| Abdomen 2 views (74019) |
$581.84 |
$1,454.60 |
5.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,539.50 |
$3,848.74 |
4.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$679.14 |
$1,697.83 |
2.1× |
| Arthrogram elbow (73085) |
$583.76 |
$1,459.38 |
1.8× |
| Arthrogram hip (73525) |
$583.76 |
$1,459.38 |
1.8× |
| Arthrogram shoulder (73040) |
$583.76 |
$1,459.38 |
1.8× |
| Arthrogram wrist (73115) |
$583.76 |
$1,459.38 |
1.8× |
| Arthrography knee lt (73580) |
$583.76 |
$1,459.38 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,129.34 |
$2,823.36 |
3.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,363.35 |
$3,408.38 |
3.6× |
| Bone &/joint imaging whole body (78306) |
$1,783.04 |
$4,457.62 |
4.8× |
| Bone age studies (77072) |
$438.12 |
$1,095.32 |
4.5× |
| Bone Imaging 3 Phase (78315) |
$1,759.51 |
$4,398.78 |
4.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,745.15 |
$6,862.87 |
8.4× |
| Cervical spine 2 or 3 views (72040) |
$609.82 |
$1,524.56 |
7.5× |
| Chest 1 view (71045) |
$423.51 |
$1,058.78 |
5.2× |
| Chest 3 views (71047) |
$458.48 |
$1,146.18 |
5.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$469.92 |
$1,174.81 |
2.9× |
| Clavicle complete (73000) |
$416.52 |
$1,041.29 |
5.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$895.97 |
$2,239.92 |
9.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,151.36 |
$12,878.40 |
15.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,121.60 |
$7,803.98 |
13.9× |
| CT abdomen w contrast (74160) |
$2,121.33 |
$5,303.34 |
12.9× |
| CT abdomen w wo contrast (74170) |
$2,641.50 |
$6,603.74 |
16.0× |
| CT abdomen w/o contrast (74150) |
$1,704.83 |
$4,262.08 |
17.4× |
| CT angiography upper extremity lt (73206) |
$1,601.18 |
$4,002.94 |
9.7× |
| CT c-spine w/o contrast (72125) |
$1,841.54 |
$4,603.86 |
18.8× |
| CT cervical spine w&w/o contrast (72127) |
$2,372.52 |
$5,931.28 |
14.4× |
| CT cervical spine with contrast (72126) |
$2,077.46 |
$5,193.65 |
6.3× |
| CT chest w/wo contrast (71270) |
$2,463.85 |
$6,159.63 |
15.0× |
| CT chest with contrast (71260) |
$1,941.76 |
$4,854.39 |
11.8× |
| CT head/brain with contrast (70460) |
$2,539.12 |
$6,347.79 |
15.4× |
| CT head/brain without and with contrast (70470) |
$3,070.08 |
$7,675.21 |
18.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$50 |
$125 |
0.6× |
| CT iac w contrast (70481) |
$1,451.72 |
$3,629.29 |
8.8× |
| CT limited/localized follow up study (76380) |
$2,672.66 |
$6,681.64 |
32.7× |
| CT lower ext w/o (73700) |
$1,768.42 |
$4,421.05 |
18.0× |
| CT lower extremity w wo contrast (73702) |
$2,372.52 |
$5,931.28 |
14.4× |
| CT lower extremity with contrast (73701) |
$2,077.46 |
$5,193.65 |
12.6× |
| CT lumbar spine w & w/o contrast (72133) |
$2,459.64 |
$6,149.10 |
14.9× |
| CT lumbar spine w/o contrast (72131) |
$1,861.26 |
$4,653.14 |
19.0× |
| CT lumbar spine with contrast (72132) |
$2,083.18 |
$5,207.94 |
6.4× |
| CT maxillofacial w contrast (70487) |
$1,560.22 |
$3,900.55 |
9.5× |
| CT maxillofacial w/o contrast (70486) |
$1,344.20 |
$3,360.49 |
13.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,848.04 |
$4,620.10 |
11.2× |
| CT neck soft tissue w contrast (70491) |
$1,813.56 |
$4,533.92 |
11.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,788.19 |
$4,470.47 |
10.9× |
| CT orbits w/o contrast (70480) |
$1,322.29 |
$3,305.73 |
13.5× |
| CT pelvis w & w/o contrast (72194) |
$2,514.96 |
$6,287.40 |
15.3× |
| CT pelvis w/o contrast (72192) |
$1,419.31 |
$3,548.28 |
14.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,181.75 |
$5,454.36 |
13.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,523.60 |
$3,809 |
15.5× |
| CT thoracic spine w/contrast (72129) |
$2,100.99 |
$5,252.48 |
