| Abdomen 2 views (74019) |
$267 |
$356 |
2.5× |
| Ankle 2 views (73600) |
$213.75 |
$285 |
2.4× |
| Arthrogram hip (73525) |
$449.62 |
$599.50 |
1.2× |
| Arthrogram knee (73580) |
$536.25 |
$715 |
1.5× |
| Arthrogram shoulder (73040) |
$451.12 |
$601.50 |
1.3× |
| Arthrogram wrist (73115) |
$197.62 |
$263.50 |
0.5× |
| Bone &/joint imaging whole body (78306) |
$741.38 |
$988.50 |
1.8× |
| Bone age studies (77072) |
$126.38 |
$168.50 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$1,199.62 |
$1,599.50 |
2.9× |
| Bone survey complete (77075) |
$370.50 |
$494 |
3.4× |
| Bowel imaging (78290) |
$191.62 |
$255.50 |
0.5× |
| Cervical spine 2 or 3 views (72040) |
$213 |
$284 |
2.4× |
| Chest 1 view (71045) |
$226.88 |
$302.50 |
2.5× |
| Chest xray 3 views (71047) |
$306 |
$408 |
3.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$324.75 |
$433 |
1.8× |
| Clavicle complete (73000) |
$231.75 |
$309 |
2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$289.50 |
$386 |
2.7× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$74.25 |
$99 |
0.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,631.25 |
$2,175 |
4.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,477.50 |
$1,970 |
6.0× |
| CT abdomen w contrast (74160) |
$972.75 |
$1,297 |
5.4× |
| CT abdomen w wo contrast (74170) |
$613.12 |
$817.50 |
3.4× |
| CT abdomen w/o contrast (74150) |
$819.38 |
$1,092.50 |
7.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,647.75 |
$2,197 |
9.1× |
| CT angiography upper extremity lt (73206) |
$1,673.62 |
$2,231.50 |
9.2× |
| CT c-spine w/contrast (72126) |
$1,038.75 |
$1,385 |
2.9× |
| CT c-spine w/o contrast (72125) |
$865.50 |
$1,154 |
8.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,195.50 |
$1,594 |
6.6× |
| CT chest w contrast (71260) |
$853.50 |
$1,138 |
4.7× |
| CT chest w/wo contrast (71270) |
$1,191.38 |
$1,588.50 |
6.6× |
| CT head/brain with contrast (70460) |
$833.25 |
$1,111 |
4.6× |
| CT head/brain without and with contrast (70470) |
$904.12 |
$1,205.50 |
5.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$67.50 |
$90 |
0.8× |
| CT iac w contrast (70481) |
$1,050.38 |
$1,400.50 |
5.8× |
| CT lower ext w/o (73700) |
$828.75 |
$1,105 |
7.7× |
| CT lower extremity w wo contrast (73702) |
$1,158 |
$1,544 |
6.4× |
| CT lower extremity w/contrast material (73701) |
$977.62 |
$1,303.50 |
5.4× |
| CT lumbar spine w & w/o contrast (72133) |
$111 |
$148 |
0.6× |
| CT lumbar spine w/contrast (72132) |
$1,060.50 |
$1,414 |
2.9× |
| CT lumbar spine w/o contrast (72131) |
$862.50 |
$1,150 |
8.0× |
| CT maxillofacial w contrast (70487) |
$1,024.50 |
$1,366 |
5.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,212.75 |
$1,617 |
6.7× |
| CT maxillofacial wo contrast (70486) |
$820.12 |
$1,093.50 |
7.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,189.88 |
$1,586.50 |
6.6× |
| CT orbits w/o contrast (70480) |
$1,323 |
$1,764 |
12.3× |
| CT pelvis w/o contrast (72192) |
$837.38 |
$1,116.50 |
7.8× |
| CT pelvis w/wo contrast (72194) |
$1,147.88 |
$1,530.50 |
6.3× |
| CT scan of arm combo (73202) |
$1,269 |
$1,692 |
7.0× |
| CT soft tissue neck w contrast (70491) |
$993.75 |
$1,325 |
5.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,177.50 |
$1,570 |
6.5× |
| CT soft tissue neck w/o contrast (70490) |
$841.88 |
$1,122.50 |
7.8× |
| CT thoracic spine w/contrast (72129) |
$1,011.75 |
$1,349 |
5.6× |
| CT thoracic spine w/o contrast (72128) |
$863.62 |
$1,151.50 |
8.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,194.38 |
$1,592.50 |
6.6× |
| CT thorax w/o contrast (71250) |
$1,200.75 |
$1,601 |
11.1× |
| CT upper ext wo (73200) |
$885.75 |
$1,181 |
8.2× |
| CT upper extremity with contrast (73201) |
$199.88 |
$266.50 |
0.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,845 |
$2,460 |
10.2× |
| Cta Abdomen (74175) |
$3,144.75 |
$4,193 |
17.4× |
| CTA abdomen pelvis (74174) |
$561.75 |
$749 |
1.6× |
| CTA chest (71275) |
$2,958.75 |
$3,945 |
16.3× |
| Cta Head (70496) |
$2,164.88 |
