| Abdomen 2 views (74019) |
$56.90 |
$569 |
0.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$258 |
$2,580 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$593.53 |
$5,935.30 |
0.2× |
| Angiography extremity unilateral rs&i (75710) |
$847.90 |
$8,479 |
0.3× |
| Angiography internal mammary rs&i (75756) |
$1,006.60 |
$10,066 |
0.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,725.20 |
$27,252 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$925.70 |
$9,257 |
0.3× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$813.20 |
$8,132 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,479.50 |
$14,795 |
0.5× |
| Ankle 2 views (73600) |
$66.62 |
$666.25 |
0.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$135.50 |
$1,355 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$806.40 |
$8,064 |
0.3× |
| Aortography abdominal serialography rs&i (75625) |
$1,047.20 |
$10,472 |
0.3× |
| Arthrogram hip (73525) |
$184.80 |
$1,848 |
0.5× |
| Arthrogram shoulder (73040) |
$120.90 |
$1,209 |
0.3× |
| Arthrogram wrist (73115) |
$134.20 |
$1,342 |
0.4× |
| Arthrography knee lt (73580) |
$205.20 |
$2,052 |
0.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$268 |
$2,680 |
0.7× |
| Bone &/joint imaging whole body (78306) |
$288.30 |
$2,883 |
0.7× |
| Bone age studies (77072) |
$61.29 |
$612.95 |
0.6× |
| Bone Imaging 3 Phase (78315) |
$288.30 |
$2,883 |
0.7× |
| Bone Marrow Imaging Limited Area (78102) |
$159.60 |
$1,596 |
0.4× |
| Bone survey complete (77075) |
$98.70 |
$987 |
0.9× |
| Brain imaging < 4 static views w vascular flow (78601) |
$136 |
$1,360 |
0.3× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$5.40 |
$54 |
0.5× |
| Cervical spine 2 or 3 views (72040) |
$69.29 |
$692.90 |
0.8× |
| Chest 1 view (71045) |
$41.90 |
$419 |
0.5× |
| Chest 3 views (71047) |
$50.70 |
$507 |
0.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$90.20 |
$902 |
0.5× |
| Clavicle complete (73000) |
$53.30 |
$533 |
0.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$33.67 |
$336.70 |
0.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$767.30 |
$7,673 |
2.2× |
| CT abdomen and pelvis without contrast (74176) |
$486.90 |
$4,869 |
2.0× |
| CT abdomen w contrast (74160) |
$361.10 |
$3,611 |
2.0× |
| CT abdomen w wo contrast (74170) |
$401.60 |
$4,016 |
2.3× |
| CT abdomen w/o contrast (74150) |
$331.70 |
$3,317 |
3.2× |
| CT angio hrt w/3d image (75574) |
$86.40 |
$864 |
0.2× |
| CT angiography upper extremity lt (73206) |
$247 |
$2,470 |
1.4× |
| CT c-spine w/o contrast (72125) |
$282.25 |
$2,822.50 |
2.7× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$53.80 |
$538 |
0.3× |
| CT cervical spine w&w/o contrast (72127) |
$273.50 |
$2,735 |
1.6× |
| CT cervical spine with contrast (72126) |
$245.90 |
$2,459 |
0.7× |
| CT chest w/wo contrast (71270) |
$401.60 |
$4,016 |
2.3× |
| CT chest with contrast (71260) |
$361.10 |
$3,611 |
2.0× |
| CT head/brain with contrast (70460) |
$242 |
$2,420 |
1.4× |
| CT head/brain without and with contrast (70470) |
$269.80 |
$2,698 |
1.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$86.40 |
$864 |
0.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$38 |
$380 |
0.4× |
| CT hrt w/3d image congen (75573) |
$86.40 |
$864 |
0.2× |
| CT iac w contrast (70481) |
$302.50 |
$3,025 |
1.7× |
| CT limited/localized follow up study (76380) |
$331.70 |
$3,317 |
3.8× |
| CT lower ext w/o (73700) |
$288.38 |
$2,883.75 |
2.7× |
| CT lower extremity w wo contrast (73702) |
$395.90 |
$3,959 |
2.2× |
| CT lower extremity with contrast (73701) |
$564.22 |
$5,642.19 |
3.2× |
| CT lumbar spine w & w/o contrast (72133) |
$401.60 |
$4,016 |
2.3× |
| CT lumbar spine w/o contrast (72131) |
$414.62 |
$4,146.25 |
3.9× |
| CT lumbar spine with contrast (72132) |
$451.37 |
$4,513.75 |
1.3× |
| CT maxillofacial w contrast (70487) |
$242 |
$2,420 |
1.4× |
| CT maxillofacial w/o contrast (70486) |
$294.25 |
$2,942.50 |
2.8× |
| CT maxillofacial w/wo contrast (70488) |
$269.80 |
$2,698 |
1.5× |
| CT neck soft tissue w contrast (70491) |
$169.40 |
$1,694 |
1.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$195 |
$1,950 |
1.1× |
| CT orbits w/o contrast (70480) |
$282.25 |
$2,822.50 |
2.7× |
| CT pelvis w & w/o contrast (72194) |
$401.60 |
$4,016 |
2.3× |
| CT pelvis w/o contrast (72192) |
$331.70 |
$3,317 |
3.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$269.80 |
$2,698 |
1.5× |
| CT soft tissue neck w/o contrast (70490) |
$225.80 |
$2,258 |
2.2× |
| CT thoracic spine w/contrast (72129) |
$456.12 |
$4,561.25 |
