| Abdomen 2 views (74019) |
$105.11 |
$161.70 |
1.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$235.33 |
$362.05 |
0.6× |
| Ankle 2 views (73600) |
$35.49 |
$54.60 |
0.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$109.14 |
$167.90 |
0.3× |
| Bone &/joint imaging whole body (78306) |
$161.67 |
$248.72 |
0.4× |
| Bone Imaging 3 Phase (78315) |
$157.01 |
$241.55 |
0.4× |
| Bone survey complete (77075) |
$253.73 |
$390.35 |
2.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$844.90 |
$1,299.85 |
2.3× |
| Cervical spine 2 or 3 views (72040) |
$57.92 |
$89.10 |
0.7× |
| Chest 1 view (71045) |
$64.61 |
$99.40 |
0.8× |
| Chest 3 views (71047) |
$119.66 |
$184.10 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$71.96 |
$110.70 |
0.4× |
| Clavicle complete (73000) |
$21.74 |
$33.45 |
0.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$116.48 |
$179.20 |
1.2× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$52.88 |
$81.35 |
0.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,241.24 |
$1,909.60 |
3.8× |
| CT abdomen and pelvis without contrast (74176) |
$872.35 |
$1,342.08 |
3.9× |
| CT abdomen w contrast (74160) |
$325.88 |
$501.35 |
2.0× |
| CT abdomen w wo contrast (74170) |
$268.48 |
$413.05 |
1.6× |
| CT abdomen w/o contrast (74150) |
$215.57 |
$331.65 |
2.2× |
| CT angiography upper extremity lt (73206) |
$698.95 |
$1,075.30 |
4.2× |
| CT c-spine w/o contrast (72125) |
$202.18 |
$311.05 |
2.1× |
| CT cervical spine w&w/o contrast (72127) |
$282.52 |
$434.65 |
1.7× |
| CT cervical spine with contrast (72126) |
$242.68 |
$373.35 |
0.7× |
| CT chest w/wo contrast (71270) |
$270.82 |
$416.65 |
1.6× |
| CT chest with contrast (71260) |
$248.40 |
$382.15 |
1.5× |
| CT head/brain with contrast (70460) |
$215.57 |
$331.65 |
1.3× |
| CT head/brain without and with contrast (70470) |
$280.18 |
$431.05 |
1.7× |
| CT iac w contrast (70481) |
$215.57 |
$331.65 |
1.3× |
| CT limited/localized follow up study (76380) |
$138.91 |
$213.70 |
1.7× |
| CT lower ext w/o (73700) |
$192.82 |
$296.65 |
2.0× |
| CT lower extremity w wo contrast (73702) |
$238.36 |
$366.70 |
1.4× |
| CT lower extremity with contrast (73701) |
$208.23 |
$320.35 |
1.3× |
| CT lumbar spine w & w/o contrast (72133) |
$296.24 |
$455.75 |
1.8× |
| CT lumbar spine w/o contrast (72131) |
$215.57 |
$331.65 |
2.2× |
| CT lumbar spine with contrast (72132) |
$242.68 |
$373.35 |
0.7× |
| CT maxillofacial w contrast (70487) |
$228.64 |
$351.75 |
1.4× |
| CT maxillofacial w/o contrast (70486) |
$215.57 |
$331.65 |
2.2× |
| CT maxillofacial w/wo contrast (70488) |
$255.74 |
$393.45 |
1.6× |
| CT neck soft tissue w contrast (70491) |
$242.68 |
$373.35 |
1.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$255.74 |
$393.45 |
1.6× |
| CT orbits w/o contrast (70480) |
$202.18 |
$311.05 |
2.1× |
| CT pelvis w & w/o contrast (72194) |
$282.52 |
$434.65 |
1.7× |
| CT pelvis w/o contrast (72192) |
$202.18 |
$311.05 |
2.1× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$389.64 |
$599.45 |
4.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$282.52 |
$434.65 |
1.7× |
| CT soft tissue neck w/o contrast (70490) |
$200.85 |
$309 |
2.0× |
| CT thoracic spine w/contrast (72129) |
$230.98 |
$355.35 |
1.4× |
| CT thoracic spine w/o contrast (72128) |
$202.18 |
$311.05 |
2.1× |
| CT thoracic spine w/wo contrast (72130) |
$262.11 |
$403.25 |
1.6× |
| CT thorax w/o contrast (71250) |
$230.98 |
$355.35 |
2.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$247.72 |
$381.10 |
1.5× |
| CT upper extremity w/o contrast rt (73200) |
$170.04 |
$261.60 |
1.7× |
| CT upper extremity with contrast (73201) |
$184.44 |
$283.75 |
0.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$328.38 |
