| Abdomen 2 views (74019) |
$334.80 |
$372 |
3.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,561.50 |
$1,735 |
3.8× |
| Ankle 2 views (73600) |
$284.40 |
$316 |
3.2× |
| Arthrogram hip (73525) |
$972 |
$1,080 |
2.7× |
| Arthrogram shoulder (73040) |
$883.80 |
$982 |
2.5× |
| Arthrogram wrist (73115) |
$765 |
$850 |
2.1× |
| Arthrography knee lt (73580) |
$1,143 |
$1,270 |
3.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,300.50 |
$1,445 |
3.2× |
| Bone &/joint imaging whole body (78306) |
$1,765.80 |
$1,962 |
4.3× |
| Bone age studies (77072) |
$477 |
$530 |
4.5× |
| Bone Imaging 3 Phase (78315) |
$1,929.60 |
$2,144 |
4.7× |
| Bone survey complete (77075) |
$990 |
$1,100 |
9.3× |
| Brain image w/flow 4 + views (78606) |
$2,006.10 |
$2,229 |
3.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,864.30 |
$7,627 |
4.7× |
| Cervical spine 2 or 3 views (72040) |
$333.90 |
$371 |
3.8× |
| Chest 1 view (71045) |
$274.50 |
$305 |
3.1× |
| Chest 3 views (71047) |
$368.10 |
$409 |
4.1× |
| Clavicle complete (73000) |
$278.10 |
$309 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$774 |
$860 |
7.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,393.80 |
$4,882 |
12.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,123.90 |
$3,471 |
12.8× |
| CT abdomen w contrast (74160) |
$1,951.20 |
$2,168 |
10.9× |
| CT abdomen w wo contrast (74170) |
$2,529 |
$2,810 |
14.1× |
| CT abdomen w/o contrast (74150) |
$1,494 |
$1,660 |
14.0× |
| CT angiography upper extremity lt (73206) |
$2,233.80 |
$2,482 |
12.5× |
| CT c-spine w/o contrast (72125) |
$2,070.90 |
$2,301 |
19.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,790 |
$3,100 |
15.6× |
| CT cervical spine with contrast (72126) |
$2,265.30 |
$2,517 |
6.4× |
| CT chest w/wo contrast (71270) |
$2,700 |
$3,000 |
15.1× |
| CT chest with contrast (71260) |
$2,452.50 |
$2,725 |
13.7× |
| CT colonography w/o cntrst (74261) |
$2,302.20 |
$2,558 |
21.6× |
| CT head/brain with contrast (70460) |
$1,909.80 |
$2,122 |
10.7× |
| CT head/brain without and with contrast (70470) |
$2,174.40 |
$2,416 |
12.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,151.10 |
$1,279 |
12.9× |
| CT iac w contrast (70481) |
$3,084.30 |
$3,427 |
17.2× |
| CT limited/localized follow up study (76380) |
$505.80 |
$562 |
5.7× |
| CT lower ext w/o (73700) |
$1,687.50 |
$1,875 |
15.8× |
| CT lower extremity w wo contrast (73702) |
$2,348.10 |
$2,609 |
13.1× |
| CT lower extremity with contrast (73701) |
$1,883.25 |
$2,092.50 |
10.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,520 |
$2,800 |
14.1× |
| CT lumbar spine w/o contrast (72131) |
$2,025 |
$2,250 |
19.0× |
| CT lumbar spine with contrast (72132) |
$2,236.50 |
$2,485 |
6.3× |
| CT maxillofacial w contrast (70487) |
$2,906.10 |
$3,229 |
16.2× |
| CT maxillofacial w/o contrast (70486) |
$1,717.20 |
$1,908 |
16.1× |
| CT maxillofacial w/wo contrast (70488) |
$3,410.10 |
$3,789 |
19.0× |
| CT neck soft tissue w contrast (70491) |
$1,927.80 |
$2,142 |
10.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,632.60 |
$1,814 |
9.1× |
| CT orbits w/o contrast (70480) |
$1,728 |
$1,920 |
16.2× |
| CT pelvis w & w/o contrast (72194) |
$2,340 |
$2,600 |
13.1× |
| CT pelvis w/o contrast (72192) |
$1,652.40 |
$1,836 |
15.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,160 |
$2,400 |
12.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,629.90 |
$1,811 |
15.3× |
| CT thoracic spine w/contrast (72129) |
$2,313.90 |
$2,571 |
12.9× |
| CT thoracic spine w/o contrast (72128) |
$2,122.20 |
$2,358 |
19.9× |
| CT thoracic spine w/wo contrast (72130) |
$3,060 |
$3,400 |
17.1× |
| CT thorax w/o contrast (71250) |
$1,661.40 |
$1,846 |
15.6× |
| CT unlisted procedure (76497) |
$1,545.30 |
$1,717 |
17.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,957.50 |
$2,175 |
10.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,368 |
$1,520 |
12.8× |
| CT upper extremity with contrast (73201) |
$1,665 |
$1,850 |
4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,844.90 |
$3,161 |
15.9× |
| Cta Abdomen (74175) |
$2,073.60 |
$2,304 |
11.6× |
| CTA abdomen pelvis (74174) |
$3,951 |
$4,390 |
11.1× |
| CTA chest (71275) |
