| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,975.60 |
$3,592 |
1.5× |
| Abdomen 2 views (74019) |
$292.05 |
$531 |
2.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$759 |
$1,380 |
2.0× |
| Angiography extremity bilateral rs&i (75716) |
$1,977.25 |
$3,595 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$1,751.20 |
$3,184 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,751.20 |
$3,184 |
0.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$2,917.20 |
$5,304 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,751.20 |
$3,184 |
0.6× |
| Ankle 2 views (73600) |
$287.65 |
$523 |
3.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$433.95 |
$789 |
1.3× |
| Aortogram thoracic (75605) |
$2,917.20 |
$5,304 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,428.25 |
$4,415 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,115.85 |
$3,847 |
0.7× |
| Arthrogram elbow (73085) |
$620.95 |
$1,129 |
1.9× |
| Arthrogram hip (73525) |
$440 |
$800 |
1.3× |
| Arthrogram shoulder (73040) |
$388.85 |
$707 |
1.2× |
| Arthrogram wrist (73115) |
$492.25 |
$895 |
1.5× |
| Arthrography knee lt (73580) |
$568.70 |
$1,034 |
1.7× |
| Basic radiation dosimetry calculation (77300) |
$275.55 |
$501 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$389.40 |
$708 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$961.40 |
$1,748 |
2.5× |
| Bone age studies (77072) |
$207.35 |
$377 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$1,095.05 |
$1,991 |
2.8× |
| Bone survey complete (77075) |
$794.75 |
$1,445 |
7.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,175.80 |
$3,956 |
1.6× |
| Cervical spine 2 or 3 views (72040) |
$397.10 |
$722 |
4.7× |
| Chest 1 view (71045) |
$222.75 |
$405 |
2.7× |
| Chest 3 views (71047) |
$281.60 |
$512 |
3.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$668.80 |
$1,216 |
4.0× |
| Clavicle complete (73000) |
$308 |
$560 |
3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$70.40 |
$128 |
0.7× |
| Continuing medical physics consltj pr wk (77336) |
$349.25 |
$635 |
2.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,949.65 |
$5,363 |
8.8× |
| CT abdomen and pelvis without contrast (74176) |
$2,245.10 |
$4,082 |
9.8× |
| CT abdomen w contrast (74160) |
$1,647.25 |
$2,995 |
9.8× |
| CT abdomen w wo contrast (74170) |
$1,783.10 |
$3,242 |
10.6× |
| CT abdomen w/o contrast (74150) |
$1,234.20 |
$2,244 |
12.3× |
| CT angiography upper extremity lt (73206) |
$785.95 |
$1,429 |
4.7× |
| CT c-spine w/o contrast (72125) |
$1,994.85 |
$3,627 |
19.8× |
| CT cervical spine w&w/o contrast (72127) |
$2,568.50 |
$4,670 |
15.2× |
| CT cervical spine with contrast (72126) |
$2,446.40 |
$4,448 |
7.3× |
| CT chest w/wo contrast (71270) |
$1,619.75 |
$2,945 |
9.6× |
| CT chest with contrast (71260) |
$1,474.55 |
$2,681 |
8.7× |
| CT head/brain with contrast (70460) |
$1,288.65 |
$2,343 |
7.6× |
| CT head/brain without and with contrast (70470) |
$1,630.75 |
$2,965 |
9.7× |
| CT iac w contrast (70481) |
$1,177.55 |
$2,141 |
7.0× |
| CT lower ext w/o (73700) |
$1,801.25 |
$3,275 |
17.9× |
| CT lower extremity w wo contrast (73702) |
$2,011.90 |
$3,658 |
11.9× |
| CT lower extremity with contrast (73701) |
$1,137.40 |
$2,068 |
6.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,191.75 |
$3,985 |
13.0× |
| CT lumbar spine w/o contrast (72131) |
$1,829.30 |
$3,326 |
18.2× |
| CT lumbar spine with contrast (72132) |
$2,133.45 |
$3,879 |
6.4× |
| CT maxillofacial w contrast (70487) |
$1,096.15 |
$1,993 |
6.5× |
| CT maxillofacial w/o contrast (70486) |
$1,053.25 |
$1,915 |
10.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,146.75 |
$2,085 |
6.8× |
| CT neck soft tissue w contrast (70491) |
$1,207.25 |
$2,195 |
7.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,238.05 |
$2,251 |
7.3× |
| CT orbits w/o contrast (70480) |
$1,119.80 |
$2,036 |
11.1× |
| CT pelvis w & w/o contrast (72194) |
$1,348.05 |
$2,451 |
8.0× |
| CT pelvis w/o contrast (72192) |
$1,100.55 |
$2,001 |
10.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,340.90 |
$2,438 |
7.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,177 |
$2,140 |
11.7× |
| CT thoracic spine w/contrast (72129) |
$2,231.90 |
$4,058 |
13.2× |
| CT thoracic spine w/o contrast (72128) |
$1,707.20 |
$3,104 |
17.0× |
| CT thoracic spine w/wo contrast (72130) |
$2,241.25 |
$4,075 |
13.3× |
| CT thorax w/o contrast (71250) |
$1,472.90 |
$2,678 |
14.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,063.60 |
$3,752 |
