| Abdomen 2 views (74019) |
$182.16 |
$184 |
1.6× |
| Ankle 2 views (73600) |
$229.68 |
$232 |
2.4× |
| Arthrogram elbow (73085) |
$323.73 |
$327 |
0.8× |
| Arthrogram hip (73525) |
$576.18 |
$582 |
1.5× |
| Arthrogram knee (73580) |
$504.90 |
$510 |
1.3× |
| Arthrogram shoulder (73040) |
$530.64 |
$536 |
1.4× |
| Arthrogram wrist (73115) |
$219.78 |
$222 |
0.6× |
| Bone age studies (77072) |
$192.06 |
$194 |
1.6× |
| Bone survey complete (77075) |
$205.92 |
$208 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$24.75 |
$25 |
0.3× |
| Chest 1 view (71045) |
$165.82 |
$167.50 |
1.7× |
| Chest xray 3 views (71047) |
$323.73 |
$327 |
3.3× |
| Cholecystography, oral contrast Non-Facility (74290) |
$31.68 |
$32 |
0.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$263.29 |
$265.95 |
1.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$486.09 |
$491 |
0.6× |
| Clavicle complete (73000) |
$141.50 |
$142.93 |
1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$685.58 |
$692.50 |
5.9× |
| Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Non-Facility (77078) |
$255.42 |
$258 |
2.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,594.89 |
$1,611 |
4.1× |
| CT abdomen and pelvis without contrast (74176) |
$1,190.48 |
$1,202.50 |
4.5× |
| CT abdomen w contrast (74160) |
$856.78 |
$865.44 |
4.4× |
| CT abdomen w wo contrast (74170) |
$972.68 |
$982.50 |
5.0× |
| CT abdomen w/o contrast (74150) |
$559.86 |
$565.51 |
4.8× |
| CT angio hrt w/3d image (75574) |
$648.99 |
$655.54 |
1.7× |
| CT angio lwr extr w/o&w/dye (73706) |
$817.22 |
$825.48 |
4.2× |
| CT angiography upper extremity lt (73206) |
$1,032.85 |
$1,043.28 |
5.3× |
| CT c-spine w/contrast (72126) |
$739.48 |
$746.95 |
1.9× |
| CT c-spine w/o contrast (72125) |
$689.04 |
$696 |
5.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,645.38 |
$1,662 |
8.4× |
| CT chest w contrast (71260) |
$924.16 |
$933.50 |
4.7× |
| CT chest w/wo contrast (71270) |
$998.04 |
$1,008.12 |
5.1× |
| CT colonography w/o cntrst (74261) |
$533.12 |
$538.50 |
4.6× |
| CT head/brain with contrast (70460) |
$734.53 |
$741.95 |
3.8× |
| CT head/brain without and with contrast (70470) |
$894.08 |
$903.10 |
4.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$179.80 |
$181.61 |
1.9× |
| CT iac w contrast (70481) |
$747.90 |
$755.45 |
3.8× |
| CT limited/localized follow up study (76380) |
$300.96 |
$304 |
3.1× |
| CT lower ext w/o (73700) |
$685.08 |
$692 |
5.9× |
| CT lower extremity w wo contrast (73702) |
$942.76 |
$952.29 |
4.8× |
| CT lower extremity w/contrast material (73701) |
$786.58 |
$794.52 |
4.0× |
| CT lumbar spine w & w/o contrast (72133) |
$990.96 |
$1,000.98 |
5.1× |
| CT lumbar spine w/contrast (72132) |
$739.48 |
$746.95 |
1.9× |
| CT lumbar spine w/o contrast (72131) |
$685.08 |
$692 |
5.9× |
| CT maxillofacial w contrast (70487) |
$734.53 |
$741.95 |
3.8× |
| CT maxillofacial w/wo contrast (70488) |
$727.65 |
$735 |
3.7× |
| CT maxillofacial wo contrast (70486) |
$635.58 |
$642 |
5.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$836.69 |
$845.14 |
4.3× |
| CT orbits w/o contrast (70480) |
$564.80 |
$570.51 |
4.8× |
| CT pelvis w/o contrast (72192) |
$598.60 |
$604.64 |
5.1× |
| CT pelvis w/wo contrast (72194) |
$771.36 |
$779.16 |
3.9× |
| CT scan of arm combo (73202) |
$1,566.18 |
$1,582 |
8.0× |
| CT soft tissue neck w contrast (70491) |
$931.59 |
$941 |
4.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,016.02 |
$1,026.28 |
5.2× |
| CT soft tissue neck w/o contrast (70490) |
$564.80 |
$570.51 |
4.8× |
| CT thoracic spine w/contrast (72129) |
$739.48 |
$746.95 |
3.8× |
| CT thoracic spine w/o contrast (72128) |
$641.02 |
$647.50 |
5.5× |
| CT thoracic spine w/wo contrast (72130) |
$990.96 |
$1,000.98 |
5.1× |
| CT thorax w/o contrast (71250) |
$686.07 |
$693 |
5.9× |
| CT upper ext wo (73200) |
$641.02 |
$647.50 |
5.5× |
| CT upper extremity with contrast (73201) |
$795.34 |
$803.37 |
2.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$961.04 |
$970.74 |
4.9× |
| Cta Abdomen (74175) |
$863.40 |
$872.12 |
4.4× |
| CTA abdomen pelvis (74174) |
$1,604.30 |
$1,620.50 |
4.1× |
| CTA chest (71275) |
$1,072.17 |
$1,083 |
