| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,895 |
$6,895 |
4.0× |
| Abdomen 1 View (74018) |
$271 |
$271 |
2.5× |
| Abdomen 2 views (74019) |
$443 |
$443 |
3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,037 |
$1,037 |
2.1× |
| Ankle 2 views (73600) |
$285 |
$285 |
2.6× |
| Arthrogram ankle (73615) |
$1,080 |
$1,080 |
2.5× |
| Arthrogram hip (73525) |
$1,275 |
$1,275 |
2.9× |
| Arthrogram Wrist (73115) |
$1,275 |
$1,275 |
2.9× |
| Basic radiation dosimetry calculation (77300) |
$378 |
$378 |
2.3× |
| Bone age studies (77072) |
$339 |
$339 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$824 |
$824 |
1.7× |
| Bone Imaging Limited Area (78300) |
$814 |
$814 |
1.6× |
| Bone Imaging Whole Body (78306) |
$880 |
$880 |
1.8× |
| Bone survey infant (77076) |
$1,181 |
$1,181 |
9.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,837 |
$7,837 |
4.4× |
| Cat Scan Follow-Up Study (76380) |
$1,373 |
$1,373 |
12.6× |
| Chest 1 view (71045) |
$184 |
$184 |
1.7× |
| Chest 2 views (71046) |
$458 |
$458 |
4.2× |
| Chest 3 views (71047) |
$458 |
$458 |
4.2× |
| Chest 4 or more views (71048) |
$558 |
$558 |
4.3× |
| Clavicle complete (73000) |
$339 |
$339 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,001 |
$2,001 |
15.3× |
| Continuing medical physics consltj pr wk (77336) |
$760 |
$760 |
4.5× |
| Contrast X-Ray Bladder (74430) |
$586 |
$586 |
1.3× |
| Contrast X-Ray Of Elbow (73085) |
$1,080 |
$1,080 |
2.5× |
| Contrast X-Ray Of Knee Joint (73580) |
$1,080 |
$1,080 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,267 |
$7,267 |
16.7× |
| CT abdomen and pelvis without contrast (74176) |
$4,419 |
$4,419 |
14.8× |
| CT abdomen w contrast (74160) |
$2,914 |
$2,914 |
13.3× |
| CT abdomen w wo contrast (74170) |
$4,360 |
$4,360 |
19.9× |
| CT abdomen w/o contrast (74150) |
$2,368 |
$2,368 |
18.1× |
| CT Angio Abdomen and Pelvis (74174) |
$2,516 |
$2,516 |
5.8× |
| CT Angio Chest (71275) |
$3,251 |
$3,251 |
14.8× |
| CT Angio Head (70496) |
$2,482 |
$2,482 |
11.3× |
| CT angio hrt w/3d image (75574) |
$2,729 |
$2,729 |
6.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$8,415 |
$8,415 |
38.4× |
| CT Angio Neck (70498) |
$4,081 |
$4,081 |
18.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,072 |
$2,072 |
9.5× |
| CT cervical spine w/ contrast (72126) |
$2,368 |
$2,368 |
5.4× |
| CT cervical spine w/o contrast (72125) |
$2,307 |
$2,307 |
17.7× |
| CT chest w contrast (71260) |
$2,708 |
$2,708 |
12.4× |
| CT chest w/wo contrast (71270) |
$2,914 |
$2,914 |
13.3× |
| CT head/brain with contrast (70460) |
$2,821 |
$2,821 |
12.9× |
| CT head/brain without and with contrast (70470) |
$3,648 |
$3,648 |
16.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$177 |
$177 |
1.6× |
| CT iac w contrast (70481) |
$2,702 |
$2,702 |
12.3× |
| CT l-spine w&w/o contrast (72133) |
$2,393 |
$2,393 |
10.9× |
| CT lower ext w/o (73700) |
$2,149 |
$2,149 |
16.5× |
| CT lower extremity w/contrast material (73701) |
$1,956 |
$1,956 |
8.9× |
| CT lumbar spine w contrast (72132) |
$2,262 |
$2,262 |
5.2× |
| CT lumbar spine w/o contrast (72131) |
$2,254 |
$2,254 |
17.3× |
| CT maxillofacial w contrast (70487) |
$2,676 |
$2,676 |
12.2× |
| CT maxillofacial wo contrast (70486) |
$2,123 |
$2,123 |
16.3× |
| CT neck tissue combo (70492) |
$2,876 |
$2,876 |
13.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,482 |
$2,482 |
11.3× |
| CT orbits w/o contrast (70480) |
$2,047 |
$2,047 |
15.7× |
| CT pelvis w&w/o contrast (72194) |
$2,914 |
$2,914 |
13.3× |
