| Abdomen 2 views (74019) |
$509 |
$509 |
4.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,805 |
$1,805 |
4.4× |
| Ankle 2 views (73600) |
$325 |
$325 |
3.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$810 |
$810 |
2.3× |
| Arthrogram elbow (73085) |
$1,246 |
$1,246 |
3.5× |
| Arthrogram hip (73525) |
$1,638 |
$1,638 |
4.6× |
| Arthrogram shoulder (73040) |
$1,571 |
$1,571 |
4.4× |
| Arthrogram wrist (73115) |
$1,638 |
$1,638 |
4.6× |
| Arthrography knee lt (73580) |
$1,428 |
$1,428 |
4.0× |
| Basic radiation dosimetry calculation (77300) |
$903 |
$903 |
6.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,343 |
$1,343 |
3.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,534 |
$1,534 |
3.8× |
| Bone &/joint imaging whole body (78306) |
$1,576 |
$1,576 |
3.9× |
| Bone age studies (77072) |
$472 |
$472 |
4.4× |
| Bone Imaging 3 Phase (78315) |
$2,310 |
$2,310 |
5.7× |
| Bone Marrow Imaging Limited Area (78102) |
$1,040 |
$1,040 |
2.5× |
| Bone survey complete (77075) |
$687 |
$687 |
6.4× |
| Brain image w/flow 4 + views (78606) |
$2,292 |
$2,292 |
4.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,370 |
$1,370 |
2.5× |
| Cervical spine 2 or 3 views (72040) |
$430 |
$430 |
4.8× |
| Chest 1 view (71045) |
$302 |
$302 |
3.4× |
| Chest 3 views (71047) |
$532 |
$532 |
6.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$596 |
$596 |
3.3× |
| Clavicle complete (73000) |
$325 |
$325 |
3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$935 |
$935 |
8.8× |
| Continuing medical physics consltj pr wk (77336) |
$1,435 |
$1,435 |
10.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,531 |
$6,531 |
18.3× |
| CT abdomen and pelvis without contrast (74176) |
$4,989 |
$4,989 |
20.5× |
| CT abdomen w contrast (74160) |
$2,766 |
$2,766 |
15.4× |
| CT abdomen w wo contrast (74170) |
$3,336 |
$3,336 |
18.6× |
| CT abdomen w/o contrast (74150) |
$2,114 |
$2,114 |
19.8× |
| CT angiography upper extremity lt (73206) |
$2,546 |
$2,546 |
14.2× |
| CT c-spine w/o contrast (72125) |
$2,037 |
$2,037 |
19.1× |
| CT cervical spine w&w/o contrast (72127) |
$3,445 |
$3,445 |
19.2× |
| CT cervical spine with contrast (72126) |
$2,456 |
$2,456 |
6.9× |
| CT chest w/wo contrast (71270) |
$3,392 |
$3,392 |
18.9× |
| CT chest with contrast (71260) |
$2,864 |
$2,864 |
16.0× |
| CT head/brain with contrast (70460) |
$2,119 |
$2,119 |
11.8× |
| CT head/brain without and with contrast (70470) |
$2,928 |
$2,928 |
16.3× |
| CT iac w contrast (70481) |
$2,090 |
$2,090 |
11.7× |
| CT lower ext w/o (73700) |
$1,858 |
$1,858 |
17.4× |
| CT lower extremity w wo contrast (73702) |
$2,072 |
$2,072 |
11.6× |
| CT lower extremity with contrast (73701) |
$2,202 |
$2,202 |
12.3× |
| CT lumbar spine w & w/o contrast (72133) |
$3,067 |
$3,067 |
17.1× |
| CT lumbar spine w/o contrast (72131) |
$2,161 |
$2,161 |
20.2× |
| CT lumbar spine with contrast (72132) |
$2,928 |
$2,928 |
8.2× |
| CT maxillofacial w contrast (70487) |
$2,422 |
$2,422 |
13.5× |
| CT maxillofacial w/o contrast (70486) |
$2,119 |
$2,119 |
19.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,928 |
$2,928 |
16.3× |
| CT neck soft tissue w contrast (70491) |
$2,130 |
$2,130 |
11.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,616 |
$2,616 |
14.6× |
| CT orbits w/o contrast (70480) |
$1,701 |
$1,701 |
15.9× |
| CT pelvis w & w/o contrast (72194) |
$3,300 |
$3,300 |
18.4× |
| CT pelvis w/o contrast (72192) |
$2,198 |
$2,198 |
20.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,725 |
$2,725 |
15.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,916 |
$1,916 |
17.9× |
| CT thoracic spine w/contrast (72129) |
$2,463 |
$2,463 |
13.7× |
| CT thoracic spine w/o contrast (72128) |
$1,955 |
$1,955 |
18.3× |
| CT thoracic spine w/wo contrast (72130) |
$3,067 |
$3,067 |
17.1× |
| CT thorax w/o contrast (71250) |
$1,557 |
$1,557 |
14.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,758 |
$2,758 |
15.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,999 |
$1,999 |
18.7× |
