| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,623.40 |
$11,039 |
5.0× |
| Abdomen 2 views (74019) |
$336.90 |
$561.50 |
3.4× |
| Ankle 2 views (73600) |
$245.40 |
$409 |
2.9× |
| Arthrogram elbow (73085) |
$1,220.40 |
$2,034 |
3.6× |
| Arthrogram hip (73525) |
$1,212 |
$2,020 |
3.6× |
| Arthrogram shoulder (73040) |
$1,373.40 |
$2,289 |
4.1× |
| Arthrogram wrist (73115) |
$666 |
$1,110 |
2.0× |
| Arthrography knee lt (73580) |
$1,128 |
$1,880 |
3.4× |
| Basic radiation dosimetry calculation (77300) |
$582 |
$970 |
4.5× |
| Bone &/joint imaging whole body (78306) |
$1,876.80 |
$3,128 |
4.9× |
| Bone age studies (77072) |
$248.40 |
$414 |
2.5× |
| Bone Imaging 3 Phase (78315) |
$2,602.80 |
$4,338 |
6.8× |
| Bone survey complete (77075) |
$616.20 |
$1,027 |
6.1× |
| Brachytx isodose intermed (77317) |
$1,397.40 |
$2,329 |
3.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$925.20 |
$1,542 |
2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,472 |
$4,120 |
7.4× |
| Cervical spine 2 or 3 views (72040) |
$317.70 |
$529.50 |
3.8× |
| Chest 1 view (71045) |
$182.10 |
$303.50 |
2.2× |
| Chest 3 views (71047) |
$337.80 |
$563 |
4.0× |
| Clavicle complete (73000) |
$276.90 |
$461.50 |
3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$215.40 |
$359 |
2.1× |
| Continuing medical physics consltj pr wk (77336) |
$863.40 |
$1,439 |
6.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,936.80 |
$8,228 |
14.7× |
| CT abdomen and pelvis without contrast (74176) |
$2,704.80 |
$4,508 |
11.8× |
| CT abdomen w contrast (74160) |
$1,550.40 |
$2,584 |
9.2× |
| CT abdomen w wo contrast (74170) |
$1,843.20 |
$3,072 |
10.9× |
| CT abdomen w/o contrast (74150) |
$986.40 |
$1,644 |
9.8× |
| CT angio hrt w/3d image (75574) |
$1,672.20 |
$2,787 |
5.0× |
| CT angiography upper extremity lt (73206) |
$2,661 |
$4,435 |
15.8× |
| CT c-spine w/o contrast (72125) |
$1,477.80 |
$2,463 |
14.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,259 |
$3,765 |
13.4× |
| CT cervical spine with contrast (72126) |
$2,153.40 |
$3,589 |
6.4× |
| CT chest w/wo contrast (71270) |
$2,494.80 |
$4,158 |
14.8× |
| CT chest with contrast (71260) |
$2,001.60 |
$3,336 |
11.9× |
| CT colonography w/o cntrst (74261) |
$2,217 |
$3,695 |
22.1× |
| CT head/brain with contrast (70460) |
$1,717.20 |
$2,862 |
10.2× |
| CT head/brain without and with contrast (70470) |
$2,181 |
$3,635 |
12.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$178.80 |
$298 |
2.1× |
| CT hrt w/3d image congen (75573) |
$2,102.40 |
$3,504 |
6.3× |
| CT iac w contrast (70481) |
$1,912.20 |
$3,187 |
11.3× |
| CT lower ext w/o (73700) |
$1,553.40 |
$2,589 |
15.5× |
| CT lower extremity w wo contrast (73702) |
$1,902 |
$3,170 |
11.3× |
| CT lower extremity with contrast (73701) |
$1,717.20 |
$2,862 |
10.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,661.60 |
$4,436 |
15.8× |
| CT lumbar spine w/o contrast (72131) |
$1,728.60 |
$2,881 |
17.2× |
| CT lumbar spine with contrast (72132) |
$2,179.80 |
$3,633 |
6.5× |
| CT maxillofacial w contrast (70487) |
$1,912.20 |
$3,187 |
11.3× |
| CT maxillofacial w/o contrast (70486) |
$1,220.40 |
$2,034 |
12.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,125.20 |
$3,542 |
12.6× |
| CT neck soft tissue w contrast (70491) |
$1,999.80 |
$3,333 |
11.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,019.60 |
$3,366 |
12.0× |
| CT orbits w/o contrast (70480) |
$1,588.80 |
$2,648 |
15.8× |
| CT pelvis w & w/o contrast (72194) |
$1,972.80 |
$3,288 |
11.7× |
| CT pelvis w/o contrast (72192) |
$1,164.60 |
$1,941 |
11.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,012 |
$5,020 |
17.9× |
| CT soft tissue neck w/o contrast (70490) |
$986.40 |
$1,644 |
9.8× |
| CT thoracic spine w/contrast (72129) |
$1,717.20 |
$2,862 |
10.2× |
| CT thoracic spine w/o contrast (72128) |
$1,084.80 |
$1,808 |
10.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,902 |
$3,170 |
11.3× |
| CT thorax w/o contrast (71250) |
$1,164.60 |
$1,941 |
11.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,420.40 |
$4,034 |
14.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,553.40 |
$2,589 |
15.5× |
| CT upper extremity with contrast (73201) |
$1,900.20 |
$3,167 |
5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,530.20 |
$4,217 |
15.0× |
| Cta Abdomen (74175) |
$1,843.20 |
$3,072 |
10.9× |
| CTA abdomen pelvis (74174) |
$2,587.20 |
$4,312 |
7.7× |
| CTA chest (71275) |
$1,963.20 |
$3,272 |
11.6× |
| Cta Head (70496) |
$2,306.40 |
$3,844 |
13.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,694.60 |
