| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,371.55 |
$5,187 |
2.6× |
| Abdomen 2 views (74019) |
$132.60 |
$204 |
1.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$967.85 |
$1,489 |
2.6× |
| Ankle 2 views (73600) |
$125.45 |
$193 |
1.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$763.10 |
$1,174 |
2.4× |
| Arthrogram shoulder (73040) |
$387.40 |
$596 |
1.2× |
| Arthrography knee lt (73580) |
$374.40 |
$576 |
1.2× |
| Basic radiation dosimetry calculation (77300) |
$808.28 |
$1,243.50 |
6.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$816.72 |
$1,256.50 |
2.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$896.35 |
$1,379 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$767.65 |
$1,181 |
2.1× |
| Bone age studies (77072) |
$209.30 |
$322 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$943.15 |
$1,451 |
2.6× |
| Bone Marrow Imaging Limited Area (78102) |
$337.35 |
$519 |
0.9× |
| Bone survey complete (77075) |
$547.30 |
$842 |
5.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,046.55 |
$4,687 |
2.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$720.85 |
$1,109 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$164.45 |
$253 |
2.1× |
| Chest 1 view (71045) |
$122.20 |
$188 |
1.5× |
| Chest 3 views (71047) |
$161.85 |
$249 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$341.25 |
$525 |
2.1× |
| Clavicle complete (73000) |
$133.25 |
$205 |
1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$364.65 |
$561 |
3.8× |
| Continuing medical physics consltj pr wk (77336) |
$576.55 |
$887 |
4.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,253.85 |
$1,929 |
3.9× |
| CT abdomen and pelvis without contrast (74176) |
$741 |
$1,140 |
3.4× |
| CT abdomen w contrast (74160) |
$741 |
$1,140 |
4.6× |
| CT abdomen w wo contrast (74170) |
$1,253.85 |
$1,929 |
7.8× |
| CT abdomen w/o contrast (74150) |
$741 |
$1,140 |
7.7× |
| CT angio hrt w/3d image (75574) |
$741 |
$1,140 |
2.3× |
| CT angiography upper extremity lt (73206) |
$741 |
$1,140 |
4.6× |
| CT c-spine w/o contrast (72125) |
$741 |
$1,140 |
7.7× |
| CT cervical spine w&w/o contrast (72127) |
$1,253.85 |
$1,929 |
7.8× |
| CT cervical spine with contrast (72126) |
$741 |
$1,140 |
2.3× |
| CT chest w/wo contrast (71270) |
$1,253.85 |
$1,929 |
7.8× |
| CT chest with contrast (71260) |
$741 |
$1,140 |
4.6× |
| CT colonography screening (74263) |
$741 |
$1,140 |
3.4× |
| CT colonography w/o cntrst (74261) |
$741 |
$1,140 |
7.7× |
| CT head/brain with contrast (70460) |
$741 |
$1,140 |
4.6× |
| CT head/brain without and with contrast (70470) |
$1,253.85 |
$1,929 |
7.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$741 |
$1,140 |
2.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$364.65 |
$561 |
4.5× |
| CT hrt w/3d image congen (75573) |
$741 |
$1,140 |
2.3× |
| CT iac w contrast (70481) |
$741 |
$1,140 |
4.6× |
| CT limited/localized follow up study (76380) |
$553.80 |
$852 |
6.9× |
| CT lower ext w/o (73700) |
$741 |
$1,140 |
7.7× |
| CT lower extremity w wo contrast (73702) |
$1,253.85 |
$1,929 |
7.8× |
| CT lower extremity with contrast (73701) |
$741 |
$1,140 |
4.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,253.85 |
$1,929 |
7.8× |
| CT lumbar spine w/o contrast (72131) |
$741 |
$1,140 |
7.7× |
| CT lumbar spine with contrast (72132) |
$741 |
$1,140 |
2.3× |
| CT maxillofacial w contrast (70487) |
$741 |
$1,140 |
4.6× |
| CT maxillofacial w/o contrast (70486) |
$741 |
$1,140 |
7.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,253.85 |
$1,929 |
7.8× |
| CT neck soft tissue w contrast (70491) |
$741 |
$1,140 |
4.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,253.85 |
$1,929 |
7.8× |
| CT orbits w/o contrast (70480) |
$741 |
$1,140 |
7.7× |
| CT pelvis w & w/o contrast (72194) |
$1,253.85 |
$1,929 |
7.8× |
| CT pelvis w/o contrast (72192) |
$741 |
$1,140 |
7.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,253.85 |
$1,929 |
7.8× |
| CT soft tissue neck w/o contrast (70490) |
$741 |
$1,140 |
7.7× |
| CT thoracic spine w/contrast (72129) |
$741 |
$1,140 |
4.6× |
| CT thoracic spine w/o contrast (72128) |
$741 |
$1,140 |
7.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,253.85 |
$1,929 |
7.8× |
| CT thorax w/o contrast (71250) |
$741 |
$1,140 |
7.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,253.85 |
$1,929 |
7.8× |
| CT upper extremity w/o contrast rt (73200) |
$741 |
$1,140 |
7.7× |
| CT upper extremity with contrast (73201) |
$741 |
$1,140 |