12.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,342 |
$2,440 |
13.3× |
| CT upper extremity with contrast (73201) |
$1,965.70 |
$3,574 |
5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$785.95 |
$1,429 |
4.7× |
| Cta Abdomen (74175) |
$2,586.10 |
$4,702 |
15.3× |
| CTA abdomen pelvis (74174) |
$2,849.55 |
$5,181 |
8.5× |
| CTA chest (71275) |
$1,724.25 |
$3,135 |
10.2× |
| Cta Head (70496) |
$735.90 |
$1,338 |
4.4× |
| CTA lwr ext w&w/o contrast (73706) |
$785.95 |
$1,429 |
4.7× |
| Cta Neck (70498) |
$735.90 |
$1,338 |
4.4× |
| Cta Pelvis (72191) |
$897.60 |
$1,632 |
5.3× |
| Cystography minimum 3 views rs&i (74430) |
$514.25 |
$935 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$51.68 |
$93.97 |
0.5× |
| Echoencephalography real time imaging (76506) |
$519.75 |
$945 |
5.2× |
| Esophagus (74220) |
$369.60 |
$672 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$214.50 |
$390 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$204.60 |
$372 |
0.9× |
| Foot 2 views (73620) |
$238.70 |
$434 |
2.9× |
| Forearm 2 views (73090) |
$319 |
$580 |
3.8× |
| Gated Heart Planar Single (78472) |
$838.20 |
$1,524 |
2.2× |
| Hand 2 views (73120) |
$234.30 |
$426 |
2.3× |
| Hand 3 views (73130) |
$297.55 |
$541 |
3.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,388.20 |
$2,524 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$574.75 |
$1,045 |
1.5× |
| Ht muscle image spect sing (78451) |
$1,863.40 |
$3,388 |
1.5× |
| Humerus Min 2 Views Left (73060) |
$346.50 |
$630 |
4.1× |
| Hysterosalpingogram (74740) |
$408.10 |
$742 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,518 |
$2,760 |
2.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,531.20 |
$2,784 |
2.9× |
| Knee 3 views (73562) |
$388.30 |
$706 |
4.6× |
| Lymphoscintigraphy (78195) |
$669.90 |
$1,218 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$437.25 |
$795 |
1.9× |
| Meckels Diverticulum (78290) |
$873.95 |
$1,589 |
2.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$627.55 |
$1,141 |
1.7× |
| MRA head w & w/o contrast (70546) |
$3,317.60 |
$6,032 |
9.9× |
| MRA head w/o contrast (70544) |
$1,353 |
$2,460 |
5.9× |
| MRA neck w contrast (70548) |
$1,599.95 |
$2,909 |
4.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,904.10 |
$3,462 |
5.7× |
| MRA neck w/o contrast (70547) |
$290.95 |
$529 |
1.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,861.10 |
$5,202 |
8.5× |
| MRI abdomen w/o contrast (74181) |
$1,574.10 |
$2,862 |
6.9× |
| MRI any jnt lwr ext with con lt (73722) |
$1,758.35 |
$3,197 |
2.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,791.35 |
$3,257 |
2.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,408.55 |
$2,561 |
6.1× |
| MRI c-spine with contrast (72142) |
$2,141.70 |
$3,894 |
6.4× |
| MRI cervical spine w/o contrast (72141) |
$1,824.90 |
$3,318 |
8.0× |
| MRI chest w/o & w/contrast material (71552) |
$2,417.80 |
$4,396 |
7.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,767.70 |
$3,214 |
5.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,649.45 |
$2,999 |
4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,529 |
$2,780 |
6.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,883.20 |
$3,424 |
8.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,419.90 |
$6,218 |
10.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,076.70 |
$5,594 |
9.2× |
| MRI pelvis w/o contrast (72195) |
$1,695.10 |
$3,082 |
7.4× |
| MRI scan of arm joint before and after contrast (73223) |
$1,947.55 |
$3,541 |
5.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,861.10 |
$5,202 |
8.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,218.70 |
$4,034 |
6.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,934.35 |
$3,517 |
5.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,141.70 |
$3,894 |
6.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,934.35 |
$3,517 |
5.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,241.25 |
$4,075 |
6.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,895.30 |
$3,446 |
8.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,535.16 |
$2,791.20 |
6.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,868.25 |
$5,215 |
8.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,576.85 |
$2,867 |
6.9× |
| Myelogram Cervical (72240) |
$876.70 |
$1,594 |
1.2× |
| Myelogram Lumbar (72265) |
$1,024.10 |
$1,862 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,020.15 |
$3,673 |
1.6× |
| Neck soft tissue (70360) |
$301.95 |
$549 |
3.6× |
| Nm gastric emptying study (78264) |
$1,154.45 |
