| Abdomen 2 views (74019) |
$109.20 |
$168 |
1.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$559.32 |
$860.50 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$3,355.30 |
$2,701 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$3,625.05 |
$2,896 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,913.05 |
$9,097 |
1.1× |
| Ankle 2 views (73600) |
$72.80 |
$112 |
0.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$229.45 |
$353 |
0.7× |
| Aortogram thoracic (75605) |
$5,913.05 |
$9,097 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,355.30 |
$2,703.50 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$3,355.30 |
$2,667.50 |
1.1× |
| Arthrogram elbow (73085) |
$272.68 |
$419.50 |
0.8× |
| Arthrogram shoulder (73040) |
$87.10 |
$134 |
0.3× |
| Arthrogram wrist (73115) |
$88.40 |
$136 |
0.3× |
| Arthrography knee lt (73580) |
$273.32 |
$420.50 |
0.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$414.05 |
$637 |
1.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$364.49 |
$560.75 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$510.25 |
$785 |
1.3× |
| Bone age studies (77072) |
$65.98 |
$101.50 |
0.7× |
| Bone Imaging 3 Phase (78315) |
$585 |
$900 |
1.5× |
| Bone survey complete (77075) |
$251.88 |
$387.50 |
2.5× |
| Brain Imaging Minimum 4 Static Views (78605) |
$309.08 |
$475.50 |
0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,985.13 |
$4,592.50 |
2.2× |
| Brain Imaging Vascular Flow Only (78610) |
$577.20 |
$461 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$94.58 |
$145.50 |
1.1× |
| Chest 1 view (71045) |
$65 |
$100 |
0.8× |
| Chest 3 views (71047) |
$108.22 |
$166.50 |
1.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$207.68 |
$319.50 |
1.2× |
| Clavicle complete (73000) |
$71.50 |
$110 |
0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$99.45 |
$153 |
1.0× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$149.18 |
$229.50 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,799.85 |
$2,769 |
5.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,346.80 |
$2,072 |
5.9× |
| CT abdomen w contrast (74160) |
$688.52 |
$1,059.25 |
4.1× |
| CT abdomen w wo contrast (74170) |
$882.38 |
$1,357.50 |
5.3× |
| CT abdomen w/o contrast (74150) |
$685.26 |
$1,054.25 |
6.9× |
| CT angiography upper extremity lt (73206) |
$275.60 |
$424 |
1.7× |
| CT c-spine w/o contrast (72125) |
$573.62 |
$882.50 |
5.8× |
| CT cervical spine w&w/o contrast (72127) |
$599.62 |
$922.50 |
3.6× |
| CT cervical spine with contrast (72126) |
$589.88 |
$907.50 |
1.8× |
| CT chest w/wo contrast (71270) |
$876.52 |
$1,348.50 |
5.3× |
| CT chest with contrast (71260) |
$684.78 |
$1,053.50 |
4.1× |
| CT head/brain with contrast (70460) |
$590.20 |
$908 |
3.5× |
| CT head/brain without and with contrast (70470) |
$925.60 |
$1,424 |
5.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$69.22 |
$106.50 |
0.8× |
| CT iac w contrast (70481) |
$586.62 |
$902.50 |
3.5× |
| CT limited/localized follow up study (76380) |
$74.10 |
$114 |
0.9× |
| CT lower ext w/o (73700) |
$531.38 |
$817.50 |
5.4× |
| CT lower extremity w wo contrast (73702) |
$185.90 |
$286 |
1.1× |
| CT lower extremity with contrast (73701) |
$543.08 |
$835.50 |
3.3× |
| CT lumbar spine w & w/o contrast (72133) |
$823.22 |
$1,266.50 |
4.9× |
| CT lumbar spine w/o contrast (72131) |
$577.52 |
$888.50 |
5.8× |
| CT lumbar spine with contrast (72132) |
$884.98 |
$1,361.50 |
2.7× |
| CT maxillofacial w contrast (70487) |
$610.02 |
$938.50 |
3.7× |
| CT maxillofacial w/o contrast (70486) |
$544.70 |
$838 |
5.5× |
| CT maxillofacial w/wo contrast (70488) |
$767.32 |
$1,180.50 |
4.6× |
| CT neck soft tissue w contrast (70491) |
$646.75 |
$995 |
3.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$823.22 |
$1,266.50 |
4.9× |
| CT orbits w/o contrast (70480) |
$462.15 |
$711 |
4.7× |
