| Abdomen 2 views (74019) |
$108.25 |
$216.50 |
1.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$399.88 |
$799.75 |
1.0× |
| Ankle 2 views (73600) |
$113.50 |
$227 |
1.3× |
| Arthrogram elbow (73085) |
$209.75 |
$419.50 |
0.6× |
| Arthrogram hip (73525) |
$210 |
$420 |
0.6× |
| Arthrogram shoulder (73040) |
$29 |
$58 |
0.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$376.75 |
$753.50 |
0.9× |
| Bone &/joint imaging whole body (78306) |
$396.38 |
$792.75 |
1.0× |
| Bone age studies (77072) |
$71.88 |
$143.75 |
0.7× |
| Bone Imaging 3 Phase (78315) |
$444.25 |
$888.50 |
1.1× |
| Bone survey complete (77075) |
$245.75 |
$491.50 |
2.3× |
| Brain image w/flow 4 + views (78606) |
$33.50 |
$67 |
0.1× |
| Brain Imaging Minimum 4 Static Views (78605) |
$28.50 |
$57 |
0.1× |
| Cervical spine 2 or 3 views (72040) |
$131.75 |
$263.50 |
1.5× |
| Chest 1 view (71045) |
$58.50 |
$117 |
0.7× |
| Chest 3 views (71047) |
$15 |
$30 |
0.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$165.88 |
$331.75 |
0.9× |
| Clavicle complete (73000) |
$88 |
$176 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,072.50 |
$2,145 |
10.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,541.50 |
$3,083 |
4.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,311.88 |
$2,623.75 |
5.5× |
| CT abdomen w contrast (74160) |
$1,454.75 |
$2,909.50 |
8.3× |
| CT abdomen w wo contrast (74170) |
$797.62 |
$1,595.25 |
4.5× |
| CT abdomen w/o contrast (74150) |
$661.62 |
$1,323.25 |
6.3× |
| CT angio hrt w/3d image (75574) |
$127.50 |
$255 |
0.4× |
| CT angiography upper extremity lt (73206) |
$588.50 |
$1,177 |
3.3× |
| CT c-spine w/o contrast (72125) |
$758.75 |
$1,517.50 |
7.2× |
| CT cervical spine w&w/o contrast (72127) |
$667.25 |
$1,334.50 |
3.8× |
| CT cervical spine with contrast (72126) |
$797.38 |
$1,594.75 |
2.3× |
| CT chest w/wo contrast (71270) |
$704.12 |
$1,408.25 |
4.0× |
| CT chest with contrast (71260) |
$673.25 |
$1,346.50 |
3.8× |
| CT colonography screening (74263) |
$59 |
$118 |
0.2× |
| CT head/brain with contrast (70460) |
$664 |
$1,328 |
3.8× |
| CT head/brain without and with contrast (70470) |
$719.75 |
$1,439.50 |
4.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$93.50 |
$187 |
0.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$29 |
$58 |
0.3× |
| CT hrt w/3d image congen (75573) |
$136 |
$272 |
0.4× |
| CT iac w contrast (70481) |
$828.62 |
$1,657.25 |
4.7× |
| CT limited/localized follow up study (76380) |
$210.25 |
$420.50 |
2.4× |
| CT lower ext w/o (73700) |
$1,195 |
$2,390 |
11.4× |
| CT lower extremity w wo contrast (73702) |
$1,266.50 |
$2,533 |
7.2× |
| CT lower extremity with contrast (73701) |
$1,266.50 |
$2,533 |
7.2× |
| CT lumbar spine w & w/o contrast (72133) |
$775.75 |
$1,551.50 |
4.4× |
| CT lumbar spine w/o contrast (72131) |
$626.50 |
$1,253 |
6.0× |
| CT lumbar spine with contrast (72132) |
$1,453.25 |
$2,906.50 |
4.2× |
| CT maxillofacial w contrast (70487) |
$663.50 |
$1,327 |
3.8× |
| CT maxillofacial w/o contrast (70486) |
$620.50 |
$1,241 |
5.9× |
| CT maxillofacial w/wo contrast (70488) |
$825.62 |
$1,651.25 |
4.7× |
| CT neck soft tissue w contrast (70491) |
$670.50 |
$1,341 |
3.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$830.38 |
$1,660.75 |
4.7× |
| CT orbits w/o contrast (70480) |
$667.38 |
$1,334.75 |
6.4× |
| CT pelvis w & w/o contrast (72194) |
$824.12 |
$1,648.25 |
4.7× |
| CT pelvis w/o contrast (72192) |
$626.75 |
$1,253.50 |
6.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$831 |
$1,662 |
4.7× |
| CT soft tissue neck w/o contrast (70490) |
$632 |
$1,264 |
6.0× |
| CT thoracic spine w/contrast (72129) |
$1,303.25 |
$2,606.50 |
7.4× |
| CT thoracic spine w/o contrast (72128) |
$639.38 |
$1,278.75 |
6.1× |
