| 3-D radiotherapy plan dose-volume histograms (77295) |
— |
$4,360.28 |
— |
| Abdomen 2 views (74019) |
— |
$252.91 |
— |
| Acute gastrointestinal blood loss imaging (78278) |
— |
$2,621.53 |
— |
| Angiography extremity bilateral rs&i (75716) |
— |
$5,681.34 |
— |
| Angiography extremity unilateral rs&i (75710) |
— |
$10,605.18 |
— |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
— |
$5,693.34 |
— |
| Angiography pulmonary bilateral slctv rs&i (75743) |
— |
$5,693.34 |
— |
| Angiography visceral slctv/supraslctv rs&i (75726) |
— |
$18,058.73 |
— |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
— |
$10,833.11 |
— |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
— |
$10,833.11 |
— |
| Ankle 2 views (73600) |
— |
$559.37 |
— |
| Antegrade urography radiological supvj & interpj (74425) |
— |
$1,325.07 |
— |
| Aortogram thoracic (75605) |
— |
$12,780.68 |
— |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
— |
$6,401.83 |
— |
| Aortography abdominal serialography rs&i (75625) |
— |
$5,235.37 |
— |
| Aortography thoracic w/o serialography rs&i (75600) |
— |
$4,073.42 |
— |
| Arthrogram elbow (73085) |
— |
$972.40 |
— |
| Arthrogram hip (73525) |
— |
$936.58 |
— |
| Arthrogram shoulder (73040) |
— |
$1,510.45 |
— |
| Arthrogram wrist (73115) |
— |
$1,318.79 |
— |
| Arthrography knee lt (73580) |
— |
$1,505.85 |
— |
| Basic radiation dosimetry calculation (77300) |
— |
$358.47 |
— |
| Bone &/Joint Imaging Limited Area (78300) |
— |
$2,127.77 |
— |
| Bone &/joint imaging whole body (78306) |
— |
$4,152.70 |
— |
| Bone age studies (77072) |
— |
$304.16 |
— |
| Bone Imaging 3 Phase (78315) |
— |
$5,968.35 |
— |
| Bone survey complete (77075) |
— |
$1,207.24 |
— |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
— |
$3,731.09 |
— |
| Cervical spine 2 or 3 views (72040) |
— |
$543.62 |
— |
| Chest 1 view (71045) |
— |
$258.18 |
— |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
— |
$1,090.48 |
— |
| Clavicle complete (73000) |
— |
$425.58 |
— |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
— |
$542.11 |
— |
| Continuing medical physics consltj pr wk (77336) |
— |
$1,121.78 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$9,099 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$6,309.96 |
— |
| CT abdomen w contrast (74160) |
— |
$5,674.36 |
— |
| CT abdomen w wo contrast (74170) |
— |
$6,213.92 |
— |
| CT abdomen w/o contrast (74150) |
— |
$5,465.86 |
— |
| CT angio hrt w/3d image (75574) |
— |
$3,664.32 |
— |
| CT angiography upper extremity lt (73206) |
— |
$5,497.19 |
— |
| CT c-spine w/o contrast (72125) |
— |
$4,295.87 |
— |
| CT cervical spine w&w/o contrast (72127) |
— |
$5,605.80 |
— |
| CT cervical spine with contrast (72126) |
— |
$5,079.70 |
— |
| CT chest w/wo contrast (71270) |
— |
$5,602.30 |
— |
| CT chest with contrast (71260) |
— |
$4,822.74 |
— |
| CT head/brain with contrast (70460) |
— |
$2,602.98 |
— |
| CT head/brain without and with contrast (70470) |
— |
$5,112.21 |
— |
| CT heart contrast eval cardiac structure&morph (75572) |
— |
$3,664.32 |
— |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$901.42 |
— |
| CT iac w contrast (70481) |
— |
$3,973.64 |
— |
| CT lower ext w/o (73700) |
— |
$3,425.91 |
— |
| CT lower extremity w wo contrast (73702) |
— |
$3,553.99 |
— |
| CT lower extremity with contrast (73701) |
— |
$3,594.59 |
— |
| CT lumbar spine w & w/o contrast (72133) |
— |
$6,535.82 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$5,271.47 |
— |
| CT lumbar spine with contrast (72132) |
— |
$5,902.79 |
— |
| CT maxillofacial w contrast (70487) |
— |
$3,671.28 |
— |
| CT maxillofacial w/o contrast (70486) |
