| Abdomen 2 views (74019) |
$248.60 |
$829.40 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,056 |
$3,522.20 |
2.6× |
| Acute venous thrombus image (78456) |
$271.70 |
$906.40 |
0.2× |
| Ankle 2 views (73600) |
$85.80 |
$288.20 |
1.0× |
| Arthrogram shoulder (73040) |
$622.60 |
$2,074.60 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,038.40 |
$3,459.50 |
2.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$700.70 |
$2,336.40 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$1,007.60 |
$3,358.30 |
2.5× |
| Bone age studies (77072) |
$83.60 |
$278.30 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$1,738 |
$5,793.70 |
4.3× |
| Bone Marrow Imaging Limited Area (78102) |
$381.70 |
$1,272.70 |
1.0× |
| Bone survey complete (77075) |
$815.10 |
$2,715.90 |
7.8× |
| Cardiac shunt detection (78428) |
$454.30 |
$1,513.60 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$236.50 |
$787.60 |
2.7× |
| Chest 1 view (71045) |
$170.50 |
$569.80 |
2.0× |
| Chest 3 views (71047) |
$200.20 |
$666.60 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$233.20 |
$776.60 |
1.3× |
| Clavicle complete (73000) |
$504.90 |
$1,683 |
5.8× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$127.60 |
$425.70 |
0.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,052.60 |
$6,844.20 |
5.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,268.30 |
$4,228.40 |
5.3× |
| CT abdomen w contrast (74160) |
$1,406.90 |
$4,690.40 |
8.0× |
| CT abdomen w wo contrast (74170) |
$1,801.80 |
$6,008.20 |
10.2× |
| CT abdomen w/o contrast (74150) |
$884.40 |
$2,948 |
8.4× |
| CT angiography upper extremity lt (73206) |
$1,045 |
$3,484.80 |
5.9× |
| CT c-spine w/o contrast (72125) |
$2,206.60 |
$7,354.60 |
21.0× |
| CT cervical spine w&w/o contrast (72127) |
$2,120.80 |
$7,068.60 |
12.0× |
| CT cervical spine with contrast (72126) |
$1,948.10 |
$6,493.30 |
5.6× |
| CT chest w/wo contrast (71270) |
$1,709.40 |
$5,698 |
9.7× |
| CT chest with contrast (71260) |
$1,709.40 |
$5,698 |
9.7× |
| CT head/brain with contrast (70460) |
$2,315.50 |
$7,719.80 |
13.1× |
| CT head/brain without and with contrast (70470) |
$2,175.80 |
$7,251.20 |
12.3× |
| CT iac w contrast (70481) |
$1,381.60 |
$4,605.70 |
7.8× |
| CT limited/localized follow up study (76380) |
$152.90 |
$509.30 |
1.7× |
| CT lower ext w/o (73700) |
$1,243 |
$4,143.70 |
11.8× |
| CT lower extremity w wo contrast (73702) |
$635.80 |
$2,118.60 |
3.6× |
| CT lower extremity with contrast (73701) |
$1,491.60 |
$4,972 |
8.5× |
| CT lumbar spine w & w/o contrast (72133) |
$3,098.70 |
$10,327.90 |
17.6× |
| CT lumbar spine w/o contrast (72131) |
$2,175.80 |
$7,251.20 |
20.7× |
| CT lumbar spine with contrast (72132) |
$2,707.10 |
$9,022.20 |
7.7× |
| CT maxillofacial w contrast (70487) |
$574.20 |
$1,914 |
3.3× |
| CT maxillofacial w/o contrast (70486) |
$322.85 |
$1,075.80 |
3.1× |
| CT maxillofacial w/wo contrast (70488) |
$635.80 |
$2,118.60 |
3.6× |
| CT neck soft tissue w contrast (70491) |
$1,709.40 |
$5,698 |
9.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$496.10 |
$1,652.20 |
2.8× |
| CT orbits w/o contrast (70480) |
$1,269.95 |
$4,232.25 |
12.1× |
| CT pelvis w & w/o contrast (72194) |
$2,019.60 |
$6,734.20 |
11.5× |
| CT pelvis w/o contrast (72192) |
$1,243 |
$4,143.70 |
11.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,771 |
$5,904.80 |
10.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,522.40 |
$5,076.50 |
14.5× |
| CT thoracic spine w/contrast (72129) |
$2,471.70 |
$8,239 |
14.0× |
| CT thoracic spine w/o contrast (72128) |
$1,716 |
$5,718.90 |
16.3× |
| CT thoracic spine w/wo contrast (72130) |
$2,087.80 |
$6,960.80 |
11.8× |
| CT thorax w/o contrast (71250) |
$947.65 |
$3,158.65 |
9.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$635.80 |
$2,118.60 |
