| Acute gi blood loss imaging (78278) |
$356.89 |
$2,379.24 |
0.9× |
| Angio extremity unilateral (75710) |
$1,340.39 |
$8,935.92 |
0.4× |
| Angiogram extremity bilateral (75716) |
$1,340.39 |
$8,935.92 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,340.39 |
$8,935.92 |
0.2× |
| Ankle 2 views (73600) |
$326.27 |
$2,175.12 |
3.6× |
| Arthrography wrist lt (73115) |
$520.18 |
$3,467.88 |
1.4× |
| Barium enema (74270) |
$620.14 |
$4,134.24 |
3.4× |
| Bone age studies (77072) |
$528.28 |
$3,521.88 |
4.8× |
| Bone imaging limited area (78300) |
$579.64 |
$3,864.24 |
1.4× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$208.33 |
$1,388.88 |
0.4× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$998.73 |
$6,658.20 |
2.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$452.30 |
$3,015.36 |
2.5× |
| Clavicle complete (73000) |
$361.42 |
$2,409.48 |
4.0× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$1,023.68 |
$6,824.52 |
5.6× |
| Contrast exam abdominl aorta (75625) |
$1,801.60 |
$12,010.68 |
0.5× |
Contrast exam thoracic aorta (75605)
likely a partial charge, not the full procedure |
$1,333.75 |
$8,891.64 |
0.2× |
| CT - st neck w&wo contr (70492) |
$1,329.21 |
$8,861.40 |
7.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,133.86 |
$14,225.76 |
5.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,248.37 |
$8,322.48 |
5.0× |
| CT abdomen w wo contrast (74170) |
$1,942.38 |
$12,949.20 |
10.6× |
| CT abdomen w/contrast (74160) |
$1,858.14 |
$12,387.60 |
10.1× |
| CT abdomen w/o contrast (74150) |
$1,368.09 |
$9,120.60 |
12.5× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$1,552.77 |
$10,351.80 |
4.3× |
| CT angio abdom w/o & w/dye (74175) |
$1,077.95 |
$7,186.32 |
5.9× |
| CT angio abdominal arteries (75635) |
$2,014.63 |
$13,430.88 |
11.0× |
| CT angio hrt w/3d image (75574) |
$1,837.40 |
$12,249.36 |
5.0× |
| CT angiograph pelv w/o&w/dye (72191) |
$1,186.16 |
$7,907.76 |
6.5× |
| CT cervical spine w/contrast (72126) |
$790.07 |
$5,267.16 |
2.2× |
| CT cervical spine w/o contrast (72125) |
$1,141.78 |
$7,611.84 |
10.5× |
| CT chest w/contrast (71260) |
$2,087.69 |
$13,917.96 |
11.4× |
| CT extremity upper w & w/o contrast (73202) |
$1,178.55 |
$7,857 |
6.4× |
| CT head/brain with contrast (70460) |
$1,424.30 |
$9,495.36 |
7.8× |
| CT head/brain without and with contrast (70470) |
$1,907.23 |
$12,714.84 |
10.4× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$1,304.26 |
$8,695.08 |
14.4× |
| CT lower ext w/wo contrast (73702) |
$1,257.12 |
$8,380.80 |
6.9× |
| CT lower extremity w contrast (73701) |
$1,111 |
$7,406.64 |
6.1× |
| CT lower extremity w/o contrast unilateral (73700) |
$1,044.41 |
$6,962.76 |
9.6× |
| CT lumbar spine w/contrast (72132) |
$1,419.61 |
$9,464.04 |
3.9× |
| CT lumbar spine w/o contrast (72131) |
$1,377 |
$9,180 |
12.6× |
| CT lumbar spine w/o then w/ con (72133) |
$1,687.39 |
$11,249.28 |
9.2× |
| CT maxillofacial area w/o contrast (70486) |
$1,378.13 |
$9,187.56 |
12.6× |
| CT maxillofacial w/contrast (70487) |
$1,006.02 |
$6,706.80 |
5.5× |
| CT maxillofacial w/o then w/ con (70488) |
$1,083.29 |
$7,221.96 |
5.9× |
| CT orbit sella ear w/o con (70480) |
$690.61 |
$4,604.04 |
6.3× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$1,442.45 |
$9,616.32 |
7.9× |
| CT pelvis w & w/o contrast (72194) |
$1,410.70 |
$9,404.64 |
7.7× |
| CT pelvis w/o contrast (72192) |
$933.93 |
$6,226.20 |
8.6× |
| CT soft tissue neck w/contrast (70491) |
$1,503.68 |
$10,024.56 |
8.2× |
| CT soft tissue neck w/o contrast (70490) |
$919.03 |
$6,126.84 |
8.4× |
| CT spine cervical w/wo contrast (72127) |
$758.65 |
$5,057.64 |
4.1× |
| CT thoracic spine w/contrast (72129) |
$1,522.15 |
$10,147.68 |
8.3× |
| CT thoracic spine w/o contrast (72128) |
$1,494.13 |
$9,960.84 |
13.7× |
| CT thoracic spine w/o then w/ con (72130) |
$1,348.65 |
$8,991 |
7.4× |
| CT thorax lung cancer scr c- (71271) |
$23 |
$153.36 |
0.2× |
| CT thorax w/o contrast (71250) |
