| Abdomen 2 views (74019) |
$830.96 |
$830.96 |
7.7× |
| Acute gi blood loss imaging (78278) |
$2,140.56 |
$2,140.56 |
5.2× |
| Angiography extremity bilateral rs&i (75716) |
$8,925.80 |
$8,925.80 |
2.7× |
| Angiography extremity unilateral rs&i (75710) |
$8,530.08 |
$8,530.08 |
2.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,530.08 |
$8,530.08 |
1.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$11,580.40 |
$11,580.40 |
3.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$15,063.36 |
$15,063.36 |
4.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$9,206.08 |
$9,206.08 |
1.6× |
| Ankle 2 views (73600) |
$758.16 |
$758.16 |
8.4× |
| Aortogram thoracic (75605) |
$6,309.68 |
$6,309.68 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$11,121.76 |
$11,121.76 |
3.4× |
| Aortography abdominal serialography rs&i (75625) |
$7,570.16 |
$7,570.16 |
2.3× |
| Arthrogram hip (73525) |
$2,886 |
$2,886 |
8.0× |
| Arthrogram knee (73580) |
$2,406.56 |
$2,406.56 |
6.7× |
| Arthrogram shoulder (73040) |
$1,771.12 |
$1,771.12 |
4.9× |
| Bone &/joint imaging whole body (78306) |
$4,374 |
$4,374 |
10.6× |
| Bone age studies (77072) |
$511.68 |
$511.68 |
4.7× |
| Bone Imaging 3 Phase (78315) |
$3,923.64 |
$3,923.64 |
9.5× |
| Bone Marrow Imaging Limited Area (78102) |
$3,713.04 |
$3,713.04 |
9.0× |
| Bone survey complete (77075) |
$1,568.32 |
$1,568.32 |
14.5× |
| Bone survey infant (77076) |
$1,354.08 |
$1,354.08 |
12.5× |
| Bowel imaging (78290) |
$3,218.40 |
$3,218.40 |
7.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,989.36 |
$1,989.36 |
3.5× |
| Brain Imaging Vascular Flow Only (78610) |
$1,076.76 |
$1,076.76 |
1.9× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$5,137.56 |
$5,137.56 |
12.4× |
| Cervical spine 2 or 3 views (72040) |
$958.88 |
$958.88 |
10.6× |
| Chest 1 view (71045) |
$847.60 |
$847.60 |
9.4× |
| Chest xray 3 views (71047) |
$958.88 |
$958.88 |
10.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$904.80 |
$904.80 |
5.0× |
| Cineradiography/videoradiography (76120) |
$393.12 |
$393.12 |
3.6× |
| Clavicle complete (73000) |
$655.20 |
$655.20 |
7.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,118 |
$1,118 |
10.3× |
| Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Non-Facility (77078) |
$2,864.16 |
$2,864.16 |
31.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,104.24 |
$7,104.24 |
19.7× |
| CT abdomen and pelvis without contrast (74176) |
$4,229.68 |
$4,229.68 |
17.1× |
| CT abdomen w contrast (74160) |
$5,241.60 |
$5,241.60 |
28.9× |
| CT abdomen w wo contrast (74170) |
$5,626.40 |
$5,626.40 |
31.0× |
| CT abdomen w/o contrast (74150) |
$3,693.04 |
$3,693.04 |
34.1× |
| CT angio hrt w/3d image (75574) |
$13,085.28 |
$13,085.28 |
36.3× |
| CT angio lwr extr w/o&w/dye (73706) |
$4,634.76 |
$4,634.76 |
25.5× |
| CT angiography upper extremity lt (73206) |
$5,976.36 |
$5,976.36 |
32.9× |
| CT c-spine w/contrast (72126) |
$6,677.84 |
$6,677.84 |
18.5× |
| CT c-spine w/o contrast (72125) |
$4,499.04 |
$4,499.04 |
41.6× |
| CT cervical spine w&w/o contrast (72127) |
$7,014.80 |
$7,014.80 |
38.7× |
| CT chest w contrast (71260) |
$4,987.84 |
$4,987.84 |
27.5× |
| CT chest w/wo contrast (71270) |
$5,550.48 |
$5,550.48 |
30.6× |
| CT head/brain with contrast (70460) |
$3,947.84 |
$3,947.84 |
21.8× |
| CT head/brain without and with contrast (70470) |
$4,328.48 |
$4,328.48 |
23.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$13,085.28 |
$13,085.28 |
36.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$1,336.40 |
$1,336.40 |
14.8× |
| CT iac w contrast (70481) |
$5,766.80 |
$5,766.80 |
31.8× |
| CT limited/localized follow up study (76380) |
$2,440.88 |
$2,440.88 |
