| Abdomen 2 views (74019) |
$165.10 |
$254 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$903.50 |
$1,390 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$4,921.80 |
$7,572 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$4,921.80 |
$7,572 |
1.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,384.65 |
$11,361 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,637.05 |
$4,057 |
0.8× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,817.10 |
$4,334 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$7,339.80 |
$11,292 |
2.2× |
| Ankle 2 views (73600) |
$229.45 |
$353 |
2.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,127.10 |
$1,734 |
3.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,088.15 |
$4,751 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$3,589.30 |
$5,522 |
1.1× |
| Arthrogram hip (73525) |
$726.70 |
$1,118 |
2.0× |
| Arthrogram shoulder (73040) |
$1,896.70 |
$2,918 |
5.1× |
| Arthrography knee lt (73580) |
$1,144.98 |
$1,761.50 |
3.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,242.80 |
$1,912 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$930.80 |
$1,432 |
2.2× |
| Bone age studies (77072) |
$265.20 |
$408 |
2.4× |
| Bone Imaging 3 Phase (78315) |
$1,211.60 |
$1,864 |
2.8× |
| Bone survey complete (77075) |
$417.95 |
$643 |
3.8× |
| Brain image w/flow 4 + views (78606) |
$1,130.35 |
$1,739 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$323.05 |
— |
3.5× |
| Chest 1 view (71045) |
$7,696.41 |
— |
83.1× |
| Chest 3 views (71047) |
$241.15 |
$371 |
2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$485.55 |
$747 |
2.6× |
| Clavicle complete (73000) |
$141.70 |
$218 |
1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$173.55 |
$267 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,892.85 |
$5,989 |
10.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,068.30 |
— |
8.1× |
| CT abdomen w contrast (74160) |
$2,138.50 |
$3,290 |
11.5× |
| CT abdomen w wo contrast (74170) |
$2,448.55 |
$3,767 |
13.1× |
| CT abdomen w/o contrast (74150) |
$1,365.65 |
$2,101 |
12.3× |
| CT angio hrt w/3d image (75574) |
$1,019.85 |
$1,569 |
2.7× |
| CT angiography upper extremity lt (73206) |
$1,836.15 |
— |
9.8× |
| CT c-spine w/o contrast (72125) |
$1,932.45 |
$2,973 |
17.4× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$604.50 |
$930 |
3.2× |
| CT cervical spine with contrast (72126) |
$2,148.25 |
$3,305 |
5.8× |
| CT chest w/wo contrast (71270) |
$1,708.85 |
$2,629 |
9.2× |
| CT chest with contrast (71260) |
$1,577.55 |
$2,427 |
8.5× |
| CT head/brain with contrast (70460) |
$1,244.75 |
$1,915 |
6.7× |
| CT head/brain without and with contrast (70470) |
$1,600.95 |
$2,463 |
8.6× |
| CT iac w contrast (70481) |
$1,417 |
$2,180 |
7.6× |
| CT lower ext w/o (73700) |
$958.10 |
$1,474 |
8.6× |
| CT lower extremity w wo contrast (73702) |
$1,073.80 |
$1,652 |
5.8× |
| CT lower extremity with contrast (73701) |
$1,048.45 |
$1,613 |
5.6× |
| CT lumbar spine w & w/o contrast (72133) |
$2,174.25 |
$3,345 |
11.6× |
| CT lumbar spine w/o contrast (72131) |
$1,932.45 |
$2,973 |
17.4× |
| CT lumbar spine with contrast (72132) |
$2,213.25 |
$3,405 |
6.0× |
| CT maxillofacial w contrast (70487) |
$2,104.05 |
$3,237 |
11.3× |
| CT maxillofacial w/o contrast (70486) |
$1,212.90 |
$1,866 |
10.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,022.80 |
$3,112 |
10.8× |
| CT neck soft tissue w contrast (70491) |
$1,584.05 |
$2,437 |
8.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,551.90 |
$3,926 |
13.7× |
| CT orbits w/o contrast (70480) |
$1,275.30 |
$1,962 |
11.5× |
| CT pelvis w & w/o contrast (72194) |
$2,395.90 |
$3,686 |
12.8× |
| CT pelvis w/o contrast (72192) |
$1,710.15 |
$2,631 |
15.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,688.70 |
$2,598 |
9.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,329.25 |
$2,045 |
11.9× |
| CT thoracic spine w/contrast (72129) |
$1,426.10 |
$2,194 |
7.6× |
| CT thoracic spine w/o contrast (72128) |
$1,072.50 |
$1,650 |
9.6× |
| CT thorax w/o contrast (71250) |
$1,105 |
$1,700 |
9.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,110.85 |
$1,709 |
6.0× |
| CT upper extremity w/o contrast rt (73200) |
$958.10 |
$1,474 |
8.6× |
| CT upper extremity with contrast (73201) |