| CT upper extremity with contrast (73201) |
$2,028 |
$2,028 |
5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,396 |
$2,396 |
13.4× |
| Cta Abdomen (74175) |
$2,373 |
$2,373 |
13.2× |
| CTA abdomen pelvis (74174) |
$5,646 |
$5,646 |
15.8× |
| CTA chest (71275) |
$3,150 |
$3,150 |
17.6× |
| Cta Head (70496) |
$2,514 |
$2,514 |
14.0× |
| CTA lwr ext w&w/o contrast (73706) |
$2,546 |
$2,546 |
14.2× |
| Cta Neck (70498) |
$2,414 |
$2,414 |
13.5× |
| Cta Pelvis (72191) |
$2,472 |
$2,472 |
13.8× |
| Cystography minimum 3 views rs&i (74430) |
$1,191 |
$1,191 |
3.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$299 |
$299 |
2.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$677 |
$677 |
6.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$593 |
$593 |
6.7× |
| Echoencephalography real time imaging (76506) |
$660 |
$660 |
6.2× |
| Esophagus (74220) |
$720 |
$720 |
4.0× |
| Fetal biophysical profile non-stress testing (76818) |
$537 |
$537 |
5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$482 |
$482 |
4.5× |
| Fluoroscopy up to 1 hr (76000) |
$1,003 |
$1,003 |
4.1× |
| Foot 2 views (73620) |
$284 |
$284 |
3.2× |
| Forearm 2 views (73090) |
$304 |
$304 |
3.4× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,928 |
$2,928 |
5.3× |
| Gated Heart Planar Single (78472) |
$2,657 |
$2,657 |
6.5× |
| Hand 2 views (73120) |
$304 |
$304 |
2.8× |
| Hand 3 views (73130) |
$391 |
$391 |
4.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,127 |
$2,127 |
3.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,744 |
$1,744 |
4.3× |
| Ht muscle image spect sing (78451) |
$4,842 |
$4,842 |
3.7× |
| Humerus Min 2 Views Left (73060) |
$346 |
$346 |
3.9× |
| Hysterosalpingogram (74740) |
$1,532 |
$1,532 |
6.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,213 |
$2,213 |
4.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,213 |
$2,213 |
4.0× |
| Knee 3 views (73562) |
$391 |
$391 |
4.4× |
| Liver & spleen imaging static only (78215) |
$1,347 |
$1,347 |
3.3× |
| Lung Ventilation Imaging (78579) |
$1,154 |
$1,154 |
2.8× |
| Lymphoscintigraphy (78195) |
$1,693 |
$1,693 |
3.1× |
| Mammary ductogram or galactogram multiple (77054) |
$1,454 |
$1,454 |
6.0× |
| Mammary ductogram or galactogram single (77053) |
$1,454 |
$1,454 |
6.0× |
| Meckels Diverticulum (78290) |
$1,423 |
$1,423 |
3.5× |
| MRA head w & w/o contrast (70546) |
$5,232.50 |
$5,232.50 |
14.7× |
| MRA head w/o contrast (70544) |
$3,470 |
$3,470 |
14.2× |
| MRA head with contrast (70545) |
$4,145.50 |
$4,145.50 |
11.6× |
| MRA neck w contrast (70548) |
$4,773.50 |
$4,773.50 |
13.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,353.50 |
$5,353.50 |
15.0× |
| MRA neck w/o contrast (70547) |
$3,002 |
$3,002 |
12.3× |
| MRI abdomen w contrast (74182) |
$4,242 |
$4,242 |
11.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,393 |
$5,393 |
15.1× |
| MRI abdomen w/o contrast (74181) |
$3,530 |
$3,530 |
14.5× |
| MRI any jnt lwr ext with con lt (73722) |
$4,592.50 |
$4,592.50 |
5.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,934 |
$4,934 |
6.2× |
| MRI breast w/o contrast bilateral (77047) |
$5,072 |
$5,072 |
20.8× |
| MRI breast w/o contrast unilat (77046) |
$3,725 |
$3,725 |
15.3× |
| MRI c-spine with contrast (72142) |
$4,240 |
$4,240 |
11.9× |
| MRI cervical spine w/o contrast (72141) |
$3,678 |
$3,678 |
15.1× |
| MRI chest w/o & w/contrast material (71552) |
$5,393 |
$5,393 |
15.1× |
| MRI chest w/o contrast (71550) |
$3,530 |
$3,530 |
14.5× |
| MRI chest with contrast (71551) |
$3,662 |
$3,662 |
4.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$4,141 |
$4,141 |
11.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,662 |
$3,662 |
10.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,678 |
$3,678 |
15.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,530 |
$3,530 |
14.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,393 |
$5,393 |
15.1× |
| MRI orbit/face/neck w/contrast (70542) |
$3,662 |
$3,662 |
10.3× |
| MRI pelvis w contrast (72196) |
$3,662 |
$3,662 |
