| Abdomen 2 views (74019) |
$120 |
$240 |
1.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$950 |
$1,899 |
2.3× |
| Acute venous thrombus image (78456) |
$822 |
$1,644 |
0.6× |
| Ankle 2 views (73600) |
$70 |
$140 |
0.8× |
| Arthrogram elbow (73085) |
$290 |
$579 |
0.8× |
| Arthrogram hip (73525) |
$334 |
$668 |
0.9× |
| Arthrogram shoulder (73040) |
$359 |
$718 |
1.0× |
| Arthrogram wrist (73115) |
$328 |
$655 |
0.9× |
| Arthrography knee lt (73580) |
$360 |
$719 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$520 |
$1,040 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$788 |
$1,576 |
1.9× |
| Bone survey complete (77075) |
$315 |
$629 |
2.9× |
| Cervical spine 2 or 3 views (72040) |
$120 |
$239 |
1.3× |
| Chest 1 view (71045) |
$84 |
$168 |
0.9× |
| Chest 3 views (71047) |
$195 |
$389 |
2.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$288 |
$575 |
1.6× |
| Clavicle complete (73000) |
$108 |
$216 |
1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$827 |
$1,653 |
7.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$209 |
$418 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,117 |
$4,234 |
5.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,407 |
$2,814 |
5.6× |
| CT abdomen w contrast (74160) |
$1,191 |
$2,381 |
6.4× |
| CT abdomen w wo contrast (74170) |
$1,448 |
$2,896 |
7.8× |
| CT abdomen w/o contrast (74150) |
$928 |
$1,855 |
8.4× |
| CT angio hrt w/3d image (75574) |
$1,400 |
$2,799 |
3.8× |
| CT angiography upper extremity lt (73206) |
$1,735 |
$3,470 |
9.4× |
| CT c-spine w/o contrast (72125) |
$1,012 |
$2,023 |
9.2× |
| CT cervical spine w&w/o contrast (72127) |
$1,220 |
$2,440 |
6.6× |
| CT cervical spine with contrast (72126) |
$1,143 |
$2,286 |
3.1× |
| CT chest w/wo contrast (71270) |
$1,232 |
$2,464 |
6.7× |
| CT chest with contrast (71260) |
$1,207 |
$2,413 |
6.5× |
| CT head/brain with contrast (70460) |
$1,083 |
$2,165 |
5.9× |
| CT head/brain without and with contrast (70470) |
$1,261 |
$2,521 |
6.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$234 |
$467 |
2.5× |
| CT iac w contrast (70481) |
$1,200 |
$2,399 |
6.5× |
| CT lower ext w/o (73700) |
$714 |
$1,428 |
6.5× |
| CT lower extremity w wo contrast (73702) |
$1,167 |
$2,334 |
6.3× |
| CT lower extremity with contrast (73701) |
$875 |
$1,750 |
4.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,219 |
$2,437 |
6.6× |
| CT lumbar spine w/o contrast (72131) |
$945 |
$1,889 |
8.6× |
| CT lumbar spine with contrast (72132) |
$962 |
$1,923 |
2.6× |
| CT maxillofacial w contrast (70487) |
$918 |
$1,835 |
5.0× |
| CT maxillofacial w/o contrast (70486) |
$935 |
$1,870 |
8.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,152 |
$2,304 |
6.2× |
| CT neck soft tissue w contrast (70491) |
$1,088 |
$2,175 |
5.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,407 |
$2,814 |
7.6× |
| CT orbits w/o contrast (70480) |
$1,027 |
$2,053 |
9.3× |
| CT pelvis w & w/o contrast (72194) |
$1,136 |
$2,272 |
6.1× |
| CT pelvis w/o contrast (72192) |
$928 |
$1,855 |
8.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,136 |
$2,272 |
6.1× |
| CT soft tissue neck w/o contrast (70490) |
$745 |
$1,489 |
6.8× |
| CT thoracic spine w/contrast (72129) |
$998 |
$1,995 |
5.4× |
| CT thoracic spine w/o contrast (72128) |
$795 |
$1,589 |
7.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,218 |
$2,435 |
6.6× |
| CT thorax w/o contrast (71250) |
$827 |
$1,653 |
7.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,158 |
$2,315 |
6.3× |
| CT upper extremity w/o contrast rt (73200) |
$872 |
$1,743 |
7.9× |
| CT upper extremity with contrast (73201) |
$886 |
$1,771 |
2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,796 |
$3,591 |
9.7× |
| Cta Abdomen (74175) |
$1,677 |
$3,354 |
9.1× |
| CTA abdomen pelvis (74174) |
$476 |
$951 |
1.3× |
| CTA chest (71275) |
$1,178 |
$2,355.50 |
6.4× |
| Cta Head (70496) |
$1,762 |
$3,524 |
9.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$472 |
$943 |
1.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,732 |
$3,464 |
9.4× |
| Cta Neck (70498) |
$1,632 |
$3,263 |
8.8× |
