| Abdomen 2 views (74019) |
$490.88 |
$892.50 |
4.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,918.81 |
$3,488.75 |
5.0× |
| Angiography extremity bilateral rs&i (75716) |
$6,124.25 |
$11,135 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,062.12 |
$5,567.50 |
1.0× |
| Angiography internal mammary rs&i (75756) |
$3,701.20 |
$6,729.45 |
1.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$12,441.34 |
$22,620.62 |
2.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,817.34 |
$10,576.98 |
1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,908.78 |
$5,288.70 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,169.60 |
$11,217.45 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,701.20 |
$6,729.45 |
1.2× |
| Ankle 2 views (73600) |
$578.60 |
$1,052 |
6.9× |
| Aortogram thoracic (75605) |
$12,441.34 |
$22,620.62 |
2.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,623.12 |
$6,587.50 |
1.2× |
| Aortography abdominal serialography rs&i (75625) |
$3,506.25 |
$6,375 |
1.2× |
| Arthrogram elbow (73085) |
$3,727.61 |
$6,777.48 |
11.1× |
| Arthrogram hip (73525) |
$3,727.61 |
$6,777.48 |
11.1× |
| Arthrogram shoulder (73040) |
$3,727.61 |
$6,777.48 |
11.1× |
| Arthrogram wrist (73115) |
$1,127.50 |
$2,050 |
3.4× |
| Arthrography knee lt (73580) |
$1,127.50 |
$2,050 |
3.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,918.81 |
$3,488.75 |
5.0× |
| Bone &/joint imaging whole body (78306) |
$1,918.81 |
$3,488.75 |
5.0× |
| Bone age studies (77072) |
$275.55 |
$501 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$1,918.81 |
$3,488.75 |
5.0× |
| Bone survey complete (77075) |
$1,132.66 |
$2,059.38 |
11.3× |
| Brain image w/flow 4 + views (78606) |
$2,487.92 |
$4,523.50 |
4.8× |
| Cervical spine 2 or 3 views (72040) |
$582.07 |
$1,058.31 |
7.0× |
| Chest 1 view (71045) |
$501.07 |
$911.04 |
6.0× |
| Chest 3 views (71047) |
$508.82 |
$925.13 |
6.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$605.65 |
$1,101.18 |
3.6× |
| Cineradiography/videoradiography (76120) |
$321.64 |
$584.80 |
3.2× |
| Clavicle complete (73000) |
$578.57 |
$1,051.94 |
6.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,421.20 |
$2,584 |
14.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,006.80 |
$16,376 |
26.8× |
| CT abdomen and pelvis without contrast (74176) |
$6,299.70 |
$11,454 |
27.5× |
| CT abdomen w contrast (74160) |
$3,934.15 |
$7,153 |
23.3× |
| CT abdomen w wo contrast (74170) |
$4,496.25 |
$8,175 |
26.7× |
| CT abdomen w/o contrast (74150) |
$3,716.90 |
$6,758 |
37.0× |
| CT angiography upper extremity lt (73206) |
$2,814.35 |
$5,117 |
16.7× |
| CT c-spine w/o contrast (72125) |
$3,477.73 |
$6,323.15 |
34.6× |
| CT cervical spine w&w/o contrast (72127) |
$3,737.66 |
$6,795.75 |
22.2× |
| CT cervical spine with contrast (72126) |
$3,506.25 |
$6,375 |
10.4× |
| CT chest w/wo contrast (71270) |
$4,397.25 |
$7,995 |
26.1× |
| CT chest with contrast (71260) |
$4,242.70 |
$7,714 |
25.1× |
| CT head/brain with contrast (70460) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT head/brain without and with contrast (70470) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT iac w contrast (70481) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT lower ext w/o (73700) |
$4,117.85 |
$7,487 |
41.0× |
| CT lower extremity w wo contrast (73702) |
$4,459.95 |
$8,109 |
26.4× |
| CT lower extremity with contrast (73701) |
$4,143.15 |
$7,533 |
24.6× |
| CT lumbar spine w & w/o contrast (72133) |
$4,397.25 |
$7,995 |
26.1× |
| CT lumbar spine w/o contrast (72131) |
$4,180.55 |
$7,601 |
41.6× |
| CT lumbar spine with contrast (72132) |
$4,180.55 |
$7,601 |
12.5× |
| CT maxillofacial w contrast (70487) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT maxillofacial w/o contrast (70486) |
$2,424.81 |
$4,408.74 |
24.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT neck soft tissue w contrast (70491) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT orbits w/o contrast (70480) |
$2,424.81 |
$4,408.74 |
24.1× |
| CT pelvis w & w/o contrast (72194) |
$3,715.25 |
$6,755 |
22.0× |
| CT pelvis w/o contrast (72192) |
$3,535.95 |
$6,429 |
35.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,949.11 |
$5,362.01 |
17.5× |
| CT soft tissue neck w/o contrast (70490) |
$2,949.11 |
$5,362.01 |
29.3× |
| CT thoracic spine w/contrast (72129) |
$3,816.45 |
$6,939 |
22.6× |
| CT thoracic spine w/o contrast (72128) |
$3,768.05 |
$6,851 |
37.5× |
| CT thoracic spine w/wo contrast (72130) |
$4,461.05 |
$8,111 |
26.4× |
| CT thorax w/o contrast (71250) |
$4,138.20 |
$7,524 |
41.2× |
| CT unlisted procedure (76497) |
$632.50 |
