| Abdomen 2 views (74019) |
$768.40 |
$1,921 |
7.3× |
| Ankle 2 views (73600) |
$748.80 |
$1,872 |
8.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$733.20 |
$1,833 |
2.1× |
| Arthrogram elbow (73085) |
$1,672 |
$4,180 |
4.8× |
| Arthrogram hip (73525) |
$619.20 |
$1,548 |
1.8× |
| Arthrogram shoulder (73040) |
$2,111.60 |
$5,279 |
6.0× |
| Arthrogram wrist (73115) |
$1,597.20 |
$3,993 |
4.6× |
| Arthrography knee lt (73580) |
$1,790 |
$4,475 |
5.1× |
| Bone age studies (77072) |
$421 |
$1,052.50 |
4.0× |
| Bone survey complete (77075) |
$1,432.40 |
$3,581 |
13.6× |
| Cervical spine 2 or 3 views (72040) |
$436 |
$1,090 |
5.0× |
| Chest 1 view (71045) |
$549.60 |
$1,374 |
6.3× |
| Chest 3 views (71047) |
$502.40 |
$1,256 |
5.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$675.20 |
$1,688 |
3.8× |
| Clavicle complete (73000) |
$814.40 |
$2,036 |
9.3× |
| Cystography minimum 3 views rs&i (74430) |
$642.40 |
$1,606 |
1.8× |
| Diskography lumbar (72295) |
$2,358.60 |
$5,896.50 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$943.40 |
$2,358.50 |
9.0× |
| Esophagus (74220) |
$1,086.20 |
$2,715.50 |
6.2× |
| Fluoroscopy up to 1 hr (76000) |
$639.60 |
$1,599 |
2.7× |
| Foot 2 views (73620) |
$678.80 |
$1,697 |
7.8× |
| Forearm 2 views (73090) |
$821.20 |
$2,053 |
9.4× |
| Hand 2 views (73120) |
$688.40 |
$1,721 |
6.6× |
| Hand 3 views (73130) |
$789.60 |
$1,974 |
9.0× |
| Humerus Min 2 Views Left (73060) |
$874.40 |
$2,186 |
10.0× |
| Hysterosalpingogram (74740) |
$2,674.80 |
$6,687 |
11.2× |
| Knee 3 views (73562) |
$864 |
$2,160 |
9.9× |
| Mammary ductogram or galactogram multiple (77054) |
$1,359.20 |
$3,398 |
5.7× |
| Mammary ductogram or galactogram single (77053) |
$1,046.80 |
$2,617 |
4.4× |
| Myelogram Cervical (72240) |
$3,938 |
$9,845 |
5.0× |
| Myelogram Lumbar (72265) |
$3,662.80 |
$9,157 |
4.7× |
| Myelogram thoracic (72255) |
$3,089.60 |
$7,724 |
3.9× |
| Myelography 2 or more regions (72270) |
$3,423.20 |
$8,558 |
4.3× |
| Neck soft tissue (70360) |
$814 |
$2,035 |
9.3× |
| Osseous survey infant (77076) |
$1,974 |
$4,935 |
18.8× |
| Osseous survey limited (77074) |
$831.20 |
$2,078 |
7.9× |
| Pelvis 1 or 2 views (72170) |
$846.80 |
$2,117 |
8.1× |
| Peritoneogram rs&i (74190) |
$896.80 |
$2,242 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,126.40 |
$2,816 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,222.60 |
$3,056.50 |
11.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$836 |
$2,090 |
8.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$950 |
$2,375 |
9.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,235.20 |
$3,088 |
11.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$721.20 |
$1,803 |
6.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$503.20 |
$1,258 |
5.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$634.40 |
$1,586 |
6.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$982 |
$2,455 |
11.2× |
| Radiologic exam colon single contrast study (74270) |
$1,449.80 |
$3,624.50 |
8.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,846.80 |
$4,617 |
10.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,374.60 |
$3,436.50 |
7.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$602.80 |
$1,507 |
6.9× |
| Radiological examination surgical specimen (76098) |
$1,037.60 |
$2,594 |
1.9× |
| Ribs bilateral 3 views (71110) |
$898.40 |
$2,246 |
8.6× |
| Sacroiliac Joints < 3 Views (72200) |
$802 |
$2,005 |
7.6× |
| Scanogram (77073) |
$896 |
$2,240 |
8.5× |
| Scapula complete (73010) |
$828.80 |
$2,072 |
7.9× |
| Sella turcica (70240) |
$378.80 |
$947 |
4.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$478.80 |
$1,197 |
4.6× |
| Sialogram (70390) |
$1,126.80 |
$2,817 |
4.7× |
| Small bowel series (74250) |
$786.40 |
$1,966 |
4.5× |
| Speech evaluation complex (70371) |
$518.80 |
$1,297 |
2.2× |
| Spine thoracic 3 views (72072) |
$1,075.20 |
$2,688 |
10.2× |
| Thoracolumbar 2 views (72080) |
$1,371.60 |
$3,429 |
15.7× |
| Tmj unilateral (70328) |
$229.20 |
$573 |
2.6× |
| Tomogram (76100) |
$1,194 |
$2,985 |
11.4× |
| Ultrasound, abdomen limited (76705) |
$116.40 |
$291 |
1.1× |
| Upper Extremity Infant (73092) |
$838.80 |
$2,097 |
8.0× |
| Urethrocystography retrograde rs&i (74450) |
$1,006.40 |
$2,516 |
4.2× |