5.5× |
| Cta Head (70496) |
$1,068.21 |
$1,079 |
5.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,602.32 |
$1,618.50 |
4.1× |
| Cta Neck (70498) |
$1,068.21 |
$1,079 |
5.5× |
| Cta Pelvis (72191) |
$763.29 |
$771 |
3.9× |
| Cystography minimum 3 views rs&i (74430) |
$590.68 |
$596.65 |
1.5× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$217.30 |
$219.50 |
0.1× |
| Diskogram cervical (72285) |
$771.12 |
$778.91 |
0.4× |
| Diskography lumbar (72295) |
$1,748.08 |
$1,765.74 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$280.17 |
$283 |
2.4× |
| Esophagus (74220) |
$362.48 |
$366.14 |
1.9× |
| Facial bones min 3 views (70150) |
$217.62 |
$219.82 |
1.9× |
| Fetal biophysical profile non-stress testing (76818) |
$458.37 |
$463 |
3.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$466.29 |
$471 |
4.0× |
| Fluoroscopy up to 1 hr (76000) |
$366.61 |
$370.32 |
1.4× |
| Foot 2 views (73620) |
$140.51 |
$141.93 |
1.4× |
| Forearm 2 views (73090) |
$141.50 |
$142.93 |
1.5× |
| Hand 2 views (73120) |
$141.50 |
$142.93 |
1.2× |
| Hysterosalpingogram (74740) |
$727.95 |
$735.30 |
2.7× |
| Knee 3 views (73562) |
$178.20 |
$180 |
1.8× |
| Lymphoscintigraphy (78195) |
$686.07 |
$693 |
1.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,310.66 |
$1,323.90 |
1.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,022.57 |
$2,043 |
5.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,513.72 |
$1,529 |
3.9× |
| MRA head w & w/o contrast (70546) |
$1,494.90 |
$1,510 |
3.8× |
| MRA head w/o contrast (70544) |
$1,115.60 |
$1,126.88 |
4.2× |
| MRA head with contrast (70545) |
$1,906.74 |
$1,926 |
4.9× |
| MRA neck w contrast (70548) |
$1,053.86 |
$1,064.50 |
2.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,494.90 |
$1,510 |
3.8× |
| MRA neck w/o contrast (70547) |
$1,134.36 |
$1,145.82 |
4.3× |
| MRI abdomen w contrast (74182) |
$1,146.92 |
$1,158.50 |
3.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,899.81 |
$1,919 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$1,207.82 |
$1,220.02 |
4.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,225.30 |
$1,237.68 |
1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,513.72 |
$1,529 |
3.9× |
| MRI c-spine with contrast (72142) |
$1,229.60 |
$1,242.02 |
3.2× |
| MRI cervical spine w/o contrast (72141) |
$1,308.28 |
$1,321.50 |
4.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,422.10 |
$1,436.46 |
3.7× |
| MRI chest w/o contrast (71550) |
$1,043.94 |
$1,054.48 |
3.9× |
| MRI chest with contrast (71551) |
$2,022.57 |
$2,043 |
2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,022.57 |
$2,043 |
5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,513.72 |
$1,529 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,300.86 |
$1,314 |
4.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,130.64 |
$1,142.06 |
4.3× |
| MRI orbit face neck w contrast (70542) |
$2,022.57 |
$2,043 |
5.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,635.78 |
$1,652.31 |
4.2× |
| MRI pelvis w/contrast (72196) |
$2,022.57 |
$2,043 |
5.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,899.81 |
$1,919 |
4.9× |
| MRI pelvis w/o contrast (72195) |
$1,307.30 |
$1,320.50 |
4.9× |
| MRI spectroscopy (76390) |
$994.46 |
$1,004.50 |
10.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,900.80 |
$1,920 |
4.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,233.72 |
$1,246.18 |
3.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,901.30 |
$1,920.50 |
4.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,309.07 |
$1,322.30 |
3.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,758.30 |
$1,776.06 |
4.5× |
| MRI temporomandibular joint (70336) |
$977.52 |
$987.40 |
3.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,308.28 |
$1,321.50 |
4.9× |
| MRI up ext w/o contrast (73218) |
$1,122.66 |
$1,134 |
4.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,301.85 |
$1,315 |
4.9× |
| MRI, joint upper extrem combo (73223) |
$1,513.72 |
$1,529 |
3.9× |
| Myelogram Cervical (72240) |
$533.12 |
$538.50 |
0.6× |
| Myelogram Lumbar (72265) |
$529.16 |
$534.50 |
0.6× |
| Myelogram thoracic (72255) |
$1,139.49 |
$1,151 |
1.3× |
