| Abdomen 2 views (74019) |
$212.55 |
$545 |
1.9× |
| Acute gi blood loss imaging (78278) |
$1,108.77 |
$2,843 |
2.5× |
| Angio Adrenal Bilat Select (75733) |
$2,702.70 |
$6,930 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$4,797.78 |
$12,302 |
1.4× |
| Angiography extremity unilateral rs&i (75710) |
$3,846.57 |
$9,863 |
1.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$1,938.30 |
$4,970 |
0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,701.14 |
$6,926 |
0.8× |
| Ankle 2 views (73600) |
$191.49 |
$491 |
2.0× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,938.30 |
$4,970 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,664.09 |
$6,831 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$4,111.77 |
$10,543 |
1.2× |
| Arthrogram elbow (73085) |
$292.50 |
$750 |
0.8× |
| Arthrogram hip (73525) |
$613.47 |
$1,573 |
1.6× |
| Arthrogram shoulder (73040) |
$713.31 |
$1,829 |
1.9× |
| Arthrogram wrist (73115) |
$613.47 |
$1,573 |
1.6× |
| Bone &/joint imaging whole body (78306) |
$1,033.11 |
$2,649 |
2.4× |
| Bone age studies (77072) |
$246.87 |
$633 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$1,301.04 |
$3,336 |
3.0× |
| Bone survey complete (77075) |
$462.93 |
$1,187 |
4.1× |
| Bone survey infant (77076) |
$280.80 |
$720 |
2.5× |
| Bowel imaging (78290) |
$1,102.53 |
$2,827 |
2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,104.09 |
$2,831 |
1.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,419.60 |
$3,640 |
0.9× |
| Cervical spine 2 or 3 views (72040) |
$273.78 |
$702 |
2.9× |
| Chest 1 view (71045) |
$171.99 |
$441 |
1.8× |
| Chest xray 3 views (71047) |
$224.25 |
$575 |
2.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$437.58 |
$1,122 |
2.3× |
| Clavicle complete (73000) |
$239.85 |
$615 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$921.57 |
$2,363 |
8.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,558.40 |
$6,560 |
6.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,948.44 |
$4,996 |
7.5× |
| CT abdomen w contrast (74160) |
$1,514.76 |
$3,884 |
7.9× |
| CT abdomen w wo contrast (74170) |
$1,519.83 |
$3,897 |
7.9× |
| CT abdomen w/o contrast (74150) |
$1,237.47 |
$3,173 |
10.8× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,295.19 |
$3,321 |
6.8× |
| CT angiography upper extremity lt (73206) |
$1,650.87 |
$4,233 |
8.6× |
| CT c-spine w/contrast (72126) |
$1,337.70 |
$3,430 |
3.5× |
| CT c-spine w/o contrast (72125) |
$1,325.22 |
$3,398 |
11.6× |
| CT chest w contrast (71260) |
$1,377.09 |
$3,531 |
7.2× |
| CT chest w/wo contrast (71270) |
$1,379.43 |
$3,537 |
7.2× |
| CT head/brain with contrast (70460) |
$1,285.44 |
$3,296 |
6.7× |
| CT head/brain without and with contrast (70470) |
$1,562.73 |
$4,007 |
8.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$106.47 |
$273 |
1.1× |
| CT iac w contrast (70481) |
$1,228.50 |
$3,150 |
6.4× |
| CT limited/localized follow up study (76380) |
$513.63 |
$1,317 |
5.4× |
| CT lower ext w/o (73700) |
$1,271.01 |
$3,259 |
11.1× |
| CT lower extremity w/contrast material (73701) |
$1,385.28 |
$3,552 |
7.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,385.67 |
$3,553 |
7.2× |
| CT lumbar spine w/contrast (72132) |
$1,366.56 |
$3,504 |
3.6× |
| CT lumbar spine w/o contrast (72131) |
$1,344.72 |
$3,448 |
11.8× |
| CT maxillofacial w contrast (70487) |
$1,411.80 |
$3,620 |
7.4× |
| CT maxillofacial w/wo contrast (70488) |
$1,275.69 |
$3,271 |
6.7× |
| CT maxillofacial wo contrast (70486) |
$1,189.50 |
$3,050 |
10.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,409.46 |
$3,614 |
7.4× |
| CT orbits w/o contrast (70480) |
$1,206.66 |
$3,094 |
10.6× |
| CT pelvis w/o contrast (72192) |
$1,192.62 |
$3,058 |
10.4× |
| CT pelvis w/wo contrast (72194) |
$332.67 |
$853 |
1.7× |
| CT scan of arm combo (73202) |
$152.49 |
$391 |
0.8× |
| CT soft tissue neck w contrast (70491) |
$1,406.34 |
$3,606 |
7.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,638 |
$4,200 |
8.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,134.90 |
$2,910 |
9.9× |
| CT thoracic spine w/contrast (72129) |
$1,286.22 |
$3,298 |
6.7× |
| CT thoracic spine w/o contrast (72128) |
$1,210.56 |
$3,104 |
10.6× |
| CT thorax w/o contrast (71250) |
$1,242.15 |
$3,185 |
10.9× |
| CT upper ext wo (73200) |
$1,116.57 |
$2,863 |
9.8× |
| CT upper extremity with contrast (73201) |
$1,239.03 |
$3,177 |
3.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,002.65 |
$5,135 |
10.5× |
| Cta Abdomen (74175) |
