| Abdomen 2 views (74019) |
$82.40 |
$824 |
0.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$318.60 |
$3,186 |
0.8× |
| Ankle 2 views (73600) |
$82.40 |
$824 |
0.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$127.70 |
$1,277 |
0.4× |
| Arthrogram shoulder (73040) |
$145.90 |
$1,459 |
0.4× |
| Bone &/joint imaging whole body (78306) |
$348.80 |
$3,488 |
0.9× |
| Bone age studies (77072) |
$82.40 |
$824 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$383.70 |
$3,837 |
1.0× |
| Bone survey complete (77075) |
$175.50 |
$1,755 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$82.40 |
$824 |
0.9× |
| Chest 1 view (71045) |
$72.20 |
$722 |
0.8× |
| Chest 3 views (71047) |
$63.10 |
$631 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$135.60 |
$1,356 |
0.8× |
| Clavicle complete (73000) |
$82.40 |
$824 |
0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$170.90 |
$1,709 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,285.90 |
$12,859 |
3.7× |
| CT abdomen and pelvis without contrast (74176) |
$867.90 |
$8,679 |
3.6× |
| CT abdomen w contrast (74160) |
$755.90 |
$7,559 |
4.3× |
| CT abdomen w wo contrast (74170) |
$857.20 |
$8,572 |
4.9× |
| CT abdomen w/o contrast (74150) |
$578.70 |
$5,787 |
5.5× |
| CT angiography upper extremity lt (73206) |
$512.80 |
$5,128 |
2.9× |
| CT c-spine w/o contrast (72125) |
$562.10 |
$5,621 |
5.4× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$57 |
$570 |
0.3× |
| CT cervical spine w&w/o contrast (72127) |
$691.40 |
$6,914 |
3.9× |
| CT cervical spine with contrast (72126) |
$618.30 |
$6,183 |
1.8× |
| CT chest w/wo contrast (71270) |
$857.20 |
$8,572 |
4.9× |
| CT chest with contrast (71260) |
$755.90 |
$7,559 |
4.3× |
| CT head/brain with contrast (70460) |
$734.10 |
$7,341 |
4.2× |
| CT head/brain without and with contrast (70470) |
$832.50 |
$8,325 |
4.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$29.50 |
$295 |
0.3× |
| CT iac w contrast (70481) |
$618.30 |
$6,183 |
3.5× |
| CT lower ext w/o (73700) |
$723.38 |
$7,233.75 |
6.9× |
| CT lower extremity w wo contrast (73702) |
$857.20 |
$8,572 |
4.9× |
| CT lower extremity with contrast (73701) |
$755.90 |
$7,559 |
4.3× |
| CT lumbar spine w & w/o contrast (72133) |
$691.40 |
$6,914 |
3.9× |
| CT lumbar spine w/o contrast (72131) |
$578.70 |
$5,787 |
5.5× |
| CT lumbar spine with contrast (72132) |
$636.60 |
$6,366 |
1.8× |
| CT maxillofacial w contrast (70487) |
$734.10 |
$7,341 |
4.2× |
| CT maxillofacial w/o contrast (70486) |
$562.10 |
$5,621 |
5.4× |
| CT maxillofacial w/wo contrast (70488) |
$832.50 |
$8,325 |
4.7× |
| CT neck soft tissue w contrast (70491) |
$734.10 |
$7,341 |
4.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$832.50 |
$8,325 |
4.7× |
| CT orbits w/o contrast (70480) |
$562.10 |
$5,621 |
5.4× |
| CT pelvis w & w/o contrast (72194) |
$857.20 |
$8,572 |
4.9× |
| CT pelvis w/o contrast (72192) |
$578.70 |
$5,787 |
5.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$832.50 |
$8,325 |
4.7× |
| CT soft tissue neck w/o contrast (70490) |
$562.10 |
$5,621 |
5.4× |
| CT thoracic spine w/contrast (72129) |
$66.60 |
$666 |
0.4× |
| CT thoracic spine w/o contrast (72128) |
$578.70 |
$5,787 |
5.5× |
| CT thoracic spine w/wo contrast (72130) |
$857.20 |
$8,572 |
4.9× |
| CT thorax w/o contrast (71250) |
$578.70 |
$5,787 |
5.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$857.20 |
$8,572 |
4.9× |
| CT upper extremity w/o contrast rt (73200) |
$723.38 |
$7,233.75 |
6.9× |
| CT upper extremity with contrast (73201) |
$755.90 |
$7,559 |
2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$654.70 |
$6,547 |
3.7× |
| Cta Abdomen (74175) |
$570.10 |
$5,701 |
3.2× |
| CTA abdomen pelvis (74174) |
$909.30 |
$9,093 |
2.6× |
| CTA chest (71275) |
$585.20 |
$5,852 |
3.3× |
| Cta Head (70496) |
$525.90 |
$5,259 |
3.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$907 |
$9,070 |
2.6× |
| CTA lwr ext w&w/o contrast (73706) |
$684.12 |
$6,841.25 |
3.9× |
| Cta Neck (70498) |
$511.50 |
$5,115 |
2.9× |
| Cta Pelvis (72191) |
$559.70 |
$5,597 |
3.2× |