| CT thoracic spine w/wo contrast (72130) |
$820.62 |
$1,641.25 |
4.7× |
| CT thorax w/o contrast (71250) |
$628.88 |
$1,257.75 |
6.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,266.50 |
$2,533 |
7.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,195 |
$2,390 |
11.4× |
| CT upper extremity with contrast (73201) |
$1,266.50 |
$2,533 |
3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,002.12 |
$2,004.25 |
5.7× |
| Cta Abdomen (74175) |
$773 |
$1,546 |
4.4× |
| CTA abdomen pelvis (74174) |
$1,323.62 |
$2,647.25 |
3.8× |
| CTA chest (71275) |
$843 |
$1,686 |
4.8× |
| Cta Head (70496) |
$706 |
$1,412 |
4.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,635 |
$5,270 |
7.5× |
| CTA lwr ext w&w/o contrast (73706) |
$620.75 |
$1,241.50 |
3.5× |
| Cta Neck (70498) |
$706 |
$1,412 |
4.0× |
| Cta Pelvis (72191) |
$615.38 |
$1,230.75 |
3.5× |
| Cystography minimum 3 views rs&i (74430) |
$366.75 |
$383.75 |
1.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$170 |
$340 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$164.75 |
$329.50 |
1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$103.25 |
$206.50 |
1.2× |
| Dxa bone density study axial skeleton (77085) |
$306.50 |
$613 |
2.9× |
| Echoencephalography real time imaging (76506) |
$34.50 |
$69 |
0.3× |
| Esophagus (74220) |
$314.25 |
$628.50 |
1.8× |
| Fetal biophysical profile non-stress testing (76818) |
$77 |
$154 |
0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$421 |
$842 |
4.0× |
| Fluoroscopy up to 1 hr (76000) |
$113 |
$226 |
0.5× |
| Foot 2 views (73620) |
$113.50 |
$227 |
1.3× |
| Forearm 2 views (73090) |
$160.25 |
$320.50 |
1.8× |
| Gated Heart Planar Single (78472) |
$641.25 |
$1,282.50 |
1.6× |
| Hand 2 views (73120) |
$113.50 |
$227 |
1.1× |
| Hand 3 views (73130) |
$167 |
$334 |
1.9× |
| Heart Infarct Image (78466) |
$380.75 |
$761.50 |
1.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$527.38 |
$1,054.75 |
1.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$458.25 |
$916.50 |
1.1× |
| Ht muscle image spect sing (78451) |
$392.73 |
$785.46 |
0.3× |
| Humerus Min 2 Views Left (73060) |
$167.75 |
$335.50 |
1.9× |
| Hysterosalpingogram (74740) |
$146.75 |
$293.50 |
0.6× |
| Kidney imaging morphology (78700) |
$310.62 |
$621.25 |
0.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$474.50 |
$949 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$486.38 |
$972.75 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$581.38 |
$1,162.75 |
1.1× |
| Knee 3 views (73562) |
$180.50 |
$361 |
2.1× |
| Liver & spleen imaging static only (78215) |
$366.50 |
$733 |
0.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$395.62 |
$791.25 |
1.0× |
| Liver imaging static only (78201) |
$508.50 |
$531 |
0.9× |
| Liver imaging w/vascular flow (78202) |
$566 |
$591.50 |
1.0× |
| Lung perf&ventilat diferentl (78598) |
$44.50 |
$89 |
0.1× |
| Lymphoscintigraphy (78195) |
$543.62 |
$1,087.25 |
1.0× |
| Mammary ductogram or galactogram multiple (77054) |
$24.50 |
$49 |
0.1× |
| Mammary ductogram or galactogram single (77053) |
$19 |
$38 |
0.1× |
| Meckels Diverticulum (78290) |
$418 |
$836 |
1.0× |
| MRA head w & w/o contrast (70546) |
$1,036.75 |
$2,073.50 |
3.0× |
| MRA head w/o contrast (70544) |
$771.75 |
$1,543.50 |
3.2× |
| MRA head with contrast (70545) |
$715.88 |
$1,431.75 |
2.0× |
| MRA neck w contrast (70548) |
$894.75 |
$1,789.50 |
2.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,045.50 |
$2,091 |
3.0× |
| MRA neck w/o contrast (70547) |
$815.50 |
$1,631 |
3.4× |
| MRI abdomen w contrast (74182) |
$901 |
$1,802 |
2.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,953.50 |
$3,907 |
5.6× |
| MRI abdomen w/o contrast (74181) |
$749.38 |
$1,498.75 |
3.1× |
| MRI any jnt lwr ext with con lt (73722) |
