| Abdomen 2 views (74019) |
$250.60 |
$358 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$684.60 |
$978 |
1.7× |
| Ankle 2 views (73600) |
$247.10 |
$353 |
2.8× |
| Arthrogram shoulder (73040) |
$846.30 |
$1,209 |
2.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$760.20 |
$1,086 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$1,746.50 |
$2,495 |
4.3× |
| Bone age studies (77072) |
$431.90 |
$617 |
4.0× |
| Bone Imaging 3 Phase (78315) |
$1,831.90 |
$2,617 |
4.5× |
| Bone survey complete (77075) |
$678.30 |
$969 |
6.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,534.40 |
$2,192 |
4.3× |
| Cervical spine 2 or 3 views (72040) |
$270.20 |
$386 |
3.0× |
| Chest 1 view (71045) |
$189 |
$270 |
2.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$702.80 |
$1,004 |
3.9× |
| Clavicle complete (73000) |
$268.80 |
$384 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$573.30 |
$819 |
5.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,887.10 |
$5,553 |
10.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,805.60 |
$4,008 |
11.5× |
| CT abdomen w contrast (74160) |
$1,265.60 |
$1,808 |
7.1× |
| CT abdomen w wo contrast (74170) |
$1,483.30 |
$2,119 |
8.3× |
| CT abdomen w/o contrast (74150) |
$1,226.40 |
$1,752 |
11.5× |
| CT angio hrt w/3d image (75574) |
$1,265.60 |
$1,808 |
3.6× |
| CT c-spine w/o contrast (72125) |
$1,661.80 |
$2,374 |
15.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,265.60 |
$1,808 |
7.1× |
| CT cervical spine with contrast (72126) |
$1,218 |
$1,740 |
3.4× |
| CT chest w/wo contrast (71270) |
$1,392.30 |
$1,989 |
7.8× |
| CT chest with contrast (71260) |
$2,086.70 |
$2,981 |
11.6× |
| CT head/brain with contrast (70460) |
$1,139.60 |
$1,628 |
6.4× |
| CT head/brain without and with contrast (70470) |
$1,521.10 |
$2,173 |
8.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$236.60 |
$338 |
2.7× |
| CT iac w contrast (70481) |
$1,675.45 |
$2,393.50 |
9.3× |
| CT limited/localized follow up study (76380) |
$573.30 |
$819 |
6.4× |
| CT lower ext w/o (73700) |
$1,370.60 |
$1,958 |
12.8× |
| CT lower extremity w wo contrast (73702) |
$1,265.60 |
$1,808 |
7.1× |
| CT lower extremity with contrast (73701) |
$1,139.60 |
$1,628 |
6.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,265.60 |
$1,808 |
7.1× |
| CT lumbar spine w/o contrast (72131) |
$1,393.70 |
$1,991 |
13.0× |
| CT lumbar spine with contrast (72132) |
$1,824.90 |
$2,607 |
5.1× |
| CT maxillofacial w contrast (70487) |
$991.20 |
$1,416 |
5.5× |
| CT maxillofacial w/o contrast (70486) |
$1,199.45 |
$1,713.50 |
11.2× |
| CT maxillofacial w/wo contrast (70488) |
$1,265.60 |
$1,808 |
7.1× |
| CT neck soft tissue w contrast (70491) |
$1,822.10 |
$2,603 |
10.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,392.30 |
$1,989 |
7.8× |
| CT orbits w/o contrast (70480) |
$793.80 |
$1,134 |
7.4× |
| CT pelvis w & w/o contrast (72194) |
$1,265.60 |
$1,808 |
7.1× |
| CT pelvis w/o contrast (72192) |
$1,602.30 |
$2,289 |
15.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,265.60 |
$1,808 |
7.1× |
| CT soft tissue neck w/o contrast (70490) |
$791.70 |
$1,131 |
7.4× |
| CT thoracic spine w/contrast (72129) |
$1,265.60 |
$1,808 |
7.1× |
| CT thoracic spine w/o contrast (72128) |
$1,332.10 |
$1,903 |
12.5× |
| CT thoracic spine w/wo contrast (72130) |
$1,265.60 |
$1,808 |
7.1× |
| CT thorax w/o contrast (71250) |
$1,449.70 |
$2,071 |
13.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,265.60 |
$1,808 |
7.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,271.90 |
$1,817 |
11.9× |
| CT upper extremity with contrast (73201) |
$1,339.10 |
$1,913 |
3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,397.50 |
$3,425 |
13.4× |
| Cta Abdomen (74175) |
$1,265.60 |
$1,808 |
7.1× |
| CTA abdomen pelvis (74174) |
$3,031.70 |
$4,331 |
8.5× |
| CTA chest (71275) |
$1,722 |
$2,460 |
9.6× |
| Cta Head (70496) |
$1,492.40 |
$2,132 |
8.3× |
| CTA lwr ext w&w/o contrast (73706) |
$885.50 |
$1,265 |
4.9× |
| Cta Neck (70498) |
$1,738.80 |
$2,484 |
9.7× |
| Cystography minimum 3 views rs&i (74430) |
