| Abdomen 2 views (74019) |
$39.60 |
$49.50 |
0.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$919.60 |
$1,149.50 |
2.5× |
| Angiography extremity bilateral rs&i (75716) |
$3,480 |
$4,350 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$644.80 |
$806 |
0.2× |
| Ankle 2 views (73600) |
$38 |
$47.50 |
0.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$38 |
$47.50 |
0.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,305.60 |
$2,882 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,074.80 |
$2,593.50 |
0.7× |
| Arthrogram elbow (73085) |
$595.60 |
$744.50 |
1.9× |
| Arthrogram hip (73525) |
$686.20 |
$857.75 |
2.1× |
| Arthrogram shoulder (73040) |
$685.20 |
$856.50 |
2.1× |
| Arthrogram wrist (73115) |
$605.60 |
$757 |
1.9× |
| Arthrography knee lt (73580) |
$688.60 |
$860.75 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$792.80 |
$991 |
2.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$875.40 |
$1,094.25 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,128.60 |
$1,410.75 |
3.1× |
| Bone age studies (77072) |
$138.60 |
$173.25 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$1,159.60 |
$1,449.50 |
3.2× |
| Bone survey complete (77075) |
$567.80 |
$709.75 |
5.9× |
| Brain image w/flow 4 + views (78606) |
$983.40 |
$1,229.25 |
2.0× |
| Brain Imaging Minimum 4 Static Views (78605) |
$898.80 |
$1,123.50 |
1.8× |
| Brain Imaging Vascular Flow Only (78610) |
$840.40 |
$1,050.50 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$43.60 |
$54.50 |
0.5× |
| Chest 1 view (71045) |
$162.80 |
$203.50 |
2.0× |
| Chest 3 views (71047) |
$310.80 |
$388.50 |
3.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,016.40 |
$1,270.50 |
6.3× |
| Clavicle complete (73000) |
$36.80 |
$46 |
0.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,158 |
$1,447.50 |
12.0× |
| Corpora cavernosography (74445) |
$999.60 |
$1,249.50 |
10.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,700 |
$3,375 |
8.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,185 |
$2,731.25 |
10.0× |
| CT abdomen w contrast (74160) |
$1,330.40 |
$1,663 |
8.2× |
| CT abdomen w wo contrast (74170) |
$1,499 |
$1,873.75 |
9.3× |
| CT abdomen w/o contrast (74150) |
$1,213.20 |
$1,516.50 |
12.6× |
| CT angiography upper extremity lt (73206) |
$2,640 |
$3,300 |
16.4× |
| CT c-spine w/o contrast (72125) |
$1,053.20 |
$1,316.50 |
11.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,317.20 |
$1,646.50 |
8.2× |
| CT cervical spine with contrast (72126) |
$1,166.20 |
$1,457.75 |
3.6× |
| CT chest w/wo contrast (71270) |
$1,442.40 |
$1,803 |
8.9× |
| CT chest with contrast (71260) |
$1,274.80 |
$1,593.50 |
7.9× |
| CT head/brain with contrast (70460) |
$1,162 |
$1,452.50 |
7.2× |
| CT head/brain without and with contrast (70470) |
$1,424.20 |
$1,780.25 |
8.8× |
| CT iac w contrast (70481) |
$1,162 |
$1,452.50 |
7.2× |
| CT limited/localized follow up study (76380) |
$1,048 |
$1,310 |
13.1× |
| CT lower ext w/o (73700) |
$951.20 |
$1,189 |
9.9× |
| CT lower extremity w wo contrast (73702) |
$1,186.60 |
$1,483.25 |
7.4× |
| CT lower extremity with contrast (73701) |
$992.40 |
$1,240.50 |
6.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,312.40 |
$1,640.50 |
8.1× |
| CT lumbar spine w/o contrast (72131) |
$1,154.20 |
$1,442.75 |
12.0× |
| CT lumbar spine with contrast (72132) |
$1,277.40 |
$1,596.75 |
4.0× |
| CT maxillofacial w contrast (70487) |
$876.80 |
$1,096 |
5.4× |
| CT maxillofacial w/o contrast (70486) |
$773.80 |
$967.25 |
8.0× |
| CT maxillofacial w/wo contrast (70488) |
$975.80 |
$1,219.75 |
6.0× |
| CT neck soft tissue w contrast (70491) |
$2,036.40 |
$2,545.50 |
12.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,317.20 |
$1,646.50 |
8.2× |
| CT orbits w/o contrast (70480) |
$1,066 |
$1,332.50 |