— |
$3,839.54 |
— |
| CT maxillofacial w/wo contrast (70488) |
— |
$4,217.43 |
— |
| CT neck soft tissue w contrast (70491) |
— |
$4,224.76 |
— |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
— |
$4,505.53 |
— |
| CT orbits w/o contrast (70480) |
— |
$3,443.33 |
— |
| CT pelvis w & w/o contrast (72194) |
— |
$6,403.47 |
— |
| CT pelvis w/o contrast (72192) |
— |
$5,335.96 |
— |
| CT soft tissue neck w/o & w/contrast material (70492) |
— |
$4,203.18 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$3,940.41 |
— |
| CT thoracic spine w/contrast (72129) |
— |
$3,988.47 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$2,739.39 |
— |
| CT thoracic spine w/wo contrast (72130) |
— |
$4,327.89 |
— |
| CT thorax w/o contrast (71250) |
— |
$4,022.72 |
— |
| CT upper extremity w/o & w/contrast material (73202) |
— |
$4,210.78 |
— |
| CT upper extremity w/o contrast rt (73200) |
— |
$4,063.12 |
— |
| CT upper extremity with contrast (73201) |
— |
$4,008.83 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$4,142.90 |
— |
| Cta Abdomen (74175) |
— |
$4,365.46 |
— |
| CTA abdomen pelvis (74174) |
— |
$8,316.10 |
— |
| CTA chest (71275) |
— |
$4,597.26 |
— |
| Cta Head (70496) |
— |
$2,827.82 |
— |
| CTA lwr ext w&w/o contrast (73706) |
— |
$5,911.29 |
— |
| Cta Neck (70498) |
— |
$3,543.03 |
— |
| Cta Pelvis (72191) |
— |
$1,622.21 |
— |
| Cystography minimum 3 views rs&i (74430) |
— |
$1,007.27 |
— |
| Dxa bone density study 1/> sites axial skel (77080) |
— |
$854.59 |
— |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
— |
$266.28 |
— |
| Dxa bone density study axial skeleton (77085) |
— |
$511.70 |
— |
| Echoencephalography real time imaging (76506) |
— |
$1,023.94 |
— |
| Esophagus (74220) |
— |
$1,071.92 |
— |
| Fetal biophysical profile non-stress testing (76818) |
— |
$1,047.26 |
— |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
— |
$546.09 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$933.28 |
— |
| Foot 2 views (73620) |
— |
$587.72 |
— |
| Forearm 2 views (73090) |
— |
$511.38 |
— |
| Hand 2 views (73120) |
— |
$449.59 |
— |
| Hand 3 views (73130) |
— |
$605.20 |
— |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
— |
$3,762.14 |
— |
| Hepatobiliary syst imaging including gallbladder (78226) |
— |
$3,454.36 |
— |
| Humerus Min 2 Views Left (73060) |
— |
$634.26 |
— |
| Hysterosalpingogram (74740) |
— |
$1,514.92 |
— |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
— |
$3,137.52 |
— |
| Kidney img morphology vascular flow 1 w/rx (78708) |
— |
$3,034.07 |
— |
| Knee 3 views (73562) |
— |
$645.90 |
— |
| Lymphoscintigraphy (78195) |
— |
$1,376.28 |
— |
| Mammary ductogram or galactogram multiple (77054) |
— |
$1,065.24 |
— |
| Mammary ductogram or galactogram single (77053) |
— |
$1,197.05 |
— |
| Meckels Diverticulum (78290) |
— |
$1,381.35 |
— |
| Mlc imrt design & construction per imrt plan (77338) |
— |
$2,000.64 |
— |
| MRA head w/o contrast (70544) |
— |
$2,871.68 |
— |
| MRA neck w contrast (70548) |
— |
$3,521.54 |
— |
| Mra Neck W/O &W/Contrast Material (70549) |
— |
$3,580.61 |
— |
| MRA neck w/o contrast (70547) |
— |
$3,463.70 |
— |
| MRI abdomen w contrast (74182) |
— |
$4,151.78 |
— |
| MRI abdomen w/o & w/contrast material (74183) |
— |
$5,174.01 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$3,462.91 |
— |
| MRI any jnt lwr ext with con lt (73722) |
— |
$4,526.33 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$5,234.05 |
— |
| MRI breast w/o contrast bilateral (77047) |
— |
$2,775.03 |
— |
| MRI breast w/o contrast unilat (77046) |
— |
$1,890.62 |
— |
| MRI c-spine with contrast (72142) |
— |
$5,927.74 |
