| Abdomen 2 views (74019) |
$217 |
$344 |
2.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$740 |
$1,173 |
2.0× |
| Angiography extremity bilateral rs&i (75716) |
$5,815 |
$9,214 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$5,815 |
$9,214 |
2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,701 |
$9,034 |
1.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,701 |
$9,034 |
1.9× |
| Ankle 2 views (73600) |
$322 |
$511 |
4.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$320 |
$507 |
1.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,838 |
$9,251 |
2.0× |
| Aortography abdominal serialography rs&i (75625) |
$5,838 |
$9,251 |
2.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$5,701 |
$9,034 |
1.9× |
| Arthrogram elbow (73085) |
$533 |
$845 |
1.6× |
| Arthrogram hip (73525) |
$466 |
$739 |
1.4× |
| Arthrogram shoulder (73040) |
$533 |
$845 |
1.6× |
| Arthrogram wrist (73115) |
$286 |
$453 |
0.9× |
| Arthrography knee lt (73580) |
$329 |
$521 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$689 |
$1,092 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$854 |
$1,353 |
2.3× |
| Bone age studies (77072) |
$190 |
$302 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$854 |
$1,353 |
2.3× |
| Bone survey complete (77075) |
$471 |
$747 |
4.8× |
| Brain image w/flow 4 + views (78606) |
$889 |
$1,409 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,761 |
$4,375 |
2.1× |
| Cardiac shunt detection (78428) |
$679 |
$1,075 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$264 |
$418 |
3.3× |
| Chest 1 view (71045) |
$186 |
$295 |
2.3× |
| Chest 3 views (71047) |
$278 |
$440 |
3.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$363 |
$576 |
2.2× |
| Clavicle complete (73000) |
$185 |
$294 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$150 |
$238 |
1.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$456 |
$722 |
2.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,119 |
$4,943 |
9.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,498 |
$2,373 |
6.8× |
| CT abdomen w contrast (74160) |
$1,447 |
$2,293 |
8.9× |
| CT abdomen w wo contrast (74170) |
$1,808 |
$2,865 |
11.1× |
| CT abdomen w/o contrast (74150) |
$1,158 |
$1,834 |
11.9× |
| CT angio hrt w/3d image (75574) |
$322 |
$2,500 |
1.0× |
| CT angiography upper extremity lt (73206) |
$660 |
$1,046 |
4.0× |
| CT c-spine w/o contrast (72125) |
$1,364 |
$2,162 |
14.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,996 |
$3,162 |
12.2× |
| CT cervical spine with contrast (72126) |
$1,620 |
$2,567 |
5.0× |
| CT chest w/wo contrast (71270) |
$1,680 |
$2,663 |
10.3× |
| CT chest with contrast (71260) |
$1,631 |
$2,584 |
10.0× |
| CT colonography screening (74263) |
$431 |
$663 |
1.9× |
| CT colonography w/o cntrst (74261) |
$2,679 |
$4,245 |
27.6× |
| CT head/brain with contrast (70460) |
$1,581 |
$2,505 |
9.7× |
| CT head/brain without and with contrast (70470) |
$1,724 |
$2,733 |
10.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$150 |
$231 |
1.9× |
| CT iac w contrast (70481) |
$970 |
$1,537 |
5.9× |
| CT lower ext w/o (73700) |
$1,266 |
$2,005 |
13.0× |
| CT lower extremity w wo contrast (73702) |
$1,977 |
$3,132 |
12.1× |
| CT lower extremity with contrast (73701) |
$1,581 |
$2,506 |
9.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,815 |
$2,877 |
11.1× |
| CT lumbar spine w/o contrast (72131) |
$1,354 |
$2,145 |
13.9× |
| CT lumbar spine with contrast (72132) |
$1,482 |
$2,348 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,580 |
$2,504 |
9.7× |
| CT maxillofacial w/o contrast (70486) |
$1,227 |
$1,944 |
12.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,655 |
$2,622 |
10.1× |
| CT neck soft tissue w contrast (70491) |
$1,415 |
$2,242 |
8.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,212 |
$1,921 |
7.4× |
| CT orbits w/o contrast (70480) |
$970 |
$1,537 |
10.0× |
| CT pelvis w & w/o contrast (72194) |
$1,680 |
$2,663 |
10.3× |
| CT pelvis w/o contrast (72192) |
$998 |
$1,582 |
10.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,628 |
$2,579 |
10.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,150 |
$1,822 |
11.8× |
| CT thoracic spine w/contrast (72129) |
$1,133 |
$1,795 |
6.9× |
| CT thoracic spine w/o contrast (72128) |
$1,089 |
$1,726 |
11.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,482 |
