| 3-D radiotherapy plan dose-volume histograms (77295) |
$720.70 |
$7,207 |
0.5× |
| Abdomen 2 views (74019) |
$94.80 |
$948 |
0.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$402.30 |
$4,023 |
1.0× |
| Ankle 2 views (73600) |
$122.12 |
$1,221.25 |
1.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$133.90 |
$1,339 |
0.4× |
| Basic radiation dosimetry calculation (77300) |
$34.80 |
$348 |
0.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$116.80 |
$1,168 |
0.3× |
| Bone &/joint imaging whole body (78306) |
$440.70 |
$4,407 |
1.1× |
| Bone age studies (77072) |
$97.70 |
$977 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$579.60 |
$5,796 |
1.4× |
| Bone survey complete (77075) |
$202.70 |
$2,027 |
1.9× |
| Brain imaging < 4 static views w vascular flow (78601) |
$275.50 |
$2,755 |
0.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,009.80 |
$10,098 |
2.9× |
| Cervical spine 2 or 3 views (72040) |
$97.70 |
$977 |
1.1× |
| Chest 1 view (71045) |
$109 |
$1,090 |
1.2× |
| Chest 3 views (71047) |
$28.90 |
$289 |
0.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$107.60 |
$1,076 |
0.6× |
| Clavicle complete (73000) |
$122.12 |
$1,221.25 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$114 |
$1,140 |
1.1× |
| Continuing medical physics consltj pr wk (77336) |
$77 |
$770 |
0.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,652.50 |
$16,525 |
4.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,115.40 |
$11,154 |
4.7× |
| CT abdomen w contrast (74160) |
$728.80 |
$7,288 |
4.1× |
| CT abdomen w wo contrast (74170) |
$826.40 |
$8,264 |
4.7× |
| CT abdomen w/o contrast (74150) |
$557.80 |
$5,578 |
5.3× |
| CT angio hrt w/3d image (75574) |
$606.50 |
$6,065 |
1.7× |
| CT angiography upper extremity lt (73206) |
$924 |
$9,240 |
5.2× |
| CT c-spine w/o contrast (72125) |
$547.60 |
$5,476 |
5.2× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$57 |
$570 |
0.3× |
| CT cervical spine w&w/o contrast (72127) |
$811.20 |
$8,112 |
4.6× |
| CT cervical spine with contrast (72126) |
$715.30 |
$7,153 |
2.0× |
| CT chest w/wo contrast (71270) |
$826.40 |
$8,264 |
4.7× |
| CT chest with contrast (71260) |
$728.80 |
$7,288 |
4.1× |
| CT head/brain with contrast (70460) |
$715.30 |
$7,153 |
4.1× |
| CT head/brain without and with contrast (70470) |
$811.20 |
$8,112 |
4.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$71.90 |
$719 |
0.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$606.50 |
$6,065 |
6.9× |
| CT iac w contrast (70481) |
$715.30 |
$7,153 |
4.1× |
| CT lower ext w/o (73700) |
$697.25 |
$6,972.50 |
6.6× |
| CT lower extremity w wo contrast (73702) |
$826.40 |
$8,264 |
4.7× |
| CT lower extremity with contrast (73701) |
$911 |
$9,110 |
5.2× |
| CT lumbar spine w & w/o contrast (72133) |
$826.40 |
$8,264 |
4.7× |
| CT lumbar spine w/o contrast (72131) |
$557.80 |
$5,578 |
5.3× |
| CT lumbar spine with contrast (72132) |
$728.80 |
$7,288 |
2.1× |
| CT maxillofacial w contrast (70487) |
$715.30 |
$7,153 |
4.1× |
| CT maxillofacial w/o contrast (70486) |
$547.60 |
$5,476 |
5.2× |
| CT maxillofacial w/wo contrast (70488) |
$811.20 |
$8,112 |
4.6× |
| CT neck soft tissue w contrast (70491) |
$715.30 |
$7,153 |
4.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$811.20 |
$8,112 |
4.6× |
| CT orbits w/o contrast (70480) |
$547.60 |
$5,476 |
5.2× |
| CT pelvis w & w/o contrast (72194) |
$826.40 |
$8,264 |
4.7× |
| CT pelvis w/o contrast (72192) |
$557.80 |
$5,578 |
5.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$52.90 |
$529 |
0.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$811.20 |
$8,112 |
4.6× |
| CT soft tissue neck w/o contrast (70490) |
$547.60 |
$5,476 |
5.2× |
| CT thoracic spine w/contrast (72129) |
$728.80 |
$7,288 |
4.1× |
| CT thoracic spine w/o contrast (72128) |
$557.80 |
$5,578 |
5.3× |
| CT thoracic spine w/wo contrast (72130) |
$826.40 |
$8,264 |
4.7× |
| CT thorax w/o contrast (71250) |
$557.80 |
$5,578 |
5.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$826.40 |
$8,264 |
4.7× |
| CT upper extremity w/o contrast rt (73200) |
$557.80 |
$5,578 |
5.3× |
| CT upper extremity with contrast (73201) |
$728.80 |
$7,288 |
2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,127.80 |
$11,278 |
6.4× |
| Cta Abdomen (74175) |
$924 |
$9,240 |
5.2× |
| CTA abdomen pelvis (74174) |
$420.90 |
$4,209 |
1.2× |
| CTA chest (71275) |
$924 |
$9,240 |
5.2× |
| Cta Head (70496) |
$907 |
$9,070 |
5.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$907 |
$9,070 |
2.6× |
| CTA lwr ext w&w/o contrast (73706) |
$1,409.75 |
$14,097.50 |
8.0× |