$1,150 |
7.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,855.40 |
$8,828 |
28.8× |
| CT upper extremity w/o contrast rt (73200) |
$4,054.05 |
$7,371 |
40.3× |
| CT upper extremity with contrast (73201) |
$4,263.05 |
$7,751 |
12.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,221.80 |
$7,676 |
25.0× |
| Cta Abdomen (74175) |
$3,915.45 |
$7,119 |
23.2× |
| CTA abdomen pelvis (74174) |
$5,462.60 |
$9,932 |
16.3× |
| CTA chest (71275) |
$3,469.54 |
$6,308.25 |
20.6× |
| Cta Head (70496) |
$2,949.11 |
$5,362.01 |
17.5× |
| CTA lwr ext w&w/o contrast (73706) |
$3,469.54 |
$6,308.25 |
20.6× |
| Cta Neck (70498) |
$2,949.11 |
$5,362.01 |
17.5× |
| Cta Pelvis (72191) |
$1,323.30 |
$2,406 |
7.8× |
| Cystography minimum 3 views rs&i (74430) |
$2,064.36 |
$3,753.39 |
6.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$554.40 |
$1,008 |
5.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$652.02 |
$1,185.50 |
6.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$519.75 |
$945 |
6.2× |
| Echoencephalography real time imaging (76506) |
$1,141.11 |
$2,074.75 |
11.3× |
| Esophagus (74220) |
$2,064.36 |
$3,753.39 |
12.2× |
| Fetal biophysical profile non-stress testing (76818) |
$467.50 |
$850 |
4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$412.50 |
$750 |
4.1× |
| Fluoroscopy up to 1 hr (76000) |
$898.07 |
$1,632.85 |
3.9× |
| Foot 2 views (73620) |
$579.70 |
$1,054 |
6.9× |
| Forearm 2 views (73090) |
$484.37 |
$880.68 |
5.8× |
| Gated Heart Planar Single (78472) |
$1,918.81 |
$3,488.75 |
5.0× |
| Hand 2 views (73120) |
$467.50 |
$850 |
4.6× |
| Hand 3 views (73130) |
$581.35 |
$1,057 |
6.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,088.94 |
$5,616.25 |
5.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,918.81 |
$3,488.75 |
5.0× |
| Ht muscle image spect sing (78451) |
$6,603.99 |
$12,007.25 |
5.3× |
| Humerus Min 2 Views Left (73060) |
$578.92 |
$1,052.59 |
6.9× |
| Hysterosalpingogram (74740) |
$1,854.69 |
$3,372.16 |
8.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$169.95 |
$309 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,386.55 |
$2,521 |
2.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,487.92 |
$4,523.50 |
4.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,842.68 |
$5,168.50 |
5.4× |
| Knee 3 views (73562) |
$586.30 |
$1,066 |
7.0× |
| Liver & spleen imaging static only (78215) |
$1,543.58 |
$2,806.50 |
4.0× |
| Liver imaging static only (78201) |
$1,021.08 |
$1,856.50 |
2.0× |
| Liver imaging w/vascular flow (78202) |
$1,592.25 |
$2,895 |
3.0× |
| Lymphoscintigraphy (78195) |
$2,487.92 |
$4,523.50 |
4.8× |
| MRA head w & w/o contrast (70546) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRA head w/o contrast (70544) |
$2,060.27 |
$3,745.95 |
9.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRA neck w/o contrast (70547) |
$2,060.27 |
$3,745.95 |
9.0× |
| MRI abdomen w contrast (74182) |
$2,103.75 |
$3,825 |
6.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI abdomen w/o contrast (74181) |
$2,060.27 |
$3,745.95 |
9.0× |
| MRI any jnt lwr ext with con lt (73722) |
$3,062.12 |
$5,567.50 |
4.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,062.12 |
$5,567.50 |
4.1× |
| MRI breast w/o contrast bilateral (77047) |
$2,060.27 |
$3,745.95 |
9.0× |
| MRI c-spine with contrast (72142) |
$1,728.82 |
$3,143.30 |
5.2× |
| MRI cervical spine w/o contrast (72141) |
$1,463.98 |
$2,661.78 |
6.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI chest w/o contrast (71550) |
$1,194 |
$2,170.90 |
5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,185.08 |
$5,791.05 |
9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,079.91 |
$3,781.65 |
9.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,060.27 |
$3,745.95 |
9.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI pelvis w/o contrast (72195) |
$1,761.07 |
$3,201.95 |
7.7× |
| MRI scan of arm joint before and after contrast (73223) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI scan of leg joint before and after contrast (73723) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,737.66 |
$6,795.75 |
11.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,060.27 |
$3,745.95 |
6.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,060.27 |
$3,745.95 |
9.0× |
| MRI tmj (70336) |
$2,060.27 |
$3,745.95 |
9.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,127.12 |
$3,867.50 |
9.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,833.97 |
$6,970.85 |
11.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,060.27 |
$3,745.95 |
9.0× |
| Myocardial Spect Multiple Studies (78452) |
$6,603.99 |
