| Abdomen 2 views (74019) |
$196 |
$245 |
2.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$555.20 |
$694 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$1,327.60 |
$1,659.50 |
0.4× |
| Angiography extremity unilateral rs&i (75710) |
$1,220.80 |
$1,526 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,468 |
$1,835 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$852.80 |
$1,066 |
0.3× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,468 |
$1,835 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$568.80 |
$711 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$852.80 |
$1,066 |
0.3× |
| Ankle 2 views (73600) |
$184 |
$230 |
2.3× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,220.80 |
$1,526 |
0.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,206 |
$1,507.50 |
0.4× |
| Aortography abdominal serialography rs&i (75625) |
$1,730.40 |
$2,163 |
0.6× |
| Arthrogram shoulder (73040) |
$314 |
$392.50 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$586.40 |
$733 |
1.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$524 |
$655 |
1.4× |
| Bone &/joint imaging whole body (78306) |
$586.40 |
$733 |
1.6× |
| Bone age studies (77072) |
$201.60 |
$252 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$640 |
$800 |
1.7× |
| Bone survey complete (77075) |
$194.40 |
$243 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$277.60 |
$347 |
3.4× |
| Chest 1 view (71045) |
$212.40 |
$265.50 |
2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$552.80 |
$691 |
3.4× |
| Clavicle complete (73000) |
$260 |
$325 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$840 |
$1,050 |
8.6× |
| Continuing medical physics consltj pr wk (77336) |
$227.20 |
$284 |
1.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,064.40 |
$1,330.50 |
3.3× |
| CT abdomen and pelvis without contrast (74176) |
$875.60 |
$1,094.50 |
3.9× |
| CT abdomen w contrast (74160) |
$1,606.80 |
$2,008.50 |
9.8× |
| CT abdomen w wo contrast (74170) |
$1,814.40 |
$2,268 |
11.0× |
| CT abdomen w/o contrast (74150) |
$1,406.80 |
$1,758.50 |
14.3× |
| CT angiography upper extremity lt (73206) |
$982.40 |
$1,228 |
6.0× |
| CT c-spine w/o contrast (72125) |
$1,250.40 |
$1,563 |
12.7× |
| CT cervical spine w&w/o contrast (72127) |
$1,032.80 |
$1,291 |
6.3× |
| CT cervical spine with contrast (72126) |
$956.80 |
$1,196 |
2.9× |
| CT chest w/wo contrast (71270) |
$1,452.80 |
$1,816 |
8.8× |
| CT chest with contrast (71260) |
$1,606.80 |
$2,008.50 |
9.8× |
| CT head/brain with contrast (70460) |
$1,265.60 |
$1,582 |
7.7× |
| CT head/brain without and with contrast (70470) |
$1,488.80 |
$1,861 |
9.0× |
| CT iac w contrast (70481) |
$1,398.80 |
$1,748.50 |
8.5× |
| CT limited/localized follow up study (76380) |
$639.20 |
$799 |
7.8× |
| CT lower ext w/o (73700) |
$1,568.80 |
$1,961 |
16.0× |
| CT lower extremity w wo contrast (73702) |
$1,390 |
$1,737.50 |
8.4× |
| CT lower extremity with contrast (73701) |
$1,584.80 |
$1,981 |
9.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,474.40 |
$1,843 |
9.0× |
| CT lumbar spine w/o contrast (72131) |
$1,140 |
$1,425 |
11.6× |
| CT lumbar spine with contrast (72132) |
$1,152.40 |
$1,440.50 |
3.5× |
| CT maxillofacial w contrast (70487) |
$861.60 |
$1,077 |
5.2× |
| CT maxillofacial w/o contrast (70486) |
$740 |
$925 |
7.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,029.20 |
$1,286.50 |
6.3× |
| CT neck soft tissue w contrast (70491) |
$1,354.40 |
$1,693 |
8.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$840.80 |
$1,051 |
5.1× |
| CT orbits w/o contrast (70480) |
$1,250.40 |
$1,563 |
12.7× |
| CT pelvis w & w/o contrast (72194) |
$1,785.20 |
$2,231.50 |
10.8× |
| CT pelvis w/o contrast (72192) |
$1,406.80 |
$1,758.50 |
14.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$212.80 |
$266 |
2.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,606.80 |
$2,008.50 |
9.8× |
| CT soft tissue neck w/o contrast (70490) |
$884 |
$1,105 |
9.0× |
| CT thoracic spine w/contrast (72129) |
$951.20 |
$1,189 |
5.8× |
| CT thoracic spine w/o contrast (72128) |