| Cta Neck (70498) |
$907 |
$9,070 |
5.1× |
| Cta Pelvis (72191) |
$924 |
$9,240 |
5.2× |
| Cystography minimum 3 views rs&i (74430) |
$157.30 |
$1,573 |
0.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$80.30 |
$803 |
0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$80.30 |
$803 |
0.9× |
| Dxa bone density study axial skeleton (77085) |
$116.40 |
$1,164 |
1.1× |
| Esophagus (74220) |
$107.60 |
$1,076 |
0.6× |
| Fetal biophysical profile non-stress testing (76818) |
$63.80 |
$638 |
0.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$40.60 |
$406 |
0.4× |
| Fluoroscopy up to 1 hr (76000) |
$81.90 |
$819 |
0.3× |
| Foot 2 views (73620) |
$122.12 |
$1,221.25 |
1.4× |
| Forearm 2 views (73090) |
$146.55 |
$1,465.50 |
1.7× |
| Gated Heart Planar Single (78472) |
$350.30 |
$3,503 |
0.9× |
| Hand 2 views (73120) |
$97.70 |
$977 |
0.9× |
| Hand 3 views (73130) |
$135.25 |
$1,352.50 |
1.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$398.60 |
$3,986 |
0.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$398.60 |
$3,986 |
1.0× |
| Ht muscle image spect sing (78451) |
$479.50 |
$4,795 |
0.4× |
| Humerus Min 2 Views Left (73060) |
$122.12 |
$1,221.25 |
1.4× |
| Hysterosalpingogram (74740) |
$135.30 |
$1,353 |
0.6× |
| Image fusion (77399) |
$93.20 |
$932 |
0.7× |
| Kidney funcj study non-img radioisotopic study (78725) |
$151.30 |
$1,513 |
0.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$360.20 |
$3,602 |
0.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$196.20 |
$1,962 |
0.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$197.40 |
$1,974 |
0.4× |
| Knee 3 views (73562) |
$162.30 |
$1,623 |
1.9× |
| Lung perf&ventilat diferentl (78598) |
$197.40 |
$1,974 |
0.4× |
| Lung perfusion differential (78597) |
$132.50 |
$1,325 |
0.3× |
| Lymphoscintigraphy (78195) |
$323.60 |
$3,236 |
0.6× |
| Meckels Diverticulum (78290) |
$300.30 |
$3,003 |
0.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$162 |
$1,620 |
0.4× |
| MRA head w & w/o contrast (70546) |
$1,059.50 |
$10,595 |
3.0× |
| MRA head w/o contrast (70544) |
$960.70 |
$9,607 |
4.0× |
| MRA head with contrast (70545) |
$973.70 |
$9,737 |
2.8× |
| MRA neck w contrast (70548) |
$973.70 |
$9,737 |
2.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,059.50 |
$10,595 |
3.0× |
| MRA neck w/o contrast (70547) |
$783.20 |
$7,832 |
3.3× |
| MRI abdomen w contrast (74182) |
$888.30 |
$8,883 |
2.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,009.80 |
$10,098 |
2.9× |
| MRI abdomen w/o contrast (74181) |
$746.50 |
$7,465 |
3.1× |
| MRI any jnt lwr ext with con lt (73722) |
$888.30 |
$8,883 |
1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$888.30 |
$8,883 |
1.1× |
| MRI breast w/o contrast unilat (77046) |
$81.80 |
$818 |
0.3× |
| MRI c-spine with contrast (72142) |
$932 |
$9,320 |
2.7× |
| MRI cardiac w/o cont stress (75559) |
$743.10 |
$7,431 |
1.4× |
| MRI cardiac w/o contrast (75557) |
$746.50 |
$7,465 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$783.20 |
$7,832 |
3.3× |
| MRI chest w/o & w/contrast material (71552) |
$746.50 |
$7,465 |
2.1× |
| MRI chest w/o contrast (71550) |
$746.50 |
$7,465 |
3.1× |
| MRI chest with contrast (71551) |
$746.50 |
$7,465 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$888.30 |
$8,883 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$888.30 |
$8,883 |
2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$746.50 |
$7,465 |
3.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$783.20 |
$7,832 |
3.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,059.50 |
$10,595 |
3.0× |
| MRI orbit/face/neck w/contrast (70542) |
$932 |
$9,320 |
2.7× |
| MRI pelvis w contrast (72196) |
$888.30 |
$8,883 |
2.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,009.80 |
$10,098 |
2.9× |
| MRI pelvis w/o contrast (72195) |
$746.50 |
$7,465 |
3.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,009.80 |
$10,098 |
2.9× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$768.80 |
$7,688 |
1.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,009.80 |
$10,098 |
2.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,059.50 |
$10,595 |
3.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$888.30 |
$8,883 |
2.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,009.80 |
$10,098 |
2.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$888.30 |
$8,883 |
2.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,009.80 |
$10,098 |
2.9× |
| MRI thoracic spine w/o contrast (72146) |
$746.50 |
$7,465 |
3.1× |
| MRI tmj (70336) |
$746.50 |
$7,465 |
3.1× |
| MRI upper ext joint w/o contrast (73221) |