$898.25 |
$1,796.50 |
1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$898.25 |
$1,796.50 |
1.1× |
| MRI breast w/o contrast bilateral (77047) |
$1,265.75 |
$2,531.50 |
5.3× |
| MRI breast w/o contrast unilat (77046) |
$1,117.50 |
$2,235 |
4.7× |
| MRI c-spine with contrast (72142) |
$902.50 |
$1,805 |
2.6× |
| MRI cervical spine w/o contrast (72141) |
$856 |
$1,712 |
3.6× |
| MRI chest w/o & w/contrast material (71552) |
$899.75 |
$1,799.50 |
2.6× |
| MRI chest w/o contrast (71550) |
$817 |
$1,634 |
3.4× |
| MRI chest with contrast (71551) |
$730.12 |
$1,460.25 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$898 |
$1,796 |
2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$834.62 |
$1,669.25 |
2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,535.50 |
$3,071 |
6.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$852.88 |
$1,705.75 |
3.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,054.75 |
$2,109.50 |
3.0× |
| MRI orbit/face/neck w/contrast (70542) |
$898 |
$1,796 |
2.6× |
| MRI pelvis w contrast (72196) |
$901 |
$1,802 |
2.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,056.25 |
$2,112.50 |
3.0× |
| MRI pelvis w/o contrast (72195) |
$782.50 |
$1,565 |
3.3× |
| MRI scan of arm joint before and after contrast (73223) |
$817.12 |
$1,634.25 |
2.3× |
| MRI scan of leg joint before and after contrast (73723) |
$912 |
$1,824 |
2.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,024.62 |
$2,049.25 |
2.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$902.50 |
$1,805 |
2.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,134.75 |
$2,269.50 |
3.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$731.62 |
$1,463.25 |
2.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,052.12 |
$2,104.25 |
3.0× |
| MRI thoracic spine w/o contrast (72146) |
$801.25 |
$1,602.50 |
3.4× |
| MRI tmj (70336) |
$893.75 |
$1,787.50 |
3.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,708.50 |
$3,417 |
7.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$912 |
$1,824 |
2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,708.50 |
$3,417 |
7.1× |
| Myelogram Cervical (72240) |
$279 |
$558 |
0.4× |
| Myelogram Lumbar (72265) |
$352.38 |
$704.75 |
0.4× |
| Myelogram thoracic (72255) |
$477.50 |
$955 |
0.6× |
| Myocardial infarct spect (78469) |
$404.50 |
$809 |
0.7× |
| Myocardial Spect Multiple Studies (78452) |
$1,870.25 |
$3,740.50 |
1.4× |
| Neck soft tissue (70360) |
$95.75 |
$191.50 |
1.1× |
| Nm gastric emptying study (78264) |
$359.50 |
$719 |
0.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$71.50 |
$143 |
0.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$448.25 |
$896.50 |
4.3× |
| Osseous survey infant (77076) |
$191.25 |
$382.50 |
1.8× |
| Osseous survey limited (77074) |
$95.75 |
$191.50 |
0.9× |
| Parathyrd planar w/spect&CT (78072) |
$1,370 |
$2,740 |
2.5× |
| Parathyroid imaging (78070) |
$375.50 |
$751 |
0.9× |
| Pelvis 1 or 2 views (72170) |
$80.12 |
$160.25 |
0.8× |
| PET image w/CT, skull-thigh (78815) |
$1,822.38 |
$3,644.75 |
1.3× |
| PET imaging for CT attenuation whole body (78816) |
$1,823.12 |
$3,646.25 |
1.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$912 |
$1,824 |
2.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$138 |
$276 |
0.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$367.75 |
$735.50 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$542 |
$1,084 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$186.75 |
$373.50 |
0.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$111.12 |
$222.25 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$12 |
$24 |
0.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$117.12 |
$234.25 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$126.88 |
