| Abdomen 2 views (74019) |
$279 |
$558 |
2.8× |
| Acute gi blood loss imaging (78278) |
$1,030 |
$2,060 |
2.7× |
| Angiography extremity bilateral rs&i (75716) |
$6,856.75 |
$13,713.50 |
2.3× |
| Angiography extremity unilateral rs&i (75710) |
$6,856.75 |
$13,713.50 |
2.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,841.50 |
$9,683 |
0.9× |
| Ankle 2 views (73600) |
$373 |
$746 |
4.5× |
| Aortogram thoracic (75605) |
$6,426 |
$12,852 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,772.50 |
$5,545 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$6,856.75 |
$13,713.50 |
2.3× |
| Arthrogram hip (73525) |
$1,272 |
$2,544 |
3.8× |
| Arthrogram shoulder (73040) |
$2,101 |
$4,202 |
6.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$648 |
$1,296 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$967.25 |
$1,934.50 |
2.5× |
| Bone age studies (77072) |
$269 |
$538 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$936.50 |
$1,873 |
2.4× |
| Bone survey complete (77075) |
$269 |
$538 |
2.7× |
| Bone survey infant (77076) |
$294.75 |
$589.50 |
2.9× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$903.75 |
$1,807.50 |
2.4× |
| Cervical spine 2 or 3 views (72040) |
$201 |
$402 |
2.4× |
| Chest 1 view (71045) |
$211 |
$422 |
2.5× |
| Chest xray 3 views (71047) |
$187 |
$374 |
2.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$467 |
$934 |
2.8× |
| Clavicle complete (73000) |
$187 |
$374 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$252.25 |
$504.50 |
2.5× |
| Continuing medical physics consltj pr wk (77336) |
$340 |
$680 |
2.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$955.50 |
$1,911 |
2.9× |
| CT abdomen and pelvis without contrast (74176) |
$583.25 |
$1,166.50 |
2.5× |
| CT abdomen w contrast (74160) |
$639.50 |
$1,279 |
3.8× |
| CT abdomen w wo contrast (74170) |
$610.50 |
$1,221 |
3.6× |
| CT abdomen w/o contrast (74150) |
$282.50 |
$565 |
2.8× |
| CT angio hrt w/3d image (75574) |
$154.50 |
$309 |
0.5× |
| CT angio lwr extr w/o&w/dye (73706) |
$603.25 |
$1,206.50 |
3.6× |
| CT angiography upper extremity lt (73206) |
$581.50 |
$1,163 |
3.5× |
| CT c-spine w/contrast (72126) |
$1,155.50 |
$2,311 |
3.5× |
| CT c-spine w/o contrast (72125) |
$282.50 |
$565 |
2.8× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$1,578 |
$3,156 |
9.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,236.50 |
$2,473 |
7.3× |
| CT chest w contrast (71260) |
$610.50 |
$1,221 |
3.6× |
| CT chest w/wo contrast (71270) |
$610.50 |
$1,221 |
3.6× |
| CT head/brain with contrast (70460) |
$581.50 |
$1,163 |
3.5× |
| CT head/brain without and with contrast (70470) |
$610.50 |
$1,221 |
3.6× |
| CT iac w contrast (70481) |
$610.50 |
$1,221 |
3.6× |
| CT limited/localized follow up study (76380) |
$205.50 |
$411 |
2.5× |
| CT lower ext w/o (73700) |
$513 |
$1,026 |
5.1× |
| CT lower extremity w wo contrast (73702) |
$1,085.50 |
$2,171 |
6.5× |
| CT lower extremity w/contrast material (73701) |
$707.50 |
$1,415 |
4.2× |
| CT lumbar spine w & w/o contrast (72133) |
$572.50 |
$1,145 |
3.4× |
| CT lumbar spine w/contrast (72132) |
$1,129.50 |
$2,259 |
3.4× |
| CT lumbar spine w/o contrast (72131) |
$282.50 |
$565 |
2.8× |
| CT maxillofacial w contrast (70487) |
$610.50 |
$1,221 |
3.6× |
| CT maxillofacial w/wo contrast (70488) |
$572.50 |
$1,145 |
3.4× |
| CT maxillofacial wo contrast (70486) |
$282.50 |
$565 |
2.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$610.50 |
$1,221 |
3.6× |
| CT orbits w/o contrast (70480) |
$282.50 |
$565 |
2.8× |
| CT pelvis w/o contrast (72192) |
$296 |
$592 |
3.0× |
| CT pelvis w/wo contrast (72194) |
$630 |
$1,260 |
3.7× |
| CT soft tissue neck w contrast (70491) |
$610.50 |
$1,221 |
3.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$639.50 |
$1,279 |
3.8× |
| CT soft tissue neck w/o contrast (70490) |
$282.50 |
$565 |
2.8× |
| CT thoracic spine w/contrast (72129) |
$639.50 |
$1,279 |
3.8× |
| CT thoracic spine w/o contrast (72128) |
$282.50 |
$565 |
2.8× |
| CT thorax w/o contrast (71250) |
$282.50 |
$565 |
2.8× |
| CT upper ext wo (73200) |
$277.25 |
$554.50 |
2.8× |
| CT upper extremity with contrast (73201) |
$893 |
$1,786 |