| CT pelvis w & w/o contrast (72194) |
$959.40 |
$1,476 |
5.8× |
| CT pelvis w/o contrast (72192) |
$538.52 |
$828.50 |
5.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$882.05 |
$1,357 |
5.3× |
| CT soft tissue neck w/o contrast (70490) |
$483.28 |
$743.50 |
4.9× |
| CT thoracic spine w/contrast (72129) |
$172.90 |
$266 |
1.0× |
| CT thoracic spine w/o contrast (72128) |
$529.10 |
$814 |
5.3× |
| CT thoracic spine w/wo contrast (72130) |
$296.08 |
$455.50 |
1.8× |
| CT thorax w/o contrast (71250) |
$578.18 |
$889.50 |
5.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$187.20 |
$288 |
1.1× |
| CT upper extremity w/o contrast rt (73200) |
$487.18 |
$749.50 |
4.9× |
| CT upper extremity with contrast (73201) |
$485.88 |
$747.50 |
1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$626.28 |
$963.50 |
3.8× |
| Cta Abdomen (74175) |
$709.48 |
$1,091.50 |
4.3× |
| CTA abdomen pelvis (74174) |
$1,363.38 |
$2,097.50 |
4.1× |
| CTA chest (71275) |
$709.80 |
$1,092 |
4.3× |
| Cta Head (70496) |
$686.08 |
$1,055.50 |
4.1× |
| CTA lwr ext w&w/o contrast (73706) |
$288.60 |
$444 |
1.7× |
| Cta Neck (70498) |
$630.50 |
$970 |
3.8× |
| Cta Pelvis (72191) |
$588.58 |
$905.50 |
3.5× |
| Cystography minimum 3 views rs&i (74430) |
$209.62 |
$322.50 |
0.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$66.30 |
$102 |
0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$54.60 |
$84 |
0.7× |
| Dxa bone density study axial skeleton (77085) |
$81.25 |
$125 |
0.8× |
| Echoencephalography real time imaging (76506) |
$192.89 |
$296.75 |
1.9× |
| Esophagus (74220) |
$149.50 |
$230 |
0.9× |
| Fetal biophysical profile non-stress testing (76818) |
$108.22 |
$166.50 |
1.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$100.75 |
$155 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$279.82 |
$430.50 |
1.2× |
| Foot 2 views (73620) |
$75.08 |
$115.50 |
0.9× |
| Forearm 2 views (73090) |
$89.05 |
$137 |
1.1× |
| Gated Heart Planar Single (78472) |
$820.95 |
$1,263 |
2.2× |
| Hand 2 views (73120) |
$89.05 |
$137 |
0.9× |
| Hand 3 views (73130) |
$89.70 |
$138 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$541.29 |
$832.75 |
1.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$297.38 |
$457.50 |
0.8× |
| Ht muscle image spect sing (78451) |
$759.52 |
$1,168.50 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$26 |
$40 |
0.3× |
| Hysterosalpingogram (74740) |
$194.35 |
$299 |
0.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$455.98 |
$701.50 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$334.10 |
$514 |
0.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$341.25 |
$525 |
0.7× |
| Knee 3 views (73562) |
$91 |
$140 |
1.1× |
| Liver & spleen imaging static only (78215) |
$415.68 |
$639.50 |
1.1× |
| Liver imaging static only (78201) |
$305.18 |
$469.50 |
0.6× |
| Lung perf&ventilat diferentl (78598) |
$320.45 |
$493 |
0.6× |
| Lung perfusion differential (78597) |
$247 |
$380 |
0.7× |
| Lung Ventilation Imaging (78579) |
$237.90 |
$366 |
0.6× |
| Lymphoscintigraphy (78195) |
$549.90 |
$846 |
1.1× |
| Mammary ductogram or galactogram multiple (77054) |
$34.45 |
$53 |
0.2× |
| Mammary ductogram or galactogram single (77053) |
$27.95 |
$43 |
0.1× |
| Meckels Diverticulum (78290) |
$238.55 |
$367 |
0.6× |
| Mr safety determination physician/other qhp (76016) |
$67.92 |
$104.50 |
0.8× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$52.65 |
$81 |
0.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$31.20 |
$48 |
1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$77.68 |
$119.50 |
0.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$154.38 |
$237.50 |
0.7× |
| MRA head w & w/o contrast (70546) |
$1,428.86 |
$2,198.25 |
4.3× |
| MRA head w/o contrast (70544) |
$815.10 |
$1,254 |
3.6× |
| MRA head with contrast (70545) |
$815.26 |
$1,254.25 |
2.5× |
