Imaging prices at Signature Healthcare Brockton Hospital

Brockton, MA · every code in this section with a posted price and a Medicare benchmark.

318 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $4,370.10 $6,243 2.6×
Abdomen 2 views (74019) $354.90 $507 2.8×
Acute gi blood loss imaging (78278) $1,304.10 $1,863 2.7×
Angiography extremity bilateral rs&i (75716) $9,903.60 $14,148 2.6×
Angiography extremity unilateral rs&i (75710) $9,903.60 $14,148 2.6×
Angiography pelvic slctv/supraslctv rs&i (75736) $16,289 $23,270 2.4×
Angiography visceral slctv/supraslctv rs&i (75726) $16,289 $23,270 2.4×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $6,916 $9,880 1.8×
Ankle 2 views (73600) $279.30 $399 2.7×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $9,903.60 $14,148 2.6×
Aortography abdominal serialography rs&i (75625) $9,903.60 $14,148 2.6×
Arthrogram ankle (73615) $1,273.30 $1,819 3.0×
Arthrogram elbow (73085) $1,273.30 $1,819 3.0×
Arthrogram hip (73525) $1,273.30 $1,819 3.0×
Arthrogram knee (73580) $1,273.30 $1,819 3.0×
Arthrogram shoulder (73040) $1,273.30 $1,819 3.0×
Arthrogram wrist (73115) $1,273.30 $1,819 3.0×
Basic dosimetry (77300) $438.90 $627 2.7×
Bone &/Joint Imaging Limited Area (78300) $1,304.10 $1,863 2.7×
Bone &/joint imaging whole body (78306) $1,304.10 $1,863 2.7×
Bone age studies (77072) $376.60 $538 3.0×
Bone Imaging 3 Phase (78315) $1,304.10 $1,863 2.7×
Bone survey complete (77075) $376.60 $538 3.0×
Bone survey infant (77076) $376.60 $538 3.0×
Bowel imaging (78290) $1,304.10 $1,863 2.7×
Brain imaging < 4 static views (78600) $1,304.10 $1,863 2.7×
Brain Imaging < 4 Static Views W Vascular Flow (78601) $1,304.10 $1,863 2.7×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,692.60 $2,418 2.6×
Brain imaging, minimum 4 static views; Non-Facility (78605) $1,692.60 $2,418 2.6×
Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) $1,304.10 $1,863 2.7×
Cervical spine 2 or 3 views (72040) $270.20 $386 2.6×
Chest 1 view (71045) $270.20 $386 2.6×
Chest xray 3 views (71047) $270.20 $386 2.6×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $555.10 $793 2.6×
Clavicle complete (73000) $270.20 $386 2.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $254.80 $364 2.0×
Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Non-Facility (77078) $270.20 $386 2.6×
Continuing medical physics consltj pr wk (77336) $438.90 $627 2.7×
CT abdomen and pelvis without and with contrast (74178) $1,273.30 $1,819 3.0×
CT abdomen and pelvis without contrast (74176) $795.90 $1,137 2.8×
CT abdomen w contrast (74160) $624.40 $892 3.0×
CT abdomen w wo contrast (74170) $624.40 $892 3.0×
CT abdomen w/o contrast (74150) $376.60 $538 3.0×
CT angio hrt w/3d image (75574) $624.40 $892 1.5×
CT angio lwr extr w/o&w/dye (73706) $624.40 $892 3.0×
CT angiography upper extremity lt (73206) $624.40 $892 3.0×
CT c-spine w/contrast (72126) $1,273.30 $1,819 3.0×
CT c-spine w/o contrast (72125) $376.60 $538 3.0×
CT cervical spine w&w/o contrast (72127) $624.40 $892 3.0×
CT chest w contrast (71260) $624.40 $892 3.0×
CT chest w/wo contrast (71270) $624.40 $892 3.0×
CT colonography w/dye (74262) $624.40 $892 3.0×
CT head/brain with contrast (70460) $624.40 $892 3.0×
CT head/brain without and with contrast (70470) $624.40 $892 3.0×
CT heart w/o contrast quant eval coronary calcium (75571) $243.60 $348 2.3×
CT hrt w/3d image congen (75573) $624.40 $892 1.5×
CT iac w contrast (70481) $624.40 $892 3.0×
CT lower ext w/o (73700) $376.60 $538 3.0×
CT lower extremity w wo contrast (73702) $624.40 $892 3.0×
CT lower extremity w/contrast material (73701) $624.40 $892 3.0×
CT lumbar spine w & w/o contrast (72133) $624.40 $892 3.0×
CT lumbar spine w/contrast (72132) $1,273.30 $1,819 3.0×
CT lumbar spine w/o contrast (72131) $376.60 $538 3.0×
CT maxillofacial w contrast (70487) $624.40 $892 3.0×