3.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,087.90 |
$3,625.60 |
10.4× |
| CT upper extremity with contrast (73201) |
$574.20 |
$1,914 |
1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,357.40 |
$4,525.40 |
7.7× |
| Cta Abdomen (74175) |
$1,134.10 |
$3,780.70 |
6.4× |
| CTA chest (71275) |
$1,134.10 |
$3,780.70 |
6.4× |
| Cta Head (70496) |
$1,134.10 |
$3,780.70 |
6.4× |
| CTA lwr ext w&w/o contrast (73706) |
$1,045 |
$3,484.80 |
5.9× |
| Cta Neck (70498) |
$1,045 |
$3,484.80 |
5.9× |
| Cta Pelvis (72191) |
$1,134.10 |
$3,780.70 |
6.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$233.20 |
$778.80 |
2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$176 |
$586.30 |
2.0× |
| Esophagus (74220) |
$233.20 |
$776.60 |
1.3× |
| Fluoroscopy up to 1 hr (76000) |
$613.80 |
$2,047.10 |
2.6× |
| Foot 2 views (73620) |
$83.60 |
$278.30 |
1.0× |
| Forearm 2 views (73090) |
$363 |
$1,212.20 |
4.2× |
| Gastric mucosa imaging (78261) |
$353.10 |
$1,178.10 |
0.9× |
| Gastrointestinal Protein Loss (78282) |
$27.50 |
$92.40 |
0.1× |
| Gated Heart Planar Single (78472) |
$370.70 |
$1,235.30 |
0.9× |
| Hand 2 views (73120) |
$83.60 |
$278.30 |
0.8× |
| Hand 3 views (73130) |
$262.90 |
$875.60 |
3.0× |
| Heart Infarct Image (78466) |
$454.30 |
$1,513.60 |
1.1× |
| Heart infarct image w ef (78468) |
$454.30 |
$1,513.60 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$838.20 |
$2,794 |
1.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$520.30 |
$1,735.80 |
1.3× |
| Ht muscle image spect sing (78451) |
$1,046.65 |
$3,488.10 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$217.80 |
$724.90 |
2.5× |
| Kidney funcj study non-img radioisotopic study (78725) |
$239.80 |
$798.60 |
0.6× |
| Kidney imaging morphology (78700) |
$478.50 |
$1,595 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$887.15 |
$2,956.80 |
1.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$376.20 |
$1,252.90 |
0.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$421.30 |
$1,404.70 |
0.8× |
| Knee 3 views (73562) |
$202.40 |
$673.20 |
2.3× |
| Liver & spleen imaging static only (78215) |
$685.30 |
$2,282.50 |
1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$726 |
$2,420 |
1.8× |
| Liver imaging static only (78201) |
$512.60 |
$1,708.30 |
0.9× |
| Liver imaging w/vascular flow (78202) |
$668.80 |
$2,228.60 |
1.2× |
| Lung perf&ventilat diferentl (78598) |
$606.10 |
$2,018.50 |
1.1× |
| Lung Ventilation Imaging (78579) |
$606.10 |
$2,018.50 |
1.5× |
| Lymphoscintigraphy (78195) |
$489.50 |
$1,632.40 |
0.9× |
| Mammary ductogram or galactogram multiple (77054) |
$290.40 |
$966.90 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$290.40 |
$966.90 |
1.2× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$64.90 |
$216.70 |
0.7× |
| Meckels Diverticulum (78290) |
$649 |
$2,164.80 |
1.6× |
| MRA head w & w/o contrast (70546) |
$982.30 |
$3,273.60 |
2.8× |
| MRA head w/o contrast (70544) |
$1,740.20 |
$5,801.40 |
7.3× |
| MRA head with contrast (70545) |
$621.50 |
$2,071.30 |
1.8× |
| MRA neck w contrast (70548) |
$864.60 |
$2,883.10 |
2.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,262.80 |
$4,208.60 |
3.6× |
| MRA neck w/o contrast (70547) |
$1,118.70 |
$3,729 |
4.7× |
| MRI abdomen w contrast (74182) |
$928.40 |
$3,096.50 |
2.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,075.80 |
$3,586 |
3.1× |
| MRI abdomen w/o contrast (74181) |
$683.10 |
$2,275.90 |
2.8× |
| MRI any jnt lwr ext with con lt (73722) |
$796.40 |
$2,656.50 |
1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,287 |
$4,292.20 |
1.6× |
| MRI c-spine with contrast (72142) |
$1,696.20 |
$5,655.10 |
4.8× |
| MRI cervical spine w/o contrast (72141) |
$2,205.50 |
$7,352.40 |
9.2× |
| MRI chest w/o & w/contrast material (71552) |
$1,305.70 |
