| Abdomen 2 views (74019) |
$305 |
$762.48 |
3.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$781.70 |
$1,954.23 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$2,584.61 |
$6,461.51 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,584.61 |
$6,461.51 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$130.44 |
$326.10 |
0.0× |
| Ankle 2 views (73600) |
$287.56 |
$718.90 |
3.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$385.63 |
$964.07 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,896.72 |
$7,241.78 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$1,940 |
$4,849.99 |
0.7× |
| Arthrogram hip (73525) |
$252.34 |
$630.85 |
0.8× |
| Arthrogram shoulder (73040) |
$284.13 |
$710.31 |
0.9× |
| Arthrogram wrist (73115) |
$308.32 |
$770.78 |
1.0× |
| Arthrography knee lt (73580) |
$424.05 |
$1,060.12 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$873.71 |
$2,184.27 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,065.34 |
$2,663.35 |
2.9× |
| Bone age studies (77072) |
$180.72 |
$451.80 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,065.34 |
$2,663.35 |
2.9× |
| Bone survey complete (77075) |
$337.25 |
$843.12 |
3.5× |
| Brain image w/flow 4 + views (78606) |
$781.70 |
$1,954.23 |
1.6× |
| Brain Imaging Vascular Flow Only (78610) |
$781.70 |
$1,954.23 |
1.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$921.36 |
$2,303.40 |
2.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,000.83 |
$2,502.07 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$321.12 |
$802.80 |
4.0× |
| Chest 1 view (71045) |
$270.37 |
$675.91 |
3.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$408.40 |
$1,020.99 |
2.5× |
| Clavicle complete (73000) |
$280.45 |
$701.11 |
3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$113.37 |
$283.42 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,415.15 |
$8,537.87 |
10.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,690.62 |
$6,726.54 |
12.2× |
| CT abdomen w contrast (74160) |
$1,501.72 |
$3,754.29 |
9.3× |
| CT abdomen w wo contrast (74170) |
$1,724.65 |
$4,311.62 |
10.7× |
| CT abdomen w/o contrast (74150) |
$1,618.41 |
$4,046.01 |
16.8× |
| CT angiography upper extremity lt (73206) |
$1,580.93 |
$3,952.32 |
9.8× |
| CT c-spine w/o contrast (72125) |
$545 |
$1,362.50 |
5.7× |
| CT cervical spine w&w/o contrast (72127) |
$845.25 |
$2,113.12 |
5.2× |
| CT cervical spine with contrast (72126) |
$845.25 |
$2,113.12 |
2.6× |
| CT chest w/wo contrast (71270) |
$1,739.36 |
$4,348.39 |
10.8× |
| CT chest with contrast (71260) |
$1,501.72 |
$3,754.29 |
9.3× |
| CT head/brain with contrast (70460) |
$1,576.66 |
$3,941.65 |
9.8× |
| CT head/brain without and with contrast (70470) |
$726.67 |
$1,816.67 |
4.5× |
| CT iac w contrast (70481) |
$1,170.14 |
$2,925.33 |
7.2× |
| CT lower ext w/o (73700) |
$1,709.36 |
$4,273.38 |
17.7× |
| CT lower extremity w wo contrast (73702) |
$1,439.58 |
$3,598.95 |
8.9× |
| CT lower extremity with contrast (73701) |
$1,725.96 |
$4,314.89 |
10.7× |
| CT lumbar spine w & w/o contrast (72133) |
$845.25 |
$2,113.12 |
5.2× |
| CT lumbar spine w/o contrast (72131) |
$726.67 |
$1,816.67 |
7.5× |
| CT lumbar spine with contrast (72132) |
$1,443.38 |
$3,608.44 |
4.5× |
| CT maxillofacial w contrast (70487) |
$526.39 |
$1,315.96 |
3.3× |
| CT maxillofacial w/o contrast (70486) |
$1,083.84 |
$2,709.59 |
11.3× |
| CT maxillofacial w/wo contrast (70488) |
$444.01 |
$1,110.02 |
2.7× |
| CT neck soft tissue w contrast (70491) |
$2,043.40 |
$5,108.50 |
12.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$737.44 |
$1,843.60 |
4.6× |
| CT orbits w/o contrast (70480) |
$1,047.14 |
$2,617.83 |
10.9× |
| CT pelvis w & w/o contrast (72194) |
$1,780.62 |
$4,451.55 |
11.0× |
| CT pelvis w/o contrast (72192) |
$1,263.61 |
$3,159.02 |
13.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$947.28 |
$2,368.18 |
5.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,453.34 |
$3,633.34 |
15.1× |
| CT thoracic spine w/contrast (72129) |
$845.25 |
