| Abdomen 2 views (74019) |
$215.05 |
$391 |
1.9× |
| Ankle 2 views (73600) |
$157.30 |
$286 |
1.7× |
| Arthrogram ankle (73615) |
$692.45 |
$1,259 |
1.9× |
| Arthrogram elbow (73085) |
$506 |
$920 |
1.4× |
| Arthrogram hip (73525) |
$660 |
$1,200 |
1.8× |
| Arthrogram knee (73580) |
$603.35 |
$1,097 |
1.6× |
| Arthrogram shoulder (73040) |
$657.25 |
$1,195 |
1.8× |
| Arthrogram wrist (73115) |
$297 |
$540 |
0.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$368.50 |
$670 |
0.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$541.20 |
$984 |
1.3× |
| Bone age studies (77072) |
$139.15 |
$253 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$706.20 |
$1,284 |
1.7× |
| Bone survey complete (77075) |
$461.45 |
$839 |
4.1× |
| Bone survey infant (77076) |
$310.20 |
$564 |
2.8× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$816.20 |
$1,484 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$237.60 |
$432 |
2.6× |
| Chest 1 view (71045) |
$146.30 |
$266 |
1.6× |
| Chest xray 3 views (71047) |
$181.50 |
$330 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$323.95 |
$589 |
1.7× |
| Clavicle complete (73000) |
$202.40 |
$368 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$787.05 |
$1,431 |
7.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,017.30 |
$5,486 |
8.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,060.30 |
$3,746 |
8.1× |
| CT abdomen w contrast (74160) |
$1,602.70 |
$2,914 |
8.6× |
| CT abdomen w wo contrast (74170) |
$1,735.80 |
$3,156 |
9.3× |
| CT abdomen w/o contrast (74150) |
$1,007.60 |
$1,832 |
9.0× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,910.70 |
$3,474 |
10.2× |
| CT angiography upper extremity lt (73206) |
$1,602.70 |
$2,914 |
8.6× |
| CT c-spine w/contrast (72126) |
$1,518.55 |
$2,761 |
4.1× |
| CT c-spine w/o contrast (72125) |
$1,052.70 |
$1,914 |
9.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,722.05 |
$3,131 |
9.2× |
| CT chest w contrast (71260) |
$1,507.55 |
$2,741 |
8.0× |
| CT chest w/wo contrast (71270) |
$1,722.05 |
$3,131 |
9.2× |
| CT head/brain with contrast (70460) |
$1,007.60 |
$1,832 |
5.4× |
| CT head/brain without and with contrast (70470) |
$1,258.95 |
$2,289 |
6.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,111.55 |
$2,021 |
3.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$630.30 |
$1,146 |
6.8× |
| CT iac w contrast (70481) |
$1,007.60 |
$1,832 |
5.4× |
| CT lower ext w/o (73700) |
$987.80 |
$1,796 |
8.8× |
| CT lower extremity w wo contrast (73702) |
$1,596.65 |
$2,903 |
8.5× |
| CT lower extremity w/contrast material (73701) |
$1,403.05 |
$2,551 |
7.5× |
| CT lumbar spine w & w/o contrast (72133) |
$1,690.15 |
$3,073 |
9.0× |
| CT lumbar spine w/contrast (72132) |
$1,452 |
$2,640 |
3.9× |
| CT lumbar spine w/o contrast (72131) |
$1,052.70 |
$1,914 |
9.4× |
| CT maxillofacial w contrast (70487) |
$1,007.60 |
$1,832 |
5.4× |
| CT maxillofacial w/wo contrast (70488) |
$1,280.95 |
$2,329 |
6.8× |
| CT maxillofacial wo contrast (70486) |
$876.70 |
$1,594 |
7.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,258.95 |
$2,289 |
6.7× |
| CT orbits w/o contrast (70480) |
$839.85 |
$1,527 |
7.5× |
| CT pelvis w/o contrast (72192) |
$987.80 |
$1,796 |
8.8× |
| CT pelvis w/wo contrast (72194) |
$1,674.75 |
$3,045 |
8.9× |
| CT scan of arm combo (73202) |
$1,958.55 |
$3,561 |
10.5× |
| CT soft tissue neck w contrast (70491) |
$1,187.45 |
$2,159 |
6.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,258.95 |
$2,289 |
6.7× |
| CT soft tissue neck w/o contrast (70490) |
$893.20 |
$1,624 |
8.0× |
| CT thoracic spine w/contrast (72129) |
$1,474 |
$2,680 |
7.9× |
| CT thoracic spine w/o contrast (72128) |
$1,052.70 |
$1,914 |
9.4× |
| CT thorax w/o contrast (71250) |
$1,052.70 |
$1,914 |
9.4× |
| CT upper ext wo (73200) |
$1,012.55 |
$1,841 |
9.1× |
| CT upper extremity with contrast (73201) |
$1,478.95 |
$2,689 |