| CT pelvis w/o contrast (72192) |
$2,058 |
$2,058 |
15.8× |
| CT scan of leg combo (73702) |
$2,126 |
$2,126 |
9.7× |
| CT scans face/jaw combo (70488) |
$2,847 |
$2,847 |
13.0× |
| CT soft tissue neck w contrast (70491) |
$2,724 |
$2,724 |
12.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,743 |
$1,743 |
13.4× |
| CT thoracic spine w contrast (72129) |
$2,357 |
$2,357 |
10.8× |
| CT thoracic spine w/o contrast (72128) |
$2,357 |
$2,357 |
18.1× |
| CT thoracic spine w/wo cont (72130) |
$2,393 |
$2,393 |
10.9× |
| CT thorax w/o contrast (71250) |
$2,072 |
$2,072 |
15.9× |
| CT upper ext wo (73200) |
$2,149 |
$2,149 |
16.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,756 |
$2,756 |
12.6× |
| CT upper extremity with contrast (73201) |
$2,072 |
$2,072 |
4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$8,415 |
$8,415 |
38.4× |
| Cta Abdomen (74175) |
$2,516 |
$2,516 |
11.5× |
| CTA pelvis (72191) |
$1,520 |
$1,520 |
6.9× |
| Dilation ureters/urethra rs&i (74485) |
$2,683 |
$2,683 |
1.0× |
| Diskography lumbar (72295) |
$5,286 |
$5,286 |
2.2× |
| Dxa Bone Density Axial (77080) |
$761 |
$761 |
5.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$122 |
$122 |
1.1× |
| Echo exam uterus (76831) |
$306 |
$306 |
1.0× |
| Esophagram (74220) |
$775 |
$775 |
3.5× |
| Fetal Biophys Profile W/Nst (76818) |
$810 |
$810 |
6.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$770 |
$770 |
5.9× |
| Fluoroscopy up to 1 hr (76000) |
$639 |
$639 |
2.1× |
| Foot 2 views (73620) |
$339 |
$339 |
3.1× |
| Forearm 2 views (73090) |
$373 |
$373 |
3.4× |
| Gastric emptying imaging study (78264) |
$920 |
$920 |
1.8× |
| Gastroesophageal Reflux Exam (78262) |
$1,085 |
$1,085 |
2.2× |
| Gated Heart Planar Single (78472) |
$1,606 |
$1,606 |
3.2× |
| Hand 2 views (73120) |
$373 |
$373 |
2.9× |
| Hepatobil Syst Image W/Drug (78227) |
$660 |
$660 |
1.0× |
| Hepatobiliary System Imaging (78226) |
$1,181 |
$1,181 |
2.4× |
| Ht Muscle Image Spect Sing (78451) |
$2,542 |
$2,542 |
1.6× |
| Hysterosalpingogram (74740) |
$890 |
$890 |
3.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$523 |
$523 |
4.8× |
| K Flow/Funct Image W/Drug (78708) |
$1,497 |
$1,497 |
2.2× |
| K Flow/Funct Image W/O Drug (78707) |
$661 |
$661 |
1.0× |
| Knee 3 Views (73562) |
$373 |
$373 |
3.4× |
| Liver & Spleen Imaging Static Only (78215) |
$1,126 |
$1,126 |
2.3× |
| Lung Ventilat&Perfus Imaging (78582) |
$936 |
$936 |
1.4× |
| Lymph System Imaging (78195) |
$751 |
$751 |
1.1× |
| Magnetic Image Jaw Joint (70336) |
$3,401 |
$3,401 |
11.4× |
| Meckels Divert Exam (78290) |
$991 |
$991 |
2.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,632 |
$1,632 |
3.5× |
| Mra Head W/O & W/Contrast Material (70546) |
$4,346 |
$4,346 |
10.0× |
| MRA head w/o contrast (70544) |
$4,063 |
$4,063 |
13.6× |
| MRA head with contrast (70545) |
$3,854 |
$3,854 |
8.8× |
| MRA neck w contrast (70548) |
$3,405 |
$3,405 |
7.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,183 |
$4,183 |
9.6× |
| MRA neck w/o contrast (70547) |
$2,982 |
$2,982 |
10.0× |
| MRI abdomen w contrast (74182) |
$5,492 |
$5,492 |
12.6× |
| MRI abdomen w/o contrast (74181) |
$5,359 |
$5,359 |
18.0× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,287 |
$2,287 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,053 |
$4,053 |
9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,318 |
$4,318 |
4.4× |
| MRI cervical spine w contrast (72142) |
$3,928 |
$3,928 |
9.0× |
| MRI cervical spine w/o cont (72141) |
$3,666 |
$3,666 |
12.3× |