10.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,393 |
$5,393 |
15.1× |
| MRI pelvis w/o contrast (72195) |
$3,530 |
$3,530 |
14.5× |
| MRI scan of arm joint before and after contrast (73223) |
$5,193 |
$5,193 |
14.6× |
| MRI scan of leg joint before and after contrast (73723) |
$5,193 |
$5,193 |
14.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,393 |
$5,393 |
15.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,753 |
$4,753 |
13.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,393 |
$5,393 |
15.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,306 |
$4,306 |
12.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,753 |
$4,753 |
13.3× |
| MRI thoracic spine w/o contrast (72146) |
$3,822 |
$3,822 |
15.7× |
| MRI tmj (70336) |
$3,985 |
$3,985 |
16.3× |
| MRI upper ext joint w/o contrast (73221) |
$4,152 |
$4,152 |
17.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,193 |
$5,193 |
14.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,985 |
$3,985 |
16.3× |
| Myelogram Cervical (72240) |
$2,869 |
$2,869 |
3.6× |
| Myelogram Lumbar (72265) |
$2,869 |
$2,869 |
3.6× |
| Myelogram thoracic (72255) |
$2,753 |
$2,753 |
3.4× |
| Myelography 2 or more regions (72270) |
$2,597 |
$2,597 |
3.2× |
| Myocardial Spect Multiple Studies (78452) |
$7,409 |
$7,409 |
5.6× |
| Neck soft tissue (70360) |
$304 |
$304 |
3.4× |
| Nm bone marrow wb (78104) |
$1,613 |
$1,613 |
3.9× |
| Nm cisternogram (78630) |
$2,190 |
$2,190 |
3.9× |
| Nm csf leak detection (78650) |
$2,292 |
$2,292 |
1.7× |
| Nm gastric emptying study (78264) |
$1,991 |
$1,991 |
4.9× |
| Nm gastroesophageal reflux study (78262) |
$1,707 |
$1,707 |
4.2× |
| Nm red cell sequestration (78140) |
$2,439 |
$2,439 |
6.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$11,719 |
$11,719 |
8.3× |
| Nuclear Rx Oral Admin (79005) |
$1,264 |
$1,264 |
5.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$531 |
$531 |
5.0× |
| Orthopantogram (70355) |
$491 |
$491 |
5.5× |
| Osseous survey infant (77076) |
$548 |
$548 |
5.1× |
| Osseous survey limited (77074) |
$492 |
$492 |
4.6× |
| Parathyrd planar w/spect&CT (78072) |
$3,181 |
$3,181 |
5.7× |
| Parathyrd planar w/wo subtrj (78071) |
$3,181 |
$3,181 |
7.8× |
| Parathyroid imaging (78070) |
$2,000 |
$2,000 |
4.9× |
| Pelvis 1 or 2 views (72170) |
$411 |
$411 |
3.8× |
| PET image w/CT, skull-thigh (78815) |
$8,162 |
$8,162 |
5.6× |
| PET imaging CT for attenuation limited area (78814) |
$7,737 |
$7,737 |
5.3× |
| PET imaging for CT attenuation whole body (78816) |
$8,936 |
$8,936 |
6.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,393 |
$5,393 |
15.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,486 |
$1,486 |
3.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,679 |
$1,679 |
3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,524 |
$1,524 |
2.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$668 |
$668 |
7.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$531 |
$531 |
5.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$459 |
$459 |
4.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$421 |
$421 |
3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$803 |
$803 |
7.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$33,845 |
$33,845 |
4.5× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,453 |
$1,453 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$437 |
$437 |
4.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$333 |
$333 |
3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$391 |
$391 |
3.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$376 |
$376 |
4.2× |
| Radiologic exam colon single contrast study (74270) |
$1,007 |
$1,007 |
5.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,514 |
$1,514 |
8.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$886 |
$886 |
4.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$411 |
$411 |
4.6× |
| Radiological examination surgical specimen (76098) |
$1,564 |
$1,564 |
2.8× |
| Ribs bilateral 3 views (71110) |
$467 |
$467 |
