| Abdomen 2 views (74019) |
$324.90 |
$361 |
3.0× |
| Acute gi blood loss imaging (78278) |
$2,259.90 |
$2,511 |
5.5× |
| Ankle 2 views (73600) |
$205.20 |
$228 |
2.3× |
| Arthrogram elbow (73085) |
$622.80 |
$692 |
1.7× |
| Arthrogram hip (73525) |
$628.20 |
$698 |
1.7× |
| Arthrogram shoulder (73040) |
$824.40 |
$916 |
2.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$949.50 |
$1,055 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,496.70 |
$1,663 |
3.6× |
| Bone age studies (77072) |
$171 |
$190 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,711.80 |
$1,902 |
4.1× |
| Bone survey complete (77075) |
$444.60 |
$494 |
4.1× |
| Bone survey infant (77076) |
$446.40 |
$496 |
4.1× |
| Bowel imaging (78290) |
$2,214 |
$2,460 |
5.4× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,603.80 |
$1,782 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$213.75 |
$237.50 |
2.4× |
| Chest 1 view (71045) |
$264.60 |
$294 |
2.9× |
| Chest xray 3 views (71047) |
$338.40 |
$376 |
3.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$727.20 |
$808 |
4.0× |
| Clavicle complete (73000) |
$192.60 |
$214 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$519.30 |
$577 |
4.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,518.90 |
$5,021 |
12.6× |
| CT abdomen and pelvis without contrast (74176) |
$3,055.50 |
$3,395 |
12.4× |
| CT abdomen w contrast (74160) |
$2,180.70 |
$2,423 |
12.0× |
| CT abdomen w wo contrast (74170) |
$2,609.10 |
$2,899 |
14.4× |
| CT abdomen w/o contrast (74150) |
$1,749.60 |
$1,944 |
16.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,213 |
$3,570 |
17.7× |
| CT angiography upper extremity lt (73206) |
$2,786.40 |
$3,096 |
15.4× |
| CT c-spine w/contrast (72126) |
$2,383.20 |
$2,648 |
6.6× |
| CT c-spine w/o contrast (72125) |
$2,058.30 |
$2,287 |
19.1× |
| CT cervical spine w&w/o contrast (72127) |
$2,584.80 |
$2,872 |
14.3× |
| CT chest w contrast (71260) |
$1,981.80 |
$2,202 |
10.9× |
| CT chest w/wo contrast (71270) |
$2,249.10 |
$2,499 |
12.4× |
| CT head/brain with contrast (70460) |
$1,845 |
$2,050 |
10.2× |
| CT head/brain without and with contrast (70470) |
$2,189.70 |
$2,433 |
12.1× |
| CT iac w contrast (70481) |
$1,817.10 |
$2,019 |
10.0× |
| CT limited/localized follow up study (76380) |
$687.60 |
$764 |
7.7× |
| CT lower ext w/o (73700) |
$1,691.10 |
$1,879 |
15.7× |
| CT lower extremity w wo contrast (73702) |
$2,857.50 |
$3,175 |
15.8× |
| CT lower extremity w/contrast material (73701) |
$1,938.60 |
$2,154 |
10.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,837.70 |
$3,153 |
15.7× |
| CT lumbar spine w/contrast (72132) |
$2,447.10 |
$2,719 |
6.8× |
| CT lumbar spine w/o contrast (72131) |
$1,953 |
$2,170 |
18.1× |
| CT maxillofacial w contrast (70487) |
$1,877.40 |
$2,086 |
10.4× |
| CT maxillofacial w/wo contrast (70488) |
$2,068.20 |
$2,298 |
11.4× |
| CT maxillofacial wo contrast (70486) |
$1,810.80 |
$2,012 |
16.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,766.60 |
$3,074 |
15.3× |
| CT orbits w/o contrast (70480) |
$1,753.20 |
$1,948 |
16.2× |
| CT pelvis w/o contrast (72192) |
$1,753.20 |
$1,948 |
16.2× |
| CT pelvis w/wo contrast (72194) |
$2,316.60 |
$2,574 |
12.8× |
| CT soft tissue neck w contrast (70491) |
$2,509.20 |
$2,788 |
13.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,312.10 |
$2,569 |
12.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,724.40 |
$1,916 |
16.0× |
| CT thoracic spine w/contrast (72129) |
$2,041.20 |
$2,268 |
11.3× |
| CT thoracic spine w/o contrast (72128) |
$1,836.90 |
$2,041 |
17.0× |
| CT thoracic spine w/wo contrast (72130) |
$2,241.90 |
$2,491 |
12.4× |
| CT thorax w/o contrast (71250) |
$1,675.80 |
$1,862 |
15.5× |
| CT upper ext wo (73200) |
$1,617.30 |
$1,797 |
15.0× |
| CT upper extremity with contrast (73201) |
$2,157.30 |
$2,397 |
6.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,907 |
$3,230 |
16.1× |
| Cta Abdomen (74175) |
$2,960.10 |
$3,289 |
16.4× |
| CTA abdomen pelvis (74174) |
$4,118.40 |
$4,576 |
11.4× |
| CTA chest (71275) |
$2,956.50 |
$3,285 |
16.3× |
| Cta Head (70496) |
$3,322.80 |
$3,692 |
18.4× |
| Cta Neck (70498) |
$3,083.40 |
$3,426 |
17.0× |
| Cta Pelvis (72191) |
