| Abdomen 1 View (74018) |
$147.35 |
$365 |
1.4× |
| Abdomen 2 views (74019) |
$207.50 |
$514 |
1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$999.56 |
$2,476 |
2.0× |
| Ankle 2 views (73600) |
$159.06 |
$394 |
1.5× |
| Arthrogram ankle (73615) |
$564.78 |
$1,399 |
1.3× |
| Arthrogram hip (73525) |
$564.78 |
$1,399 |
1.3× |
| Arthrogram Wrist (73115) |
$564.78 |
$1,399 |
1.3× |
| Bone age studies (77072) |
$156.23 |
$387 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$999.56 |
$2,476 |
2.0× |
| Bone Imaging Limited Area (78300) |
$932.95 |
$2,311 |
1.9× |
| Bone Imaging Whole Body (78306) |
$932.95 |
$2,311 |
1.9× |
| Bone marrow imaging limited area (78102) |
$932.95 |
$2,311 |
1.9× |
| Bone survey infant (77076) |
$149.37 |
$370 |
1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$932.95 |
$2,311 |
1.4× |
| Chest 1 view (71045) |
$125.15 |
$310 |
1.2× |
| Chest 2 views (71046) |
$159.06 |
$394 |
1.5× |
| Chest 3 views (71047) |
$159.06 |
$394 |
1.5× |
| Chest 4 or more views (71048) |
$289.45 |
$717 |
2.2× |
| Clavicle complete (73000) |
$191.35 |
$474 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$194.58 |
$482 |
1.5× |
| Contrast X-Ray Bladder (74430) |
$517.54 |
$1,282 |
1.2× |
| Contrast X-Ray Of Elbow (73085) |
$564.78 |
$1,399 |
1.3× |
| Contrast X-Ray Of Knee Joint (73580) |
$517.95 |
$1,283 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,915.12 |
$7,221 |
6.7× |
| CT abdomen and pelvis without contrast (74176) |
$2,273.23 |
$5,631 |
7.6× |
| CT abdomen w contrast (74160) |
$1,336.65 |
$3,311 |
6.1× |
| CT abdomen w wo contrast (74170) |
$1,495.71 |
$3,705 |
6.8× |
| CT abdomen w/o contrast (74150) |
$1,136.01 |
$2,814 |
8.7× |
| CT Angio Abdomen and Pelvis (74174) |
$2,273.23 |
$5,631 |
5.2× |
| CT Angio Chest (71275) |
$1,136.01 |
$2,814 |
5.2× |
| CT Angio Head (70496) |
$1,136.01 |
$2,814 |
5.2× |
| CT angio hrt w/3d image (75574) |
$1,420.62 |
$3,519 |
3.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,136.01 |
$2,814 |
5.2× |
| CT Angio Neck (70498) |
$1,136.01 |
$2,814 |
5.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,326.96 |
$3,287 |
6.1× |
| CT cervical spine w/ contrast (72126) |
$1,336.65 |
$3,311 |
3.1× |
| CT cervical spine w/o contrast (72125) |
$1,136.01 |
$2,814 |
8.7× |
| CT cervical spine w/wo cont (72127) |
$1,419.41 |
$3,516 |
6.5× |
| CT chest w contrast (71260) |
$1,336.65 |
$3,311 |
6.1× |
| CT chest w/wo contrast (71270) |
$1,495.71 |
$3,705 |
6.8× |
| CT head/brain with contrast (70460) |
$1,257.93 |
$3,116 |
5.7× |
| CT head/brain without and with contrast (70470) |
$1,419.41 |
$3,516 |
6.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,249.05 |
$3,094 |
2.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$188.93 |
$468 |
1.7× |
| CT iac w contrast (70481) |
$1,597.04 |
$3,956 |
7.3× |
| CT l-spine w&w/o contrast (72133) |
$1,419.41 |
$3,516 |
6.5× |
| CT lower ext w/o (73700) |
$1,136.01 |
$2,814 |
8.7× |
| CT lower extremity w/contrast material (73701) |
$1,300.32 |
$3,221 |
5.9× |
| CT lumbar spine w contrast (72132) |
$1,336.65 |
$3,311 |
3.1× |
| CT lumbar spine w/o contrast (72131) |
$1,573.22 |
$3,897 |
12.1× |
| CT maxillofacial w contrast (70487) |
$1,260.35 |
$3,122 |
5.8× |
| CT maxillofacial wo contrast (70486) |
$1,260.35 |
$3,122 |
9.7× |
| CT neck tissue combo (70492) |
$1,419.41 |
$3,516 |
6.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,597.04 |
$3,956 |
7.3× |