$2,348 |
9.1× |
| CT thorax w/o contrast (71250) |
$1,038 |
$1,645 |
10.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,977 |
$3,132 |
12.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,266 |
$2,005 |
13.0× |
| CT upper extremity with contrast (73201) |
$1,581 |
$2,506 |
4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,003 |
$1,589 |
6.1× |
| Cta Abdomen (74175) |
$894 |
$1,416 |
5.5× |
| CTA abdomen pelvis (74174) |
$1,384 |
$2,193 |
4.3× |
| CTA chest (71275) |
$1,384 |
$2,448 |
8.5× |
| Cta Head (70496) |
$1,091 |
$1,729 |
6.7× |
| Cta Neck (70498) |
$1,091 |
$1,729 |
6.7× |
| Cystography minimum 3 views rs&i (74430) |
$430 |
$682 |
1.3× |
| Diskography lumbar (72295) |
$1,980 |
$3,137 |
1.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$496 |
$786 |
5.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$476 |
$755 |
5.9× |
| Echoencephalography real time imaging (76506) |
$419 |
$664 |
4.3× |
| Esophagus (74220) |
$363 |
$576 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$401 |
$636 |
4.1× |
| Fluoroscopy up to 1 hr (76000) |
$467 |
$741 |
2.1× |
| Foot 2 views (73620) |
$244 |
$387 |
3.0× |
| Forearm 2 views (73090) |
$213 |
$337 |
2.6× |
| Hand 2 views (73120) |
$292 |
$462 |
3.0× |
| Hand 3 views (73130) |
$332 |
$525 |
4.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,350 |
$2,139 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$956 |
$1,515 |
2.6× |
| Ht muscle image spect sing (78451) |
$1,455 |
$2,306 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$203 |
$322 |
2.5× |
| Hysterosalpingogram (74740) |
$482 |
$763 |
2.2× |
| Kidney imaging morphology (78700) |
$679 |
$1,075 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$828 |
$1,312 |
1.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$889 |
$1,409 |
1.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$499 |
$790 |
1.0× |
| Knee 3 views (73562) |
$271 |
$430 |
3.3× |
| Liver & spleen imaging static only (78215) |
$439 |
$695 |
1.2× |
| Lung perf&ventilat diferentl (78598) |
$1,326 |
$2,101 |
2.6× |
| Lung Ventilation Imaging (78579) |
$689 |
$1,092 |
1.9× |
| Lymphoscintigraphy (78195) |
$956 |
$1,515 |
1.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$158 |
$242 |
2.0× |
| Meckels Diverticulum (78290) |
$956 |
$1,515 |
2.6× |
| MRA head w & w/o contrast (70546) |
$3,041 |
$4,819 |
9.4× |
| MRA head w/o contrast (70544) |
$1,947 |
$3,085 |
8.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,923 |
$3,047 |
5.9× |
| MRI abdomen w contrast (74182) |
$4,030 |
$6,386 |
12.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,038 |
$7,983 |
15.5× |
| MRI abdomen w/o contrast (74181) |
$2,600 |
$4,120 |
11.7× |
| MRI any jnt lwr ext with con lt (73722) |
$3,470 |
$5,498 |
4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,760 |
$4,373 |
3.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,050 |
$3,249 |
9.2× |
| MRI breast w/o contrast unilat (77046) |
$1,977 |
$3,132 |
8.9× |
| MRI c-spine with contrast (72142) |
$2,600 |
$4,120 |
8.0× |
| MRI cervical spine w/o contrast (72141) |
$2,434 |
$3,857 |
11.0× |
| MRI chest w/o & w/contrast material (71552) |
$2,742 |
$4,345 |
8.5× |
| MRI chest w/o contrast (71550) |
$2,283 |
$3,617 |
10.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,760 |
$4,373 |
8.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,320 |
$3,676 |
10.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,672 |
$2,649 |
7.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,612 |
$4,139 |
8.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,800 |
$4,436 |
8.6× |
| MRI pelvis w/o contrast (72195) |
$2,213 |
$3,507 |
10.0× |
| MRI scan of arm joint before and after contrast (73223) |
$2,776 |
$4,398 |
8.6× |
| MRI scan of leg joint before and after contrast (73723) |
$4,337 |
$6,872 |
13.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,160 |
$5,007 |
9.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,724 |
$4,317 |
8.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,909 |
$4,610 |
9.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,452 |
$3,885 |
7.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,541 |
$4,026 |
7.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,363 |
$3,744 |
10.6× |
| MRI tmj (70336) |
$2,600 |
$4,120 |
11.7× |
| MRI upper ext joint w/o contrast (73221) |
$2,600 |