2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$741 |
$1,140 |
4.6× |
| Cta Abdomen (74175) |
$741 |
$1,140 |
4.6× |
| CTA abdomen pelvis (74174) |
$741 |
$1,140 |
2.3× |
| CTA chest (71275) |
$741 |
$1,140 |
4.6× |
| Cta Head (70496) |
$741 |
$1,140 |
4.6× |
| CTA lwr ext w&w/o contrast (73706) |
$741 |
$1,140 |
4.6× |
| Cta Neck (70498) |
$741 |
$1,140 |
4.6× |
| Cta Pelvis (72191) |
$741 |
$1,140 |
4.6× |
| Cystography minimum 3 views rs&i (74430) |
$354.90 |
$546 |
1.1× |
| Diskography lumbar (72295) |
$1,860.95 |
$2,863 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$226.52 |
$348.50 |
2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$161.85 |
$249 |
2.0× |
| Esophagus (74220) |
$329.55 |
$507 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$242.45 |
$373 |
2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$303.55 |
$467 |
3.2× |
| Fluoroscopy up to 1 hr (76000) |
$182.32 |
$280.50 |
0.8× |
| Foot 2 views (73620) |
$125.45 |
$193 |
1.6× |
| Forearm 2 views (73090) |
$132.92 |
$204.50 |
1.7× |
| Gated Heart Planar Single (78472) |
$1,283.75 |
$1,975 |
3.5× |
| Hand 2 views (73120) |
$175.18 |
$269.50 |
1.8× |
| Hand 3 views (73130) |
$135.85 |
$209 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$856.05 |
$1,317 |
1.7× |
| Ht muscle image spect sing (78451) |
$1,211.60 |
$1,864 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$152.10 |
$234 |
1.9× |
| Hysterosalpingogram (74740) |
$421.85 |
$649 |
1.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$303.55 |
$467 |
3.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,036.75 |
$1,595 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,036.75 |
$1,595 |
2.1× |
| Knee 3 views (73562) |
$115.05 |
$177 |
1.4× |
| Lymphoscintigraphy (78195) |
$599.95 |
$923 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$406.90 |
$626 |
1.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$161.85 |
$249 |
2.0× |
| Meckels Diverticulum (78290) |
$499.85 |
$769 |
1.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,793.35 |
$2,759 |
5.2× |
| MRA head w/o contrast (70544) |
$1,253.85 |
$1,929 |
5.7× |
| MRA neck w contrast (70548) |
$1,253.85 |
$1,929 |
3.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,914.90 |
$2,946 |
6.0× |
| MRA neck w/o contrast (70547) |
$1,253.85 |
$1,929 |
5.7× |
| MRI abdomen w contrast (74182) |
$1,253.85 |
$1,929 |
3.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,914.90 |
$2,946 |
6.0× |
| MRI abdomen w/o contrast (74181) |
$1,253.85 |
$1,929 |
5.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,253.85 |
$1,929 |
1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,253.85 |
$1,929 |
1.7× |
| MRI bone marrow blood supply (77084) |
$1,253.85 |
$1,929 |
5.7× |
| MRI c-spine with contrast (72142) |
$1,253.85 |
$1,929 |
3.9× |
| MRI cardiac w/o contrast (75557) |
$1,253.85 |
$1,929 |
5.7× |
| MRI cervical spine w/o contrast (72141) |
$1,253.85 |
$1,929 |
5.7× |
| MRI chest w/o & w/contrast material (71552) |
$1,914.90 |
$2,946 |
6.0× |
| MRI chest w/o contrast (71550) |
$1,253.85 |
$1,929 |
5.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,323.40 |
$2,036 |
4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,253.85 |
$1,929 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,253.85 |
$1,929 |
5.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,253.85 |
$1,929 |
5.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,914.90 |
$2,946 |
6.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,253.85 |
$1,929 |
3.9× |
| MRI pelvis w contrast (72196) |
$1,253.85 |
$1,929 |
3.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,914.90 |
$2,946 |
6.0× |
| MRI pelvis w/o contrast (72195) |
$1,253.85 |
$1,929 |
5.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,914.90 |
$2,946 |
6.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,914.90 |
$2,946 |
6.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,914.90 |
$2,946 |
6.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,253.85 |
$1,929 |
3.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,914.90 |
$2,946 |
6.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,253.85 |
$1,929 |
3.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,914.90 |
$2,946 |
6.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,253.85 |
$1,929 |
5.7× |
| MRI tmj (70336) |
$1,253.85 |
$1,929 |
5.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,253.85 |
$1,929 |
5.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,914.90 |
$2,946 |