| Cystography minimum 3 views rs&i (74430) |
$221.80 |
$2,218 |
0.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$72.50 |
$725 |
0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$72.50 |
$725 |
0.8× |
| Dxa bone density study axial skeleton (77085) |
$40.70 |
$407 |
0.4× |
| Echo exam of fetal heart (76825) |
$180 |
$1,800 |
0.3× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$85.80 |
$858 |
0.4× |
| Echoencephalography real time imaging (76506) |
$120.50 |
$1,205 |
1.1× |
| Esophagus (74220) |
$66.60 |
$666 |
0.4× |
| Fetal biophysical profile non-stress testing (76818) |
$167.60 |
$1,676 |
1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$126.10 |
$1,261 |
1.2× |
| Fluoroscopy up to 1 hr (76000) |
$121.20 |
$1,212 |
0.5× |
| Foot 2 views (73620) |
$82.40 |
$824 |
0.9× |
| Forearm 2 views (73090) |
$103 |
$1,030 |
1.2× |
| Hand 2 views (73120) |
$103 |
$1,030 |
1.0× |
| Hand 3 views (73130) |
$114 |
$1,140 |
1.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$404.40 |
$4,044 |
0.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$268 |
$2,680 |
0.7× |
| Ht muscle image spect sing (78451) |
$501.80 |
$5,018 |
0.4× |
| Humerus Min 2 Views Left (73060) |
$103 |
$1,030 |
1.2× |
| Hysterosalpingogram (74740) |
$348.50 |
$3,485 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$170 |
$1,700 |
0.3× |
| Knee 3 views (73562) |
$114 |
$1,140 |
1.3× |
| Liver & spleen imaging static only (78215) |
$139.20 |
$1,392 |
0.3× |
| MRA head w & w/o contrast (70546) |
$1,018.10 |
$10,181 |
2.9× |
| MRA head w/o contrast (70544) |
$752.60 |
$7,526 |
3.1× |
| MRA head with contrast (70545) |
$441.50 |
$4,415 |
1.3× |
| MRA neck w contrast (70548) |
$895.60 |
$8,956 |
2.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$348.10 |
$3,481 |
1.0× |
| MRA neck w/o contrast (70547) |
$752.60 |
$7,526 |
3.1× |
| MRI abdomen w contrast (74182) |
$137.30 |
$1,373 |
0.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,057.50 |
$10,575 |
3.0× |
| MRI abdomen w/o contrast (74181) |
$781.80 |
$7,818 |
3.3× |
| MRI any jnt lwr ext with con lt (73722) |
$461.60 |
$4,616 |
0.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$480.80 |
$4,808 |
0.6× |
| MRI c-spine with contrast (72142) |
$137.30 |
$1,373 |
0.4× |
| MRI cervical spine w/o contrast (72141) |
$752.60 |
$7,526 |
3.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,018.10 |
$10,181 |
2.9× |
| MRI chest w/o contrast (71550) |
$781.80 |
$7,818 |
3.3× |
| MRI chest with contrast (71551) |
$266.40 |
$2,664 |
0.3× |
| MRI fetal sngl/1st gestation (74712) |
$85.80 |
$858 |
0.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$859.90 |
$8,599 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$501.60 |
$5,016 |
1.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$781.80 |
$7,818 |
3.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$752.60 |
$7,526 |
3.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,018.10 |
$10,181 |
2.9× |
| MRI orbit/face/neck w/contrast (70542) |
$480.20 |
$4,802 |
1.4× |
| MRI pelvis w contrast (72196) |
$859.90 |
$8,599 |
2.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,057.50 |
$10,575 |
3.0× |
| MRI pelvis w/o contrast (72195) |
$781.80 |
$7,818 |
3.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,057.50 |
$10,575 |
3.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,057.50 |
$10,575 |
3.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,018.10 |
$10,181 |
2.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$930.20 |
$9,302 |
2.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,057.50 |
$10,575 |
3.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$137.30 |
$1,373 |
0.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,057.50 |
$10,575 |
3.0× |
| MRI thoracic spine w/o contrast (72146) |
$781.80 |
$7,818 |
3.3× |
| MRI tmj (70336) |
$85.80 |
$858 |
0.4× |
| MRI upper ext joint w/o contrast (73221) |
$977.25 |
$9,772.50 |
4.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,018.10 |
$10,181 |
2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$781.80 |
$7,818 |
