| Abdomen 2 views (74019) |
$404.40 |
$674 |
3.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$6,385.35 |
$10,642.25 |
2.0× |
| Angiography internal mammary rs&i (75756) |
$4,833.30 |
$8,055.50 |
1.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,267.30 |
$5,445.50 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,480 |
$5,800 |
1.1× |
| Angiography Spinal Selective Rs&I (75705) |
$3,267.30 |
$5,445.50 |
0.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,267.30 |
$5,445.50 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,416.65 |
$4,027.75 |
0.8× |
| Ankle 2 views (73600) |
$317.85 |
$529.75 |
3.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$622.35 |
$1,037.25 |
1.8× |
| Aortogram thoracic (75605) |
$3,267.30 |
$5,445.50 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,232.20 |
$5,387 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$3,480 |
$5,800 |
1.1× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,432.20 |
$7,387 |
1.4× |
| Artery X-Rays Adrenal Gland (75731) |
$6,385.35 |
$10,642.25 |
2.0× |
| Arthrogram elbow (73085) |
$594.30 |
$990.50 |
1.7× |
| Arthrogram hip (73525) |
$468 |
$780 |
1.3× |
| Arthrogram shoulder (73040) |
$594.30 |
$990.50 |
1.7× |
| Arthrogram wrist (73115) |
$564.45 |
$940.75 |
1.6× |
| Arthrography knee lt (73580) |
$564.45 |
$940.75 |
1.6× |
| Bone age studies (77072) |
$376.35 |
$627.25 |
3.6× |
| Bone survey complete (77075) |
$578.10 |
$963.50 |
5.5× |
| Cervical spine 2 or 3 views (72040) |
$364.80 |
$608 |
4.2× |
| Chest 1 view (71045) |
$383.10 |
$638.50 |
4.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$601.05 |
$1,001.75 |
3.4× |
| Clavicle complete (73000) |
$371.85 |
$619.75 |
4.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,407.45 |
$7,345.75 |
12.6× |
| CT abdomen and pelvis without contrast (74176) |
$3,356.10 |
$5,593.50 |
14.0× |
| CT abdomen w contrast (74160) |
$2,612.85 |
$4,354.75 |
14.8× |
| CT abdomen w wo contrast (74170) |
$3,264.90 |
$5,441.50 |
18.5× |
| CT abdomen w/o contrast (74150) |
$2,394.15 |
$3,990.25 |
22.8× |
| CT c-spine w/o contrast (72125) |
$2,394.15 |
$3,990.25 |
22.8× |
| CT cervical spine w&w/o contrast (72127) |
$3,264.90 |
$5,441.50 |
18.5× |
| CT cervical spine with contrast (72126) |
$2,612.85 |
$4,354.75 |
7.5× |
| CT chest w/wo contrast (71270) |
$3,264.90 |
$5,441.50 |
18.5× |
| CT chest with contrast (71260) |
$2,656.20 |
$4,427 |
15.1× |
| CT head/brain with contrast (70460) |
$2,275.80 |
$3,793 |
12.9× |
| CT head/brain without and with contrast (70470) |
$2,720.70 |
$4,534.50 |
15.4× |
| CT iac w contrast (70481) |
$2,046.60 |
$3,411 |
11.6× |
| CT limited/localized follow up study (76380) |
$789.60 |
$1,316 |
9.0× |
| CT lower ext w/o (73700) |
$2,394.15 |
$3,990.25 |
22.8× |
| CT lower extremity w wo contrast (73702) |
$3,264.90 |
$5,441.50 |
18.5× |
| CT lower extremity with contrast (73701) |
$2,612.85 |
$4,354.75 |
14.8× |
| CT lumbar spine w & w/o contrast (72133) |
$3,264.90 |
$5,441.50 |
18.5× |
| CT lumbar spine w/o contrast (72131) |
$2,394.15 |
$3,990.25 |
22.8× |
| CT lumbar spine with contrast (72132) |
$2,612.85 |
$4,354.75 |
7.5× |
| CT maxillofacial w contrast (70487) |
$1,767.90 |
$2,946.50 |
10.0× |
| CT maxillofacial w/o contrast (70486) |
$1,666.95 |
$2,778.25 |
15.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,312.25 |
$3,853.75 |
13.1× |
| CT neck soft tissue w contrast (70491) |
$2,394.15 |
$3,990.25 |
13.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,264.55 |
$3,774.25 |
12.9× |
| CT orbits w/o contrast (70480) |
$2,046.60 |
$3,411 |
19.5× |
| CT pelvis w & w/o contrast (72194) |
$2,612.85 |
$4,354.75 |
14.8× |
| CT pelvis w/o contrast (72192) |
$2,081.55 |
$3,469.25 |
19.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,927.85 |
$4,879.75 |
16.6× |
| CT soft tissue neck w/o contrast (70490) |
$2,068.50 |
$3,447.50 |
19.7× |
| CT thoracic spine w/contrast (72129) |
$2,612.85 |
$4,354.75 |
14.8× |
| CT thoracic spine w/o contrast (72128) |
$2,394.15 |
$3,990.25 |
22.8× |
| CT thoracic spine w/wo contrast (72130) |
$3,264.90 |
$5,441.50 |
18.5× |
| CT thorax w/o contrast (71250) |
$2,383.80 |
$3,973 |
22.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,264.90 |
$5,441.50 |
18.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,991.85 |
$3,319.75 |
19.0× |
| CT upper extremity with contrast (73201) |
$1,991.85 |
$3,319.75 |
5.7× |
| Cta Abdomen (74175) |
$3,264.90 |
$5,441.50 |
18.5× |
| CTA abdomen pelvis (74174) |
$5,878.20 |
$9,797 |
16.8× |
| CTA chest (71275) |
$3,264.90 |
$5,441.50 |
18.5× |
| Cta Head (70496) |