| Cta Pelvis (72191) |
$1,195 |
$2,390 |
6.5× |
| Cystography minimum 3 views rs&i (74430) |
$329 |
$657 |
0.9× |
| Dacryocystography (70170) |
$310 |
$620 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$382 |
$764 |
3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$327 |
$653 |
3.6× |
| Dxa bone density study axial skeleton (77085) |
$364 |
$728 |
3.3× |
| Echoencephalography real time imaging (76506) |
$313 |
$626 |
2.8× |
| Esophagus (74220) |
$346 |
$692 |
1.9× |
| Fetal biophysical profile non-stress testing (76818) |
$351 |
$701 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$207.50 |
$414.50 |
1.9× |
| Fluoroscopy up to 1 hr (76000) |
$314 |
$628 |
1.2× |
| Foot 2 views (73620) |
$73 |
$145 |
0.8× |
| Forearm 2 views (73090) |
$108 |
$216 |
1.2× |
| Gated Heart Planar Single (78472) |
$886 |
$1,772 |
2.1× |
| Hand 2 views (73120) |
$89 |
$177 |
0.8× |
| Hand 3 views (73130) |
$124 |
$248 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$898 |
$1,796 |
2.1× |
| Ht muscle image spect sing (78451) |
$1,350 |
$2,700 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$119 |
$237 |
1.3× |
| Hysterosalpingogram (74740) |
$289 |
$578 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$676 |
$1,351 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$686 |
$1,371 |
1.2× |
| Knee 3 views (73562) |
$130 |
$260 |
1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$426 |
$852 |
1.0× |
| Lung Ventilation Imaging (78579) |
$494 |
$988 |
1.2× |
| Lymphoscintigraphy (78195) |
$986 |
$1,971 |
1.7× |
| Mammary ductogram or galactogram multiple (77054) |
$294 |
$587 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$241 |
$482 |
1.0× |
| Meckels Diverticulum (78290) |
$728 |
$1,456 |
1.7× |
| MRA head w & w/o contrast (70546) |
$2,325 |
$4,650 |
6.3× |
| MRA head w/o contrast (70544) |
$1,770 |
$3,540 |
7.0× |
| MRA neck w contrast (70548) |
$1,540 |
$3,080 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,455 |
$4,909 |
6.7× |
| MRA neck w/o contrast (70547) |
$878 |
$1,756 |
3.5× |
| MRI abdomen w contrast (74182) |
$1,934 |
$3,868 |
5.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,625 |
$5,250 |
7.1× |
| MRI abdomen w/o contrast (74181) |
$1,427 |
$2,853 |
5.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,638 |
$3,276 |
2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,009 |
$4,018 |
2.4× |
| MRI c-spine with contrast (72142) |
$1,600 |
$3,200 |
4.3× |
| MRI cervical spine w/o contrast (72141) |
$1,518 |
$3,036 |
6.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,317 |
$2,633 |
3.6× |
| MRI chest w/o contrast (71550) |
$1,066 |
$2,132 |
4.2× |
| MRI chest with contrast (71551) |
$1,317 |
$2,633 |
1.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,845 |
$3,689 |
5.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,890 |
$3,779 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,718 |
$3,435 |
6.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,579 |
$3,158 |
6.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,707 |
$5,414 |
7.4× |
| MRI orbit/face/neck w/contrast (70542) |
$1,803 |
$3,605 |
4.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,397 |
$4,794 |
6.5× |
| MRI pelvis w/o contrast (72195) |
$1,851 |
$3,702 |
7.4× |
| MRI scan of arm joint before and after contrast (73223) |
$2,642 |
$5,284 |
7.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,821 |
$3,641 |
4.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,161 |
$4,322 |
5.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,583 |
$3,165 |
4.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,138 |
$4,275 |
5.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,657 |
$3,313 |
4.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,268 |
$4,535 |
6.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,583 |
$3,166 |
6.3× |
| MRI tmj (70336) |
$1,726 |
$3,452 |
6.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,467 |
$2,934 |
5.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,723 |
$5,446 |
7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,808 |
$3,615 |