| CT orbits w/o contrast (70480) |
$1,573.22 |
$3,897 |
12.1× |
| CT pelvis w&w/o contrast (72194) |
$1,419.41 |
$3,516 |
6.5× |
| CT pelvis w/o contrast (72192) |
$1,136.01 |
$2,814 |
8.7× |
| CT scan of leg combo (73702) |
$1,300.32 |
$3,221 |
5.9× |
| CT scans face/jaw combo (70488) |
$1,352.40 |
$3,350 |
6.2× |
| CT soft tissue neck w contrast (70491) |
$1,257.93 |
$3,116 |
5.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,136.01 |
$2,814 |
8.7× |
| CT thoracic spine w contrast (72129) |
$1,336.65 |
$3,311 |
6.1× |
| CT thoracic spine w/o contrast (72128) |
$1,136.01 |
$2,814 |
8.7× |
| CT thoracic spine w/wo cont (72130) |
$1,419.41 |
$3,516 |
6.5× |
| CT thorax w/o contrast (71250) |
$1,336.65 |
$3,311 |
10.2× |
| CT upper ext wo (73200) |
$1,136.01 |
$2,814 |
8.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,300.32 |
$3,221 |
5.9× |
| CT upper extremity with contrast (73201) |
$1,257.93 |
$3,116 |
2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,188.05 |
$5,420 |
10.0× |
| Cta Abdomen (74175) |
$1,136.01 |
$2,814 |
5.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,272.02 |
$5,628 |
5.2× |
| CTA pelvis (72191) |
$1,136.01 |
$2,814 |
5.2× |
| Dxa Bone Density Axial (77080) |
$284.61 |
$705 |
2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$179.24 |
$444 |
1.7× |
| Echo exam uterus (76831) |
$721.82 |
$1,788 |
2.4× |
| Esophagram (74220) |
$334.26 |
$828 |
1.5× |
| Fetal Biophys Profile W/Nst (76818) |
$463.45 |
$1,148 |
3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$463.45 |
$1,148 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$444.07 |
$1,100 |
1.5× |
| Foot 2 views (73620) |
$159.06 |
$394 |
1.5× |
| Forearm 2 views (73090) |
$180.45 |
$447 |
1.7× |
| Gastric emptying imaging study (78264) |
$999.56 |
$2,476 |
2.0× |
| Gated Heart Planar Single (78472) |
$1,524.77 |
$3,777 |
3.1× |
| Hand 2 views (73120) |
$159.06 |
$394 |
1.2× |
| Hepatobil Syst Image W/Drug (78227) |
$1,046.39 |
$2,592 |
1.5× |
| Hepatobiliary System Imaging (78226) |
$1,046.39 |
$2,592 |
2.1× |
| Ht Musc Image Planar Mult (78454) |
$1,207.87 |
$2,992 |
0.7× |
| Ht Muscle Image Spect Sing (78451) |
$2,988.19 |
$7,402 |
1.8× |
| Hysterosalpingogram (74740) |
$511.49 |
$1,267 |
1.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$379.48 |
$940 |
3.5× |
| K Flow/Funct Image Multiple (78709) |
$1,025.80 |
$2,541 |
1.5× |
| K Flow/Funct Image W/Drug (78708) |
$1,025.80 |
$2,541 |
1.5× |
| K Flow/Funct Image W/O Drug (78707) |
$932.95 |
$2,311 |
1.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$932.95 |
$2,311 |
1.9× |
| Knee 3 Views (73562) |
$489.69 |
$1,213 |
4.5× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) |
$421.87 |
$1,045 |
0.8× |
| Leveen/Shunt Patency Exam (78291) |
$999.16 |
$2,475 |
2.0× |
| Liver & Spleen Imaging Static Only (78215) |
$932.95 |
$2,311 |
1.9× |
| Lung Perf&Ventilat Diferentl (78598) |
$1,226.44 |
$3,038 |
1.8× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,226.44 |
$3,038 |
1.8× |
| Lung Ventilation Imaging (78579) |
$1,226.44 |
$3,038 |
2.5× |
| Lymph System Imaging (78195) |
$999.16 |
$2,475 |
1.5× |
| Magnetic Image Jaw Joint (70336) |
$2,091.57 |
$5,181 |
7.0× |
| Meckels Divert Exam (78290) |
$999.56 |
$2,476 |
2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$29.47 |
$73 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$111.02 |
$275 |
0.9× |
| Mra Head W/O & W/Contrast Material (70546) |
$2,583.68 |
$6,400 |
5.9× |