$2,886.50 |
12.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$239.62 |
$319.50 |
0.7× |
| Cta Neck (70498) |
$1,815.38 |
$2,420.50 |
10.0× |
| Cystography minimum 3 views rs&i (74430) |
$817.50 |
$1,090 |
2.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$276 |
$368 |
2.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$292.12 |
$389.50 |
2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$63.75 |
$85 |
0.7× |
| Dxa bone density study axial skeleton (77085) |
$274.88 |
$366.50 |
2.5× |
| Esophagus (74220) |
$600 |
$800 |
3.3× |
| Facial bones min 3 views (70150) |
$193.88 |
$258.50 |
1.8× |
| Fetal biophysical profile non-stress testing (76818) |
$316.50 |
$422 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$265.12 |
$353.50 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$526.12 |
$701.50 |
2.1× |
| Foot 2 views (73620) |
$213.75 |
$285 |
2.4× |
| Forearm 2 views (73090) |
$231.75 |
$309 |
2.6× |
| Hand 2 views (73120) |
$92.25 |
$123 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$836.62 |
$1,115.50 |
1.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$825.75 |
$1,101 |
2.0× |
| Hysterosalpingogram (74740) |
$559.50 |
$746 |
2.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,166.25 |
$1,555 |
2.1× |
| Knee 3 views (73562) |
$249 |
$332 |
2.8× |
| Liver imaging w/vascular flow (78202) |
$552.75 |
$737 |
1.0× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,367.25 |
$1,823 |
1.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,438.88 |
$1,918.50 |
4.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,210.50 |
$1,614 |
3.4× |
| Mammary ductogram or galactogram single (77053) |
$390.75 |
$521 |
1.6× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$88.50 |
$118 |
1.0× |
| MRA head w & w/o contrast (70546) |
$1,596 |
$2,128 |
4.4× |
| MRA head w/o contrast (70544) |
$1,241.25 |
$1,655 |
5.0× |
| MRA neck w contrast (70548) |
$1,291.88 |
$1,722.50 |
3.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,611 |
$2,148 |
4.5× |
| MRA neck w/o contrast (70547) |
$1,074.75 |
$1,433 |
4.4× |
| MRI abdomen w contrast (74182) |
$1,441.50 |
$1,922 |
4.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,260.38 |
$1,680.50 |
3.5× |
| MRI abdomen w/o contrast (74181) |
$1,299.75 |
$1,733 |
5.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,354.88 |
$1,806.50 |
1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,695.75 |
$2,261 |
4.7× |
| MRI c-spine with contrast (72142) |
$1,477.88 |
$1,970.50 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$1,297.88 |
$1,730.50 |
5.3× |
| MRI chest w/o & w/contrast material (71552) |
$3,383.25 |
$4,511 |
9.4× |
| MRI chest w/o contrast (71550) |
$1,577.62 |
$2,103.50 |
6.4× |
| MRI chest with contrast (71551) |
$150.75 |
$201 |
0.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,413 |
$1,884 |
3.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,740.38 |
$2,320.50 |
4.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,089 |
$1,452 |
4.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,514.75 |
$3,353 |
10.2× |
| MRI orbit face neck w contrast (70542) |
$1,424.62 |
$1,899.50 |
4.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,094.62 |
$1,459.50 |
3.0× |
| MRI pelvis w/contrast (72196) |
$1,851.75 |
$2,469 |
5.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,266 |
$1,688 |
3.5× |
| MRI pelvis w/o contrast (72195) |
$976.88 |
$1,302.50 |
4.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,335.38 |
$1,780.50 |
3.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,483.88 |
$1,978.50 |
4.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,674 |
$2,232 |
4.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,424.62 |
$1,899.50 |
4.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,692.38 |
$2,256.50 |
4.7× |
| MRI temporomandibular joint (70336) |
$1,248.38 |
$1,664.50 |
5.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,313.62 |
$1,751.50 |
5.3× |
| MRI up ext w/o contrast (73218) |