$1,018.55 |
$1,567 |
2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,316.60 |
$3,564 |
12.4× |
| Cta Abdomen (74175) |
$2,264.60 |
$3,484 |
12.1× |
| CTA abdomen pelvis (74174) |
$2,525.90 |
$3,886 |
6.8× |
| CTA chest (71275) |
$3,472.95 |
$5,343 |
18.6× |
| Cta Head (70496) |
$1,740.70 |
$2,678 |
9.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,530.15 |
$5,431 |
9.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,690 |
$2,600 |
9.1× |
| Cta Neck (70498) |
$1,789.45 |
$2,753 |
9.6× |
| Cta Pelvis (72191) |
$1,690 |
$2,600 |
9.1× |
| Cystography minimum 3 views rs&i (74430) |
$536.90 |
$826 |
1.4× |
| Diskography lumbar (72295) |
$4,921.80 |
$7,572 |
2.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$619.45 |
$953 |
5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$299.65 |
$461 |
3.2× |
| Echoencephalography real time imaging (76506) |
$611.65 |
$941 |
5.5× |
| Esophagus (74220) |
$396.50 |
$610 |
2.1× |
| Fetal biophysical profile non-stress testing (76818) |
$449.80 |
$692 |
4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,555.45 |
$2,393 |
14.0× |
| Fluoroscopy up to 1 hr (76000) |
$640.90 |
— |
2.5× |
| Foot 2 views (73620) |
$229.45 |
$353 |
2.5× |
| Forearm 2 views (73090) |
$255.45 |
$393 |
2.8× |
| Gated Heart Planar Single (78472) |
$815.10 |
$1,254 |
1.9× |
| Hand 2 views (73120) |
$217.75 |
$335 |
2.0× |
| Hand 3 views (73130) |
$229.45 |
$353 |
2.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$946.40 |
$1,456 |
1.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$893.10 |
$1,374 |
2.1× |
| Ht muscle image spect sing (78451) |
$2,818.40 |
$4,336 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$170.95 |
$263 |
1.8× |
| Hysterosalpingogram (74740) |
$984.75 |
$1,515 |
3.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,073.15 |
$1,651 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,545.05 |
$2,377 |
2.7× |
| Knee 3 views (73562) |
$343.20 |
$528 |
3.7× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$7,086.95 |
$10,903 |
2.1× |
| MRA head w & w/o contrast (70546) |
$1,228.50 |
$1,890 |
3.3× |
| MRA head w/o contrast (70544) |
$1,535.30 |
$2,362 |
6.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,060.15 |
$1,631 |
2.9× |
| MRA neck w/o contrast (70547) |
$1,535.30 |
$2,362 |
6.0× |
| MRI abdomen w contrast (74182) |
$1,137.50 |
$1,750 |
3.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,434.90 |
$3,746 |
6.6× |
| MRI abdomen w/o contrast (74181) |
$1,128.40 |
$1,736 |
4.4× |
| MRI any jnt lwr ext with con lt (73722) |
$2,351.05 |
$3,617 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,351.05 |
$3,617 |
2.8× |
| MRI breast w/o contrast bilateral (77047) |
$835.90 |
$1,286 |
3.3× |
| MRI c-spine with contrast (72142) |
$1,526.85 |
$2,349 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$1,612.65 |
$2,481 |
6.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,991 |
$6,140 |
10.7× |
| MRI chest w/o contrast (71550) |
$2,078.05 |
$3,197 |
8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,411.80 |
$2,172 |
5.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$800.80 |
$1,232 |
3.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,113.45 |
$1,713 |
3.0× |
| MRI orbit/face/neck w/contrast (70542) |
$3,066.05 |
$4,717 |
8.3× |
| MRI pelvis w contrast (72196) |
$1,019.85 |
$1,569 |
2.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,153.10 |
$1,774 |
3.1× |
| MRI pelvis w/o contrast (72195) |
$1,023.10 |
$1,574 |
4.0× |
| MRI scan of arm joint before and after contrast (73223) |
$2,562.30 |
$3,942 |
6.9× |
| MRI scan of leg joint before and after contrast (73723) |
$2,639.65 |
$4,061 |
7.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,496 |
$3,840 |
6.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,468.70 |
$3,798 |
6.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,496 |
$3,840 |
6.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,706.90 |
$2,626 |
4.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,496 |
$3,840 |
6.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,612.65 |
$2,481 |
6.4× |
| MRI tmj (70336) |
$851.50 |
$1,310 |
3.4× |
| MRI upper ext joint w/o contrast (73221) |
$2,258.75 |
— |
8.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,496.95 |
$2,303 |