12.8× |
| CT thoracic spine w/o contrast (72128) |
$1,887.33 |
$4,718.33 |
19.2× |
| CT thoracic spine w/wo contrast (72130) |
$2,404.94 |
$6,012.36 |
14.6× |
| CT thorax w/o contrast (71250) |
$1,714.17 |
$4,285.42 |
17.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,372.52 |
$5,931.28 |
14.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,768.42 |
$4,421.05 |
18.0× |
| CT upper extremity with contrast (73201) |
$2,077.46 |
$5,193.65 |
6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,521.32 |
$6,303.28 |
15.3× |
| Cta Abdomen (74175) |
$1,818.02 |
$4,545.05 |
11.0× |
| CTA abdomen pelvis (74174) |
$3,634.76 |
$9,086.90 |
11.1× |
| CTA chest (71275) |
$2,635.77 |
$6,589.42 |
16.0× |
| Cta Head (70496) |
$1,623.70 |
$4,059.24 |
9.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,601.18 |
$4,002.94 |
9.7× |
| Cta Neck (70498) |
$1,556.66 |
$3,891.66 |
9.5× |
| Cta Pelvis (72191) |
$1,817.38 |
$4,543.46 |
11.0× |
| Cystography minimum 3 views rs&i (74430) |
$482 |
$1,205.02 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$707.75 |
$1,769.38 |
7.2× |
| Echoencephalography real time imaging (76506) |
$458.48 |
$1,146.18 |
4.7× |
| Esophagus (74220) |
$659.42 |
$1,648.54 |
4.0× |
| Fetal biophysical profile non-stress testing (76818) |
$773.88 |
$1,934.70 |
7.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$505.54 |
$1,263.84 |
5.2× |
| Fluoroscopy up to 1 hr (76000) |
$764.98 |
$1,912.46 |
3.4× |
| Forearm 2 views (73090) |
$411.96 |
$1,029.91 |
5.0× |
| Gated Heart Planar Single (78472) |
$1,617.71 |
$4,044.28 |
4.3× |
| Hand 3 views (73130) |
$396.16 |
$990.40 |
4.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,289.21 |
$5,723.02 |
4.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,789.40 |
$4,473.51 |
4.8× |
| Ht muscle image spect sing (78451) |
$3,326.36 |
$8,315.89 |
2.7× |
| Humerus Min 2 Views Left (73060) |
$282.34 |
$705.84 |
3.5× |
| Hysterosalpingogram (74740) |
$458.48 |
$1,146.18 |
2.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$231.47 |
$578.67 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$623.18 |
$1,557.93 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$774.52 |
$1,936.30 |
1.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,376.70 |
$3,441.76 |
2.7× |
| Knee 3 views (73562) |
$424.14 |
$1,060.34 |
5.2× |
| Liver & spleen imaging static only (78215) |
$1,475.90 |
$3,689.77 |
3.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$942.40 |
$2,356 |
2.5× |
| Lung perf&ventilat diferentl (78598) |
$1,531.23 |
$3,828.08 |
3.0× |
| Lung perfusion differential (78597) |
$923.95 |
$2,309.88 |
2.5× |
| Lymphoscintigraphy (78195) |
$1,412.32 |
$3,530.80 |
2.8× |
| Mammary ductogram or galactogram multiple (77054) |
$944.30 |
$2,360.75 |
4.2× |
| Mammary ductogram or galactogram single (77053) |
$375.18 |
$937.95 |
1.7× |
| Meckels Diverticulum (78290) |
$1,236.81 |
$3,092.02 |
3.3× |
| MRA head w & w/o contrast (70546) |
$3,940.62 |
$9,851.56 |
12.0× |
| MRA head w/o contrast (70544) |
$3,582.62 |
$8,956.55 |
16.0× |
| MRA head with contrast (70545) |
$3,757.48 |
$9,393.72 |
11.5× |
| MRA neck w contrast (70548) |
$2,466 |
$6,164.99 |
7.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,777.58 |
$6,943.94 |
8.5× |
| MRA neck w/o contrast (70547) |
$2,154.40 |
$5,386 |
9.6× |
| MRI abdomen w contrast (74182) |
$2,124.52 |
$5,311.28 |
6.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,989.33 |
$7,473.32 |
9.1× |
| MRI abdomen w/o contrast (74181) |
$2,576 |
$6,440 |
11.5× |
| MRI any jnt lwr ext with con lt (73722) |
$2,247.18 |
$5,617.94 |
3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,600.16 |
$6,500.40 |
3.5× |
| MRI bone marrow blood supply (77084) |
$1,557.94 |
