| Abdomen 2 views (74019) |
$426.28 |
$1,705.10 |
4.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$661.86 |
$2,652.54 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$240.20 |
$962.75 |
0.1× |
| Angiography extremity unilateral rs&i (75710) |
$235.78 |
$945 |
0.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$255.98 |
$1,026 |
0.1× |
| Ankle 2 views (73600) |
$240.13 |
$964.37 |
2.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$294.98 |
$1,182.30 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$296.28 |
$1,187.50 |
0.1× |
| Arthrogram hip (73525) |
$571.39 |
$2,289.94 |
1.7× |
| Arthrogram shoulder (73040) |
$634.26 |
$2,541.88 |
1.9× |
| Arthrogram wrist (73115) |
$307.04 |
$1,230.60 |
0.9× |
| Arthrography knee lt (73580) |
$325.11 |
$1,303.05 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$780.94 |
$3,129.74 |
2.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$365.02 |
$1,462.86 |
0.9× |
| Bone &/joint imaging whole body (78306) |
$1,290.50 |
$5,171.90 |
3.4× |
| Bone age studies (77072) |
$428.80 |
$1,718.52 |
4.3× |
| Bone Imaging 3 Phase (78315) |
$1,386.58 |
$5,556.96 |
3.6× |
| Bone survey complete (77075) |
$334.26 |
$1,339.58 |
3.3× |
| Brain Imaging Vascular Flow Only (78610) |
$218.94 |
$877.50 |
0.4× |
| Cervical spine 2 or 3 views (72040) |
$336.30 |
$1,347.76 |
4.0× |
| Chest 1 view (71045) |
$198.69 |
$794.77 |
2.4× |
| Chest 3 views (71047) |
$181.07 |
$725.68 |
2.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$307.66 |
$1,230.62 |
1.8× |
| Clavicle complete (73000) |
$257.59 |
$1,032.32 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$68.88 |
$276.06 |
0.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,390.54 |
$13,588.18 |
10.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,996 |
$12,006.96 |
13.1× |
| CT abdomen w contrast (74160) |
$1,700.39 |
$6,814.60 |
10.1× |
| CT abdomen w wo contrast (74170) |
$1,875.18 |
$7,515.10 |
11.1× |
| CT abdomen w/o contrast (74150) |
$1,512.49 |
$6,074.26 |
15.0× |
| CT angio hrt w/3d image (75574) |
$660.33 |
$2,646.38 |
2.0× |
| CT angiography upper extremity lt (73206) |
$2,056.62 |
$8,242.23 |
12.2× |
| CT c-spine w/o contrast (72125) |
$1,552.68 |
$6,222.62 |
15.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,929.86 |
$7,734.26 |
11.4× |
| CT cervical spine with contrast (72126) |
$1,688.62 |
$6,767.46 |
5.0× |
| CT chest w/wo contrast (71270) |
$1,685.56 |
$6,755.18 |
10.0× |
| CT chest with contrast (71260) |
$1,638.04 |
$6,564.72 |
9.7× |
| CT head/brain with contrast (70460) |
$1,701.92 |
$6,820.72 |
10.1× |
| CT head/brain without and with contrast (70470) |
$1,703.45 |
$6,826.87 |
10.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$113.98 |
$456.76 |
1.4× |
| CT iac w contrast (70481) |
$649.43 |
$2,497.95 |
3.9× |
| CT limited/localized follow up study (76380) |
$309.13 |
$1,239 |
3.7× |
| CT lower ext w/o (73700) |
$1,138.70 |
$4,563.54 |
11.3× |
| CT lower extremity w wo contrast (73702) |
$1,739.24 |
$6,970.28 |
10.3× |
| CT lower extremity with contrast (73701) |
$1,137.68 |
$4,559.44 |
6.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,592.56 |
$6,382.44 |
9.4× |
| CT lumbar spine w/o contrast (72131) |
$1,435.64 |
$5,753.58 |
14.3× |
| CT lumbar spine with contrast (72132) |
$1,492.37 |
$5,980.93 |
4.4× |
| CT maxillofacial w contrast (70487) |
$1,371.62 |
$5,486.46 |
8.1× |
| CT maxillofacial w/o contrast (70486) |
$1,155.72 |
$4,641.44 |
11.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,767.25 |
$7,097.37 |
10.5× |
| CT neck soft tissue w contrast (70491) |
$1,454.55 |
$5,829.36 |
8.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,700.39 |
$6,828.87 |
10.1× |
| CT orbits w/o contrast (70480) |
$1,001.98 |
$4,024.01 |
10.0× |
| CT pelvis w & w/o contrast (72194) |
$1,719.30 |
$6,890.40 |
10.2× |
| CT pelvis w/o contrast (72192) |
$1,520.79 |
$6,107.60 |
15.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,766.82 |