2.6× |
| CT thoracic spine w/o contrast (72128) |
$414.62 |
$4,146.25 |
3.9× |
| CT thoracic spine w/wo contrast (72130) |
$401.40 |
$4,014 |
2.3× |
| CT thorax w/o contrast (71250) |
$331.70 |
$3,317 |
3.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$397.30 |
$3,973 |
2.3× |
| CT upper extremity w/o contrast rt (73200) |
$230.70 |
$2,307 |
2.2× |
| CT upper extremity with contrast (73201) |
$451.37 |
$4,513.75 |
1.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$284.76 |
$2,847.60 |
1.6× |
| Cta Abdomen (74175) |
$399.60 |
$3,996 |
2.3× |
| CTA abdomen pelvis (74174) |
$434.90 |
$4,349 |
1.2× |
| CTA chest (71275) |
$401.40 |
$4,014 |
2.3× |
| Cta Head (70496) |
$273.20 |
$2,732 |
1.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$546.40 |
$5,464 |
1.6× |
| CTA lwr ext w&w/o contrast (73706) |
$355.95 |
$3,559.50 |
2.0× |
| Cta Neck (70498) |
$273.20 |
$2,732 |
1.6× |
| Cta Pelvis (72191) |
$250.40 |
$2,504 |
1.4× |
| Cystography minimum 3 views rs&i (74430) |
$150.20 |
$1,502 |
0.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$56.28 |
$562.80 |
0.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$27.70 |
$277 |
0.3× |
| Dxa bone density study axial skeleton (77085) |
$30.10 |
$301 |
0.3× |
| Echoencephalography real time imaging (76506) |
$46.50 |
$465 |
0.4× |
| Esophagus (74220) |
$90.20 |
$902 |
0.5× |
| Fetal biophysical profile non-stress testing (76818) |
$75.50 |
$755 |
0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$47.40 |
$474 |
0.5× |
| Fluoroscopy up to 1 hr (76000) |
$52.10 |
$521 |
0.2× |
| Foot 2 views (73620) |
$66.62 |
$666.25 |
0.8× |
| Forearm 2 views (73090) |
$83.28 |
$832.82 |
1.0× |
| Gated Heart Planar Single (78472) |
$132.90 |
$1,329 |
0.3× |
| Hand 2 views (73120) |
$53.30 |
$533 |
0.5× |
| Hand 3 views (73130) |
$66.62 |
$666.25 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$342.50 |
$3,425 |
0.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$342.50 |
$3,425 |
0.9× |
| Ht muscle image spect sing (78451) |
$784.60 |
$7,846 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$83.28 |
$832.82 |
1.0× |
| Hysterosalpingogram (74740) |
$248.20 |
$2,482 |
1.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$167 |
$1,670 |
0.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$207.30 |
$2,073 |
0.4× |
| Knee 3 views (73562) |
$83.28 |
$832.82 |
1.0× |
| Lung perf&ventilat diferentl (78598) |
$148.90 |
$1,489 |
0.3× |
| Lung perfusion differential (78597) |
$127.40 |
$1,274 |
0.3× |
| Lymphoscintigraphy (78195) |
$298.60 |
$2,986 |
0.5× |
| Meckels Diverticulum (78290) |
$160.80 |
$1,608 |
0.4× |
| Mr safety determination physician/other qhp (76016) |
$27.90 |
$279 |
0.3× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$18.80 |
$188 |
0.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$7.90 |
$79 |
0.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$29 |
$290 |
0.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$76.30 |
$763 |
0.3× |
| MRA head w & w/o contrast (70546) |
$230.44 |
$2,304.40 |
0.7× |
| MRA head w/o contrast (70544) |
$184.66 |
$1,846.60 |
0.8× |
| MRA head with contrast (70545) |
$290.30 |
$2,903 |
0.8× |
| MRA neck w contrast (70548) |
$235.41 |
$2,354.10 |
0.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$410.50 |
$4,105 |
1.2× |
| MRA neck w/o contrast (70547) |
$184.66 |
$1,846.60 |
0.8× |
| MRI abdomen w contrast (74182) |
$409 |
$4,090 |
1.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$541.70 |
$5,417 |
1.5× |
| MRI abdomen w/o contrast (74181) |
$343.10 |
$3,431 |
1.4× |
| MRI any jnt lwr ext with con lt (73722) |
$377.80 |
$3,778 |
0.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$552.62 |
$5,526.25 |
0.7× |
| MRI c-spine with contrast (72142) |
$290.60 |
$2,906 |
0.8× |
| MRI cervical spine w/o contrast (72141) |
$264.10 |
$2,641 |
1.1× |
| MRI chest w/o & w/contrast material (71552) |
$541.70 |
$5,417 |
1.5× |
| MRI chest w/o contrast (71550) |
$184.94 |
$1,849.40 |
0.8× |
| MRI chest with contrast (71551) |
$340.10 |
$3,401 |
0.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$367.50 |
$3,675 |
1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$300.21 |
$3,002.12 |
1.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$211.10 |
$2,111 |
0.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$410.50 |
$4,105 |
1.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$379.19 |
$3,791.90 |
1.1× |
| MRI pelvis w/o contrast (72195) |
$343.40 |
$3,434 |
1.4× |
| MRI scan of arm joint before and after contrast (73223) |