$933.12 |
$9,331.25 |
3.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,009.80 |
$10,098 |
2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$746.50 |
$7,465 |
3.1× |
| Myocardial Spect Multiple Studies (78452) |
$799.30 |
$7,993 |
0.6× |
| Neck soft tissue (70360) |
$83.10 |
$831 |
1.0× |
| Nm gastric emptying study (78264) |
$324.50 |
$3,245 |
0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$720.70 |
$7,207 |
0.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$83.60 |
$836 |
0.8× |
| Osseous survey infant (77076) |
$38.40 |
$384 |
0.4× |
| Osseous survey limited (77074) |
$202.70 |
$2,027 |
1.9× |
| Parathyroid imaging (78070) |
$300.30 |
$3,003 |
0.7× |
| Pelvis 1 or 2 views (72170) |
$97.70 |
$977 |
0.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,009.80 |
$10,098 |
2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$473.70 |
$4,737 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$147.20 |
$1,472 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$97.70 |
$977 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$97.20 |
$972 |
0.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$51.40 |
$514 |
0.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$128.40 |
$1,284 |
1.2× |
Radiation Delivery Stereotactic Cranial Linear (77372)
unusually low: confirm this is the full procedure |
$2,601.60 |
$26,016 |
0.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$468.50 |
$4,685 |
0.8× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$159 |
$1,590 |
1.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$356.20 |
$3,562 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$108.20 |
$1,082 |
1.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$83.10 |
$831 |
1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$37.70 |
$377 |
0.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$89.60 |
$896 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$169.30 |
$1,693 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$95.50 |
$955 |
0.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$237.70 |
$2,377 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$146.55 |
$1,465.50 |
1.7× |
| Radiological examination surgical specimen (76098) |
$167.50 |
$1,675 |
0.3× |
| Ribs bilateral 3 views (71110) |
$108.20 |
$1,082 |
1.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$313.80 |
$3,138 |
0.6× |
| Sacroiliac Joints < 3 Views (72200) |
$97.70 |
$977 |
0.9× |
| Scanogram (77073) |
$42.30 |
$423 |
0.4× |
| Scapula complete (73010) |
$97.70 |
$977 |
0.9× |
| Screening digital breast tomosynthesis (77063) |
$18.60 |
$186 |
0.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$36.30 |
$363 |
0.3× |
| Simulation intermediate (77285) |
$220.10 |
$2,201 |
0.6× |
| Small bowel series (74250) |
$174.90 |
$1,749 |
1.0× |
| Spec medical radj physics consltj (77370) |
$90.20 |
$902 |
0.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$104.20 |
$1,042 |
0.3× |
| Special dosimetry (77331) |
$48.30 |
$483 |
0.4× |
| Special treatment procedure (77470) |
$287.20 |
$2,872 |
0.5× |
| Spine thoracic 3 views (72072) |
$108.20 |
$1,082 |
1.0× |
| Stereotactic body radiation delivery (77373) |
$1,391.80 |
$13,918 |
0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$68.80 |
$688 |
0.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$172.20 |
$1,722 |
0.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$281.60 |
$2,816 |
0.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$150 |
$1,500 |
1.1× |
| Thoracolumbar 2 views (72080) |
$30.60 |
$306 |
0.4× |
| Thyroid uptake measurement (78012) |
$308.60 |
$3,086 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$155.80 |
$1,558 |
0.4× |
| Tmj unilateral (70328) |
$31.50 |
$315 |
0.4× |
| Treatment device intermediate (77333) |
$42.30 |
$423 |
0.3× |
| Tx devices design & construction complex (77334) |
$83.80 |
$838 |
0.2× |
| Ultrasound, abdomen limited (76705) |
$198 |
$1,980 |
1.9× |
| Umbilical-artery Doppler (OB) (76820) |
$37.20 |
$372 |
0.4× |
| Upper Extremity Infant (73092) |
$38.40 |
$384 |
0.4× |
| Urethrocystography retrograde rs&i (74450) |
$98.10 |
$981 |
0.4× |
| Urethrocystography voiding (74455) |
$149.20 |
$1,492 |
0.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$156.20 |
$1,562 |
0.9× |
| Us abdl aorta screen aaa (76706) |
$201.80 |
$2,018 |
1.9× |
| Us breast unilateral complete (76641) |
$128.50 |
$1,285 |
1.2× |
| Us breast unilateral limited (76642) |
$30.20 |
$302 |
0.3× |
| Us chest (76604) |
$57.80 |
$578 |
0.6× |
| Us compl joint r-t w/image documentation (76881) |
$83.60 |
$836 |