11.1× |
| CT pelvis w & w/o contrast (72194) |
$1,491.20 |
$1,864 |
9.2× |
| CT pelvis w/o contrast (72192) |
$1,208.60 |
$1,510.75 |
12.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,230.40 |
$1,538 |
7.6× |
| CT soft tissue neck w/o contrast (70490) |
$984.40 |
$1,230.50 |
10.2× |
| CT thoracic spine w/contrast (72129) |
$1,388.60 |
$1,735.75 |
8.6× |
| CT thoracic spine w/o contrast (72128) |
$1,222.20 |
$1,527.75 |
12.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,547.40 |
$1,934.25 |
9.6× |
| CT thorax w/o contrast (71250) |
$1,158 |
$1,447.50 |
12.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,148.40 |
$2,685.50 |
13.3× |
| CT upper extremity w/o contrast rt (73200) |
$951.20 |
$1,189 |
9.9× |
| CT upper extremity with contrast (73201) |
$893.60 |
$1,117 |
2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,277.20 |
$4,096.50 |
20.3× |
| Cta Abdomen (74175) |
$1,807.80 |
$2,259.75 |
11.2× |
| CTA abdomen pelvis (74174) |
$3,087.60 |
$3,859.50 |
9.6× |
| CTA chest (71275) |
$3,519.20 |
$4,399 |
21.8× |
| Cta Head (70496) |
$1,310.60 |
$1,638.25 |
8.1× |
| CTA lwr ext w&w/o contrast (73706) |
$2,736 |
$3,420 |
17.0× |
| Cta Neck (70498) |
$1,511.20 |
$1,889 |
9.4× |
| Cta Pelvis (72191) |
$1,767.60 |
$2,209.50 |
11.0× |
| Cystography minimum 3 views rs&i (74430) |
$547.60 |
$684.50 |
1.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$262.20 |
$327.75 |
2.7× |
| Echoencephalography real time imaging (76506) |
$342.60 |
$428.25 |
3.6× |
| Esophagus (74220) |
$241.40 |
$301.75 |
1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$150.80 |
$188.50 |
1.6× |
| Fluoroscopy up to 1 hr (76000) |
$297.20 |
$371.50 |
1.4× |
| Foot 2 views (73620) |
$166 |
$207.50 |
2.1× |
| Forearm 2 views (73090) |
$198.80 |
$248.50 |
2.5× |
| Gated Heart Planar Single (78472) |
$1,158 |
$1,447.50 |
3.1× |
| Hand 2 views (73120) |
$188.80 |
$236 |
2.0× |
| Hand 3 views (73130) |
$42.80 |
$53.50 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$971.40 |
$1,214.25 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$964 |
$1,205 |
2.6× |
| Ht muscle image spect sing (78451) |
$1,578.80 |
$1,973.50 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$267.20 |
$334 |
3.3× |
| Hysterosalpingogram (74740) |
$324.80 |
$406 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,078.20 |
$1,347.75 |
2.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,326.60 |
$1,658.25 |
2.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$493.80 |
$617.25 |
1.0× |
| Knee 3 views (73562) |
$224.80 |
$281 |
2.8× |
| Liver & spleen imaging static only (78215) |
$901.40 |
$1,126.75 |
2.5× |
| Liver imaging static only (78201) |
$617.80 |
$772.25 |
1.2× |
| Lung perf&ventilat diferentl (78598) |
$2,702 |
$3,377.50 |
5.4× |
| Lung Ventilation Imaging (78579) |
$1,984.40 |
$2,480.50 |
5.4× |
| Lymphoscintigraphy (78195) |
$1,391.60 |
$1,739.50 |
2.8× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$264.80 |
$331 |
3.3× |
| Meckels Diverticulum (78290) |
$1,017.60 |
$1,272 |
2.8× |
| MRA head w & w/o contrast (70546) |
$2,181.40 |
$2,726.75 |
6.8× |
| MRA head w/o contrast (70544) |
$1,496.20 |
$1,870.25 |
6.8× |
| MRA head with contrast (70545) |
$1,832.20 |
$2,290.25 |
5.7× |
| MRA neck w contrast (70548) |
$857.40 |
$1,071.75 |
2.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,106.40 |
$1,383 |
3.4× |
| MRA neck w/o contrast (70547) |
$792.80 |
$991 |
3.6× |
| MRI abdomen w contrast (74182) |
$1,627.40 |
$2,034.25 |
5.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,861.20 |
$2,326.50 |
5.8× |
| MRI abdomen w/o contrast (74181) |
$1,583 |
$1,978.75 |
7.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,974.40 |
$2,468 |
2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,801.40 |
$2,251.75 |
2.5× |
