| Abdomen 2 views (74019) |
$85.38 |
$174.24 |
0.7× |
| Acute gi blood loss imaging (78278) |
$671.82 |
$1,371.07 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$3,803.92 |
$7,763.11 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,946.06 |
$8,053.19 |
1.0× |
| Ankle 2 views (73600) |
$85.38 |
$174.24 |
0.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$480.74 |
$981.11 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$695.33 |
$1,419.04 |
1.5× |
| Bone age studies (77072) |
$85.38 |
$174.24 |
0.7× |
| Bone Imaging 3 Phase (78315) |
$480.74 |
$981.11 |
1.0× |
| Bone Marrow Imaging Limited Area (78102) |
$514.07 |
$1,049.13 |
1.1× |
| Bone survey complete (77075) |
$134.79 |
$275.09 |
1.1× |
| Bowel imaging (78290) |
$480.74 |
$981.11 |
1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$790.70 |
$1,613.68 |
1.2× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$933.18 |
$1,904.44 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$85.38 |
$174.24 |
0.8× |
| Chest 1 view (71045) |
$85.38 |
$174.24 |
0.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$150.82 |
$307.80 |
0.7× |
| Clavicle complete (73000) |
$85.38 |
$174.24 |
0.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$322.80 |
$658.77 |
2.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$996.02 |
$2,032.69 |
2.4× |
| CT abdomen and pelvis without contrast (74176) |
$617.29 |
$1,259.77 |
2.2× |
| CT abdomen w contrast (74160) |
$635.47 |
$1,296.88 |
3.0× |
| CT abdomen w wo contrast (74170) |
$715.67 |
$1,460.55 |
3.4× |
| CT abdomen w/o contrast (74150) |
$322.80 |
$658.77 |
2.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$745.34 |
$1,521.11 |
3.5× |
| CT angiography upper extremity lt (73206) |
$745.34 |
$1,521.11 |
3.5× |
| CT c-spine w/contrast (72126) |
$635.47 |
$1,296.88 |
1.5× |
| CT c-spine w/o contrast (72125) |
$315.13 |
$643.13 |
2.5× |
| CT cervical spine w&w/o contrast (72127) |
$715.67 |
$1,460.55 |
3.4× |
| CT chest w contrast (71260) |
$635.47 |
$1,296.88 |
3.0× |
| CT chest w/wo contrast (71270) |
$715.67 |
$1,460.55 |
3.4× |
| CT head/brain with contrast (70460) |
$635.47 |
$1,296.88 |
3.0× |
| CT head/brain without and with contrast (70470) |
$715.67 |
$1,460.55 |
3.4× |
| CT iac w contrast (70481) |
$635.47 |
$1,296.88 |
3.0× |
| CT lower ext w/o (73700) |
$322.80 |
$658.77 |
2.6× |
| CT lower extremity w wo contrast (73702) |
$715.67 |
$1,460.55 |
3.4× |
| CT lower extremity w/contrast material (73701) |
$635.47 |
$1,296.88 |
3.0× |
| CT lumbar spine w & w/o contrast (72133) |
$715.67 |
$1,460.55 |
3.4× |
| CT lumbar spine w/contrast (72132) |
$635.47 |
$1,296.88 |
1.5× |
| CT lumbar spine w/o contrast (72131) |
$322.80 |
$658.77 |
2.6× |
| CT maxillofacial w contrast (70487) |
$635.47 |
$1,296.88 |
3.0× |
| CT maxillofacial w/wo contrast (70488) |
$675.57 |
$1,378.72 |
3.2× |
| CT maxillofacial wo contrast (70486) |
$322.80 |
$658.77 |
2.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$715.67 |
$1,460.55 |
3.4× |
| CT orbits w/o contrast (70480) |
$322.80 |
$658.77 |
2.6× |
| CT pelvis w/o contrast (72192) |
$322.80 |
$658.77 |
2.6× |
| CT pelvis w/wo contrast (72194) |
$715.67 |
$1,460.55 |
3.4× |
| CT scan of arm combo (73202) |
$715.67 |
$1,460.55 |
3.4× |
| CT soft tissue neck w contrast (70491) |
$635.47 |
$1,296.88 |
3.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$715.67 |
$1,460.55 |
3.4× |
| CT soft tissue neck w/o contrast (70490) |
$322.80 |
$658.77 |
2.6× |
| CT thoracic spine w/contrast (72129) |
$635.47 |
$1,296.88 |
3.0× |
| CT thoracic spine w/o contrast (72128) |
$322.80 |
$658.77 |
2.6× |
| CT thoracic spine w/wo contrast (72130) |
$715.67 |
$1,460.55 |
3.4× |
| CT thorax w/o contrast (71250) |
$322.80 |
$658.77 |
2.6× |
| CT upper ext wo (73200) |
$322.80 |
$658.77 |
2.6× |
| CT upper extremity with contrast (73201) |
$635.47 |
$1,296.88 |
1.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$453.51 |
$925.54 |
2.2× |
| Cta Abdomen (74175) |