| MRI chest w/o contrast (71550) |
$4,836 |
$4,836 |
16.2× |
| MRI chest with contrast (71551) |
$5,298 |
$5,298 |
5.4× |
| MRI chest wo w contrast (71552) |
$6,272 |
$6,272 |
14.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,257 |
$1,257 |
2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,349 |
$3,349 |
7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,142 |
$3,142 |
10.5× |
| MRI lumbar spine w contrast (72149) |
$3,928 |
$3,928 |
9.0× |
| Mri Neck Spine W/O & W/Dye (72156) |
$5,298 |
$5,298 |
12.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,901 |
$3,901 |
13.1× |
| MRI orbit face neck w contrast (70542) |
$4,183 |
$4,183 |
9.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$5,372 |
$5,372 |
12.3× |
| MRI pelvis w contrast (72196) |
$3,928 |
$3,928 |
9.0× |
| MRI pelvis w/o & w contrast (72197) |
$5,298 |
$5,298 |
12.2× |
| MRI pelvis w/o contrast (72195) |
$3,928 |
$3,928 |
13.2× |
| MRI thoracic spine w/o contrast (72146) |
$3,666 |
$3,666 |
12.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,420 |
$2,420 |
8.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,928 |
$3,928 |
9.0× |
| MRI, abdomen, combo (74183) |
$6,927 |
$6,927 |
15.9× |
| MRI, dorsal spine combo (72157) |
$5,298 |
$5,298 |
12.2× |
| MRI, dorsal spine contrast (72147) |
$5,229 |
$5,229 |
12.0× |
| MRI, joint upper extrem (73221) |
$3,835 |
$3,835 |
12.9× |
| MRI, joint upper extrem combo (73223) |
$3,928 |
$3,928 |
9.0× |
| MRI, lumbar spine combo (72158) |
$5,298 |
$5,298 |
12.2× |
| Myelogram Lumbar (72265) |
$942 |
$942 |
1.0× |
| Myelography thoracic (72255) |
$1,560 |
$1,560 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$5,769 |
$5,769 |
3.6× |
| Neck soft tissue (70360) |
$356 |
$356 |
3.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$9,921 |
$9,921 |
5.7× |
| Ob us nuchal meas 1 gest (76813) |
$293 |
$293 |
2.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$156 |
$156 |
1.2× |
| Parathyroid Planar Imaging (78070) |
$525 |
$525 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$331 |
$331 |
2.5× |
| Pet Image W/Ct Lmtd (78814) |
$9,803 |
$9,803 |
5.5× |
| PET image w/CT, full body (78816) |
$9,803 |
$9,803 |
5.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$9,803 |
$9,803 |
5.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$809 |
$809 |
1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$586 |
$586 |
4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$736 |
$736 |
1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$373 |
$373 |
3.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$339 |
$339 |
3.1× |
| Radex elbow complete minimum 3 views (73080) |
$373 |
$373 |
3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$262 |
$262 |
2.0× |
| Radex fingr minimum 2 views (73140) |
$373 |
$373 |
3.4× |
| Radex foot complete minimum 3 views (73630) |
$373 |
$373 |
3.4× |
| Radex Hand Minimum 3 Views (73130) |
$373 |
$373 |
3.4× |
| Radex lower extremity infant minimum 2 views (73592) |
$204 |
$204 |
1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$346 |
$346 |
2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$363 |
$363 |
3.3× |
| Radex Ribs Unilateral 2 Views (71100) |
$275 |
$275 |
2.5× |
| Radex shoulder complete minimum 2 views (73030) |
$118 |
$118 |
1.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$114 |
$114 |
1.0× |
| Radex Spine 1 View Specify Level (72020) |
$115 |
$115 |
1.1× |
| Radex Sternum Minimum 2 Views (71120) |
$265 |
$265 |
2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$476 |