$4,350.50 |
3.7× |
| MRI chest w/o contrast (71550) |
$848.10 |
$2,825.90 |
3.5× |
| MRI chest with contrast (71551) |
$949.30 |
$3,162.50 |
1.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$796.40 |
$2,656.50 |
2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$796.40 |
$2,656.50 |
2.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,718.20 |
$5,728.80 |
7.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$652.30 |
$2,175.80 |
2.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,004.30 |
$3,349.50 |
2.9× |
| MRI orbit/face/neck w/contrast (70542) |
$4,752 |
$15,841.10 |
13.6× |
| MRI pelvis w contrast (72196) |
$851.40 |
$2,838 |
2.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,073.60 |
$3,577.20 |
3.1× |
| MRI pelvis w/o contrast (72195) |
$765.60 |
$2,553.10 |
3.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,435.50 |
$4,785 |
4.1× |
| MRI scan of leg joint before and after contrast (73723) |
$1,004.30 |
$3,349.50 |
2.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,268.20 |
$7,561.40 |
6.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,786.30 |
$9,289.50 |
8.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,409 |
$8,030 |
6.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$782.10 |
$2,608.10 |
2.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$982.30 |
$3,273.60 |
2.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,052.60 |
$6,840.90 |
8.6× |
| MRI tmj (70336) |
$649 |
$2,163.70 |
2.7× |
| MRI upper ext joint w/o contrast (73221) |
$2,198.90 |
$7,328.20 |
9.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,067 |
$3,555.20 |
3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$838.20 |
$2,794 |
3.5× |
| Myocardial infarct spect (78469) |
$454.30 |
$1,513.60 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,747.80 |
$9,157.50 |
2.1× |
| Neck soft tissue (70360) |
$496.10 |
$1,654.40 |
5.7× |
| Nm adrenal scan (78075) |
$1,459.70 |
$4,864.20 |
1.1× |
| Nm bone marrow multiple (78103) |
$381.70 |
$1,272.70 |
1.0× |
| Nm bone marrow wb (78104) |
$381.70 |
$1,272.70 |
1.0× |
| Nm gastric emptying study (78264) |
$959.20 |
$3,195.50 |
2.4× |
| Nm gastroesophageal reflux study (78262) |
$353.10 |
$1,178.10 |
0.9× |
| Nm red cell sequestration (78140) |
$581.90 |
$1,939.30 |
1.4× |
| Nm whole blood volume (78122) |
$581.90 |
$1,939.30 |
1.1× |
| Nuclear medicine of heart pumping function (78473) |
$583 |
$1,941.50 |
1.5× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$454.30 |
$1,513.60 |
0.8× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,288.10 |
$4,293.30 |
1.0× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$434.50 |
$1,449.80 |
1.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$465.30 |
$1,553.20 |
1.2× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$335.50 |
$1,116.50 |
0.6× |
| Nuclear Rx Oral Admin (79005) |
$401.50 |
$1,337.60 |
1.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$91.30 |
$303.60 |
0.9× |
| Osseous survey infant (77076) |
$138.60 |
$463.10 |
1.3× |
| Osseous survey limited (77074) |
$138.60 |
$463.10 |
1.3× |
| Parathyrd planar w/wo subtrj (78071) |
$456.50 |
$1,521.30 |
1.1× |
| Parathyroid imaging (78070) |
$471.90 |
$1,573 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$83.60 |
$278.30 |
0.8× |
| Pr heart first pass single,planar (78481) |
$454.30 |
$1,513.60 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,553.20 |
$5,178.80 |
4.4× |
| Pr red cell survival study (78130) |
$581.90 |
$1,939.30 |
1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$425.70 |
$1,420.10 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$502.70 |
$1,677.50 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$83.60 |
$278.30 |
1.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$138.60 |
$463.10 |