$253.75 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$82.50 |
$165 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$155.50 |
$311 |
1.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$67 |
$134 |
0.8× |
| Radiologic exam colon single contrast study (74270) |
$230.38 |
$460.75 |
1.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$184.12 |
$368.25 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$237.25 |
$474.50 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$415.50 |
$831 |
2.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$165.50 |
$331 |
1.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$33 |
$66 |
0.4× |
| Radiological examination surgical specimen (76098) |
$254.25 |
$508.50 |
0.5× |
| Ribs bilateral 3 views (71110) |
$13.50 |
$27 |
0.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,854.38 |
$7,708.75 |
9.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,059.88 |
$8,119.75 |
7.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$838 |
$1,676 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$9 |
$18 |
0.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$185.88 |
$371.75 |
0.8× |
| Scanogram (77073) |
$246.25 |
$492.50 |
2.4× |
| Scapula complete (73010) |
$167 |
$334 |
1.6× |
| Screening digital breast tomosynthesis (77063) |
$40.25 |
$80.50 |
1.7× |
| Sella turcica (70240) |
$65 |
$130 |
0.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$244 |
$488 |
2.3× |
| Sialogram (70390) |
$311.62 |
$623.25 |
1.3× |
| Small bowel series (74250) |
$317.62 |
$635.25 |
1.8× |
| Spine thoracic 3 views (72072) |
$118.51 |
$237.02 |
1.1× |
| Testicular Imaging With Vascular Flow (78761) |
$38 |
$76 |
0.1× |
| Thoracolumbar 2 views (72080) |
$138.75 |
$277.50 |
1.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$509.25 |
$528.75 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$421.62 |
$843.25 |
1.1× |
| Tomogram (76100) |
$290.50 |
$581 |
2.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$8,175.75 |
$16,351.50 |
15.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$9,124.50 |
$18,249 |
22.8× |
| Ultrasound, abdomen limited (76705) |
$376 |
$752 |
3.6× |
| Umbilical-artery Doppler (OB) (76820) |
$301 |
$602 |
2.9× |
| Urethrocystography retrograde rs&i (74450) |
$192.12 |
$384.25 |
0.8× |
| Urethrocystography voiding (74455) |
$253 |
$506 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$261.62 |
$523.25 |
1.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$26.50 |
$53 |
0.2× |
| Us abdl aorta screen aaa (76706) |
$188.75 |
$377.50 |
1.8× |
| Us breast unilateral complete (76641) |
$448.25 |
$896.50 |
4.3× |
| Us breast unilateral limited (76642) |
$336.25 |
$672.50 |
3.9× |
| Us chest (76604) |
$240.50 |
$481 |
2.3× |
| Us compl joint r-t w/image documentation (76881) |
$230 |
$460 |
2.2× |
| Us elastography parenchyma (76981) |
$260 |
$520 |
2.5× |
| Us infant hips dynamic (76885) |
$149.50 |
$299 |
1.7× |
| Us ob detailed single fetus (76811) |
$256.25 |
$512.50 |
1.1× |
| Us ob transvaginal (76817) |
$376 |
$752 |
3.6× |
| Us pelvic non ob complete (76856) |
$275.75 |
$551.50 |
2.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$160.38 |
$320.75 |
1.5× |
| Us pregnancy ltd (76815) |
$155.25 |
$310.50 |
1.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$314.25 |
$628.50 |
3.0× |
| Us retroperitoneal complete (76770) |
$278 |
$556 |
2.7× |
| Us retroperitoneal limited (76775) |
$245.25 |
$490.50 |
2.3× |
| Us scrotum and contents (76870) |
$43.50 |
$87 |
0.4× |
| Us soft tissue head/neck (76536) |
$255.62 |
$511.25 |
2.4× |
| Us spinal canal and contents (76800) |
$182.25 |
$364.50 |
1.7× |
| Us transrectal (76872) |
$233.50 |
$467 |
2.2× |
| Us xtr non-vasc lmtd (76882) |
$196.62 |
$393.25 |
1.9× |