7.2× |
| Myelogram Cervical (72240) |
$1,263 |
$2,526 |
1.5× |
| Myelogram Lumbar (72265) |
$1,263 |
$2,526 |
1.5× |
| Myelogram thoracic (72255) |
$1,263 |
$2,526 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$1,735 |
$3,469 |
1.3× |
| Neck soft tissue (70360) |
$88 |
$175 |
1.0× |
| Nm cisternogram (78630) |
$850 |
$1,700 |
1.5× |
| Nm gastric emptying study (78264) |
$691 |
$1,381 |
1.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$647 |
$1,294 |
1.5× |
| Osseous survey limited (77074) |
$193 |
$386 |
1.8× |
| Parathyroid imaging (78070) |
$505 |
$1,009 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$108 |
$216 |
1.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,509 |
$5,017 |
6.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$541 |
$1,082 |
1.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$615 |
$1,230 |
1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$81 |
$162 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$91 |
$181 |
0.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$82 |
$163.50 |
0.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$151 |
$301 |
1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$110 |
$219 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$128 |
$255 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$90 |
$180 |
1.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$118 |
$236 |
1.3× |
| Radiologic exam colon single contrast study (74270) |
$413 |
$826 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$417 |
$834 |
2.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$284 |
$568 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$81 |
$161 |
0.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$107 |
$214 |
1.2× |
| Radiological examination surgical specimen (76098) |
$547 |
$1,093 |
0.9× |
| Ribs bilateral 3 views (71110) |
$139 |
$277 |
1.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$874 |
$1,747 |
1.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,180 |
$2,359 |
2.1× |
| Scapula complete (73010) |
$95 |
$189 |
0.9× |
| Screening digital breast tomosynthesis (77063) |
$108 |
$216 |
4.6× |
| Sella turcica (70240) |
$81 |
$161 |
0.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$372 |
$743 |
3.4× |
| Sialogram (70390) |
$279 |
$557 |
1.1× |
| Small bowel series (74250) |
$374 |
$748 |
2.0× |
| Speech evaluation complex (70371) |
$307 |
$613 |
1.2× |
| Spine thoracic 3 views (72072) |
$142 |
$283 |
1.3× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$271 |
$541 |
1.1× |
| Therapeutic Enema (74283) |
$636 |
$1,271 |
3.4× |
| Thoracolumbar 2 views (72080) |
$101 |
$201 |
1.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$856 |
$1,712 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$446 |
$891 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$515 |
$1,029 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$320.50 |
$640.50 |
2.9× |
| Upper Extremity Infant (73092) |
$75 |
$150 |
0.7× |
| Urethrocystography retrograde rs&i (74450) |
$148 |
$296 |
0.6× |
| Urethrocystography voiding (74455) |
$253 |
$506 |
1.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$463 |
$926 |
2.5× |
| Us breast unilateral complete (76641) |
$284.50 |
$568 |
2.6× |
| Us chest (76604) |
$232.50 |
$465 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$378 |
$756 |
3.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$116 |
$231 |
1.1× |
| Us infant hips dynamic (76885) |
$354 |
$708 |
3.9× |
| Us ob detailed single fetus (76811) |
$589 |
$1,178 |
2.3× |
| Us ob transvaginal (76817) |
$329 |
$657 |
3.0× |
| Us pelvic non ob complete (76856) |
$339 |
$677 |
3.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$161 |
$321 |
1.5× |
| Us pregnancy ltd (76815) |
$161 |
$321 |
1.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$430 |
$860 |
3.9× |
| Us retroperitoneal complete (76770) |
$356 |
$712 |
3.2× |
| Us retroperitoneal limited (76775) |
$311 |
$622 |
2.8× |
| Us scrotum and contents (76870) |
$370 |
$739 |
3.4× |
| Us soft tissue head/neck (76536) |
$341 |
$681 |
3.1× |
| Us transrectal prostate volume (76873) |