$3,894.85 |
7.0× |
| MRI breast w/o contrast bilateral (77047) |
$2,816.36 |
$7,040.92 |
12.6× |
| MRI breast w/o contrast unilat (77046) |
$2,937.64 |
$7,344.11 |
13.1× |
| MRI c-spine with contrast (72142) |
$1,826.92 |
$4,567.30 |
5.6× |
| MRI cardiac w/o contrast (75557) |
$2,125.79 |
$5,314.48 |
9.5× |
| MRI cervical spine w/o contrast (72141) |
$4,144.11 |
$10,360.28 |
18.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,410.67 |
$6,026.68 |
7.4× |
| MRI chest w/o contrast (71550) |
$1,958.18 |
$4,895.46 |
8.7× |
| MRI chest with contrast (71551) |
$2,114.34 |
$5,285.86 |
2.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,061.63 |
$5,154.07 |
6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,288.58 |
$5,721.45 |
7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,916.84 |
$7,292.10 |
13.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,119.69 |
$7,799.22 |
13.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,301.18 |
$10,752.94 |
13.1× |
| MRI orbit/face/neck w/contrast (70542) |
$2,443.74 |
$6,109.34 |
7.5× |
| MRI pelvis w contrast (72196) |
$2,367.42 |
$5,918.56 |
7.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,957.54 |
$7,393.84 |
9.0× |
| MRI pelvis w/o contrast (72195) |
$2,663.12 |
$6,657.79 |
11.9× |
| MRI scan of arm joint before and after contrast (73223) |
$3,818.54 |
$9,546.34 |
11.7× |
| MRI scan of leg joint before and after contrast (73723) |
$3,360.05 |
$8,400.13 |
10.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,757.48 |
$9,393.72 |
11.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,717.05 |
$11,792.62 |
14.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,336.79 |
$10,841.97 |
13.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,882.50 |
$7,206.24 |
8.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,199.06 |
$12,997.64 |
15.9× |
| MRI thoracic spine w/o contrast (72146) |
$3,582.62 |
$8,956.55 |
16.0× |
| MRI tmj (70336) |
$2,626.24 |
$6,565.60 |
11.7× |
| MRI upper ext joint w/o contrast (73221) |
$3,277.39 |
$8,193.48 |
14.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,154.40 |
$5,386 |
6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,277.39 |
$8,193.48 |
14.6× |
| Myelogram Cervical (72240) |
$512.53 |
$1,281.32 |
0.7× |
| Myelogram Lumbar (72265) |
$1,047.94 |
$2,619.86 |
1.4× |
| Myelogram thoracic (72255) |
$500.45 |
$1,251.12 |
0.7× |
| Myocardial Spect Multiple Studies (78452) |
$4,128.85 |
$10,322.12 |
3.4× |
| Neck soft tissue (70360) |
$286.79 |
$716.98 |
3.5× |
| Nm adrenal scan (78075) |
$1,163.04 |
$2,907.62 |
1.0× |
| Nm gastric emptying study (78264) |
$1,368.44 |
$3,421.10 |
3.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$3,129.86 |
$7,824.66 |
2.6× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,706.36 |
$6,765.90 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$513.17 |
$1,282.92 |
5.2× |
| Osseous survey infant (77076) |
$953.84 |
$2,384.60 |
9.7× |
| Osseous survey limited (77074) |
$916.32 |
$2,290.80 |
9.3× |
| Parathyroid imaging (78070) |
$1,382.43 |
$3,456.08 |
3.7× |
| Pelvis 1 or 2 views (72170) |
$416.52 |
$1,041.29 |
4.2× |
| PET image w/CT, skull-thigh (78815) |
$2,974.71 |
$7,436.78 |
2.2× |
| PET imaging CT for attenuation limited area (78814) |
$2,974.71 |
$7,436.78 |
2.2× |
| PET imaging for CT attenuation whole body (78816) |
$2,974.71 |
$7,436.78 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,506.08 |
$8,765.19 |
10.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$275.98 |
$689.95 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$363.10 |
$907.74 |
4.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$424.14 |
$1,060.34 |
4.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$464.40 |
