| Abdomen 2 views (74019) |
$436.80 |
$672 |
4.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,301.30 |
$2,002 |
3.3× |
| Angiography extremity unilateral rs&i (75710) |
$2,857.40 |
$4,396 |
0.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,174.60 |
$4,884 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,234.70 |
$3,438 |
0.7× |
| Angiography Spinal Selective Rs&I (75705) |
$87,279.95 |
— |
15.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,210.05 |
$6,477 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,113.80 |
$3,252 |
0.7× |
| Ankle 2 views (73600) |
$291.85 |
$449 |
3.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$667.55 |
$1,027 |
1.9× |
| Aortography abdominal serialography rs&i (75625) |
$2,255.50 |
$3,470 |
0.7× |
| Arthrogram hip (73525) |
$962 |
$1,480 |
2.8× |
| Arthrogram shoulder (73040) |
$827.45 |
$1,273 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,597.05 |
$2,457 |
4.1× |
| Bone age studies (77072) |
$190.45 |
$293 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,504.75 |
$2,315 |
3.8× |
| Bone survey complete (77075) |
$896.35 |
$1,379 |
8.7× |
| Brain imaging < 4 static views w vascular flow (78601) |
$685.10 |
$1,054 |
1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,241.50 |
$1,910 |
3.6× |
| Cervical spine 2 or 3 views (72040) |
$352.30 |
$542 |
4.1× |
| Chest 1 view (71045) |
$20,032.17 |
— |
233.9× |
| Chest 3 views (71047) |
$278.85 |
$429 |
3.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$676 |
$1,040 |
3.9× |
| Clavicle complete (73000) |
$280.15 |
$431 |
3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$297.70 |
$458 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,397.85 |
$3,689 |
7.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,749.80 |
$2,692 |
7.5× |
| CT abdomen w contrast (74160) |
$1,918.15 |
$2,951 |
11.1× |
| CT abdomen w wo contrast (74170) |
$2,110.55 |
$3,247 |
12.2× |
| CT abdomen w/o contrast (74150) |
$1,439.10 |
$2,214 |
14.0× |
| CT angio hrt w/3d image (75574) |
$780 |
$1,200 |
2.3× |
| CT angiography upper extremity lt (73206) |
$1,794.65 |
$2,761 |
10.4× |
| CT c-spine w/o contrast (72125) |
$1,754.35 |
$2,699 |
17.1× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$96.85 |
$149 |
0.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,055.30 |
$3,162 |
11.9× |
| CT cervical spine with contrast (72126) |
$2,012.40 |
$3,096 |
5.9× |
| CT chest w/wo contrast (71270) |
$416.65 |
$641 |
2.4× |
| CT chest with contrast (71260) |
$4,816.14 |
— |
27.9× |
| CT head/brain with contrast (70460) |
$2,215.85 |
$3,409 |
12.8× |
| CT head/brain without and with contrast (70470) |
$2,449.85 |
$3,769 |
14.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$716.30 |
$1,102 |
2.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$105.95 |
$163 |
1.2× |
| CT iac w contrast (70481) |
$2,056.92 |
— |
11.9× |
| CT limited/localized follow up study (76380) |
$157.95 |
$243 |
1.8× |
| CT lower ext w/o (73700) |
$1,418.95 |
$2,183 |
13.8× |
| CT lower extremity w wo contrast (73702) |
$1,523.60 |
$2,344 |
8.8× |
| CT lower extremity with contrast (73701) |
$1,558.70 |
$2,398 |
9.0× |
| CT lumbar spine w & w/o contrast (72133) |
$2,275 |
$3,500 |
13.2× |
| CT lumbar spine w/o contrast (72131) |
$1,727.05 |
$2,657 |
16.8× |
| CT lumbar spine with contrast (72132) |
$1,983.15 |
$3,051 |
5.8× |
| CT maxillofacial w contrast (70487) |
$1,586 |
$2,440 |
9.2× |
| CT maxillofacial w/o contrast (70486) |
$1,420.90 |
$2,186 |
13.8× |
| CT neck soft tissue w contrast (70491) |
$1,967.22 |
— |
11.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,611.70 |
$4,018 |
15.1× |
| CT orbits w/o contrast (70480) |
$1,667.90 |
$2,566 |
16.2× |
| CT pelvis w & w/o contrast (72194) |
$2,110.55 |
$3,247 |
12.2× |
| CT pelvis w/o contrast (72192) |
$1,439.10 |
$2,214 |
14.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,947.40 |
$2,996 |
11.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,457.30 |
$2,242 |
14.2× |
| CT thoracic spine w/contrast (72129) |
$1,959.10 |
$3,014 |
11.4× |
| CT thoracic spine w/o contrast (72128) |
$1,754.35 |
$2,699 |
17.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,946.75 |
$2,995 |
11.3× |
| CT thorax w/o contrast (71250) |
$2,057.25 |
— |
20.0× |
| CT unlisted procedure (76497) |
$177.45 |
$273 |
2.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,443 |
$2,220 |
14.0× |
