| Abdomen 1 View (74018) |
$252.90 |
$281 |
2.8× |
| Abdomen 2 views (74019) |
$450.90 |
$501 |
4.1× |
| Ankle 2 views (73600) |
$242.10 |
$269 |
2.6× |
| Arthrogram Wrist (73115) |
$375.30 |
$417 |
1.0× |
| Bone age studies (77072) |
$283.50 |
$315 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$1,844.10 |
$2,049 |
4.4× |
| Bone Imaging Limited Area (78300) |
$1,125.90 |
$1,251 |
2.7× |
| Bone Imaging Multiple Areas (78305) |
$1,538.10 |
$1,709 |
3.6× |
| Bone Imaging Whole Body (78306) |
$1,656 |
$1,840 |
3.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,061.60 |
$5,624 |
3.4× |
| Chest 1 view (71045) |
$273.60 |
$304 |
3.0× |
| Chest 2 views (71046) |
$294.30 |
$327 |
3.2× |
| Chest 3 views (71047) |
$309.60 |
$344 |
3.4× |
| Chest 4 or more views (71048) |
$331.20 |
$368 |
3.0× |
| Clavicle complete (73000) |
$253.80 |
$282 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$252 |
$280 |
2.3× |
| Contrast X-Ray Bladder (74430) |
$1,233.90 |
$1,371 |
3.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,459.70 |
$2,733 |
6.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,867.50 |
$2,075 |
7.4× |
| CT abdomen w contrast (74160) |
$1,326.60 |
$1,474 |
7.2× |
| CT abdomen w wo contrast (74170) |
$1,503.90 |
$1,671 |
8.1× |
| CT abdomen w/o contrast (74150) |
$1,127.70 |
$1,253 |
10.2× |
| CT Angio Abdomen and Pelvis (74174) |
$2,583 |
$2,870 |
7.0× |
| CT Angio Chest (71275) |
$1,985.40 |
$2,206 |
10.7× |
| CT Angio Head (70496) |
$1,883.70 |
$2,093 |
10.2× |
| CT angio hrt w/3d image (75574) |
$1,326.60 |
$1,474 |
3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,638 |
$1,820 |
8.9× |
| CT Angio Neck (70498) |
$1,883.70 |
$2,093 |
10.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,562.40 |
$1,736 |
8.4× |
| CT cervical spine w/ contrast (72126) |
$1,521 |
$1,690 |
4.1× |
| CT cervical spine w/o contrast (72125) |
$1,710 |
$1,900 |
15.5× |
| CT cervical spine w/wo cont (72127) |
$1,557 |
$1,730 |
8.4× |
| CT chest w contrast (71260) |
$1,557 |
$1,730 |
8.4× |
| CT chest w/wo contrast (71270) |
$1,712.70 |
$1,903 |
9.3× |
| CT head/brain with contrast (70460) |
$1,297.80 |
$1,442 |
7.0× |
| CT head/brain without and with contrast (70470) |
$1,493.10 |
$1,659 |
8.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$532.80 |
$592 |
1.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$135 |
$150 |
1.5× |
| CT hrt w/3d image congen (75573) |
$559.80 |
$622 |
1.5× |
| CT iac w contrast (70481) |
$1,117.80 |
$1,242 |
6.0× |
| CT l-spine w&w/o contrast (72133) |
$1,588.50 |
$1,765 |
8.6× |
| CT lower ext w/o (73700) |
$1,228.50 |
$1,365 |
11.1× |
| CT lower extremity w/contrast material (73701) |
$1,317.60 |
$1,464 |
7.1× |
| CT lumbar spine w contrast (72132) |
$1,297.80 |
$1,442 |
3.5× |
| CT lumbar spine w/o contrast (72131) |
$980.10 |
$1,089 |
8.9× |
| CT maxillofacial w contrast (70487) |
$1,274.40 |
$1,416 |
6.9× |
| CT maxillofacial wo contrast (70486) |
$1,127.70 |
$1,253 |
10.2× |
| CT neck tissue combo (70492) |
$1,469.70 |
$1,633 |
7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,097.10 |
$1,219 |
5.9× |
| CT orbits w/o contrast (70480) |
$910.80 |
$1,012 |
8.3× |
| CT pelvis w&w/o contrast (72194) |
$1,576.80 |
$1,752 |
8.5× |
| CT pelvis w/o contrast (72192) |
$1,064.70 |
$1,183 |
9.7× |
| CT scan of leg combo (73702) |
$1,375.20 |
$1,528 |
7.4× |
| CT scans face/jaw combo (70488) |
$1,717.20 |
$1,908 |
9.3× |
| CT soft tissue neck w contrast (70491) |
$1,376.10 |
$1,529 |
7.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,222.20 |
$1,358 |
11.1× |
| CT thoracic spine w contrast (72129) |
$1,487.70 |
$1,653 |
8.0× |
| CT thoracic spine w/o contrast (72128) |
$1,096.20 |
$1,218 |
9.9× |
| CT thoracic spine w/wo cont (72130) |
$1,776.60 |
$1,974 |
9.6× |
| CT thorax w/o contrast (71250) |
$910.80 |
$1,012 |
8.3× |
| CT upper ext wo (73200) |
$942.30 |
$1,047 |
8.5× |
| CT upper extremity with contrast (73201) |
$1,275.30 |
$1,417 |
3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,326.60 |
$1,474 |
7.2× |
| Cta Abdomen (74175) |