1.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$652.30 |
$2,175.80 |
6.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$366.30 |
$1,223.20 |
3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$818.40 |
$2,726.90 |
7.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$484 |
$1,611.50 |
4.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$198 |
$661.10 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$248.60 |
$829.40 |
2.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$193.60 |
$644.60 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$962.50 |
$3,208.70 |
5.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,086.80 |
$3,622.30 |
6.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,109.90 |
$3,699.30 |
6.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$497.20 |
$1,657.70 |
5.7× |
| Radiological examination surgical specimen (76098) |
$490.60 |
$1,634.60 |
0.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) |
$581.90 |
$1,939.30 |
1.4× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$581.90 |
$1,939.30 |
1.1× |
| Ribs bilateral 3 views (71110) |
$497.20 |
$1,657.70 |
4.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$819.50 |
$2,733.50 |
2.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$341 |
$1,137.40 |
0.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$482.90 |
$1,610.40 |
0.9× |
| Rp Therapy Intravenous Administration (79101) |
$312.40 |
$1,042.80 |
1.3× |
| Sacroiliac Joints < 3 Views (72200) |
$83.60 |
$278.30 |
0.8× |
| Scanogram (77073) |
$64.90 |
$216.70 |
0.6× |
| Scapula complete (73010) |
$183.70 |
$611.60 |
1.7× |
| Sella turcica (70240) |
$64.90 |
$216.70 |
0.7× |
| Small bowel series (74250) |
$800.80 |
$2,669.70 |
4.5× |
| Spine thoracic 3 views (72072) |
$226.60 |
$756.80 |
2.2× |
| Spleen imaging only (78185) |
$381.70 |
$1,272.70 |
1.0× |
| Thoracolumbar 2 views (72080) |
$64.90 |
$216.70 |
0.7× |
| Thyroid carcinoma metastases img addl study (78016) |
$434.50 |
$1,449.80 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$572 |
$1,906.30 |
1.4× |
| Thyroid uptake measurement (78012) |
$639.65 |
$2,132.35 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$572 |
$1,906.30 |
1.4× |
| Tmj unilateral (70328) |
$78.10 |
$258.50 |
0.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$506 |
$1,688.50 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$541.20 |
$1,805.10 |
5.2× |
| Umbilical-artery Doppler (OB) (76820) |
$137.50 |
$458.70 |
1.3× |
| Upper Extremity Infant (73092) |
$83.60 |
$278.30 |
0.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$478.50 |
$1,595 |
1.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$763.40 |
$2,544.30 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$732.60 |
$2,442 |
7.0× |
| Us breast unilateral complete (76641) |
$451 |
$1,504.80 |
4.3× |
| Us breast unilateral limited (76642) |
$34.10 |
$113.30 |
0.4× |
| Us chest (76604) |
$515.90 |
$1,719.30 |
4.9× |
| Us compl joint r-t w/image documentation (76881) |
$579.70 |
$1,933.80 |
5.5× |
| Us infant hips dynamic (76885) |
$91.30 |
$303.60 |
1.0× |
| Us infant hips limited static (76886) |
$91.30 |
$303.60 |
1.0× |
| Us kidney transplant (76776) |
$182.60 |
$607.20 |
1.7× |
| Us ob detailed single fetus (76811) |
$223.30 |
$742.50 |
0.9× |
| Us ob transvaginal (76817) |
$169.40 |
$564.30 |
1.6× |
| Us pelvic non ob complete (76856) |
$644.60 |
$2,149.40 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$387.20 |
$1,289.20 |
3.7× |
| Us pregnancy ltd (76815) |
$91.30 |
$303.60 |
0.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$212.30 |
$707.30 |
2.0× |
| Us retroperitoneal complete (76770) |
$721.60 |
$2,406.80 |
6.9× |
| Us retroperitoneal limited (76775) |
$709.50 |
$2,363.90 |
6.8× |
| Us scrotum and contents (76870) |
$579.70 |
$1,933.80 |
5.5× |