— |
| MRI cervical spine w/o contrast (72141) |
— |
$5,673.51 |
— |
| MRI chest w/o & w/contrast material (71552) |
— |
$4,779.27 |
— |
| MRI chest w/o contrast (71550) |
— |
$4,256.78 |
— |
| MRI chest with contrast (71551) |
— |
$4,168.31 |
— |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
— |
$3,442.04 |
— |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
— |
$4,223.82 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$3,786.65 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$3,437.83 |
— |
| MRI orbit/face/neck w&w/o cont (70543) |
— |
$4,609.58 |
— |
| MRI orbit/face/neck w/contrast (70542) |
— |
$3,178.47 |
— |
| MRI pelvis w contrast (72196) |
— |
$4,333.43 |
— |
| MRI pelvis w/o & w/contrast material (72197) |
— |
$4,984.95 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$3,750.90 |
— |
| MRI scan of arm joint before and after contrast (73223) |
— |
$5,898.35 |
— |
| MRI scan of leg joint before and after contrast (73723) |
— |
$4,867.42 |
— |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
— |
$6,173.01 |
— |
| MRI spinal canal lumbar w/contrast material (72149) |
— |
$5,655.62 |
— |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
— |
$6,096.37 |
— |
| MRI spinal canal thoracic w/contrast matrl (72147) |
— |
$5,241.72 |
— |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
— |
$5,650.51 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$4,878.91 |
— |
| MRI upper ext joint w/o contrast (73221) |
— |
$5,029.65 |
— |
| MRI upper extrem other than jt w/o & w/contras (73220) |
— |
$4,521.21 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$3,347.22 |
— |
| Myelogram Cervical (72240) |
— |
$2,771.71 |
— |
| Myocardial Spect Multiple Studies (78452) |
— |
$6,598.14 |
— |
| Neck soft tissue (70360) |
— |
$614.74 |
— |
| Nm cisternogram (78630) |
— |
$2,809.04 |
— |
| Nm gastric emptying study (78264) |
— |
$2,908.62 |
— |
| Ntsty modul radthx pln dose-vol histos (77301) |
— |
$3,931.52 |
— |
| Nuclear medicine of heart muscle at rest with stress (78454) |
— |
$4,938.72 |
— |
| Nuclear Rx Oral Admin (79005) |
— |
$3,157.54 |
— |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
— |
$546.09 |
— |
| Osseous survey infant (77076) |
— |
$525.22 |
— |
| Osseous survey limited (77074) |
— |
$983.30 |
— |
| Parathyroid imaging (78070) |
— |
$2,346.09 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$503.38 |
— |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
— |
$4,627.25 |
— |
| Pulmonary Perfusion Imaging Particulate (78580) |
— |
$2,129.34 |
— |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
— |
$2,165.04 |
— |
| Radex abscess/fistula/sinus tract rs&i (76080) |
— |
$1,925.57 |
— |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
— |
$863.75 |
— |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
— |
$277.89 |
— |
| Radex hips bilateral with pelvis 2 views (73521) |
— |
$736.80 |
— |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
— |
$1,006.83 |
— |
| Radiation treatment delivery 1 mev >= complex (77412) |
— |
$695.46 |
— |
| Radiation treatment delivery 1 mev >= simple (77402) |
— |
$487.72 |
— |
| Radiation tx delivery 1 mev >= intermediate (77407) |
— |
$546.57 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$732.44 |
— |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
— |
$258.18 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$379.85 |
— |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
— |
$243.18 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$1,536.88 |
— |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
— |
$728.59 |
— |
| Radiologic exam upr gi trc double contrast study (74246) |