$505.20 |
2.0× |
| Cta Abdomen (74175) |
$568.07 |
$873.95 |
3.5× |
| CTA abdomen pelvis (74174) |
$706.32 |
$1,086.65 |
2.2× |
| CTA chest (71275) |
$698.95 |
$1,075.30 |
4.2× |
| Cta Head (70496) |
$698.95 |
$1,075.30 |
4.2× |
| CTA lwr ext w&w/o contrast (73706) |
$698.95 |
$1,075.30 |
4.2× |
| Cta Neck (70498) |
$698.95 |
$1,075.30 |
4.2× |
| Cystography minimum 3 views rs&i (74430) |
$51.22 |
$78.80 |
0.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$164.35 |
$252.85 |
1.7× |
| Dxa bone density study axial skeleton (77085) |
$211.58 |
$325.50 |
2.2× |
| Esophagus (74220) |
$91.72 |
$141.10 |
0.6× |
| Fetal biophysical profile non-stress testing (76818) |
$138.91 |
$213.70 |
1.4× |
| Fluoroscopy up to 1 hr (76000) |
$40.85 |
$62.85 |
0.2× |
| Foot 2 views (73620) |
$30.13 |
$46.35 |
0.4× |
| Forearm 2 views (73090) |
$38.48 |
$59.20 |
0.5× |
| Gastric mucosa imaging (78261) |
$85.35 |
$131.30 |
0.2× |
| Hand 2 views (73120) |
$32.14 |
$49.45 |
0.3× |
| Hand 3 views (73130) |
$39.49 |
$60.75 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$555 |
$853.85 |
1.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$229.65 |
$353.30 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$36.14 |
$55.60 |
0.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$59.25 |
$91.15 |
0.6× |
| Kidney imaging morphology (78700) |
$57.59 |
$88.60 |
0.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$139.91 |
$215.25 |
0.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$162.34 |
$249.75 |
0.3× |
| Knee 3 views (73562) |
$48.88 |
$75.20 |
0.6× |
| Liver & spleen imaging static only (78215) |
$49.53 |
$76.20 |
0.1× |
| Liver imaging w/vascular flow (78202) |
$219.60 |
$337.85 |
0.4× |
| Lung Ventilation Imaging (78579) |
$515.84 |
$793.60 |
1.4× |
| MRA head w & w/o contrast (70546) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRA head w/o contrast (70544) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRA head with contrast (70545) |
$1,606.80 |
$2,472 |
4.9× |
| MRA neck w contrast (70548) |
$1,606.80 |
$2,472 |
4.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRA neck w/o contrast (70547) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI abdomen w contrast (74182) |
$1,606.80 |
$2,472 |
4.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI abdomen w/o contrast (74181) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,606.80 |
$2,472 |
2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,606.80 |
$2,472 |
2.2× |
| MRI c-spine with contrast (72142) |
$1,606.80 |
$2,472 |
4.9× |
| MRI cervical spine w/o contrast (72141) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,606.80 |
$2,472 |
4.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,606.80 |
$2,472 |
4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI orbit/face/neck w/contrast (70542) |
$1,606.80 |
$2,472 |
4.9× |
| MRI pelvis w contrast (72196) |
$1,606.80 |
$2,472 |
4.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI pelvis w/o contrast (72195) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,606.80 |
$2,472 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,606.80 |
$2,472 |
4.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI tmj (70336) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,938.53 |
$2,982.35 |
5.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,142.83 |
$1,758.20 |
5.1× |
| Neck soft tissue (70360) |
$43.84 |
$67.45 |
0.5× |
| Nm cisternogram (78630) |
$217.26 |
$334.25 |
0.4× |
| Nm gastric emptying study (78264) |
$211.58 |
$325.50 |
0.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$109.14 |
$167.90 |
1.1× |
| Osseous survey infant (77076) |
$65.26 |
$100.40 |
0.7× |