$12,007.25 |
5.3× |
| Neck soft tissue (70360) |
$490.95 |
$892.64 |
5.9× |
| Nm cisternogram (78630) |
$1,218.25 |
$2,215 |
2.3× |
| Nm gastric emptying study (78264) |
$1,918.81 |
$3,488.75 |
5.0× |
| Nuclear Rx Oral Admin (79005) |
$1,069.06 |
$1,943.75 |
4.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,141.11 |
$2,074.75 |
11.3× |
| Parathyroid imaging (78070) |
$1,918.81 |
$3,488.75 |
5.0× |
| Pelvis 1 or 2 views (72170) |
$412.50 |
$750 |
4.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,833.97 |
$6,970.85 |
11.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,918.81 |
$3,488.75 |
5.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,487.92 |
$4,523.50 |
4.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$596.89 |
$1,085.25 |
7.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,081.92 |
$1,967.13 |
10.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,095.05 |
$1,991 |
10.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,141.25 |
$2,075 |
11.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,098.83 |
$1,997.88 |
10.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$484.33 |
$880.60 |
5.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$537.62 |
$977.50 |
5.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$505.43 |
$918.97 |
6.0× |
| Radiologic exam colon single contrast study (74270) |
$2,064.36 |
$3,753.39 |
12.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,885.54 |
$3,428.26 |
11.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,851.88 |
$3,367.06 |
11.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$583.09 |
$1,060.16 |
7.0× |
| Radiological examination surgical specimen (76098) |
$661.47 |
$1,202.67 |
1.3× |
| Ribs bilateral 3 views (71110) |
$1,098.83 |
$1,997.88 |
10.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,797.68 |
$3,268.50 |
4.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,914.62 |
$3,481.12 |
3.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,740.79 |
$4,983.25 |
5.2× |
| Sacroiliac Joints < 3 Views (72200) |
$173.25 |
$315 |
1.7× |
| Scapula complete (73010) |
$1,123.66 |
$2,043.02 |
11.2× |
| Screening digital breast tomosynthesis (77063) |
$50.88 |
$92.52 |
2.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$308.43 |
$560.79 |
3.1× |
| Small bowel series (74250) |
$969.95 |
$1,763.54 |
5.7× |
| Spine thoracic 3 views (72072) |
$1,109.51 |
$2,017.29 |
11.0× |
| Tbs Technical Calculation Only (77091) |
$100.98 |
$183.60 |
1.2× |
| Therapeutic Enema (74283) |
$477.32 |
$867.85 |
2.8× |
| Thoracolumbar 2 views (72080) |
$424.60 |
$772 |
5.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,269.71 |
$4,126.75 |
4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,178.86 |
$5,779.75 |
8.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,348.05 |
$4,269.19 |
4.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,304.74 |
$2,372.25 |
3.4× |
| Ultrasound, abdomen limited (76705) |
$1,141.11 |
$2,074.75 |
11.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$211.31 |
$384.20 |
2.5× |
| Unlisted fluoroscopic procedure (76496) |
$181.16 |
$329.38 |
2.2× |
| Unlisted Ultrasound Procedure (76999) |
$596.89 |
$1,085.25 |
7.1× |
| Upper Extremity Infant (73092) |
$1,141.11 |
$2,074.75 |
11.3× |
| Urethrocystography retrograde rs&i (74450) |
$2,003.12 |
$3,642.04 |
8.7× |
| Urethrocystography voiding (74455) |
$624.11 |
$1,134.75 |
2.7× |
| Us abdl aorta screen aaa (76706) |
$1,002.51 |
$1,822.75 |
10.0× |
| Us breast unilateral complete (76641) |
$1,716 |
$3,120 |
17.1× |
| Us breast unilateral limited (76642) |
$1,844.77 |
$3,354.12 |
22.0× |
| Us chest (76604) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us compl joint r-t w/image documentation (76881) |
$2,102.24 |
$3,822.25 |
20.9× |
| Us kidney transplant (76776) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us ob transvaginal (76817) |
$637.45 |
$1,159 |
6.3× |
| Us pelvic non ob complete (76856) |
$1,140.70 |
$2,074 |
11.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$962.50 |
$1,750 |
9.6× |
| Us pregnancy ltd (76815) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us retroperitoneal complete (76770) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us retroperitoneal limited (76775) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us scrotum and contents (76870) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us soft tissue head/neck (76536) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us spinal canal and contents (76800) |
$347.60 |
$632 |
3.5× |
| Us transrectal (76872) |
$1,141.11 |
$2,074.75 |
11.3× |
| Us xtr non-vasc lmtd (76882) |