$4,120 |
11.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,776 |
$4,398 |
8.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,600 |
$4,120 |
11.7× |
| Myelogram Lumbar (72265) |
$885 |
$1,403 |
1.2× |
| Myelography 2 or more regions (72270) |
$978 |
$1,550 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$3,517 |
$5,573 |
2.9× |
| Neck soft tissue (70360) |
$264 |
$418 |
3.3× |
| Nm bone marrow wb (78104) |
$854 |
$1,353 |
2.3× |
| Nm cisternogram (78630) |
$946 |
$1,500 |
1.9× |
| Nm gastric emptying study (78264) |
$1,838 |
$2,912 |
4.9× |
| Nm peritoneal-venous shunt patency (78291) |
$679 |
$1,075 |
1.8× |
| Nm red cell sequestration (78140) |
$920 |
$1,457 |
2.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,310 |
$2,075 |
1.1× |
| Nuclear medicine of heart pumping function (78473) |
$1,190 |
$1,885 |
3.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$679 |
$1,075 |
1.8× |
| Nuclear Rx Oral Admin (79005) |
$466 |
$739 |
2.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$400 |
$633 |
4.1× |
| Osseous survey infant (77076) |
$190 |
$302 |
2.0× |
| Parathyrd planar w/wo subtrj (78071) |
$679 |
$1,075 |
1.8× |
| Parathyroid imaging (78070) |
$976 |
$1,546 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$190 |
$302 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$4,121 |
$7,291 |
3.1× |
| PET imaging CT for attenuation limited area (78814) |
$3,108 |
$4,924 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$3,726 |
$5,904 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,557 |
$4,052 |
7.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$689 |
$1,092 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,377 |
$2,183 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$857 |
$1,358 |
1.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$109 |
$172 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$325 |
$515 |
3.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$257 |
$408 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$351 |
$556 |
3.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$271 |
$430 |
3.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$246 |
$390 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$445 |
$705 |
2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$725 |
$1,149 |
4.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$493 |
$781 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$426 |
$676 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$207 |
$329 |
2.6× |
| Radiological examination surgical specimen (76098) |
$613 |
$971 |
1.2× |
| Ribs bilateral 3 views (71110) |
$271 |
$430 |
2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$679 |
$1,075 |
1.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,340 |
$3,708 |
4.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$718 |
$1,137 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,246 |
$3,560 |
1.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,246 |
$3,560 |
1.9× |
| Scanogram (77073) |
$413 |
$655 |
4.2× |
| Scapula complete (73010) |
$190 |
$302 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$77 |
$123 |
3.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$331 |
$524 |
3.4× |
| Sialogram (70390) |
$265 |
$420 |
1.2× |
| Small bowel series (74250) |
$499 |
$791 |
3.1× |
| Spine thoracic 3 views (72072) |
$311 |
$493 |
3.2× |
| Testicular Imaging With Vascular Flow (78761) |
$679 |
$1,075 |
1.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$868 |
$1,375 |
1.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$994 |
$1,575 |
2.7× |
| Thyroid uptake measurement (78012) |
$679 |
$1,075 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$900 |
$1,426 |
2.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,171 |
$1,856 |
2.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,171 |
$1,856 |
3.1× |
| Ultrasound, abdomen limited (76705) |
$413 |
$655 |
4.2× |
| Unlisted Ultrasound Procedure (76999) |
$228 |
$361 |
2.8× |
| Upper Extremity Infant (73092) |
$244 |
$387 |
2.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$679 |
$1,075 |
1.8× |
| Urethrocystography retrograde rs&i (74450) |
$248 |
$392 |
1.1× |
| Urethrocystography voiding (74455) |
$458 |
$726 |
2.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$458 |
$726 |
2.8× |
| Us abdl aorta screen aaa (76706) |