$541.70 |
$5,417 |
1.5× |
| MRI scan of leg joint before and after contrast (73723) |
$379.19 |
$3,791.90 |
1.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$291.69 |
$2,916.90 |
0.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$377 |
$3,770 |
1.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$541.70 |
$5,417 |
1.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$377 |
$3,770 |
1.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$379.19 |
$3,791.90 |
1.1× |
| MRI thoracic spine w/o contrast (72146) |
$343.40 |
$3,434 |
1.4× |
| MRI tmj (70336) |
$263.90 |
$2,639 |
1.1× |
| MRI upper ext joint w/o contrast (73221) |
$428.88 |
$4,288.75 |
1.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$603.70 |
$6,037 |
1.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$343.10 |
$3,431 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$392.30 |
$3,923 |
0.3× |
| Neck soft tissue (70360) |
$47.10 |
$471 |
0.5× |
| Nm gastric emptying study (78264) |
$284.50 |
$2,845 |
0.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$144.70 |
$1,447 |
0.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$66.60 |
$666 |
0.6× |
| Osseous survey infant (77076) |
$42.60 |
$426 |
0.4× |
| Osseous survey limited (77074) |
$89.80 |
$898 |
0.9× |
| Parathyrd planar w/wo subtrj (78071) |
$241 |
$2,410 |
0.6× |
| Parathyroid imaging (78070) |
$111.80 |
$1,118 |
0.3× |
| Pelvis 1 or 2 views (72170) |
$53.30 |
$533 |
0.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$541.70 |
$5,417 |
1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$160.80 |
$1,608 |
0.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$369.20 |
$3,692 |
0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$166.60 |
$1,666 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$38.60 |
$386 |
0.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$116.74 |
$1,167.40 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$37.31 |
$373.10 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$53.30 |
$533 |
0.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$32.97 |
$329.70 |
0.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$62.60 |
$626 |
0.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$46 |
$460 |
0.5× |
| Radiologic exam colon single contrast study (74270) |
$55.60 |
$556 |
0.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$86.50 |
$865 |
0.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$35.60 |
$356 |
0.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$83.28 |
$832.82 |
1.0× |
| Radiological examination surgical specimen (76098) |
$208.80 |
$2,088 |
0.4× |
| Ribs bilateral 3 views (71110) |
$50 |
$500 |
0.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$583.70 |
$5,837 |
1.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$706.50 |
$7,065 |
1.3× |
| Sacroiliac Joints < 3 Views (72200) |
$22.10 |
$221 |
0.2× |
| Scapula complete (73010) |
$53.30 |
$533 |
0.5× |
| Screening digital breast tomosynthesis (77063) |
$69.70 |
$697 |
3.0× |
| Small bowel series (74250) |
$90.20 |
$902 |
0.5× |
| Spine thoracic 3 views (72072) |
$58.70 |
$587 |
0.6× |
| Thoracolumbar 2 views (72080) |
$53.30 |
$533 |
0.6× |
| Thyroid uptake measurement (78012) |
$78.40 |
$784 |
0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$215.20 |
$2,152 |
0.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$642.20 |
$6,422 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$101.80 |
$1,018 |
1.0× |
| Umbilical-artery Doppler (OB) (76820) |
$40.30 |
$403 |
0.4× |
| Upper Extremity Infant (73092) |
$49.80 |
$498 |
0.5× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$43.90 |
$439 |
0.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$136 |
$1,360 |
0.3× |
| Urethrocystography retrograde rs&i (74450) |
$111.90 |
$1,119 |
0.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$101.60 |
$1,016 |
0.6× |
| Us abdl aorta screen aaa (76706) |
$99.50 |
$995 |
0.9× |
| Us breast unilateral complete (76641) |
$105.94 |
$1,059.38 |
1.0× |
| Us breast unilateral limited (76642) |
$84.75 |
$847.50 |
1.0× |
| Us chest (76604) |
$50.80 |
$508 |
0.5× |
| Us compl joint r-t w/image documentation (76881) |
$76.50 |
$765 |
0.7× |
| Us kidney transplant (76776) |
$62.70 |
$627 |
0.6× |
| Us ob detailed single fetus (76811) |
$160.80 |
$1,608 |
0.7× |
| Us ob transvaginal (76817) |
$66.60 |
$666 |
0.6× |
| Us pelvic non ob complete (76856) |
$101.80 |
$1,018 |
1.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$66.60 |
$666 |
0.6× |
| Us pregnancy ltd (76815) |