| Osseous survey limited (77074) |
$67.63 |
$104.05 |
0.7× |
| Parathyroid imaging (78070) |
$92.40 |
$142.15 |
0.2× |
| Pelvis 1 or 2 views (72170) |
$33.80 |
$52 |
0.3× |
| Pr heart first pass single,planar (78481) |
$125.87 |
$193.65 |
0.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,938.53 |
$2,982.35 |
5.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$149.31 |
$229.70 |
0.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,031.36 |
$1,586.70 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$55.58 |
$85.50 |
0.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$86.03 |
$132.35 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$185.77 |
$285.80 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$86.03 |
$132.35 |
0.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$59.57 |
$91.65 |
0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$55.58 |
$85.50 |
0.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$100.10 |
$154 |
1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$105.11 |
$161.70 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$75.81 |
$116.62 |
0.9× |
| Radiologic exam colon single contrast study (74270) |
$105.11 |
$161.70 |
0.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$128.54 |
$197.75 |
0.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$102.77 |
$158.10 |
0.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$65.94 |
$101.45 |
0.8× |
| Radiological examination surgical specimen (76098) |
$43.52 |
$66.95 |
0.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$157.01 |
$241.55 |
0.3× |
| Sacroiliac Joints < 3 Views (72200) |
$36.14 |
$55.60 |
0.4× |
| Scapula complete (73010) |
$35.13 |
$54.05 |
0.4× |
| Sella turcica (70240) |
$39.16 |
$60.25 |
0.5× |
| Small bowel series (74250) |
$62.27 |
$95.80 |
0.4× |
| Spine thoracic 3 views (72072) |
$56.23 |
$86.50 |
0.6× |
| Testicular Imaging With Vascular Flow (78761) |
$616.62 |
$948.65 |
1.6× |
| Therapeutic Enema (74283) |
$343.10 |
$527.85 |
2.1× |
| Thoracolumbar 2 views (72080) |
$81.02 |
$124.65 |
1.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$515.84 |
$793.60 |
1.4× |
| Tmj unilateral (70328) |
$40.85 |
$62.85 |
0.5× |
| Ultrasound, abdomen limited (76705) |
$111.48 |
$171.50 |
1.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$404.72 |
$622.65 |
5.0× |
| Unlisted Ultrasound Procedure (76999) |
$89.38 |
$137.50 |
1.1× |
| Upper Extremity Infant (73092) |
$36.14 |
$55.60 |
0.4× |
| Urethrocystography retrograde rs&i (74450) |
$41.83 |
$64.35 |
0.2× |
| Urethrocystography voiding (74455) |
$102.77 |
$158.10 |
0.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$130.88 |
$201.35 |
0.8× |
| Us abdl aorta screen aaa (76706) |
$198.19 |
$304.90 |
2.0× |
| Us breast unilateral complete (76641) |
$162.01 |
$249.25 |
1.7× |
| Us breast unilateral limited (76642) |
$170.04 |
$261.60 |
2.1× |
| Us chest (76604) |
$100.43 |
$154.50 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$241.34 |
$371.30 |
2.5× |
| Us infant hips dynamic (76885) |
$92.72 |
$142.65 |
1.1× |
| Us pelvic non ob complete (76856) |
$148.30 |
$228.15 |
1.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$101.60 |
$156.30 |
1.0× |
| Us pregnancy ltd (76815) |
$198.51 |
$305.40 |
2.0× |
| Us retroperitoneal complete (76770) |
$98.74 |
$151.90 |
1.0× |
| Us retroperitoneal limited (76775) |
$112.48 |
$173.05 |
1.1× |
| Us scrotum and contents (76870) |
$108.13 |
$166.35 |
1.1× |
| Us soft tissue head/neck (76536) |
$108.13 |
$166.35 |
1.1× |
| Us spinal canal and contents (76800) |
$129.55 |
$199.30 |
1.3× |
| Us transrectal (76872) |
$149.63 |
$230.20 |
1.5× |
| Us xtr non-vasc lmtd (76882) |
$140.26 |
$215.78 |
1.4× |