$471 |
$942 |
4.3× |
| Us xtr non-vasc lmtd (76882) |
$161 |
$321 |
1.5× |
| Us, eye b-scan (76512) |
$161 |
$321 |
1.5× |
| Venogram extremity bilateral (75822) |
$1,964 |
$3,927 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$1,785 |
$3,570 |
1.1× |
| Wrist 2 views (73100) |
$114 |
$227 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$154 |
$308 |
1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$117 |
$234 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$90 |
$180 |
1.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$663 |
$1,325 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$106 |
$212 |
1.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$112 |
$224 |
1.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$99 |
$197 |
0.9× |
| X-ray exam hip uni 1 view (73501) |
$83.50 |
$167 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$130 |
$260 |
1.4× |
| X-ray exam hip uni 4/> views (73503) |
$143 |
$286 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$106 |
$212 |
1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$171 |
$341 |
1.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$765 |
$1,529 |
4.1× |
| X-ray eye for foreign body (70030) |
$75 |
$149 |
0.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$142 |
$283 |
1.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$104 |
$208 |
1.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$85 |
$169 |
0.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$73 |
$146 |
0.8× |
| X-ray IV pyelogram+drip infusn (74410) |
$158 |
$316 |
0.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$100 |
$200 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$156 |
$311 |
1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$101.50 |
$202 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$79 |
$158 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$130 |
$259 |
1.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$227 |
$453 |
2.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$103 |
$206 |
1.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$83 |
$165 |
0.9× |
| X-ray of voice box or throat (70370) |
$205 |
$409 |
2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$121 |
$241 |
1.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$112 |
$223 |
1.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$108 |
$216 |
1.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$131 |
$261 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$171 |
$342 |
1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$115 |
$230 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$102 |
$203 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$124 |
$248 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$133 |
$265 |
1.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$103 |
$205 |
1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$134 |
$268 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$124 |
$248 |
1.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$117 |
$234 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$114 |
$227 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$108 |
$216 |
1.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$129 |
$257 |
1.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$156 |
$311 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$81 |
$161 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$114 |
$227 |
1.2× |
| Xr arthrogram ankle (73615) |
$299 |
$597 |
0.8× |
| Xr c-spine 6 or more views (72052) |
$216 |
$431 |
2.0× |
| Xr chest 4+ views (71048) |
$230 |
$459 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$106 |
$211 |
1.2× |
| Xr internal auditory meati complete (70134) |
$948 |
$1,896 |
1.6× |
| Xr optic foramina (70190) |
$103 |
$205 |
1.1× |
| Xr shoulder 1 view (73020) |
$80 |
$159 |
0.9× |
| Xr spine cervical 4 or 5 views (72050) |
$211 |
$422 |
1.9× |
| Xr tibia/fibula 2 views (73590) |
$112 |
$224 |
1.2× |
| Xr tmj bilateral (70330) |
$133 |
$265 |
1.4× |
| Xray knee 1 or 2 views rt (73560) |
$95 |
$189 |
1.0× |