| 3-D radiotherapy plan dose-volume histograms (77295) |
$9,836 |
$9,836 |
5.9× |
| Abdomen 2 views (74019) |
$322 |
$322 |
2.6× |
| Acute gi blood loss imaging (78278) |
$1,338 |
$1,338 |
2.8× |
| Ankle 2 views (73600) |
$415 |
$415 |
4.0× |
| Arthrogram ankle (73615) |
$2,092 |
$2,092 |
5.0× |
| Arthrogram elbow (73085) |
$1,191 |
$1,191 |
2.8× |
| Arthrogram hip (73525) |
$1,303 |
$1,303 |
3.1× |
| Arthrogram knee (73580) |
$540 |
$540 |
1.3× |
| Arthrogram shoulder (73040) |
$1,265 |
$1,265 |
3.0× |
| Arthrogram wrist (73115) |
$515 |
$515 |
1.2× |
| Basic dosimetry (77300) |
$621 |
$621 |
3.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$961 |
$961 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$1,468 |
$1,468 |
3.1× |
| Bone age studies (77072) |
$407 |
$407 |
3.2× |
| Bone Imaging 3 Phase (78315) |
$1,591 |
$1,591 |
3.3× |
| Bone survey complete (77075) |
$1,355 |
$1,355 |
10.8× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$1,269 |
$1,269 |
2.6× |
| Brain Imaging Vascular Flow Only (78610) |
$1,582.40 |
$1,582.40 |
2.4× |
| Cervical spine 2 or 3 views (72040) |
$493 |
$493 |
4.7× |
| Chest 1 view (71045) |
$13,583.17 |
$13,583.17 |
130.2× |
| Chest xray 3 views (71047) |
$407 |
$407 |
3.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$529 |
$529 |
2.5× |
| Clavicle complete (73000) |
$444 |
$444 |
4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,687 |
$1,687 |
13.5× |
| Continuing medical physics consltj pr wk (77336) |
$1,041 |
$1,041 |
6.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,717 |
$4,717 |
11.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,478 |
$3,478 |
12.2× |
| CT abdomen w contrast (74160) |
$3,332 |
$3,332 |
15.9× |
| CT abdomen w wo contrast (74170) |
$4,717 |
$4,717 |
22.4× |
| CT abdomen w/o contrast (74150) |
$2,781 |
$2,781 |
22.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,783 |
$1,783 |
8.5× |
| CT angiography upper extremity lt (73206) |
$1,565 |
$1,565 |
7.4× |
| CT c-spine w/contrast (72126) |
$2,341 |
$2,341 |
5.6× |
| CT c-spine w/o contrast (72125) |
$2,030 |
$2,030 |
16.2× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$2,830 |
$2,830 |
13.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,964 |
$2,964 |
14.1× |
| CT chest w contrast (71260) |
$6,489.35 |
$6,489.35 |
30.9× |
| CT chest w/wo contrast (71270) |
$3,147 |
$3,147 |
15.0× |
| CT colonography screening (74263) |
$1,468 |
$1,468 |
5.1× |
| CT colonography w/dye (74262) |
$2,143 |
$2,143 |
10.2× |
| CT colonography w/o cntrst (74261) |
$1,514 |
$1,514 |
12.1× |
| CT head/brain with contrast (70460) |
$2,408 |
$2,408 |
11.5× |
| CT head/brain without and with contrast (70470) |
$2,735 |
$2,735 |
13.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$61 |
$61 |
0.6× |
| CT iac w contrast (70481) |
$2,884 |
$2,884 |
13.7× |
| CT lower ext w/o (73700) |
$1,883 |
$1,883 |
15.0× |
| CT lower extremity w wo contrast (73702) |
$2,673 |
$2,673 |
12.7× |
| CT lower extremity w/contrast material (73701) |
$2,186 |
$2,186 |
10.4× |
| CT lumbar spine w/contrast (72132) |
$2,079 |
$2,079 |
5.0× |
| CT lumbar spine w/o contrast (72131) |
$1,740 |
$1,740 |
13.9× |
| CT maxillofacial w contrast (70487) |
$3,089 |
$3,089 |
14.7× |
| CT maxillofacial w/wo contrast (70488) |
$4,063 |
$4,063 |
19.3× |
| CT maxillofacial wo contrast (70486) |
$2,610 |
$2,610 |
20.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,022 |
$3,022 |
14.4× |
| CT orbits w/o contrast (70480) |
$2,517 |
$2,517 |
20.1× |
| CT pelvis w/o contrast (72192) |
$2,466 |
$2,466 |
19.7× |
| CT pelvis w/wo contrast (72194) |
$4,111 |
$4,111 |
19.6× |
| CT soft tissue neck w contrast (70491) |
$2,113 |
$2,113 |
10.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,764 |
$2,764 |
13.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,605.50 |
$1,605.50 |
12.8× |
| CT thoracic spine w/contrast (72129) |
$2,094 |
$2,094 |
10.0× |
| CT thoracic spine w/o contrast (72128) |
$1,752 |
$1,752 |
14.0× |
| CT thorax w/o contrast (71250) |
$1,687 |
$1,687 |
13.5× |
| CT upper ext wo (73200) |
$2,006 |
$2,006 |
16.0× |
| CT upper extremity with contrast (73201) |
$2,451 |
$2,451 |
5.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,848 |
$2,848 |
13.5× |
| Cta Abdomen (74175) |
$4,717 |