6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,253.85 |
$1,929 |
5.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,046.55 |
$4,687 |
2.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,614.60 |
$2,484 |
1.4× |
| Neck soft tissue (70360) |
$133.25 |
$205 |
1.7× |
| Nm cisternogram (78630) |
$770.25 |
$1,185 |
1.5× |
| Nm gastric emptying study (78264) |
$752.70 |
$1,158 |
2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,357.60 |
$6,704 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$242.45 |
$373 |
2.5× |
| Osseous survey infant (77076) |
$303.55 |
$467 |
3.2× |
| Osseous survey limited (77074) |
$303.55 |
$467 |
3.2× |
| Parathyroid imaging (78070) |
$376.35 |
$579 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$303.55 |
$467 |
3.2× |
| PET image w/CT, skull-thigh (78815) |
$3,046.55 |
$4,687 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$3,046.55 |
$4,687 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,914.90 |
$2,946 |
6.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,269.45 |
$1,953 |
3.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,032.20 |
$1,588 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$574.60 |
$884 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$303.55 |
$467 |
3.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$304.20 |
$468 |
3.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$242.45 |
$373 |
2.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$14,590.55 |
$22,447 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$718.25 |
$1,105 |
1.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$359.45 |
$553 |
3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$213.85 |
$329 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$103.68 |
$159.50 |
1.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$118.30 |
$182 |
1.5× |
| Radiologic exam colon single contrast study (74270) |
$1,076.40 |
$1,656 |
6.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$329.55 |
$507 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$676 |
$1,040 |
4.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$399.10 |
$614 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$129.35 |
$199 |
1.6× |
| Radiological examination surgical specimen (76098) |
$417.95 |
$643 |
0.8× |
| Ribs bilateral 3 views (71110) |
$260 |
$400 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,103.40 |
$3,236 |
4.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$948.35 |
$1,459 |
1.9× |
| Sacroiliac Joints < 3 Views (72200) |
$303.55 |
$467 |
3.2× |
| Salivary gland imaging serial images (78231) |
$717.60 |
$1,104 |
1.9× |
| Scanogram (77073) |
$260.65 |
$401 |
2.7× |
| Scapula complete (73010) |
$138.45 |
$213 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$62.40 |
$96 |
2.7× |
| Small bowel series (74250) |
$360.10 |
$554 |
2.2× |
| Spec medical radj physics consltj (77370) |
$789.75 |
$1,215 |
6.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$897.65 |
$1,381 |
2.6× |
| Special dosimetry (77331) |
$287.30 |
$442 |
2.3× |
| Special treatment procedure (77470) |
$1,076.40 |
$1,656 |
2.1× |
| Speech evaluation complex (70371) |
$325 |
$500 |
1.5× |
| Spine thoracic 3 views (72072) |
$204.75 |
$315 |
2.1× |
| Stereotactic body radiation delivery (77373) |
$10,309.65 |
$15,861 |
6.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,076.40 |
$1,656 |
3.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,435.20 |
$2,208 |
4.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$897.65 |
$1,381 |
7.2× |
| Therapeutic Enema (74283) |
$303.55 |
$467 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$596.70 |
$918 |
1.6× |
| Thyroid uptake measurement (78012) |
$404.95 |
$623 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$480.35 |
$739 |
1.3× |
| Treatment device intermediate (77333) |
$789.75 |
$1,215 |
6.4× |
| Treatment devices simple (77332) |
$718.25 |
$1,105 |
5.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,690 |
$2,600 |
3.4× |
| Tx devices design & construction complex (77334) |
$1,749.15 |
$2,691 |
5.1× |
| Ultrasound, abdomen limited (76705) |
$286.65 |
$441 |
3.0× |
| Unlisted Ultrasound Procedure (76999) |
$161.85 |
$249 |
2.0× |
| Upper Extremity Infant (73092) |
$182 |
$280 |
1.9× |
| Urethrocystography retrograde rs&i (74450) |
$230.10 |
$354 |
1.0× |
| Urethrocystography voiding (74455) |
$364.65 |
$561 |
1.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$676.65 |
$1,041 |
4.2× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$608.40 |
