| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,173 |
$2,173 |
1.7× |
| Abdomen 2 views (74019) |
$503 |
$503 |
5.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,015 |
$2,015 |
5.6× |
| Angiography extremity bilateral rs&i (75716) |
$3,219 |
$3,219 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$2,680 |
$2,680 |
0.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,551 |
$6,551 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,873 |
$4,873 |
1.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,220 |
$4,220 |
1.5× |
| Angiography Spinal Selective Rs&I (75705) |
$8,561 |
$8,561 |
1.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,798 |
$6,798 |
1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,578 |
$2,578 |
0.9× |
| Ankle 2 views (73600) |
$423 |
$423 |
5.4× |
| Aortogram thoracic (75605) |
$3,590 |
$3,590 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,416 |
$4,416 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,665 |
$1,665 |
0.6× |
| Arthrogram elbow (73085) |
$690.90 |
$690.90 |
2.2× |
| Arthrogram hip (73525) |
$781 |
$781 |
2.5× |
| Arthrogram shoulder (73040) |
$1,090 |
$1,090 |
3.5× |
| Arthrogram wrist (73115) |
$855 |
$855 |
2.7× |
| Arthrography knee lt (73580) |
$899 |
$899 |
2.9× |
| Basic radiation dosimetry calculation (77300) |
$172 |
$172 |
1.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,059 |
$2,059 |
5.7× |
| Bone &/joint imaging whole body (78306) |
$2,770 |
$2,770 |
7.7× |
| Bone age studies (77072) |
$386 |
$386 |
4.1× |
| Bone Imaging 3 Phase (78315) |
$2,804 |
$2,804 |
7.8× |
| Bone survey complete (77075) |
$1,473.50 |
$1,473.50 |
15.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$804 |
$804 |
2.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,777 |
$3,777 |
12.0× |
| Cervical spine 2 or 3 views (72040) |
$295.50 |
$295.50 |
3.8× |
| Chest 1 view (71045) |
$371 |
$371 |
4.7× |
| Chest 3 views (71047) |
$397 |
$397 |
5.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$801 |
$801 |
5.1× |
| Clavicle complete (73000) |
$844 |
$844 |
10.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$278 |
$278 |
2.9× |
| Continuing medical physics consltj pr wk (77336) |
$469 |
$469 |
3.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,413 |
$2,413 |
7.7× |
| CT abdomen and pelvis without contrast (74176) |
$4,872 |
$4,872 |
22.6× |
| CT abdomen w contrast (74160) |
$3,356 |
$3,356 |
21.2× |
| CT abdomen w wo contrast (74170) |
$3,711 |
$3,711 |
23.4× |
| CT abdomen w/o contrast (74150) |
$2,664 |
$2,664 |
28.2× |
| CT angio hrt w/3d image (75574) |
$1,864 |
$1,864 |
5.9× |
| CT angiography upper extremity lt (73206) |
$1,538.50 |
$1,538.50 |
9.7× |
| CT c-spine w/o contrast (72125) |
$2,387 |
$2,387 |
25.3× |
| CT cervical spine w&w/o contrast (72127) |
$2,347 |
$2,347 |
14.8× |
| CT cervical spine with contrast (72126) |
$2,912 |
$2,912 |
9.2× |
| CT chest w/wo contrast (71270) |
$3,540 |
$3,540 |
22.4× |
| CT chest with contrast (71260) |
$3,060 |
$3,060 |
19.3× |
| CT head/brain with contrast (70460) |
$2,182 |
$2,182 |
13.8× |
| CT head/brain without and with contrast (70470) |
$3,268 |
$3,268 |
20.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,145 |
$2,145 |
6.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$177 |
$177 |
2.3× |
| CT hrt w/3d image congen (75573) |
$1,864 |
$1,864 |
5.9× |
| CT iac w contrast (70481) |
$2,699 |
$2,699 |
17.0× |
| CT limited/localized follow up study (76380) |
$672 |
$672 |
8.6× |
| CT lower ext w/o (73700) |
$1,969 |
$1,969 |
20.9× |
| CT lower extremity w wo contrast (73702) |
$2,014 |
$2,014 |
12.7× |
| CT lower extremity with contrast (73701) |
$2,647 |
$2,647 |
16.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,497 |
$2,497 |
15.8× |
| CT lumbar spine w/o contrast (72131) |
$2,646 |
$2,646 |
28.0× |
| CT lumbar spine with contrast (72132) |
$3,255 |
$3,255 |
10.3× |