$1,618.89 |
$4,151 |
8.4× |
| CTA abdomen pelvis (74174) |
$2,741.31 |
$7,029 |
7.2× |
| CTA chest (71275) |
$1,631.37 |
$4,183 |
8.5× |
| Cta Head (70496) |
$1,504.62 |
$3,858 |
7.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,009.24 |
$7,716 |
7.9× |
| Cta Neck (70498) |
$1,504.62 |
$3,858 |
7.9× |
| Cta Pelvis (72191) |
$2,005.38 |
$5,142 |
10.5× |
| Cystography minimum 3 views rs&i (74430) |
$639.99 |
$1,641 |
1.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$305.37 |
$783 |
2.7× |
| Dxa bone density study axial skeleton (77085) |
$310.83 |
$797 |
2.7× |
| Esophagus (74220) |
$455.91 |
$1,169 |
2.4× |
| Facial bones min 3 views (70150) |
$285.09 |
$731 |
2.5× |
| Fetal biophysical profile non-stress testing (76818) |
$87.36 |
$224 |
0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$372.06 |
$954 |
3.3× |
| Fluoroscopy up to 1 hr (76000) |
$280.02 |
$718 |
1.1× |
| Foot 2 views (73620) |
$231.27 |
$593 |
2.4× |
| Forearm 2 views (73090) |
$221.13 |
$567 |
2.3× |
| Hand 2 views (73120) |
$239.85 |
$615 |
2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,563.51 |
$4,009 |
2.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,161.42 |
$2,978 |
2.7× |
| Hysterosalpingogram (74740) |
$583.83 |
$1,497 |
2.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$212.16 |
$544 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$955.50 |
$2,450 |
1.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,029.99 |
$2,641 |
1.7× |
| Knee 3 views (73562) |
$342.42 |
$878 |
3.6× |
| Liver imaging w/vascular flow (78202) |
$471.51 |
$1,209 |
0.8× |
| Lung perf&ventilat diferentl (78598) |
$1,308.84 |
$3,356 |
2.2× |
| Lung perfusion differential (78597) |
$816.27 |
$2,093 |
1.9× |
| Lymphoscintigraphy (78195) |
$1,126.32 |
$2,888 |
1.9× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,032.29 |
$5,211 |
2.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,427.36 |
$6,224 |
6.4× |
| Mr safety determination physician/other qhp (76016) |
$163.80 |
$420 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$46.02 |
$118 |
1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$171.21 |
$439 |
1.6× |
| Mr safety implt pos&/immoblj (76019) |
$111.15 |
$285 |
1.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$323.70 |
$830 |
1.2× |
| MRA head w & w/o contrast (70546) |
$2,134.47 |
$5,473 |
5.6× |
| MRA head w/o contrast (70544) |
$1,352.13 |
$3,467 |
5.2× |
| MRA head with contrast (70545) |
$1,653.60 |
$4,240 |
4.3× |
| MRA neck w contrast (70548) |
$1,796.73 |
$4,607 |
4.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,191.41 |
$5,619 |
5.7× |
| MRA neck w/o contrast (70547) |
$1,143.09 |
$2,931 |
4.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,520.18 |
$6,462 |
6.6× |
| MRI abdomen w/o contrast (74181) |
$1,786.98 |
$4,582 |
6.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,008.89 |
$5,151 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,471.04 |
$6,336 |
6.5× |
| MRI breast w/o contrast bilateral (77047) |
$2,425.41 |
$6,219 |
9.3× |
| MRI cervical spine w/o contrast (72141) |
$1,844.70 |
$4,730 |
7.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,509.65 |
$6,435 |
6.6× |
| MRI chest w/o contrast (71550) |
$1,579.89 |
$4,051 |
6.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,435.16 |
$6,244 |
6.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,777.62 |
$4,558 |
6.8× |
| MRI orbit face neck w contrast (70542) |
$1,534.65 |
$3,935 |
4.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,333.76 |
$5,984 |
6.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,476.89 |
$6,351 |
6.5× |
| MRI pelvis w/o contrast (72195) |
$1,814.67 |
$4,653 |
7.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,499.90 |
$6,410 |
6.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,901.64 |
$4,876 |
5.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,497.56 |
$6,404 |
6.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,117.70 |
$5,430 |
5.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,409.42 |
$6,178 |
6.3× |
| MRI temporomandibular joint (70336) |
$1,669.20 |
$4,280 |
6.4× |
| MRI thoracic spine w/o contrast (72146) |
$1,882.14 |
$4,826 |
7.2× |
| MRI up ext w/o contrast (73218) |
$1,661.79 |
$4,261 |
6.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,704.30 |
$4,370 |
6.5× |
| MRI, joint upper extrem combo (73223) |
$2,114.58 |
$5,422 |
5.5× |
| Myelogram Cervical (72240) |
$739.44 |
$1,896 |
0.9× |