$3,240.90 |
$3,601 |
17.9× |
| Cystography minimum 3 views rs&i (74430) |
$126 |
$140 |
0.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$466.20 |
$518 |
4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$160.20 |
$178 |
1.8× |
| Esophagus (74220) |
$332.10 |
$369 |
1.8× |
| Facial bones min 3 views (70150) |
$373.50 |
$415 |
3.5× |
| Fetal biophysical profile non-stress testing (76818) |
$290.70 |
$323 |
2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$326.70 |
$363 |
3.0× |
| Fluoroscopy up to 1 hr (76000) |
$268.20 |
$298 |
1.1× |
| Foot 2 views (73620) |
$177.30 |
$197 |
2.0× |
| Forearm 2 views (73090) |
$214.65 |
$238.50 |
2.4× |
| Hand 2 views (73120) |
$192.60 |
$214 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,687.50 |
$1,875 |
3.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,629.90 |
$1,811 |
4.0× |
| Hysterosalpingogram (74740) |
$288.90 |
$321 |
1.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$182.70 |
$203 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,706.40 |
$1,896 |
3.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,606.50 |
$1,785 |
2.9× |
| Knee 3 views (73562) |
$334.35 |
$371.50 |
3.7× |
| Lymphoscintigraphy (78195) |
$2,119.50 |
$2,355 |
3.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,931.30 |
$3,257 |
3.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,823.30 |
$3,137 |
7.8× |
| MRA head w & w/o contrast (70546) |
$3,484.80 |
$3,872 |
9.7× |
| MRA head w/o contrast (70544) |
$2,828.70 |
$3,143 |
11.5× |
| MRA neck w contrast (70548) |
$3,087.90 |
$3,431 |
8.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,415.50 |
$3,795 |
9.5× |
| MRA neck w/o contrast (70547) |
$2,589.30 |
$2,877 |
10.5× |
| MRI abdomen w contrast (74182) |
$2,942.10 |
$3,269 |
8.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,491.90 |
$4,991 |
12.5× |
| MRI abdomen w/o contrast (74181) |
$2,754 |
$3,060 |
11.2× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,966.40 |
$3,296 |
3.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,218.40 |
$3,576 |
8.9× |
| MRI c-spine with contrast (72142) |
$2,960.10 |
$3,289 |
8.2× |
| MRI cervical spine w/o contrast (72141) |
$2,386.80 |
$2,652 |
9.7× |
| MRI chest w/o & w/contrast material (71552) |
$3,218.40 |
$3,576 |
8.9× |
| MRI chest w/o contrast (71550) |
$2,795.40 |
$3,106 |
11.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,623.60 |
$1,804 |
4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,218.40 |
$3,576 |
8.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,033 |
$3,370 |
12.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,568.60 |
$2,854 |
10.4× |
| MRI orbit face neck w contrast (70542) |
$2,776.50 |
$3,085 |
7.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,342.60 |
$3,714 |
9.3× |
| MRI pelvis w/contrast (72196) |
$3,932.10 |
$4,369 |
10.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,481.10 |
$4,979 |
12.4× |
| MRI pelvis w/o contrast (72195) |
$2,972.70 |
$3,303 |
12.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,623.40 |
$4,026 |
10.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,098.70 |
$3,443 |
8.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,023.90 |
$4,471 |
11.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,019.50 |
$3,355 |
8.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,342.60 |
$3,714 |
9.3× |
| MRI temporomandibular joint (70336) |
$3,019.50 |
$3,355 |
12.3× |
| MRI thoracic spine w/o contrast (72146) |
$2,866.50 |
$3,185 |
11.6× |
| MRI up ext w/o contrast (73218) |
$2,702.70 |
$3,003 |
11.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,654.10 |
$2,949 |
10.8× |
| MRI, joint upper extrem combo (73223) |
$3,322.80 |
$3,692 |
9.2× |
| Myelogram Cervical (72240) |
$1,215 |
$1,350 |
1.5× |
| Myelogram Lumbar (72265) |
$1,215 |
$1,350 |
1.5× |
| Myelogram thoracic (72255) |
$1,149.30 |
$1,277 |
1.4× |
| Myelography 2 or more regions (72270) |
$1,521 |
$1,690 |
1.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,359.70 |
$3,733 |
2.5× |
| Myocardial spect single study at rest or stress (78451) |
$2,759.40 |
$3,066 |
2.1× |
| Neck soft tissue (70360) |
$208.80 |
$232 |
2.3× |
| Nm gastric emptying study (78264) |
