| Abdomen 2 views (74019) |
$39.75 |
$53 |
0.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$951 |
$1,268 |
2.5× |
| Angiography extremity bilateral rs&i (75716) |
$3,538.12 |
$4,717.50 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$6,425.25 |
$8,567 |
2.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$151.50 |
$202 |
0.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,941 |
$5,444.50 |
1.5× |
| Ankle 2 views (73600) |
$102 |
$136 |
1.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$704.25 |
$939 |
2.1× |
| Aortogram thoracic (75605) |
$6,207 |
$8,276 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,525 |
$4,700 |
1.2× |
| Aortography abdominal serialography rs&i (75625) |
$6,874.50 |
$4,680.50 |
2.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$762.75 |
$1,017 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$1,795.50 |
$2,394 |
4.6× |
| Bone age studies (77072) |
$118.50 |
$158 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$1,429.50 |
$1,906 |
3.7× |
| Bone survey complete (77075) |
$512.25 |
$683 |
5.1× |
| Brain image w/flow 4 + views (78606) |
$1,272.75 |
$1,697 |
2.4× |
| Cervical spine 2 or 3 views (72040) |
$99 |
$132 |
1.2× |
| Chest 1 view (71045) |
$82.12 |
$109.50 |
1.0× |
| Chest 3 views (71047) |
$62.25 |
$83 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$332.25 |
$443 |
2.0× |
| Clavicle complete (73000) |
$93 |
$124 |
1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,127.25 |
$1,503 |
11.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,127.25 |
$1,503 |
3.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,127.25 |
$1,503 |
4.9× |
| CT abdomen w contrast (74160) |
$1,127.25 |
$1,503 |
6.6× |
| CT abdomen w wo contrast (74170) |
$1,127.25 |
$1,503 |
6.6× |
| CT abdomen w/o contrast (74150) |
$1,127.25 |
$1,503 |
11.1× |
| CT angio hrt w/3d image (75574) |
$1,127.25 |
$1,503 |
3.3× |
| CT angiography upper extremity lt (73206) |
$1,127.25 |
$1,503 |
6.6× |
| CT c-spine w/o contrast (72125) |
$1,127.25 |
$1,503 |
11.1× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$336 |
$448 |
2.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,127.25 |
$1,503 |
6.6× |
| CT cervical spine with contrast (72126) |
$1,127.25 |
$1,503 |
3.3× |
| CT chest w/wo contrast (71270) |
$1,127.25 |
$1,503 |
6.6× |
| CT chest with contrast (71260) |
$1,127.25 |
$1,503 |
6.6× |
| CT head/brain with contrast (70460) |
$1,127.25 |
$1,503 |
6.6× |
| CT head/brain without and with contrast (70470) |
$1,127.25 |
$1,503 |
6.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,127.25 |
$1,503 |
13.4× |
| CT iac w contrast (70481) |
$1,127.25 |
$1,503 |
6.6× |
| CT lower ext w/o (73700) |
$1,127.25 |
$1,503 |
11.1× |
| CT lower extremity w wo contrast (73702) |
$1,127.25 |
$1,503 |
6.6× |
| CT lower extremity with contrast (73701) |
$1,127.25 |
$1,503 |
6.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,127.25 |
$1,503 |
6.6× |
| CT lumbar spine w/o contrast (72131) |
$1,127.25 |
$1,503 |
11.1× |
| CT lumbar spine with contrast (72132) |
$1,127.25 |
$1,503 |
3.3× |
| CT maxillofacial w contrast (70487) |
$1,127.25 |
$1,503 |
6.6× |
| CT maxillofacial w/o contrast (70486) |
$1,127.25 |
$1,503 |
11.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,127.25 |
$1,503 |
6.6× |
| CT neck soft tissue w contrast (70491) |
$1,127.25 |
$1,503 |
6.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,127.25 |
$1,503 |
6.6× |
| CT orbits w/o contrast (70480) |
$1,127.25 |
$1,503 |
11.1× |
| CT pelvis w & w/o contrast (72194) |
$1,127.25 |
$1,503 |
6.6× |
| CT pelvis w/o contrast (72192) |
$1,127.25 |
$1,503 |
11.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,127.25 |
$1,503 |
11.1× |
| CT thoracic spine w/contrast (72129) |
$1,127.25 |
$1,503 |
6.6× |
| CT thoracic spine w/o contrast (72128) |
$1,127.25 |
$1,503 |
11.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,127.25 |
$1,503 |
6.6× |
| CT thorax w/o contrast (71250) |
$1,127.25 |
$1,503 |
11.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,127.25 |
$1,503 |
11.1× |
| CT upper extremity with contrast (73201) |
$1,127.25 |
$1,503 |
3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,127.25 |
$1,503 |
6.6× |
| Cta Abdomen (74175) |
$1,127.25 |
$1,503 |
6.6× |
| CTA abdomen pelvis (74174) |
$1,127.25 |
$1,503 |
3.3× |
| CTA chest (71275) |
$1,127.25 |
$1,503 |
6.6× |
| Cta Head (70496) |
$1,127.25 |
$1,503 |
6.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$668.25 |
$891 |
2.0× |
| CTA lwr ext w&w/o contrast (73706) |
$1,127.25 |
$1,503 |
6.6× |
| Cta Neck (70498) |
$1,127.25 |
$1,503 |
6.6× |
| Cta Pelvis (72191) |
$1,127.25 |
$1,503 |
6.6× |
| Cystography minimum 3 views rs&i (74430) |