$745.34 |
$1,521.11 |
3.5× |
| CTA abdomen pelvis (74174) |
$916.96 |
$1,871.36 |
2.2× |
| CTA chest (71275) |
$745.34 |
$1,521.11 |
3.5× |
| Cta Head (70496) |
$709.85 |
$1,448.67 |
3.4× |
| Cta Neck (70498) |
$709.85 |
$1,448.67 |
3.4× |
| Cta Pelvis (72191) |
$712.40 |
$1,453.87 |
3.4× |
| Cystography minimum 3 views rs&i (74430) |
$381.86 |
$779.31 |
0.9× |
| Diskogram cervical (72285) |
$3,707.42 |
$7,566.17 |
1.6× |
| Diskography lumbar (72295) |
$3,707.42 |
$7,566.17 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$134.63 |
$274.75 |
1.1× |
| Esophagus (74220) |
$150.82 |
$307.80 |
0.7× |
| Facial bones min 3 views (70150) |
$134.79 |
$275.09 |
1.1× |
| Fetal biophysical profile non-stress testing (76818) |
$222.83 |
$454.76 |
1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$204.53 |
$417.42 |
1.6× |
| Fluoroscopy up to 1 hr (76000) |
$231.71 |
$472.87 |
0.8× |
| Foot 2 views (73620) |
$85.38 |
$174.24 |
0.8× |
| Forearm 2 views (73090) |
$85.38 |
$174.24 |
0.8× |
| Hand 2 views (73120) |
$86.65 |
$176.84 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$672.33 |
$1,372.10 |
1.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$552.59 |
$1,127.74 |
1.2× |
| Hysterosalpingogram (74740) |
$471.10 |
$961.42 |
1.6× |
| Interstitial radiation source applic complex (77778) |
$2,124.27 |
$4,335.24 |
2.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$615.53 |
$1,256.19 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$616.87 |
$1,258.92 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$673.96 |
$1,375.43 |
1.0× |
| Knee 3 views (73562) |
$85.38 |
$174.24 |
0.8× |
| Liver & spleen imaging static only (78215) |
$552.59 |
$1,127.74 |
1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$552.59 |
$1,127.74 |
1.2× |
| Lung perf&ventilat diferentl (78598) |
$639.22 |
$1,304.53 |
1.0× |
| Lung perfusion differential (78597) |
$454.40 |
$927.35 |
0.9× |
| Lung ventilation imaging (78579) |
$454.40 |
$927.35 |
0.9× |
| Lymphoscintigraphy (78195) |
$512.80 |
$1,046.53 |
0.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,038.41 |
$2,119.21 |
1.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,038.41 |
$2,119.21 |
2.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,200.15 |
$2,449.29 |
2.9× |
| Mammary ductogram or galactogram multiple (77054) |
$471.70 |
$962.66 |
1.6× |
| Mammary ductogram or galactogram single (77053) |
$598.31 |
$1,221.05 |
2.1× |
| MRA head w & w/o contrast (70546) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRA head w/o contrast (70544) |
$832.88 |
$1,699.75 |
2.9× |
| MRA head with contrast (70545) |
$1,038.41 |
$2,119.21 |
2.5× |
| MRA neck w contrast (70548) |
$1,038.41 |
$2,119.21 |
2.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRA neck w/o contrast (70547) |
$832.88 |
$1,699.75 |
2.9× |
| MRI abdomen w contrast (74182) |
$1,038.41 |
$2,119.21 |
2.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI abdomen w/o contrast (74181) |
$832.88 |
$1,699.75 |
2.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,038.41 |
$2,119.21 |
1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI breast w/o contrast bilateral (77047) |
$1,332.25 |
$2,718.88 |
4.7× |
| MRI breast wo contrast unilateral (77046) |
$1,087.83 |
$2,220.06 |
3.8× |
| MRI c-spine with contrast (72142) |
$1,038.41 |
$2,119.21 |
2.5× |
| MRI cervical spine w/o contrast (72141) |
$832.88 |
$1,699.75 |
2.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI chest w/o contrast (71550) |
$832.88 |
$1,699.75 |
2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$924.25 |
$1,886.22 |
2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$832.88 |
$1,699.75 |
2.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$832.88 |
$1,699.75 |
2.9× |
| MRI orbit face neck w contrast (70542) |
$948.35 |
$1,935.40 |
2.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI pelvis w/contrast (72196) |
$1,038.41 |
$2,119.21 |
2.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI pelvis w/o contrast (72195) |