27.1× |
| CT lower ext w/o (73700) |
$4,094.48 |
$4,094.48 |
37.9× |
| CT lower extremity w wo contrast (73702) |
$7,014.80 |
$7,014.80 |
38.7× |
| CT lower extremity w/contrast material (73701) |
$6,677.84 |
$6,677.84 |
36.8× |
| CT lumbar spine w & w/o contrast (72133) |
$7,014.80 |
$7,014.80 |
38.7× |
| CT lumbar spine w/contrast (72132) |
$6,840.08 |
$6,840.08 |
19.0× |
| CT lumbar spine w/o contrast (72131) |
$6,677.84 |
$6,677.84 |
61.7× |
| CT maxillofacial w contrast (70487) |
$4,781.92 |
$4,781.92 |
26.4× |
| CT maxillofacial w/wo contrast (70488) |
$5,362.24 |
$5,362.24 |
29.5× |
| CT maxillofacial wo contrast (70486) |
$4,781.92 |
$4,781.92 |
44.2× |
| CT orbits w/o contrast (70480) |
$4,010.24 |
$4,010.24 |
37.1× |
| CT pelvis w/o contrast (72192) |
$3,867.76 |
$3,867.76 |
35.8× |
| CT pelvis w/wo contrast (72194) |
$6,402.24 |
$6,402.24 |
35.3× |
| CT scan of arm combo (73202) |
$5,729.36 |
$5,729.36 |
31.6× |
| CT soft tissue neck w contrast (70491) |
$5,046.08 |
$5,046.08 |
27.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$6,087.12 |
$6,087.12 |
33.5× |
| CT soft tissue neck w/o contrast (70490) |
$3,836.56 |
$3,836.56 |
35.5× |
| CT thoracic spine w/contrast (72129) |
$6,840.08 |
$6,840.08 |
37.7× |
| CT thoracic spine w/o contrast (72128) |
$6,677.84 |
$6,677.84 |
61.7× |
| CT thoracic spine w/wo contrast (72130) |
$6,377.28 |
$6,377.28 |
35.1× |
| CT thorax w/o contrast (71250) |
$7,817.68 |
$7,817.68 |
72.3× |
| CT upper ext wo (73200) |
$4,094.48 |
$4,094.48 |
37.9× |
| CT upper extremity with contrast (73201) |
$6,203.60 |
$6,203.60 |
17.2× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$3,923.92 |
$3,923.92 |
21.6× |
| Cta Abdomen (74175) |
$3,923.92 |
$3,923.92 |
21.6× |
| CTA abdomen pelvis (74174) |
$1,960.40 |
$1,960.40 |
5.4× |
| CTA chest (71275) |
$12,345.84 |
$12,345.84 |
68.0× |
| Cta Head (70496) |
$3,354 |
$3,354 |
18.5× |
| Cta Neck (70498) |
$3,354 |
$3,354 |
18.5× |
| Cta Pelvis (72191) |
$3,923.92 |
$3,923.92 |
21.6× |
| Cystography minimum 3 views rs&i (74430) |
$2,113.28 |
$2,113.28 |
5.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,518.40 |
$1,518.40 |
14.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$2,664.94 |
$2,664.94 |
24.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,144.52 |
$1,144.52 |
4.6× |
| Esophagus (74220) |
$853.84 |
$853.84 |
4.7× |
| Facial bones min 3 views (70150) |
$1,568.32 |
$1,568.32 |
14.5× |
| Fetal biophysical profile non-stress testing (76818) |
$1,922.02 |
$1,922.02 |
17.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,794.87 |
$1,794.87 |
16.6× |
| Fetal Echo (76825) |
$2,931.82 |
$2,931.82 |
5.2× |
| Fluoroscopy up to 1 hr (76000) |
$1,041.04 |
$1,041.04 |
4.2× |
| Foot 2 views (73620) |
$754 |
$754 |
8.4× |
| Forearm 2 views (73090) |
$1,008.80 |
$1,008.80 |
11.2× |
| Hand 2 views (73120) |
$655.20 |
$655.20 |
6.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,437.48 |
$1,437.48 |
2.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,150.20 |
$1,150.20 |
2.8× |
| Hysterosalpingogram (74740) |
$2,237.04 |
$2,237.04 |
9.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$6,487.56 |
$6,487.56 |
11.5× |
| Knee 3 views (73562) |
$1,255.28 |
$1,255.28 |
13.9× |
| Lymphoscintigraphy (78195) |
$2,014.20 |
$2,014.20 |
3.6× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$7,135.14 |
$7,135.14 |
8.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$7,135.14 |
$7,135.14 |
19.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$7,347.69 |
$7,347.69 |
20.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$65.40 |
$65.40 |
2.2× |
| MRA head w & w/o contrast (70546) |
$10,575.18 |
$10,575.18 |
29.3× |
