| 3-D radiotherapy plan dose-volume histograms (77295) |
— |
$6,543 |
— |
| Abdomen 2 views (74019) |
— |
$587 |
— |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
— |
$4,636 |
— |
| Angiography extremity bilateral rs&i (75716) |
— |
$3,885 |
— |
| Angiography extremity unilateral rs&i (75710) |
— |
$3,639 |
— |
| Angiography internal mammary rs&i (75756) |
— |
$3,292 |
— |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
— |
$3,709 |
— |
| Angiography pulmonary bilateral slctv rs&i (75743) |
— |
$5,013 |
— |
| Angiography pulmonary unilateral slctv rs&i (75741) |
— |
$4,011 |
— |
| Angiography Spinal Selective Rs&I (75705) |
— |
$6,002 |
— |
| Angiography visceral slctv/supraslctv rs&i (75726) |
— |
$7,718 |
— |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
— |
$1,200 |
— |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
— |
$198 |
— |
| Ankle 2 views (73600) |
— |
$243 |
— |
| Antegrade urography radiological supvj & interpj (74425) |
— |
$1,095 |
— |
| Aortogram thoracic (75605) |
— |
$3,639 |
— |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
— |
$7,521 |
— |
| Aortography abdominal serialography rs&i (75625) |
— |
$3,639 |
— |
| Artery X-Rays Adrenal Gland (75731) |
— |
$3,709 |
— |
| Arthrogram hip (73525) |
— |
$1,655 |
— |
| Arthrogram shoulder (73040) |
— |
$1,295 |
— |
| Basic radiation dosimetry calculation (77300) |
— |
$891 |
— |
| Bone age studies (77072) |
— |
$356 |
— |
| Bone survey complete (77075) |
— |
$1,142 |
— |
| Brachytx isodose complex (77318) |
— |
$4,287 |
— |
| Brachytx isodose intermed (77317) |
— |
$3,283 |
— |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
— |
$2,363 |
— |
| Brain Imaging Pet Metabolic Evaluation (78608) |
— |
$8,814 |
— |
| Cardiac MRI w/w/o contrast & further seq (75561) |
— |
$3,285 |
— |
| Cervical spine 2 or 3 views (72040) |
— |
$405 |
— |
| Chest 1 view (71045) |
— |
$564 |
— |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
— |
$690 |
— |
| Clavicle complete (73000) |
— |
$328 |
— |
| Complete single session course of cranial lesion surgery using radiation (77371) |
— |
$71,624 |
— |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
— |
$1,470 |
— |
| Continuing medical physics consltj pr wk (77336) |
— |
$1,011 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$7,944 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$5,606 |
— |
| CT abdomen w contrast (74160) |
— |
$3,884 |
— |
| CT abdomen w wo contrast (74170) |
— |
$4,628 |
— |
| CT abdomen w/o contrast (74150) |
— |
$2,857 |
— |
| CT angio hrt w/3d image (75574) |
— |
$3,885 |
— |
| CT angiography upper extremity lt (73206) |
— |
$2,970 |
— |
| CT c-spine w/o contrast (72125) |
— |
$3,407 |
— |
| CT cervical spine w&w/o contrast (72127) |
— |
$4,087 |
— |
| CT cervical spine with contrast (72126) |
— |
$3,749 |
— |
| CT chest w/wo contrast (71270) |
— |
$4,371 |
— |
| CT chest with contrast (71260) |
— |
$3,704 |
— |
| CT colonography screening (74263) |
— |
$2,578 |
— |
| CT colonography w/dye (74262) |
— |
$2,483 |
— |
| CT colonography w/o cntrst (74261) |
— |
$2,488 |
— |
| CT head/brain with contrast (70460) |
— |
$3,406 |
— |
| CT head/brain without and with contrast (70470) |
— |
$3,599 |
— |
| CT heart contrast eval cardiac structure&morph (75572) |
— |
$3,332 |
— |
| CT heart no contrast quant eval coronry calcium (75571) |
— |
$1,004 |
— |
| CT iac w contrast (70481) |
— |
$3,413 |
— |
| CT limited/localized follow up study (76380) |
— |
$1,060 |
— |
| CT lower ext w/o (73700) |
— |
$2,754 |
— |
| CT lower extremity w wo contrast (73702) |
— |
$3,315 |
— |
| CT lower extremity with contrast (73701) |
— |
$3,173 |
— |
| CT lumbar spine w & w/o contrast (72133) |
— |
$4,498 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$3,408 |
— |
| CT lumbar spine with contrast (72132) |
— |
$3,885 |
— |
| CT maxillofacial w contrast (70487) |
— |
$3,702 |
— |
| CT maxillofacial w/o contrast (70486) |
— |
$3,045 |
— |
| CT maxillofacial w/wo contrast (70488) |
— |
$4,072 |
— |
| CT neck soft tissue w contrast (70491) |
— |
$3,701 |