| MRA neck w contrast (70548) |
$828.42 |
$1,274.50 |
2.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,442.68 |
$2,219.50 |
4.4× |
| MRA neck w/o contrast (70547) |
$706.22 |
$1,086.50 |
3.1× |
| MRI abdomen w contrast (74182) |
$964.60 |
$1,484 |
2.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,059.18 |
$1,629.50 |
3.2× |
| MRI abdomen w/o contrast (74181) |
$882.05 |
$1,357 |
3.9× |
| MRI any jnt lwr ext with con lt (73722) |
$997.10 |
$1,534 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$997.10 |
$1,534 |
1.3× |
| MRI c-spine with contrast (72142) |
$897.98 |
$1,381.50 |
2.7× |
| MRI cervical spine w/o contrast (72141) |
$871 |
$1,340 |
3.8× |
| MRI chest w/o & w/contrast material (71552) |
$172.90 |
$266 |
0.5× |
| MRI chest w/o contrast (71550) |
$764.56 |
$1,176.25 |
3.4× |
| MRI chest with contrast (71551) |
$133.25 |
$205 |
0.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$996.45 |
$1,533 |
3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$996.45 |
$1,533 |
3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$811.85 |
$1,249 |
3.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$708.82 |
$1,090.50 |
3.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,455.68 |
$2,239.50 |
4.4× |
| MRI orbit/face/neck w/contrast (70542) |
$829.40 |
$1,276 |
2.5× |
| MRI pelvis w contrast (72196) |
$893.10 |
$1,374 |
2.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,560.32 |
$2,400.50 |
4.7× |
| MRI pelvis w/o contrast (72195) |
$866.78 |
$1,333.50 |
3.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,199.25 |
$1,845 |
3.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,198.60 |
$1,844 |
3.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,781.32 |
$2,740.50 |
5.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$897.98 |
$1,381.50 |
2.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,781.32 |
$2,740.50 |
5.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$949.65 |
$1,461 |
2.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,035.12 |
$1,592.50 |
3.1× |
| MRI thoracic spine w/o contrast (72146) |
$886.28 |
$1,363.50 |
3.9× |
| MRI tmj (70336) |
$113.75 |
$175 |
0.5× |
| MRI upper ext joint w/o contrast (73221) |
$813.15 |
$1,251 |
3.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,198.60 |
$1,844 |
3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$812.50 |
$1,250 |
3.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$117.65 |
$181 |
0.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,267.50 |
$1,950 |
1.0× |
| Neck soft tissue (70360) |
$83.20 |
$128 |
1.0× |
| Nm gastric emptying study (78264) |
$427.05 |
$657 |
1.1× |
| Nm red cell sequestration (78140) |
$231.72 |
$356.50 |
0.6× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$249.60 |
$384 |
0.7× |
| Nuclear Rx Oral Admin (79005) |
$402.02 |
$618.50 |
1.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$129.68 |
$199.50 |
1.3× |
| Orthopantogram (70355) |
$54.60 |
$84 |
0.7× |
| Osseous survey infant (77076) |
$257.08 |
$395.50 |
2.6× |
| Osseous survey limited (77074) |
$263.90 |
$406 |
2.7× |
| Parathyrd planar w/spect&CT (78072) |
$347.75 |
$535 |
0.7× |
| Parathyrd planar w/wo subtrj (78071) |
$335.72 |
$516.50 |
0.9× |
| Parathyroid imaging (78070) |
$327.92 |
$504.50 |
0.9× |
| Pelvis 1 or 2 views (72170) |
$82.88 |
$127.50 |
0.8× |
| PET image w/CT, skull-thigh (78815) |
$1,976.65 |
$3,041 |
1.5× |
| PET imaging CT for attenuation limited area (78814) |
$1,966.58 |
$3,025.50 |
1.4× |
| PET imaging for CT attenuation whole body (78816) |
$1,977.30 |
$3,042 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,198.60 |
$1,844 |
3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$380.90 |
$586 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$550.39 |
$846.75 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$311.02 |