CT maxillofacial w/wo contrast (70488) $624.40 $892 3.0×
CT maxillofacial wo contrast (70486) $376.60 $538 3.0×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $624.40 $892 3.0×
CT orbits w/o contrast (70480) $376.60 $538 3.0×
CT pelvis w/o contrast (72192) $376.60 $538 3.0×
CT pelvis w/wo contrast (72194) $624.40 $892 3.0×
CT scan of arm combo (73202) $624.40 $892 3.0×
CT soft tissue neck w contrast (70491) $624.40 $892 3.0×
CT soft tissue neck w/o & w/contrast material (70492) $624.40 $892 3.0×
CT soft tissue neck w/o contrast (70490) $376.60 $538 3.0×
CT thoracic spine w/contrast (72129) $654.50 $935 3.1×
CT thoracic spine w/o contrast (72128) $376.60 $538 3.0×
CT thoracic spine w/wo contrast (72130) $624.40 $892 3.0×
CT thorax w/o contrast (71250) $376.60 $538 3.0×
CT upper ext wo (73200) $376.60 $538 3.0×
CT upper extremity with contrast (73201) $1,273.30 $1,819 3.0×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $624.40 $892 3.0×
Cta Abdomen (74175) $624.40 $892 3.0×
CTA abdomen pelvis (74174) $1,273.30 $1,819 3.0×
CTA chest (71275) $624.40 $892 3.0×
Cta Head (70496) $624.40 $892 3.0×
Cta Neck (70498) $624.40 $892 3.0×
Cta Pelvis (72191) $624.40 $892 3.0×
Cystography minimum 3 views rs&i (74430) $1,231.30 $1,759 2.9×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $376.60 $538 3.0×
Doppler Fetal Mid Cerebral Artery (76821) $376.60 $538 3.0×
Dxa bone density study 1/> sites axial skel (77080) $376.60 $538 3.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $269.50 $385 2.6×
Esophageal motility (78258) $1,304.10 $1,863 2.7×
Esophagus (74220) $591.50 $845 2.8×
Facial bones min 3 views (70150) $376.60 $538 3.0×
Fetal biophysical profile non-stress testing (76818) $376.60 $538 3.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $376.60 $538 3.0×
Fluoroscopy up to 1 hr (76000) $795.90 $1,137 2.8×
Foot 2 views (73620) $270.20 $386 2.6×
Forearm 2 views (73090) $279.30 $399 2.7×
Hand 2 views (73120) $376.60 $538 3.0×
Heart first pass single,planar (78481) $1,692.60 $2,418 2.6×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,692.60 $2,418 2.6×
Hepatobiliary syst imaging including gallbladder (78226) $1,304.10 $1,863 2.7×
Hysterosalpingogram (74740) $795.90 $1,137 2.8×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $376.60 $538 3.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,692.60 $2,418 2.6×
Kidney img morphology vascular flow 1 w/rx (78708) $1,692.60 $2,418 2.6×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,692.60 $2,418 2.6×
Knee 3 views (73562) $270.20 $386 2.6×
Liver & spleen imaging static only (78215) $1,304.10 $1,863 2.7×
Lung perf&ventilat diferentl (78598) $1,692.60 $2,418 2.6×
Lung ventilation imaging (78579) $1,304.10 $1,863 2.7×
Lymphoscintigraphy (78195) $1,692.60 $2,418 2.6×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $2,369.50 $3,385 2.5×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) $1,273.30 $1,819 3.0×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $1,909.95 $2,728.50 4.6×
Mammary ductogram or galactogram multiple (77054) $795.90 $1,137 2.8×
Mammary ductogram or galactogram single (77053) $773.50 $1,105 2.7×
Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) $270.20 $386 2.6×
Mlc imrt design & construction per imrt plan (77338) $1,171.10 $1,673 2.6×
MRA head w & w/o contrast (70546) $1,273.30 $1,819 3.0×
MRA head w/o contrast (70544) $795.90 $1,137 2.8×
MRA head with contrast (70545) $1,273.30 $1,819 3.0×
MRA neck w contrast (70548) $1,273.30 $1,819 3.0×
Mra Neck W/O &W/Contrast Material (70549) $1,273.30 $1,819 3.0×
MRA neck w/o contrast (70547) $795.90 $1,137 2.8×
MRI abdomen w contrast (74182) $1,273.30 $1,819 3.0×
MRI abdomen w/o & w/contrast material (74183) $1,273.30 $1,819 3.0×
MRI abdomen w/o contrast (74181) $808.50 $1,155 2.8×