$1,271.05 |
$8,473.68 |
11.6× |
| CT thorax w/o then w/ contrast (71270) |
$1,611.09 |
$10,740.60 |
8.8× |
| CT upper extremity w/dye (73201) |
$1,226.34 |
$8,175.60 |
3.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,248.05 |
$8,320.32 |
11.4× |
| CTA chest w/wo contrast (71275) |
$1,101.44 |
$7,342.92 |
6.0× |
| CTA head w contrast (70496) |
$1,324.03 |
$8,826.84 |
7.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,955.20 |
$19,701.36 |
8.1× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$1,031.29 |
$6,875.28 |
5.6× |
| Cta Neck (70498) |
$1,631.18 |
$10,874.52 |
8.9× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$1,107.27 |
$7,381.80 |
6.0× |
| Esophogram (74220) |
$536.06 |
$3,573.72 |
2.9× |
| Fetal biophysical profile non-stress testing (76818) |
$568.31 |
$3,788.70 |
5.2× |
| Fetal biophysical profile w/o nst (76819) |
$167.83 |
$1,118.88 |
1.5× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$444.53 |
$2,963.52 |
1.8× |
| Gastric emptying study (78264) |
$643.46 |
$4,289.76 |
1.5× |
| Gated heart planar single (78472) |
$937.98 |
$6,253.20 |
2.2× |
| Hepatobil syst image w/drug (78227) |
$337.61 |
$2,250.72 |
0.6× |
| Hepatobiliary system imaging (78226) |
$212.38 |
$1,415.88 |
0.5× |
| Humerus min 2 views (73060) |
$424.60 |
$2,830.68 |
4.7× |
| Hysterosalpingography (74740) |
$693.20 |
$4,621.32 |
2.8× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$611.55 |
$4,077 |
1.1× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$540.92 |
$3,606.12 |
1.0× |
| Lung ventilat&perfus imaging (78582) |
$225.83 |
$1,505.52 |
0.4× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$1,749.76 |
$11,665.08 |
4.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$1,912.73 |
$12,751.56 |
5.3× |
| MRA head w & w/o contrast (70546) |
$1,584.20 |
$10,561.32 |
4.3× |
| MRA head w/o contrast (70544) |
$899.26 |
$5,995.08 |
3.6× |
| MRA neck w/contrast (70548) |
$1,665.85 |
$11,105.64 |
4.6× |
| MRA neck w/o contrast (70547) |
$844.51 |
$5,630.04 |
3.4× |
| MRA neck w/wo contrast (70549) |
$1,705.05 |
$11,367 |
4.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,200.61 |
$14,670.72 |
6.0× |
| MRI abdomen w/o contrast (74181) |
$1,597.97 |
$10,653.12 |
6.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,903.34 |
$12,688.92 |
2.3× |
| MRI cervical spine w/o contrast (72141) |
$2,091.10 |
$13,940.64 |
8.4× |
| MRI cervical spine with contrast (72142) |
$1,187.95 |
$7,919.64 |
3.3× |
| MRI chest w/o contrast (71550) |
$1,319.98 |
$8,799.84 |
5.3× |
| MRI joint upr extr w/o&w/dye (73223) |
$2,125.12 |
$14,167.44 |
5.8× |
| MRI joint upr extrem w/o dye (73221) |
$1,859.27 |
$12,395.16 |
7.5× |
| Mri Lower Extremity W/O Dye (73718) |
$1,369.06 |
$9,127.08 |
5.5× |
| MRI lumbar spine with contrast (72149) |
$1,383.16 |
$9,221.04 |
3.8× |
| MRI lumbar w/wo contrast (72158) |
$2,467.58 |
$16,450.56 |
6.8× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$1,957.45 |
$13,049.64 |
5.4× |
| MRI orbit/face/neck w/o contrast (70540) |
$1,491.86 |
$9,945.72 |
6.0× |
| MRI pelvis w/ contrast (72196) |
$1,143.88 |
$7,625.88 |
3.1× |
| MRI pelvis w/o contrast (72195) |
$1,041.34 |
$6,942.24 |
4.2× |
| MRI pelvis w/wo contrast (72197) |
$1,605.26 |
$10,701.72 |
4.4× |
| MRI spine cervical wo/w contrast (72156) |
$2,381.40 |
$15,876 |
6.5× |
| MRI spine thoracic w/contrast (72147) |
$1,073.09 |
$7,153.92 |
2.9× |
| MRI thoracic spine w wo contrast (72157) |
$2,292.30 |
$15,282 |
6.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,803.71 |
$12,024.72 |
7.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$644.76 |
$4,298.40 |
2.6× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$1,380.40 |
$9,202.68 |
3.8× |
| Nm bone 3 phase (78315) |
$732.08 |
$4,880.52 |
1.8× |
| Nm bone imaging whole body (78306) |
$1,102.09 |
$7,347.24 |
2.6× |
| Nm heart perfusion spect stress rest (78452) |
$1,587.28 |
$10,581.84 |
1.2× |
| Nm lymph system (78195) |
$306.18 |