— |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
— |
$3,753 |
— |
| CT orbits w/o contrast (70480) |
— |
$3,084 |
— |
| CT pelvis w & w/o contrast (72194) |
— |
$3,725 |
— |
| CT pelvis w/o contrast (72192) |
— |
$3,035 |
— |
| CT soft tissue neck w/o & w/contrast material (70492) |
— |
$3,935 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$3,142 |
— |
| CT thoracic spine w/contrast (72129) |
— |
$3,885 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$3,408 |
— |
| CT thoracic spine w/wo contrast (72130) |
— |
$4,087 |
— |
| CT thorax w/o contrast (71250) |
— |
$3,125 |
— |
| CT upper extremity w/o & w/contrast material (73202) |
— |
$3,277 |
— |
| CT upper extremity w/o contrast rt (73200) |
— |
$2,843 |
— |
| CT upper extremity with contrast (73201) |
— |
$3,123 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$4,643 |
— |
| Cta Abdomen (74175) |
— |
$4,503 |
— |
| CTA abdomen pelvis (74174) |
— |
$7,103 |
— |
| CTA chest (71275) |
— |
$4,164 |
— |
| Cta Head (70496) |
— |
$4,240 |
— |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
— |
$5,485 |
— |
| CTA lwr ext w&w/o contrast (73706) |
— |
$3,447 |
— |
| Cta Neck (70498) |
— |
$4,095 |
— |
| Cta Pelvis (72191) |
— |
$4,082 |
— |
| Cystography minimum 3 views rs&i (74430) |
— |
$995 |
— |
| Diskogram cervical (72285) |
— |
$4,628 |
— |
| Diskography lumbar (72295) |
— |
$4,775 |
— |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
— |
$441 |
— |
| Dxa bone density study 1/> sites axial skel (77080) |
— |
$657 |
— |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
— |
$312 |
— |
| Dxa bone density study axial skeleton (77085) |
— |
$826 |
— |
| Esophagus (74220) |
— |
$641 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$495 |
— |
| Foot 2 views (73620) |
— |
$237 |
— |
| Forearm 2 views (73090) |
— |
$484 |
— |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
— |
$218 |
— |
| Functional MRI brain by phys/psych (70555) |
— |
$4,560 |
— |
| Functional MRI brain by tech (70554) |
— |
$4,982 |
— |
| Hand 3 views (73130) |
— |
$302 |
— |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
— |
$6,394 |
— |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
— |
$8,146 |
— |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
— |
$9,148 |
— |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
— |
$3,639 |
— |
| Humerus Min 2 Views Left (73060) |
— |
$328 |
— |
| Hysterosalpingogram (74740) |
— |
$1,251 |
— |
| Interstitial radiation source applic complex (77778) |
— |
$2,567 |
— |
| Intracavitary Radiation Source Applic Complex (77763) |
— |
$2,709 |
— |
| Intracavitary Radiation Source Applic Intermed (77762) |
— |
$2,329 |
— |
| Knee 3 views (73562) |
— |
$371 |
— |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
— |
$1,699 |
— |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
— |
$1,504 |
— |
| Lymphangiography extremity only bilateral rs&i (75803) |
— |
$154 |
— |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
— |
$1,048 |
— |
| Mammary ductogram or galactogram multiple (77054) |
— |
$789 |
— |
| Mammary ductogram or galactogram single (77053) |
— |
$668 |
— |
| Mlc imrt design & construction per imrt plan (77338) |
— |
$4,989 |
— |
| Mr elastography (76391) |
— |
$4,942 |
— |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
— |
$93 |
— |
| Mr safety med physics xm customization plng&mntr (76017) |
— |
$387 |
— |
| MRA head w & w/o contrast (70546) |
— |
$3,764 |
— |
| MRA head w/o contrast (70544) |
— |
$2,976 |
— |
| MRA head with contrast (70545) |
— |
$3,326 |
— |
| MRA neck w contrast (70548) |
— |
$3,327 |
— |
| Mra Neck W/O &W/Contrast Material (70549) |
— |
$3,730 |
— |
| MRA neck w/o contrast (70547) |
— |
$2,976 |
— |
| MRI abdomen w contrast (74182) |
— |
$5,362 |
— |
| MRI abdomen w/o & w/contrast material (74183) |
— |
$6,781 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$4,719 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$4,667 |
— |
| MRI bone marrow blood supply (77084) |
— |
$10,617 |
— |
| MRI breast w/o contrast bilateral (77047) |
— |
$4,856 |
— |
| MRI breast w/o contrast unilat (77046) |