| Us soft tissue head/neck (76536) |
$515.90 |
$1,719.30 |
4.9× |
| Us spinal canal and contents (76800) |
$141.90 |
$474.10 |
1.4× |
| Us transrectal (76872) |
$704 |
$2,345.20 |
6.7× |
| Us transrectal prostate volume (76873) |
$223.30 |
$742.50 |
2.1× |
| Us xtr non-vasc lmtd (76882) |
$89.10 |
$297 |
0.8× |
| Vascular flow imaging (78445) |
$271.70 |
$906.40 |
0.7× |
| Wrist 2 views (73100) |
$85.80 |
$288.20 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$326.70 |
$1,089 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$308 |
$1,027.40 |
3.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$214.50 |
$716.10 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,133 |
$3,777.40 |
6.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$488.40 |
$1,626.90 |
5.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$83.60 |
$278.30 |
1.0× |
| X-ray exam hip uni 1 view (73501) |
$83.60 |
$278.30 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$236.50 |
$787.60 |
2.7× |
| X-ray exam of femur 1 (73551) |
$435.05 |
$1,450.90 |
5.0× |
| X-ray eye for foreign body (70030) |
$83.60 |
$278.30 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$445.50 |
$1,486.10 |
4.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$352 |
$1,172.60 |
4.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$224.40 |
$750.20 |
2.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$381.70 |
$1,273.80 |
4.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$253 |
$843.70 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$83.60 |
$278.30 |
1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$83.60 |
$278.30 |
1.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$83.60 |
$278.30 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$213.40 |
$711.70 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$138.60 |
$463.10 |
1.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$123.20 |
$411.95 |
1.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$432.30 |
$1,439.90 |
4.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$709.50 |
$2,363.90 |
6.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$342.10 |
$1,139.60 |
3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$83.60 |
$278.30 |
0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$537.90 |
$1,791.90 |
5.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$458.70 |
$1,531.20 |
5.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$236.50 |
$787.60 |
2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$880 |
$2,932.60 |
10.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$111.10 |
$368.50 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$885.50 |
$2,950.20 |
8.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$467.50 |
$1,559.80 |
4.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$83.60 |
$278.30 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$300.30 |
$1,002.10 |
3.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$374 |
$1,247.40 |
4.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$599.50 |
$1,998.70 |
5.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$83.60 |
$278.30 |
0.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$282.70 |
$943.80 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$254.10 |
$845.90 |
2.9× |
| Xr c-spine 6 or more views (72052) |
$814 |
$2,714.80 |
7.8× |
| Xr finger(s) 2+ views (73140) |
$326.70 |
$1,089 |
3.7× |
| XR Mastoids < 3 Views Bilateral (70120) |
$83.60 |
$278.30 |
0.8× |
| Xr shoulder 1 view (73020) |
$83.60 |
$278.30 |
1.0× |
| Xr spine cervical 4 or 5 views (72050) |
$189.20 |
$630.30 |
1.8× |
| Xr tibia/fibula 2 views (73590) |
$413.60 |
$1,378.30 |
4.7× |
| Xr tmj bilateral (70330) |
$257.40 |
$860.20 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$152.35 |
$508.75 |
1.7× |