$478.50 |
0.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$178.42 |
$274.50 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$219.05 |
$337 |
2.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$39.98 |
$61.50 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$77.68 |
$119.50 |
0.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$80.28 |
$123.50 |
1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$137.48 |
$211.50 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$92.30 |
$142 |
1.1× |
| Radiologic exam colon single contrast study (74270) |
$226.20 |
$348 |
1.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$121.88 |
$187.50 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$226.85 |
$349 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$212.55 |
$327 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$90.35 |
$139 |
1.1× |
| Radiological examination surgical specimen (76098) |
$581.10 |
$466 |
1.1× |
| Ribs bilateral 3 views (71110) |
$107.25 |
$165 |
1.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$734.50 |
$1,130 |
1.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$744.58 |
$1,145.50 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$134.55 |
$207 |
0.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$865.48 |
$1,331.50 |
0.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$759.52 |
$1,168.50 |
0.6× |
| Rp Therapy Intravenous Administration (79101) |
$209.95 |
$323 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$100.42 |
$154.50 |
1.0× |
| Scanogram (77073) |
$69.22 |
$106.50 |
0.7× |
| Scapula complete (73010) |
$72.80 |
$112 |
0.7× |
| Screening digital breast tomosynthesis (77063) |
$46.80 |
$72 |
2.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$78 |
$120 |
0.8× |
| Small bowel series (74250) |
$170.95 |
$263 |
1.0× |
| Spine thoracic 3 views (72072) |
$126.10 |
$194 |
1.3× |
| Testicular Imaging With Vascular Flow (78761) |
$425.10 |
$654 |
1.1× |
| Therapeutic Enema (74283) |
$465.40 |
$716 |
2.8× |
| Thoracolumbar 2 views (72080) |
$54.92 |
$84.50 |
0.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$487.50 |
$750 |
0.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$226.52 |
$348.50 |
0.6× |
| Thyroid uptake measurement (78012) |
$425.10 |
$338 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$246.68 |
$379.50 |
0.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$741.98 |
$1,141.50 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$301.28 |
$463.50 |
3.0× |
| Umbilical-artery Doppler (OB) (76820) |
$91.98 |
$141.50 |
0.9× |
| Unlisted Ultrasound Procedure (76999) |
$103.35 |
$159 |
1.3× |
| Upper Extremity Infant (73092) |
$106.28 |
$163.50 |
1.1× |
| Urethrocystography retrograde rs&i (74450) |
$140.40 |
$216 |
0.6× |
| Urethrocystography voiding (74455) |
$178.10 |
$274 |
0.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$165.75 |
$255 |
1.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$523.90 |
$806 |
3.1× |
| Us abdl aorta screen aaa (76706) |
$80.28 |
$123.50 |
0.8× |
| Us breast unilateral complete (76641) |
$150.48 |
$231.50 |
1.5× |
| Us breast unilateral limited (76642) |
$147.22 |
$226.50 |
1.8× |
| Us chest (76604) |
$94.90 |
$146 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$89.70 |
$138 |
0.9× |
| Us elastography parenchyma (76981) |
$77.35 |
$119 |
0.8× |
| Us infant hips dynamic (76885) |
$247 |
$380 |
3.0× |
| Us infant hips limited static (76886) |
$70.20 |
$108 |
0.8× |
| Us ob detailed single fetus (76811) |
$259.02 |
$398.50 |
1.1× |
| Us ob transvaginal (76817) |
$121.88 |
$187.50 |
1.2× |
| Us pelvic non ob complete (76856) |
$283.08 |
$435.50 |
2.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$76.05 |
$117 |
0.8× |
| Us pregnancy ltd (76815) |
$111.80 |
$172 |
1.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$111.80 |