$1,354.40 |
$1,693 |
13.8× |
| CT thoracic spine w/wo contrast (72130) |
$904 |
$1,130 |
5.5× |
| CT thorax w/o contrast (71250) |
$1,406.80 |
$1,758.50 |
14.3× |
| CT unlisted procedure (76497) |
$212.80 |
$266 |
2.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,408.80 |
$1,761 |
8.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,080 |
$1,350 |
11.0× |
| CT upper extremity with contrast (73201) |
$1,354.40 |
$1,693 |
4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,264 |
$1,580 |
7.7× |
| Cta Abdomen (74175) |
$1,276 |
$1,595 |
7.8× |
| CTA abdomen pelvis (74174) |
$760 |
$950 |
2.3× |
| CTA chest (71275) |
$1,725.60 |
$2,157 |
10.5× |
| Cta Head (70496) |
$1,725.60 |
$2,157 |
10.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,283.20 |
$1,604 |
7.8× |
| Cta Neck (70498) |
$1,276 |
$1,595 |
7.8× |
| Cystography minimum 3 views rs&i (74430) |
$432.80 |
$541 |
1.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$252.80 |
$316 |
2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$101.60 |
$127 |
1.2× |
| Esophagus (74220) |
$355.20 |
$444 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$1,021.60 |
$1,277 |
4.6× |
| Foot 2 views (73620) |
$149.60 |
$187 |
1.8× |
| Forearm 2 views (73090) |
$269.60 |
$337 |
3.3× |
| Gated Heart Planar Single (78472) |
$390.80 |
$488.50 |
1.0× |
| Hand 2 views (73120) |
$152 |
$190 |
1.5× |
| Hand 3 views (73130) |
$260.40 |
$325.50 |
3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$488.80 |
$611 |
1.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$488.80 |
$611 |
1.3× |
| Ht muscle image spect sing (78451) |
$1,019.20 |
$1,274 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$240 |
$300 |
2.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$604.40 |
$755.50 |
1.2× |
| Knee 3 views (73562) |
$177.60 |
$222 |
2.2× |
| Liver & spleen imaging static only (78215) |
$616.80 |
$771 |
1.6× |
| Lymphoscintigraphy (78195) |
$906.40 |
$1,133 |
1.8× |
| Mammary ductogram or galactogram single (77053) |
$311.20 |
$389 |
1.4× |
| Meckels Diverticulum (78290) |
$480.80 |
$601 |
1.3× |
| MRA head w & w/o contrast (70546) |
$1,716.80 |
$2,146 |
5.2× |
| MRA head w/o contrast (70544) |
$1,374.40 |
$1,718 |
6.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,605.60 |
$2,007 |
4.9× |
| MRA neck w/o contrast (70547) |
$1,374.40 |
$1,718 |
6.1× |
| MRI abdomen w contrast (74182) |
$1,298.40 |
$1,623 |
4.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,398.40 |
$1,748 |
4.3× |
| MRI abdomen w/o contrast (74181) |
$1,198.40 |
$1,498 |
5.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,065.60 |
$1,332 |
1.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,065.60 |
$1,332 |
1.4× |
| MRI c-spine with contrast (72142) |
$1,576.80 |
$1,971 |
4.8× |
| MRI cervical spine w/o contrast (72141) |
$699.20 |
$874 |
3.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,052.80 |
$1,316 |
3.2× |
| MRI chest w/o contrast (71550) |
$1,078.40 |
$1,348 |
4.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$885.60 |
$1,107 |
2.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,498 |
$1,872.50 |
6.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,480.80 |
$1,851 |
6.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,405.60 |
$1,757 |
4.3× |
| MRI orbit/face/neck w/contrast (70542) |
$819.20 |
$1,024 |
2.5× |
| MRI pelvis w contrast (72196) |
$1,201.60 |
$1,502 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,408 |
$1,760 |
4.3× |
| MRI pelvis w/o contrast (72195) |
$1,126.40 |
$1,408 |
5.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,405.60 |
$1,757 |
4.3× |
| MRI scan of leg joint before and after contrast (73723) |
$1,757 |
$2,196.25 |
5.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,994.40 |
$2,493 |
6.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,476 |
$1,845 |
4.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,620.80 |
$2,026 |
5.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,528.80 |
$1,911 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,552.80 |