| MRI bone marrow blood supply (77084) |
$1,537.80 |
$1,922.25 |
7.0× |
| MRI breast w/o contrast bilateral (77047) |
$1,872.40 |
$2,340.50 |
8.5× |
| MRI breast w/o contrast unilat (77046) |
$1,530.40 |
$1,913 |
7.0× |
| MRI c-spine with contrast (72142) |
$1,802.20 |
$2,252.75 |
5.6× |
| MRI cervical spine w/o contrast (72141) |
$1,509.60 |
$1,887 |
6.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,934 |
$2,417.50 |
6.0× |
| MRI chest w/o contrast (71550) |
$1,531.20 |
$1,914 |
7.0× |
| MRI chest with contrast (71551) |
$1,693.20 |
$2,116.50 |
2.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,362 |
$1,702.50 |
4.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,490.60 |
$1,863.25 |
4.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,349.40 |
$1,686.75 |
6.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,314.80 |
$1,643.50 |
6.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,606.40 |
$4,508 |
11.2× |
| MRI orbit/face/neck w/contrast (70542) |
$3,056.80 |
$3,821 |
9.5× |
| MRI pelvis w contrast (72196) |
$1,747.20 |
$2,184 |
5.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,995.60 |
$2,494.50 |
6.2× |
| MRI pelvis w/o contrast (72195) |
$1,477.40 |
$1,846.75 |
6.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,137.40 |
$2,671.75 |
6.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,498.80 |
$1,873.50 |
4.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,906.80 |
$2,383.50 |
5.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,890.20 |
$2,362.75 |
5.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,999.80 |
$2,499.75 |
6.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,890.20 |
$2,362.75 |
5.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,999.80 |
$2,499.75 |
6.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,584.20 |
$1,980.25 |
7.2× |
| MRI tmj (70336) |
$1,178.20 |
$1,472.75 |
5.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,632.20 |
$2,040.25 |
7.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,923.20 |
$3,654 |
9.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,340.40 |
$2,925.50 |
10.7× |
| Myelogram Cervical (72240) |
$1,543.20 |
$1,929 |
2.1× |
| Myelogram Lumbar (72265) |
$1,541 |
$1,926.25 |
2.1× |
| Myelogram thoracic (72255) |
$1,542.60 |
$1,928.25 |
2.1× |
| Myelography 2 or more regions (72270) |
$1,565.80 |
$1,957.25 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$3,647.60 |
$4,559.50 |
3.1× |
| Neck soft tissue (70360) |
$34.40 |
$43 |
0.4× |
| Nm cisternogram (78630) |
$1,473 |
$1,841.25 |
2.9× |
| Nm gastric emptying study (78264) |
$990.40 |
$1,238 |
2.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,676.40 |
$2,095.50 |
1.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,164.80 |
$1,456 |
3.2× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,042.40 |
$1,303 |
2.1× |
| Nuclear Rx Oral Admin (79005) |
$1,844 |
$2,305 |
8.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$204.80 |
$256 |
2.1× |
| Osseous survey infant (77076) |
$575 |
$718.75 |
6.0× |
| Parathyrd planar w/wo subtrj (78071) |
$693 |
$866.25 |
1.9× |
| Parathyroid imaging (78070) |
$1,054.20 |
$1,317.75 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$29.60 |
$37 |
0.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,706.80 |
$2,133.50 |
5.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,128.20 |
$1,410.25 |
3.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,018.80 |
$3,773.50 |
6.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$301.60 |
$377 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$289.60 |
$362 |
3.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$431.20 |
$539 |
4.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$774.80 |
$968.50 |
8.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$284 |