| Urethrocystography voiding (74455) |
$2,498.80 |
$6,247 |
10.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,061.80 |
$5,154.50 |
11.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,712.40 |
$4,281 |
9.7× |
| Venogram extremity bilateral (75822) |
$1,989.20 |
$4,973 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,032 |
$2,580 |
0.7× |
| Wrist 2 views (73100) |
$776.80 |
$1,942 |
8.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$868.40 |
$2,171 |
8.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$417.60 |
$1,044 |
4.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$785.20 |
$1,963 |
9.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,650.20 |
$6,625.50 |
15.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$768.40 |
$1,921 |
8.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$970 |
$2,425 |
11.1× |
| X-ray exam hip uni 1 view (73501) |
$648 |
$1,620 |
7.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$970.40 |
$2,426 |
11.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$503.20 |
$1,258 |
4.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$936.80 |
$2,342 |
5.3× |
| X-ray eye for foreign body (70030) |
$435.20 |
$1,088 |
5.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,638 |
$4,095 |
15.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,182 |
$2,955 |
13.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$868.80 |
$2,172 |
9.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$762.40 |
$1,906 |
8.7× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,838.80 |
$4,597 |
10.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$970.40 |
$2,426 |
11.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$900.40 |
$2,251 |
8.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$677.20 |
$1,693 |
7.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$802.40 |
$2,006 |
9.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,032.40 |
$2,581 |
9.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,568.80 |
$3,922 |
14.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,226 |
$3,065 |
11.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$847.80 |
$2,119.50 |
9.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,173.20 |
$2,933 |
11.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,209.60 |
$3,024 |
11.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$780.40 |
$1,951 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,028.80 |
$2,572 |
11.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,138.40 |
$2,846 |
10.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,586.80 |
$3,967 |
15.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$598.40 |
$1,496 |
5.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$924 |
$2,310 |
10.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,001.20 |
$2,503 |
11.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,284 |
$3,210 |
14.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,016 |
$2,540 |
11.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,877.60 |
$4,694 |
17.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,052 |
$2,630 |
10.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$686 |
$1,715 |
7.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$305.20 |
$763 |
3.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$580.80 |
$1,452 |
6.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$976.40 |
$2,441 |
9.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$793.20 |
$1,983 |
7.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$448.80 |
$1,122 |
5.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$910 |
$2,275 |
10.4× |
| Xr arthrogram ankle (73615) |
$1,752 |
$4,380 |
5.0× |
| Xr c-spine 6 or more views (72052) |
$1,614.80 |
$4,037 |
15.4× |
| Xr chest 4+ views (71048) |
$548 |
$1,370 |
5.2× |
| Xr finger(s) 2+ views (73140) |
$452.80 |
$1,132 |
5.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$518.40 |
$1,296 |
4.9× |
| Xr shoulder 1 view (73020) |
$779.60 |
$1,949 |
8.9× |
| Xr spine cervical 4 or 5 views (72050) |
$1,178.80 |
$2,947 |
11.2× |
| Xr tibia/fibula 2 views (73590) |
$821.20 |
$2,053 |
9.4× |
| Xr tmj bilateral (70330) |
$652.60 |
$1,631.50 |
7.5× |
| Xray knee 1 or 2 views rt (73560) |
$828.40 |
$2,071 |
9.5× |