| Myelography 2 or more regions (72270) |
$792.50 |
$800.50 |
0.9× |
| Neck soft tissue (70360) |
$229.68 |
$232 |
2.4× |
| Nonvascular shunt X-ray (75809) |
$208.89 |
$211 |
1.8× |
| Osseous survey limited (77074) |
$353.43 |
$357 |
3.0× |
| Pelvis 1 or 2 views (72170) |
$142 |
$143.43 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$206.91 |
$209 |
0.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$153.62 |
$155.18 |
1.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$141 |
$142.43 |
1.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$164.36 |
$166.02 |
1.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$113.85 |
$115 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$351.35 |
$354.90 |
3.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$388.58 |
$392.50 |
3.3× |
| Radex fingr minimum 2 views (73140) |
$161.84 |
$163.47 |
1.7× |
| Radex Foot Compl Minimum 3 Views (73630) |
$177.21 |
$179 |
1.8× |
| Radex Hand Minimum 3 Views (73130) |
$177.21 |
$179 |
1.8× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$102.86 |
$103.90 |
1.1× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$241.09 |
$243.52 |
2.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$139.59 |
$141 |
1.2× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$346 |
$349.50 |
3.0× |
| Radex Humerus Minimum 2 Views (73060) |
$142 |
$143.43 |
1.5× |
| Radex Kne 1/2 Views (73560) |
$153.62 |
$155.18 |
1.6× |
| Radex Kne Compl 4/More Views (73564) |
$250.10 |
$252.62 |
2.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$217.12 |
$219.32 |
1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$141.50 |
$142.93 |
1.5× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$143.98 |
$145.43 |
1.2× |
| Radex Sho Compl Minimum 2 Views (73030) |
$178.20 |
$180 |
1.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$229.68 |
$232 |
2.4× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$216.14 |
$218.32 |
1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$128.70 |
$130 |
1.3× |
| Radex Toe Minimum 2 Views (73660) |
$139.52 |
$140.93 |
1.4× |
| Radex upper extremity infant minimum 2 views (73092) |
$123.75 |
$125 |
1.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$164.35 |
$166.01 |
1.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$128.70 |
$130 |
1.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$164.40 |
$166.06 |
1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$353.43 |
$357 |
3.0× |
| Radiologic exam chest 2 views (71046) |
$179.68 |
$181.50 |
1.9× |
| Radiologic exam colon single contrast study (74270) |
$381.60 |
$385.45 |
2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$409.96 |
$414.10 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$382.09 |
$385.95 |
2.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$382.09 |
$385.95 |
2.0× |
| Radiologic examination femur 1 view (73551) |
$15.84 |
$16 |
0.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$141.50 |
$142.93 |
1.5× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$33.66 |
$34 |
0.3× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$315.81 |
$319 |
2.7× |
| Radiological examination surgical specimen (76098) |
$1,746.84 |
$1,764.48 |
2.9× |
| Ribs bilateral 3 views (71110) |
$353.43 |
$357 |
3.0× |
| Sacroiliac Joints < 3 Views (72200) |
$153.13 |
$154.68 |
1.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$458.42 |
$463.05 |
1.7× |
| Scapula (73010) |
$229.68 |
$232 |
2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$75.24 |
$76 |
3.2× |
| Sella turcica (70240) |
$209.88 |
$212 |
2.2× |
| Shoulder 1 view (73020) |
$237.72 |
$240.12 |
2.5× |
| Small bowel series (74250) |
$260.32 |
$262.95 |
1.3× |
| Spine thoracic 3 views (72072) |
$270.27 |
$273 |
2.3× |
| Thoracolumbar 2 views (72080) |
$144.96 |
$146.43 |
1.5× |
| Tomogram (76100) |
$295.52 |
$298.50 |
2.5× |
| Ultrasound breast complete (76641) |
$279.48 |
$282.30 |
2.4× |
| Ultrasound Exam Aaa Screen (76706) |
$174.16 |
$175.92 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$466.29 |
$471 |
4.0× |
| Urethrocystogram voiding (74455) |
$551.18 |
$556.74 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$553.67 |
$559.26 |
