| 3-D radiotherapy plan dose-volume histograms (77295) |
— |
$4,086 |
— |
| Abdomen 1 View (74018) |
— |
$788 |
— |
| Abdomen 2 views (74019) |
— |
$958 |
— |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
— |
$6,953 |
— |
| Angio pulmonary bilat (75743) |
— |
$11,902 |
— |
| Angiography extremity bilateral rs&i (75716) |
— |
$8,319 |
— |
| Angiography extremity unilateral rs&i (75710) |
— |
$2,962 |
— |
| Angiography pulmonary unilateral slctv rs&i (75741) |
— |
$10,586 |
— |
| Ankle 2 views (73600) |
— |
$800 |
— |
| Aortography thoracic w/o serialography rs&i (75600) |
— |
$8,574 |
— |
| Artery X-Rays Abdomen (75726) |
— |
$11,888 |
— |
| Artery X-Rays Pelvis (75736) |
— |
$10,611 |
— |
| Artery X-Rays Spine (75705) |
— |
$8,044 |
— |
| Arthrogram hip (73525) |
— |
$2,412 |
— |
| Arthrogram Wrist (73115) |
— |
$2,286 |
— |
| Basic radiation dosimetry calculation (77300) |
— |
$529 |
— |
| Bone age studies (77072) |
— |
$856 |
— |
| Bone Imaging 3 Phase (78315) |
— |
$6,912 |
— |
| Bone Imaging Limited Area (78300) |
— |
$3,588 |
— |
| Bone Imaging Whole Body (78306) |
— |
$5,014 |
— |
| Bone marrow imaging limited area (78102) |
— |
$1,531 |
— |
| Bone marrow imaging; whole body (78104) |
— |
$3,985 |
— |
| Bone survey infant (77076) |
— |
$1,359 |
— |
| Brachytx isodose complex (77318) |
— |
$5,891 |
— |
| Brachytx isodose intermed (77317) |
— |
$5,349 |
— |
| Brachytx Isodose Plan Simple (77316) |
— |
$3,506 |
— |
| Cardiac MRI w/w/o contrast & further seq (75561) |
— |
$8,545 |
— |
| Cerebrospinal Fluid Scan (78630) |
— |
$6,763 |
— |
| Chest 1 view (71045) |
— |
$737 |
— |
| Chest 2 views (71046) |
— |
$904 |
— |
| Chest 3 views (71047) |
— |
$1,062 |
— |
| Chest 4 or more views (71048) |
— |
$1,324 |
— |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) |
— |
$1,649 |
— |
| Clavicle complete (73000) |
— |
$908 |
— |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
— |
$1,602 |
— |
| Continuing medical physics consltj pr wk (77336) |
— |
$642 |
— |
| Contrast Exam Abdominl Aorta (75625) |
— |
$10,266 |
— |
| Contrast X-Ray Bladder (74430) |
— |
$1,868 |
— |
| Contrast X-Ray Of Knee Joint (73580) |
— |
$2,443 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$9,924 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$9,924 |
— |
| CT abdomen w contrast (74160) |
— |
$5,188 |
— |
| CT abdomen w wo contrast (74170) |
— |
$5,188 |
— |
| CT abdomen w/o contrast (74150) |
— |
$2,894 |
— |
| CT Angio Abdomen and Pelvis (74174) |
— |
$9,924 |
— |
| CT Angio Chest (71275) |
— |
$936 |
— |
| CT Angio Head (70496) |
— |
$5,188 |
— |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
— |
$5,188 |
— |
| CT Angio Neck (70498) |
— |
$5,188 |
— |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
— |
$5,188 |
— |
| CT cervical spine w/ contrast (72126) |
— |
$6,837 |
— |
| CT cervical spine w/o contrast (72125) |
— |
$2,894 |
— |
| CT cervical spine w/wo cont (72127) |
— |
$5,188 |
— |
| CT chest w contrast (71260) |
— |
$5,188 |
— |
| CT chest w/wo contrast (71270) |
— |
$5,188 |
— |
| CT head/brain with contrast (70460) |
— |
$5,188 |
— |
| CT head/brain without and with contrast (70470) |
— |
$5,188 |
— |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$350 |
— |
| CT hrt w/3d image congen (75573) |
— |
$2,857 |
— |
| CT iac w contrast (70481) |
— |
$5,188 |
— |
| CT l-spine w&w/o contrast (72133) |
— |
$5,188 |
— |
| CT lower ext w/o (73700) |
— |
$2,894 |
— |
| CT lower extremity w/contrast material (73701) |
— |
$5,188 |
— |
| CT lumbar spine w contrast (72132) |
— |
$6,405 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$2,894 |
— |
| CT maxillofacial w contrast (70487) |
— |
$5,188 |
— |