$4,491 |
8.0× |
| CTA lwr ext w&w/o contrast (73706) |
$1,963.20 |
$3,272 |
11.6× |
| Cta Neck (70498) |
$2,496 |
$4,160 |
14.8× |
| Cta Pelvis (72191) |
$2,766.60 |
$4,611 |
16.4× |
| Cystography minimum 3 views rs&i (74430) |
$289.80 |
$483 |
0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$380.40 |
$634 |
3.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$718.80 |
$1,198 |
7.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$469.80 |
$783 |
4.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$289.80 |
$483 |
2.9× |
| Echo exam of fetal heart (76825) |
$571.80 |
$953 |
1.1× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$490.20 |
$817 |
2.1× |
| Esophagus (74220) |
$466.20 |
$777 |
2.8× |
| Fetal biophysical profile non-stress testing (76818) |
$347.40 |
$579 |
3.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$333.60 |
$556 |
3.3× |
| Foot 2 views (73620) |
$147.60 |
$246 |
1.8× |
| Forearm 2 views (73090) |
$282.30 |
$470.50 |
3.4× |
| Gated Heart Planar Single (78472) |
$2,452.80 |
$4,088 |
6.4× |
| Hand 2 views (73120) |
$206.70 |
$344.50 |
2.1× |
| Hand 3 views (73130) |
$292.50 |
$487.50 |
3.5× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,609.20 |
$2,682 |
2.4× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,135.60 |
$5,226 |
4.7× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$4,455 |
$7,425 |
6.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,474 |
$5,790 |
6.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,711.40 |
$4,519 |
7.1× |
| Ht muscle image spect sing (78451) |
$2,760 |
$4,600 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$202.20 |
$337 |
2.4× |
| Image fusion (77399) |
$210 |
$350 |
1.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$211.20 |
$352 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,311.20 |
$3,852 |
4.4× |
| Knee 3 views (73562) |
$242.40 |
$404 |
2.9× |
| Lymphoscintigraphy (78195) |
$2,079.60 |
$3,466 |
4.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,609 |
$6,015 |
10.0× |
| MRA head w & w/o contrast (70546) |
$3,196.80 |
$5,328 |
9.5× |
| MRA head w/o contrast (70544) |
$1,917.60 |
$3,196 |
8.4× |
| MRA head with contrast (70545) |
$2,217 |
$3,695 |
6.6× |
| MRA neck w contrast (70548) |
$1,861.20 |
$3,102 |
5.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,696 |
$6,160 |
11.0× |
| MRA neck w/o contrast (70547) |
$1,519.80 |
$2,533 |
6.6× |
| MRI abdomen w contrast (74182) |
$1,563.60 |
$2,606 |
4.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,824.60 |
$3,041 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$1,213.80 |
$2,023 |
5.3× |
| MRI any jnt lwr ext with con lt (73722) |
$2,142 |
$3,570 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,489.20 |
$2,482 |
2.0× |
| MRI breast w/o contrast bilateral (77047) |
$2,091 |
$3,485 |
9.1× |
| MRI breast w/o contrast unilat (77046) |
$2,091 |
$3,485 |
9.1× |
| MRI c-spine with contrast (72142) |
$2,142 |
$3,570 |
6.4× |
| MRI cardiac w/o contrast (75557) |
$1,444.80 |
$2,408 |
6.3× |
| MRI cervical spine w/o contrast (72141) |
$1,854.60 |
$3,091 |
8.1× |
| MRI chest w/o contrast (71550) |
$1,596 |
$2,660 |
7.0× |
| MRI chest with contrast (71551) |
$2,039.40 |
$3,399 |
2.7× |
| MRI fetal sngl/1st gestation (74712) |
$633 |
$1,055 |
2.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,489.20 |
$2,482 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,039.40 |
$3,399 |
6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,735.20 |
$2,892 |
7.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,696.80 |
$2,828 |
7.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,461.20 |
$4,102 |
7.3× |
| MRI orbit/face/neck w/contrast (70542) |
$2,635.80 |
$4,393 |
7.9× |
| MRI pelvis w contrast (72196) |
$1,504.20 |
$2,507 |
4.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,824.60 |
$3,041 |
5.4× |
| MRI pelvis w/o contrast (72195) |
$1,155.60 |
$1,926 |
5.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,916.40 |
$3,194 |
5.7× |
| MRI scan of leg joint before and after contrast (73723) |
$2,832.60 |
$4,721 |
8.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,832.60 |
$4,721 |
8.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,142 |
$3,570 |
6.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,832.60 |
$4,721 |
8.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,742.60 |
$4,571 |
8.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,832.60 |
$4,721 |
8.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,648.40 |
$4,414 |
11.5× |
| MRI tmj (70336) |