2.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$610.50 |
$1,221 |
3.6× |
| Cta Abdomen (74175) |
$639.50 |
$1,279 |
3.8× |
| CTA abdomen pelvis (74174) |
$955.50 |
$1,911 |
2.9× |
| CTA chest (71275) |
$610.50 |
$1,221 |
3.6× |
| Cta Head (70496) |
$610.50 |
$1,221 |
3.6× |
| Cta Neck (70498) |
$610.50 |
$1,221 |
3.6× |
| Cta Pelvis (72191) |
$581.50 |
$1,163 |
3.5× |
| Cystography minimum 3 views rs&i (74430) |
$978.50 |
$1,957 |
2.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$281.50 |
$563 |
2.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$285 |
$570 |
2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$266 |
$532 |
3.2× |
| Dxa bone density study axial skeleton (77085) |
$155.50 |
$311 |
1.6× |
| Esophagus (74220) |
$603.25 |
$1,206.50 |
3.6× |
| Facial bones min 3 views (70150) |
$274 |
$548 |
2.7× |
| Fetal biophysical profile non-stress testing (76818) |
$152.50 |
$305 |
1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$273.50 |
$547 |
2.7× |
| Fluoroscopy up to 1 hr (76000) |
$583 |
$1,166 |
2.5× |
| Foot 2 views (73620) |
$197.50 |
$395 |
2.4× |
| Forearm 2 views (73090) |
$359.50 |
$719 |
4.3× |
| Hand 2 views (73120) |
$396 |
$792 |
3.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,172.50 |
$2,345 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$936.50 |
$1,873 |
2.4× |
| Hysterosalpingogram (74740) |
$555.50 |
$1,111 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,130 |
$2,260 |
2.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,172.50 |
$2,345 |
2.3× |
| Knee 3 views (73562) |
$284.75 |
$569.50 |
3.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$871 |
$1,742 |
2.3× |
| Lung perf&ventilat diferentl (78598) |
$1,130 |
$2,260 |
2.2× |
| Lung perfusion differential (78597) |
$871 |
$1,742 |
2.3× |
| Lymphoscintigraphy (78195) |
$1,215 |
$2,430 |
2.3× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,620 |
$3,240 |
2.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,044.25 |
$4,088.50 |
6.1× |
| MRA head w & w/o contrast (70546) |
$1,415.75 |
$2,831.50 |
4.2× |
| MRA head w/o contrast (70544) |
$1,381.25 |
$2,762.50 |
6.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,425.50 |
$2,851 |
4.3× |
| MRA neck w/o contrast (70547) |
$929 |
$1,858 |
4.1× |
| MRI abdomen w contrast (74182) |
$1,054.50 |
$2,109 |
3.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,417.75 |
$2,835.50 |
4.2× |
| MRI abdomen w/o contrast (74181) |
$747.50 |
$1,495 |
3.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,088.75 |
$2,177.50 |
1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,206.50 |
$2,413 |
3.6× |
| MRI breast w/o contrast bilateral (77047) |
$1,180.50 |
$2,361 |
5.2× |
| MRI c-spine with contrast (72142) |
$910 |
$1,820 |
2.7× |
| MRI cervical spine w/o contrast (72141) |
$1,005.50 |
$2,011 |
4.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,430 |
$4,860 |
7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,098.25 |
$2,196.50 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$796 |
$1,592 |
3.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$676.50 |
$1,353 |
3.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,103 |
$4,206 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,090.50 |
$2,181 |
3.3× |
| MRI pelvis w/o contrast (72195) |
$871 |
$1,742 |
3.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,112.25 |
$2,224.50 |
3.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,522 |
$3,044 |
4.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,379.50 |
$2,759 |
4.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$836 |
$1,672 |
2.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,380.25 |
$2,760.50 |
4.1× |
| MRI temporomandibular joint (70336) |
$827 |
$1,654 |
3.6× |
| MRI thoracic spine w/o contrast (72146) |
$998.25 |
$1,996.50 |
4.4× |
| MRI up ext w/o contrast (73218) |
$995 |
$1,990 |
4.3× |
| MRI upper ext joint w/o contrast (73221) |
$563 |
$1,126 |
2.5× |
| MRI, joint upper extrem combo (73223) |
$1,252.75 |
$2,505.50 |
3.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,285.75 |
$6,571.50 |
2.6× |
| Myocardial spect single study at rest or stress (78451) |
$3,242 |
$6,484 |
2.6× |