| CT maxillofacial wo contrast (70486) |
— |
$2,894 |
— |
| CT neck tissue combo (70492) |
— |
$5,188 |
— |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
— |
$5,188 |
— |
| CT orbits w/o contrast (70480) |
— |
$2,894 |
— |
| CT pelvis w&w/o contrast (72194) |
— |
$5,188 |
— |
| CT pelvis w/o contrast (72192) |
— |
$2,894 |
— |
| CT scan of leg combo (73702) |
— |
$5,188 |
— |
| CT scans face/jaw combo (70488) |
— |
$5,188 |
— |
| CT soft tissue neck w contrast (70491) |
— |
$5,188 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$2,894 |
— |
| CT thoracic spine w contrast (72129) |
— |
$5,188 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$2,894 |
— |
| CT thoracic spine w/wo cont (72130) |
— |
$5,188 |
— |
| CT thorax w/o contrast (71250) |
— |
$2,894 |
— |
| CT upper ext wo (73200) |
— |
$2,894 |
— |
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines |
— |
$4,925–$5,188 |
— |
| CT upper extremity with contrast (73201) |
— |
$5,996 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$5,188 |
— |
| Cta Abdomen (74175) |
— |
$5,188 |
— |
| CTA pelvis (72191) |
— |
$5,188 |
— |
| Dxa Bone Density Axial (77080) |
— |
$553 |
— |
| Echo Guide For Artery Repair (76936) |
— |
$2,592 |
— |
| Echograp Trans R Pros Study (76873) |
— |
$1,961 |
— |
| Esophagram (74220) |
— |
$1,572 |
— |
| Fetal Biophys Profile W/Nst (76818) |
— |
$2,154 |
— |
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines |
— |
$1,248–$1,660 |
— |
| Follow-Up Angiography (75898) |
— |
$4,013 |
— |
| Foot 2 views (73620) |
— |
$858 |
— |
| Forearm 2 views (73090) |
— |
$892 |
— |
| Gastric emptying imaging study (78264) |
— |
$5,761 |
— |
| Gated Heart Planar Single (78472) |
— |
$4,575 |
— |
| Hand 2 views (73120) |
— |
$800 |
— |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
— |
$23,021 |
— |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
— |
$7,501 |
— |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
— |
$4,031 |
— |
| Hepatobil Syst Image W/Drug (78227) |
— |
$13,040 |
— |
| Hepatobiliary System Imaging (78226) |
— |
$9,621 |
— |
| Ht Muscle Image Spect Sing (78451) |
— |
$6,034 |
— |
| Hysterosalpingogram (74740) |
— |
$2,372 |
— |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
— |
$1,394 |
— |
| Intracavitary Radiation Source Applic Complex (77763) |
— |
$7,051 |
— |
| Intracavitary Radiation Source Applic Intermed (77762) |
— |
$4,968 |
— |
| Intracavitary radiation source applic simple (77761) |
— |
$3,754 |
— |
| K Flow/Funct Image W/Drug (78708) |
— |
$3,576 |
— |
| K Flow/Funct Image W/O Drug (78707) |
— |
$4,615 |
— |
| Knee 3 Views (73562) |
— |
$1,013 |
— |
| Liver & Spleen Imaging Static Only (78215) |
— |
$3,861 |
— |
| Liver imaging static only (78201) |
— |
$3,709 |
— |
| Lung Ventilat&Perfus Imaging (78582) |
— |
$9,720 |
— |
| Lung Ventilation Imaging (78579) |
— |
$5,546 |
— |
| Lymph System Imaging (78195) |
— |
$7,084 |
— |
| Magnetic Image Jaw Joint (70336) |
— |
$5,671 |
— |
| Mammary ductogram or galactogram multiple (77054) |
— |
$419 |
— |
| Mammary ductogram or galactogram single (77053) |
— |
$419 |
— |
| Meckels Divert Exam (78290) |
— |
$6,626 |
— |
| Mlc imrt design & construction per imrt plan (77338) |
— |
$4,228 |
— |
| Mr safety determination physician/other qhp (76016) |
— |
$457 |
— |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
— |
$127 |
— |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
— |
$476 |
— |
| Mr safety implt pos&/immoblj (76019) |
— |
$308 |
— |
| Mr safety med physics xm customization plng&mntr (76017) |
— |
$1,255 |
— |
| Mra Head W/O & W/Contrast Material (70546) |
— |
$9,492 |
— |
| MRA head w/o contrast (70544) |
— |
$5,671 |
— |
| MRA head with contrast (70545) |