| MRA head w/o contrast (70544) |
$2,091.57 |
$5,181 |
7.0× |
| MRA head with contrast (70545) |
$2,911.48 |
$7,212 |
6.7× |
| MRA neck w contrast (70548) |
$2,336.62 |
$5,788 |
5.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,583.68 |
$6,400 |
5.9× |
| MRA neck w/o contrast (70547) |
$2,091.57 |
$5,181 |
7.0× |
| MRI abdomen w contrast (74182) |
$2,336.62 |
$5,788 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$2,091.57 |
$5,181 |
7.0× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,583.68 |
$6,400 |
2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,583.68 |
$6,400 |
5.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,583.68 |
$6,400 |
2.6× |
| MRI Breast W/O Contrast Bilateral (77047) |
$2,091.57 |
$5,181 |
7.0× |
| MRI cervical spine w contrast (72142) |
$2,336.62 |
$5,788 |
5.4× |
| MRI cervical spine w/o cont (72141) |
$2,091.57 |
$5,181 |
7.0× |
| MRI chest w/o contrast (71550) |
$2,091.57 |
$5,181 |
7.0× |
| MRI chest with contrast (71551) |
$2,336.62 |
$5,788 |
2.4× |
| MRI chest wo w contrast (71552) |
$2,583.68 |
$6,400 |
5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,336.62 |
$5,788 |
5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,583.68 |
$6,400 |
5.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,091.57 |
$5,181 |
7.0× |
| MRI lumbar spine w contrast (72149) |
$2,336.62 |
$5,788 |
5.4× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,583.68 |
$6,400 |
5.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,091.57 |
$5,181 |
7.0× |
| MRI orbit face neck w contrast (70542) |
$2,336.62 |
$5,788 |
5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,583.68 |
$6,400 |
5.9× |
| MRI pelvis w contrast (72196) |
$2,336.62 |
$5,788 |
5.4× |
| MRI pelvis w/o & w contrast (72197) |
$2,583.68 |
$6,400 |
5.9× |
| MRI pelvis w/o contrast (72195) |
$2,091.57 |
$5,181 |
7.0× |
| MRI thoracic spine w/o contrast (72146) |
$2,091.57 |
$5,181 |
7.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$2,336.62 |
$5,788 |
5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,091.57 |
$5,181 |
7.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,583.68 |
$6,400 |
5.9× |
| MRI, abdomen, combo (74183) |
$2,583.68 |
$6,400 |
5.9× |
| MRI, dorsal spine combo (72157) |
$2,583.68 |
$6,400 |
5.9× |
| MRI, dorsal spine contrast (72147) |
$2,336.62 |
$5,788 |
5.4× |
| MRI, joint upper extrem (73221) |
$2,091.57 |
$5,181 |
7.0× |
| MRI, joint upper extrem combo (73223) |
$2,583.68 |
$6,400 |
5.9× |
| MRI, lumbar spine combo (72158) |
$2,583.68 |
$6,400 |
5.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$1,149.74 |
$2,848 |
2.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$1,025.80 |
$2,541 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$3,430.24 |
$8,497 |
2.1× |
| Neck soft tissue (70360) |
$191.35 |
$474 |
1.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$622.10 |
$1,541 |
1.3× |
| Nm myocard infarct spect (78469) |
$688.31 |
$1,705 |
1.0× |
| Nuclear Rx Oral Admin (79005) |
$1,058.91 |
$2,623 |
3.6× |
| Ob us nuchal meas 1 gest (76813) |
$222.84 |
$552 |
1.7× |
| Parathyroid Planar Imaging (78070) |
$999.56 |
$2,476 |
2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$495.74 |
$1,228 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$191.35 |
$474 |
1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$932.95 |
$2,311 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$513.10 |
$1,271 |
0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$180.45 |