$1,218 |
$1,740 |
3.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$415.10 |
$593 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$267.40 |
$382 |
3.0× |
| Dxa bone density study axial skeleton (77085) |
$251.30 |
$359 |
2.4× |
| Echoencephalography real time imaging (76506) |
$494.20 |
$706 |
4.6× |
| Esophagus (74220) |
$436.80 |
$624 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$494.20 |
$706 |
4.6× |
| Fluoroscopy up to 1 hr (76000) |
$774.20 |
$1,106 |
3.2× |
| Foot 2 views (73620) |
$212.10 |
$303 |
2.4× |
| Forearm 2 views (73090) |
$352.10 |
$503 |
4.0× |
| Gated Heart Planar Single (78472) |
$760.20 |
$1,086 |
1.9× |
| Hand 2 views (73120) |
$161 |
$230 |
1.5× |
| Hand 3 views (73130) |
$229.60 |
$328 |
2.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,360.40 |
$3,372 |
4.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,187.90 |
$1,697 |
2.9× |
| Ht muscle image spect sing (78451) |
$2,632.70 |
$3,761 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$240.10 |
$343 |
2.7× |
| Hysterosalpingogram (74740) |
$761.60 |
$1,088 |
3.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,542.80 |
$2,204 |
2.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$987 |
$1,410 |
1.8× |
| Knee 3 views (73562) |
$300.30 |
$429 |
3.4× |
| Lung Ventilation Imaging (78579) |
$760.20 |
$1,086 |
1.9× |
| Lymphoscintigraphy (78195) |
$1,336.30 |
$1,909 |
2.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$431.90 |
$617 |
4.9× |
| Meckels Diverticulum (78290) |
$760.20 |
$1,086 |
1.9× |
| MRA head w & w/o contrast (70546) |
$1,534.40 |
$2,192 |
4.3× |
| MRA head w/o contrast (70544) |
$1,537.90 |
$2,197 |
6.3× |
| MRA head with contrast (70545) |
$1,534.40 |
$2,192 |
4.3× |
| MRA neck w contrast (70548) |
$1,380.40 |
$1,972 |
3.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,573.50 |
$5,105 |
10.0× |
| MRA neck w/o contrast (70547) |
$959 |
$1,370 |
3.9× |
| MRI abdomen w contrast (74182) |
$1,534.40 |
$2,192 |
4.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,966.30 |
$2,809 |
5.5× |
| MRI abdomen w/o contrast (74181) |
$959 |
$1,370 |
3.9× |
| MRI any jnt lwr ext with con lt (73722) |
$2,601.90 |
$3,717 |
3.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,064.70 |
$1,521 |
1.3× |
| MRI c-spine with contrast (72142) |
$1,534.40 |
$2,192 |
4.3× |
| MRI cardiac w/o contrast (75557) |
$959 |
$1,370 |
3.9× |
| MRI cervical spine w/o contrast (72141) |
$1,634.50 |
$2,335 |
6.7× |
| MRI chest w/o & w/contrast material (71552) |
$1,534.40 |
$2,192 |
4.3× |
| MRI chest w/o contrast (71550) |
$1,054.90 |
$1,507 |
4.3× |
| MRI chest with contrast (71551) |
$2,979.20 |
$4,256 |
3.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,534.40 |
$2,192 |
4.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,534.40 |
$2,192 |
4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,537.90 |
$2,197 |
6.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$863.10 |
$1,233 |
3.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,787.10 |
$2,553 |
5.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,534.40 |
$2,192 |
4.3× |
| MRI pelvis w contrast (72196) |
$1,534.40 |
$2,192 |
4.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,111.20 |
$3,016 |
5.9× |
| MRI pelvis w/o contrast (72195) |
$1,641.50 |
$2,345 |
6.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,686.30 |
$2,409 |
4.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,534.40 |
$2,192 |
4.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,090.90 |
$2,987 |
5.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,534.40 |
$2,192 |
4.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,012.50 |
$2,875 |
5.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,534.40 |
$2,192 |
4.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,046.80 |
$2,924 |
5.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,634.50 |
$2,335 |
6.7× |
| MRI tmj (70336) |
$1,054.90 |
$1,507 |
4.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,099.70 |
$1,571 |
4.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,660.75 |