4.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,228 |
$2,228 |
4.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,829 |
$2,829 |
5.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,222 |
$3,222 |
2.2× |
| Sacroiliac Joints < 3 Views (72200) |
$372 |
$372 |
3.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$935 |
$935 |
3.8× |
| Scanogram (77073) |
$420 |
$420 |
3.9× |
| Scapula complete (73010) |
$372 |
$372 |
3.5× |
| Screening digital breast tomosynthesis (77063) |
$156 |
$156 |
6.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$894 |
$894 |
8.4× |
| Simulation intermediate (77285) |
$1,693 |
$1,693 |
4.4× |
| Small bowel series (74250) |
$805 |
$805 |
4.5× |
| Spec medical radj physics consltj (77370) |
$979 |
$979 |
7.1× |
| Special dosimetry (77331) |
$558 |
$558 |
4.1× |
| Special treatment procedure (77470) |
$3,205 |
$3,205 |
5.7× |
| Spine thoracic 3 views (72072) |
$509 |
$509 |
4.8× |
| Stereotactic body radiation delivery (77373) |
$15,677 |
$15,677 |
8.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,464 |
$4,464 |
11.7× |
| Testicular Imaging With Vascular Flow (78761) |
$1,299 |
$1,299 |
3.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$4,557 |
$4,557 |
11.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,718 |
$1,718 |
12.5× |
| Therapeutic Enema (74283) |
$1,038 |
$1,038 |
5.8× |
| Thoracolumbar 2 views (72080) |
$310 |
$310 |
3.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,194 |
$2,194 |
4.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$700 |
$700 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,810 |
$1,810 |
4.4× |
| Tomogram (76100) |
$737 |
$737 |
6.9× |
| Treatment device intermediate (77333) |
$1,037 |
$1,037 |
7.6× |
| Treatment devices simple (77332) |
$498 |
$498 |
3.6× |
| Tx devices design & construction complex (77334) |
$2,142 |
$2,142 |
5.6× |
| Ultrasound, abdomen limited (76705) |
$1,060 |
$1,060 |
9.9× |
| Umbilical-artery Doppler (OB) (76820) |
$158 |
$158 |
1.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$293 |
$293 |
3.3× |
| Unlisted magnetic resonance procedure (76498) |
$10,228 |
$10,228 |
115.0× |
| Unlisted Ultrasound Procedure (76999) |
$629 |
$629 |
7.1× |
| Upper Extremity Infant (73092) |
$325 |
$325 |
3.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,299 |
$1,299 |
3.2× |
| Urethrocystography retrograde rs&i (74450) |
$1,191 |
$1,191 |
4.9× |
| Urethrocystography voiding (74455) |
$932 |
$932 |
3.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,197 |
$1,197 |
6.7× |
| Us abdl aorta screen aaa (76706) |
$729 |
$729 |
6.8× |
| Us breast unilateral complete (76641) |
$584 |
$584 |
5.5× |
| Us breast unilateral limited (76642) |
$584 |
$584 |
6.6× |
| Us chest (76604) |
$660 |
$660 |
6.2× |
| Us compl joint r-t w/image documentation (76881) |
$565 |
$565 |
5.3× |
| Us elastography parenchyma (76981) |
$294 |
$294 |
2.8× |
| Us infant hips dynamic (76885) |
$950 |
$950 |
10.7× |
| Us kidney transplant (76776) |
$654 |
$654 |
6.1× |
| Us ob detailed single fetus (76811) |
$1,445 |
$1,445 |
5.9× |
| Us ob transvaginal (76817) |
$935 |
$935 |
8.8× |
| Us pelvic non ob complete (76856) |
$841 |
$841 |
7.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$684 |
$684 |
6.4× |
| Us pregnancy ltd (76815) |
$703 |
$703 |
6.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$841 |
$841 |
7.9× |
| Us retroperitoneal complete (76770) |
$921 |
$921 |
8.6× |
| Us retroperitoneal limited (76775) |
$697 |
$697 |
6.5× |
| Us scrotum and contents (76870) |
$741 |
$741 |
6.9× |
| Us soft tissue head/neck (76536) |
$660 |
$660 |
6.2× |
| Us spinal canal and contents (76800) |
$872 |
$872 |
8.2× |
| Us transrectal (76872) |
$760 |
$760 |
7.1× |
| Us xtr non-vasc lmtd (76882) |
$480 |
$480 |
4.5× |
| Venogram extremity bilateral (75822) |
$2,232 |
$2,232 |
1.4× |
| Venography caval inferior serialography rs&i (75825) |
$6,353 |
$6,353 |
2.0× |
| Venography extremity unilateral rs&i (75820) |
$2,141 |
$2,141 |
1.3× |
| Wrist 2 views (73100) |
$325 |
$325 |