$1,682.40 |
$2,804 |
7.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,213.80 |
$2,023 |
5.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,737.20 |
$4,562 |
8.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,155.60 |
$1,926 |
5.0× |
| Myocardial Spect Multiple Studies (78452) |
$4,072.80 |
$6,788 |
3.3× |
| Neck soft tissue (70360) |
$248.10 |
$413.50 |
3.0× |
| Nm gastric emptying study (78264) |
$2,317.20 |
$3,862 |
6.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$7,725.60 |
$12,876 |
5.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$253.80 |
$423 |
2.5× |
| Osseous survey infant (77076) |
$314.40 |
$524 |
3.1× |
| Osseous survey limited (77074) |
$412.20 |
$687 |
4.1× |
| Pelvis 1 or 2 views (72170) |
$206.40 |
$344 |
2.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,737.20 |
$4,562 |
8.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$935.40 |
$1,559 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,557.60 |
$2,596 |
3.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$203.40 |
$339 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$224.40 |
$374 |
2.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$595.20 |
$992 |
5.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$248.40 |
$414 |
2.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$18,231 |
$30,385 |
2.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,055.40 |
$1,759 |
2.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$507 |
$845 |
5.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$918.60 |
$1,531 |
2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$404.40 |
$674 |
4.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$190.50 |
$317.50 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$341.40 |
$569 |
3.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$192.60 |
$321 |
2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$808.80 |
$1,348 |
4.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$141 |
$235 |
1.7× |
| Ribs bilateral 3 views (71110) |
$175.80 |
$293 |
1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,108.60 |
$5,181 |
2.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,621.80 |
$2,703 |
7.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$678.60 |
$1,131 |
3.0× |
| Scanogram (77073) |
$248.40 |
$414 |
2.5× |
| Scapula complete (73010) |
$291 |
$485 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$142.80 |
$238 |
6.1× |
| Sella turcica (70240) |
$248.40 |
$414 |
3.0× |
| Simulation intermediate (77285) |
$1,838.40 |
$3,064 |
5.1× |
| Spec medical radj physics consltj (77370) |
$1,387.20 |
$2,312 |
10.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,608.60 |
$2,681 |
4.5× |
| Special dosimetry (77331) |
$688.80 |
$1,148 |
5.3× |
| Special treatment procedure (77470) |
$2,853 |
$4,755 |
5.4× |
| Spine thoracic 3 views (72072) |
$333.90 |
$556.50 |
3.3× |
| Stereotactic body radiation delivery (77373) |
$13,619.40 |
$22,699 |
7.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,582.80 |
$2,638 |
4.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$678.60 |
$1,131 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,203.20 |
$3,672 |
6.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,179.60 |
$1,966 |
9.1× |
| Thoracolumbar 2 views (72080) |
$315 |
$525 |
3.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$728.40 |
$1,214 |
1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,226.40 |
$2,044 |
3.2× |
| Treatment device intermediate (77333) |
$1,561.20 |
$2,602 |
12.1× |
| Treatment devices simple (77332) |
$1,027.20 |
$1,712 |
7.9× |
| Tx devices design & construction complex (77334) |
$1,917.60 |
$3,196 |
5.3× |
| Ultrasound elastography first target lesion (76982) |
$402.60 |
$671 |
4.0× |
| Ultrasound, abdomen limited (76705) |
$293.40 |
$489 |
2.9× |
| Umbilical-artery Doppler (OB) (76820) |
$473.40 |
$789 |
4.7× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$392.40 |
$654 |
1.0× |
| Upper Extremity Infant (73092) |
$486 |
$810 |
4.8× |
| Urethrocystography retrograde rs&i (74450) |
$408 |
$680 |
1.8× |
| Urethrocystography voiding (74455) |
$214.20 |
$357 |
0.9× |
| Us abdl aorta screen aaa (76706) |
$445.20 |
$742 |
4.4× |
| Us breast unilateral complete (76641) |
$369.60 |
$616 |
3.7× |
| Us breast unilateral limited (76642) |
$225.30 |
$375.50 |
2.7× |
| Us chest (76604) |
$341.40 |
$569 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$787.80 |
$1,313 |
7.8× |
| Us elastography parenchyma (76981) |
$402.60 |
$671 |
4.0× |