$355 |
3.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$48.80 |
$61 |
0.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$205.40 |
$256.75 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$333.40 |
$416.75 |
3.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$482.80 |
$603.50 |
6.0× |
| Radiologic exam colon single contrast study (74270) |
$682.60 |
$853.25 |
4.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$573.20 |
$716.50 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$759.40 |
$949.25 |
4.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$40.40 |
$50.50 |
0.5× |
| Radiological examination surgical specimen (76098) |
$334.60 |
$418.25 |
0.7× |
| Ribs bilateral 3 views (71110) |
$46 |
$57.50 |
0.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,772.40 |
$3,465.50 |
5.6× |
| Salivary gland imaging serial images (78231) |
$499.80 |
$624.75 |
1.4× |
| Scanogram (77073) |
$307.60 |
$384.50 |
3.2× |
| Scapula complete (73010) |
$145 |
$181.25 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$67.60 |
$84.50 |
2.9× |
| Sialogram (70390) |
$754.60 |
$943.25 |
3.4× |
| Small bowel series (74250) |
$497.60 |
$622 |
3.1× |
| Spine thoracic 3 views (72072) |
$52.80 |
$66 |
0.5× |
| Testicular Imaging With Vascular Flow (78761) |
$1,547.20 |
$1,934 |
4.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,269 |
$1,586.25 |
2.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$521.20 |
$651.50 |
1.4× |
| Thyroid uptake measurement (78012) |
$577.60 |
$372 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$660.20 |
$825.25 |
1.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,317.40 |
$1,646.75 |
2.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$867 |
$1,083.75 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$974 |
$1,217.50 |
10.1× |
| Umbilical-artery Doppler (OB) (76820) |
$412.80 |
$516 |
4.3× |
| Unlisted Ultrasound Procedure (76999) |
$224.20 |
$280.25 |
2.8× |
| Upper Extremity Infant (73092) |
$36 |
$45 |
0.4× |
| Urethrocystography retrograde rs&i (74450) |
$824.40 |
$1,030.50 |
3.8× |
| Urethrocystography voiding (74455) |
$527 |
$658.75 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,162.80 |
$1,453.50 |
7.2× |
| Us abdl aorta screen aaa (76706) |
$539 |
$673.75 |
5.6× |
| Us breast unilateral complete (76641) |
$757.20 |
$946.50 |
7.9× |
| Us breast unilateral limited (76642) |
$130.20 |
$162.75 |
1.6× |
| Us chest (76604) |
$364 |
$455 |
3.8× |
| Us compl joint r-t w/image documentation (76881) |
$167.20 |
$209 |
1.7× |
| Us guided compression repair (76936) |
$278.40 |
$348 |
1.4× |
| Us infant hips dynamic (76885) |
$380.80 |
$476 |
4.8× |
| Us infant hips limited static (76886) |
$229 |
$286.25 |
2.9× |
| Us ob detailed single fetus (76811) |
$276 |
$345 |
1.3× |
| Us ob transvaginal (76817) |
$221.60 |
$277 |
2.3× |
| Us pelvic non ob complete (76856) |
$196.80 |
$246 |
2.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$361.60 |
$452 |
3.8× |
| Us pregnancy ltd (76815) |
$226.60 |
$283.25 |
2.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$235.20 |
$294 |
2.4× |
| Us retroperitoneal complete (76770) |
$880.40 |
$1,100.50 |
9.2× |
| Us retroperitoneal limited (76775) |
$138.40 |
$173 |
1.4× |
| Us scrotum and contents (76870) |
$108.80 |
$136 |
1.1× |
| Us soft tissue head/neck (76536) |
$472.40 |
$590.50 |
4.9× |
| Us spinal canal and contents (76800) |
$117.20 |
$146.50 |
1.2× |
| Us transrectal (76872) |
$255.20 |
$319 |
2.7× |
| Us xtr non-vasc lmtd (76882) |
$174 |
$217.50 |
1.8× |
| Vascular flow imaging (78445) |
$1,095.60 |
$1,369.50 |
3.0× |
| Venogram extremity bilateral (75822) |
$738.60 |
$923.25 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,747.20 |
$3,434 |
0.9× |
| Wrist 2 views (73100) |
