| Abdomen 1 View (74018) |
$93.75 |
$125 |
1.1× |
| Ankle 2 views (73600) |
$93.75 |
$125 |
1.1× |
| Chest 1 view (71045) |
$93.75 |
$125 |
1.1× |
| Chest 2 views (71046) |
$93.75 |
$125 |
1.1× |
| Clavicle complete (73000) |
$93.75 |
$125 |
1.1× |
| Foot 2 views (73620) |
$93.75 |
$125 |
1.1× |
| Forearm 2 views (73090) |
$93.75 |
$125 |
1.1× |
| Knee 3 Views (73562) |
$93.75 |
$125 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$168.75 |
$225 |
1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$168.75 |
$225 |
1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$93.75 |
$125 |
1.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$93.75 |
$125 |
1.1× |
| Radex elbow complete minimum 3 views (73080) |
$93.75 |
$125 |
1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$168.75 |
$225 |
1.6× |
| Radex fingr minimum 2 views (73140) |
$93.75 |
$125 |
1.1× |
| Radex foot complete minimum 3 views (73630) |
$93.75 |
$125 |
1.1× |
| Radex Hand Minimum 3 Views (73130) |
$93.75 |
$125 |
1.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$168.75 |
$225 |
1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$93.75 |
$125 |
1.1× |
| Radex Ribs Unilateral 2 Views (71100) |
$93.75 |
$125 |
1.1× |
| Radex shoulder complete minimum 2 views (73030) |
$93.75 |
$125 |
1.1× |
| Radex Sternum Minimum 2 Views (71120) |
$93.75 |
$125 |
1.1× |
| Radex Toe Minimum 2 Views (73660) |
$93.75 |
$125 |
1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$34.65 |
$46.20 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$168.75 |
$225 |
1.6× |
| Radiologic exam knee complete 4/more views (73564) |
$168.75 |
$225 |
1.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$168.75 |
$225 |
1.6× |
| Radiologic examination femur 1 view (73551) |
$93.75 |
$125 |
1.1× |
| Radiologic examination femur minimum 2 views (73552) |
$93.75 |
$125 |
1.1× |
| Radiologic examination knee 1/2 views (73560) |
$93.75 |
$125 |
1.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$93.75 |
$125 |
1.1× |
| Ribs bilateral 3 views (71110) |
$168.75 |
$225 |
1.6× |
| Salivary Gland Imaging Serial Images (78231) |
$532.50 |
$710 |
1.3× |
| Scapula (73010) |
$168.75 |
$225 |
1.6× |
| Sella turcica (70240) |
$168.75 |
$225 |
1.9× |
| Shoulder 1 view (73020) |
$93.75 |
$125 |
1.1× |
| Skull less than 4 views (70250) |
$168.75 |
$225 |
1.6× |
| Thoracic spine 2 views (72070) |
$168.75 |
$225 |
1.6× |
| Wrist 2 views (73100) |
$93.75 |
$125 |
1.1× |
| X-Ray Bend Only L-S Spine (72120) |
$168.75 |
$225 |
1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$93.75 |
$125 |
1.1× |
| X-Ray Exam Hip Uni 1 View (73501) |
$93.75 |
$125 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$93.75 |
$125 |
1.1× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$168.75 |
$225 |
1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$168.75 |
$225 |
1.6× |
| X-Ray Exam L-S Spine Bending (72114) |
$168.75 |
$225 |
1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$168.75 |
$225 |
1.6× |
| X-ray humerus (73060) |
$93.75 |
$125 |
1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$93.75 |
$125 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$168.75 |
$225 |
1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$168.75 |
$225 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$93.75 |
$125 |
1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$93.75 |
$125 |
1.1× |
| X-ray thoracic spine 4 vw (72074) |
$168.75 |
$225 |
1.6× |
| Xr c-spine 4 or 5 views (72050) |
$168.75 |
$225 |
1.6× |
| Xr facial bones less than 3 views (70140) |
$93.75 |
$125 |
1.1× |
| Xr orbits complete 4 views (70200) |
$168.75 |
$225 |
1.6× |