| CT upper extremity with contrast (73201) |
$1,505.40 |
$2,316 |
4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,585.05 |
$3,977 |
15.0× |
| Cta Abdomen (74175) |
$2,665 |
$4,100 |
15.4× |
| CTA abdomen pelvis (74174) |
$1,623.70 |
$2,498 |
4.7× |
| CTA chest (71275) |
$2,693.24 |
— |
15.6× |
| Cta Head (70496) |
$2,177.50 |
$3,350 |
12.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$96.85 |
$149 |
0.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,830.40 |
$2,816 |
10.6× |
| Cta Neck (70498) |
$2,167.75 |
$3,335 |
12.6× |
| Cta Pelvis (72191) |
$2,423.85 |
$3,729 |
14.0× |
| Cystography minimum 3 views rs&i (74430) |
$501.80 |
$772 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$530.40 |
$816 |
5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$185.90 |
$286 |
2.2× |
| Dxa bone density study axial skeleton (77085) |
$254.15 |
$391 |
2.5× |
| Echoencephalography real time imaging (76506) |
$377.65 |
$581 |
3.7× |
| Esophagus (74220) |
$474.50 |
$730 |
2.7× |
| Fetal biophysical profile non-stress testing (76818) |
$640.25 |
$985 |
6.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$301.60 |
$464 |
2.9× |
| Fluoroscopy up to 1 hr (76000) |
$26,844.61 |
— |
114.3× |
| Foot 2 views (73620) |
$248.95 |
$383 |
2.9× |
| Forearm 2 views (73090) |
$336.70 |
$518 |
3.9× |
| Gated Heart Planar Single (78472) |
$1,413.10 |
$2,174 |
3.6× |
| Hand 2 views (73120) |
$280.15 |
$431 |
2.7× |
| Hand 3 views (73130) |
$313.30 |
$482 |
3.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$822.90 |
$1,266 |
1.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$822.90 |
$1,266 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$266.50 |
$410 |
3.1× |
| Hysterosalpingogram (74740) |
$618.15 |
$951 |
2.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,411.15 |
$2,171 |
2.6× |
| Knee 3 views (73562) |
$356.85 |
$549 |
4.2× |
| Lung perfusion differential (78597) |
$463.45 |
$713 |
1.2× |
| Lymphoscintigraphy (78195) |
$1,140.10 |
$1,754 |
2.1× |
| MRA head w/o contrast (70544) |
$3,615.87 |
— |
15.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,801.50 |
$4,310 |
8.2× |
| MRA neck w/o contrast (70547) |
$1,881.75 |
$2,895 |
8.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,270.15 |
$5,031 |
9.5× |
| MRI abdomen w/o contrast (74181) |
$2,273.05 |
$3,497 |
9.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,977.30 |
$3,042 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,123.55 |
$3,267 |
2.8× |
| MRI breast w/o contrast bilateral (77047) |
$468 |
$720 |
2.0× |
| MRI breast w/o contrast unilat (77046) |
$501.80 |
$772 |
2.1× |
| MRI c-spine with contrast (72142) |
$2,770.30 |
$4,262 |
8.1× |
| MRI cardiac w/o cont stress (75559) |
$1,095.90 |
$1,686 |
2.0× |
| MRI cardiac w/o contrast (75557) |
$742.95 |
$1,143 |
3.2× |
| MRI cervical spine w/o contrast (72141) |
$2,329.60 |
$3,584 |
9.9× |
| MRI chest w/o & w/contrast material (71552) |
$2,408.90 |
$3,706 |
7.0× |
| MRI chest w/o contrast (71550) |
$1,754.35 |
$2,699 |
7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,093 |
$3,220 |
8.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,195.05 |
$3,377 |
9.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,201.90 |
$4,926 |
9.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,621.80 |
$5,572 |
10.5× |
| MRI pelvis w/o contrast (72195) |
$2,178.15 |
$3,351 |
9.3× |
| MRI scan of arm joint before and after contrast (73223) |
$2,653.95 |
$4,083 |
7.7× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$2,750.80 |
$4,232 |
3.6× |
| MRI scan of leg joint before and after contrast (73723) |
$3,121.30 |
$4,802 |
9.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,489.20 |
$5,368 |
10.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,977 |
$4,580 |
8.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,489.20 |
$5,368 |
10.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,926.30 |
$4,502 |
8.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,582.15 |
$5,511 |
10.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,483 |
$3,820 |
10.6× |
| MRI tmj (70336) |
$1,914.90 |
$2,946 |
8.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,296.45 |
$3,533 |
9.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,701.40 |
$4,156 |
7.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,091.05 |
$3,217 |
8.9× |
| Myelogram Cervical (72240) |
$1,669.85 |
$2,569 |
2.2× |