| CT maxillofacial w contrast (70487) |
$2,826 |
$2,826 |
17.8× |
| CT maxillofacial w/o contrast (70486) |
$2,426 |
$2,426 |
25.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,756 |
$2,756 |
17.4× |
| CT neck soft tissue w contrast (70491) |
$2,897 |
$2,897 |
18.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,096 |
$3,096 |
19.6× |
| CT orbits w/o contrast (70480) |
$2,288 |
$2,288 |
24.2× |
| CT pelvis w & w/o contrast (72194) |
$3,175 |
$3,175 |
20.0× |
| CT pelvis w/o contrast (72192) |
$1,721.50 |
$1,721.50 |
18.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,272 |
$3,272 |
20.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,555 |
$2,555 |
27.1× |
| CT thoracic spine w/contrast (72129) |
$2,933 |
$2,933 |
18.5× |
| CT thoracic spine w/o contrast (72128) |
$2,508 |
$2,508 |
26.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,378 |
$2,378 |
15.0× |
| CT thorax w/o contrast (71250) |
$1,983 |
$1,983 |
21.0× |
| CT unlisted procedure (76497) |
$13,237 |
$13,237 |
168.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,868 |
$1,868 |
11.8× |
| CT upper extremity w/o contrast rt (73200) |
$2,407 |
$2,407 |
25.5× |
| CT upper extremity with contrast (73201) |
$2,461 |
$2,461 |
7.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,874.50 |
$2,874.50 |
18.2× |
| Cta Abdomen (74175) |
$4,512 |
$4,512 |
28.5× |
| CTA abdomen pelvis (74174) |
$4,764.50 |
$4,764.50 |
15.1× |
| CTA chest (71275) |
$1,538 |
$1,538 |
9.7× |
| Cta Head (70496) |
$3,410 |
$3,410 |
21.5× |
| CTA lwr ext w&w/o contrast (73706) |
$2,382 |
$2,382 |
15.0× |
| Cta Neck (70498) |
$3,281 |
$3,281 |
20.7× |
| Cta Pelvis (72191) |
$2,341.50 |
$2,341.50 |
14.8× |
| Cystography minimum 3 views rs&i (74430) |
$825 |
$825 |
2.6× |
| Diskography lumbar (72295) |
$2,660.27 |
$2,660.27 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$724 |
$724 |
7.7× |
| Echoencephalography real time imaging (76506) |
$93 |
$93 |
1.0× |
| Esophagus (74220) |
$807 |
$807 |
5.1× |
| Fluoroscopy up to 1 hr (76000) |
$715 |
$715 |
3.3× |
| Foot 2 views (73620) |
$348.50 |
$348.50 |
4.4× |
| Forearm 2 views (73090) |
$439 |
$439 |
5.6× |
| Gated Heart Planar Single (78472) |
$2,192 |
$2,192 |
6.1× |
| Hand 2 views (73120) |
$430 |
$430 |
4.6× |
| Hand 3 views (73130) |
$430 |
$430 |
5.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,914 |
$2,914 |
5.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,914 |
$2,914 |
8.1× |
| Ht muscle image spect sing (78451) |
$4,512 |
$4,512 |
3.9× |
| Humerus Min 2 Views Left (73060) |
$392 |
$392 |
5.0× |
| Hysterosalpingogram (74740) |
$1,020 |
$1,020 |
4.7× |
| Kidney imaging morphology (78700) |
$1,128 |
$1,128 |
3.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,595 |
$2,595 |
5.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,637 |
$2,637 |
5.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,077 |
$1,077 |
2.2× |
| Knee 3 views (73562) |
$531 |
$531 |
6.8× |
| Liver & spleen imaging static only (78215) |
$1,812 |
$1,812 |
5.0× |
| Lung perfusion differential (78597) |
$2,688 |
$2,688 |
7.4× |
| Lung Ventilation Imaging (78579) |
$552 |
$552 |
1.5× |
| Lymphoscintigraphy (78195) |
$1,746 |
$1,746 |
3.6× |
| Mammary ductogram or galactogram single (77053) |
$870 |
$870 |
4.0× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$197 |
$197 |
2.5× |
| Meckels Diverticulum (78290) |
$1,420 |
$1,420 |
3.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$505 |
$505 |
1.5× |
| Mr elastography (76391) |
$618 |
$618 |
2.9× |
| Mr safety determination physician/other qhp (76016) |
$177 |
$177 |
2.3× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$119 |
$119 |
2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$50 |
$50 |
1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$184 |
$184 |
2.1× |
| Mr safety med physics xm customization plng&mntr (76017) |
$484 |
$484 |
2.2× |
| MRA head w & w/o contrast (70546) |