$2,372.50 |
4.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$959 |
$1,370 |
3.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,920.70 |
$5,601 |
3.0× |
| Neck soft tissue (70360) |
$194.60 |
$278 |
2.2× |
| Nm gastric emptying study (78264) |
$1,575.70 |
$2,251 |
3.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$319.90 |
$457 |
3.0× |
| Osseous survey infant (77076) |
$444.50 |
$635 |
4.2× |
| Parathyroid imaging (78070) |
$1,288 |
$1,840 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$315 |
$450 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,787.10 |
$2,553 |
5.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,187.90 |
$1,697 |
2.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,584.40 |
$3,692 |
4.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$228.90 |
$327 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$381.50 |
$545 |
3.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$396.90 |
$567 |
3.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$175.70 |
$251 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$207.20 |
$296 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$319.90 |
$457 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$241.50 |
$345 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$590.10 |
$843 |
3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$649.60 |
$928 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$649.60 |
$928 |
3.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$198.10 |
$283 |
2.2× |
| Radiological examination surgical specimen (76098) |
$410.90 |
$587 |
0.7× |
| Ribs bilateral 3 views (71110) |
$263.90 |
$377 |
2.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,632.70 |
$3,761 |
2.0× |
| Sacroiliac Joints < 3 Views (72200) |
$270.90 |
$387 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$532.70 |
$761 |
2.2× |
| Scanogram (77073) |
$444.50 |
$635 |
4.2× |
| Scapula complete (73010) |
$324.10 |
$463 |
3.0× |
| Screening digital breast tomosynthesis (77063) |
$38.50 |
$55 |
1.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$360.50 |
$515 |
3.4× |
| Small bowel series (74250) |
$191.10 |
$273 |
1.1× |
| Spine thoracic 3 views (72072) |
$431.90 |
$617 |
4.0× |
| Thoracolumbar 2 views (72080) |
$308.70 |
$441 |
3.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$799.40 |
$1,142 |
2.0× |
| Thyroid uptake measurement (78012) |
$499.10 |
$713 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,191 |
$3,130 |
5.4× |
| Tmj unilateral (70328) |
$242.90 |
$347 |
2.7× |
| Ultrasound, abdomen limited (76705) |
$510.30 |
$729 |
4.8× |
| Umbilical-artery Doppler (OB) (76820) |
$44.10 |
$63 |
0.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$366.80 |
$524 |
4.1× |
| Upper Extremity Infant (73092) |
$494.20 |
$706 |
4.6× |
| Urethrocystography voiding (74455) |
$761.60 |
$1,088 |
3.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$809.90 |
$1,157 |
4.5× |
| Us abdl aorta screen aaa (76706) |
$527.80 |
$754 |
4.9× |
| Us breast unilateral complete (76641) |
$514.50 |
$735 |
4.8× |
| Us breast unilateral limited (76642) |
$405.30 |
$579 |
4.6× |
| Us chest (76604) |
$353.50 |
$505 |
3.3× |
| Us compl joint r-t w/image documentation (76881) |
$488.60 |
$698 |
4.6× |
| Us fetal nuchal translucency 1st gestation (76813) |
$494.20 |
$706 |
4.6× |
| Us infant hips dynamic (76885) |
$366.80 |
$524 |
4.1× |
| Us infant hips limited static (76886) |
$366.80 |
$524 |
4.1× |
| Us kidney transplant (76776) |
$413.70 |
$591 |
3.9× |
| Us ob detailed single fetus (76811) |
$761.60 |
$1,088 |
3.1× |
| Us ob transvaginal (76817) |
$360.50 |
$515 |
3.4× |
| Us pelvic non ob complete (76856) |
$613.90 |
$877 |
5.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$339.15 |
$484.50 |
3.2× |
| Us pregnancy ltd (76815) |
$396.20 |
$566 |
3.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$336.70 |
$481 |
3.2× |
| Us retroperitoneal complete (76770) |
$749.70 |
$1,071 |
7.0× |
| Us retroperitoneal limited (76775) |
$375.20 |
$536 |
3.5× |
| Us scrotum and contents (76870) |