— |
$8,227 |
— |
| MRA neck w contrast (70548) |
— |
$7,558 |
— |
| Mra Neck W/O &W/Contrast Material (70549) |
— |
$9,040 |
— |
| MRA neck w/o contrast (70547) |
— |
$5,671 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$5,671 |
— |
| MRI any jt lower extrem w/contrast material (73722) |
— |
$8,359 |
— |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
— |
$9,492 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$8,241 |
— |
| MRI cardiac w/o contrast (75557) |
— |
$5,671 |
— |
| MRI cervical spine w contrast (72142) |
— |
$9,125 |
— |
| MRI cervical spine w/o cont (72141) |
— |
$5,658 |
— |
| MRI chest w/o contrast (71550) |
— |
$5,671 |
— |
| MRI chest with contrast (71551) |
— |
$10,389 |
— |
| MRI chest wo w contrast (71552) |
— |
$9,492 |
— |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
— |
$7,862 |
— |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
— |
$9,443 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$5,671 |
— |
| MRI lumbar spine w contrast (72149) |
— |
$8,966 |
— |
| Mri Neck Spine W/O & W/Dye (72156) |
— |
$9,492 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$5,671 |
— |
| MRI orbit face neck w contrast (70542) |
— |
$8,845 |
— |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
— |
$9,492 |
— |
| MRI pelvis w contrast (72196) |
— |
$4,641 |
— |
| MRI pelvis w/o & w contrast (72197) |
— |
$9,492 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$5,671 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$5,671 |
— |
| MRI upper extremity oth than jt w/contr matrl (73219) |
— |
$8,900 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$5,671 |
— |
| Mri Uppr Extremity W/O&W/Dye (73220) |
— |
$9,486 |
— |
| MRI, abdomen, combo (74183) |
— |
$9,291 |
— |
| MRI, dorsal spine combo (72157) |
— |
$9,492 |
— |
| MRI, dorsal spine contrast (72147) |
— |
$9,087 |
— |
| MRI, joint upper extrem (73221) |
— |
$5,671 |
— |
| MRI, joint upper extrem combo (73223) |
— |
$9,492 |
— |
| MRI, lumbar spine combo (72158) |
— |
$9,492 |
— |
| Myelogram cervical (72240) |
— |
$4,764 |
— |
| Myelogram Lumbar (72265) |
— |
$4,932 |
— |
| Myelography thoracic (72255) |
— |
$3,398 |
— |
| Myelograpy 2/more regions rs&i (72270) |
— |
$5,577 |
— |
| Myocardial Spect Multiple Studies (78452) |
— |
$9,403 |
— |
| Neck soft tissue (70360) |
— |
$830 |
— |
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750)
range across 2 matching MRF lines |
— |
$6,180–$7,169 |
— |
| Nm csf leak detection (78650) |
— |
$7,088 |
— |
| Nonvascular Shunt X-Ray (75809) |
— |
$1,471 |
— |
| Ntsty modul radthx pln dose-vol histos (77301) |
— |
$16,214 |
— |
| Nuclear Rx Intra-Arterial (79445) |
— |
$2,167 |
— |
| Nuclear Rx Oral Admin (79005) |
— |
$701 |
— |
| Parathyroid Planar Imaging (78070) |
— |
$5,981 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$890 |
— |
| Pulmonary Perfusion Imaging Particulate (78580) |
— |
$4,746 |
— |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
— |
$1,375 |
— |
| Radex abscess/fistula/sinus tract rs&i (76080) |
— |
$2,134 |
— |
| Radex Ankle Complete Minimum 3 Views (73610) |
— |
$973 |
— |
| Radex Calcaneus Minimum 2 Views (73650) |
— |
$800 |
— |
| Radex elbow complete minimum 3 views (73080) |
— |
$993 |
— |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
— |
$1,184 |
— |
| Radex fingr minimum 2 views (73140) |
— |
$704 |
— |
| Radex foot complete minimum 3 views (73630) |
— |
$973 |
— |
| Radex Hand Minimum 3 Views (73130) |
— |
$873 |
— |
| Radex lower extremity infant minimum 2 views (73592) |
— |
$721 |
— |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
— |
$1,064 |
— |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
— |
$893 |
— |