| MRA head w/o contrast (70544) |
$6,162.86 |
$6,162.86 |
25.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$10,575.18 |
$10,575.18 |
29.3× |
| MRA neck w/o contrast (70547) |
$6,162.86 |
$6,162.86 |
25.0× |
| MRI abdomen w contrast (74182) |
$10,374.62 |
$10,374.62 |
28.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$11,849.39 |
$11,849.39 |
32.8× |
| MRI abdomen w/o contrast (74181) |
$10,812.80 |
$10,812.80 |
43.8× |
| MRI any jt lower extrem w/contrast material (73722) |
$10,051.98 |
$10,051.98 |
12.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$11,821.05 |
$11,821.05 |
32.8× |
| MRI breast w/o contrast bilateral (77047) |
$12,275.58 |
$12,275.58 |
49.7× |
| MRI c-spine with contrast (72142) |
$7,983.16 |
$7,983.16 |
22.1× |
| MRI cervical spine w/o contrast (72141) |
$7,717.20 |
$7,717.20 |
31.3× |
| MRI chest w/o & w/contrast material (71552) |
$11,753.47 |
$11,753.47 |
32.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$10,051.98 |
$10,051.98 |
27.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$10,502.15 |
$10,502.15 |
29.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$8,755.97 |
$8,755.97 |
35.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$7,135.14 |
$7,135.14 |
28.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$11,821.05 |
$11,821.05 |
32.8× |
| MRI pelvis w/contrast (72196) |
$6,598.86 |
$6,598.86 |
18.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$11,849.39 |
$11,849.39 |
32.8× |
| MRI pelvis w/o contrast (72195) |
$6,598.86 |
$6,598.86 |
26.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$12,324.63 |
$12,324.63 |
34.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,983.16 |
$7,983.16 |
22.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$12,324.63 |
$12,324.63 |
34.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$7,983.16 |
$7,983.16 |
22.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$12,324.63 |
$12,324.63 |
34.1× |
| MRI temporomandibular joint (70336) |
$7,347.69 |
$7,347.69 |
29.8× |
| MRI thoracic spine w/o contrast (72146) |
$7,717.20 |
$7,717.20 |
31.3× |
| MRI up ext w/o contrast (73218) |
$6,486.59 |
$6,486.59 |
26.3× |
| MRI upper ext joint w/o contrast (73221) |
$7,347.69 |
$7,347.69 |
29.8× |
| MRI, joint upper extrem combo (73223) |
$11,821.05 |
$11,821.05 |
32.8× |
| Myocardial Spect Multiple Studies (78452) |
$4,597.56 |
$4,597.56 |
3.4× |
| Myocardial spect single study at rest or stress (78451) |
$4,597.56 |
$4,597.56 |
3.4× |
| Neck soft tissue (70360) |
$766.48 |
$766.48 |
8.5× |
| Nm bone marrow multi (78103) |
$4,417.20 |
$4,417.20 |
10.7× |
| Nm gastric emptying study (78264) |
$3,462.48 |
$3,462.48 |
8.4× |
| Nm kidney scan w/flow (78701) |
$3,186 |
$3,186 |
7.7× |
| Nonvascular shunt X-ray (75809) |
$1,623.44 |
$1,623.44 |
15.0× |
| Ob us nuchal meas 1 gest (76813) |
$882.96 |
$882.96 |
8.2× |
| Osseous survey limited (77074) |
$1,203.28 |
$1,203.28 |
11.1× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,913.84 |
$2,913.84 |
7.0× |
| Pelvis 1 or 2 views (72170) |
$1,026.48 |
$1,026.48 |
9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,213 |
$3,213 |
7.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,004.40 |
$1,004.40 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,936.48 |
$1,936.48 |
3.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,008.80 |
$1,008.80 |
11.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$698.88 |
$698.88 |
7.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$853.84 |
$853.84 |
9.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,614.08 |
$1,614.08 |
17.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,614.08 |
$1,614.08 |
14.9× |