$1,941 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,252 |
$1,565 |
5.6× |
| MRI tmj (70336) |
$448 |
$560 |
2.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,174.40 |
$1,468 |
5.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,303.20 |
$1,629 |
4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,198.40 |
$1,498 |
5.4× |
| Myelogram Cervical (72240) |
$360 |
$450 |
0.5× |
| Myelogram Lumbar (72265) |
$951.60 |
$1,189.50 |
1.3× |
| Myelogram thoracic (72255) |
$338.40 |
$423 |
0.5× |
| Myelography 2 or more regions (72270) |
$300 |
$375 |
0.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,576.80 |
$4,471 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$669.60 |
$837 |
0.6× |
| Neck soft tissue (70360) |
$233.60 |
$292 |
2.9× |
| Nm gastric emptying study (78264) |
$555.20 |
$694 |
1.5× |
| Nm peritoneal-venous shunt patency (78291) |
$746.40 |
$933 |
2.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$3,576.80 |
$4,471 |
2.7× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$3,576.80 |
$4,471 |
2.7× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$3,576.80 |
$4,471 |
2.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$58.40 |
$73 |
0.6× |
| Osseous survey infant (77076) |
$194.40 |
$243 |
2.0× |
| Osseous survey limited (77074) |
$104 |
$130 |
1.1× |
| Parathyroid imaging (78070) |
$410.40 |
$513 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$134.40 |
$168 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$3,576.80 |
$4,471 |
2.7× |
| PET imaging CT for attenuation limited area (78814) |
$3,576.80 |
$4,471 |
2.7× |
| PET imaging limited area chest head/neck (78811) |
$3,576.80 |
$4,471 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,497.60 |
$1,872 |
4.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$791.20 |
$989 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$208.80 |
$261 |
0.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$216 |
$270 |
2.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$368.80 |
$461 |
3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$317.60 |
$397 |
3.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$207.60 |
$259.50 |
2.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$217.60 |
$272 |
2.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$425.20 |
$531.50 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$426.40 |
$533 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$229.60 |
$287 |
2.8× |
| Radiological examination surgical specimen (76098) |
$497.60 |
$622 |
1.0× |
| Ribs bilateral 3 views (71110) |
$261.60 |
$327 |
2.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$529.20 |
$661.50 |
1.0× |
| Scapula complete (73010) |
$307.20 |
$384 |
3.1× |
| Screening digital breast tomosynthesis (77063) |
$41.60 |
$52 |
1.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$172 |
$215 |
1.8× |
| Sialogram (70390) |
$423.20 |
$529 |
1.9× |
| Small bowel series (74250) |
$415.20 |
$519 |
2.5× |
| Spine thoracic 3 views (72072) |
$382.40 |
$478 |
3.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$227.20 |
$284 |
1.8× |
| Thoracolumbar 2 views (72080) |
$459.20 |
$574 |
5.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$364.80 |
$456 |
1.0× |
| Thyroid uptake measurement (78012) |
$201.60 |
$252 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$993.60 |
$1,242 |
2.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,405.60 |
$1,757 |
2.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$686.40 |
$858 |
1.8× |
| Tx devices design & construction complex (77334) |
$391.20 |
$489 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$868 |
$1,085 |
8.8× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$221.20 |
$276.50 |
2.7× |
| Upper Extremity Infant (73092) |
$148 |
$185 |
1.5× |
| Urethrocystography voiding (74455) |
$491.20 |
$614 |
2.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$866.40 |
$1,083 |
5.3× |
| Us abdl aorta screen aaa (76706) |
$541.60 |
$677 |
5.5× |
| Us breast unilateral complete (76641) |
$282 |
$352.50 |
2.9× |
| Us breast unilateral limited (76642) |
$235.20 |