| Radex Ribs Unilateral 2 Views (71100) |
— |
$988 |
— |
| Radex shoulder complete minimum 2 views (73030) |
— |
$998 |
— |
| Radex Sinuses Paransl < 3 Views (70210) |
— |
$826 |
— |
| Radex Spine 1 View Specify Level (72020) |
— |
$848 |
— |
| Radex Sternum Minimum 2 Views (71120) |
— |
$906 |
— |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
— |
$717 |
— |
| Radex Toe Minimum 2 Views (73660) |
— |
$705 |
— |
| Radex upper extremity infant minimum 2 views (73092) |
— |
$781 |
— |
| Radex Wrist Complete Minimum 3 Views (73110) |
— |
$978 |
— |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
— |
$11,969 |
— |
| Radiation treatment delivery level 1 (77402) |
— |
$668 |
— |
| Radiation treatment delivery level 2 (77407) |
— |
$732 |
— |
| Radiation treatment delivery level 3 (77412) |
— |
$1,219 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$1,264 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$1,222 |
— |
| Radiologic exam colon double contrast study (74280) |
— |
$2,718 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$2,272 |
— |
| Radiologic exam knee complete 4/more views (73564) |
— |
$1,218 |
— |
| Radiologic Exam Small Int Single Contrast Study (74250) |
— |
$1,831 |
— |
| Radiologic exam swallow function contrast study (74230) |
— |
$1,607 |
— |
| Radiologic exam upr gi trc double contrast study (74246) |
— |
$2,131 |
— |
| Radiologic examination femur 1 view (73551) |
— |
$784 |
— |
| Radiologic examination femur minimum 2 views (73552) |
— |
$1,009 |
— |
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines |
— |
$853–$1,393 |
— |
| Radiologic Examination Osseous Survey Limited (77074) |
— |
$902 |
— |
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines |
— |
$893–$1,393 |
— |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) |
— |
$8,892 |
— |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
— |
$5,674 |
— |
| Ribs bilateral 3 views (71110) |
— |
$1,252 |
— |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
— |
$667 |
— |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
— |
$2,076 |
— |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
— |
$11,348 |
— |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
— |
$7,189 |
— |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
— |
$7,908 |
— |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
— |
$13,031 |
— |
| Rp Therapy Intravenous Administration (79101) |
— |
$2,727 |
— |
| Scapula (73010) |
— |
$889 |
— |
| Screening Digital Breast Tomosynthesis Bi (77063) |
— |
$116 |
— |
| Shoulder 1 view (73020) |
— |
$824 |
— |
| Shoulder Arthrography (73040) |
— |
$2,396 |
— |
| Skull less than 4 views (70250) |
— |
$957 |
— |
| Special dosimetry (77331) |
— |
$535 |
— |
| Special Physics Consult (77370) |
— |
$977 |
— |
| Special teletherapy port plan (77321) |
— |
$687 |
— |
| Special treatment procedure (77470) |
— |
$1,302 |
— |
| Stereotactic Body Radiation Delivery (77373) |
— |
$15,216 |
— |
| Sternoclavicular joints (71130) |
— |
$904 |
— |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) |
— |
$1,690 |
— |
| Tbs technical calculation only (77091) |
— |
$1,690 |
— |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
— |
$2,382 |
— |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
— |
$1,216 |
— |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
— |
$4,269 |
— |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
— |
$7,176 |
— |
| Ther rad simulaj-aided field setting simple (77280) |
— |
$2,267 |
— |
| Thoracic spine 2 views (72070) |
— |
$1,116 |
— |
| Thoracic spine 3 views (72072) |
— |
$1,286 |
— |
| Thoracolumbar 2 views (72080) |
— |
$1,110 |
— |
| Thyroid Imaging With Vascular Flow (78013) |
— |