$832.88 |
$1,699.75 |
2.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,038.41 |
$2,119.21 |
2.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,038.41 |
$2,119.21 |
2.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,200.15 |
$2,449.29 |
2.9× |
| MRI temporomandibular joint (70336) |
$718.56 |
$1,466.44 |
2.5× |
| MRI thoracic spine w/o contrast (72146) |
$832.88 |
$1,699.75 |
2.9× |
| MRI up ext w/o contrast (73218) |
$832.88 |
$1,699.75 |
2.9× |
| MRI upper ext joint w/o contrast (73221) |
$832.88 |
$1,699.75 |
2.9× |
| MRI, joint upper extrem combo (73223) |
$1,200.15 |
$2,449.29 |
2.9× |
| Myelogram Cervical (72240) |
$1,285.65 |
$2,623.77 |
1.4× |
| Myelogram thoracic (72255) |
$1,285.65 |
$2,623.77 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,803.86 |
$5,722.16 |
1.8× |
| Myocardial spect single study at rest or stress (78451) |
$2,803.86 |
$5,722.16 |
1.8× |
| Neck soft tissue (70360) |
$85.38 |
$174.24 |
0.8× |
| Nm cisternogram (78630) |
$790.70 |
$1,613.68 |
1.2× |
| Nm gastric emptying study (78264) |
$561.63 |
$1,146.19 |
1.2× |
| Nonvascular shunt X-ray (75809) |
$134.79 |
$275.09 |
1.1× |
| Nuclear Rx Oral Admin (79005) |
$538.34 |
$1,098.66 |
1.9× |
| Parathyroid Planar Imaging (78070) |
$426.18 |
$869.75 |
0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,093.51 |
$2,231.65 |
2.3× |
| Pelvis 1 or 2 views (72170) |
$85.38 |
$174.24 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$478.99 |
$977.54 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$638.67 |
$1,303.40 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$471.10 |
$961.42 |
0.7× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$85.38 |
$174.24 |
0.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$85.38 |
$174.24 |
0.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$85.38 |
$174.24 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$89.26 |
$182.17 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$148.27 |
$302.60 |
1.2× |
| Radex fingr minimum 2 views (73140) |
$85.38 |
$174.24 |
0.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$85.38 |
$174.24 |
0.8× |
| Radex Hand Minimum 3 Views (73130) |
$85.38 |
$174.24 |
0.8× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$89.26 |
$182.17 |
0.9× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$148.27 |
$302.60 |
1.2× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$281.78 |
$575.07 |
2.2× |
| Radex Humerus Minimum 2 Views (73060) |
$85.38 |
$174.24 |
0.8× |
| Radex Kne 1/2 Views (73560) |
$85.38 |
$174.24 |
0.8× |
| Radex Kne Compl 4/More Views (73564) |
$87.78 |
$179.15 |
0.7× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$134.79 |
$275.09 |
1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$85.38 |
$174.24 |
0.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$85.38 |
$174.24 |
0.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$85.38 |
$174.24 |
0.8× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$134.79 |
$275.09 |
1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$85.38 |
$174.24 |
0.8× |
| Radex Toe Minimum 2 Views (73660) |
$85.38 |
$174.24 |
0.8× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$85.38 |
$174.24 |
0.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$281.78 |
$575.07 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$85.38 |
$174.24 |
0.8× |
| Radiologic exam chest 2 views (71046) |
$85.38 |
$174.24 |
0.8× |
| Radiologic exam colon single contrast study (74270) |
$223.36 |
$455.83 |
1.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$223.36 |
$455.83 |
1.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$223.36 |
$455.83 |
1.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$85.38 |
$174.24 |
0.8× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$85.38 |
$174.24 |
0.7× |
| Radiological examination surgical specimen (76098) |
$471.70 |
$962.66 |
0.7× |
| Ribs bilateral 3 views (71110) |
$134.79 |
$275.09 |