$2,041.20 |
0.5× |
| Nose to rectum for fb child (76010) |
$475.15 |
$3,167.64 |
5.2× |
| Ob us < 14 wks single fetus (76801) |
$397.87 |
$2,652.48 |
3.6× |
| Parathyroid imaging (78070) |
$373.25 |
$2,488.32 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$347.81 |
$2,318.76 |
3.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$727.38 |
$4,849.20 |
6.7× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$283.99 |
$1,893.24 |
3.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$269.41 |
$1,796.04 |
2.5× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$374.54 |
$2,496.96 |
3.4× |
| Radex spine cervical 2 or 3 views (72040) |
$464.45 |
$3,096.36 |
5.1× |
| Radex spine cervical 4 or 5 views (72050) |
$637.96 |
$4,253.04 |
5.8× |
| Radex spine cervical 6 or more views (72052) |
$679.43 |
$4,529.52 |
6.2× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$724.30 |
$4,828.68 |
8.0× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$175.61 |
$1,170.72 |
1.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$481.14 |
$3,207.60 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$427.03 |
$2,846.88 |
2.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$286.90 |
$1,912.68 |
3.2× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$475.15 |
$3,167.64 |
4.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$667.60 |
$4,450.68 |
1.2× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$50.71 |
$338.04 |
2.2× |
| Shoulder arthrogram (73040) |
$754.92 |
$5,032.80 |
2.1× |
| Small bowel series (74250) |
$514.19 |
$3,427.92 |
2.8× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$457.81 |
$3,052.08 |
1.1× |
| Ultrasound breast limited (76642) |
$231.34 |
$1,542.24 |
2.5× |
| Ultrasound, abdomen limited (76705) |
$588.87 |
$3,925.80 |
5.4× |
| Umbilical-artery Doppler (OB) (76820) |
$474.82 |
$3,165.48 |
4.3× |
| Unlisted diagnostic radiographic procedure (76499) |
$27.86 |
$185.76 |
0.3× |
| Urography retrograde w/wo kub (74420) |
$666.14 |
$4,440.96 |
1.8× |
| Us abdominal aorta real time screen study aaa (76706) |
$512.79 |
$3,418.58 |
4.7× |
| Us breast uni real time with image complete (76641) |
$241.22 |
$1,608.12 |
2.2× |
| Us chest (76604) |
$647.84 |
$4,318.92 |
5.9× |
| Us compl joint r-t w/image documentation (76881) |
$197.88 |
$1,319.22 |
1.8× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) |
$127.95 |
$853 |
1.4× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$147.42 |
$982.80 |
1.4× |
| Us ob followup per fetus (76816) |
$206.87 |
$1,379.16 |
1.9× |
| Us ob limited 1 or more fetuses (76815) |
$289.17 |
$1,927.80 |
2.6× |
| Us obstetric transvaginal (76817) |
$98.50 |
$656.64 |
0.9× |
| Us pelvic limited or f/u non-ob (76857) |
$210.44 |
$1,402.92 |
1.9× |
| Us pelvis complete (76856) |
$705.67 |
$4,704.48 |
6.5× |
| Us retroperitoneal complete (76770) |
$395.77 |
$2,638.44 |
3.6× |
| Us retroperitoneal limited (76775) |
$535.90 |
$3,572.64 |
4.9× |
| Us scrotum (76870) |
$640.55 |
$4,270.32 |
5.9× |
| Us soft tissue head/neck (76536) |
$304.88 |
$2,032.56 |
2.8× |
| Us unlstd proc (76999) |
$88.29 |
$588.60 |
1.0× |
| Venogram extremity bilateral (75822) |
$372.44 |
$2,482.92 |
0.2× |
| Venogram ivc w serialography (75825) |
$1,110.35 |
$7,402.32 |
0.3× |
| Venogram svc w serialography (75827) |
$785.86 |
$5,239.08 |
0.5× |
| Venography ext unilateral (75820) |
$432.38 |
$2,882.52 |
0.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$316.39 |
$2,109.24 |
3.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$465.91 |
$3,106.08 |
5.1× |
| X-ray aorta leg arteries (75630) |
$1,078.27 |
$7,188.48 |
0.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$896.51 |
$5,976.72 |
4.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$433.35 |
$2,889 |
4.8× |
| X-ray exam hips bi 3-4 views (73522) |
$338.58 |
$2,257.20 |
3.1× |
| X-ray exam of finger(s) (73140) |
$188.57 |
$1,257.12 |
2.1× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$295.16 |