$476 |
4.4× |
| Radex Toe Minimum 2 Views (73660) |
$339 |
$339 |
3.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$285 |
$285 |
2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$373 |
$373 |
3.4× |
| Radiation treatment delivery level 1 (77402) |
$474 |
$474 |
3.7× |
| Radiation treatment delivery level 3 (77412) |
$661 |
$661 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$515 |
$515 |
3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$665 |
$665 |
5.1× |
| Radiologic exam colon double contrast study (74280) |
$924 |
$924 |
4.2× |
| Radiologic exam colon single contrast study (74270) |
$676 |
$676 |
3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$382 |
$382 |
1.7× |
| Radiologic exam knee complete 4/more views (73564) |
$400 |
$400 |
3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$438 |
$438 |
3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$266 |
$266 |
1.2× |
| Radiologic exam swallow function contrast study (74230) |
$812 |
$812 |
3.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$745 |
$745 |
3.4× |
| Radiologic examination femur 1 view (73551) |
$266 |
$266 |
2.4× |
| Radiologic examination femur minimum 2 views (73552) |
$266 |
$266 |
2.4× |
| Radiologic examination knee 1/2 views (73560) |
$339 |
$339 |
3.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$339 |
$339 |
3.1× |
| Ribs bilateral 3 views (71110) |
$295 |
$295 |
2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,883 |
$1,883 |
2.8× |
| Salivary Gland Imaging (78230) |
$903 |
$903 |
1.8× |
| Scapula (73010) |
$499 |
$499 |
3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$125 |
$125 |
5.3× |
| Shoulder 1 view (73020) |
$295 |
$295 |
2.7× |
| Shoulder Arthrography (73040) |
$1,275 |
$1,275 |
2.9× |
| Skull less than 4 views (70250) |
$234 |
$234 |
1.8× |
| Special dosimetry (77331) |
$458 |
$458 |
2.7× |
| Special Physics Consult (77370) |
$1,151 |
$1,151 |
6.9× |
| Special teletherapy port plan (77321) |
$1,183 |
$1,183 |
2.5× |
| Special treatment procedure (77470) |
$2,610 |
$2,610 |
3.8× |
| Spleen Imaging (78185) |
$758 |
$758 |
1.5× |
| Sternoclavicular joints (71130) |
$114 |
$114 |
1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,159 |
$1,159 |
2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$507 |
$507 |
1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,910 |
$1,910 |
4.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$1,555 |
$1,555 |
3.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,078 |
$1,078 |
6.4× |
| Thoracic spine 2 views (72070) |
$345 |
$345 |
2.6× |
| Thoracic spine 3 views (72072) |
$339 |
$339 |
2.6× |
| Thoracolumbar 2 views (72080) |
$400 |
$400 |
3.7× |
| Thyroid Uptake Measurement (78012) |
$1,024 |
$1,024 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$508 |
$508 |
1.0× |
| Tx Devices Design & Construction Complex (77334) |
$1,423 |
$1,423 |
3.0× |
| Tx devices design & construction intermediate (77333) |
$1,183 |
$1,183 |
7.1× |
| Tx devices design & construction simple (77332) |
$624 |
$624 |
3.7× |
| Ultrasound Breast Limited (76642) |
$356 |
$356 |
3.3× |
| Ultrasound Exam Aaa Screen (76706) |
$387 |
$387 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$695 |
$695 |
5.3× |
| Umbilical-artery Doppler (OB) (76820) |
$188 |
$188 |
1.4× |
| Upper gi w/o kub (74240) |
$502 |
$502 |
2.3× |
| Ureteral Reflux Study (78740) |
$807 |
$807 |
1.6× |
| Urethrocystogram voiding (74455) |
$890 |
$890 |
3.0× |
| Urethrocystography retrograde (74450) |
$890 |