$2,113.12 |
5.2× |
| CT thoracic spine w/o contrast (72128) |
$1,649.71 |
$4,124.26 |
17.1× |
| CT thoracic spine w/wo contrast (72130) |
$845.25 |
$2,113.12 |
5.2× |
| CT thorax w/o contrast (71250) |
$726.67 |
$1,816.67 |
7.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,192.43 |
$2,981.06 |
7.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,768.50 |
$4,421.24 |
18.4× |
| CT upper extremity with contrast (73201) |
$1,409.23 |
$3,523.06 |
4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,968.94 |
$4,922.33 |
12.2× |
| Cta Abdomen (74175) |
$1,739.36 |
$4,348.39 |
10.8× |
| CTA abdomen pelvis (74174) |
$3,130.08 |
$7,825.20 |
9.7× |
| CTA chest (71275) |
$1,724.65 |
$4,311.62 |
10.7× |
| Cta Head (70496) |
$1,537.30 |
$3,843.23 |
9.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,580.93 |
$3,952.32 |
9.8× |
| Cta Neck (70498) |
$1,537.30 |
$3,843.23 |
9.5× |
| Cta Pelvis (72191) |
$1,883.55 |
$4,708.87 |
11.7× |
| Cystography minimum 3 views rs&i (74430) |
$359.54 |
$898.85 |
1.1× |
| Diskography lumbar (72295) |
$349.58 |
$873.95 |
0.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$290.29 |
$725.71 |
3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$130.44 |
$326.10 |
1.6× |
| Dxa bone density study axial skeleton (77085) |
$337.25 |
$843.12 |
3.5× |
| Echoencephalography real time imaging (76506) |
$465.32 |
$1,163.28 |
4.8× |
| Esophagus (74220) |
$456.78 |
$1,141.94 |
2.8× |
| Fetal biophysical profile non-stress testing (76818) |
$202.54 |
$506.34 |
2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$236.22 |
$590.54 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$410.77 |
$1,026.92 |
1.9× |
| Foot 2 views (73620) |
$274.52 |
$686.29 |
3.4× |
| Forearm 2 views (73090) |
$302.98 |
$757.44 |
3.8× |
| Gated Heart Planar Single (78472) |
$1,219.50 |
$3,048.73 |
3.3× |
| Hand 2 views (73120) |
$278.08 |
$695.18 |
2.9× |
| Hand 3 views (73130) |
$310.10 |
$775.22 |
3.9× |
| Heart Infarct Image (78466) |
$940.12 |
$2,350.29 |
2.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$940.12 |
$2,350.29 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$769.84 |
$1,924.58 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$335 |
$837.48 |
4.2× |
| Hysterosalpingogram (74740) |
$483.34 |
$1,208.35 |
2.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$425.48 |
$1,063.68 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$850.47 |
$2,126.17 |
1.7× |
| Knee 3 views (73562) |
$327.88 |
$819.70 |
4.1× |
| Liver & spleen imaging static only (78215) |
$627.54 |
$1,568.83 |
1.7× |
| Liver imaging static only (78201) |
$627.54 |
$1,568.83 |
1.3× |
| Lung perf&ventilat diferentl (78598) |
$947.23 |
$2,368.07 |
1.9× |
| Lung perfusion differential (78597) |
$922.09 |
$2,305.22 |
2.5× |
| Lung Ventilation Imaging (78579) |
$922.09 |
$2,305.22 |
2.5× |
| Lymphoscintigraphy (78195) |
$650.78 |
$1,626.94 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$149.42 |
$373.53 |
0.7× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$238.11 |
$595.27 |
3.0× |
| Meckels Diverticulum (78290) |
$781.70 |
$1,954.23 |
2.1× |
| Mr safety determination physician/other qhp (76016) |
$476 |
$1,190 |
5.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$476 |
$1,190 |
8.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$476 |
$1,190 |
17.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$476 |
$1,190 |
5.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$476 |
$1,190 |
2.2× |
| MRA head w & w/o contrast (70546) |
$1,258.33 |
$3,145.81 |
3.9× |
| MRA head w/o contrast (70544) |
$975.69 |
$2,439.22 |
4.4× |
| MRA head with contrast (70545) |
$2,501.60 |
$6,253.99 |
7.8× |
| MRA neck w contrast (70548) |
$2,530.54 |
$6,326.33 |
7.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,266.46 |
$3,166.13 |
3.9× |
| MRA neck w/o contrast (70547) |
$2,501.60 |
$6,253.99 |
11.4× |
| MRI abdomen w contrast (74182) |
$1,196.39 |
$2,990.96 |
3.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$445.87 |
$1,114.66 |
1.4× |