$203.40 |
$254.25 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$401.20 |
$501.50 |
4.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$29.60 |
$37 |
0.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$204.20 |
$255.25 |
2.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$690.60 |
$863.25 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$170.20 |
$212.75 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$34 |
$42.50 |
0.4× |
| X-ray exam hip uni 1 view (73501) |
$152 |
$190 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$55.20 |
$69 |
0.7× |
| X-ray exam hip uni 4/> views (73503) |
$72 |
$90 |
0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$938 |
$1,172.50 |
9.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,144.80 |
$1,431 |
11.9× |
| X-ray exam of femur 1 (73551) |
$118.40 |
$148 |
1.5× |
| X-ray eye for foreign body (70030) |
$167.40 |
$209.25 |
2.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$52.80 |
$66 |
0.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$34.40 |
$43 |
0.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$40.40 |
$50.50 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$185.80 |
$232.25 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$46 |
$57.50 |
0.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$247 |
$308.75 |
2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$49.60 |
$62 |
0.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$36 |
$45 |
0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$44.40 |
$55.50 |
0.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$527.80 |
$659.75 |
5.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$46 |
$57.50 |
0.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$45.20 |
$56.50 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$198.20 |
$247.75 |
2.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$176 |
$220 |
1.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$45.20 |
$56.50 |
0.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$603.60 |
$754.50 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$39.60 |
$49.50 |
0.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$44.40 |
$55.50 |
0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$57.20 |
$71.50 |
0.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$46 |
$57.50 |
0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$36 |
$45 |
0.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$38 |
$47.50 |
0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$42 |
$52.50 |
0.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$38 |
$47.50 |
0.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$48 |
$60 |
0.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$42 |
$52.50 |
0.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$26 |
$32.50 |
0.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$48 |
$60 |
0.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$36.80 |
$46 |
0.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$50.40 |
$63 |
0.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$34.40 |
$43 |
0.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$49.60 |
$62 |
0.6× |
| Xr c-spine 6 or more views (72052) |
$73.60 |
$92 |
0.8× |
| Xr chest 4+ views (71048) |
$365.40 |
$456.75 |
3.8× |
| Xr Cholecystography Oral Contrast (74290) |
$518.60 |
$648.25 |
3.2× |
| Xr finger(s) 2+ views (73140) |
$47.20 |
$59 |
0.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$195.80 |
$244.75 |
2.0× |
| Xr shoulder 1 view (73020) |
$254 |
$317.50 |
3.2× |
| Xr spine cervical 4 or 5 views (72050) |
$559.20 |
$699 |
5.8× |
| Xr tibia/fibula 2 views (73590) |
$200.40 |
$250.50 |
2.5× |
| Xr tmj bilateral (70330) |
$254.80 |
$318.50 |
3.2× |
| Xray knee 1 or 2 views rt (73560) |
$176 |
$220 |
2.2× |