$1,376.25 |
$1,835 |
5.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,343.62 |
$1,791.50 |
5.5× |
| MRI, joint upper extrem combo (73223) |
$1,624.50 |
$2,166 |
4.5× |
| Myelogram thoracic (72255) |
$1,632 |
$2,176 |
2.0× |
| Myocardial Spect Multiple Studies (78452) |
$4,047 |
$5,396 |
3.0× |
| Neck soft tissue (70360) |
$183 |
$244 |
2.0× |
| Nm gastric emptying study (78264) |
$817.50 |
$1,090 |
2.0× |
| Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) |
$41.25 |
$55 |
1.4× |
| Osseous survey limited (77074) |
$217.12 |
$289.50 |
2.0× |
| Parathyroid Planar Imaging (78070) |
$583.12 |
$777.50 |
1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$793.88 |
$1,058.50 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$231.75 |
$309 |
2.1× |
| PET image w/CT, skull-thigh (78815) |
$3,500.25 |
$4,667 |
2.4× |
| PET imaging for CT attenuation whole body (78816) |
$2,731.12 |
$3,641.50 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$811.88 |
$1,082.50 |
1.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$234 |
$312 |
2.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$205.50 |
$274 |
2.3× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$249 |
$332 |
2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$112.12 |
$149.50 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$236.25 |
$315 |
2.2× |
| Radex fingr minimum 2 views (73140) |
$183 |
$244 |
2.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$234 |
$312 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$234.75 |
$313 |
2.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$205.50 |
$274 |
2.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$94.50 |
$126 |
0.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$510.75 |
$681 |
4.7× |
| Radex Humerus Minimum 2 Views (73060) |
$249 |
$332 |
2.8× |
| Radex Kne 1/2 Views (73560) |
$144.38 |
$192.50 |
1.6× |
| Radex Kne Compl 4/More Views (73564) |
$256.50 |
$342 |
2.4× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$157.50 |
$210 |
1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$231.75 |
$309 |
2.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$166.50 |
$222 |
1.5× |
| Radex Sho Compl Minimum 2 Views (73030) |
$249 |
$332 |
2.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$256.50 |
$342 |
2.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$184.88 |
$246.50 |
1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$206.25 |
$275 |
2.3× |
| Radex Toe Minimum 2 Views (73660) |
$183 |
$244 |
2.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$120 |
$160 |
1.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$245.25 |
$327 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$240 |
$320 |
2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$24 |
$32 |
0.2× |
| Radiologic exam chest 2 views (71046) |
$244.50 |
$326 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$734.25 |
$979 |
4.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$400.50 |
$534 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$247.50 |
$330 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$400.50 |
$534 |
2.2× |
| Radiologic examination femur 1 view (73551) |
$100.50 |
$134 |
1.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$232.88 |
$310.50 |
2.6× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$164.62 |
$219.50 |
1.5× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$129.75 |
$173 |
1.2× |
| Radiological examination surgical specimen (76098) |
$199.88 |
$266.50 |
0.4× |
| Ribs bilateral 3 views (71110) |
$339 |
$452 |
3.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,251 |
$1,668 |
2.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,269.38 |
$1,692.50 |
1.0× |
| Sacroiliac Joints < 3 Views (72200) |
$189 |
$252 |
1.8× |
| Scapula (73010) |
$73.50 |
$98 |
0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$72 |
$96 |
3.1× |
| Shoulder 1 view (73020) |
$205.50 |
$274 |
2.3× |
| Sialogram (70390) |
$424.12 |
$565.50 |
1.7× |