MRI any jt lower extrem w/contrast material (73722) $2,369.50 $3,385 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,273.30 $1,819 3.0×
MRI bone marrow blood supply (77084) $795.90 $1,137 2.8×
MRI breast w/o contrast bilateral (77047) $810.60 $1,158 2.8×
MRI breast wo contrast unilateral (77046) $810.60 $1,158 2.8×
MRI c-spine with contrast (72142) $1,273.30 $1,819 3.0×
MRI cervical spine w/o contrast (72141) $795.90 $1,137 2.8×
MRI chest w/o & w/contrast material (71552) $1,273.30 $1,819 3.0×
MRI chest w/o contrast (71550) $795.90 $1,137 2.8×
MRI chest with contrast (71551) $2,369.50 $3,385 2.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,273.30 $1,819 3.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,273.30 $1,819 3.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $795.90 $1,137 2.8×
MRI orbit face &/neck w/o contrast (70540) $795.90 $1,137 2.8×
MRI orbit face neck w contrast (70542) $1,273.30 $1,819 3.0×
MRI orbit/face/neck w&w/o cont (70543) $1,273.30 $1,819 3.0×
MRI pelvis w/contrast (72196) $1,273.30 $1,819 3.0×
MRI pelvis w/o & w/contrast material (72197) $1,273.30 $1,819 3.0×
MRI pelvis w/o contrast (72195) $795.90 $1,137 2.8×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,273.30 $1,819 3.0×
MRI spinal canal lumbar w/contrast material (72149) $1,273.30 $1,819 3.0×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,273.30 $1,819 3.0×
MRI spinal canal thoracic w/contrast matrl (72147) $1,273.30 $1,819 3.0×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,273.30 $1,819 3.0×
MRI temporomandibular joint (70336) $795.90 $1,137 2.8×
MRI thoracic spine w/o contrast (72146) $795.90 $1,137 2.8×
MRI up ext w/o contrast (73218) $795.90 $1,137 2.8×
MRI upper ext joint w/o contrast (73221) $795.90 $1,137 2.8×
MRI, joint upper extrem combo (73223) $1,273.30 $1,819 3.0×
Myelogram Cervical (72240) $2,385.60 $3,408 2.5×
Myelogram Lumbar (72265) $2,385.60 $3,408 2.5×
Myelogram thoracic (72255) $2,385.60 $3,408 2.5×
Myelography 2 or more regions (72270) $2,385.60 $3,408 2.5×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,447.80 $6,354 2.9×
Myocardial Perfusion Planar Multiple Studies (78454) $4,519.90 $6,457 2.9×
Myocardial Spect Multiple Studies (78452) $2,300.20 $3,286 1.5×
Myocardial spect single study at rest or stress (78451) $3,791.20 $5,416 2.4×
Neck soft tissue (70360) $270.20 $386 2.6×
Nm adrenal scan (78075) $4,519.90 $6,457 2.9×
Nm gastric emptying study (78264) $1,304.10 $1,863 2.7×
Nm kidney scan w/flow (78701) $1,304.10 $1,863 2.7×
Nm peritoneal-venous shunt patency (78291) $1,304.10 $1,863 2.7×
Nonvascular shunt X-ray (75809) $376.60 $538 3.0×
Ntsty modul radthx pln dose-vol histos (77301) $4,370.10 $6,243 2.6×
Nuclear Rx Oral Admin (79005) $875 $1,250 3.1×
Ob us nuchal meas 1 gest (76813) $376.60 $538 3.0×
Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Non-Facility (76519) $377.30 $539 3.0×
Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) $85.40 $122 2.5×
Parathyroid Planar Imaging (78070) $1,304.10 $1,863 2.7×
Parathyroid planar imaging w/wo subtraction (78071) $1,304.10 $1,863 2.7×
Pelvis 1 or 2 views (72170) $376.60 $538 3.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,304.10 $1,863 2.7×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,692.60 $2,418 2.6×
Radex abscess/fistula/sinus tract rs&i (76080) $1,670.90 $2,387 2.6×
Radex Ankle Compl Minimum 3 Views (73610) $279.30 $399 2.7×
Radex Calcaneus Minimum 2 Views (73650) $270.20 $386 2.6×
Radex Elbw Compl Minimum 3 Views (73080) $279.30 $399 2.7×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $270.20 $386 2.6×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $376.60 $538 3.0×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) $376.60 $538 3.0×
Radex fingr minimum 2 views (73140) $405.30 $579 3.9×
Radex Foot Compl Minimum 3 Views (73630) $270.20 $386 2.6×
Radex Hand Minimum 3 Views (73130) $279.30 $399 2.7×