$1,579.50 |
$1,755 |
8.5× |
| CTA pelvis (72191) |
$1,326.60 |
$1,474 |
7.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$275.40 |
$306 |
2.5× |
| Dxa Bone Density Axial (77080) |
$329.40 |
$366 |
3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$210.60 |
$234 |
2.3× |
| Esophagram (74220) |
$431.10 |
$479 |
2.3× |
| Fetal Biophys Profile W/Nst (76818) |
$498.60 |
$554 |
4.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$401.40 |
$446 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$738.90 |
$821 |
2.9× |
| Foot 2 views (73620) |
$242.10 |
$269 |
2.6× |
| Forearm 2 views (73090) |
$276.30 |
$307 |
3.0× |
| Gastric emptying imaging study (78264) |
$1,595.70 |
$1,773 |
3.8× |
| Hand 2 views (73120) |
$230.40 |
$256 |
2.1× |
| Hepatobil Syst Image W/Drug (78227) |
$1,314 |
$1,460 |
2.3× |
| Hepatobiliary System Imaging (78226) |
$966.60 |
$1,074 |
2.3× |
| Hysterosalpingogram (74740) |
$527.40 |
$586 |
2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$513 |
$570 |
5.6× |
| K Flow/Funct Image W/Drug (78708) |
$1,532.70 |
$1,703 |
2.7× |
| Knee 3 Views (73562) |
$332.10 |
$369 |
3.6× |
| Liver & Spleen Imaging Static Only (78215) |
$1,262.70 |
$1,403 |
3.0× |
| Lung perfusion differential (78597) |
$1,182.60 |
$1,314 |
2.8× |
| Lung Ventilat&Perfus Imaging (78582) |
$2,126.70 |
$2,363 |
3.7× |
| Lymph System Imaging (78195) |
$2,035.80 |
$2,262 |
3.6× |
| Magnetic Image Jaw Joint (70336) |
$788.40 |
$876 |
3.1× |
| Mammary ductogram or galactogram multiple (77054) |
$666 |
$740 |
2.6× |
| Mra Head W/O & W/Contrast Material (70546) |
$1,565.10 |
$1,739 |
4.3× |
| MRA head w/o contrast (70544) |
$940.50 |
$1,045 |
3.7× |
| MRA neck w contrast (70548) |
$1,544.40 |
$1,716 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,565.10 |
$1,739 |
4.3× |
| MRA neck w/o contrast (70547) |
$1,401.30 |
$1,557 |
5.6× |
| MRI abdomen w contrast (74182) |
$1,536.30 |
$1,707 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$940.50 |
$1,045 |
3.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,565.10 |
$1,739 |
1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,471.40 |
$2,746 |
6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,271.70 |
$1,413 |
1.5× |
| MRI Breast W/O Contrast Bilateral (77047) |
$1,777.50 |
$1,975 |
7.1× |
| MRI cervical spine w contrast (72142) |
$1,533.60 |
$1,704 |
4.2× |
| MRI cervical spine w/o cont (72141) |
$940.50 |
$1,045 |
3.7× |
| MRI chest w/o contrast (71550) |
$1,149.30 |
$1,277 |
4.6× |
| MRI chest wo w contrast (71552) |
$1,565.10 |
$1,739 |
4.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,360.80 |
$1,512 |
3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,565.10 |
$1,739 |
4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$940.50 |
$1,045 |
3.7× |
| MRI lumbar spine w contrast (72149) |
$1,533.60 |
$1,704 |
4.2× |
| Mri Neck Spine W/O & W/Dye (72156) |
$1,565.10 |
$1,739 |
4.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$940.50 |
$1,045 |
3.7× |
| MRI orbit face neck w contrast (70542) |
$1,360.80 |
$1,512 |
3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$1,565.10 |
$1,739 |
4.3× |
| MRI pelvis w contrast (72196) |
$1,246.50 |
$1,385 |
3.4× |
| MRI pelvis w/o & w contrast (72197) |
$1,565.10 |
$1,739 |
4.3× |
| MRI pelvis w/o contrast (72195) |
$940.50 |
$1,045 |
3.7× |
| MRI thoracic spine w/o contrast (72146) |
$940.50 |
$1,045 |
3.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$1,293.30 |
$1,437 |
3.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$940.50 |
$1,045 |
3.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$1,565.10 |
$1,739 |
4.3× |
| MRI, abdomen, combo (74183) |
$1,565.10 |
$1,739 |
4.3× |
| MRI, dorsal spine combo (72157) |
$1,565.10 |
$1,739 |
4.3× |
| MRI, dorsal spine contrast (72147) |
$1,533.60 |
$1,704 |
4.2× |
| MRI, joint upper extrem (73221) |
$925.20 |
$1,028 |
3.7× |
| MRI, joint upper extrem combo (73223) |
$1,536.30 |
$1,707 |
4.2× |
| MRI, lumbar spine combo (72158) |
$1,565.10 |
$1,739 |
4.3× |
| Myocardial Spect Multiple Studies (78452) |