$7,080.84 |
10.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,234.28 |
$4,946.59 |
12.3× |
| CT thoracic spine w/contrast (72129) |
$275.52 |
$1,104.20 |
1.6× |
| CT thoracic spine w/o contrast (72128) |
$1,532.24 |
$6,140.70 |
15.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,846.56 |
$7,400.38 |
11.0× |
| CT thorax w/o contrast (71250) |
$1,414.18 |
$5,667.56 |
14.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,739.24 |
$6,970.28 |
10.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,138.70 |
$4,563.54 |
11.3× |
| CT upper extremity with contrast (73201) |
$1,188.95 |
$4,755.78 |
3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,588.14 |
$10,372.41 |
15.3× |
| Cta Abdomen (74175) |
$2,192.57 |
$8,787.09 |
13.0× |
| CTA abdomen pelvis (74174) |
$403.25 |
$1,616.08 |
1.2× |
| CTA chest (71275) |
$2,002.44 |
$8,025.13 |
11.9× |
| Cta Head (70496) |
$2,163.94 |
$8,672.35 |
12.8× |
| CTA lwr ext w&w/o contrast (73706) |
$2,056.62 |
$8,242.23 |
12.2× |
| Cta Neck (70498) |
$2,083.70 |
$8,350.80 |
12.4× |
| Cta Pelvis (72191) |
$2,034.64 |
$8,154.14 |
12.1× |
| Cystography minimum 3 views rs&i (74430) |
$223.34 |
$895.10 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$265.26 |
$1,063.07 |
2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$59.50 |
$238.48 |
0.7× |
| Dxa bone density study axial skeleton (77085) |
$366.96 |
$1,470.65 |
3.7× |
| Echoencephalography real time imaging (76506) |
$509.06 |
$2,040.12 |
5.1× |
| Esophagus (74220) |
$426.56 |
$1,713.09 |
2.5× |
| Fetal biophysical profile non-stress testing (76818) |
$606.17 |
$2,434.40 |
6.0× |
| Fluoroscopy up to 1 hr (76000) |
$418.58 |
$1,677.55 |
1.8× |
| Foot 2 views (73620) |
$190.45 |
$763.72 |
2.3× |
| Forearm 2 views (73090) |
$288.93 |
$1,160.37 |
3.5× |
| Gated Heart Planar Single (78472) |
$407.37 |
$1,632.75 |
1.1× |
| Hand 2 views (73120) |
$204.36 |
$819.48 |
2.0× |
| Hand 3 views (73130) |
$302.56 |
$1,212.58 |
3.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,465.29 |
$5,872.38 |
2.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,172.43 |
$4,698.70 |
3.1× |
| Ht muscle image spect sing (78451) |
$1,342.12 |
$5,378.75 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$288.93 |
$1,160.37 |
3.5× |
| Hysterosalpingogram (74740) |
$513.43 |
$2,061.97 |
2.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,232.75 |
$4,940.44 |
2.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,501.06 |
$6,015.77 |
2.9× |
| Knee 3 views (73562) |
$276.49 |
$1,108.10 |
3.3× |
| Liver & spleen imaging static only (78215) |
$850.97 |
$3,410.40 |
2.2× |
| Liver imaging static only (78201) |
$436.18 |
$1,748.25 |
0.8× |
| Lung Ventilation Imaging (78579) |
$796.79 |
$3,193.27 |
2.1× |
| Lymphoscintigraphy (78195) |
$475.31 |
$1,904.88 |
0.9× |
| Mammary ductogram or galactogram multiple (77054) |
$295.77 |
$1,185.45 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$118.68 |
$475.65 |
0.5× |
| Meckels Diverticulum (78290) |
$865.78 |
$3,469.76 |
2.3× |
| MRA head w & w/o contrast (70546) |
$586.20 |
$2,349.50 |
1.7× |
| MRA head w/o contrast (70544) |
$1,261.36 |
$5,055.10 |
5.5× |
| MRA head with contrast (70545) |
$480.72 |
$1,926.75 |
1.4× |
| MRA neck w contrast (70548) |
$1,863.94 |
$7,470.04 |
5.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,378.60 |
$9,532.64 |
7.1× |
| MRA neck w/o contrast (70547) |
$1,261.36 |
$5,055.10 |
5.5× |
| MRI abdomen w contrast (74182) |
$759.48 |
$3,044 |
2.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,249.30 |
$9,014.44 |
6.7× |
| MRI abdomen w/o contrast (74181) |
$1,735.14 |
$6,953.88 |
7.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,176.72 |
$8,723.56 |
2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,055.82 |
$8,223.29 |
2.7× |
| MRI c-spine with contrast (72142) |
$2,540.62 |
$10,181.94 |
7.6× |
| MRI cardiac w/o contrast (75557) |
$1,498 |
$6,003.48 |
6.5× |