$1,967.76 |
3.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$340.85 |
$2,272.32 |
3.8× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$232.47 |
$1,549.80 |
2.1× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$356.24 |
$2,374.92 |
3.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$221.78 |
$1,478.52 |
2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$235.87 |
$1,572.48 |
2.6× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$233.93 |
$1,559.52 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$283.01 |
$1,886.76 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$369.04 |
$2,460.24 |
3.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$545.78 |
$3,638.52 |
5.0× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$279.77 |
$1,865.16 |
2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$342.14 |
$2,280.96 |
3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$731.92 |
$4,879.44 |
6.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$384.75 |
$2,565 |
3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$336.64 |
$2,244.24 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$374.06 |
$2,493.72 |
4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$476.60 |
$3,177.36 |
5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$477.58 |
$3,183.84 |
4.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$349.27 |
$2,328.48 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$312.50 |
$2,083.32 |
3.4× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$307.48 |
$2,049.84 |
3.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$444.20 |
$2,961.36 |
4.9× |
| Xr abdomen 1 view (74018) |
$315.25 |
$2,101.68 |
3.5× |
| Xr abdomen 2 views (74019) |
$448.25 |
$2,988.36 |
4.1× |
| Xr abdomen 3 views (74021) |
$409.05 |
$2,727 |
3.7× |
| Xr arthrogram hip (73525) |
$415.37 |
$2,769.12 |
1.1× |
| Xr bone density axial (77080) |
$147.91 |
$986.04 |
1.4× |
| Xr bone length study (77073) |
$298.16 |
$1,987.74 |
2.7× |
| Xr bone survey infant (77076) |
$234.90 |
$1,566 |
2.2× |
| Xr chest 1 view (71045) |
$183.87 |
$1,225.80 |
2.0× |
| Xr chest 2 views (71046) |
$208.49 |
$1,389.96 |
2.3× |
| Xr cystogram 3+ views (74430) |
$399.82 |
$2,665.44 |
1.1× |
| Xr eye foreign body (70030) |
$353.48 |
$2,356.56 |
3.9× |
| Xr facial bones 3 views (70150) |
$473.69 |
$3,157.92 |
4.3× |
| Xr lower extremity 2 views infant (73592) |
$196.34 |
$1,308.96 |
2.2× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$476.12 |
$3,174.12 |
4.4× |
| Xr mandible 4 views (70110) |
$272 |
$1,813.32 |
2.5× |
| Xr nasal bones (70160) |
$309.58 |
$2,063.88 |
3.4× |
| Xr pelvis 3 views (72190) |
$419.58 |
$2,797.20 |
3.8× |
| Xr spine 1 view (72020) |
$260.50 |
$1,736.64 |
2.9× |
| Xr sternum 2 views (71120) |
$396.25 |
$2,641.68 |
4.4× |
| Xr surgical specimen (76098) |
$57.90 |
$386 |
0.1× |
| Xr upper extremity 2 views infant (73092) |
$194.24 |
$1,294.92 |
1.8× |
| Xray elbow 2 views (73070) |
$228.10 |
$1,520.64 |
2.5× |
| Xray forearm 2 views (73090) |
$320.27 |
$2,135.16 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$282.37 |
$1,882.44 |
3.1× |
| Xray neck soft tissue (70360) |
$342.14 |
$2,280.96 |
3.8× |
| Xray orbits complete min 4 views (70200) |
$547.07 |
$3,647.16 |
5.0× |
| Xray pelvis 1 or 2 views (72170) |
$315.09 |
$2,100.60 |
2.9× |
| Xray ribs bilateral 3 views (71110) |
$749.25 |
$4,995 |
6.9× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$342.14 |
$2,280.96 |
3.1× |
| Xray scapula complete (73010) |
$334.53 |
$2,230.20 |
3.1× |
| Xray shoulder 1 view (73020) |
$248.83 |
$1,658.88 |
2.7× |
| Xray sinuses paranasal <3 views (70210) |
$452.79 |
$3,018.60 |
5.0× |
| Xray spine thoracic 2 views (72070) |
$469.31 |
$3,128.76 |
4.3× |
| Xray spine thoracic 3 views (72072) |
$427.36 |
$2,849.04 |
3.9× |
| Xray tibia-fibula 2 views bil (73590) |
$295.49 |
$1,969.92 |
3.3× |
| Xray tmj's bilateral open-clsc (70330) |
$511.92 |
$3,412.80 |
5.6× |