$3,581.10 |
$3,979 |
2.6× |
| N-invas est c ffr sw aly CTA (75580) |
$2,747.70 |
$3,053 |
3.0× |
| Neck soft tissue (70360) |
$248.40 |
$276 |
2.7× |
| Ob us nuchal meas 1 gest (76813) |
$404.10 |
$449 |
3.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$325.80 |
$362 |
3.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$1,512.90 |
$1,681 |
2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,071.90 |
$1,191 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$324.90 |
$361 |
2.9× |
| PET image w/CT, full body (78816) |
$7,140.60 |
$7,934 |
4.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$7,068.60 |
$7,854 |
4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,224.90 |
$1,361 |
2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$470.70 |
$523 |
4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$256.50 |
$285 |
2.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$242.10 |
$269 |
2.6× |
| Radex elbow complete minimum 3 views (73080) |
$276.30 |
$307 |
3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$364.50 |
$405 |
3.3× |
| Radex fingr minimum 2 views (73140) |
$242.10 |
$269 |
2.6× |
| Radex foot complete minimum 3 views (73630) |
$279.90 |
$311 |
3.0× |
| Radex Hand Minimum 3 Views (73130) |
$269.10 |
$299 |
2.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$210.60 |
$234 |
2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$302.40 |
$336 |
3.3× |
| Radex Ribs Unilateral 2 Views (71100) |
$265.50 |
$295 |
2.9× |
| Radex shoulder complete minimum 2 views (73030) |
$337.50 |
$375 |
3.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$242.10 |
$269 |
2.6× |
| Radex Spine 1 View Specify Level (72020) |
$242.10 |
$269 |
2.6× |
| Radex Sternum Minimum 2 Views (71120) |
$247.50 |
$275 |
2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$231.30 |
$257 |
2.5× |
| Radex Toe Minimum 2 Views (73660) |
$242.10 |
$269 |
2.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$332.10 |
$369 |
3.0× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$242.10 |
$269 |
2.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$398.70 |
$443 |
3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$328.50 |
$365 |
3.0× |
| Radiologic exam colon double contrast study (74280) |
$738.90 |
$821 |
4.0× |
| Radiologic exam colon single contrast study (74270) |
$647.10 |
$719 |
3.5× |
| Radiologic exam knee complete 4/more views (73564) |
$337.50 |
$375 |
3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$335.70 |
$373 |
3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$536.40 |
$596 |
2.9× |
| Radiologic exam swallow function contrast study (74230) |
$532.80 |
$592 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$668.70 |
$743 |
3.6× |
| Radiologic examination femur 1 view (73551) |
$242.10 |
$269 |
2.6× |
| Radiologic examination femur minimum 2 views (73552) |
$333.90 |
$371 |
3.6× |
| Radiologic examination knee 1/2 views (73560) |
$243.90 |
$271 |
2.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$288.90 |
$321 |
3.1× |
| Ribs bilateral 3 views (71110) |
$384.30 |
$427 |
3.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,578.50 |
$2,865 |
4.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$3,402 |
$3,780 |
2.5× |
| Scapula (73010) |
$295.20 |
$328 |
2.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$54.90 |
$61 |
2.3× |
| Shoulder 1 view (73020) |
$228.60 |
$254 |
2.5× |
| Shoulder Arthrography (73040) |
$671.40 |
$746 |
1.8× |
| Skull less than 4 views (70250) |
$260.10 |
$289 |
2.4× |
| Sternoclavicular joints (71130) |
$264.60 |
$294 |
2.9× |
| Thoracic spine 2 views (72070) |
$352.80 |
$392 |
3.2× |
| Thoracic spine 3 views (72072) |
$433.80 |
$482 |
3.9× |
| Thoracolumbar 2 views (72080) |
$259.20 |
$288 |
2.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$897.30 |
$997 |
2.1× |
| Thyroid Met Imaging Body (78018) |
$1,532.70 |
$1,703 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$937.80 |
$1,042 |
2.2× |
| Ultrasound Breast Limited (76642) |
$206.10 |
$229 |
2.2× |
| Ultrasound Elastography Parenchyma (76981) |