$4,717 |
22.4× |
| CTA abdomen pelvis (74174) |
$4,876.35 |
$4,876.35 |
11.7× |
| CTA chest (71275) |
$3,359.28 |
$3,359.28 |
16.0× |
| Cta Head (70496) |
$2,830 |
$2,830 |
13.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,830 |
$2,830 |
6.8× |
| Cta Neck (70498) |
$2,830 |
$2,830 |
13.5× |
| Cta Pelvis (72191) |
$2,848 |
$2,848 |
13.5× |
| Cystography minimum 3 views rs&i (74430) |
$1,061 |
$1,061 |
2.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,036 |
$1,036 |
8.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,036 |
$1,036 |
9.9× |
| Dxa bone density study axial skeleton (77085) |
$1,334 |
$1,334 |
10.6× |
| Esophagus (74220) |
$717 |
$717 |
3.4× |
| Facial bones min 3 views (70150) |
$578 |
$578 |
4.6× |
| Fluoroscopy up to 1 hr (76000) |
$750 |
$750 |
2.6× |
| Foot 2 views (73620) |
$490 |
$490 |
4.7× |
| Forearm 2 views (73090) |
$1,237 |
$1,237 |
11.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$1,220 |
$1,220 |
2.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$1,578 |
$1,578 |
2.4× |
| Hand 2 views (73120) |
$417 |
$417 |
3.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,779 |
$1,779 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,841 |
$1,841 |
3.8× |
| Kidney imaging morphology (78700) |
$1,777 |
$1,777 |
3.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,596 |
$1,596 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,596 |
$1,596 |
2.5× |
| Knee 3 views (73562) |
$1,142 |
$1,142 |
11.0× |
| Lung perf&ventilat diferentl (78598) |
$1,802 |
$1,802 |
2.8× |
| Lung perfusion differential (78597) |
$1,152 |
$1,152 |
2.4× |
| Lymphoscintigraphy (78195) |
$29,178.88 |
$29,178.88 |
44.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,539 |
$2,539 |
2.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,442 |
$2,442 |
5.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$3,373 |
$3,373 |
8.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$4,946 |
$4,946 |
11.0× |
| Mr safety determination physician/other qhp (76016) |
$663 |
$663 |
6.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$143 |
$143 |
4.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$1,078 |
$1,078 |
9.5× |
| Mr safety implt pos&/immoblj (76019) |
$222 |
$222 |
3.1× |
| MRA head w & w/o contrast (70546) |
$5,257 |
$5,257 |
12.6× |
| MRA head w/o contrast (70544) |
$3,818 |
$3,818 |
13.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,257 |
$5,257 |
12.6× |
| MRA neck w/o contrast (70547) |
$3,675 |
$3,675 |
12.9× |
| MRI abdomen w contrast (74182) |
$3,321 |
$3,321 |
7.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,006 |
$4,006 |
9.6× |
| MRI abdomen w/o contrast (74181) |
$3,100 |
$3,100 |
10.8× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,231 |
$4,231 |
4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,405 |
$4,405 |
10.5× |
| MRI breast w/o contrast bilateral (77047) |
$6,255 |
$6,255 |
21.9× |
| MRI c-spine with contrast (72142) |
$4,526 |
$4,526 |
10.8× |
| MRI cervical spine w/o contrast (72141) |
$3,889 |
$3,889 |
13.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,211 |
$3,211 |
7.7× |
| MRI chest w/o contrast (71550) |
$2,360 |
$2,360 |
8.3× |
| MRI chest with contrast (71551) |
$2,327 |
$2,327 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,877 |
$3,877 |
9.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$5,352 |
$5,352 |
12.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,889 |
$3,889 |
13.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,675 |
$3,675 |
12.9× |
| MRI orbit face neck w contrast (70542) |
$3,877 |
$3,877 |
9.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,257 |
$5,257 |
12.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,352 |
$5,352 |
12.8× |
| MRI pelvis w/o contrast (72195) |
$3,744 |
$3,744 |
13.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,352 |
$5,352 |
12.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,064 |
$4,064 |
9.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,352 |
$5,352 |
12.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,535 |
$2,535 |
6.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,211 |
$3,211 |
7.7× |
| MRI temporomandibular joint (70336) |
$3,568 |
$3,568 |
12.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,335 |