$66.60 |
$666 |
0.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$101.80 |
$1,018 |
1.0× |
| Us retroperitoneal complete (76770) |
$101.80 |
$1,018 |
1.0× |
| Us retroperitoneal limited (76775) |
$33.10 |
$331 |
0.3× |
| Us scrotum and contents (76870) |
$127.25 |
$1,272.50 |
1.2× |
| Us soft tissue head/neck (76536) |
$101.80 |
$1,018 |
1.0× |
| Us spinal canal and contents (76800) |
$62.70 |
$627 |
0.6× |
| Us xtr non-vasc lmtd (76882) |
$76.50 |
$765 |
0.7× |
| Venogram extremity bilateral (75822) |
$330.90 |
$3,309 |
0.2× |
| Venography caval inferior serialography rs&i (75825) |
$925.70 |
$9,257 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$300.70 |
$3,007 |
0.2× |
| Wrist 2 views (73100) |
$42.70 |
$427 |
0.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$79.30 |
$793 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$32.90 |
$329 |
0.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$66.62 |
$666.25 |
0.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$149.30 |
$1,493 |
0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$46.64 |
$466.38 |
0.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$83.28 |
$832.82 |
1.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$33.10 |
$331 |
0.3× |
| X-ray exam hip uni 1 view (73501) |
$51.20 |
$512 |
0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$56.30 |
$563 |
0.6× |
| X-ray exam hip uni 4/> views (73503) |
$62.10 |
$621 |
0.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$99.70 |
$997 |
0.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$109.70 |
$1,097 |
1.0× |
| X-ray exam of femur 1 (73551) |
$48.20 |
$482 |
0.6× |
| X-ray eye for foreign body (70030) |
$29 |
$290 |
0.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$53.30 |
$533 |
0.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$53.30 |
$533 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$66.62 |
$666.25 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$53.30 |
$533 |
0.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$27.70 |
$277 |
0.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$79.95 |
$799.50 |
0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$53.30 |
$533 |
0.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$27.70 |
$277 |
0.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$83.25 |
$832.50 |
0.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$123.40 |
$1,234 |
1.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$51.50 |
$515 |
0.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$53.30 |
$533 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$30.30 |
$303 |
0.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$32.90 |
$329 |
0.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$42.60 |
$426 |
0.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$187.10 |
$1,871 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$35 |
$350 |
0.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$69.29 |
$692.90 |
0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$89.80 |
$898 |
0.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$60.40 |
$604 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$53.30 |
$533 |
0.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$83.28 |
$832.82 |
1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$53.30 |
$533 |
0.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$53.30 |
$533 |
0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$89.80 |
$898 |
0.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$53.30 |
$533 |
0.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$32.90 |
$329 |
0.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$27.90 |
$279 |
0.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$32.90 |
$329 |
0.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$66.62 |
$666.25 |
0.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$64.70 |
$647 |
0.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$53.30 |
$533 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$83.28 |
$832.82 |
1.0× |
| Xr c-spine 6 or more views (72052) |
$89.80 |
$898 |
0.9× |
| Xr chest 4+ views (71048) |
$42.60 |
$426 |
0.4× |
| Xr finger(s) 2+ views (73140) |
$53.30 |
$533 |
0.6× |
| Xr shoulder 1 view (73020) |
$53.30 |
$533 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$89.80 |
$898 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$83.28 |
$832.82 |
1.0× |
| Xr tmj bilateral (70330) |
$32.90 |
$329 |
0.4× |
| Xray knee 1 or 2 views rt (73560) |
$83.28 |
$832.82 |
1.0× |