0.8× |
| Us kidney transplant (76776) |
$41.80 |
$418 |
0.4× |
| Us ob detailed single fetus (76811) |
$85.40 |
$854 |
0.4× |
| Us ob transvaginal (76817) |
$52.50 |
$525 |
0.5× |
| Us pelvic non ob complete (76856) |
$181.40 |
$1,814 |
1.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$97.20 |
$972 |
0.9× |
| Us pregnancy ltd (76815) |
$132.70 |
$1,327 |
1.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$168.20 |
$1,682 |
1.6× |
| Us retroperitoneal complete (76770) |
$178.30 |
$1,783 |
1.7× |
| Us retroperitoneal limited (76775) |
$51.90 |
$519 |
0.5× |
| Us scrotum and contents (76870) |
$142.80 |
$1,428 |
1.4× |
| Us soft tissue head/neck (76536) |
$97.20 |
$972 |
0.9× |
| Us spinal canal and contents (76800) |
$41.80 |
$418 |
0.4× |
| Us xtr non-vasc lmtd (76882) |
$52.20 |
$522 |
0.5× |
| Wrist 2 views (73100) |
$97.70 |
$977 |
1.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$114 |
$1,140 |
1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$108.20 |
$1,082 |
1.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$162.30 |
$1,623 |
1.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$212.70 |
$2,127 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$146.55 |
$1,465.50 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$108.20 |
$1,082 |
1.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$38.80 |
$388 |
0.4× |
| X-ray exam hip uni 1 view (73501) |
$85.60 |
$856 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$97.70 |
$977 |
1.1× |
| X-ray exam hip uni 4/> views (73503) |
$41.10 |
$411 |
0.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$41.10 |
$411 |
0.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$122.70 |
$1,227 |
1.2× |
| X-ray exam of femur 1 (73551) |
$97.70 |
$977 |
1.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$108.20 |
$1,082 |
1.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$97.70 |
$977 |
1.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$162.30 |
$1,623 |
1.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$122.12 |
$1,221.25 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$97.70 |
$977 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$166 |
$1,660 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$30.70 |
$307 |
0.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$36.62 |
$366.25 |
0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$97.70 |
$977 |
0.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$55.40 |
$554 |
0.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$52.50 |
$525 |
0.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$108.20 |
$1,082 |
1.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$31.20 |
$312 |
0.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$118.70 |
$1,187 |
1.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$41.10 |
$411 |
0.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$168.90 |
$1,689 |
0.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$97.70 |
$977 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$97.70 |
$977 |
0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$60.50 |
$605 |
0.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$41.30 |
$413 |
0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$97.70 |
$977 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$122.12 |
$1,221.25 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$108.20 |
$1,082 |
1.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$31.20 |
$312 |
0.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$80.70 |
$807 |
0.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$41.10 |
$411 |
0.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$85.60 |
$856 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$30.40 |
$304 |
0.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$97.70 |
$977 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$97.70 |
$977 |
0.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$119.10 |
$1,191 |
1.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$97.70 |
$977 |
1.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$135.25 |
$1,352.50 |
1.5× |
| Xr c-spine 6 or more views (72052) |
$68.90 |
$689 |
0.7× |
| Xr chest 4+ views (71048) |
$38.80 |
$388 |
0.4× |
| Xr finger(s) 2+ views (73140) |
$97.70 |
$977 |
1.1× |
| Xr shoulder 1 view (73020) |
$85.60 |
$856 |
1.0× |
| Xr spine cervical 4 or 5 views (72050) |
$76.60 |
$766 |
0.7× |
| Xr tibia/fibula 2 views (73590) |
$146.55 |
$1,465.50 |
1.7× |
| Xr tmj bilateral (70330) |
$28.90 |
$289 |
0.3× |
| Xray knee 1 or 2 views rt (73560) |
$128.40 |
$1,284 |
1.5× |