| Radex fingr minimum 2 views (73140) |
$576.16 |
$576.16 |
6.4× |
| Radex Foot Compl Minimum 3 Views (73630) |
$990.08 |
$990.08 |
11.0× |
| Radex Hand Minimum 3 Views (73130) |
$754 |
$754 |
8.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$602.16 |
$602.16 |
6.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$602.16 |
$602.16 |
5.6× |
| Radex Humerus Minimum 2 Views (73060) |
$511.68 |
$511.68 |
5.7× |
| Radex Kne 1/2 Views (73560) |
$821.60 |
$821.60 |
9.1× |
| Radex Kne Compl 4/More Views (73564) |
$1,465.36 |
$1,465.36 |
13.5× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$1,505.92 |
$1,505.92 |
13.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$867.36 |
$867.36 |
9.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$1,055.60 |
$1,055.60 |
9.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,115.92 |
$1,115.92 |
12.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$950.56 |
$950.56 |
10.6× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$550.16 |
$550.16 |
5.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,291.68 |
$1,291.68 |
14.3× |
| Radex Toe Minimum 2 Views (73660) |
$576.16 |
$576.16 |
6.4× |
| Radex upper extremity infant minimum 2 views (73092) |
$736.32 |
$736.32 |
6.8× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$687.44 |
$687.44 |
7.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,104.48 |
$1,104.48 |
12.3× |
| Radiologic exam chest 2 views (71046) |
$933.92 |
$933.92 |
10.4× |
| Radiologic exam colon single contrast study (74270) |
$1,130.48 |
$1,130.48 |
6.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,432.08 |
$1,432.08 |
7.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,134.08 |
$2,134.08 |
11.8× |
| Radiologic examination femur 1 view (73551) |
$602.16 |
$602.16 |
6.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,291.68 |
$1,291.68 |
14.3× |
| Radiological examination surgical specimen (76098) |
$1,428.96 |
$1,428.96 |
2.5× |
| Ribs bilateral 3 views (71110) |
$1,021.28 |
$1,021.28 |
9.4× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$2,125.44 |
$2,125.44 |
5.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,490.48 |
$2,490.48 |
4.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,987.44 |
$4,987.44 |
8.9× |
| Sacroiliac Joints < 3 Views (72200) |
$655.20 |
$655.20 |
6.1× |
| Scapula (73010) |
$676 |
$676 |
6.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$59.28 |
$59.28 |
2.5× |
| Shoulder 1 view (73020) |
$461.76 |
$461.76 |
5.1× |
| Small bowel series (74250) |
$853.84 |
$853.84 |
4.7× |
| Spine thoracic 3 views (72072) |
$754 |
$754 |
7.0× |
| Thoracolumbar 2 views (72080) |
$550.16 |
$550.16 |
6.1× |
| Thyroid uptake measurement (78012) |
$3,463.56 |
$3,463.56 |
8.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,351.32 |
$4,351.32 |
10.5× |
| Tmj unilateral (70328) |
$445.12 |
$445.12 |
4.9× |
| Ultrasound breast complete (76641) |
$993.20 |
$993.20 |
9.2× |
| Ultrasound Exam Aaa Screen (76706) |
$1,452.88 |
$1,452.88 |
13.4× |
| Ultrasound, abdomen limited (76705) |
$2,010.32 |
$2,010.32 |
18.6× |
| Umbilical-artery Doppler (OB) (76820) |
$2,664.94 |
$2,664.94 |
24.6× |
| Urethrocystogram voiding (74455) |
$1,465.36 |
$1,465.36 |
5.9× |
| Urethrocystography retrograde rs&i (74450) |
$2,062.32 |
$2,062.32 |
8.4× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$2,240.16 |
$2,240.16 |
12.3× |
| Us breast unilateral limited (76642) |
$993.20 |
$993.20 |
11.0× |
| Us chest (76604) |
$1,832.48 |
$1,832.48 |
16.9× |
| Us compl joint r-t w/image documentation (76881) |
$1,552.72 |
$1,552.72 |
14.4× |
| Us encephalogram (76506) |
$2,262 |
$2,262 |
20.9× |
| Us infant hips w manipulation (76885) |
$1,894.88 |