| MRI cervical spine w/o contrast (72141) |
$2,473.16 |
$9,911.58 |
10.8× |
| MRI chest w/o contrast (71550) |
$644.71 |
$2,584 |
2.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,919.62 |
$7,678.48 |
5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,828.29 |
$7,313.15 |
5.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,215.12 |
$4,860.47 |
5.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,953.20 |
$7,844.19 |
8.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,137.54 |
$8,550.17 |
6.4× |
| MRI orbit/face/neck w/contrast (70542) |
$779.68 |
$3,125 |
2.3× |
| MRI pelvis w contrast (72196) |
$975.08 |
$3,908.10 |
2.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,445.04 |
$9,798.90 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$1,775.51 |
$7,115.66 |
7.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,447.87 |
$9,791.47 |
7.3× |
| MRI scan of leg joint before and after contrast (73723) |
$2,589.16 |
$10,376.52 |
7.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,900.93 |
$11,625.97 |
8.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,050.16 |
$12,224.06 |
9.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,717.14 |
$14,897.06 |
11.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,204.32 |
$8,834.17 |
6.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,539.60 |
$10,177.86 |
7.6× |
| MRI thoracic spine w/o contrast (72146) |
$1,871.60 |
$7,500.76 |
8.2× |
| MRI tmj (70336) |
$1,013.32 |
$4,061.40 |
4.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,967.68 |
$7,885.82 |
8.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,296.32 |
$9,202.88 |
6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,935.49 |
$7,756.80 |
8.4× |
| Myelogram Cervical (72240) |
$763.06 |
$3,058.08 |
1.0× |
| Myelogram Lumbar (72265) |
$763.06 |
$3,058.08 |
1.0× |
| Myelogram thoracic (72255) |
$685.58 |
$2,747.60 |
0.9× |
| Myelography 2 or more regions (72270) |
$1,003.78 |
$4,022.79 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$2,403.14 |
$9,630.98 |
1.9× |
| Neck soft tissue (70360) |
$228.46 |
$915.60 |
2.7× |
| Nm gastric emptying study (78264) |
$819.78 |
$3,285.42 |
2.1× |
| Nm gastroesophageal reflux study (78262) |
$221.37 |
$887.25 |
0.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$320.80 |
$1,285.75 |
0.8× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$244.64 |
$980.50 |
0.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$365.06 |
$1,466.12 |
3.6× |
| Osseous survey infant (77076) |
$328.12 |
$1,315 |
3.3× |
| Osseous survey limited (77074) |
$334.26 |
$1,339.58 |
3.3× |
| Parathyroid imaging (78070) |
$718.59 |
$2,879.88 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$299.50 |
$1,200.28 |
3.0× |
| Pr heart first pass single,planar (78481) |
$181.28 |
$726.60 |
0.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,418.98 |
$9,694.44 |
7.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$740.06 |
$2,965.90 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,501.06 |
$6,015.77 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$496.78 |
$1,990.94 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$79.22 |
$317.50 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$127.78 |
$512.08 |
1.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$168.87 |
$678.21 |
1.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$223.53 |
$897.71 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$245.32 |
$983.16 |
2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$289.41 |
$1,162.30 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$312.27 |
$1,251.48 |
3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$448.79 |
$1,798.60 |
4.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$221.66 |
$886.65 |
2.6× |
| Radiologic exam colon single contrast study (74270) |
$675.14 |
$2,705.76 |
4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$180.68 |
$724.11 |