$2,830.05 |
$4,716.75 |
16.1× |
| Cta Neck (70498) |
$2,830.05 |
$4,716.75 |
16.1× |
| Cystography minimum 3 views rs&i (74430) |
$622.35 |
$1,037.25 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$415.80 |
$693 |
4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$143.25 |
$238.75 |
1.6× |
| Echo exam of eye (76529) |
$460.50 |
$767.50 |
5.3× |
| Echoencephalography real time imaging (76506) |
$762.60 |
$1,271 |
7.3× |
| Esophagus (74220) |
$425.55 |
$709.25 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$381.75 |
$636.25 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$417.15 |
$695.25 |
1.7× |
| Foot 2 views (73620) |
$333 |
$555 |
3.8× |
| Forearm 2 views (73090) |
$404.40 |
$674 |
4.6× |
| Hand 2 views (73120) |
$294.90 |
$491.50 |
2.8× |
| Hand 3 views (73130) |
$404.40 |
$674 |
4.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,502.15 |
$4,170.25 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,602.75 |
$2,671.25 |
2.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,602.75 |
$2,671.25 |
4.0× |
| Humerus Min 2 Views Left (73060) |
$351 |
$585 |
4.0× |
| Hysterosalpingogram (74740) |
$828.75 |
$1,381.25 |
3.5× |
| Knee 3 views (73562) |
$404.40 |
$674 |
4.6× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$5,479.20 |
$9,132 |
1.7× |
| Mammary ductogram or galactogram multiple (77054) |
$621.75 |
$1,036.25 |
2.6× |
| Mammary ductogram or galactogram single (77053) |
$646.65 |
$1,077.75 |
2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$51.45 |
$85.75 |
1.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$192.90 |
$321.50 |
2.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$507.75 |
$846.25 |
2.1× |
| MRA head w & w/o contrast (70546) |
$2,830.05 |
$4,716.75 |
8.1× |
| MRA head w/o contrast (70544) |
$2,394.15 |
$3,990.25 |
10.0× |
| MRA head with contrast (70545) |
$2,612.85 |
$4,354.75 |
7.5× |
| MRA neck w contrast (70548) |
$2,612.85 |
$4,354.75 |
7.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,830.05 |
$4,716.75 |
8.1× |
| MRA neck w/o contrast (70547) |
$2,394.15 |
$3,990.25 |
10.0× |
| MRI abdomen w contrast (74182) |
$2,482.20 |
$4,137 |
7.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,264.90 |
$5,441.50 |
9.3× |
| MRI abdomen w/o contrast (74181) |
$2,394.15 |
$3,990.25 |
10.0× |
| MRI any jnt lwr ext with con lt (73722) |
$3,482.70 |
$5,804.50 |
4.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,482.70 |
$5,804.50 |
4.4× |
| MRI breast w/o contrast bilateral (77047) |
$2,610.75 |
$4,351.25 |
10.9× |
| MRI c-spine with contrast (72142) |
$2,612.85 |
$4,354.75 |
7.5× |
| MRI cervical spine w/o contrast (72141) |
$2,394.15 |
$3,990.25 |
10.0× |
| MRI chest w/o & w/contrast material (71552) |
$3,482.70 |
$5,804.50 |
9.9× |
| MRI chest w/o contrast (71550) |
$2,830.05 |
$4,716.75 |
11.8× |
| MRI chest with contrast (71551) |
$2,997.75 |
$4,996.25 |
3.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,687.10 |
$4,478.50 |
7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,482.70 |
$5,804.50 |
9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,264.90 |
$5,441.50 |
13.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,830.05 |
$4,716.75 |
11.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,482.70 |
$5,804.50 |
9.9× |
| MRI orbit/face/neck w/contrast (70542) |
$3,156.60 |
$5,261 |
9.0× |
| MRI pelvis w contrast (72196) |
$2,997.75 |
$4,996.25 |
8.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,482.70 |
$5,804.50 |
9.9× |
| MRI pelvis w/o contrast (72195) |
$2,830.05 |
$4,716.75 |
11.8× |
| MRI scan of arm joint before and after contrast (73223) |
$3,700.05 |
$6,166.75 |
10.6× |
| MRI scan of leg joint before and after contrast (73723) |
$3,700.05 |
$6,166.75 |
10.6× |
| MRI spectroscopy (76390) |
$1,742.10 |
$2,903.50 |
19.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,264.90 |
$5,441.50 |
9.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,612.85 |
$4,354.75 |
7.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,264.90 |
$5,441.50 |
9.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,612.85 |
$4,354.75 |
7.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,264.90 |
$5,441.50 |
9.3× |
| MRI thoracic spine w/o contrast (72146) |
$2,394.15 |
$3,990.25 |
10.0× |
| MRI tmj (70336) |
$1,731.30 |
$2,885.50 |
7.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,264.90 |
$5,441.50 |
13.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,264.90 |
$5,441.50 |
9.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,394.15 |
$3,990.25 |
10.0× |
| Myelogram Cervical (72240) |