$2,819.70 |
$3,133 |
15.7× |
| Cta Head (70496) |
$2,461.50 |
$2,735 |
13.7× |
| CTA lwr ext w&w/o contrast (73706) |
$2,626.65 |
$2,918.50 |
14.7× |
| Cta Neck (70498) |
$2,682.90 |
$2,981 |
15.0× |
| Cta Pelvis (72191) |
$1,980 |
$2,200 |
11.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$503.10 |
$559 |
4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$275.40 |
$306 |
3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$665.10 |
$739 |
6.2× |
| Fluoroscopy up to 1 hr (76000) |
$673.20 |
$748 |
2.8× |
| Foot 2 views (73620) |
$260.10 |
$289 |
2.9× |
| Forearm 2 views (73090) |
$325.80 |
$362 |
3.7× |
| Gated Heart Planar Single (78472) |
$3,410.10 |
$3,789 |
8.3× |
| Hand 2 views (73120) |
$268.20 |
$298 |
2.5× |
| Hand 3 views (73130) |
$426.60 |
$474 |
4.8× |
| Heart Infarct Image (78466) |
$2,011.50 |
$2,235 |
4.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,137.50 |
$2,375 |
3.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,607.40 |
$1,786 |
3.9× |
| Ht muscle image spect sing (78451) |
$4,108.50 |
$4,565 |
3.1× |
| Humerus Min 2 Views Left (73060) |
$320.40 |
$356 |
3.6× |
| Kidney imaging morphology (78700) |
$1,849.50 |
$2,055 |
4.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,745.10 |
$1,939 |
3.1× |
| Knee 3 views (73562) |
$455.85 |
$506.50 |
5.1× |
| Liver & spleen imaging static only (78215) |
$2,150.10 |
$2,389 |
5.3× |
| Lung Ventilation Imaging (78579) |
$847.80 |
$942 |
2.1× |
| Lymphoscintigraphy (78195) |
$1,491.30 |
$1,657 |
2.7× |
| Meckels Diverticulum (78290) |
$1,665.90 |
$1,851 |
4.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$134.10 |
$149 |
2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$45 |
$50 |
1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$206.10 |
$229 |
2.1× |
| MRA head w & w/o contrast (70546) |
$3,150 |
$3,500 |
8.8× |
| MRA head w/o contrast (70544) |
$2,126.70 |
$2,363 |
8.7× |
| MRA head with contrast (70545) |
$2,430 |
$2,700 |
6.8× |
| MRA neck w contrast (70548) |
$2,700 |
$3,000 |
7.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,285.90 |
$3,651 |
9.2× |
| MRA neck w/o contrast (70547) |
$2,457.90 |
$2,731 |
10.1× |
| MRI abdomen w contrast (74182) |
$4,096.80 |
$4,552 |
11.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,294.70 |
$5,883 |
14.9× |
| MRI abdomen w/o contrast (74181) |
$3,510 |
$3,900 |
14.4× |
| MRI any jnt lwr ext with con lt (73722) |
$4,080.60 |
$4,534 |
5.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,510 |
$3,900 |
4.4× |
| MRI c-spine with contrast (72142) |
$3,225.60 |
$3,584 |
9.0× |
| MRI cervical spine w/o contrast (72141) |
$2,574.90 |
$2,861 |
10.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,537 |
$3,930 |
9.9× |
| MRI chest w/o contrast (71550) |
$2,025 |
$2,250 |
8.3× |
| MRI chest with contrast (71551) |
$2,835 |
$3,150 |
3.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,780 |
$4,200 |
10.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,510 |
$3,900 |
9.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,475 |
$2,750 |
10.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,854 |
$2,060 |
7.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,969.10 |
$3,299 |
8.3× |
| MRI orbit/face/neck w/contrast (70542) |
$2,342.70 |
$2,603 |
6.6× |
| MRI pelvis w contrast (72196) |
$2,880 |
$3,200 |
8.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,537 |
$3,930 |
9.9× |
| MRI pelvis w/o contrast (72195) |
$2,528.10 |
$2,809 |
10.4× |
| MRI scan of arm joint before and after contrast (73223) |
$4,091.40 |
$4,546 |
11.5× |
| MRI scan of leg joint before and after contrast (73723) |
$3,994.20 |
$4,438 |
11.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,818.70 |
$4,243 |
10.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,499.20 |
$3,888 |
9.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,654.90 |
$4,061 |
10.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,486.60 |
$3,874 |
9.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,644.10 |
$4,049 |
10.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,436.30 |
$2,707 |
10.0× |
| MRI tmj (70336) |
$1,618.20 |
$1,798 |
6.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,775.15 |