$288.90 |
$321 |
2.6× |
| Ultrasound Exam Aaa Screen (76706) |
$513 |
$570 |
4.7× |
| Ultrasound, abdomen limited (76705) |
$507.60 |
$564 |
4.6× |
| Umbilical-artery Doppler (OB) (76820) |
$239.40 |
$266 |
2.2× |
| Unlisted Dx Radiographic Procedure (76499) |
$179.20 |
$199.11 |
2.0× |
| Unlisted us procedure (76999) |
$210.47 |
$233.85 |
2.3× |
| Upper gi w/o kub (74240) |
$532.80 |
$592 |
2.9× |
| Urethrocystogram voiding (74455) |
$513 |
$570 |
2.0× |
| Urethrocystography retrograde (74450) |
$690.30 |
$767 |
2.7× |
| Us breast unilateral complete (76641) |
$209.70 |
$233 |
1.9× |
| Us chest (76604) |
$507.60 |
$564 |
4.6× |
| Us complete joint (76881) |
$445.50 |
$495 |
4.0× |
| Us exam, pelvic, limited (76857) |
$325.80 |
$362 |
3.0× |
| Us head (76506) |
$513 |
$570 |
4.7× |
| Us kidney transplant (76776) |
$948.60 |
$1,054 |
8.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$359.10 |
$399 |
3.3× |
| Us ob detailed single fetus (76811) |
$776.70 |
$863 |
3.1× |
| Us ob limited 1 or more fetuses (76815) |
$325.80 |
$362 |
3.0× |
| Us ob transvaginal (76817) |
$325.80 |
$362 |
3.0× |
| Us pelvic non ob complete (76856) |
$513 |
$570 |
4.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$325.80 |
$362 |
3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$318.60 |
$354 |
2.9× |
| Us retroperitoneal complete (76770) |
$496.80 |
$552 |
4.5× |
| Us retroperitoneal limited (76775) |
$445.50 |
$495 |
4.0× |
| Us scrotum and contents (76870) |
$513 |
$570 |
4.7× |
| Us spinal canal and contents (76800) |
$513 |
$570 |
4.7× |
| Us thyroid (76536) |
$513 |
$570 |
4.7× |
| Vertebral fracture assessment via dxa (77086) |
$225.90 |
$251 |
2.5× |
| Wrist 2 views (73100) |
$221.40 |
$246 |
2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$290.70 |
$323 |
3.2× |
| X-ray antegrade pyelogram tube (74425) |
$1,153.80 |
$1,282 |
3.1× |
| X-Ray Bend Only L-S Spine (72120) |
$414 |
$460 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$242.10 |
$269 |
2.6× |
| X-Ray Exam Breast Specimen (76098) |
$991.80 |
$1,102 |
1.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$263.70 |
$293 |
2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$357.30 |
$397 |
3.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$379.80 |
$422 |
3.4× |
| X-Ray Exam Hip Uni 1 View (73501) |
$210.60 |
$234 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$296.10 |
$329 |
3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$326.70 |
$363 |
3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$344.70 |
$383 |
3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$394.20 |
$438 |
3.6× |
| X-Ray Exam L-S Spine Bending (72114) |
$382.50 |
$425 |
3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$322.20 |
$358 |
3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$513.90 |
$571 |
4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$346.50 |
$385 |
3.1× |
| X-ray eye for foreign body (70030) |
$347.40 |
$386 |
3.8× |
| X-ray humerus (73060) |
$276.30 |
$307 |
3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$210.60 |
$234 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$259.20 |
$288 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$359.10 |
$399 |
3.3× |
| X-ray nose-rectum child f.b. (76010) |
$252 |
$280 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$418.50 |
$465 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$342.90 |
$381 |
3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$292.50 |
$325 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$306 |
$340 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$252 |
$280 |
2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$427.50 |
$475 |
3.9× |
| X-ray thoracic spine 4 vw (72074) |
$498.60 |
$554 |
4.5× |
| X-Ray Tmj Unilat (70328) |
$220.50 |
$245 |
2.4× |
| X-Rays Bone Survey Complete (77075) |
$627.30 |
$697 |
5.7× |
| Xr c-spine 4 or 5 views (72050) |
$388.80 |
$432 |
3.5× |
| Xr facial bones less than 3 views (70140) |
$333 |
$370 |
3.6× |
| Xr orbits complete 4 views (70200) |
$351.90 |
$391 |
3.2× |