Radex Hip Unilateral With Pelvis 1 View (73501) $270.20 $386 2.6×
Radex Hips Bilateral With Pelvis 2 Views (73521) $376.60 $538 3.0×
Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) $410.90 $587 3.3×
Radex Humerus Minimum 2 Views (73060) $270.20 $386 2.6×
Radex Kne 1/2 Views (73560) $270.20 $386 2.6×
Radex Kne Compl 4/More Views (73564) $368.90 $527 2.9×
Radex Mndbl Compl Minimum 4 Views (70110) $376.60 $538 3.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $270.20 $386 2.6×
Radex Pelvis Compl Minimum 3 Views (72190) $368.90 $527 2.9×
Radex Sho Compl Minimum 2 Views (73030) $270.20 $386 2.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $270.20 $386 2.6×
Radex Toe Minimum 2 Views (73660) $270.20 $386 2.6×
Radex Wrst Compl Minimum 3 Views (73110) $270.20 $386 2.6×
Radiation Delivery Stereotactic Cranial Linear (77372) $26,891.90 $38,417 3.0×
Radiation treatment delivery level 3 (77412) $835.80 $1,194 1.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $270.20 $386 2.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $354.90 $507 2.8×
Radiologic exam chest 2 views (71046) $270.20 $386 2.6×
Radiologic exam colon single contrast study (74270) $618.10 $883 2.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,129.10 $1,613 5.4×
Radiologic exam upr gi trc double contrast study (74246) $618.10 $883 2.9×
Radiologic exam upr gi trc single contrast study (74240) $618.10 $883 2.9×
Radiologic examination tibia & fibula 2 views (73590) $270.20 $386 2.6×
Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) $368.90 $527 2.9×
Radiological examination surgical specimen (76098) $1,614.20 $2,306 2.5×
Renal Cyst Study (74470) $1,591.10 $2,273 2.4×
Ribs bilateral 3 views (71110) $376.60 $538 3.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,519.90 $6,457 6.9×
Rp loclzj tum plnr whole body single day imaging (78802) $4,323.90 $6,177 6.6×
Rp loclzj tum spect 1 area single day imaging (78803) $2,461.20 $3,516 3.8×
Rp Therapy Intravenous Administration (79101) $875 $1,250 3.1×
Saline Infus Sonohysterography W/Color Doppler (76831) $795.90 $1,137 2.8×
Salivary gland imaging (78230) $1,304.10 $1,863 2.7×
Scapula (73010) $368.90 $527 2.9×
Screening Digital Breast Tomosynthesis Bi (77063) $88.90 $127 3.8×
Shoulder 1 view (73020) $270.20 $386 2.6×
Simulation intermediate (77285) $1,171.10 $1,673 2.6×
Small bowel series (74250) $555.10 $793 2.6×
Spec telethx port pln parts hemibdy tot bdy (77321) $1,171.10 $1,673 2.6×
Special dosimetry (77331) $438.90 $627 2.7×
Special Physics Consult (77370) $438.90 $627 2.7×
Special treatment procedure (77470) $1,876.70 $2,681 2.8×
Spine thoracic 3 views (72072) $376.60 $538 3.0×
Stereotactic Body Radiation Delivery (77373) $5,998.30 $8,569 2.8×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,112.30 $1,589 2.5×
Testicular Imaging With Vascular Flow (78761) $1,304.10 $1,863 2.7×
Ther rad simulaj-aided field setting complex (77290) $1,171.10 $1,673 2.6×
Ther rad simulaj-aided field setting simple (77280) $438.90 $627 2.7×
Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Non-Facility (78015) $1,304.10 $1,863 2.7×
Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) $1,304.10 $1,863 2.7×
Thyroid carcinoma metastases img whole body (78018) $1,679.30 $2,399 2.6×
Thyroid imaging w/blood flow (78013) $1,304.10 $1,863 2.7×
Thyroid uptake measurement (78012) $1,281 $1,830 2.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,304.10 $1,863 2.7×
Treatment device complex (77334) $1,171.10 $1,673 2.6×
Treatment device intermediate (77333) $438.90 $627 2.7×
Treatment devices simple (77332) $438.90 $627 2.7×
Ultrasound breast complete (76641) $376.60 $538 3.0×
Ultrasound Exam Aaa Screen (76706) $376.60 $538 3.0×
Ultrasound, abdomen limited (76705) $376.60 $538 3.0×
Umbilical-artery Doppler (OB) (76820) $376.60 $538 3.0×