2.1× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$358.38 |
$362 |
1.8× |
| Us breast unilateral limited (76642) |
$259.38 |
$262 |
2.7× |
| Us chest (76604) |
$328.70 |
$332.02 |
2.8× |
| Us compl joint r-t w/image documentation (76881) |
$466.29 |
$471 |
4.0× |
| Us elastography parenchyma (76981) |
$342.74 |
$346.20 |
2.9× |
| Us encephalogram (76506) |
$276.21 |
$279 |
2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$114.84 |
$116 |
1.0× |
| Us ob detailed single fetus (76811) |
$580.14 |
$586 |
2.2× |
| Us ob limited (76815) |
$335.13 |
$338.52 |
2.9× |
| Us ob transvaginal (76817) |
$340.58 |
$344.02 |
2.9× |
| Us pelvic non ob complete (76856) |
$417.78 |
$422 |
3.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$185.62 |
$187.50 |
1.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$353.94 |
$357.52 |
3.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$247.52 |
$250.02 |
2.1× |
| Us retroperitoneal complete (76770) |
$386.38 |
$390.28 |
3.3× |
| Us retroperitoneal limited (76775) |
$276.21 |
$279 |
2.4× |
| Us scrotum and contents (76870) |
$96.03 |
$97 |
0.8× |
| Us soft tissue head/neck (76536) |
$411.34 |
$415.50 |
3.5× |
| Us spinal canal and contents (76800) |
$224.73 |
$227 |
1.9× |
| Us transrectal (76872) |
$457.77 |
$462.40 |
3.9× |
| Us,transplanted kidney, real time/ doppler (76776) |
$340.08 |
$343.52 |
2.9× |
| Venogram extremity bilateral (75822) |
$599.94 |
$606 |
0.3× |
| Venogram Extremity Unilateral (75820) |
$403.42 |
$407.50 |
0.2× |
| Wrist 2 views (73100) |
$141.50 |
$142.93 |
1.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$194.04 |
$196 |
1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$229.68 |
$232 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$449.35 |
$453.89 |
2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$141 |
$142.43 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$169.88 |
$171.60 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$344.52 |
$348 |
3.0× |
| X-ray exam of femur 2/> (73552) |
$152.39 |
$153.93 |
1.6× |
| X-ray eye for foreign body (70030) |
$132.28 |
$133.62 |
1.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$229.68 |
$232 |
2.4× |
| X-ray IV pyelogram (ivp) (74400) |
$52.47 |
$53 |
0.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$229.68 |
$232 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$207.55 |
$209.64 |
2.1× |
| X-ray leg, infant (73592) |
$229.68 |
$232 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$169.78 |
$171.50 |
1.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$221.08 |
$223.32 |
1.9× |
| X-ray nose-rectum child f.b. (76010) |
$161.57 |
$163.20 |
1.7× |
| X-ray optic foramen (70190) |
$234.63 |
$237 |
2.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$192.06 |
$194 |
1.6× |
| X-ray retrograde pyelogram (74420) |
$689.54 |
$696.50 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$144.47 |
$145.93 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$252.11 |
$254.66 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$220.59 |
$222.82 |
1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$142.49 |
$143.93 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$141.50 |
$142.93 |
1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$353.43 |
$357 |
3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$353.43 |
$357 |
3.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$229.68 |
$232 |
2.0× |
| X-Ray Small Bowel Enteroclysis (74251) |
$1,582.52 |
$1,598.50 |
8.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$123.26 |
$124.50 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$229.68 |
$232 |
2.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$142.98 |
$144.43 |
1.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$127.22 |
$128.50 |
1.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$21.78 |
$22 |
0.2× |
| Xr bone length studies (77073) |
$353.43 |
$357 |
3.0× |
| Xr c-spine 4 or 5 views (72050) |
$235.35 |
$237.72 |
2.0× |
| Xr c-spine 6 or more views (72052) |
$223.06 |
$225.32 |
1.9× |
| Xr chest 4+ views (71048) |
$193.54 |
$195.50 |
1.7× |
| Xr urogram antegrade (74425) |
$156.92 |
$158.50 |
0.4× |