1.1× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$713.08 |
$1,455.27 |
1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,714.87 |
$3,499.73 |
2.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$973.61 |
$1,986.95 |
1.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$851.25 |
$1,737.24 |
1.3× |
| Rp Therapy Intravenous Administration (79101) |
$559.49 |
$1,141.82 |
2.0× |
| Scapula (73010) |
$85.38 |
$174.24 |
0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$38.52 |
$78.61 |
1.6× |
| Shoulder 1 view (73020) |
$85.38 |
$174.24 |
0.8× |
| Small bowel series (74250) |
$150.82 |
$307.80 |
0.7× |
| Special dosimetry (77331) |
$178.16 |
$363.59 |
1.1× |
| Special Physics Consult (77370) |
$615.76 |
$1,256.65 |
3.8× |
| Special treatment procedure (77470) |
$1,515.11 |
$3,092.06 |
2.3× |
| Spine thoracic 3 views (72072) |
$134.79 |
$275.09 |
1.1× |
| Testicular Imaging With Vascular Flow (78761) |
$615.53 |
$1,256.19 |
1.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$934.57 |
$1,907.28 |
2.1× |
| Thyroid imaging w/blood flow (78013) |
$272.78 |
$556.69 |
0.6× |
| Thyroid uptake measurement (78012) |
$209.24 |
$427.03 |
0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$426.18 |
$869.75 |
0.9× |
| Treatment devices simple (77332) |
$223.69 |
$456.51 |
1.4× |
| Ultrasound breast complete (76641) |
$131.32 |
$268 |
1.0× |
| Ultrasound Exam Aaa Screen (76706) |
$254.12 |
$518.61 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$200.29 |
$408.75 |
1.6× |
| Unlisted ultrasound procedure (76999) |
$134.63 |
$274.75 |
1.3× |
| Urethrocystogram voiding (74455) |
$381.86 |
$779.31 |
1.3× |
| Us breast unilateral limited (76642) |
$131.32 |
$268 |
1.3× |
| Us chest (76604) |
$148.16 |
$302.36 |
1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$134.79 |
$275.09 |
1.1× |
| Us ob limited (76815) |
$143.58 |
$293.03 |
1.1× |
| Us ob transvaginal (76817) |
$208.15 |
$424.80 |
1.7× |
| Us pelvic non ob complete (76856) |
$206.53 |
$421.49 |
1.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$119.32 |
$243.51 |
1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$185.81 |
$379.21 |
1.5× |
| Us retroperitoneal complete (76770) |
$328.40 |
$670.20 |
2.6× |
| Us retroperitoneal limited (76775) |
$151.15 |
$308.48 |
1.2× |
| Us scrotum and contents (76870) |
$262.65 |
$536.03 |
2.1× |
| Us soft tissue head/neck (76536) |
$217.34 |
$443.56 |
1.7× |
| Us transrectal (76872) |
$320.69 |
$654.46 |
2.6× |
| Us, eye b-scan (76512) |
$146.77 |
$299.53 |
1.2× |
| Wrist 2 views (73100) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$134.79 |
$275.09 |
1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$223.36 |
$455.83 |
1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$89.26 |
$182.17 |
0.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$148.27 |
$302.60 |
1.2× |
| X-ray exam of femur 2/> (73552) |
$89.26 |
$182.17 |
0.9× |
| X-ray eye for foreign body (70030) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$85.38 |
$174.24 |
0.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$134.79 |
$275.09 |
1.1× |
| X-ray nose-rectum child f.b. (76010) |
$86.65 |
$176.84 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$85.38 |
$174.24 |
0.7× |
| X-ray retrograde pyelogram (74420) |
$381.86 |
$779.31 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$134.79 |
$275.09 |
1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$134.79 |
$275.09 |
1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$85.38 |
$174.24 |
0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$134.79 |
$275.09 |
1.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$85.38 |
$174.24 |
0.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$85.38 |
$174.24 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$85.38 |
$174.24 |
0.8× |
| Xr bone length studies (77073) |
$85.38 |
$174.24 |
0.7× |
| Xr c-spine 4 or 5 views (72050) |
$208.29 |
$425.08 |
1.7× |
| Xr chest 4+ views (71048) |
$85.38 |
$174.24 |
0.7× |