Ureteral reflux study (78740) $1,304.10 $1,863 2.7×
Urethrocystogram voiding (74455) $795.90 $1,137 2.8×
Urethrocystography retrograde rs&i (74450) $795.90 $1,137 2.8×
Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) $618.10 $883 2.9×
Us breast unilateral limited (76642) $279.30 $399 2.7×
Us chest (76604) $376.60 $538 3.0×
Us compl joint r-t w/image documentation (76881) $564.90 $807 4.5×
Us encephalogram (76506) $376.60 $538 3.0×
Us hips infant static (76886) $279.30 $399 2.7×
Us infant hips w manipulation (76885) $274.40 $392 2.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $376.60 $538 3.0×
Us ob detailed single fetus (76811) $795.90 $1,137 2.8×
Us ob limited (76815) $376.60 $538 3.0×
Us ob transvaginal (76817) $376.60 $538 3.0×
Us pelvic non ob complete (76856) $376.60 $538 3.0×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $376.60 $538 3.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $376.60 $538 3.0×
Us pg uter r-t img f-up tabdl appr pr fetus (76816) $376.60 $538 3.0×
Us retroperitoneal complete (76770) $376.60 $538 3.0×
Us scrotum and contents (76870) $376.60 $538 3.0×
Us soft tissue head/neck (76536) $376.60 $538 3.0×
Us spinal canal and contents (76800) $376.60 $538 3.0×
Us transrectal (76872) $376.60 $538 3.0×
Venogram extremity bilateral (75822) $4,545.80 $6,494 2.4×
Venogram Extremity Unilateral (75820) $3,494.40 $4,992 1.9×
Venography caval inferior serialography rs&i (75825) $9,903.60 $14,148 2.6×
Venography caval superior serialography rs&i (75827) $3,716.30 $5,309 2.0×
Vertebral fracture assessment via dxa (77086) $270.20 $386 2.6×
Wrist 2 views (73100) $270.20 $386 2.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $376.60 $538 3.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $270.20 $386 2.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $618.10 $883 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $270.20 $386 2.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $270.20 $386 2.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $376.60 $538 3.0×
X-ray exam of femur 2/> (73552) $270.20 $386 2.6×
X-ray eye for foreign body (70030) $405.30 $579 3.9×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $270.20 $386 2.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $270.20 $386 2.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $270.20 $386 2.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $368.90 $527 2.9×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $376.60 $538 3.0×
X-ray nose-rectum child f.b. (76010) $270.20 $386 2.6×
X-ray optic foramen (70190) $279.30 $399 2.7×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $368.90 $527 2.9×
X-ray retrograde pyelogram (74420) $1,273.30 $1,819 3.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $270.20 $386 2.6×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $376.60 $538 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $376.60 $538 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $376.60 $538 3.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $270.20 $386 2.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $279.30 $399 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $376.60 $538 3.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $368.90 $527 2.9×
X-Ray Spine One View - Xr Spine (72020) $270.20 $386 2.6×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $270.20 $386 2.6×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $270.20 $386 2.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $376.60 $538 3.0×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $376.60 $538 3.0×
Xr bone length studies (77073) $368.90 $527 2.9×
Xr c-spine 4 or 5 views (72050) $376.60 $538 3.0×
Xr c-spine 6 or more views (72052) $376.60 $538 3.0×
Xr chest 4+ views (71048) $354.90 $507 2.8×
Xr urogram antegrade (74425) $1,273.30 $1,819 3.0×