1.1× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$45.49 |
$182.29 |
0.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$243.02 |
$974 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$646.68 |
$2,597.09 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$305.04 |
$1,225.05 |
3.6× |
| Radiological examination surgical specimen (76098) |
$179.47 |
$717.87 |
0.3× |
| Ribs bilateral 3 views (71110) |
$304.45 |
$1,217.79 |
3.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$647.08 |
$2,593.50 |
1.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$494.89 |
$1,987.50 |
0.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,431 |
$5,734.95 |
1.1× |
| Sacroiliac Joints < 3 Views (72200) |
$115 |
$460.90 |
1.1× |
| Salivary gland imaging (78230) |
$186.26 |
$746.50 |
0.5× |
| Scanogram (77073) |
$239.29 |
$957.14 |
2.4× |
| Scapula complete (73010) |
$283.08 |
$1,136.85 |
2.8× |
| Screening digital breast tomosynthesis (77063) |
$60.50 |
$242 |
2.6× |
| Sella turcica (70240) |
$101.38 |
$406.35 |
1.2× |
| Sialogram (70390) |
$107.94 |
$432.60 |
0.5× |
| Small bowel series (74250) |
$337.32 |
$1,351.84 |
2.0× |
| Spine thoracic 3 views (72072) |
$340.76 |
$1,363.05 |
3.4× |
| Spleen imaging only (78185) |
$265.12 |
$1,062.60 |
0.7× |
| Testicular Imaging With Vascular Flow (78761) |
$215.82 |
$865 |
0.6× |
| Thoracolumbar 2 views (72080) |
$240.13 |
$964.37 |
2.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$640.90 |
$2,568.54 |
1.7× |
| Thyroid uptake measurement (78012) |
$443.11 |
$1,775.84 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,369.71 |
$5,489.34 |
3.6× |
| Tmj unilateral (70328) |
$132.86 |
$532.50 |
1.6× |
| Tomogram (76100) |
$223.18 |
$894.50 |
2.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$467.94 |
$1,875.36 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$446.34 |
$1,789.44 |
4.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$312.31 |
$1,254.25 |
3.7× |
| Upper Extremity Infant (73092) |
$228.97 |
$917.62 |
2.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$344.68 |
$1,381.50 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$418.99 |
$1,679.17 |
1.8× |
| Urethrocystography voiding (74455) |
$399.16 |
$1,599.68 |
1.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$526.62 |
$2,114.93 |
3.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$411.82 |
$1,650.60 |
2.4× |
| Us abdl aorta screen aaa (76706) |
$94.08 |
$377.04 |
0.9× |
| Us breast unilateral complete (76641) |
$562.73 |
$2,259.94 |
5.6× |
| Us breast unilateral limited (76642) |
$291.63 |
$1,166.51 |
3.5× |
| Us chest (76604) |
$571.51 |
$2,295.24 |
5.7× |
| Us compl joint r-t w/image documentation (76881) |
$453.22 |
$1,816.50 |
4.5× |
| Us kidney transplant (76776) |
$578.04 |
$2,316.58 |
5.8× |
| Us ob detailed single fetus (76811) |
$311.22 |
$1,247.40 |
1.4× |
| Us ob transvaginal (76817) |
$658.88 |
$2,646.09 |
6.6× |
| Us pelvic non ob complete (76856) |
$506.63 |
$2,031.80 |
5.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$484.64 |
$1,946.34 |
4.8× |
| Us pregnancy ltd (76815) |
$365.06 |
$1,466.12 |
3.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$553.95 |
$2,224.68 |
5.5× |
| Us retroperitoneal complete (76770) |
$296.89 |
$1,187.55 |
3.0× |
| Us retroperitoneal limited (76775) |
$273.50 |
$1,096.20 |
2.7× |
| Us scrotum and contents (76870) |
$654.19 |
$2,621.77 |
6.5× |
| Us soft tissue head/neck (76536) |
$462.68 |
$1,858.14 |
4.6× |
| Us transrectal (76872) |
$191.50 |
$767.55 |
1.9× |
| Us xtr non-vasc lmtd (76882) |
$503.93 |
$2,019.59 |
5.0× |
| Venogram extremity bilateral (75822) |
$337.88 |
$1,354.25 |
0.2× |
| Venography extremity unilateral rs&i (75820) |
$225.61 |
$904.25 |
0.1× |
| Vertebral fracture assessment via dxa (77086) |
$120.12 |
$481.37 |
1.4× |
| Wrist 2 views (73100) |
$222.27 |
$891.32 |
2.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$331.18 |
$1,327.28 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$308.54 |