$427.12 |
$552 |
1.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$231.75 |
$309 |
2.3× |
| Dxa bone density study axial skeleton (77085) |
$231.75 |
$309 |
2.3× |
| Echoencephalography real time imaging (76506) |
$564.75 |
$753 |
5.6× |
| Esophagus (74220) |
$510 |
$680 |
3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$375.75 |
$501 |
3.7× |
| Fluoroscopy up to 1 hr (76000) |
$241.88 |
$322.50 |
1.0× |
| Foot 2 views (73620) |
$102 |
$136 |
1.2× |
| Forearm 2 views (73090) |
$97.12 |
$129.50 |
1.2× |
| Gated Heart Planar Single (78472) |
$506.25 |
$675 |
1.3× |
| Hand 2 views (73120) |
$266.25 |
$355 |
2.6× |
| Hand 3 views (73130) |
$99.75 |
$133 |
1.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$762 |
$1,016 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$762 |
$1,016 |
2.0× |
| Ht muscle image spect sing (78451) |
$1,746.38 |
$2,328.50 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$93 |
$124 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,308.75 |
$1,745 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,308.75 |
$1,745 |
2.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,008 |
$1,344 |
1.9× |
| Knee 3 views (73562) |
$100.50 |
$134 |
1.2× |
| Liver & spleen imaging static only (78215) |
$843 |
$1,124 |
2.2× |
| Lung perf&ventilat diferentl (78598) |
$1,262.25 |
$1,683 |
2.4× |
| Lung perfusion differential (78597) |
$762 |
$1,016 |
2.0× |
| Lung Ventilation Imaging (78579) |
$762 |
$1,016 |
2.0× |
| Lymphoscintigraphy (78195) |
$1,398.75 |
$1,865 |
2.7× |
| Mammary ductogram or galactogram multiple (77054) |
$440.25 |
$587 |
1.9× |
| Mammary ductogram or galactogram single (77053) |
$537 |
$716 |
2.3× |
| Meckels Diverticulum (78290) |
$990.75 |
$1,321 |
2.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$47.25 |
$63 |
1.7× |
| MRA head w/o contrast (70544) |
$1,302.75 |
$1,737 |
5.6× |
| MRA head with contrast (70545) |
$1,302.75 |
$1,737 |
3.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,302.75 |
$1,737 |
3.9× |
| MRA neck w/o contrast (70547) |
$1,302.75 |
$1,737 |
5.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,302.75 |
$1,737 |
3.9× |
| MRI abdomen w/o contrast (74181) |
$1,302.75 |
$1,737 |
5.6× |
| MRI any jnt lwr ext with con lt (73722) |
$1,302.75 |
$1,737 |
1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,302.75 |
$1,737 |
1.7× |
| MRI breast w/o contrast bilateral (77047) |
$908.25 |
$1,211 |
3.9× |
| MRI breast w/o contrast unilat (77046) |
$454.50 |
$606 |
2.0× |
| MRI c-spine with contrast (72142) |
$1,302.75 |
$1,737 |
3.9× |
| MRI cervical spine w/o contrast (72141) |
$1,302.75 |
$1,737 |
5.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,302.75 |
$1,737 |
3.9× |
| MRI chest w/o contrast (71550) |
$1,302.75 |
$1,737 |
5.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,302.75 |
$1,737 |
3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,302.75 |
$1,737 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,302.75 |
$1,737 |
5.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,302.75 |
$1,737 |
5.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,302.75 |
$1,737 |
3.9× |
| MRI pelvis w contrast (72196) |
$1,302.75 |
$1,737 |
3.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,302.75 |
$1,737 |
3.9× |
| MRI pelvis w/o contrast (72195) |
$1,302.75 |
$1,737 |
5.6× |
| MRI scan of arm joint before and after contrast (73223) |
$1,302.75 |
$1,737 |
3.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,302.75 |
$1,737 |
3.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,302.75 |
$1,737 |
3.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,302.75 |
$1,737 |
3.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,302.75 |
$1,737 |
3.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,302.75 |
$1,737 |
3.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,302.75 |
$1,737 |
3.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,302.75 |
$1,737 |
5.6× |
| MRI tmj (70336) |
$1,302.75 |
$1,737 |
5.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,955.25 |
$2,607 |
8.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,302.75 |
$1,737 |
3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,302.75 |
$1,737 |
5.6× |
| Myocardial Spect Multiple Studies (78452) |
$1,304.62 |
$1,739.50 |
1.0× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,923.75 |
$2,565 |
2.3× |
| Neck soft tissue (70360) |
$102 |
$136 |
1.2× |
| Nm cisternogram (78630) |
$2,530.50 |
$3,374 |
4.8× |
| Nm gastric emptying study (78264) |
$1,032 |
$1,376 |
2.7× |
| Nm whole blood volume (78122) |
$1,398.75 |
$1,865 |
2.7× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,418.25 |
$1,891 |
1.1× |
| Nuclear Rx Oral Admin (79005) |