$3,780 |
— |
| Thyroid Met Imaging Body (78018) |
— |
$6,198 |
— |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
— |
$4,794 |
— |
| Tx Devices Design & Construction Complex (77334) |
— |
$1,273 |
— |
| Tx devices design & construction intermediate (77333) |
— |
$579 |
— |
| Tx devices design & construction simple (77332) |
— |
$691 |
— |
| Ultrasound Breast Limited (76642) |
— |
$1,205 |
— |
| Ultrasound Elastography Parenchyma (76981) |
— |
$552 |
— |
| Ultrasound Exam Aaa Screen (76706) |
— |
$560 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$1,832 |
— |
| Unlisted us procedure (76999) |
— |
$1,394 |
— |
| Upper gi w/o kub (74240) |
— |
$1,821 |
— |
| Urethrocystogram voiding (74455) |
— |
$2,232 |
— |
| Us breast unilateral complete (76641) |
— |
$1,465 |
— |
Us chest (76604)
range across 2 matching MRF lines |
— |
$1,300–$1,365 |
— |
| Us complete joint (76881) |
— |
$1,986 |
— |
| Us exam, pelvic, limited (76857) |
— |
$1,617 |
— |
| Us head (76506) |
— |
$1,734 |
— |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
— |
$1,264 |
— |
| Us ob limited 1 or more fetuses (76815) |
— |
$1,315 |
— |
| Us ob transvaginal (76817) |
— |
$1,561 |
— |
| Us pelvic non ob complete (76856) |
— |
$2,201 |
— |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
— |
$1,740 |
— |
| Us retroperitoneal complete (76770) |
— |
$2,098 |
— |
| Us retroperitoneal limited (76775) |
— |
$1,072 |
— |
| Us scrotum and contents (76870) |
— |
$1,617 |
— |
| Us spinal canal and contents (76800) |
— |
$1,606 |
— |
| Us thyroid (76536) |
— |
$1,746 |
— |
| Vein X-Ray Chest (75827) |
— |
$6,028 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$10,794 |
— |
| Venography extremity bilateral rs&i (75822) |
— |
$4,820 |
— |
| Venography extremity unilateral rs&i (75820) |
— |
$3,569 |
— |
| Venography Renal Unilateral (75831) |
— |
$5,853 |
— |
| Wrist 2 views (73100) |
— |
$816 |
— |
| X-ray antegrade pyelogram tube (74425) |
— |
$1,146 |
— |
| X-Ray Aorta Leg Arteries (75630) |
— |
$11,517 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$817 |
— |
| X-Ray Exam Entire Spi 1 Vw (72081) |
— |
$998 |
— |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
— |
$1,367 |
— |
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines |
— |
$425–$780 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$578 |
— |
| X-Ray Exam Hips Bi 2 Views (73521) |
— |
$1,156 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$1,293 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$1,765 |
— |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
— |
$1,069 |
— |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
— |
$1,765 |
— |
| X-Ray Exam Unilat Ribs/Chest (71101) |
— |
$1,209 |
— |
| X-ray humerus (73060) |
— |
$840 |
— |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
— |
$793 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$949 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$1,152 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$2,418 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$994 |
— |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
— |
$405 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$1,020 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$1,217 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$1,561 |
— |
| X-Ray Tmj Unilat (70328) |
— |
$517 |
— |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
— |
$1,482 |
— |
| X-Rays Bone Length Studies (77073) |
— |
$994 |
— |
| X-Rays Bone Survey Complete (77075) |
— |
$2,222 |
— |
| Xr c-spine 4 or 5 views (72050) |
— |
$1,515 |
— |
| Xr facial bones less than 3 views (70140) |
— |
$906 |
— |
| Xr orbits complete 4 views (70200) |
— |
$1,225 |
— |