| N-invas est c ffr sw aly CTA (75580) |
$2,302 |
$4,604 |
2.8× |
| Neck soft tissue (70360) |
$194 |
$388 |
2.3× |
| Nm gastric emptying study (78264) |
$959.50 |
$1,919 |
2.5× |
| Nonvascular shunt X-ray (75809) |
$269 |
$538 |
2.7× |
| Nuclear Rx Oral Admin (79005) |
$620.50 |
$1,241 |
2.8× |
| Parathyrd planar w/spect&CT (78072) |
$1,330.50 |
$2,661 |
2.6× |
| Parathyroid Planar Imaging (78070) |
$871 |
$1,742 |
2.3× |
| Pelvis 1 or 2 views (72170) |
$289 |
$578 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$3,546.75 |
$7,093.50 |
2.6× |
| PET imaging for CT attenuation whole body (78816) |
$3,675 |
$7,350 |
2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$936.50 |
$1,873 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,172.50 |
$2,345 |
2.3× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,069.50 |
$2,139 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$628 |
$1,256 |
1.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$358.25 |
$716.50 |
4.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$374 |
$748 |
4.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$349.50 |
$699 |
4.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$194 |
$388 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$289.50 |
$579 |
2.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$267 |
$534 |
2.7× |
| Radex fingr minimum 2 views (73140) |
$356 |
$712 |
4.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$188.50 |
$377 |
2.3× |
| Radex Hand Minimum 3 Views (73130) |
$366.50 |
$733 |
4.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$167.50 |
$335 |
2.0× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$264 |
$528 |
2.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$274 |
$548 |
2.7× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$274 |
$548 |
2.7× |
| Radex Humerus Minimum 2 Views (73060) |
$194 |
$388 |
2.3× |
| Radex Kne 1/2 Views (73560) |
$356 |
$712 |
4.3× |
| Radex Kne Compl 4/More Views (73564) |
$515.50 |
$1,031 |
5.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$279 |
$558 |
2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$194 |
$388 |
2.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$279 |
$558 |
2.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$293.25 |
$586.50 |
3.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$194 |
$388 |
2.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$289 |
$578 |
2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$183.50 |
$367 |
2.2× |
| Radex Toe Minimum 2 Views (73660) |
$194 |
$388 |
2.3× |
| Radex upper extremity infant minimum 2 views (73092) |
$494 |
$988 |
4.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$179.50 |
$359 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$289 |
$578 |
2.9× |
| Radiation treatment delivery level 1 (77402) |
$368 |
$736 |
3.8× |
| Radiation treatment delivery level 3 (77412) |
$635 |
$1,270 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$203.75 |
$407.50 |
2.4× |
| Radiologic exam chest 2 views (71046) |
$195.50 |
$391 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$625 |
$1,250 |
3.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$603.25 |
$1,206.50 |
3.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$591 |
$1,182 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$581.50 |
$1,163 |
3.5× |
| Radiologic examination femur 1 view (73551) |
$168 |
$336 |
2.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$351 |
$702 |
4.2× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$264.50 |
$529 |
2.6× |
| Radiological examination surgical specimen (76098) |
$1,156.75 |
$2,313.50 |
2.2× |
| Ribs bilateral 3 views (71110) |
$322.50 |
$645 |
3.2× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$2,769.50 |
$5,539 |
7.2× |
| Sacroiliac Joints < 3 Views (72200) |
$267 |
$534 |
2.7× |
| Scapula (73010) |
$264 |
$528 |
2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$77.25 |
$154.50 |
3.3× |
| Shoulder 1 view (73020) |
$183.50 |
$367 |
2.2× |
| Small bowel series (74250) |
$434.50 |
$869 |
2.6× |
| Speech evaluation complex (70371) |
$434.50 |
$869 |
1.9× |
| Spine thoracic 3 views (72072) |
$279 |
$558 |
2.8× |
| Thoracolumbar 2 views (72080) |