| Us fetal nuchal translucency 1st gestation (76813) |
$338.40 |
$564 |
3.4× |
| Us guided compression repair (76936) |
$490.20 |
$817 |
2.4× |
| Us infant hips dynamic (76885) |
$494.40 |
$824 |
5.9× |
| Us infant hips limited static (76886) |
$355.80 |
$593 |
4.3× |
| Us kidney transplant (76776) |
$296.40 |
$494 |
2.9× |
| Us ob detailed single fetus (76811) |
$621 |
$1,035 |
2.7× |
| Us ob transvaginal (76817) |
$327.60 |
$546 |
3.3× |
| Us pelvic non ob complete (76856) |
$454.80 |
$758 |
4.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$259.80 |
$433 |
2.6× |
| Us pregnancy ltd (76815) |
$316.80 |
$528 |
3.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$372.60 |
$621 |
3.7× |
| Us retroperitoneal complete (76770) |
$554.10 |
$923.50 |
5.5× |
| Us retroperitoneal limited (76775) |
$456 |
$760 |
4.5× |
| Us scrotum and contents (76870) |
$564 |
$940 |
5.6× |
| Us soft tissue head/neck (76536) |
$312 |
$520 |
3.1× |
| Us spinal canal and contents (76800) |
$451.80 |
$753 |
4.5× |
| Us transrectal (76872) |
$194.70 |
$324.50 |
1.9× |
| Us transrectal prostate volume (76873) |
$507.60 |
$846 |
5.0× |
| Us xtr non-vasc lmtd (76882) |
$126.60 |
$211 |
1.3× |
| Wrist 2 views (73100) |
$162.30 |
$270.50 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$334.20 |
$557 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$213.60 |
$356 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$286.20 |
$477 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$219.30 |
$365.50 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$281.40 |
$469 |
3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$199.20 |
$332 |
2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$344.10 |
$573.50 |
3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$267.60 |
$446 |
2.7× |
| X-ray eye for foreign body (70030) |
$524.40 |
$874 |
6.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$210.60 |
$351 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$248.40 |
$414 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$285 |
$475 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$257.10 |
$428.50 |
3.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$279.90 |
$466.50 |
2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$234.90 |
$391.50 |
2.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$331.20 |
$552 |
4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$364.80 |
$608 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$660.60 |
$1,101 |
6.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$214.80 |
$358 |
2.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$198.60 |
$331 |
2.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$394.80 |
$658 |
3.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$376.20 |
$627 |
3.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$301.80 |
$503 |
3.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$309.90 |
$516.50 |
3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$238.80 |
$398 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$302.40 |
$504 |
3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$295.50 |
$492.50 |
3.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$311.40 |
$519 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$201.60 |
$336 |
2.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$159.90 |
$266.50 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$191.10 |
$318.50 |
1.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$169.20 |
$282 |
1.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$231.30 |
$385.50 |
2.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$248.40 |
$414 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$296.40 |
$494 |
3.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$294 |
$490 |
2.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$377.70 |
$629.50 |
3.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$270 |
$450 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$284.10 |
$473.50 |
3.4× |
| Xr arthrogram ankle (73615) |
$753.60 |
$1,256 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$498.30 |
$830.50 |
5.0× |
| Xr chest 4+ views (71048) |
$343.80 |
$573 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$217.50 |
$362.50 |
2.6× |
| Xr shoulder 1 view (73020) |
$123.30 |
$205.50 |
1.5× |
| Xr spine cervical 4 or 5 views (72050) |
$414.30 |
$690.50 |
4.1× |
| Xr tibia/fibula 2 views (73590) |
$197.10 |
$328.50 |
2.4× |
| Xr tmj bilateral (70330) |
$167.70 |
$279.50 |
2.0× |
| Xray knee 1 or 2 views rt (73560) |
$194.10 |
$323.50 |
2.3× |