$1,161 |
4.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$467.38 |
$1,168.46 |
4.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$578.66 |
$1,446.66 |
5.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$621.91 |
$1,554.77 |
7.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$686.12 |
$1,715.32 |
7.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$458.48 |
$1,146.18 |
5.6× |
| Radiologic exam colon single contrast study (74270) |
$1,020.61 |
$2,551.52 |
6.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$933.23 |
$2,333.08 |
5.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$979.09 |
$2,447.72 |
5.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$312.86 |
$782.14 |
3.8× |
| Radiological examination surgical specimen (76098) |
$253.72 |
$634.30 |
0.5× |
| Ribs bilateral 3 views (71110) |
$513.17 |
$1,282.92 |
5.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,511.54 |
$3,778.84 |
3.0× |
| Sacroiliac Joints < 3 Views (72200) |
$397.44 |
$993.58 |
4.1× |
| Scanogram (77073) |
$349.10 |
$872.76 |
3.6× |
| Scapula complete (73010) |
$220.02 |
$550.06 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$51.88 |
$129.70 |
2.2× |
| Sella turcica (70240) |
$225.74 |
$564.36 |
2.8× |
| Sialogram (70390) |
$311.60 |
$778.98 |
1.4× |
| Small bowel series (74250) |
$621.91 |
$1,554.77 |
3.8× |
| Thoracolumbar 2 views (72080) |
$413.96 |
$1,034.92 |
5.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$451.48 |
$1,128.72 |
1.2× |
| Thyroid uptake measurement (78012) |
$1,166.23 |
$2,915.58 |
3.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$805.68 |
$2,014.18 |
2.1× |
| Tomogram (76100) |
$994.54 |
$2,486.35 |
10.1× |
| Ultrasound, abdomen limited (76705) |
$506.74 |
$1,266.86 |
5.2× |
| Upper Extremity Infant (73092) |
$277.88 |
$694.70 |
2.8× |
| Urethrocystography retrograde rs&i (74450) |
$778.34 |
$1,945.84 |
3.5× |
| Urethrocystography voiding (74455) |
$915.68 |
$2,289.21 |
4.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$296.33 |
$740.82 |
1.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$913.14 |
$2,282.86 |
5.5× |
| Us breast unilateral complete (76641) |
$1,000.39 |
$2,500.97 |
10.2× |
| Us breast unilateral limited (76642) |
$415.22 |
$1,038.04 |
5.1× |
| Us chest (76604) |
$804.56 |
$2,011.39 |
8.2× |
| Us compl joint r-t w/image documentation (76881) |
$696.30 |
$1,740.76 |
7.1× |
| Us infant hips dynamic (76885) |
$531.60 |
$1,329.01 |
6.5× |
| Us ob detailed single fetus (76811) |
$520.16 |
$1,300.41 |
2.3× |
| Us ob transvaginal (76817) |
$520.16 |
$1,300.41 |
5.3× |
| Us pelvic non ob complete (76856) |
$839.71 |
$2,099.27 |
8.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$397.44 |
$993.58 |
4.1× |
| Us pregnancy ltd (76815) |
$617.51 |
$1,543.78 |
6.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$740.18 |
$1,850.46 |
7.5× |
| Us retroperitoneal complete (76770) |
$513.38 |
$1,283.44 |
5.2× |
| Us retroperitoneal limited (76775) |
$492.18 |
$1,230.46 |
5.0× |
| Us scrotum and contents (76870) |
$1,032.72 |
$2,581.80 |
10.5× |
| Us soft tissue head/neck (76536) |
$614.29 |
$1,535.73 |
6.3× |
| Us spinal canal and contents (76800) |
$693.13 |
$1,732.82 |
7.1× |
| Us transrectal (76872) |
$815.85 |
$2,039.63 |
8.3× |
| Us xtr non-vasc lmtd (76882) |
$488.37 |
$1,220.92 |
5.0× |
| Venogram extremity bilateral (75822) |
$1,236.81 |
$3,092.02 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,588.72 |
$6,471.79 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$679.14 |
$1,697.83 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$1,016.16 |
$2,540.40 |
0.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$711.56 |
$1,778.92 |
7.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$353.56 |