$179 |
$284 |
1.8× |
| Us breast unilateral complete (76641) |
$485 |
$768 |
5.0× |
| Us breast unilateral limited (76642) |
$169 |
$268 |
2.1× |
| Us chest (76604) |
$203 |
$321 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$503 |
$797 |
5.2× |
| Us infant hips dynamic (76885) |
$315 |
$499 |
3.9× |
| Us kidney transplant (76776) |
$539 |
$854 |
5.5× |
| Us ob detailed single fetus (76811) |
$1,029 |
$1,630 |
4.6× |
| Us ob transvaginal (76817) |
$455 |
$721 |
4.7× |
| Us pelvic non ob complete (76856) |
$588 |
$932 |
6.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$254 |
$402 |
2.6× |
| Us pregnancy ltd (76815) |
$282 |
$447 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$549 |
$869 |
5.6× |
| Us retroperitoneal complete (76770) |
$731 |
$1,159 |
7.5× |
| Us scrotum and contents (76870) |
$573 |
$907 |
5.9× |
| Us soft tissue head/neck (76536) |
$539 |
$854 |
5.5× |
| Us spinal canal and contents (76800) |
$415 |
$658 |
4.3× |
| Us xtr non-vasc lmtd (76882) |
$203 |
$321 |
2.1× |
| Venogram extremity bilateral (75822) |
$2,801 |
$4,438 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$5,342 |
$8,465 |
1.8× |
| Venography extremity unilateral rs&i (75820) |
$2,857 |
$4,527 |
2.0× |
| Vertebral fracture assessment via dxa (77086) |
$146 |
$232 |
1.8× |
| Wrist 2 views (73100) |
$231 |
$367 |
2.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$297 |
$471 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$267 |
$422 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$349 |
$553 |
4.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$302 |
$479 |
1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$190 |
$302 |
2.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$271 |
$430 |
3.3× |
| X-ray exam hip uni 1 view (73501) |
$183 |
$289 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$237 |
$375 |
2.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$771 |
$1,222 |
4.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$283 |
$448 |
2.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$148 |
$235 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$350 |
$554 |
4.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$207 |
$329 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$297 |
$471 |
3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$192 |
$304 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$244 |
$387 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$264 |
$418 |
2.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$351 |
$556 |
3.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$261 |
$414 |
3.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$244 |
$387 |
3.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$244 |
$387 |
2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$452 |
$716 |
4.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$223 |
$353 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$223 |
$353 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$343 |
$544 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$307 |
$487 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$251 |
$398 |
3.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$348 |
$552 |
4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$288 |
$456 |
3.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$178 |
$282 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$330 |
$523 |
3.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$183 |
$289 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$190 |
$302 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$163 |
$258 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$194 |
$308 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$90 |
$142 |
0.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$218 |
$345 |
2.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$264 |
$418 |
3.3× |
| Xr c-spine 6 or more views (72052) |
$365 |
$578 |
3.8× |
| Xr chest 4+ views (71048) |
$324 |
$513 |
3.3× |
| Xr finger(s) 2+ views (73140) |
$213 |
$337 |
2.6× |
| Xr shoulder 1 view (73020) |
$172 |
$272 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$358 |
$567 |
3.7× |
| Xr tibia/fibula 2 views (73590) |
$213 |
$337 |
2.6× |
| Xr tmj bilateral (70330) |
$244 |
$387 |
3.0× |
| Xray knee 1 or 2 views rt (73560) |
$206 |
$327 |
2.5× |