— |
$728.59 |
— |
| Radiologic exam upr gi trc single contrast study (74240) |
— |
$922.42 |
— |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
— |
$675.76 |
— |
| Radiological examination surgical specimen (76098) |
— |
$788.59 |
— |
| Rp loclzj tum spect 1 area single day imaging (78803) |
— |
$4,703.03 |
— |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
— |
$1,203.10 |
— |
| Scanogram (77073) |
— |
$275.08 |
— |
| Scapula complete (73010) |
— |
$481.58 |
— |
| Screening digital breast tomosynthesis (77063) |
— |
$79.04 |
— |
| Simulation intermediate (77285) |
— |
$905.30 |
— |
| Small bowel series (74250) |
— |
$1,410.97 |
— |
| Spec medical radj physics consltj (77370) |
— |
$1,425.58 |
— |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
— |
$879.02 |
— |
| Special dosimetry (77331) |
— |
$418.18 |
— |
| Special treatment procedure (77470) |
— |
$2,568.06 |
— |
| Spine thoracic 3 views (72072) |
— |
$683.72 |
— |
| Stereotactic body radiation delivery (77373) |
— |
$7,242.80 |
— |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
— |
$1,370.19 |
— |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
— |
$780.66 |
— |
| Ther rad simulaj-aided field setting complex (77290) |
— |
$1,442.14 |
— |
| Ther rad simulaj-aided field setting simple (77280) |
— |
$695.62 |
— |
| Thyroid carcinoma metastases img whole body (78018) |
— |
$2,858.19 |
— |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
— |
$1,226.15 |
— |
| Treatment device intermediate (77333) |
— |
$897.34 |
— |
| Treatment devices simple (77332) |
— |
$706.28 |
— |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
— |
$4,312.12 |
— |
| Tx devices design & construction complex (77334) |
— |
$1,378.17 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$1,811.37 |
— |
| Umbilical-artery Doppler (OB) (76820) |
— |
$406.28 |
— |
| Unlisted Diagnostic Radiographic Procedure (76499) |
— |
$268.28 |
— |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
— |
$1,394.28 |
— |
| Unlisted magnetic resonance procedure (76498) |
— |
$319.14 |
— |
| Upper Extremity Infant (73092) |
— |
$304.16 |
— |
| Urethrocystography retrograde rs&i (74450) |
— |
$889.55 |
— |
| Urethrocystography voiding (74455) |
— |
$1,276.92 |
— |
| Us abdl aorta screen aaa (76706) |
— |
$371.36 |
— |
| Us breast unilateral complete (76641) |
— |
$644.20 |
— |
| Us breast unilateral limited (76642) |
— |
$548.56 |
— |
| Us chest (76604) |
— |
$660.65 |
— |
| Us compl joint r-t w/image documentation (76881) |
— |
$676.76 |
— |
| Us guided compression repair (76936) |
— |
$2,013.99 |
— |
| Us infant hips dynamic (76885) |
— |
$507.05 |
— |
| Us kidney transplant (76776) |
— |
$1,480.29 |
— |
| Us ob detailed single fetus (76811) |
— |
$857.97 |
— |
| Us ob transvaginal (76817) |
— |
$833.99 |
— |
| Us pelvic non ob complete (76856) |
— |
$2,191.72 |
— |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
— |
$957.73 |
— |
| Us pregnancy ltd (76815) |
— |
$553.27 |
— |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
— |
$826.84 |
— |
| Us retroperitoneal complete (76770) |
— |
$1,532.18 |
— |
| Us retroperitoneal limited (76775) |
— |
$2,294.50 |
— |
| Us scrotum and contents (76870) |
— |
$1,276.42 |
— |
| Us soft tissue head/neck (76536) |
— |
$1,215.43 |
— |
| Us spinal canal and contents (76800) |
— |
$839.61 |
— |
| Us xtr non-vasc lmtd (76882) |
— |
$438.72 |
— |
| Venogram extremity bilateral (75822) |
— |
$4,139.47 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$6,567.83 |
— |
| Venography caval superior serialography rs&i (75827) |
— |
$2,487.11 |
— |
| Venography extremity unilateral rs&i (75820) |