— |
$4,670 |
— |
| MRI c-spine with contrast (72142) |
— |
$5,480 |
— |
| MRI cardiac w/o contrast (75557) |
— |
$2,149 |
— |
| MRI cervical spine w/o contrast (72141) |
— |
$4,971 |
— |
| MRI chest w/o & w/contrast material (71552) |
— |
$6,553 |
— |
| MRI chest w/o contrast (71550) |
— |
$4,268 |
— |
| MRI chest with contrast (71551) |
— |
$4,766 |
— |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
— |
$4,758 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$4,495 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$4,603 |
— |
| MRI orbit/face/neck w&w/o cont (70543) |
— |
$6,564 |
— |
| MRI orbit/face/neck w/contrast (70542) |
— |
$4,814 |
— |
| MRI pelvis w contrast (72196) |
— |
$5,786 |
— |
| MRI pelvis w/o & w/contrast material (72197) |
— |
$6,469 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$4,715 |
— |
| MRI scan of arm joint before and after contrast (73223) |
— |
$6,193 |
— |
| MRI scan of leg joint before and after contrast (73723) |
— |
$6,427 |
— |
| MRI spectroscopy (76390) |
— |
$3,585 |
— |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
— |
$7,004 |
— |
| MRI spinal canal lumbar w/contrast material (72149) |
— |
$5,277 |
— |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
— |
$6,878 |
— |
| MRI spinal canal thoracic w/contrast matrl (72147) |
— |
$5,050 |
— |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
— |
$7,079 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$4,459 |
— |
| MRI tmj (70336) |
— |
$4,294 |
— |
| MRI upper ext joint w/o contrast (73221) |
— |
$4,317 |
— |
| MRI upper extrem other than jt w/o & w/contras (73220) |
— |
$5,932 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$4,248 |
— |
| Myelogram Cervical (72240) |
— |
$2,609 |
— |
| Myelogram Lumbar (72265) |
— |
$2,526 |
— |
| Myelogram thoracic (72255) |
— |
$2,955 |
— |
| Myelography 2 or more regions (72270) |
— |
$3,788 |
— |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
— |
$6,970 |
— |
| Neck soft tissue (70360) |
— |
$353 |
— |
| Ntsty modul radthx pln dose-vol histos (77301) |
— |
$10,147 |
— |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
— |
$8,185 |
— |
| Nuclear medicine study from skull base to mid-thigh (78812) |
— |
$8,715 |
— |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
— |
$3,230 |
— |
| Ophthalmic us dx quantitative a-scan only (76511) |
— |
$571 |
— |
| Orthopantogram (70355) |
— |
$338 |
— |
| Osseous survey infant (77076) |
— |
$400 |
— |
| Osseous survey limited (77074) |
— |
$723 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$385 |
— |
| Peritoneogram rs&i (74190) |
— |
$292 |
— |
| PET image w/CT, skull-thigh (78815) |
— |
$9,085 |
— |
| PET imaging CT for attenuation limited area (78814) |
— |
$8,109 |
— |
| PET imaging for CT attenuation whole body (78816) |
— |
$9,085 |
— |
| PET imaging limited area chest head/neck (78811) |
— |
$8,109 |
— |
| PET whole body (78813) |
— |
$9,291 |
— |
| Pr MRI brain w/ dye (70558) |
— |
$5,528 |
— |
| Pr MRI brain w/o & w/ dye (70559) |
— |
$6,950 |
— |
| Pr MRI brain w/o dye (70557) |
— |
$4,510 |
— |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
— |
$6,176 |
— |
| Proton trmt simple w/comp (77522) |
— |
$5,331 |
— |
| Proton tx delivery complex (77525) |
— |
$7,535 |
— |
| Proton tx delivery intermediate (77523) |
— |
$6,380 |
— |
| Proton tx delivery simple w/o compensation (77520) |
— |
$4,531 |
— |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
— |
$4,841 |
— |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
— |
$3,547 |
— |
| Radex abscess/fistula/sinus tract rs&i (76080) |
— |
$971 |
— |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
— |
$577 |
— |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
— |
$650 |
— |
| Radex hips bilateral with pelvis 2 views (73521) |
— |
$513 |
— |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
— |
$802 |
— |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
— |
$31,182 |
— |
| Radiation treatment delivery 1 mev >= complex (77412) |
— |
$4,730 |
— |
| Radiation treatment delivery 1 mev >= simple (77402) |
— |
$2,713 |