$190.50 |
$381 |
2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$936.50 |
$1,873 |
2.4× |
| Ultrasound breast complete (76641) |
$259.50 |
$519 |
2.6× |
| Ultrasound Exam Aaa Screen (76706) |
$279 |
$558 |
2.8× |
| Ultrasound, abdomen limited (76705) |
$293 |
$586 |
2.9× |
| Umbilical-artery Doppler (OB) (76820) |
$269 |
$538 |
2.7× |
| Unlisted magnetic resonance procedure (76498) |
$212 |
$424 |
2.5× |
| Urethrocystogram voiding (74455) |
$631 |
$1,262 |
2.8× |
| Urethrocystography retrograde rs&i (74450) |
$555.50 |
$1,111 |
2.4× |
| Us breast unilateral limited (76642) |
$366.25 |
$732.50 |
4.4× |
| Us chest (76604) |
$279 |
$558 |
2.8× |
| Us compl joint r-t w/image documentation (76881) |
$269 |
$538 |
2.7× |
| Us elastography parenchyma (76981) |
$238 |
$476 |
2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$274 |
$548 |
2.7× |
| Us ob detailed single fetus (76811) |
$412.25 |
$824.50 |
1.8× |
| Us ob limited (76815) |
$279 |
$558 |
2.8× |
| Us ob transvaginal (76817) |
$279 |
$558 |
2.8× |
| Us pelvic non ob complete (76856) |
$279 |
$558 |
2.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$279 |
$558 |
2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$270 |
$540 |
2.7× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$293 |
$586 |
2.9× |
| Us retroperitoneal complete (76770) |
$293 |
$586 |
2.9× |
| Us retroperitoneal limited (76775) |
$293 |
$586 |
2.9× |
| Us scrotum and contents (76870) |
$279 |
$558 |
2.8× |
| Us soft tissue head/neck (76536) |
$279 |
$558 |
2.8× |
| Us transrectal (76872) |
$155.50 |
$311 |
1.6× |
| Venogram extremity bilateral (75822) |
$4,178.50 |
$8,357 |
2.8× |
| Venogram Extremity Unilateral (75820) |
$1,878.50 |
$3,757 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$7,104.50 |
$14,209 |
2.3× |
| Venous thrombosis imaging, venogram; unilateral Non-Facility (78457) |
$29 |
$58 |
0.1× |
| Wrist 2 views (73100) |
$373 |
$746 |
4.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$289.50 |
$579 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$183.50 |
$367 |
2.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$581.50 |
$1,163 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$351 |
$702 |
4.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$191.25 |
$382.50 |
2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$293.25 |
$586.50 |
2.9× |
| X-ray exam of femur 2/> (73552) |
$365 |
$730 |
4.4× |
| X-ray eye for foreign body (70030) |
$183.50 |
$367 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$187 |
$374 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$197.50 |
$395 |
2.4× |
| X-ray leg, infant (73592) |
$367 |
$734 |
4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$293 |
$586 |
2.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$269 |
$538 |
2.7× |
| X-ray nose-rectum child f.b. (76010) |
$210.50 |
$421 |
2.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$269 |
$538 |
2.7× |
| X-ray retrograde pyelogram (74420) |
$1,145 |
$2,290 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$197.50 |
$395 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$274 |
$548 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$279 |
$558 |
2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$279 |
$558 |
2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$271.75 |
$543.50 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$174.25 |
$348.50 |
2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$279 |
$558 |
2.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$279 |
$558 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$201 |
$402 |
2.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$187 |
$374 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$194 |
$388 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$279 |
$558 |
2.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$302.25 |
$604.50 |
3.0× |
| Xr bone length studies (77073) |
$177.50 |
$355 |
1.8× |
| Xr c-spine 4 or 5 views (72050) |
$278.50 |
$557 |
2.8× |
| Xr c-spine 6 or more views (72052) |
$289 |
$578 |
2.9× |
| Xr chest 4+ views (71048) |
$289 |
$578 |
2.9× |
| Xr urogram antegrade (74425) |
$944.25 |
$1,888.50 |
2.8× |