$294 |
2.9× |
| Us chest (76604) |
$430.40 |
$538 |
4.4× |
| Us compl joint r-t w/image documentation (76881) |
$481.60 |
$602 |
4.9× |
| Us guided compression repair (76936) |
$541.60 |
$677 |
2.7× |
| Us ob transvaginal (76817) |
$983.20 |
$1,229 |
10.0× |
| Us pelvic non ob complete (76856) |
$350.40 |
$438 |
3.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$157.60 |
$197 |
1.6× |
| Us pregnancy ltd (76815) |
$308.40 |
$385.50 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,038.40 |
$1,298 |
10.6× |
| Us retroperitoneal complete (76770) |
$1,038.40 |
$1,298 |
10.6× |
| Us retroperitoneal limited (76775) |
$376.80 |
$471 |
3.8× |
| Us scrotum and contents (76870) |
$358 |
$447.50 |
3.6× |
| Us soft tissue head/neck (76536) |
$462.40 |
$578 |
4.7× |
| Us transrectal (76872) |
$582.40 |
$728 |
5.9× |
| Us transrectal prostate volume (76873) |
$575.20 |
$719 |
5.9× |
| Us xtr non-vasc lmtd (76882) |
$230.40 |
$288 |
2.3× |
| Venography caval inferior serialography rs&i (75825) |
$386.40 |
$483 |
0.1× |
| Venography caval superior serialography rs&i (75827) |
$696.80 |
$871 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$536 |
$670 |
0.4× |
| Wrist 2 views (73100) |
$294 |
$367.50 |
3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$252 |
$315 |
3.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$266 |
$332.50 |
3.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$589.60 |
$737 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$214.80 |
$268.50 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$269.60 |
$337 |
3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$298.80 |
$373.50 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$464 |
$580 |
4.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$189.60 |
$237 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$361.60 |
$452 |
3.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$260.40 |
$325.50 |
3.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$224 |
$280 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$289.20 |
$361.50 |
2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$220 |
$275 |
2.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$182 |
$227.50 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$320 |
$400 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$288 |
$360 |
2.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$352 |
$440 |
3.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$277.60 |
$347 |
3.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$120.80 |
$151 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$320 |
$400 |
3.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$876 |
$1,095 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$213.60 |
$267 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$180.80 |
$226 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$569.60 |
$712 |
5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$262.40 |
$328 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$252 |
$315 |
3.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$275.20 |
$344 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$388 |
$485 |
4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$342.40 |
$428 |
3.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$252 |
$315 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$151.20 |
$189 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$92 |
$115 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$255.20 |
$319 |
3.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$190.40 |
$238 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$275.20 |
$344 |
3.4× |
| Xr c-spine 6 or more views (72052) |
$459.20 |
$574 |
4.7× |
| Xr finger(s) 2+ views (73140) |
$233.60 |
$292 |
2.9× |
| Xr shoulder 1 view (73020) |
$320 |
$400 |
3.9× |
| Xr spine cervical 4 or 5 views (72050) |
$257.60 |
$322 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$256.80 |
$321 |
3.1× |
| Xr tmj bilateral (70330) |
$260.80 |
$326 |
3.2× |
| Xray knee 1 or 2 views rt (73560) |
$251.60 |
$314.50 |
3.1× |