$1,755.50 |
$1,755.50 |
5.6× |
| MRA head w/o contrast (70544) |
$2,756 |
$2,756 |
12.8× |
| MRA head with contrast (70545) |
$1,242.50 |
$1,242.50 |
3.9× |
| MRA neck w contrast (70548) |
$3,333 |
$3,333 |
10.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,476 |
$3,476 |
11.0× |
| MRA neck w/o contrast (70547) |
$2,755 |
$2,755 |
12.8× |
| MRI abdomen w contrast (74182) |
$410 |
$410 |
1.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,617 |
$4,617 |
14.7× |
| MRI abdomen w/o contrast (74181) |
$2,676 |
$2,676 |
12.4× |
| MRI any jnt lwr ext with con lt (73722) |
$4,304 |
$4,304 |
6.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,383 |
$3,383 |
4.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,335 |
$2,335 |
10.8× |
| MRI breast w/o contrast unilat (77046) |
$1,828 |
$1,828 |
8.5× |
| MRI c-spine with contrast (72142) |
$2,729 |
$2,729 |
8.7× |
| MRI cardiac w/o contrast (75557) |
$3,183 |
$3,183 |
14.8× |
| MRI cervical spine w/o contrast (72141) |
$3,848 |
$3,848 |
17.9× |
| MRI chest w/o & w/contrast material (71552) |
$3,280 |
$3,280 |
10.4× |
| MRI chest w/o contrast (71550) |
$3,284 |
$3,284 |
15.2× |
| MRI chest with contrast (71551) |
$850 |
$850 |
1.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,977 |
$1,977 |
6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,977 |
$1,977 |
6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,365 |
$3,365 |
15.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,806 |
$3,806 |
17.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,587 |
$4,587 |
14.6× |
| MRI orbit/face/neck w/contrast (70542) |
$430 |
$430 |
1.4× |
| MRI pelvis w contrast (72196) |
$703 |
$703 |
2.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,096 |
$4,096 |
13.0× |
| MRI pelvis w/o contrast (72195) |
$3,389 |
$3,389 |
15.7× |
| MRI scan of arm joint before and after contrast (73223) |
$3,136 |
$3,136 |
10.0× |
| MRI scan of leg joint before and after contrast (73723) |
$4,217 |
$4,217 |
13.4× |
| MRI spectroscopy (76390) |
$453 |
$453 |
5.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,368 |
$5,368 |
17.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,184 |
$5,184 |
16.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,777 |
$5,777 |
18.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,596 |
$5,596 |
17.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,444 |
$5,444 |
17.3× |
| MRI thoracic spine w/o contrast (72146) |
$3,576 |
$3,576 |
16.6× |
| MRI tmj (70336) |
$2,578 |
$2,578 |
12.0× |
| MRI upper ext joint w/o contrast (73221) |
$3,377 |
$3,377 |
15.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,242 |
$3,242 |
10.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,408 |
$3,408 |
15.8× |
| Myocardial Spect Multiple Studies (78452) |
$4,878 |
$4,878 |
4.2× |
| Neck soft tissue (70360) |
$385 |
$385 |
4.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$465 |
$465 |
1.3× |
| Nm cisternogram (78630) |
$2,685.21 |
$2,685.21 |
5.5× |
| Nm gastric emptying study (78264) |
$2,448 |
$2,448 |
6.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,185 |
$5,185 |
4.1× |
| Nuclear Rx Oral Admin (79005) |
$580 |
$580 |
2.8× |
| Osseous survey infant (77076) |
$825 |
$825 |
8.7× |
| Osseous survey limited (77074) |
$679 |
$679 |
7.2× |
| Parathyroid imaging (78070) |
$2,389 |
$2,389 |
6.6× |
| Pelvis 1 or 2 views (72170) |
$180 |
$180 |
1.9× |
| PET imaging for CT attenuation whole body (78816) |
$2,960 |
$2,960 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,958 |
$3,958 |
12.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,111 |
$1,111 |
3.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,518 |
$2,518 |
5.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$740 |
$740 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$644.70 |
$644.70 |
8.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$503.50 |
$503.50 |