$447 |
1.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$119.09 |
$295 |
1.1× |
| Radex elbow complete minimum 3 views (73080) |
$180.45 |
$447 |
1.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$334.26 |
$828 |
2.6× |
| Radex fingr minimum 2 views (73140) |
$119.09 |
$295 |
1.1× |
| Radex foot complete minimum 3 views (73630) |
$180.45 |
$447 |
1.7× |
| Radex Hand Minimum 3 Views (73130) |
$180.45 |
$447 |
1.7× |
| Radex lower extremity infant minimum 2 views (73592) |
$159.06 |
$394 |
1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$334.26 |
$828 |
2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$211.14 |
$523 |
1.9× |
| Radex Ribs Unilateral 2 Views (71100) |
$228.90 |
$567 |
2.1× |
| Radex shoulder complete minimum 2 views (73030) |
$212.35 |
$526 |
2.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$105.37 |
$261 |
1.0× |
| Radex Spine 1 View Specify Level (72020) |
$147.35 |
$365 |
1.4× |
| Radex Sternum Minimum 2 Views (71120) |
$207.50 |
$514 |
1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$265.23 |
$657 |
2.4× |
| Radex Toe Minimum 2 Views (73660) |
$119.09 |
$295 |
1.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$159.06 |
$394 |
1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$191.35 |
$474 |
1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$213.15 |
$528 |
1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$289.45 |
$717 |
2.2× |
| Radiologic exam colon double contrast study (74280) |
$529.25 |
$1,311 |
2.4× |
| Radiologic exam colon single contrast study (74270) |
$444.88 |
$1,102 |
2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$263.21 |
$652 |
1.2× |
| Radiologic exam knee complete 4/more views (73564) |
$528.85 |
$1,310 |
4.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$511.49 |
$1,267 |
2.3× |
| Radiologic exam swallow function contrast study (74230) |
$300.76 |
$745 |
1.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$511.49 |
$1,267 |
2.3× |
| Radiologic examination femur minimum 2 views (73552) |
$212.35 |
$526 |
2.0× |
| Radiologic examination knee 1/2 views (73560) |
$433.17 |
$1,073 |
4.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$180.45 |
$447 |
1.7× |
| Ribs bilateral 3 views (71110) |
$361.31 |
$895 |
2.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$999.56 |
$2,476 |
2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$999.56 |
$2,476 |
2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,584.93 |
$3,926 |
2.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,584.93 |
$3,926 |
2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,708.05 |
$4,231 |
2.5× |
| Scapula (73010) |
$191.35 |
$474 |
1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$37.95 |
$94 |
1.6× |
| Shoulder Arthrography (73040) |
$564.78 |
$1,399 |
1.3× |
| Skull less than 4 views (70250) |
$255.54 |
$633 |
2.0× |
| Sternoclavicular joints (71130) |
$197.41 |
$489 |
1.8× |
| Testicular Imaging W/Flow (78761) |
$932.95 |
$2,311 |
1.9× |
| Thoracic spine 3 views (72072) |
$255.54 |
$633 |
2.0× |
| Thoracolumbar 2 views (72080) |
$211.14 |
$523 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$932.95 |
$2,311 |
1.9× |
| Thyroid Uptake Measurement (78012) |
$922.05 |
$2,284 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$999.56 |
$2,476 |
2.0× |
| Ultrasound Breast Limited (76642) |
$218 |
$540 |
2.0× |
| Ultrasound Elastography Parenchyma (76981) |
$129.18 |
