) |
$382.50 |
$450 |
3.3× |
| Us,transplanted kidney, real time/ doppler (76776) |
$910.35 |
$1,071 |
7.8× |
| Venogram extremity bilateral (75822) |
$500.65 |
$589 |
0.3× |
| Venogram Extremity Unilateral (75820) |
$424.15 |
$499 |
0.2× |
| Wrist 2 views (73100) |
$212.92 |
$250.50 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$559.30 |
$658 |
4.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$236.72 |
$278.50 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,546.15 |
$1,819 |
7.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$198.90 |
$234 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$88.82 |
$104.50 |
0.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$162.78 |
$191.50 |
1.4× |
| X-ray exam of femur 2/> (73552) |
$90.10 |
$106 |
0.9× |
| X-ray eye for foreign body (70030) |
$274.55 |
$323 |
2.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$395.25 |
$465 |
4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$195.50 |
$230 |
2.0× |
| X-ray leg, infant (73592) |
$182.75 |
$215 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$283.90 |
$334 |
2.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$645.58 |
$759.50 |
5.5× |
| X-ray nose-rectum child f.b. (76010) |
$809.20 |
$952 |
8.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$572.90 |
$674 |
4.9× |
| X-ray retrograde pyelogram (74420) |
$207.40 |
$244 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$302.18 |
$355.50 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$317.05 |
$373 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$364.65 |
$429 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$254.15 |
$299 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$243.10 |
$286 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$560.15 |
$659 |
5.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$617.10 |
$726 |
5.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$291.98 |
$343.50 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$318.75 |
$375 |
3.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$261.38 |
$307.50 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$240.12 |
$282.50 |
2.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$252.02 |
$296.50 |
2.2× |
| Xr bone length studies (77073) |
$320.02 |
$376.50 |
2.7× |
| Xr c-spine 4 or 5 views (72050) |
$379.10 |
$446 |
3.3× |
| Xr c-spine 6 or more views (72052) |
$430.52 |
$506.50 |
3.7× |
| Xr chest 4+ views (71048) |
$73.10 |
$86 |
0.6× |
| Xr urogram antegrade (74425) |
$728.45 |
$857 |
1.9× |