$2,335 |
8.2× |
| MRI up ext w/o contrast (73218) |
$2,247 |
$2,247 |
7.9× |
| MRI upper ext joint w/o contrast (73221) |
$3,100 |
$3,100 |
10.8× |
| MRI, joint upper extrem combo (73223) |
$3,211 |
$3,211 |
7.7× |
| Myocardial Spect Multiple Studies (78452) |
$5,371 |
$5,371 |
3.5× |
| Myocardial spect single study at rest or stress (78451) |
$4,560 |
$4,560 |
2.9× |
| Neck soft tissue (70360) |
$400 |
$400 |
3.8× |
| Nm cardiac blood pool multiple (78473) |
$1,281 |
$1,281 |
2.7× |
| Nm gastric emptying study (78264) |
$1,545 |
$1,545 |
3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,847 |
$5,847 |
3.5× |
| Osseous survey limited (77074) |
$750 |
$750 |
6.0× |
| Parathyrd planar w/spect&CT (78072) |
$3,293 |
$3,293 |
5.1× |
| Parathyroid Planar Imaging (78070) |
$1,695 |
$1,695 |
3.5× |
| Pelvis 1 or 2 views (72170) |
$453 |
$453 |
3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,420 |
$1,420 |
3.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,802 |
$1,802 |
2.8× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,561 |
$1,561 |
1.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$550 |
$550 |
5.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$406 |
$406 |
3.9× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$644 |
$644 |
6.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$495 |
$495 |
4.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$746 |
$746 |
6.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$998 |
$998 |
8.0× |
| Radex fingr minimum 2 views (73140) |
$407 |
$407 |
3.9× |
| Radex Foot Compl Minimum 3 Views (73630) |
$532 |
$532 |
5.1× |
| Radex Hand Minimum 3 Views (73130) |
$520 |
$520 |
5.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$57,140.39 |
$57,140.39 |
547.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$727 |
$727 |
5.8× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$602 |
$602 |
4.8× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$998 |
$998 |
8.0× |
| Radex Humerus Minimum 2 Views (73060) |
$325 |
$325 |
3.1× |
| Radex Kne 1/2 Views (73560) |
$51,556.50 |
$51,556.50 |
494.4× |
| Radex Kne Compl 4/More Views (73564) |
$644 |
$644 |
5.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$528 |
$528 |
4.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$452 |
$452 |
4.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$343 |
$343 |
2.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$910 |
$910 |
8.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$513 |
$513 |
4.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$730 |
$730 |
5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$583 |
$583 |
5.6× |
| Radex Toe Minimum 2 Views (73660) |
$306 |
$306 |
2.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,012 |
$1,012 |
9.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,142 |
$1,142 |
9.1× |
| Radiation treatment delivery level 1 (77402) |
$5,470 |
$5,470 |
44.7× |
| Radiation treatment delivery level 2 (77407) |
$6,860 |
$6,860 |
14.8× |
| Radiation treatment delivery level 3 (77412) |
$6,927 |
$6,927 |
10.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$273 |
$273 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$506 |
$506 |
4.0× |
| Radiologic exam chest 2 views (71046) |
$10,261.33 |
$10,261.33 |
98.4× |
| Radiologic exam colon single contrast study (74270) |
$822 |
$822 |
3.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$657 |
$657 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,605 |
$1,605 |
7.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$815 |
$815 |
3.9× |
| Radiologic examination femur 1 view (73551) |
$400 |
$400 |
3.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$959.50 |
$959.50 |
9.2× |
| Radiological examination surgical specimen (76098) |
$26,138.47 |
$26,138.47 |
39.9× |
| Ribs bilateral 3 views (71110) |
$690 |
$690 |
5.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,471 |
$2,471 |
3.8× |
| Sacroiliac Joints < 3 Views (72200) |
$363 |
$363 |
2.9× |
| Scapula (73010) |
$657 |
$657 |
5.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$182 |
$182 |
7.8× |
| Shoulder 1 view (73020) |
$66,300.38 |
$66,300.38 |
635.7× |
| Small bowel series (74250) |
$826 |
$826 |
3.9× |
| Special treatment procedure (77470) |
$2,533 |