$936 |
3.8× |
| Us breast unilateral complete (76641) |
$234.65 |
$361 |
2.4× |
| Us breast unilateral limited (76642) |
$243.75 |
$375 |
3.0× |
| Us chest (76604) |
$210.60 |
$324 |
2.2× |
| Us infant hips dynamic (76885) |
$416 |
$640 |
5.2× |
| Us infant hips limited static (76886) |
$129.35 |
$199 |
1.6× |
| Us ob transvaginal (76817) |
$303.55 |
$467 |
3.2× |
| Us pelvic non ob complete (76856) |
$326.30 |
$502 |
3.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$175.82 |
$270.50 |
1.8× |
| Us pregnancy ltd (76815) |
$323.70 |
$498 |
3.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$407.55 |
$627 |
4.2× |
| Us retroperitoneal complete (76770) |
$412.10 |
$634 |
4.3× |
| Us retroperitoneal limited (76775) |
$337.35 |
$519 |
3.5× |
| Us scrotum and contents (76870) |
$316.55 |
$487 |
3.3× |
| Us soft tissue head/neck (76536) |
$450.45 |
$693 |
4.7× |
| Us spinal canal and contents (76800) |
$108.55 |
$167 |
1.1× |
| Us transrectal (76872) |
$97.50 |
$150 |
1.0× |
| Us xtr non-vasc lmtd (76882) |
$164.12 |
$252.50 |
1.7× |
| Venography extremity unilateral rs&i (75820) |
$1,123.85 |
$1,729 |
0.8× |
| Wrist 2 views (73100) |
$148.20 |
$228 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$276.25 |
$425 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$164.45 |
$253 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$117.65 |
$181 |
1.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,076.40 |
$1,656 |
6.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$130 |
$200 |
1.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$157.30 |
$242 |
2.0× |
| X-ray exam hip uni 1 view (73501) |
$230.10 |
$354 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$304.20 |
$468 |
3.8× |
| X-ray exam of femur 1 (73551) |
$108.55 |
$167 |
1.4× |
| X-ray eye for foreign body (70030) |
$143.65 |
$221 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$206.70 |
$318 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$117.65 |
$181 |
1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$119.60 |
$184 |
1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$212.55 |
$327 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$197.60 |
$304 |
2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$197.60 |
$304 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$97.50 |
$150 |
1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$182.65 |
$281 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$378.30 |
$582 |
3.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$251.55 |
$387 |
2.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$149.50 |
$230 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$129.35 |
$199 |
1.6× |
| X-ray of voice box or throat (70370) |
$162.50 |
$250 |
2.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$175.50 |
$270 |
1.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$303.55 |
$467 |
3.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$594.75 |
$915 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$161.85 |
$249 |
2.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$129.35 |
$199 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$208 |
$320 |
2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$147.55 |
$227 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$159.90 |
$246 |
2.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$160.55 |
$247 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$208.65 |
$321 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$124.80 |
$192 |
1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$234 |
$360 |
2.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$250.25 |
$385 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$164.45 |
$253 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$194.35 |
$299 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$131.95 |
$203 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$114.08 |
$175.50 |
1.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$150.80 |
$232 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$283.40 |
$436 |
2.9× |
| Xr chest 4+ views (71048) |
$161.85 |
$249 |
1.7× |
| Xr finger(s) 2+ views (73140) |
$118.95 |
$183 |
1.5× |
| Xr shoulder 1 view (73020) |
$85.48 |
$131.50 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$258.70 |
$398 |
2.7× |
| Xr tibia/fibula 2 views (73590) |
$132.92 |
$204.50 |
1.7× |
| Xr tmj bilateral (70330) |
$161.85 |
$249 |
2.0× |
| Xray knee 1 or 2 views rt (73560) |
$115.05 |
$177 |
1.4× |