— |
| Radiation tx delivery 1 mev >= intermediate (77407) |
— |
$4,178 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$411 |
— |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
— |
$565 |
— |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
— |
$616 |
— |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
— |
$591 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$881 |
— |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
— |
$797 |
— |
| Radiologic exam teeth prtl exam < full mouth (70310) |
— |
$130 |
— |
| Radiologic exam upr gi trc double contrast study (74246) |
— |
$878 |
— |
| Radiologic exam upr gi trc single contrast study (74240) |
— |
$669 |
— |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
— |
$432 |
— |
| Radiological examination surgical specimen (76098) |
— |
$326 |
— |
| Review by radiologist of adrenal gland vein image (75840) |
— |
$3,333 |
— |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
— |
$3,639 |
— |
| Ribs bilateral 3 views (71110) |
— |
$497 |
— |
| Sacroiliac Joints < 3 Views (72200) |
— |
$231 |
— |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
— |
$251 |
— |
| Scanogram (77073) |
— |
$531 |
— |
| Scapula complete (73010) |
— |
$341 |
— |
| Screening digital breast tomosynthesis (77063) |
— |
$180 |
— |
| Simulation intermediate (77285) |
— |
$2,185 |
— |
| Small bowel series (74250) |
— |
$790 |
— |
| Spec medical radj physics consltj (77370) |
— |
$1,431 |
— |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
— |
$1,684 |
— |
| Special dosimetry (77331) |
— |
$1,007 |
— |
| Special treatment procedure (77470) |
— |
$3,582 |
— |
| Spine thoracic 3 views (72072) |
— |
$452 |
— |
| Splenoportograpy rs&i (75810) |
— |
$193 |
— |
| Stereotactic body radiation delivery (77373) |
— |
$18,191 |
— |
| Superior sagittal sinus venogram (75870) |
— |
$212 |
— |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
— |
$124 |
— |
| Tbs Technical Calculation Only (77091) |
— |
$67 |
— |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
— |
$4,129 |
— |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
— |
$3,900 |
— |
| Ther rad simulaj-aided field setting complex (77290) |
— |
$3,026 |
— |
| Ther rad simulaj-aided field setting simple (77280) |
— |
$1,443 |
— |
| Thoracolumbar 2 views (72080) |
— |
$315 |
— |
| Treatment device intermediate (77333) |
— |
$1,059 |
— |
| Treatment devices simple (77332) |
— |
$700 |
— |
| Tx devices design & construction complex (77334) |
— |
$1,358 |
— |
| Ultrasound elastography first target lesion (76982) |
— |
$1,390 |
— |
| Ultrasound scan of cornea to determine thickness (76514) |
— |
$64 |
— |
| Ultrasound scan to determine eye length and lens power (76519) |
— |
$501 |
— |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
— |
$1,776 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$795 |
— |
| Unlisted Diagnostic Radiographic Procedure (76499) |
— |
$547 |
— |
| Unlisted fluoroscopic procedure (76496) |
— |
$454 |
— |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED (78199) |
— |
$2,864 |
— |
| Unlisted magnetic resonance procedure (76498) |
— |
$7,835.50 |
— |
| Upper Extremity Infant (73092) |
— |
$264 |
— |
| Urethrocystography retrograde rs&i (74450) |
— |
$189 |
— |
| Urethrocystography voiding (74455) |
— |
$792 |
— |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
— |
$1,231 |
— |
| Us breast unilateral complete (76641) |
— |
$1,401 |
— |
| Us breast unilateral limited (76642) |
— |
$1,124 |
— |
| Us chest (76604) |
— |
$642 |
— |
| Us compl joint r-t w/image documentation (76881) |
— |
$774 |
— |
| Us elastography parenchyma (76981) |
— |
$1,390 |
— |
| Us guided compression repair (76936) |
— |
$1,133 |
— |
| Us kidney transplant (76776) |
— |
$979 |
— |
| Us ob transvaginal (76817) |
— |
$668 |
— |
| Us pelvic non ob complete (76856) |
— |
$1,082 |
— |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
— |
$627 |
— |
| Us pregnancy ltd (76815) |
— |
$126 |
— |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
— |
$519 |
— |
| Us retroperitoneal complete (76770) |
— |
$812 |