3.3× |
| Myocardial Spect Multiple Studies (78452) |
$821 |
$8,210 |
0.6× |
| Neck soft tissue (70360) |
$73.70 |
$737 |
0.8× |
| Nm gastric emptying study (78264) |
$254.90 |
$2,549 |
0.6× |
| Nuclear Rx Oral Admin (79005) |
$147.30 |
$1,473 |
0.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$111.10 |
$1,111 |
1.1× |
| Osseous survey infant (77076) |
$78.10 |
$781 |
0.7× |
| Osseous survey limited (77074) |
$127.70 |
$1,277 |
1.2× |
| Parathyrd planar w/wo subtrj (78071) |
$194.70 |
$1,947 |
0.5× |
| Pelvis 1 or 2 views (72170) |
$82.40 |
$824 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,057.50 |
$10,575 |
3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$335.90 |
$3,359 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$455.40 |
$4,554 |
0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$167.60 |
$1,676 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$66.50 |
$665 |
0.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$223.40 |
$2,234 |
2.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$86 |
$860 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$91.60 |
$916 |
0.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$72.20 |
$722 |
0.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$40.70 |
$407 |
0.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$82.40 |
$824 |
0.9× |
| Radiologic exam colon single contrast study (74270) |
$129.90 |
$1,299 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$78.50 |
$785 |
0.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$237 |
$2,370 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$113.38 |
$1,133.75 |
1.3× |
| Radiological examination surgical specimen (76098) |
$165.30 |
$1,653 |
0.3× |
| Ribs bilateral 3 views (71110) |
$40.70 |
$407 |
0.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$487.10 |
$4,871 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$82.40 |
$824 |
0.8× |
| Scanogram (77073) |
$62.90 |
$629 |
0.6× |
| Scapula complete (73010) |
$82.40 |
$824 |
0.8× |
| Screening digital breast tomosynthesis (77063) |
$18.20 |
$182 |
0.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$38.40 |
$384 |
0.4× |
| Small bowel series (74250) |
$175.20 |
$1,752 |
1.0× |
| Speech evaluation complex (70371) |
$85.80 |
$858 |
0.4× |
| Spine thoracic 3 views (72072) |
$89.90 |
$899 |
0.9× |
| Therapeutic Enema (74283) |
$234 |
$2,340 |
1.3× |
| Thoracolumbar 2 views (72080) |
$82.40 |
$824 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$275.80 |
$2,758 |
0.7× |
| Tmj unilateral (70328) |
$63.10 |
$631 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$146.10 |
$1,461 |
1.4× |
| Umbilical-artery Doppler (OB) (76820) |
$67.70 |
$677 |
0.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$98.80 |
$988 |
1.1× |
| Upper Extremity Infant (73092) |
$91.20 |
$912 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$90.40 |
$904 |
0.4× |
| Urethrocystography voiding (74455) |
$221.50 |
$2,215 |
0.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$368.70 |
$3,687 |
2.1× |
| Us abdl aorta screen aaa (76706) |
$97.80 |
$978 |
0.9× |
| Us breast unilateral complete (76641) |
$128.12 |
$1,281.25 |
1.2× |
| Us breast unilateral limited (76642) |
$93.10 |
$931 |
1.1× |
| Us chest (76604) |
$95.50 |
$955 |
0.9× |
| Us compl joint r-t w/image documentation (76881) |
$42.80 |
$428 |
0.4× |
| Us elastography parenchyma (76981) |
$40.70 |
$407 |
0.4× |
| Us guided compression repair (76936) |
$98.60 |
$986 |
0.5× |
| Us kidney transplant (76776) |
$169.40 |
$1,694 |
1.6× |
| Us ob detailed single fetus (76811) |
$79.40 |
$794 |
0.3× |
| Us ob transvaginal (76817) |
$187.70 |
$1,877 |
1.8× |
| Us pelvic non ob complete (76856) |
$241.30 |
$2,413 |
2.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$100.80 |
$1,008 |
1.0× |
| Us pregnancy ltd (76815) |
$77.10 |
$771 |
0.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$167.40 |
$1,674 |
1.6× |
| Us retroperitoneal complete (76770) |
$145.20 |
$1,452 |
1.4× |
| Us retroperitoneal limited (76775) |
$229.10 |
$2,291 |
2.2× |
| Us scrotum and contents (76870) |