| MRI abdomen w/o contrast (74181) |
$1,078.15 |
$2,695.36 |
4.9× |
| MRI any jnt lwr ext with con lt (73722) |
$1,349.55 |
$3,373.87 |
1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$564.93 |
$1,412.31 |
0.8× |
| MRI breast w/o contrast unilat (77046) |
$459.91 |
$1,149.77 |
2.1× |
| MRI c-spine with contrast (72142) |
$2,279.14 |
$5,697.84 |
7.1× |
| MRI cervical spine w/o contrast (72141) |
$1,528.28 |
$3,820.70 |
7.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,633.67 |
$4,084.17 |
5.1× |
| MRI chest with contrast (71551) |
$2,309.02 |
$5,772.55 |
3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,794.58 |
$4,486.44 |
5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,047.32 |
$2,618.28 |
4.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,963.62 |
$4,909.04 |
8.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,869.04 |
$4,672.59 |
5.8× |
| MRI orbit/face/neck w/contrast (70542) |
$1,196.39 |
$2,990.96 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$445.87 |
$1,114.66 |
1.4× |
| MRI pelvis w/o contrast (72195) |
$1,239.90 |
$3,099.73 |
5.6× |
| MRI scan of arm joint before and after contrast (73223) |
$2,450.50 |
$6,126.24 |
7.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,633.67 |
$4,084.17 |
5.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,717.54 |
$4,293.84 |
5.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,401.52 |
$6,003.78 |
7.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,771.62 |
$4,429.03 |
5.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,279.14 |
$5,697.84 |
7.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,771.62 |
$4,429.03 |
5.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,582.83 |
$3,957.07 |
7.2× |
| MRI tmj (70336) |
$679.06 |
$1,697.64 |
3.1× |
| MRI upper ext joint w/o contrast (73221) |
$706.16 |
$1,765.38 |
3.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,616.51 |
$4,041.26 |
5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,616.51 |
$4,041.26 |
7.4× |
| Myelogram Cervical (72240) |
$1,354.68 |
$3,386.69 |
1.9× |
| Myelogram Lumbar (72265) |
$2,707.93 |
$6,769.82 |
3.7× |
| Myelogram thoracic (72255) |
$658.37 |
$1,645.91 |
0.9× |
| Myelography 2 or more regions (72270) |
$2,549.51 |
$6,373.77 |
3.5× |
| Myocardial Spect Multiple Studies (78452) |
$2,575.12 |
$6,437.80 |
2.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$6,755.83 |
$16,889.57 |
8.5× |
| Neck soft tissue (70360) |
$239.54 |
$598.83 |
3.0× |
| Nm cisternogram (78630) |
$1,000.83 |
$2,502.07 |
2.0× |
| Nm csf leak detection (78650) |
$1,300.61 |
$3,251.51 |
1.1× |
| Nm gastric emptying study (78264) |
$988.98 |
$2,472.43 |
2.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$568.72 |
$1,421.79 |
1.5× |
| Nuclear Rx Oral Admin (79005) |
$252.34 |
$630.85 |
1.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$236.22 |
$590.54 |
2.5× |
| Osseous survey infant (77076) |
$300.73 |
$751.81 |
3.1× |
| Parathyrd planar w/wo subtrj (78071) |
$652.07 |
$1,630.16 |
1.8× |
| Parathyroid imaging (78070) |
$913.56 |
$2,283.89 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$277.01 |
$692.52 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,731.30 |
$4,328.23 |
5.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$922.09 |
$2,305.22 |
2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$397.57 |
$993.92 |
0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$377.57 |
$943.91 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$242.38 |
$605.95 |
3.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$268.94 |
$672.35 |
2.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$78.35 |
$195.86 |
0.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$265.62 |
$664.05 |
2.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$426.37 |
$1,065.91 |
4.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$415.51 |
$1,038.77 |
4.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$246.65 |
$616.62 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$286.50 |
$716.24 |