| Small bowel series (74250) |
$225.75 |
$301 |
1.2× |
| Spine thoracic 3 views (72072) |
$319.50 |
$426 |
3.0× |
| Thoracolumbar 2 views (72080) |
$273.75 |
$365 |
3.0× |
| Thyroid imaging w/blood flow (78013) |
$201.38 |
$268.50 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$699.38 |
$932.50 |
1.7× |
| Tmj unilateral (70328) |
$124.88 |
$166.50 |
1.4× |
| Ultrasound breast complete (76641) |
$253.12 |
$337.50 |
2.3× |
| Ultrasound Exam Aaa Screen (76706) |
$361.12 |
$481.50 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$386.25 |
$515 |
3.6× |
| Umbilical-artery Doppler (OB) (76820) |
$265.50 |
$354 |
2.5× |
| Urethrocystogram voiding (74455) |
$379.88 |
$506.50 |
1.5× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$98.25 |
$131 |
0.5× |
| Us breast unilateral limited (76642) |
$215.62 |
$287.50 |
2.4× |
| Us chest (76604) |
$188.25 |
$251 |
1.7× |
| Us hips infant static (76886) |
$67.88 |
$90.50 |
0.8× |
| Us infant hips w manipulation (76885) |
$79.88 |
$106.50 |
0.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$214.12 |
$285.50 |
2.0× |
| Us ob limited (76815) |
$233.62 |
$311.50 |
2.2× |
| Us ob transvaginal (76817) |
$246 |
$328 |
2.3× |
| Us pelvic non ob complete (76856) |
$407.25 |
$543 |
3.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$94.50 |
$126 |
0.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$340.88 |
$454.50 |
3.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$188.25 |
$251 |
1.7× |
| Us retroperitoneal complete (76770) |
$366.38 |
$488.50 |
3.4× |
| Us retroperitoneal limited (76775) |
$269.62 |
$359.50 |
2.5× |
| Us scrotum and contents (76870) |
$279 |
$372 |
2.6× |
| Us soft tissue head/neck (76536) |
$405 |
$540 |
3.8× |
| Us spinal canal and contents (76800) |
$119.25 |
$159 |
1.1× |
| Us transrectal (76872) |
$540.75 |
$721 |
5.0× |
| Wrist 2 views (73100) |
$68.25 |
$91 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$165 |
$220 |
1.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$507.38 |
$676.50 |
2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$205.50 |
$274 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$249 |
$332 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$249 |
$332 |
2.3× |
| X-ray exam of femur 2/> (73552) |
$188.25 |
$251 |
2.1× |
| X-ray eye for foreign body (70030) |
$109.12 |
$145.50 |
1.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$223.50 |
$298 |
2.5× |
| X-ray IV pyelogram (ivp) (74400) |
$422.62 |
$563.50 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$198.75 |
$265 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$213.75 |
$285 |
2.4× |
| X-ray leg, infant (73592) |
$120.38 |
$160.50 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$290.25 |
$387 |
2.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$282 |
$376 |
2.6× |
| X-ray nose-rectum child f.b. (76010) |
$58.50 |
$78 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$210.75 |
$281 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$249 |
$332 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$273.75 |
$365 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$367.50 |
$490 |
3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$153 |
$204 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$249 |
$332 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$339 |
$452 |
3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$224.62 |
$299.50 |
2.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$273.75 |
$365 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$117 |
$156 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$171.38 |
$228.50 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$160.12 |
$213.50 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$282.75 |
$377 |
2.6× |
| Xr bone length studies (77073) |
$169.88 |
$226.50 |
1.6× |
| Xr c-spine 4 or 5 views (72050) |
$387 |
$516 |
3.6× |
| Xr c-spine 6 or more views (72052) |
$261 |
$348 |
2.4× |
| Xr chest 4+ views (71048) |
$357 |
$476 |
3.3× |