$890 |
3.0× |
| Us breast unilateral complete (76641) |
$520 |
$520 |
4.0× |
| Us chest (76604) |
$566 |
$566 |
4.3× |
| Us complete joint (76881) |
$566 |
$566 |
4.3× |
| Us exam, pelvic, limited (76857) |
$695 |
$695 |
5.3× |
| Us head (76506) |
$578 |
$578 |
4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$285 |
$285 |
2.2× |
| Us ob detailed single fetus (76811) |
$414 |
$414 |
1.4× |
| Us ob limited 1 or more fetuses (76815) |
$378 |
$378 |
2.9× |
| Us ob transvaginal (76817) |
$249 |
$249 |
1.9× |
| Us pelvic non ob complete (76856) |
$908 |
$908 |
7.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$787 |
$787 |
6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$520 |
$520 |
4.0× |
| Us retroperitoneal complete (76770) |
$695 |
$695 |
5.3× |
| Us retroperitoneal limited (76775) |
$288 |
$288 |
2.2× |
| Us scrotum and contents (76870) |
$712 |
$712 |
5.5× |
| Us spinal canal and contents (76800) |
$583 |
$583 |
4.5× |
| Us thyroid (76536) |
$576 |
$576 |
4.4× |
| Us transrectal (76872) |
$378 |
$378 |
2.9× |
| Wrist 2 views (73100) |
$373 |
$373 |
3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$467 |
$467 |
4.3× |
| X-ray antegrade pyelogram tube (74425) |
$736 |
$736 |
1.7× |
| X-Ray Bend Only L-S Spine (72120) |
$668 |
$668 |
5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$339 |
$339 |
3.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$200 |
$200 |
1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$597 |
$597 |
4.6× |
| X-Ray Exam Hip Uni 1 View (73501) |
$266 |
$266 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$357 |
$357 |
3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$474 |
$474 |
3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$141 |
$141 |
1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$799 |
$799 |
6.1× |
| X-Ray Exam L-S Spine Bending (72114) |
$668 |
$668 |
5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$285 |
$285 |
2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$652 |
$652 |
5.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$448 |
$448 |
3.4× |
| X-ray eye for foreign body (70030) |
$237 |
$237 |
2.2× |
| X-ray humerus (73060) |
$295 |
$295 |
2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$386 |
$386 |
3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$114 |
$114 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$314 |
$314 |
2.4× |
| X-ray nose-rectum child f.b. (76010) |
$327 |
$327 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$547 |
$547 |
4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$467 |
$467 |
3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$467 |
$467 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$315 |
$315 |
2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$515 |
$515 |
4.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$311 |
$311 |
2.4× |
| X-Ray Stress View (77071) |
$175 |
$175 |
1.6× |
| X-ray thoracic spine 4 vw (72074) |
$346 |
$346 |
2.7× |
| X-Ray Tmj Unilat (70328) |
$476 |
$476 |
4.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$736 |
$736 |
1.7× |
| X-Rays Bone Length Studies (77073) |
$400 |
$400 |
3.1× |
| X-Rays Bone Survey Complete (77075) |
$980 |
$980 |
7.5× |
| Xr c-spine 4 or 5 views (72050) |
$624 |
$624 |
4.8× |
| Xr facial bones less than 3 views (70140) |
$218 |
$218 |
2.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$275 |
$275 |
2.1× |
| Xr orbits complete 4 views (70200) |
$285 |
$285 |
2.2× |
| Xr Tomogram Single Plane (76100) |
$310 |
$310 |
2.4× |