| Abdomen 2 views (74019) |
$206.70 |
$318 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$176.80 |
$272 |
2.0× |
| Chest 1 view (71045) |
$146.25 |
$225 |
1.7× |
| Clavicle complete (73000) |
$175.50 |
$270 |
2.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,023.75 |
$1,575 |
4.3× |
| CT c-spine w/o contrast (72125) |
$1,007.50 |
$1,550 |
9.6× |
| CT head/brain with contrast (70460) |
$1,024.40 |
$1,576 |
5.8× |
| CT lower ext w/o (73700) |
$1,007.50 |
$1,550 |
9.6× |
| CT lumbar spine w/o contrast (72131) |
$1,040 |
$1,600 |
9.9× |
| CT pelvis w/o contrast (72192) |
$1,023.75 |
$1,575 |
9.7× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$144.30 |
$222 |
1.7× |
| CT thorax w/o contrast (71250) |
$1,007.50 |
$1,550 |
9.6× |
| CTA chest (71275) |
$1,300 |
$2,000 |
7.4× |
| Cta Head (70496) |
$991.25 |
$1,525 |
5.6× |
| Cta Neck (70498) |
$1,592.50 |
$2,450 |
9.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$266.50 |
$410 |
2.5× |
| Forearm 2 views (73090) |
$178.10 |
$274 |
2.0× |
| Hand 2 views (73120) |
$117 |
$180 |
1.1× |
| Hand 3 views (73130) |
$195 |
$300 |
2.2× |
| Knee 3 views (73562) |
$211.25 |
$325 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$195 |
$300 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$156.65 |
$241 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$195 |
$300 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$178.75 |
$275 |
2.0× |
| Scapula complete (73010) |
$137.15 |
$211 |
1.3× |
| Spine thoracic 3 views (72072) |
$306.80 |
$472 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$422.50 |
$650 |
4.0× |
| Us pelvic non ob complete (76856) |
$443.95 |
$683 |
4.2× |
| Us retroperitoneal complete (76770) |
$515.45 |
$793 |
4.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$211.25 |
$325 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$147.55 |
$227 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$165.75 |
$255 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$178.75 |
$275 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$195 |
$300 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$227.50 |
$350 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$181.35 |
$279 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$184.60 |
$284 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$195 |
$300 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$174.20 |
$268 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$195 |
$300 |
2.2× |
| Xr finger(s) 2+ views (73140) |
$147.55 |
$227 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$221 |
$340 |
2.1× |
| Xr tibia/fibula 2 views (73590) |
$185.90 |
$286 |
2.1× |
| Xray knee 1 or 2 views rt (73560) |
$143.65 |
$221 |
1.6× |