$3,083.50 |
11.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,530.60 |
$5,034 |
12.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,591.55 |
$2,879.50 |
10.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,194.90 |
$4,661 |
3.2× |
| Neck soft tissue (70360) |
$322.20 |
$358 |
3.6× |
| Nm gastric emptying study (78264) |
$1,548 |
$1,720 |
3.8× |
| Nuclear Rx Oral Admin (79005) |
$1,827.90 |
$2,031 |
7.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$316.80 |
$352 |
3.0× |
| Osseous survey infant (77076) |
$239.40 |
$266 |
2.2× |
| Osseous survey limited (77074) |
$565.20 |
$628 |
5.3× |
| Parathyroid imaging (78070) |
$1,472.40 |
$1,636 |
3.6× |
| Pelvis 1 or 2 views (72170) |
$313.20 |
$348 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$6,131.70 |
$6,813 |
4.2× |
| PET imaging for CT attenuation whole body (78816) |
$6,124.50 |
$6,805 |
4.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,912.30 |
$4,347 |
11.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,204.20 |
$1,338 |
2.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,817.10 |
$2,019 |
3.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$281.70 |
$313 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$441.90 |
$491 |
4.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$500.40 |
$556 |
4.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$740.70 |
$823 |
6.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$787.50 |
$875 |
7.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$329.40 |
$366 |
3.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$268.20 |
$298 |
3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$382.50 |
$425 |
3.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$336.60 |
$374 |
3.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$873.90 |
$971 |
4.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$283.50 |
$315 |
3.2× |
| Radiological examination surgical specimen (76098) |
$710.10 |
$789 |
1.3× |
| Ribs bilateral 3 views (71110) |
$561.60 |
$624 |
5.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,479.50 |
$2,755 |
6.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,281.50 |
$2,535 |
4.1× |
| Sacroiliac Joints < 3 Views (72200) |
$315 |
$350 |
2.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,015.20 |
$1,128 |
4.2× |
| Scanogram (77073) |
$479.70 |
$533 |
4.5× |
| Scapula complete (73010) |
$336.60 |
$374 |
3.2× |
| Screening digital breast tomosynthesis (77063) |
$71.55 |
$79.50 |
3.1× |
| Sella turcica (70240) |
$199.80 |
$222 |
2.2× |
| Spine thoracic 3 views (72072) |
$432 |
$480 |
4.0× |
| Spleen imaging only (78185) |
$904.50 |
$1,005 |
2.2× |
| Thoracolumbar 2 views (72080) |
$414 |
$460 |
4.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,676.70 |
$1,863 |
3.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$559.80 |
$622 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,628.10 |
$1,809 |
4.0× |
| Tmj unilateral (70328) |
$315.90 |
$351 |
3.6× |
| Ultrasound, abdomen limited (76705) |
$668.70 |
$743 |
6.3× |
| Umbilical-artery Doppler (OB) (76820) |
$345.60 |
$384 |
3.2× |
| Upper Extremity Infant (73092) |
$478.35 |
$531.50 |
4.5× |
| Urethrocystography voiding (74455) |
$772.20 |
$858 |
3.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$838.80 |
$932 |
4.7× |
| Us abdl aorta screen aaa (76706) |
$524.70 |
$583 |
4.9× |
| Us breast unilateral complete (76641) |
$621.90 |
$691 |
5.8× |
| Us breast unilateral limited (76642) |
$535.50 |
$595 |
6.0× |
| Us chest (76604) |
$472.50 |
$525 |
4.4× |
| Us compl joint r-t w/image documentation (76881) |
$457.20 |
$508 |
4.3× |
| Us infant hips dynamic (76885) |
$198 |
$220 |
2.2× |
| Us kidney transplant (76776) |
$630 |
$700 |
5.9× |
| Us ob detailed single fetus (76811) |
$994.50 |
$1,105 |
4.1× |
| Us ob transvaginal (76817) |
$554.40 |
$616 |
5.2× |
| Us pelvic non ob complete (76856) |
$756 |
$840 |
7.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$725.40 |
$806 |
6.8× |
| Us pregnancy ltd (76815) |
$441.90 |
$491 |
4.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$492.30 |
$547 |
4.6× |
| Us retroperitoneal complete (76770) |
$810 |
$900 |