$1,198.65 |
$1,997.75 |
1.5× |
| Myelogram Lumbar (72265) |
$1,305.60 |
$2,176 |
1.7× |
| Myelogram thoracic (72255) |
$1,255.35 |
$2,092.25 |
1.6× |
| Myelography 2 or more regions (72270) |
$1,459.50 |
$2,432.50 |
1.9× |
| Neck soft tissue (70360) |
$175.80 |
$293 |
2.0× |
| Nm cisternogram (78630) |
$1,132.80 |
$1,888 |
2.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$254.70 |
$424.50 |
2.4× |
| Orthopantogram (70355) |
$285.15 |
$475.25 |
3.3× |
| Osseous survey infant (77076) |
$374.85 |
$624.75 |
3.6× |
| Pelvis 1 or 2 views (72170) |
$371.85 |
$619.75 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,700.05 |
$6,166.75 |
10.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,837.30 |
$6,395.50 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$404.40 |
$674 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$264 |
$440 |
3.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$300.60 |
$501 |
2.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$491.70 |
$819.50 |
4.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$300.60 |
$501 |
2.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$383.10 |
$638.50 |
3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$411.30 |
$685.50 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$339.15 |
$565.25 |
3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$404.40 |
$674 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$457.05 |
$761.75 |
5.2× |
| Radiologic exam colon single contrast study (74270) |
$742.20 |
$1,237 |
4.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$643.95 |
$1,073.25 |
3.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$643.95 |
$1,073.25 |
3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$351 |
$585 |
4.0× |
| Radiological examination surgical specimen (76098) |
$653.40 |
$1,089 |
1.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,634.90 |
$4,391.50 |
0.8× |
| Ribs bilateral 3 views (71110) |
$436.80 |
$728 |
4.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,795.35 |
$2,992.25 |
3.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,199.20 |
$5,332 |
2.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,199.20 |
$5,332 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$993.45 |
$1,655.75 |
4.1× |
| Scanogram (77073) |
$285.30 |
$475.50 |
2.7× |
| Scapula complete (73010) |
$270 |
$450 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$66.15 |
$110.25 |
2.8× |
| Sella turcica (70240) |
$156.75 |
$261.25 |
1.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$453.15 |
$755.25 |
4.3× |
| Small bowel series (74250) |
$639.60 |
$1,066 |
3.6× |
| Spine thoracic 3 views (72072) |
$371.85 |
$619.75 |
3.5× |
| Thoracolumbar 2 views (72080) |
$371.85 |
$619.75 |
4.3× |
| Ultrasound, abdomen limited (76705) |
$545.55 |
$909.25 |
5.2× |
| Upper Extremity Infant (73092) |
$215.70 |
$359.50 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$622.35 |
$1,037.25 |
2.6× |
| Urethrocystography voiding (74455) |
$622.35 |
$1,037.25 |
2.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$622.35 |
$1,037.25 |
3.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$622.35 |
$1,037.25 |
3.5× |
| Us breast unilateral complete (76641) |
$383.10 |
$638.50 |
3.6× |
| Us breast unilateral limited (76642) |
$383.10 |
$638.50 |
4.4× |
| Us chest (76604) |
$484.95 |
$808.25 |
4.6× |
| Us compl joint r-t w/image documentation (76881) |
$484.95 |
$808.25 |
4.6× |
| Us guided compression repair (76936) |
$610.80 |
$1,018 |
2.8× |
| Us infant hips dynamic (76885) |
$484.95 |
$808.25 |
5.5× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$277.80 |
$463 |
2.6× |
| Us ob detailed single fetus (76811) |
$641.40 |
$1,069 |
2.7× |
| Us ob transvaginal (76817) |
$589.80 |
$983 |
5.6× |
| Us pelvic non ob complete (76856) |
$861.45 |
$1,435.75 |
8.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$383.10 |
$638.50 |
3.6× |
| Us pregnancy ltd (76815) |
$381.75 |
$636.25 |
3.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$393 |
$655 |
3.7× |
| Us retroperitoneal complete (76770) |
$742.20 |
$1,237 |
7.1× |
| Us retroperitoneal limited (76775) |
$381.75 |
$636.25 |
3.6× |
| Us scrotum and contents (76870) |
$568.35 |
$947.25 |
5.4× |
| Us soft tissue head/neck (76536) |
$601.05 |
$1,001.75 |
5.7× |
| Us spinal canal and contents (76800) |
$545.55 |
$909.25 |
5.2× |
| Us transrectal (76872) |
$557.40 |
$929 |
5.3× |
| Us xtr non-vasc lmtd (76882) |
$277.80 |
$463 |
2.6× |
| Venogram extremity bilateral (75822) |
$1,931.40 |
$3,219 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$2,899.95 |