| Myelogram Lumbar (72265) |
$647.01 |
$1,659 |
0.8× |
| Myelogram thoracic (72255) |
$649.74 |
$1,666 |
0.8× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78431) |
$4,471.74 |
$11,466 |
1.9× |
| Myocardial Spect Multiple Studies (78452) |
$2,026.05 |
$5,195 |
1.4× |
| Myocardial spect single study at rest or stress (78451) |
$1,338.48 |
$3,432 |
0.9× |
| N-invas est c ffr sw aly CTA (75580) |
$492.57 |
$1,263 |
0.5× |
| Neck soft tissue (70360) |
$223.08 |
$572 |
2.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$238.29 |
$611 |
0.5× |
| Nm gastric emptying study (78264) |
$1,099.41 |
$2,819 |
2.5× |
| Nonvascular shunt X-ray (75809) |
$108.03 |
$277 |
0.9× |
| Osseous survey limited (77074) |
$336.96 |
$864 |
3.0× |
| Parathyrd planar w/spect&CT (78072) |
$1,116.57 |
$2,863 |
1.9× |
| Parathyroid Planar Imaging (78070) |
$581.49 |
$1,491 |
1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,380.21 |
$3,539 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$195 |
$500 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$4,438.98 |
$11,382 |
2.8× |
| PET imaging for CT attenuation whole body (78816) |
$4,789.59 |
$12,281 |
3.1× |
| PET whole body (78813) |
$4,636.32 |
$11,888 |
3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$829.92 |
$2,128 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,366.17 |
$3,503 |
2.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$251.55 |
$645 |
2.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$241.80 |
$620 |
2.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$256.23 |
$657 |
2.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$225.81 |
$579 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$270.66 |
$694 |
2.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$374.01 |
$959 |
3.3× |
| Radex fingr minimum 2 views (73140) |
$193.83 |
$497 |
2.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$260.13 |
$667 |
2.7× |
| Radex Hand Minimum 3 Views (73130) |
$255.06 |
$654 |
2.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$140.40 |
$360 |
1.5× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$246.09 |
$631 |
2.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$266.76 |
$684 |
2.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$326.04 |
$836 |
2.9× |
| Radex Humerus Minimum 2 Views (73060) |
$265.20 |
$680 |
2.8× |
| Radex Kne 1/2 Views (73560) |
$235.95 |
$605 |
2.5× |
| Radex Kne Compl 4/More Views (73564) |
$468.39 |
$1,201 |
4.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$318.63 |
$817 |
2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$242.58 |
$622 |
2.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$219.57 |
$563 |
1.9× |
| Radex Sho Compl Minimum 2 Views (73030) |
$258.57 |
$663 |
2.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$221.13 |
$567 |
2.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$266.76 |
$684 |
2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$320.58 |
$822 |
3.4× |
| Radex Toe Minimum 2 Views (73660) |
$154.05 |
$395 |
1.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$280.80 |
$720 |
2.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$255.45 |
$655 |
2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$408.33 |
$1,047 |
3.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$192.66 |
$494 |
2.0× |
| Radiologic exam chest 2 views (71046) |
$212.94 |
$546 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$647.40 |
$1,660 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$491.01 |
$1,259 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$609.57 |
$1,563 |
3.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$504.66 |
$1,294 |
2.6× |
| Radiologic examination femur 1 view (73551) |
$187.98 |
$482 |
2.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$234 |
$600 |
2.5× |
| Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique Non-Facility (70370) |
$78.39 |
$201 |
0.8× |
| Radiological examination surgical specimen (76098) |
$464.10 |
$1,190 |
0.8× |
| Ribs bilateral 3 views (71110) |
$322.53 |
$827 |
2.8× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$785.07 |
$2,013 |
1.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,391.13 |
$3,567 |
2.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,429.35 |
$3,665 |
2.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$747.63 |
$1,917 |
0.5× |
| Sacroiliac Joints < 3 Views (72200) |
$223.47 |
$573 |
2.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$551.85 |