$138 |
$1,380 |
1.3× |
| Us soft tissue head/neck (76536) |
$174.70 |
$1,747 |
1.7× |
| Us spinal canal and contents (76800) |
$85.60 |
$856 |
0.8× |
| Us xtr non-vasc lmtd (76882) |
$40.70 |
$407 |
0.4× |
| Vascular flow imaging (78445) |
$92.30 |
$923 |
0.2× |
| Wrist 2 views (73100) |
$82.40 |
$824 |
0.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$136.20 |
$1,362 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$91.20 |
$912 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$114 |
$1,140 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$152.10 |
$1,521 |
0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$103 |
$1,030 |
1.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$91.20 |
$912 |
1.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$193.10 |
$1,931 |
1.8× |
| X-ray exam hip uni 1 view (73501) |
$72.20 |
$722 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$82.40 |
$824 |
0.9× |
| X-ray exam hip uni 4/> views (73503) |
$46.10 |
$461 |
0.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$111.70 |
$1,117 |
1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$127.70 |
$1,277 |
1.2× |
| X-ray exam of femur 1 (73551) |
$82.40 |
$824 |
0.9× |
| X-ray eye for foreign body (70030) |
$30.40 |
$304 |
0.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$91.20 |
$912 |
0.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$82.40 |
$824 |
0.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$114 |
$1,140 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$103 |
$1,030 |
1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$29.30 |
$293 |
0.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$125.25 |
$1,252.50 |
1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$91.30 |
$913 |
1.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$114 |
$1,140 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$82.40 |
$824 |
0.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$265.40 |
$2,654 |
2.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$94.60 |
$946 |
0.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$91.60 |
$916 |
1.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$100.20 |
$1,002 |
1.1× |
| X-ray of voice box or throat (70370) |
$114.10 |
$1,141 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$100.20 |
$1,002 |
1.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$68.30 |
$683 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$30.40 |
$304 |
0.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$91.20 |
$912 |
0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$104.50 |
$1,045 |
1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$40.70 |
$407 |
0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$82.40 |
$824 |
0.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$103 |
$1,030 |
1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$91.60 |
$916 |
1.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$62.90 |
$629 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$75.70 |
$757 |
0.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$91.60 |
$916 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$62.90 |
$629 |
0.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$91.20 |
$912 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$82.40 |
$824 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$46.60 |
$466 |
0.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$63.10 |
$631 |
0.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$82.40 |
$824 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$114 |
$1,140 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$118.60 |
$1,186 |
1.1× |
| Xr chest 4+ views (71048) |
$63.10 |
$631 |
0.6× |
| Xr finger(s) 2+ views (73140) |
$82.40 |
$824 |
0.9× |
| Xr shoulder 1 view (73020) |
$72.20 |
$722 |
0.8× |
| Xr spine cervical 4 or 5 views (72050) |
$118.60 |
$1,186 |
1.1× |
| Xr tibia/fibula 2 views (73590) |
$103 |
$1,030 |
1.2× |
| Xr tmj bilateral (70330) |
$98.80 |
$988 |
1.1× |
| Xray knee 1 or 2 views rt (73560) |
$90.25 |
$902.50 |
1.0× |