4.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,383.70 |
$4,334 |
12.7× |
| Cta Abdomen (74175) |
$1,862.85 |
$3,387 |
9.9× |
| CTA abdomen pelvis (74174) |
$2,528.90 |
$4,598 |
6.8× |
| CTA chest (71275) |
$1,883.75 |
$3,425 |
10.1× |
| Cta Head (70496) |
$1,871.10 |
$3,402 |
10.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,800.05 |
$5,091 |
7.5× |
| Cta Neck (70498) |
$1,857.90 |
$3,378 |
9.9× |
| Cta Pelvis (72191) |
$1,560.90 |
$2,838 |
8.3× |
| Cystography minimum 3 views rs&i (74430) |
$194.15 |
$353 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$282.70 |
$514 |
2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$142.45 |
$259 |
1.5× |
| Esophagus (74220) |
$519.75 |
$945 |
2.8× |
| Facial bones min 3 views (70150) |
$252.45 |
$459 |
2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$341 |
$620 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$348.70 |
$634 |
1.4× |
| Foot 2 views (73620) |
$165.55 |
$301 |
1.8× |
| Forearm 2 views (73090) |
$181.50 |
$330 |
2.0× |
| Hand 2 views (73120) |
$194.70 |
$354 |
1.7× |
| Hysterosalpingogram (74740) |
$286.82 |
$521.50 |
1.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$190.30 |
$346 |
1.7× |
| Kidney imaging morphology (78700) |
$451.55 |
$821 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$660 |
$1,200 |
1.1× |
| Knee 3 views (73562) |
$262.35 |
$477 |
2.8× |
| Lung perf&ventilat diferentl (78598) |
$620.95 |
$1,129 |
1.1× |
| Lung perfusion differential (78597) |
$506.55 |
$921 |
1.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,351.80 |
$4,276 |
2.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,922.70 |
$5,314 |
7.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$3,547.50 |
$6,450 |
9.5× |
| Mammary ductogram or galactogram multiple (77054) |
$488.40 |
$888 |
1.9× |
| Mammary ductogram or galactogram single (77053) |
$377.30 |
$686 |
1.5× |
| MRA head w & w/o contrast (70546) |
$3,889.60 |
$7,072 |
10.4× |
| MRA head w/o contrast (70544) |
$1,993.20 |
$3,624 |
7.8× |
| MRA head with contrast (70545) |
$2,922.70 |
$5,314 |
7.8× |
| MRA neck w contrast (70548) |
$2,511.30 |
$4,566 |
6.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,889.60 |
$7,072 |
10.4× |
| MRA neck w/o contrast (70547) |
$1,993.20 |
$3,624 |
7.8× |
| MRI abdomen w contrast (74182) |
$2,289.65 |
$4,163 |
6.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,556.85 |
$6,467 |
9.5× |
| MRI abdomen w/o contrast (74181) |
$2,019.05 |
$3,671 |
7.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,408.45 |
$4,379 |
2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,281.30 |
$5,966 |
8.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,483.25 |
$4,515 |
9.7× |
| MRI breast wo contrast unilateral (77046) |
$1,971.20 |
$3,584 |
7.7× |
| MRI c-spine with contrast (72142) |
$2,390.30 |
$4,346 |
6.4× |
| MRI cervical spine w/o contrast (72141) |
$1,993.20 |
$3,624 |
7.8× |
| MRI chest w/o & w/contrast material (71552) |
$3,397.35 |
$6,177 |
9.1× |
| MRI chest w/o contrast (71550) |
$1,971.20 |
$3,584 |
7.7× |
| MRI chest with contrast (71551) |
$2,360.60 |
$4,292 |
2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,922.70 |
$5,314 |
7.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,573.35 |
$6,497 |
9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,959.10 |
$3,562 |
7.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,959.10 |
$3,562 |
7.7× |
| MRI orbit face neck w contrast (70542) |
$2,351.80 |
$4,276 |
6.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,515.32 |
$6,391.50 |
9.4× |
| MRI pelvis w/contrast (72196) |
$2,360.60 |
$4,292 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,547.50 |
$6,450 |
9.5× |
| MRI pelvis w/o contrast (72195) |
$1,971.20 |
$3,584 |
7.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,073.40 |
$5,588 |
8.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,086.70 |
$3,794 |
5.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,166.08 |