— |
$5,242.28 |
— |
| Venography venous sinus/jugular cath rs&i (75860) |
— |
$10,833.11 |
— |
| Vertebral fracture assessment via dxa (77086) |
— |
$282.36 |
— |
| Wrist 2 views (73100) |
— |
$583.39 |
— |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
— |
$964.56 |
— |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
— |
$445.22 |
— |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
— |
$645.90 |
— |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
— |
$1,916.02 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$322.34 |
— |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
— |
$645.90 |
— |
| X-ray exam entire spi 4/5 vw (72083) |
— |
$971.07 |
— |
| X-ray exam hip uni 1 view (73501) |
— |
$348.50 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$622.64 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$808.34 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$879.88 |
— |
| X-ray exam of femur 1 (73551) |
— |
$589.92 |
— |
| X-ray eye for foreign body (70030) |
— |
$333.60 |
— |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
— |
$631.36 |
— |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
— |
$497.57 |
— |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
— |
$660.43 |
— |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
— |
$464.12 |
— |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
— |
$727.33 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$397.25 |
— |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
— |
$276.52 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$788.42 |
— |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
— |
$1,330.84 |
— |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
— |
$490.30 |
— |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
— |
$618.27 |
— |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
— |
$885.85 |
— |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
— |
$552.84 |
— |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
— |
$1,121.96 |
— |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
— |
$709.88 |
— |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
— |
$657.54 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$798.62 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$603.72 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$703.34 |
— |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
— |
$674.99 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$512.11 |
— |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
— |
$413.96 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$797.16 |
— |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
— |
$613.91 |
— |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
— |
$472.86 |
— |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
— |
$605.18 |
— |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
— |
$657.54 |
— |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
— |
$1,455.92 |
— |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
— |
$461.21 |
— |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
— |
$627.01 |
— |
| Xr arthrogram ankle (73615) |
— |
$1,238.24 |
— |
| Xr c-spine 6 or more views (72052) |
— |
$1,185.41 |
— |
| Xr chest 4+ views (71048) |
— |
$440.68 |
— |
| Xr finger(s) 2+ views (73140) |
— |
$417.59 |
— |
| XR Mastoids < 3 Views Bilateral (70120) |
— |
$245.99 |
— |
| Xr shoulder 1 view (73020) |
— |
$295.43 |
— |
| Xr spine cervical 4 or 5 views (72050) |
— |
$1,197.05 |
— |
| Xr tibia/fibula 2 views (73590) |
— |
$523.02 |
— |
| Xr tmj bilateral (70330) |
— |
$483.02 |
— |
| Xray knee 1 or 2 views rt (73560) |
— |
$358.69 |
— |