3.6× |
| Radiologic exam colon single contrast study (74270) |
$609.04 |
$1,522.59 |
3.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$304.03 |
$760.07 |
1.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$592.44 |
$1,481.08 |
3.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$591.58 |
$1,478.95 |
3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$327.28 |
$818.21 |
4.1× |
| Radiological examination surgical specimen (76098) |
$733.79 |
$1,834.46 |
1.5× |
| Ribs bilateral 3 views (71110) |
$386.11 |
$965.26 |
4.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,065.34 |
$2,663.35 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$678.50 |
$1,696.25 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,315.19 |
$5,787.97 |
1.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,626.35 |
$6,565.86 |
2.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,315.19 |
$5,787.97 |
1.9× |
| Sacroiliac Joints < 3 Views (72200) |
$91.98 |
$229.95 |
1.0× |
| Scanogram (77073) |
$255.19 |
$637.97 |
2.6× |
| Scapula complete (73010) |
$277.01 |
$692.52 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$16 |
$40 |
0.7× |
| Small bowel series (74250) |
$543.11 |
$1,357.76 |
3.4× |
| Spec medical radj physics consltj (77370) |
$617.10 |
$1,542.74 |
5.0× |
| Spine thoracic 3 views (72072) |
$336.30 |
$840.75 |
3.5× |
| Testicular Imaging With Vascular Flow (78761) |
$594.33 |
$1,485.82 |
1.6× |
| Thoracolumbar 2 views (72080) |
$91.41 |
$228.52 |
1.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,638.33 |
$4,095.81 |
3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$891.74 |
$2,229.34 |
2.4× |
| Tomogram (76100) |
$645.09 |
$1,612.71 |
6.7× |
| Treatment devices simple (77332) |
$486.19 |
$1,215.46 |
3.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$940.12 |
$2,350.29 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$543.11 |
$1,357.76 |
5.6× |
| Umbilical-artery Doppler (OB) (76820) |
$69.28 |
$173.20 |
0.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$2,307.73 |
$5,769.31 |
28.8× |
| Upper Extremity Infant (73092) |
$238.11 |
$595.27 |
2.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$594.33 |
$1,485.82 |
1.6× |
| Urethrocystography voiding (74455) |
$453.94 |
$1,134.83 |
2.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$813.48 |
$2,033.68 |
5.0× |
| Us abdl aorta screen aaa (76706) |
$184.99 |
$462.47 |
1.9× |
| Us breast unilateral complete (76641) |
$473.14 |
$1,182.85 |
4.9× |
| Us breast unilateral limited (76642) |
$473.14 |
$1,182.85 |
5.9× |
| Us chest (76604) |
$317.33 |
$793.31 |
3.3× |
| Us compl joint r-t w/image documentation (76881) |
$475.75 |
$1,189.37 |
4.9× |
| Us infant hips dynamic (76885) |
$663.59 |
$1,658.96 |
8.3× |
| Us infant hips limited static (76886) |
$124.75 |
$311.87 |
1.6× |
| Us kidney transplant (76776) |
$130.44 |
$326.10 |
1.4× |
| Us ob detailed single fetus (76811) |
$499.47 |
$1,248.66 |
2.3× |
| Us ob transvaginal (76817) |
$145.15 |
$362.86 |
1.5× |
| Us pelvic non ob complete (76856) |
$583.43 |
$1,458.56 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$543.11 |
$1,357.76 |
5.6× |
| Us pregnancy ltd (76815) |
$236.22 |
$590.54 |
2.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$357.17 |
$892.92 |
3.7× |
| Us retroperitoneal complete (76770) |
$543.11 |
$1,357.76 |
5.6× |
| Us retroperitoneal limited (76775) |
$325.43 |
$813.57 |
3.4× |
| Us scrotum and contents (76870) |
$609.52 |
$1,523.78 |
6.3× |
| Us soft tissue head/neck (76536) |
$543.11 |
$1,357.76 |
5.6× |
| Us spinal canal and contents (76800) |
$211.08 |
$527.69 |
2.2× |
| Us xtr non-vasc lmtd (76882) |
$451.80 |
$1,129.49 |
4.7× |
| Us, eye b-scan (76512) |
$389.44 |
$973.58 |
4.0× |
| Venogram extremity bilateral (75822) |
$1,145.50 |
$2,863.74 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$1,810.03 |
$4,525.07 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,810.03 |
$4,525.07 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$396.64 |
$991.60 |
0.3× |