$5,756.50 |
8.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,390.30 |
$4,346 |
6.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,955.15 |
$5,373 |
7.9× |
| MRI temporomandibular joint (70336) |
$1,993.20 |
$3,624 |
7.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,024.55 |
$3,681 |
7.9× |
| MRI up ext w/o contrast (73218) |
$1,969 |
$3,580 |
7.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,897.50 |
$3,450 |
7.4× |
| MRI, joint upper extrem combo (73223) |
$2,862.20 |
$5,204 |
7.7× |
| Myelogram Cervical (72240) |
$845.35 |
$1,537 |
1.0× |
| Myelogram Lumbar (72265) |
$726 |
$1,320 |
0.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$537.35 |
$977 |
0.4× |
| Myocardial Perfusion Planar Multiple Studies (78454) |
$452.10 |
$822 |
0.3× |
| Myocardial Spect Multiple Studies (78452) |
$1,112.65 |
$2,023 |
0.8× |
| Neck soft tissue (70360) |
$190.30 |
$346 |
2.0× |
| Osseous survey limited (77074) |
$310.20 |
$564 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$173.80 |
$316 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$258.50 |
$470 |
0.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$232.10 |
$422 |
2.5× |
| Radex Calcaneus Minimum 2 Views (73650) |
$177.10 |
$322 |
1.9× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$200.20 |
$364 |
2.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$229.35 |
$417 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$416.90 |
$758 |
3.7× |
| Radex fingr minimum 2 views (73140) |
$204.05 |
$371 |
2.2× |
| Radex Foot Compl Minimum 3 Views (73630) |
$215.05 |
$391 |
2.3× |
| Radex Hand Minimum 3 Views (73130) |
$232.10 |
$422 |
2.5× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$196.90 |
$358 |
2.1× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$287.65 |
$523 |
2.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$253.55 |
$461 |
2.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$392.15 |
$713 |
3.5× |
| Radex Humerus Minimum 2 Views (73060) |
$202.40 |
$368 |
2.2× |
| Radex Kne 1/2 Views (73560) |
$222.20 |
$404 |
2.4× |
| Radex Kne Compl 4/More Views (73564) |
$554.95 |
$1,009 |
5.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$262.35 |
$477 |
2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$244.20 |
$444 |
2.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$175.45 |
$319 |
1.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$209.55 |
$381 |
2.3× |
| Radex Sinuses Paransl < 3 Views (70210) |
$140.25 |
$255 |
1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$301.95 |
$549 |
3.2× |
| Radex Toe Minimum 2 Views (73660) |
$190.30 |
$346 |
2.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$125.40 |
$228 |
1.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$256.30 |
$466 |
2.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$177.10 |
$322 |
1.9× |
| Radiologic exam chest 2 views (71046) |
$194.70 |
$354 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$713.35 |
$1,297 |
3.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$665.50 |
$1,210 |
3.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$471.35 |
$857 |
2.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$428.45 |
$779 |
2.3× |
| Radiologic examination femur 1 view (73551) |
$174.35 |
$317 |
1.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$242.55 |
$441 |
2.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$199.65 |
$363 |
2.1× |
| Radiological examination surgical specimen (76098) |
$77 |
$140 |
0.1× |
| Ribs bilateral 3 views (71110) |
$250.80 |
$456 |
2.2× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$503.25 |
$915 |
1.2× |
| Sacroiliac Joints < 3 Views (72200) |
$108.90 |
$198 |
1.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$385.55 |
$701 |
1.5× |
| Scapula (73010) |
$185.35 |
$337 |
1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$79.20 |
$144 |
3.4× |
| Shoulder 1 view (73020) |
$135.30 |