$1,141.11 |
$2,074.75 |
11.3× |
| Venogram extremity bilateral (75822) |
$2,908.78 |
$5,288.70 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$3,701.20 |
$6,729.45 |
1.2× |
| Venography caval superior serialography rs&i (75827) |
$2,015.86 |
$3,665.20 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,454.39 |
$2,644.35 |
1.0× |
| Venography Renal Bilateral (75833) |
$7,271.61 |
$13,221.11 |
2.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,219.69 |
$4,035.80 |
0.7× |
| Vertebral fracture assessment via dxa (77086) |
$289.97 |
$527.21 |
3.5× |
| Wrist 2 views (73100) |
$580.25 |
$1,055 |
6.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$614.76 |
$1,117.75 |
6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$596.89 |
$1,085.25 |
7.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$601.15 |
$1,093 |
7.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,064.36 |
$3,753.39 |
12.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$275 |
$500 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$302.50 |
$550 |
3.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,127.50 |
$2,050 |
11.2× |
| X-ray exam hip uni 1 view (73501) |
$580.25 |
$1,055 |
6.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$583 |
$1,060 |
7.0× |
| X-ray exam hip uni 4/> views (73503) |
$687.50 |
$1,250 |
6.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,077.45 |
$1,959 |
10.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,097.25 |
$1,995 |
10.9× |
| X-ray exam of femur 1 (73551) |
$286.55 |
$521 |
3.4× |
| X-ray eye for foreign body (70030) |
$193.08 |
$351.05 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,084.74 |
$1,972.25 |
10.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$596.89 |
$1,085.25 |
7.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,137.95 |
$2,069 |
13.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$577.21 |
$1,049.47 |
6.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$275 |
$500 |
3.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,072.78 |
$1,950.50 |
10.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$213.12 |
$387.50 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$552.61 |
$1,004.75 |
6.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,045 |
$1,900 |
10.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,058.75 |
$1,925 |
10.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$378.95 |
$689 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$740.53 |
$1,346.42 |
8.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$484.78 |
$881.41 |
5.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,098.83 |
$1,997.88 |
10.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$577.50 |
$1,050 |
5.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$3,727.61 |
$6,777.48 |
11.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$570.32 |
$1,036.95 |
6.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,119.66 |
$2,035.75 |
11.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,121.60 |
$2,039.27 |
11.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,098.83 |
$1,997.88 |
10.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$588.59 |
$1,070.16 |
7.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$579.48 |
$1,053.60 |
6.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$596.89 |
$1,085.25 |
7.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$567.37 |
$1,031.58 |
6.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,098.83 |
$1,997.88 |
10.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,084.74 |
$1,972.25 |
10.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$588.84 |
$1,070.61 |
7.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$580.28 |
$1,055.06 |
6.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$265.65 |
$483 |
2.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,141.11 |
$2,074.75 |
11.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$585.25 |
$1,064.09 |
7.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$583 |
$1,060 |
7.0× |
| Xr arthrogram ankle (73615) |
$1,127.50 |
$2,050 |
3.4× |
| Xr c-spine 6 or more views (72052) |
$1,141.11 |
$2,074.75 |
11.3× |
| Xr chest 4+ views (71048) |
$520.94 |
$947.16 |
5.2× |
| Xr finger(s) 2+ views (73140) |
$905.66 |
$1,646.64 |
10.8× |
| Xr shoulder 1 view (73020) |
$575.46 |
$1,046.30 |
6.9× |
| Xr spine cervical 4 or 5 views (72050) |
$1,068.63 |
$1,942.96 |
10.6× |
| Xr tibia/fibula 2 views (73590) |
$581.49 |
$1,057.26 |
6.9× |
| Xr tmj bilateral (70330) |
$596.89 |
$1,085.25 |
7.1× |
| Xray knee 1 or 2 views rt (73560) |
$584.10 |
$1,062 |
7.0× |