$320 |
1.0× |
| Ultrasound Exam Aaa Screen (76706) |
$149.77 |
$371 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$463.45 |
$1,148 |
3.6× |
| Umbilical-artery Doppler (OB) (76820) |
$463.45 |
$1,148 |
3.6× |
| Upper gi w/o kub (74240) |
$481.61 |
$1,193 |
2.2× |
| Ureteral Reflux Study (78740) |
$999.56 |
$2,476 |
2.0× |
| Urethrocystogram voiding (74455) |
$408.14 |
$1,011 |
1.4× |
| Urethrocystography retrograde (74450) |
$408.14 |
$1,011 |
1.4× |
| Us breast unilateral complete (76641) |
$432.77 |
$1,072 |
3.3× |
| Us chest (76604) |
$432.77 |
$1,072 |
3.3× |
| Us exam, pelvic, limited (76857) |
$341.13 |
$845 |
2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$389.17 |
$964 |
3.0× |
| Us ob limited 1 or more fetuses (76815) |
$341.53 |
$846 |
2.6× |
| Us ob transvaginal (76817) |
$496.15 |
$1,229 |
3.8× |
| Us pelvic non ob complete (76856) |
$379.48 |
$940 |
2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$496.15 |
$1,229 |
3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$496.15 |
$1,229 |
3.8× |
| Us retroperitoneal complete (76770) |
$463.45 |
$1,148 |
3.6× |
| Us retroperitoneal limited (76775) |
$463.45 |
$1,148 |
3.6× |
| Us scrotum and contents (76870) |
$389.17 |
$964 |
3.0× |
| Us spinal canal and contents (76800) |
$463.45 |
$1,148 |
3.6× |
| Us thyroid (76536) |
$463.45 |
$1,148 |
3.6× |
| Wrist 2 views (73100) |
$159.06 |
$394 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$207.50 |
$514 |
1.9× |
| X-ray antegrade pyelogram tube (74425) |
$388.36 |
$962 |
0.9× |
| X-Ray Bend Only L-S Spine (72120) |
$176.82 |
$438 |
1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$159.06 |
$394 |
1.5× |
| X-Ray Exam Breast Specimen (76098) |
$180.45 |
$447 |
0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$212.35 |
$526 |
2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$212.35 |
$526 |
1.6× |
| X-Ray Exam Hip Uni 1 View (73501) |
$147.35 |
$365 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$228.90 |
$567 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$228.90 |
$567 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$305.60 |
$757 |
2.3× |
| X-Ray Exam L-S Spine Bending (72114) |
$529.65 |
$1,312 |
4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$384.73 |
$953 |
3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$384.73 |
$953 |
2.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$183.28 |
$454 |
1.4× |
| X-ray eye for foreign body (70030) |
$224.05 |
$555 |
2.1× |
| X-ray humerus (73060) |
$180.45 |
$447 |
1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$281.38 |
$697 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$255.54 |
$633 |
2.0× |
| X-ray nose-rectum child f.b. (76010) |
$281.38 |
$697 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$232.53 |
$576 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$212.35 |
$526 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$228.90 |
$567 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$255.54 |
$633 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$334.26 |
$828 |
2.6× |
| X-Ray Stress View (77071) |
$326.59 |
$809 |
3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$361.31 |
$895 |
0.8× |
| X-Rays Bone Length Studies (77073) |
$224.05 |
$555 |
1.7× |
| X-Rays Bone Survey Complete (77075) |
$511.49 |
$1,267 |
3.9× |
| Xr c-spine 4 or 5 views (72050) |
$299.55 |
$742 |
2.3× |
| Xr orbits complete 4 views (70200) |
$113.44 |
$281 |
0.9× |