$2,099 |
3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,084.40 |
$5,608 |
2.3× |
| Nuclear Rx Oral Admin (79005) |
$377.30 |
$686 |
1.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$323.95 |
$589 |
3.2× |
| Osseous survey infant (77076) |
$993.85 |
$1,807 |
9.9× |
| Osseous survey limited (77074) |
$500.50 |
$910 |
5.0× |
| Parathyroid imaging (78070) |
$444.95 |
$809 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$311.30 |
$566 |
3.1× |
| PET image w/CT, skull-thigh (78815) |
$1,886.50 |
$3,430 |
1.4× |
| PET imaging CT for attenuation limited area (78814) |
$1,886.50 |
$3,430 |
1.4× |
| PET imaging for CT attenuation whole body (78816) |
$1,886.50 |
$3,430 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,714.90 |
$3,118 |
5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$934.45 |
$1,699 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$922.90 |
$1,678 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$374 |
$680 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$103.95 |
$189 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$156.20 |
$284 |
1.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$482.35 |
$877 |
4.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$372.35 |
$677 |
3.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$436.70 |
$794 |
0.8× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$253.55 |
$461 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$302.50 |
$550 |
3.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$232.65 |
$423 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$250.25 |
$455 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$492.25 |
$895 |
2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$395.45 |
$719 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$398.20 |
$724 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$367.95 |
$669 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$441.10 |
$802 |
5.3× |
| Radiological examination surgical specimen (76098) |
$364.65 |
$663 |
0.7× |
| Ribs bilateral 3 views (71110) |
$334.40 |
$608 |
3.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,172.05 |
$2,131 |
2.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,739.10 |
$3,162 |
3.3× |
| Rp Therapy Intravenous Administration (79101) |
$509.30 |
$926 |
2.3× |
| Sacroiliac Joints < 3 Views (72200) |
$323.40 |
$588 |
3.2× |
| Scapula complete (73010) |
$312.95 |
$569 |
3.1× |
| Screening digital breast tomosynthesis (77063) |
$70.95 |
$129 |
3.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$411.95 |
$749 |
4.1× |
| Small bowel series (74250) |
$359.15 |
$653 |
2.1× |
| Spec medical radj physics consltj (77370) |
$397.65 |
$723 |
3.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$471.35 |
$857 |
1.3× |
| Special dosimetry (77331) |
$209 |
$380 |
1.6× |
| Special treatment procedure (77470) |
$1,084.60 |
$1,972 |
2.0× |
| Spine thoracic 3 views (72072) |
$437.25 |
$795 |
4.3× |
| Tbs Technical Calculation Only (77091) |
$128.70 |
$234 |
1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$636.35 |
$1,157 |
1.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$334.40 |
$608 |
0.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$785.95 |
$1,429 |
2.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$430.65 |
$783 |
3.3× |
| Thoracolumbar 2 views (72080) |
$292.60 |
$532 |
3.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$902 |
$1,640 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$586.85 |
$1,067 |
1.5× |
| Treatment devices simple (77332) |
$234.85 |
$427 |
1.8× |
| Tx devices design & construction complex (77334) |
$624.25 |
$1,135 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$504.35 |
$917 |
5.0× |
| Umbilical-artery Doppler (OB) (76820) |
$168.85 |
$307 |
1.7× |
| Upper Extremity Infant (73092) |
$223.30 |
$406 |
2.2× |
| Urethrocystography retrograde rs&i (74450) |
$374 |
$680 |
1.6× |
| Urethrocystography voiding (74455) |
$433.95 |
$789 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$164.45 |
$299 |
1.0× |
| Us abdl aorta screen aaa (76706) |
$485.65 |
$883 |
4.8× |
| Us breast unilateral complete (76641) |
$395.45 |
$719 |
3.9× |
| Us breast unilateral limited (76642) |
$365.75 |
$665 |
4.4× |
| Us chest (76604) |
$506 |
$920 |
5.0× |
| Us compl joint r-t w/image documentation (76881) |
$418.55 |
$761 |
4.2× |
| Us kidney transplant (76776) |
$702.35 |
$1,277 |
7.0× |
| Us ob transvaginal (76817) |
$526.35 |
$957 |
5.2× |
| Us pelvic non ob complete (76856) |
$454.30 |
$826 |