| Myelogram Lumbar (72265) |
$1,575.60 |
$2,424 |
2.0× |
| Myelogram thoracic (72255) |
$1,580.15 |
$2,431 |
2.0× |
| Myelography 2 or more regions (72270) |
$1,500.85 |
$2,309 |
1.9× |
| Myocardial Spect Multiple Studies (78452) |
$2,882.10 |
$4,434 |
2.3× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$3,120 |
$4,800 |
3.7× |
| Neck soft tissue (70360) |
$222.30 |
$342 |
2.6× |
| Nm cisternogram (78630) |
$1,021.15 |
$1,571 |
1.9× |
| Nm gastric emptying study (78264) |
$1,354.60 |
$2,084 |
3.4× |
| Nm whole blood volume (78122) |
$1,066.65 |
$1,641 |
2.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$787.80 |
$1,212 |
2.0× |
| Nuclear Rx Oral Admin (79005) |
$1,474.85 |
$2,269 |
6.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$254.80 |
$392 |
2.5× |
| Osseous survey infant (77076) |
$317.20 |
$488 |
3.1× |
| Parathyroid imaging (78070) |
$1,035.45 |
$1,593 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$222.30 |
$342 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,553.20 |
$3,928 |
7.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$787.80 |
$1,212 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,069.90 |
$1,646 |
2.0× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$3,120 |
$4,800 |
3.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$150.15 |
$231 |
1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$246.35 |
$379 |
2.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$246.35 |
$379 |
2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$349.70 |
$538 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$22,843.74 |
— |
266.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$254.80 |
$392 |
2.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$278.85 |
$429 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$619.45 |
$953 |
3.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$422.50 |
$650 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$707.85 |
$1,089 |
4.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$551.85 |
$849 |
3.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$150.15 |
$231 |
1.8× |
| Radiological examination surgical specimen (76098) |
$22,597.44 |
— |
42.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$5,315.05 |
$8,177 |
1.7× |
| Ribs bilateral 3 views (71110) |
$229.45 |
$353 |
2.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,882.10 |
$4,434 |
5.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,558.05 |
$2,397 |
1.2× |
| Sacroiliac Joints < 3 Views (72200) |
$254.15 |
$391 |
2.5× |
| Scapula complete (73010) |
$282.75 |
$435 |
2.7× |
| Screening digital breast tomosynthesis (77063) |
$48.75 |
$75 |
2.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$471.90 |
$726 |
4.6× |
| Small bowel series (74250) |
$485.55 |
$747 |
2.8× |
| Spine thoracic 3 views (72072) |
$448.50 |
$690 |
4.4× |
| Superior sagittal sinus venogram (75870) |
$43,601.97 |
— |
14.0× |
| Tbs Technical Calculation Only (77091) |
$177.45 |
$273 |
2.1× |
| Thoracolumbar 2 views (72080) |
$297.05 |
$457 |
3.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,372.80 |
$2,112 |
2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$652.60 |
$1,004 |
1.7× |
| Tmj unilateral (70328) |
$211.25 |
$325 |
2.5× |
| Ultrasound elastography first target lesion (76982) |
$208.65 |
$321 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$720.20 |
$1,108 |
7.0× |
| Upper Extremity Infant (73092) |
$102.05 |
$157 |
1.0× |
| Urethrocystography retrograde rs&i (74450) |
$427.05 |
$657 |
1.8× |
| Urethrocystography voiding (74455) |
$657.15 |
$1,011 |
2.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$416.65 |
$641 |
2.4× |
| Us abdl aorta screen aaa (76706) |
$254.15 |
$391 |
2.5× |
| Us breast unilateral complete (76641) |
$406.25 |
$625 |
3.9× |
| Us breast unilateral limited (76642) |
$189.80 |
$292 |
2.2× |
| Us chest (76604) |
$436.15 |
$671 |
4.2× |
| Us compl joint r-t w/image documentation (76881) |
$287.30 |
$442 |
2.8× |
| Us elastography parenchyma (76981) |
$208.65 |
$321 |
2.0× |
| Us guided compression repair (76936) |
$510.25 |
$785 |
2.4× |
| Us kidney transplant (76776) |
$482.30 |
$742 |
4.7× |
| Us ob transvaginal (76817) |
$450.45 |
$693 |
4.4× |
| Us pelvic non ob complete (76856) |
$704.60 |
$1,084 |
6.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$169.65 |
$261 |
1.6× |
| Us pregnancy ltd (76815) |
$360.75 |
$555 |