$1,515.60 |
$1,684 |
3.7× |
| Osseous survey limited (77074) |
$305.10 |
$339 |
2.8× |
| Parathyrd planar w/spect&CT (78072) |
$2,144.70 |
$2,383 |
3.8× |
| Parathyroid Planar Imaging (78070) |
$1,157.40 |
$1,286 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$213.30 |
$237 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$4,923 |
$5,470 |
3.3× |
| PET imaging for CT attenuation whole body (78816) |
$4,872.60 |
$5,414 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,521.90 |
$1,691 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$511.20 |
$568 |
0.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$309.60 |
$344 |
3.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$192.60 |
$214 |
2.1× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$226.35 |
$251.50 |
2.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$303.30 |
$337 |
3.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$388.80 |
$432 |
3.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$417.60 |
$464 |
3.9× |
| Radex fingr minimum 2 views (73140) |
$245.70 |
$273 |
2.7× |
| Radex Foot Compl Minimum 3 Views (73630) |
$267.30 |
$297 |
3.0× |
| Radex Hand Minimum 3 Views (73130) |
$213.75 |
$237.50 |
2.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$255.60 |
$284 |
2.8× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$456.30 |
$507 |
4.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$372.60 |
$414 |
3.5× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$414.90 |
$461 |
3.8× |
| Radex Humerus Minimum 2 Views (73060) |
$205.20 |
$228 |
2.3× |
| Radex Kne 1/2 Views (73560) |
$222.30 |
$247 |
2.5× |
| Radex Kne Compl 4/More Views (73564) |
$300.15 |
$333.50 |
2.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$311.40 |
$346 |
2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$259.20 |
$288 |
2.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$252 |
$280 |
2.3× |
| Radex Sho Compl Minimum 2 Views (73030) |
$274.95 |
$305.50 |
3.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$172.80 |
$192 |
1.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$462.60 |
$514 |
4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$295.20 |
$328 |
3.3× |
| Radex Toe Minimum 2 Views (73660) |
$210.60 |
$234 |
2.3× |
| Radex upper extremity infant minimum 2 views (73092) |
$151.20 |
$168 |
1.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$423 |
$470 |
4.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$436.50 |
$485 |
4.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$176.40 |
$196 |
2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$332.10 |
$369 |
3.1× |
| Radiologic exam chest 2 views (71046) |
$154.44 |
$171.60 |
1.7× |
| Radiologic exam colon single contrast study (74270) |
$891 |
$990 |
4.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$515.70 |
$573 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$985.50 |
$1,095 |
5.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$665.10 |
$739 |
3.7× |
| Radiologic examination femur 1 view (73551) |
$217.80 |
$242 |
2.4× |
| Radiologic examination tibia & fibula 2 views (73590) |
$249.75 |
$277.50 |
2.8× |
| Radiological examination surgical specimen (76098) |
$489.60 |
$544 |
0.9× |
| Ribs bilateral 3 views (71110) |
$435.60 |
$484 |
4.0× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$1,305 |
$1,450 |
3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,156.50 |
$1,285 |
2.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,908.90 |
$2,121 |
3.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$253.80 |
$282 |
0.2× |
| Sacroiliac Joints < 3 Views (72200) |
$424.80 |
$472 |
3.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$487.80 |
$542 |
2.0× |
| Scapula (73010) |
$210.60 |
$234 |
2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$110.70 |
$123 |
4.7× |
| Shoulder 1 view (73020) |
$199.80 |
$222 |
2.2× |
| Small bowel series (74250) |
$648 |
$720 |
3.6× |
| Spine thoracic 3 views (72072) |
$297 |
$330 |
2.8× |
| Thoracolumbar 2 views (72080) |
$249.30 |
$277 |
2.8× |
| Thyroid imaging w/blood flow (78013) |
$553.50 |
$615 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,542.60 |
$1,714 |
3.7× |