$756.75 |
$1,009 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$375.75 |
$501 |
3.7× |
| Osseous survey infant (77076) |
$254.25 |
$339 |
2.5× |
| Osseous survey limited (77074) |
$315.38 |
$420.50 |
3.1× |
| Parathyrd planar w/spect&CT (78072) |
$1,039.50 |
$1,386 |
2.0× |
| Parathyrd planar w/wo subtrj (78071) |
$1,859.25 |
$2,479 |
4.8× |
| Parathyroid imaging (78070) |
$1,859.25 |
$2,479 |
4.8× |
| Pelvis 1 or 2 views (72170) |
$133.12 |
$177.50 |
1.3× |
| Perineogram (74775) |
$272.25 |
$363 |
1.2× |
| Peritoneogram rs&i (74190) |
$972 |
$1,296 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$2,993.25 |
$3,991 |
2.2× |
| PET imaging for CT attenuation whole body (78816) |
$2,993.25 |
$3,991 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,302.75 |
$1,737 |
3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$937.50 |
$1,250 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$762 |
$1,016 |
1.4× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,782 |
$1,218 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$803.25 |
$1,071 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$84.38 |
$112.50 |
1.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$118.50 |
$158 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$136.50 |
$182 |
1.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$118.50 |
$158 |
1.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$231.75 |
$309 |
2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$65.25 |
$87 |
0.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$91.50 |
$122 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$83.62 |
$111.50 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$577.50 |
$770 |
3.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$295.50 |
$394 |
1.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$231.75 |
$309 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$99 |
$132 |
1.2× |
| Radiological examination surgical specimen (76098) |
$1,122 |
$1,496 |
2.1× |
| Ribs bilateral 3 views (71110) |
$118.50 |
$158 |
1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,159.50 |
$1,546 |
3.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,959.75 |
$2,613 |
3.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,107 |
$1,476 |
2.1× |
| Sacroiliac Joints < 3 Views (72200) |
$133.88 |
$178.50 |
1.3× |
| Scanogram (77073) |
$249.75 |
$333 |
2.5× |
| Scapula complete (73010) |
$118.50 |
$158 |
1.2× |
| Screening digital breast tomosynthesis (77063) |
$84.75 |
$113 |
3.6× |
| Sella turcica (70240) |
$102 |
$136 |
1.2× |
| Small bowel series (74250) |
$512.25 |
$683 |
3.0× |
| Spine thoracic 3 views (72072) |
$135.75 |
$181 |
1.3× |
| Testicular Imaging With Vascular Flow (78761) |
$885 |
$1,180 |
2.3× |
| Thoracolumbar 2 views (72080) |
$102 |
$136 |
1.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$995.25 |
$1,327 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$762 |
$1,016 |
2.0× |
| Thyroid uptake measurement (78012) |
$762 |
$1,016 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$762 |
$1,016 |
2.0× |
| Tmj unilateral (70328) |
$102 |
$136 |
1.2× |
| Tomogram (76100) |
$118.50 |
$158 |
1.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,914.50 |
$3,886 |
5.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,159.50 |
$1,546 |
3.0× |
| Ultrasound elastography first target lesion (76982) |
$231 |
$308 |
2.3× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$414 |
$552 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$768.75 |
$1,025 |
7.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$170.25 |
$227 |
2.0× |
| Unlisted Ultrasound Procedure (76999) |
$209.25 |
$279 |
2.5× |
| Upper Extremity Infant (73092) |
$283.12 |
$377.50 |
2.8× |
| Urethrocystography retrograde rs&i (74450) |
$272.25 |
$363 |
1.2× |
| Urethrocystography voiding (74455) |
$537.75 |
$717 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$494.25 |
$659 |
2.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$272.25 |
$363 |
1.6× |
| Us abdl aorta screen aaa (76706) |
$295.50 |
$394 |
2.9× |
| Us breast unilateral complete (76641) |
$316.12 |
$421.50 |
3.1× |
| Us breast unilateral limited (76642) |
$207.75 |
$277 |
2.5× |
| Us chest (76604) |
$438.75 |
$585 |
4.3× |
| Us compl joint r-t w/image documentation (76881) |
$384.38 |
$512.50 |
3.8× |
| Us elastography parenchyma (76981) |
$231 |
$308 |
2.3× |
| Us guided compression repair (76936) |
$504.75 |
$673 |
2.4× |
| Us infant hips dynamic (76885) |
$412.50 |
$550 |
4.9× |
| Us infant hips limited static (76886) |
$352.50 |
$470 |
4.2× |
| Us kidney transplant (76776) |
$352.50 |
$470 |
3.5× |
| Us ob detailed single fetus (76811) |
$290.25 |
$387 |
1.3× |