5.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$475 |
$475 |
5.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$559 |
$559 |
5.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$631 |
$631 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$575 |
$575 |
6.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$432 |
$432 |
5.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$243 |
$243 |
2.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$433 |
$433 |
5.5× |
| Radiologic exam colon single contrast study (74270) |
$373 |
$373 |
2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$338 |
$338 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,132 |
$1,132 |
7.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,056 |
$1,056 |
6.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$536 |
$536 |
6.8× |
| Radiological examination surgical specimen (76098) |
$758 |
$758 |
1.5× |
| Ribs bilateral 3 views (71110) |
$673 |
$673 |
7.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,720 |
$2,720 |
5.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,153 |
$3,153 |
6.4× |
| Sacroiliac Joints < 3 Views (72200) |
$279 |
$279 |
3.0× |
| Scapula complete (73010) |
$887 |
$887 |
9.4× |
| Screening digital breast tomosynthesis (77063) |
$31 |
$31 |
1.3× |
| Small bowel series (74250) |
$944 |
$944 |
6.0× |
| Spine thoracic 3 views (72072) |
$769 |
$769 |
8.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$837 |
$837 |
2.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$868 |
$868 |
2.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$443 |
$443 |
3.7× |
| Therapeutic Enema (74283) |
$965 |
$965 |
6.1× |
| Thoracolumbar 2 views (72080) |
$648 |
$648 |
8.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,935 |
$2,935 |
6.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,284 |
$1,284 |
3.6× |
| Thyroid uptake measurement (78012) |
$536 |
$536 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,926 |
$1,926 |
5.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$726 |
$726 |
2.0× |
| Tx devices design & construction complex (77334) |
$1,164 |
$1,164 |
3.4× |
| Ultrasound, abdomen limited (76705) |
$784 |
$784 |
8.3× |
| Unlisted magnetic resonance procedure (76498) |
$1,738 |
$1,738 |
22.1× |
| Upper Extremity Infant (73092) |
$257 |
$257 |
2.7× |
| Urethrocystography retrograde rs&i (74450) |
$712 |
$712 |
3.3× |
| Urethrocystography voiding (74455) |
$862 |
$862 |
4.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$683 |
$683 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$332 |
$332 |
3.5× |
| Us breast unilateral complete (76641) |
$750 |
$750 |
7.9× |
| Us breast unilateral limited (76642) |
$750 |
$750 |
9.5× |
| Us chest (76604) |
$332 |
$332 |
3.5× |
| Us compl joint r-t w/image documentation (76881) |
$359 |
$359 |
3.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$342 |
$342 |
3.6× |
| Us guided compression repair (76936) |
$1,289 |
$1,289 |
6.6× |
| Us kidney transplant (76776) |
$634 |
$634 |
6.7× |
| Us ob detailed single fetus (76811) |
$431 |
$431 |
2.0× |
| Us ob transvaginal (76817) |
$669 |
$669 |
7.1× |
| Us pelvic non ob complete (76856) |
$585.50 |
$585.50 |
6.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$314 |
$314 |
3.3× |
| Us pregnancy ltd (76815) |
$390 |
$390 |
4.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$542 |
$542 |
5.7× |
| Us retroperitoneal complete (76770) |
$831 |
$831 |
8.8× |
| Us retroperitoneal limited (76775) |
$345 |
$345 |
3.7× |
| Us scrotum and contents (76870) |
$746 |
$746 |
7.9× |
| Us soft tissue head/neck (76536) |
$851 |
$851 |
9.0× |
| Us spinal canal and contents (76800) |
$569 |
$569 |
6.0× |
| Us xtr non-vasc lmtd (76882) |
$554 |
$554 |
5.9× |
| Us, eye b-scan (76512) |
$155 |
$155 |
1.6× |
| Vascular flow imaging (78445) |
$804 |
$804 |
2.2× |
| Venogram extremity bilateral (75822) |
$1,343 |