7.6× |
| Us retroperitoneal limited (76775) |
$706.50 |
$785 |
6.6× |
| Us scrotum and contents (76870) |
$589.50 |
$655 |
5.5× |
| Us soft tissue head/neck (76536) |
$660.60 |
$734 |
6.2× |
| Us transrectal (76872) |
$350.10 |
$389 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$581.40 |
$646 |
5.4× |
| Wrist 2 views (73100) |
$294.30 |
$327 |
3.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$473.40 |
$526 |
4.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$623.70 |
$693 |
7.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$431.10 |
$479 |
4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$282.60 |
$314 |
3.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$378.90 |
$421 |
4.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$540 |
$600 |
5.1× |
| X-ray exam hip uni 1 view (73501) |
$288 |
$320 |
3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$347.40 |
$386 |
3.9× |
| X-ray exam hip uni 4/> views (73503) |
$432.90 |
$481 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$524.70 |
$583 |
4.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$540 |
$600 |
5.1× |
| X-ray exam of femur 1 (73551) |
$265.50 |
$295 |
3.0× |
| X-ray eye for foreign body (70030) |
$168.30 |
$187 |
1.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$351 |
$390 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$195.30 |
$217 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$419.40 |
$466 |
4.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$278.10 |
$309 |
3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$380.25 |
$422.50 |
4.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$400.50 |
$445 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$176.40 |
$196 |
2.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$247.50 |
$275 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$401.40 |
$446 |
3.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$665.10 |
$739 |
6.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$377.10 |
$419 |
3.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$387.90 |
$431 |
4.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$279 |
$310 |
3.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$427.50 |
$475 |
4.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$375.30 |
$417 |
3.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,079 |
$2,310 |
3.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,195.20 |
$1,328 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$281.70 |
$313 |
3.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$423.90 |
$471 |
4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$612 |
$680 |
5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$344.70 |
$383 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$387 |
$430 |
4.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$405.90 |
$451 |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$477.90 |
$531 |
5.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$168.30 |
$187 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$447.30 |
$497 |
4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$359.10 |
$399 |
3.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$241.20 |
$268 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$271.80 |
$302 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$372.60 |
$414 |
4.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$392.40 |
$436 |
3.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$641.70 |
$713 |
6.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$230.40 |
$256 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$441.45 |
$490.50 |
5.0× |
| Xr c-spine 6 or more views (72052) |
$684.90 |
$761 |
6.4× |
| Xr chest 4+ views (71048) |
$378 |
$420 |
3.5× |
| Xr finger(s) 2+ views (73140) |
$264.60 |
$294 |
3.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$565.20 |
$628 |
5.3× |
| Xr shoulder 1 view (73020) |
$231.30 |
$257 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$497.70 |
$553 |
4.7× |
| Xr tibia/fibula 2 views (73590) |
$342 |
$380 |
3.8× |
| Xr tmj bilateral (70330) |
$407.70 |
$453 |
4.6× |
| Xray knee 1 or 2 views rt (73560) |
$381.15 |
$423.50 |
4.3× |