| Us ob transvaginal (76817) |
$513.75 |
$685 |
5.1× |
| Us pelvic non ob complete (76856) |
$600.38 |
$800.50 |
5.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$707.25 |
$943 |
7.0× |
| Us pregnancy ltd (76815) |
$655.50 |
$874 |
6.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$677.25 |
$903 |
6.7× |
| Us retroperitoneal complete (76770) |
$964.50 |
$1,286 |
9.5× |
| Us retroperitoneal limited (76775) |
$159.75 |
$213 |
1.6× |
| Us scrotum and contents (76870) |
$684.75 |
$913 |
6.8× |
| Us soft tissue head/neck (76536) |
$650.25 |
$867 |
6.4× |
| Us spinal canal and contents (76800) |
$485.25 |
$647 |
4.8× |
| Us transrectal (76872) |
$118.50 |
$158 |
1.2× |
| Us xtr non-vasc lmtd (76882) |
$421.50 |
$562 |
4.2× |
| Venogram extremity bilateral (75822) |
$1,783.50 |
$2,378 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$6,425.25 |
$8,567 |
2.1× |
| Venography caval superior serialography rs&i (75827) |
$2,913 |
$3,884 |
1.9× |
| Venography extremity unilateral rs&i (75820) |
$1,707.75 |
$2,277 |
1.1× |
| Vertebral fracture assessment via dxa (77086) |
$139.50 |
$186 |
1.7× |
| Wrist 2 views (73100) |
$102 |
$136 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$118.50 |
$158 |
1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$102 |
$136 |
1.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$99.75 |
$133 |
1.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$640.50 |
$854 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$102 |
$136 |
1.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$99.75 |
$133 |
1.2× |
| X-ray exam hip uni 1 view (73501) |
$65.25 |
$87 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$102 |
$136 |
1.2× |
| X-ray exam hip uni 4/> views (73503) |
$172.50 |
$230 |
1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$129.75 |
$173 |
1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$229.12 |
$305.50 |
2.3× |
| X-ray exam of femur 1 (73551) |
$78.38 |
$104.50 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$118.50 |
$158 |
1.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$83.62 |
$111.50 |
1.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$99.75 |
$133 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$97.12 |
$129.50 |
1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$102 |
$136 |
1.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$159 |
$212 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$99 |
$132 |
1.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$98.25 |
$131 |
1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$135.38 |
$180.50 |
1.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$118.50 |
$158 |
1.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$139.50 |
$186 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$83.62 |
$111.50 |
1.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$95.25 |
$127 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$306.75 |
$409 |
3.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$175.12 |
$233.50 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$486 |
$648 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$83.62 |
$111.50 |
1.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$118.50 |
$158 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$118.50 |
$158 |
1.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$134.62 |
$179.50 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$93 |
$124 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$99.75 |
$133 |
1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$65.25 |
$87 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$118.50 |
$158 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$118.50 |
$158 |
1.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$102 |
$136 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$120.75 |
$161 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$83.62 |
$111.50 |
1.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$134.62 |
$179.50 |
1.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$358.12 |
$477.50 |
3.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$102 |
$136 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$101.25 |
$135 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$118.50 |
$158 |
1.2× |
| Xr finger(s) 2+ views (73140) |
$97.50 |
$130 |
1.2× |
| Xr internal auditory meati complete (70134) |
$635.25 |
$847 |
1.2× |
| Xr shoulder 1 view (73020) |
$95.62 |
$127.50 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$143.25 |
$191 |
1.4× |
| Xr tibia/fibula 2 views (73590) |
$97.12 |
$129.50 |
1.2× |
| Xr tmj bilateral (70330) |
$190.88 |
$254.50 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$99.75 |
$133 |
1.2× |