$1,894.88 |
21.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,552.72 |
$1,552.72 |
14.4× |
| Us ob detailed single fetus (76811) |
$2,955.98 |
$2,955.98 |
12.0× |
| Us ob limited (76815) |
$1,604.10 |
$1,604.10 |
14.8× |
| Us ob transvaginal (76817) |
$1,379.07 |
$1,379.07 |
12.8× |
| Us pelvic non ob complete (76856) |
$1,812.72 |
$1,812.72 |
16.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,226.16 |
$1,226.16 |
11.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$2,048.33 |
$2,048.33 |
18.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,134.36 |
$1,134.36 |
10.5× |
| Us retroperitoneal complete (76770) |
$2,080 |
$2,080 |
19.2× |
| Us retroperitoneal limited (76775) |
$1,316.64 |
$1,316.64 |
12.2× |
| Us scrotum and contents (76870) |
$1,985.36 |
$1,985.36 |
18.4× |
| Us soft tissue head/neck (76536) |
$1,525.68 |
$1,525.68 |
14.1× |
| Us spinal canal and contents (76800) |
$2,010.32 |
$2,010.32 |
18.6× |
| Us transrectal (76872) |
$2,600 |
$2,600 |
24.0× |
| Us,transplanted kidney, real time/ doppler (76776) |
$1,176.24 |
$1,176.24 |
10.9× |
| Venogram Extremity Unilateral (75820) |
$3,625.44 |
$3,625.44 |
2.2× |
| Venography caval inferior serialography rs&i (75825) |
$8,064.16 |
$8,064.16 |
2.5× |
| Venography caval superior serialography rs&i (75827) |
$8,018.92 |
$8,018.92 |
4.9× |
| Wrist 2 views (73100) |
$576.16 |
$576.16 |
6.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,363.44 |
$1,363.44 |
12.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$921.44 |
$921.44 |
10.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,465.36 |
$1,465.36 |
8.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$655.20 |
$655.20 |
7.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$602.16 |
$602.16 |
6.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$602.16 |
$602.16 |
5.6× |
| X-ray exam of femur 2/> (73552) |
$602.16 |
$602.16 |
6.7× |
| X-ray eye for foreign body (70030) |
$1,374.88 |
$1,374.88 |
15.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$698.88 |
$698.88 |
7.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,130.48 |
$1,130.48 |
12.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,212.64 |
$1,212.64 |
13.5× |
| X-ray leg, infant (73592) |
$636.48 |
$636.48 |
7.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$915.20 |
$915.20 |
8.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,363.44 |
$1,363.44 |
12.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,317.68 |
$1,317.68 |
12.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$941.20 |
$941.20 |
10.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,161.68 |
$1,161.68 |
10.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,363.44 |
$1,363.44 |
12.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$821.60 |
$821.60 |
7.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$687.44 |
$687.44 |
7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,556.88 |
$1,556.88 |
17.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,574.56 |
$1,574.56 |
14.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,093.04 |
$1,093.04 |
10.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$795.60 |
$795.60 |
8.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$821.60 |
$821.60 |
9.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$990.08 |
$990.08 |
11.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$821.60 |
$821.60 |
7.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$2,205.84 |
$2,205.84 |
20.4× |
| Xr c-spine 4 or 5 views (72050) |
$950.56 |
$950.56 |
8.8× |
| Xr c-spine 6 or more views (72052) |
$1,026.48 |
$1,026.48 |
9.5× |
| Xr chest 4+ views (71048) |
$921.44 |
$921.44 |
8.5× |