4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,370.85 |
$2,109 |
5.4× |
| Myelogram Cervical (72240) |
$926.25 |
$1,425 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$4,559.75 |
$7,015 |
3.3× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,283.45 |
$3,513 |
2.5× |
| Neck soft tissue (70360) |
$157.30 |
$242 |
1.7× |
| Nm gastric emptying study (78264) |
$903.50 |
$1,390 |
2.1× |
| Nuclear medicine of heart pumping function (78473) |
$1,161.55 |
$1,787 |
2.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,209 |
$1,860 |
2.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$403.65 |
$621 |
3.6× |
| Parathyrd planar w/wo subtrj (78071) |
$1,165.45 |
$1,793 |
2.7× |
| Parathyroid imaging (78070) |
$930.80 |
$1,432 |
2.2× |
| Pelvis 1 or 2 views (72170) |
$281.45 |
$433 |
2.5× |
| PET image w/CT, skull-thigh (78815) |
$3,478.15 |
$5,351 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$3,297.45 |
$5,073 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,496.95 |
$2,303 |
4.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$7,107.75 |
$10,935 |
2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$903.50 |
$1,390 |
2.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$963.95 |
$1,483 |
1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$763.75 |
$1,175 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$470.60 |
$724 |
4.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$236.60 |
$364 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$281.45 |
$433 |
2.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$165.10 |
$254 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$165.10 |
$254 |
1.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$254.15 |
$391 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$520.65 |
$801 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$330.85 |
$509 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$221.65 |
$341 |
1.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$157.95 |
$243 |
1.7× |
| Radiological examination surgical specimen (76098) |
$956.15 |
$1,471 |
1.6× |
| Ribs bilateral 3 views (71110) |
$301.60 |
$464 |
2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$802.75 |
$1,235 |
1.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,929.55 |
$4,507 |
5.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,336.45 |
$5,133 |
5.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,380.65 |
$5,201 |
2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,743.35 |
$5,759 |
2.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,380.65 |
$5,201 |
2.5× |
| Sacroiliac Joints < 3 Views (72200) |
$423.15 |
$651 |
3.8× |
| Scapula complete (73010) |
$334.10 |
$514 |
3.0× |
| Screening digital breast tomosynthesis (77063) |
$44.20 |
$68 |
1.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$425.75 |
$655 |
3.8× |
| Small bowel series (74250) |
$202.80 |
$312 |
1.1× |
| Spine thoracic 3 views (72072) |
$465.40 |
$716 |
4.2× |
| Thoracolumbar 2 views (72080) |
$291.85 |
$449 |
3.2× |
| Thyroid uptake measurement (78012) |
$1,173.25 |
$1,805 |
2.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$729.30 |
$1,122 |
1.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,997.15 |
$4,611 |
5.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,209 |
$1,860 |
2.8× |
| Ultrasound, abdomen limited (76705) |
$880.75 |
— |
7.9× |
| Upper Extremity Infant (73092) |
$360.10 |
$554 |
3.2× |
| Urethrocystography retrograde rs&i (74450) |
$536.90 |
$826 |
2.1× |
| Us abdl aorta screen aaa (76706) |
$297.05 |
$457 |
2.7× |
| Us breast unilateral complete (76641) |
$1,313.65 |
$2,021 |
11.8× |
| Us breast unilateral limited (76642) |
$793 |
$1,220 |
8.6× |
| Us chest (76604) |
$456.30 |
$702 |
4.1× |
| Us compl joint r-t w/image documentation (76881) |
$295.10 |
$454 |
2.7× |
| Us elastography parenchyma (76981) |
$360.10 |
$554 |
3.2× |
| Us kidney transplant (76776) |
$934.70 |
$1,438 |
8.4× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$404.95 |
$623 |
3.6× |
| Us ob detailed single fetus (76811) |
$403.65 |
$621 |
1.6× |
| Us ob transvaginal (76817) |
$1,513.85 |
$2,329 |
13.6× |
| Us pelvic non ob complete (76856) |
$824.85 |
$1,269 |
7.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$257.40 |