| Venogram extremity bilateral (75822) |
$792.35 |
$1,219 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$93.41 |
$143.70 |
0.1× |
| Wrist 2 views (73100) |
$36.14 |
$55.60 |
0.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$76.99 |
$118.45 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$27.46 |
$42.25 |
0.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$38.48 |
$59.20 |
0.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$109.79 |
$168.90 |
0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$52.55 |
$80.85 |
0.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$38.48 |
$59.20 |
0.5× |
| X-ray exam hip uni 1 view (73501) |
$70.30 |
$108.15 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$82.68 |
$127.20 |
1.0× |
| X-ray eye for foreign body (70030) |
$39.16 |
$60.25 |
0.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$65.26 |
$100.40 |
0.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$39.16 |
$60.25 |
0.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$38.48 |
$59.20 |
0.5× |
| X-ray head for orthodontia (70350) |
$28.44 |
$43.75 |
0.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$30.13 |
$46.35 |
0.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$41.18 |
$63.35 |
0.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$52.55 |
$80.85 |
0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$32.14 |
$49.45 |
0.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$28.11 |
$43.25 |
0.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$60.26 |
$92.70 |
0.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$46.54 |
$71.60 |
0.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$171.73 |
$264.20 |
1.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$49.21 |
$75.70 |
0.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$28.44 |
$43.75 |
0.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$37.51 |
$57.70 |
0.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$62.60 |
$96.30 |
0.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$91.72 |
$141.10 |
0.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$39.49 |
$60.75 |
0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$36.14 |
$55.60 |
0.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$45.18 |
$69.50 |
0.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$65.26 |
$100.40 |
0.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$52.23 |
$80.35 |
0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$69.62 |
$107.10 |
0.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$49.21 |
$75.70 |
0.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$38.48 |
$59.20 |
0.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$43.19 |
$66.45 |
0.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$40.17 |
$61.80 |
0.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$50.90 |
$78.30 |
0.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$106.80 |
$164.30 |
1.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$30.13 |
$46.35 |
0.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$39.49 |
$60.75 |
0.5× |
| Xr c-spine 6 or more views (72052) |
$65.26 |
$100.40 |
0.7× |
| Xr chest 4+ views (71048) |
$132.89 |
$204.45 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$28.44 |
$43.75 |
0.3× |
| Xr internal auditory meati complete (70134) |
$59.57 |
$91.65 |
0.1× |
| XR Mastoids < 3 Views Bilateral (70120) |
$42.51 |
$65.40 |
0.4× |
| Xr shoulder 1 view (73020) |
$33.15 |
$51 |
0.4× |
| Xr spine cervical 4 or 5 views (72050) |
$90.71 |
$139.55 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$35.49 |
$54.60 |
0.4× |
| Xr tmj bilateral (70330) |
$26.78 |
$41.20 |
0.3× |
| Xray knee 1 or 2 views rt (73560) |
$35.13 |
$54.05 |
0.4× |