$1,236.65 |
3.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$355.19 |
$1,420.77 |
4.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$785.54 |
$3,148.20 |
4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$288.93 |
$1,160.37 |
3.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$252.99 |
$1,013.89 |
3.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$245.32 |
$983.16 |
2.4× |
| X-ray exam hip uni 1 view (73501) |
$162.01 |
$649.28 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$272.34 |
$1,093.73 |
3.3× |
| X-ray exam hip uni 4/> views (73503) |
$368.97 |
$1,481.81 |
3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$280.64 |
$1,127.06 |
2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$390.44 |
$1,568.05 |
3.9× |
| X-ray exam of femur 1 (73551) |
$273.31 |
$1,097.64 |
3.3× |
| X-ray eye for foreign body (70030) |
$51.90 |
$207.98 |
0.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$329.44 |
$1,323.04 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$181.56 |
$729.15 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$336.30 |
$1,347.76 |
4.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$247.88 |
$993.44 |
3.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$215.44 |
$863.50 |
1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$328.62 |
$1,317.02 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$533.45 |
$2,142.35 |
6.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$228.97 |
$917.62 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$474.29 |
$1,900.79 |
4.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$594.91 |
$2,384.21 |
5.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$448.13 |
$1,792.52 |
4.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$276.73 |
$1,111.35 |
3.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$331.69 |
$1,326.77 |
3.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$164.26 |
$658.35 |
1.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$227.66 |
$912.45 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$389.47 |
$1,564.13 |
4.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$512.76 |
$2,051.02 |
5.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$439.04 |
$1,756.16 |
4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$126.24 |
$505.92 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$393.64 |
$1,574.56 |
4.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$307.13 |
$1,228.50 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$398.45 |
$1,593.81 |
4.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$248.88 |
$997.54 |
3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$426.23 |
$1,704.90 |
4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$290.82 |
$1,165.48 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$179.09 |
$716.34 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$256.72 |
$1,031 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$304.55 |
$1,223.09 |
3.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$358.23 |
$1,438.69 |
3.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$149.33 |
$598.50 |
1.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$165.52 |
$663.72 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$341.40 |
$1,368.21 |
4.1× |
| Xr c-spine 6 or more views (72052) |
$736.48 |
$2,951.54 |
7.3× |
| Xr chest 4+ views (71048) |
$297.40 |
$1,191.88 |
3.0× |
| Xr Cholecystography Oral Contrast (74290) |
$148.54 |
$595.35 |
0.9× |
| Xr finger(s) 2+ views (73140) |
$260.66 |
$1,044.64 |
3.1× |
| Xr optic foramina (70190) |
$148.54 |
$595.35 |
1.8× |
| Xr shoulder 1 view (73020) |
$181.56 |
$729.15 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$419.29 |
$1,677.14 |
4.2× |
| Xr tibia/fibula 2 views (73590) |
$326.01 |
$1,309.29 |
3.9× |
| Xr tmj bilateral (70330) |
$354.69 |
$1,421.48 |
4.2× |
| Xray knee 1 or 2 views rt (73560) |
$248.91 |
$999.65 |
3.0× |