3.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$533 |
$533 |
5.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$411 |
$411 |
4.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$391 |
$391 |
4.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,304 |
$1,304 |
7.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$347 |
$347 |
3.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$391 |
$391 |
4.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$668 |
$668 |
6.3× |
| X-ray exam hip uni 1 view (73501) |
$326 |
$326 |
3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$411 |
$411 |
4.6× |
| X-ray exam hip uni 4/> views (73503) |
$540 |
$540 |
5.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$547 |
$547 |
5.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$663 |
$663 |
6.2× |
| X-ray exam of femur 1 (73551) |
$346 |
$346 |
3.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,273 |
$1,273 |
7.1× |
| X-ray eye for foreign body (70030) |
$381 |
$381 |
4.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$560 |
$560 |
5.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$371 |
$371 |
4.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$351 |
$351 |
3.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,578 |
$1,578 |
0.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$304 |
$304 |
3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$411 |
$411 |
4.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$409 |
$409 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$333 |
$333 |
3.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$310 |
$310 |
3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$472 |
$472 |
4.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$720 |
$720 |
6.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$509 |
$509 |
4.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$470 |
$470 |
5.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$325 |
$325 |
3.7× |
| X-ray of voice box or throat (70370) |
$714 |
$714 |
8.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$560 |
$560 |
5.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$467 |
$467 |
4.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,578 |
$1,578 |
4.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$411 |
$411 |
4.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$467 |
$467 |
4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$591 |
$591 |
5.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$391 |
$391 |
3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$353 |
$353 |
4.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$333 |
$333 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$491 |
$491 |
5.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$411 |
$411 |
4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$459 |
$459 |
4.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$391 |
$391 |
3.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$252 |
$252 |
2.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$361 |
$361 |
4.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$411 |
$411 |
4.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$411 |
$411 |
3.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$607 |
$607 |
5.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$271 |
$271 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$351 |
$351 |
3.9× |
| Xr arthrogram ankle (73615) |
$1,246 |
$1,246 |
3.5× |
| Xr c-spine 6 or more views (72052) |
$341 |
$341 |
3.2× |
| Xr chest 4+ views (71048) |
$708 |
$708 |
6.6× |
| Xr finger(s) 2+ views (73140) |
$422 |
$422 |
4.7× |
| XR Mastoids < 3 Views Bilateral (70120) |
$326 |
$326 |
3.1× |
| Xr optic foramina (70190) |
$336 |
$336 |
3.8× |
| Xr shoulder 1 view (73020) |
$289 |
$289 |
3.3× |
| Xr spine cervical 4 or 5 views (72050) |
$661 |
$661 |
6.2× |
| Xr tibia/fibula 2 views (73590) |
$347 |
$347 |
3.9× |
| Xr tmj bilateral (70330) |
$403 |
$403 |
4.5× |
| Xray knee 1 or 2 views rt (73560) |
$351 |
$351 |
3.9× |