| Venography extremity unilateral rs&i (75820) |
$385.25 |
$770.50 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$250 |
$500 |
2.9× |
| Wrist 2 views (73100) |
$113.50 |
$227 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$140.62 |
$281.25 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$183 |
$366 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$167 |
$334 |
1.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$313.75 |
$627.50 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$113.50 |
$227 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$167 |
$334 |
1.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$197.88 |
$395.75 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$208.75 |
$417.50 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$179 |
$358 |
2.1× |
| X-ray exam hip uni 4/> views (73503) |
$13.50 |
$27 |
0.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$14 |
$28 |
0.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$153.38 |
$306.75 |
1.5× |
| X-ray exam of femur 1 (73551) |
$43.88 |
$87.75 |
0.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$479.38 |
$958.75 |
2.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$129 |
$258 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$167 |
$334 |
1.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$204.88 |
$409.75 |
0.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$85.12 |
$170.25 |
1.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$224.25 |
$448.50 |
2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$85.25 |
$170.50 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$122.50 |
$245 |
1.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$196 |
$392 |
1.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$157.50 |
$315 |
1.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$95.25 |
$190.50 |
1.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$161.75 |
$323.50 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$91 |
$182 |
0.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$108.62 |
$217.25 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$285.25 |
$570.50 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$10.50 |
$21 |
0.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$231 |
$462 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$251.75 |
$503.50 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$101.25 |
$202.50 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$97 |
$194 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$180.50 |
$361 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$117.88 |
$235.75 |
1.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$75.75 |
$151.50 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$137.25 |
$274.50 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$90.88 |
$181.75 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$91.12 |
$182.25 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$104.12 |
$208.25 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$91.25 |
$182.50 |
1.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$92.38 |
$184.75 |
0.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$87 |
$174 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$185.25 |
$370.50 |
2.1× |
| Xr c-spine 6 or more views (72052) |
$178.75 |
$357.50 |
1.7× |
| Xr chest 4+ views (71048) |
$187.25 |
$374.50 |
1.8× |
| Xr Cholecystography Oral Contrast (74290) |
$378.75 |
$757.50 |
2.2× |
| Xr finger(s) 2+ views (73140) |
$72.50 |
$145 |
0.8× |
| Xr spine cervical 4 or 5 views (72050) |
$192.75 |
$385.50 |
1.8× |
| Xr tibia/fibula 2 views (73590) |
$164 |
$328 |
1.9× |
| Xr tmj bilateral (70330) |
$130.25 |
$260.50 |
1.5× |
| Xray knee 1 or 2 views rt (73560) |
$157.75 |
$315.50 |
1.8× |