3.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$578.50 |
$890 |
5.6× |
| Us retroperitoneal complete (76770) |
$531.70 |
$818 |
5.2× |
| Us retroperitoneal limited (76775) |
$582.40 |
$896 |
5.7× |
| Us scrotum and contents (76870) |
$571.35 |
$879 |
5.6× |
| Us soft tissue head/neck (76536) |
$631.80 |
$972 |
6.1× |
| Us spinal canal and contents (76800) |
$339.30 |
$522 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$185.90 |
$286 |
1.8× |
| Venography caval inferior serialography rs&i (75825) |
$1,913.60 |
$2,944 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,661.40 |
$2,556 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$1,207.70 |
$1,858 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$43,601.97 |
— |
14.0× |
| Wrist 2 views (73100) |
$195.65 |
$301 |
2.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$425.75 |
$655 |
4.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$858.32 |
— |
10.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$883.35 |
$1,359 |
5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$508.62 |
— |
5.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$258.70 |
$398 |
3.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$216.45 |
$333 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$146.90 |
$226 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$317.20 |
— |
3.7× |
| X-ray exam hip uni 4/> views (73503) |
$219.70 |
$338 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$246.35 |
$379 |
2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$380.25 |
$585 |
3.7× |
| X-ray exam of femur 1 (73551) |
$136.50 |
$210 |
1.6× |
| X-ray eye for foreign body (70030) |
$193.70 |
$298 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$345.80 |
$532 |
3.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$252.85 |
$389 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$410.15 |
— |
4.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$257.40 |
$396 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$177.45 |
$273 |
2.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$368.55 |
$567 |
3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$185.25 |
$285 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$238.55 |
$367 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$689 |
$1,060 |
6.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$681.85 |
$1,049 |
6.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$220.35 |
$339 |
2.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$287.95 |
$443 |
3.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$99.45 |
$153 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$421.20 |
$648 |
4.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$236.60 |
$364 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$18,485.18 |
— |
53.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$220.35 |
$339 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$221.65 |
$341 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$544.05 |
$837 |
5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$318.50 |
$490 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$296.40 |
$456 |
3.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$601.25 |
— |
7.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$189.80 |
$292 |
2.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$220.35 |
$339 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$425.10 |
$654 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$306.80 |
$472 |
3.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$245.70 |
$378 |
2.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$295.10 |
$454 |
3.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$313.95 |
$483 |
3.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$216.45 |
$333 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$196.30 |
— |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$594.42 |
— |
6.9× |
| Xr c-spine 6 or more views (72052) |
$447.85 |
$689 |
4.4× |
| Xr chest 4+ views (71048) |
$234 |
$360 |
2.3× |
| Xr finger(s) 2+ views (73140) |
$301.60 |
— |
3.5× |
| Xr shoulder 1 view (73020) |
$51,433.46 |
— |
600.6× |
| Xr spine cervical 4 or 5 views (72050) |
$425.75 |
$655 |
4.1× |
| Xr tibia/fibula 2 views (73590) |
$274.95 |
$423 |
3.2× |
| Xr tmj bilateral (70330) |
$176.80 |
$272 |
2.1× |
| Xray knee 1 or 2 views rt (73560) |
$306.15 |
$471 |
3.6× |