$883.89 |
4.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$471.84 |
$1,179.60 |
5.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,299.12 |
$3,247.82 |
7.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$482 |
$1,205.02 |
5.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$578.66 |
$1,446.66 |
5.9× |
| X-ray exam hip uni 1 view (73501) |
$118.91 |
$297.28 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$260.08 |
$650.19 |
3.2× |
| X-ray exam hip uni 4/> views (73503) |
$260.08 |
$650.19 |
2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$616.18 |
$1,540.44 |
6.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$616.18 |
$1,540.44 |
6.3× |
| X-ray exam of femur 1 (73551) |
$312.86 |
$782.14 |
3.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,023.14 |
$2,557.86 |
6.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$678.50 |
$1,696.24 |
6.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$347.20 |
$868.01 |
4.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,556.66 |
$3,891.66 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$365 |
$912.50 |
4.5× |
| X-ray IV pyelogram+drip infusn (74410) |
$913.14 |
$2,282.86 |
5.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$362.46 |
$906.15 |
4.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$578.66 |
$1,446.66 |
7.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$270.90 |
$677.24 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$474.38 |
$1,185.95 |
4.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,134.43 |
$2,836.08 |
11.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$403.16 |
$1,007.89 |
4.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$392.98 |
$982.46 |
4.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$277.24 |
$693.12 |
3.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$413.96 |
$1,034.92 |
4.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$661.96 |
$1,654.90 |
6.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$265.80 |
$664.52 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$513.17 |
$1,282.92 |
5.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$353.56 |
$883.89 |
4.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$365 |
$912.50 |
4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$609.18 |
$1,522.96 |
7.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$485.82 |
$1,214.56 |
6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$556.40 |
$1,391.01 |
5.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$500.45 |
$1,251.12 |
5.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$374.09 |
$935.22 |
4.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$242.28 |
$605.69 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$375.18 |
$937.95 |
4.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$413.96 |
$1,034.92 |
4.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$291.24 |
$728.10 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$448.94 |
$1,122.35 |
5.5× |
| Xr arthrogram ankle (73615) |
$583.76 |
$1,459.38 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$795.50 |
$1,988.76 |
8.1× |
| Xr chest 4+ views (71048) |
$442.58 |
$1,106.46 |
4.5× |
| Xr Cholecystography Oral Contrast (74290) |
$1,047.32 |
$2,618.30 |
6.4× |
| Xr finger(s) 2+ views (73140) |
$369.45 |
$923.64 |
4.5× |
| Xr optic foramina (70190) |
$326.85 |
$817.12 |
4.0× |
| Xr shoulder 1 view (73020) |
$270.90 |
$677.24 |
3.3× |
| Xr spine cervical 4 or 5 views (72050) |
$795.50 |
$1,988.76 |
8.1× |
| Xr tibia/fibula 2 views (73590) |
$375.18 |
$937.95 |
4.6× |
| Xr tmj bilateral (70330) |
$469.92 |
$1,174.81 |
5.8× |
| Xray knee 1 or 2 views rt (73560) |
$363.10 |
$907.74 |
4.4× |