$1,343 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$2,578 |
$2,578 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$1,569 |
$1,569 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$1,303 |
$1,303 |
0.9× |
| Venography renal unilateral selective rs&i (75831) |
$4,293 |
$4,293 |
1.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,343 |
$1,343 |
0.5× |
| Wrist 2 views (73100) |
$397 |
$397 |
5.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$690 |
$690 |
7.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$348 |
$348 |
4.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$519.50 |
$519.50 |
6.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,454 |
$1,454 |
9.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$331 |
$331 |
4.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$926 |
$926 |
11.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$703 |
$703 |
7.4× |
| X-ray exam hip uni 1 view (73501) |
$320 |
$320 |
4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$536 |
$536 |
6.8× |
| X-ray exam of femur 1 (73551) |
$384 |
$384 |
4.9× |
| X-ray eye for foreign body (70030) |
$93 |
$93 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$488 |
$488 |
5.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$374 |
$374 |
4.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$460 |
$460 |
5.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$425 |
$425 |
5.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$382 |
$382 |
4.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$598 |
$598 |
6.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$195 |
$195 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$253 |
$253 |
3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$563 |
$563 |
6.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$809 |
$809 |
8.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$270 |
$270 |
2.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$542 |
$542 |
6.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$450 |
$450 |
5.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$539 |
$539 |
5.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$254 |
$254 |
2.7× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$1,133 |
$1,133 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$970 |
$970 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$496 |
$496 |
6.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$535 |
$535 |
5.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$877 |
$877 |
9.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$478 |
$478 |
5.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$505 |
$505 |
6.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$993 |
$993 |
12.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$687 |
$687 |
8.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$234 |
$234 |
3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$754 |
$754 |
8.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$298 |
$298 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$424 |
$424 |
5.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$241 |
$241 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$485 |
$485 |
6.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$530 |
$530 |
5.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$795 |
$795 |
8.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$371 |
$371 |
4.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$475 |
$475 |
6.0× |
| Xr arthrogram ankle (73615) |
$758 |
$758 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$820 |
$820 |
8.7× |
| Xr chest 4+ views (71048) |
$410 |
$410 |
4.3× |
| Xr finger(s) 2+ views (73140) |
$423 |
$423 |
5.4× |
| Xr shoulder 1 view (73020) |
$694 |
$694 |
8.8× |
| Xr spine cervical 4 or 5 views (72050) |
$805 |
$805 |
8.5× |
| Xr tibia/fibula 2 views (73590) |
$446 |
$446 |
5.7× |
| Xray knee 1 or 2 views rt (73560) |
$404 |
$404 |
5.1× |