$1,415 |
2.1× |
| Scapula (73010) |
$270.27 |
$693 |
2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$41.34 |
$106 |
1.8× |
| Shoulder 1 view (73020) |
$209.43 |
$537 |
2.2× |
| Small bowel series (74250) |
$457.47 |
$1,173 |
2.4× |
| Spine thoracic 3 views (72072) |
$276.51 |
$709 |
2.4× |
| Thoracolumbar 2 views (72080) |
$255.84 |
$656 |
2.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$905.19 |
$2,321 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$804.96 |
$2,064 |
1.8× |
| Ultrasound breast complete (76641) |
$439.92 |
$1,128 |
3.9× |
| Ultrasound Exam Aaa Screen (76706) |
$343.59 |
$881 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$347.49 |
$891 |
3.0× |
| Urethrocystogram voiding (74455) |
$619.32 |
$1,588 |
2.4× |
| Urethrocystography retrograde rs&i (74450) |
$793.65 |
$2,035 |
3.0× |
| Us breast unilateral limited (76642) |
$408.33 |
$1,047 |
4.3× |
| Us chest (76604) |
$424.71 |
$1,089 |
3.7× |
| Us compl joint r-t w/image documentation (76881) |
$363.48 |
$932 |
3.2× |
| Us elastography parenchyma (76981) |
$138.06 |
$354 |
1.2× |
| Us hips infant static (76886) |
$272.61 |
$699 |
2.9× |
| Us infant hips w manipulation (76885) |
$288.60 |
$740 |
3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$334.62 |
$858 |
2.9× |
| Us ob limited (76815) |
$424.71 |
$1,089 |
3.7× |
| Us ob transvaginal (76817) |
$424.71 |
$1,089 |
3.7× |
| Us pelvic non ob complete (76856) |
$449.67 |
$1,153 |
3.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$320.97 |
$823 |
2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$432.12 |
$1,108 |
3.8× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$348.66 |
$894 |
3.1× |
| Us retroperitoneal complete (76770) |
$475.41 |
$1,219 |
4.2× |
| Us retroperitoneal limited (76775) |
$433.68 |
$1,112 |
3.8× |
| Us scrotum and contents (76870) |
$439.92 |
$1,128 |
3.9× |
| Us soft tissue head/neck (76536) |
$497.64 |
$1,276 |
4.4× |
| Us spinal canal and contents (76800) |
$299.52 |
$768 |
2.6× |
| Venogram Extremity Unilateral (75820) |
$824.07 |
$2,113 |
0.5× |
| Wrist 2 views (73100) |
$237.90 |
$610 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$237.51 |
$609 |
2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$236.34 |
$606 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$709.80 |
$1,820 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$244.53 |
$627 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$212.55 |
$545 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$275.73 |
$707 |
2.4× |
| X-ray exam of femur 2/> (73552) |
$217.23 |
$557 |
2.3× |
| X-ray eye for foreign body (70030) |
$202.80 |
$520 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$73.71 |
$189 |
0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$230.10 |
$590 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$248.43 |
$637 |
2.6× |
| X-ray leg, infant (73592) |
$316.68 |
$812 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$316.68 |
$812 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$468.39 |
$1,201 |
4.1× |
| X-ray nose-rectum child f.b. (76010) |
$222.30 |
$570 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$309.66 |
$794 |
2.7× |
| X-ray retrograde pyelogram (74420) |
$1,577.55 |
$4,045 |
4.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$234.78 |
$602 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$307.71 |
$789 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$378.30 |
$970 |
3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$276.90 |
$710 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$254.67 |
$653 |
2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$299.91 |
$769 |
3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$327.60 |
$840 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$246.87 |
$633 |
2.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$219.57 |
$563 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$278.07 |
$713 |
2.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$241.02 |
$618 |
2.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$273.39 |
$701 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$305.76 |
$784 |
2.7× |
| Xr bone length studies (77073) |
$269.10 |
$690 |
2.4× |
| Xr c-spine 4 or 5 views (72050) |
$365.43 |
$937 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$444.21 |
$1,139 |
3.9× |
| Xr chest 4+ views (71048) |
$274.56 |
$704 |
2.4× |
| Xr urogram antegrade (74425) |
$1,577.55 |
$4,045 |
4.1× |