| Vertebral fracture assessment via dxa (77086) |
$130.44 |
$326.10 |
1.6× |
| Wrist 2 views (73100) |
$82 |
$204.98 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$563.98 |
$1,409.94 |
5.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$656.47 |
$1,641.17 |
8.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$318.99 |
$797.46 |
4.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$761.30 |
$1,903.24 |
4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$301.20 |
$752.99 |
3.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$332.03 |
$830.06 |
4.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$295.51 |
$738.76 |
3.1× |
| X-ray exam hip uni 1 view (73501) |
$184.99 |
$462.47 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$209.18 |
$522.95 |
2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$323.50 |
$808.73 |
3.4× |
| X-ray exam of femur 1 (73551) |
$234.80 |
$586.98 |
2.9× |
| X-ray eye for foreign body (70030) |
$270.37 |
$675.91 |
3.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$403.66 |
$1,009.13 |
4.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$377.57 |
$943.91 |
4.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$332.03 |
$830.06 |
4.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$239.54 |
$598.83 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$389.43 |
$973.56 |
4.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$359.90 |
$899.74 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$78.75 |
$196.86 |
1.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$297.64 |
$744.10 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$314.01 |
$785.02 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$193.58 |
$483.93 |
2.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$338.38 |
$845.94 |
3.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$265.62 |
$664.05 |
3.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$270.37 |
$675.91 |
3.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$191.63 |
$479.07 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$122.48 |
$306.20 |
1.3× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$496.15 |
$1,240.36 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$583.43 |
$1,458.56 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$315.90 |
$789.75 |
3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$446.82 |
$1,117.04 |
4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$425.48 |
$1,063.68 |
4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$177.40 |
$443.50 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$297.40 |
$743.50 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$375.91 |
$939.76 |
4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$356.70 |
$891.74 |
4.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$225.78 |
$564.45 |
2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$575.84 |
$1,439.58 |
6.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$381.84 |
$954.58 |
4.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$250.92 |
$627.30 |
3.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$221.51 |
$553.77 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$277.48 |
$693.70 |
3.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$310.69 |
$776.71 |
3.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$361.44 |
$903.60 |
3.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$211.08 |
$527.69 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$299.42 |
$748.54 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$282.70 |
$706.75 |
2.9× |
| Xr Cholecystography Oral Contrast (74290) |
$171.71 |
$429.26 |
1.1× |
| Xr finger(s) 2+ views (73140) |
$189.26 |
$473.14 |
2.4× |
| Xr shoulder 1 view (73020) |
$250.45 |
$626.11 |
3.1× |
| Xr spine cervical 4 or 5 views (72050) |
$440.18 |
$1,100.43 |
4.6× |
| Xr tibia/fibula 2 views (73590) |
$333.81 |
$834.52 |
4.2× |
| Xr tmj bilateral (70330) |
$274.64 |
$686.59 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$335.59 |
$838.96 |
4.2× |