4.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$317.90 |
$578 |
3.2× |
| Us pregnancy ltd (76815) |
$452.10 |
$822 |
4.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$440.55 |
$801 |
4.4× |
| Us retroperitoneal complete (76770) |
$547.80 |
$996 |
5.4× |
| Us retroperitoneal limited (76775) |
$436.15 |
$793 |
4.3× |
| Us scrotum and contents (76870) |
$506 |
$920 |
5.0× |
| Us soft tissue head/neck (76536) |
$457.05 |
$831 |
4.5× |
| Us spinal canal and contents (76800) |
$372.35 |
$677 |
3.7× |
| Us xtr non-vasc lmtd (76882) |
$319 |
$580 |
3.2× |
| Venogram extremity bilateral (75822) |
$2,154.90 |
$3,918 |
1.4× |
| Venography caval inferior serialography rs&i (75825) |
$1,751.20 |
$3,184 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,532.85 |
$2,787 |
1.0× |
| Wrist 2 views (73100) |
$244.20 |
$444 |
2.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$518.65 |
$943 |
5.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$386.10 |
$702 |
4.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$338.25 |
$615 |
4.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$560.45 |
$1,019 |
3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$323.95 |
$589 |
3.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$372.35 |
$677 |
4.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$328.90 |
$598 |
3.3× |
| X-ray exam hip uni 1 view (73501) |
$291.50 |
$530 |
3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$328.35 |
$597 |
3.9× |
| X-ray exam hip uni 4/> views (73503) |
$494.45 |
$899 |
4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$493.35 |
$897 |
4.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$674.30 |
$1,226 |
6.7× |
| X-ray exam of femur 1 (73551) |
$383.35 |
$697 |
4.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$411.95 |
$749 |
4.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$308 |
$560 |
3.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$311.30 |
$566 |
3.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$228.80 |
$416 |
2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$64.35 |
$117 |
0.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$414.70 |
$754 |
4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$410.30 |
$746 |
4.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$329.45 |
$599 |
3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$386.86 |
$703.38 |
3.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$530.20 |
$964 |
5.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$370.15 |
$673 |
3.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$309.10 |
$562 |
3.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$214.50 |
$390 |
2.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$365.20 |
$664 |
3.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$358.05 |
$651 |
3.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$602.25 |
$1,095 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$325.60 |
$592 |
3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$353.10 |
$642 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$386.65 |
$703 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$341 |
$620 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$312.95 |
$569 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$375.10 |
$682 |
4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$425.70 |
$774 |
5.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$235.30 |
$427.82 |
2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$469.15 |
$853 |
4.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$292.60 |
$532 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$336.05 |
$611 |
4.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$323.40 |
$588 |
3.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$323.40 |
$588 |
3.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$282.15 |
$513 |
2.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$534.05 |
$971 |
5.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$241.45 |
$439 |
2.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$303.05 |
$551 |
3.6× |
| Xr c-spine 6 or more views (72052) |
$515.35 |
$937 |
5.1× |
| Xr finger(s) 2+ views (73140) |
$223.30 |
$406 |
2.7× |
| Xr shoulder 1 view (73020) |
$259.05 |
$471 |
3.1× |
| Xr spine cervical 4 or 5 views (72050) |
$457.05 |
$831 |
4.5× |
| Xr tibia/fibula 2 views (73590) |
$339.90 |
$618 |
4.1× |
| Xr tmj bilateral (70330) |
$323.40 |
$588 |
3.9× |
| Xray knee 1 or 2 views rt (73560) |
$298.65 |
$543 |
3.6× |