$396 |
2.3× |
| Us pregnancy ltd (76815) |
$336.05 |
$517 |
3.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,755.65 |
$2,701 |
15.8× |
| Us retroperitoneal complete (76770) |
$588.90 |
$906 |
5.3× |
| Us retroperitoneal limited (76775) |
$532.35 |
$819 |
4.8× |
| Us scrotum and contents (76870) |
$410.80 |
$632 |
3.7× |
| Us soft tissue head/neck (76536) |
$479.05 |
$737 |
4.3× |
| Us xtr non-vasc lmtd (76882) |
$191.10 |
$294 |
1.7× |
| Venogram extremity bilateral (75822) |
$2,858.05 |
$4,397 |
1.7× |
| Venography caval inferior serialography rs&i (75825) |
$4,650.10 |
$7,154 |
1.4× |
| Venography caval superior serialography rs&i (75827) |
$2,179.45 |
$3,353 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,905.80 |
$2,932 |
1.1× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$12,131.60 |
$18,664 |
2.0× |
| Wrist 2 views (73100) |
$229.45 |
$353 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$278.20 |
$428 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$136.50 |
$210 |
1.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$416 |
— |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$229.45 |
$353 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$396.50 |
$610 |
4.3× |
| X-ray exam hip uni 1 view (73501) |
$53,701.76 |
— |
579.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$157.95 |
$243 |
1.7× |
| X-ray exam hip uni 4/> views (73503) |
$160.55 |
$247 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$241.80 |
$372 |
2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$577.20 |
$888 |
5.2× |
| X-ray exam of femur 1 (73551) |
$149.50 |
$230 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$232.05 |
$357 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$217.75 |
$335 |
2.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$312 |
$480 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$261.95 |
$403 |
2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$150.15 |
$231 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$414.05 |
$637 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$273 |
$420 |
2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$343.20 |
$528 |
3.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$618.15 |
$951 |
5.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$191.10 |
$294 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$141.70 |
$218 |
1.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$412.75 |
$635 |
4.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$213.85 |
$329 |
1.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$449.80 |
$692 |
4.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$984.75 |
$1,515 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$195.65 |
$301 |
2.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$205.40 |
$316 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$520 |
$800 |
4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$382.20 |
$588 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$334.10 |
$514 |
3.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$429 |
— |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$396.50 |
$610 |
4.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$157.95 |
$243 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$490.10 |
$754 |
4.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$255.45 |
$393 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$198.25 |
$305 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$414.05 |
$637 |
4.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$445.90 |
$686 |
4.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$558.35 |
$859 |
5.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$261.95 |
$403 |
2.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$527.48 |
— |
5.7× |
| Xr c-spine 6 or more views (72052) |
$490.10 |
$754 |
4.4× |
| Xr chest 4+ views (71048) |
$382.20 |
$588 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$229.45 |
— |
2.5× |
| Xr shoulder 1 view (73020) |
$127.40 |
$196 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$460.20 |
$708 |
4.1× |
| Xr tibia/fibula 2 views (73590) |
$332.80 |
$512 |
3.6× |
| Xr tmj bilateral (70330) |
$169 |
$260 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$205.40 |
$316 |
2.2× |