| Tmj unilateral (70328) |
$169.20 |
$188 |
1.9× |
| Ultrasound breast complete (76641) |
$380.70 |
$423 |
3.5× |
| Ultrasound Exam Aaa Screen (76706) |
$399.60 |
$444 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$491.40 |
$546 |
4.6× |
| Umbilical-artery Doppler (OB) (76820) |
$282.60 |
$314 |
2.6× |
| Urethrocystogram voiding (74455) |
$316.80 |
$352 |
1.3× |
| Us breast unilateral limited (76642) |
$368.10 |
$409 |
4.1× |
| Us chest (76604) |
$414.90 |
$461 |
3.8× |
| Us compl joint r-t w/image documentation (76881) |
$491.40 |
$546 |
4.6× |
| Us elastography parenchyma (76981) |
$407.70 |
$453 |
3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$396 |
$440 |
3.7× |
| Us ob detailed single fetus (76811) |
$772.20 |
$858 |
3.1× |
| Us ob limited (76815) |
$360.90 |
$401 |
3.3× |
| Us ob transvaginal (76817) |
$427.50 |
$475 |
4.0× |
| Us pelvic non ob complete (76856) |
$311.34 |
$345.94 |
2.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$360.90 |
$401 |
3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$445.50 |
$495 |
4.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$321.30 |
$357 |
3.0× |
| Us retroperitoneal complete (76770) |
$327.60 |
$364 |
3.0× |
| Us retroperitoneal limited (76775) |
$260.55 |
$289.50 |
2.4× |
| Us scrotum and contents (76870) |
$257.85 |
$286.50 |
2.4× |
| Us soft tissue head/neck (76536) |
$487.80 |
$542 |
4.5× |
| Us spinal canal and contents (76800) |
$543.60 |
$604 |
5.0× |
| Us transrectal (76872) |
$296.55 |
$329.50 |
2.7× |
| Us transrectal prostate volume (76873) |
$68.40 |
$76 |
0.6× |
Venous sampling by catheter (75893)
likely a partial charge, not the full procedure |
$154.80 |
$172 |
0.0× |
| Vertebral fracture assessment via dxa (77086) |
$181.80 |
$202 |
2.0× |
| Wrist 2 views (73100) |
$217.80 |
$242 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$330.30 |
$367 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$287.10 |
$319 |
3.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$789.30 |
$877 |
4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$171 |
$190 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$367.20 |
$408 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$381.60 |
$424 |
3.5× |
| X-ray exam of femur 2/> (73552) |
$127.83 |
$142.03 |
1.4× |
| X-ray eye for foreign body (70030) |
$207.90 |
$231 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$472.50 |
$525 |
5.3× |
| X-ray IV pyelogram (ivp) (74400) |
$772.20 |
$858 |
4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$275.40 |
$306 |
3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$294.30 |
$327 |
3.3× |
| X-ray leg, infant (73592) |
$201.60 |
$224 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$268.20 |
$298 |
2.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$399.60 |
$444 |
3.7× |
| X-ray nose-rectum child f.b. (76010) |
$193.50 |
$215 |
2.2× |
| X-ray optic foramen (70190) |
$157.50 |
$175 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$456.30 |
$507 |
4.2× |
| X-ray retrograde pyelogram (74420) |
$405 |
$450 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$214.20 |
$238 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$319.50 |
$355 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$457.20 |
$508 |
4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$198 |
$220 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$198 |
$220 |
2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$346.50 |
$385 |
3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$462.60 |
$514 |
4.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$297.90 |
$331 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$184.50 |
$205 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$325.80 |
$362 |
3.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$267.30 |
$297 |
3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$253.80 |
$282 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$334.80 |
$372 |
3.1× |
| Xr bone length studies (77073) |
$171.90 |
$191 |
1.6× |
| Xr c-spine 4 or 5 views (72050) |
$320.40 |
$356 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$662.40 |
$736 |
6.1× |
| Xr chest 4+ views (71048) |
$422.10 |
$469 |
3.9× |