— |
| Us retroperitoneal limited (76775) |
— |
$719 |
— |
| Us scrotum and contents (76870) |
— |
$894 |
— |
| Us soft tissue head/neck (76536) |
— |
$911 |
— |
| Us transrectal (76872) |
— |
$756 |
— |
| Us transrectal prostate volume (76873) |
— |
$582 |
— |
| Us xtr non-vasc lmtd (76882) |
— |
$593 |
— |
| Us, eye b-scan (76512) |
— |
$635 |
— |
| Venogram extremity bilateral (75822) |
— |
$1,177 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$3,639 |
— |
| Venography caval superior serialography rs&i (75827) |
— |
$1,177 |
— |
| Venography epidural rs&i (75872) |
— |
$210 |
— |
| Venography extremity unilateral rs&i (75820) |
— |
$1,153 |
— |
| Venography Renal Bilateral (75833) |
— |
$4,548 |
— |
| Venography renal unilateral selective rs&i (75831) |
— |
$3,639 |
— |
| Venography venous sinus/jugular cath rs&i (75860) |
— |
$263 |
— |
| Venous sampling thru cath w/wo angiography rs& (75893) |
— |
$3,639 |
— |
| Vertebral fracture assessment via dxa (77086) |
— |
$826 |
— |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
— |
$580 |
— |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
— |
$311 |
— |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
— |
$313 |
— |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
— |
$1,040 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$319 |
— |
| X-ray exam entire spi 4/5 vw (72083) |
— |
$779 |
— |
| X-ray exam hip uni 1 view (73501) |
— |
$379 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$420 |
— |
| X-ray exam hip uni 4/> views (73503) |
— |
$520 |
— |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
— |
$578 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$641 |
— |
| X-ray exam of femur 1 (73551) |
— |
$390 |
— |
| X-ray eye for foreign body (70030) |
— |
$470 |
— |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
— |
$375 |
— |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
— |
$292 |
— |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
— |
$342 |
— |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
— |
$1,250 |
— |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
— |
$289 |
— |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
— |
$295 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$369 |
— |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
— |
$297 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$350 |
— |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
— |
$272 |
— |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
— |
$363 |
— |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
— |
$505 |
— |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
— |
$1,231 |
— |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
— |
$233 |
— |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
— |
$254 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$422 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$387 |
— |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
— |
$356 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$289 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$510 |
— |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
— |
$312 |
— |
| X-Ray Spine One View - Xr Spine (72020) |
— |
$267 |
— |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
— |
$353 |
— |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
— |
$358 |
— |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
— |
$98 |
— |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
— |
$387 |
— |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
— |
$561 |
— |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
— |
$225 |
— |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
— |
$337 |
— |
| Xr chest 4+ views (71048) |
— |
$616 |
— |
| Xr finger(s) 2+ views (73140) |
— |
$237 |
— |
| Xr myelogram posterior fossa (70010) |
— |
$645 |
— |
| Xr shoulder 1 view (73020) |
— |
$285 |
— |
| Xr spine cervical 4 or 5 views (72050) |
— |
$551 |
— |
| Xr tibia/fibula 2 views (73590) |
— |
$346 |
— |
| Xr tmj bilateral (70330) |
— |
$434 |
— |
| Xray knee 1 or 2 views rt (73560) |
— |
$300 |
— |