$2,533 |
3.8× |
| Spine thoracic 3 views (72072) |
$981 |
$981 |
7.8× |
| Tbs technical calculation only (77091) |
$289 |
$289 |
2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$6,939 |
$6,939 |
15.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,350 |
$2,350 |
5.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$674 |
$674 |
4.2× |
| Thoracolumbar 2 views (72080) |
$432.88 |
$432.88 |
4.2× |
| Thyroid imaging w/blood flow (78013) |
$837 |
$837 |
1.7× |
| Thyroid uptake measurement (78012) |
$1,141 |
$1,141 |
2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,299 |
$1,299 |
2.7× |
| Tmj unilateral (70328) |
$504 |
$504 |
4.8× |
| Treatment device complex (77334) |
$1,466 |
$1,466 |
3.3× |
| Treatment devices simple (77332) |
$754 |
$754 |
4.7× |
| Ultrasound breast complete (76641) |
$1,084 |
$1,084 |
8.7× |
| Ultrasound Exam Aaa Screen (76706) |
$1,379 |
$1,379 |
11.0× |
| Ultrasound, abdomen limited (76705) |
$1,568 |
$1,568 |
12.5× |
| Urethrocystogram voiding (74455) |
$742 |
$742 |
2.6× |
| Us breast unilateral limited (76642) |
$510 |
$510 |
4.9× |
| Us chest (76604) |
$857 |
$857 |
6.8× |
| Us compl joint r-t w/image documentation (76881) |
$719 |
$719 |
5.7× |
| Us elastography parenchyma (76981) |
$351 |
$351 |
2.8× |
| Us encephalogram (76506) |
$1,587 |
$1,587 |
12.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,169 |
$1,169 |
9.3× |
| Us ob limited (76815) |
$780 |
$780 |
6.2× |
| Us ob transvaginal (76817) |
$636 |
$636 |
5.1× |
| Us pelvic non ob complete (76856) |
$2,596 |
$2,596 |
20.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$694 |
$694 |
5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$507 |
$507 |
4.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,058 |
$1,058 |
8.4× |
| Us retroperitoneal complete (76770) |
$1,379 |
$1,379 |
11.0× |
| Us retroperitoneal limited (76775) |
$1,327 |
$1,327 |
10.6× |
| Us scrotum and contents (76870) |
$1,045 |
$1,045 |
8.3× |
| Us soft tissue head/neck (76536) |
$1,233 |
$1,233 |
9.8× |
| Us, eye b-scan (76512) |
$1,114 |
$1,114 |
8.9× |
| Wrist 2 views (73100) |
$485 |
$485 |
4.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$456 |
$456 |
3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$443 |
$443 |
4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$509 |
$509 |
4.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$717 |
$717 |
6.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$811 |
$811 |
6.5× |
| X-ray exam of femur 2/> (73552) |
$555 |
$555 |
5.3× |
| X-ray eye for foreign body (70030) |
$407 |
$407 |
3.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$548 |
$548 |
5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$345 |
$345 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$314 |
$314 |
3.0× |
| X-ray leg, infant (73592) |
$318 |
$318 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$628 |
$628 |
5.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$916 |
$916 |
7.3× |
| X-ray nose-rectum child f.b. (76010) |
$355 |
$355 |
3.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$672 |
$672 |
5.4× |
| X-ray retrograde pyelogram (74420) |
$941 |
$941 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$583 |
$583 |
5.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$667 |
$667 |
5.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$947 |
$947 |
7.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$607 |
$607 |
4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$426 |
$426 |
4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$594 |
$594 |
5.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$803 |
$803 |
6.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$544 |
$544 |
4.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$396 |
$396 |
3.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$886 |
$886 |
8.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$463 |
$463 |
4.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$520 |
$520 |
4.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,018 |
$1,018 |
8.1× |
| Xr bone length studies (77073) |
$649 |
$649 |
5.2× |
| Xr c-spine 4 or 5 views (72050) |
$616 |
$616 |
4.9× |
| Xr c-spine 6 or more views (72052) |
$651 |
$651 |
5.2× |
| Xr chest 4+ views (71048) |
$506 |
$506 |
4.0× |