$172 |
1.1× |
| Us retroperitoneal complete (76770) |
$335.08 |
$515.50 |
3.4× |
| Us retroperitoneal limited (76775) |
$327.92 |
$504.50 |
3.3× |
| Us scrotum and contents (76870) |
$206.70 |
$318 |
2.1× |
| Us soft tissue head/neck (76536) |
$95.22 |
$146.50 |
1.0× |
| Us spinal canal and contents (76800) |
$214.34 |
$329.75 |
2.2× |
| Us transrectal (76872) |
$55.25 |
$85 |
0.6× |
| Us xtr non-vasc lmtd (76882) |
$83.20 |
$128 |
0.8× |
| Vascular flow imaging (78445) |
$232.38 |
$357.50 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$3,355.30 |
$5,162 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$1,673.10 |
$1,347 |
1.1× |
| Vertebral fracture assessment via dxa (77086) |
$53.30 |
$82 |
0.6× |
| Wrist 2 views (73100) |
$69.22 |
$106.50 |
0.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$191.75 |
$295 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$73.12 |
$112.50 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$89.70 |
$138 |
1.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$291.52 |
$448.50 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$82.55 |
$127 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$89.70 |
$138 |
1.1× |
| X-ray exam hip uni 1 view (73501) |
$61.75 |
$95 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$113.75 |
$175 |
1.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$203.45 |
$313 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$104.32 |
$160.50 |
1.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$89.70 |
$138 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$71.50 |
$110 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$105.95 |
$163 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$106.28 |
$163.50 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$105.95 |
$163 |
1.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$184.28 |
$283.50 |
1.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$130.65 |
$201 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$53.30 |
$82 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$68.90 |
$106 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$74.75 |
$115 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$124.15 |
$191 |
1.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$248.62 |
$382.50 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$93.28 |
$143.50 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$111.48 |
$171.50 |
1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$162.18 |
$249.50 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$82.88 |
$127.50 |
1.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$91 |
$140 |
1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$102.05 |
$157 |
1.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$74.75 |
$115 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$131.95 |
$203 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$75.08 |
$115.50 |
0.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$33.80 |
$52 |
0.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$66.30 |
$102 |
0.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$16.25 |
$25 |
0.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$72.15 |
$111 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$89.70 |
$138 |
1.1× |
| Xr arthrogram ankle (73615) |
$232.38 |
$357.50 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$240.82 |
$370.50 |
2.4× |
| Xr chest 4+ views (71048) |
$135.85 |
$209 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$87.10 |
$134 |
1.1× |
| XR Mastoids < 3 Views Bilateral (70120) |
$21.45 |
$33 |
0.2× |
| Xr spine cervical 4 or 5 views (72050) |
$200.20 |
$308 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$89.05 |
$137 |
1.1× |
| Xr tmj bilateral (70330) |
$99.12 |
$152.50 |
1.2× |
| Xray knee 1 or 2 views rt (73560) |
$74.10 |
$114 |
0.9× |