$246 |
1.5× |
| Sialogram (70390) |
$272.80 |
$496 |
1.1× |
| Small bowel series (74250) |
$476.30 |
$866 |
2.5× |
| Spine thoracic 3 views (72072) |
$237.60 |
$432 |
2.1× |
| Thoracolumbar 2 views (72080) |
$206.25 |
$375 |
2.2× |
| Ultrasound breast complete (76641) |
$187 |
$340 |
1.7× |
| Ultrasound Exam Aaa Screen (76706) |
$289.30 |
$526 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$495 |
$900 |
4.4× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED (78199) |
$602.25 |
$1,095 |
1.4× |
| Urethrocystogram voiding (74455) |
$589.05 |
$1,071 |
2.3× |
| Us breast unilateral limited (76642) |
$358.05 |
$651 |
3.9× |
| Us chest (76604) |
$233.75 |
$425 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$306.35 |
$557 |
2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$292.60 |
$532 |
2.6× |
| Us ob detailed single fetus (76811) |
$670.45 |
$1,219 |
2.6× |
| Us ob limited (76815) |
$306.90 |
$558 |
2.7× |
| Us ob transvaginal (76817) |
$528.55 |
$961 |
4.7× |
| Us pelvic non ob complete (76856) |
$443.85 |
$807 |
4.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$300.30 |
$546 |
2.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$375.65 |
$683 |
3.4× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$443.85 |
$807 |
4.0× |
| Us retroperitoneal complete (76770) |
$600.05 |
$1,091 |
5.4× |
| Us retroperitoneal limited (76775) |
$322.30 |
$586 |
2.9× |
| Us scrotum and contents (76870) |
$561.55 |
$1,021 |
5.0× |
| Us soft tissue head/neck (76536) |
$506 |
$920 |
4.5× |
| Venogram Extremity Unilateral (75820) |
$717.20 |
$1,304 |
0.4× |
| Wrist 2 views (73100) |
$160.60 |
$292 |
1.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$288.20 |
$524 |
2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$271.15 |
$493 |
2.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$697.95 |
$1,269 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$177.10 |
$322 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$276.65 |
$503 |
3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$328.90 |
$598 |
2.9× |
| X-ray exam of femur 2/> (73552) |
$224.95 |
$409 |
2.4× |
| X-ray eye for foreign body (70030) |
$187.55 |
$341 |
2.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$171.60 |
$312 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$165.55 |
$301 |
1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$220.55 |
$401 |
2.4× |
| X-ray leg, infant (73592) |
$118.80 |
$216 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$237.60 |
$432 |
2.1× |
| X-ray nose-rectum child f.b. (76010) |
$151.80 |
$276 |
1.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$225.50 |
$410 |
2.0× |
| X-ray retrograde pyelogram (74420) |
$672.10 |
$1,222 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$215.05 |
$391 |
2.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$244.20 |
$444 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$280.50 |
$510 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$210.10 |
$382 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$199.65 |
$363 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$224.95 |
$409 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$252.45 |
$459 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$210.10 |
$382 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$129.80 |
$236 |
1.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$223.30 |
$406 |
2.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$174.35 |
$317 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$204.05 |
$371 |
1.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$254.65 |
$463 |
2.3× |
| Xr bone length studies (77073) |
$198 |
$360 |
1.8× |
| Xr c-spine 4 or 5 views (72050) |
$326.15 |
$593 |
2.9× |
| Xr c-spine 6 or more views (72052) |
$342.65 |
$623 |
3.1× |
| Xr chest 4+ views (71048) |
$181.50 |
$330 |
1.6× |
| Xr urogram antegrade (74425) |
$354.75 |
$645 |
1.0× |