$4,833.25 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$1,633.50 |
$2,722.50 |
1.0× |
| Venography epidural rs&i (75872) |
$1,491.60 |
$2,486 |
2.4× |
| Venography extremity unilateral rs&i (75820) |
$1,448.70 |
$2,414.50 |
0.9× |
| Venography Renal Bilateral (75833) |
$2,502.15 |
$4,170.25 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,833.30 |
$8,055.50 |
1.5× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$3,267.30 |
$5,445.50 |
0.6× |
| Wrist 2 views (73100) |
$328.35 |
$547.25 |
3.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$339.15 |
$565.25 |
3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$257.10 |
$428.50 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$404.40 |
$674 |
4.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$785.55 |
$1,309.25 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$351 |
$585 |
4.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$383.10 |
$638.50 |
4.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$362.55 |
$604.25 |
3.5× |
| X-ray exam hip uni 1 view (73501) |
$360.30 |
$600.50 |
4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$404.40 |
$674 |
4.6× |
| X-ray exam hip uni 4/> views (73503) |
$491.70 |
$819.50 |
4.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$507.75 |
$846.25 |
4.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$515.25 |
$858.75 |
4.9× |
| X-ray exam of femur 1 (73551) |
$317.85 |
$529.75 |
3.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$381.75 |
$636.25 |
3.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$252.60 |
$421 |
2.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$371.85 |
$619.75 |
4.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,009.45 |
$5,015.75 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$289.65 |
$482.75 |
3.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$591.75 |
$986.25 |
3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$322.35 |
$537.25 |
3.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$425.55 |
$709.25 |
4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$491.70 |
$819.50 |
5.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$302.55 |
$504.25 |
3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$524.40 |
$874 |
5.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$425.55 |
$709.25 |
4.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$425.55 |
$709.25 |
4.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$274.65 |
$457.75 |
3.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$415.80 |
$693 |
4.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$328.35 |
$547.25 |
3.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$404.40 |
$674 |
3.9× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$787.65 |
$1,312.75 |
1.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$622.35 |
$1,037.25 |
1.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$294.90 |
$491.50 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$491.70 |
$819.50 |
4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$230.55 |
$384.25 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$307.05 |
$511.75 |
3.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$282.15 |
$470.25 |
3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$404.40 |
$674 |
4.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$208.50 |
$347.50 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$525 |
$875 |
5.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$351 |
$585 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$328.35 |
$547.25 |
3.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$285.15 |
$475.25 |
3.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$274.65 |
$457.75 |
3.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$404.40 |
$674 |
3.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$313.35 |
$522.25 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$502.05 |
$836.75 |
5.7× |
| Xr arthrogram ankle (73615) |
$571.35 |
$952.25 |
1.6× |
| Xr c-spine 6 or more views (72052) |
$508.50 |
$847.50 |
4.8× |
| Xr Cholecystography Oral Contrast (74290) |
$505.95 |
$843.25 |
2.9× |
| Xr finger(s) 2+ views (73140) |
$241.05 |
$401.75 |
2.8× |
| Xr internal auditory meati complete (70134) |
$328.20 |
$547 |
0.6× |
| Xr shoulder 1 view (73020) |
$307.05 |
$511.75 |
3.5× |
| Xr spine cervical 4 or 5 views (72050) |
$545.55 |
$909.25 |
5.2× |
| Xr tibia/fibula 2 views (73590) |
$345.75 |
$576.25 |
4.0× |
| Xr tmj bilateral (70330) |
$406.80 |
$678 |
4.7× |
| Xray knee 1 or 2 views rt (73560) |
$383.10 |
$638.50 |
4.4× |