$497.70 |
$711 |
4.7× |
| Us soft tissue head/neck (76536) |
$501.20 |
$716 |
4.7× |
| Us transrectal (76872) |
$350 |
$500 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$350 |
$500 |
3.3× |
| Venography extremity unilateral rs&i (75820) |
$4,650.80 |
$6,644 |
2.9× |
| Vertebral fracture assessment via dxa (77086) |
$366.80 |
$524 |
4.1× |
| Wrist 2 views (73100) |
$317.10 |
$453 |
3.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$319.90 |
$457 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$294 |
$420 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$267.40 |
$382 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$891.10 |
$1,273 |
5.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$326.90 |
$467 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$381.50 |
$545 |
4.3× |
| X-ray exam hip uni 1 view (73501) |
$212.80 |
$304 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$265.30 |
$379 |
3.0× |
| X-ray exam hip uni 4/> views (73503) |
$372.40 |
$532 |
3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$399 |
$570 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$505.40 |
$722 |
4.7× |
| X-ray exam of femur 1 (73551) |
$366.80 |
$524 |
4.1× |
| X-ray eye for foreign body (70030) |
$85.40 |
$122 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$396.20 |
$566 |
3.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$366.80 |
$524 |
4.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$244.30 |
$349 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$196.70 |
$281 |
2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$366.80 |
$524 |
4.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$500.50 |
$715 |
4.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$176.40 |
$252 |
2.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$352.80 |
$504 |
4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$282.10 |
$403 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$387.10 |
$553 |
3.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$290.50 |
$415 |
2.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$152.60 |
$218 |
1.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$378 |
$540 |
4.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$396.20 |
$566 |
3.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$366.10 |
$523 |
3.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,218 |
$1,740 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$291.20 |
$416 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$311.50 |
$445 |
2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$360.50 |
$515 |
3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$296.80 |
$424 |
2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$291.90 |
$417 |
3.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$298.90 |
$427 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$366.80 |
$524 |
4.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$267.40 |
$382 |
3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$360.50 |
$515 |
3.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$342.30 |
$489 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$236.60 |
$338 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$366.80 |
$524 |
4.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$352.80 |
$504 |
4.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$378 |
$540 |
3.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$482.30 |
$689 |
4.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$158.90 |
$227 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$281.40 |
$402 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$403.20 |
$576 |
3.8× |
| Xr chest 4+ views (71048) |
$705.60 |
$1,008 |
6.6× |
| Xr finger(s) 2+ views (73140) |
$180.60 |
$258 |
2.0× |
| Xr shoulder 1 view (73020) |
$184.80 |
$264 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$340.90 |
$487 |
3.2× |
| Xr tibia/fibula 2 views (73590) |
$262.50 |
$375 |
3.0× |
| Xr tmj bilateral (70330) |
$366.80 |
$524 |
4.1× |
| Xray knee 1 or 2 views rt (73560) |
$333.20 |
$476 |
3.7× |