| Acute gastrointestinal blood loss imaging (78278) |
$973.69 |
$8,114.07 |
2.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,476.75 |
$20,639.60 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,432.06 |
$20,267.14 |
0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,485.59 |
$20,713.21 |
0.7× |
| Ankle 2 views (73600) |
$193.60 |
$1,613.38 |
2.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,568.73 |
$21,406.11 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,432.06 |
$20,267.14 |
0.7× |
| Arthrography knee lt (73580) |
$674.80 |
$5,623.35 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$522.18 |
$4,351.51 |
1.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$727.31 |
$6,060.89 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$849.52 |
$7,079.31 |
2.0× |
| Bone age studies (77072) |
$342.31 |
$2,852.58 |
3.1× |
| Bone Imaging 3 Phase (78315) |
$963.38 |
$8,028.15 |
2.3× |
| Bone survey complete (77075) |
$525.12 |
$4,375.98 |
4.7× |
| Brain image w/flow 4 + views (78606) |
$337.40 |
$2,811.66 |
0.6× |
| Brain Imaging Minimum 4 Static Views (78605) |
$271.72 |
$2,264.37 |
0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,435.90 |
$11,965.82 |
0.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$895.16 |
$7,459.70 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$183.06 |
$1,525.52 |
2.0× |
| Chest 1 view (71045) |
$159.50 |
$1,329.17 |
1.7× |
| Chest 3 views (71047) |
$175.69 |
$1,464.09 |
1.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$655.17 |
$5,459.78 |
3.5× |
| Clavicle complete (73000) |
$215.94 |
$1,799.46 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,194.03 |
$9,950.27 |
10.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,265.02 |
$27,208.54 |
8.8× |
| CT abdomen and pelvis without contrast (74176) |
$2,337.06 |
$19,475.52 |
9.2× |
| CT abdomen w contrast (74160) |
$1,325.56 |
$11,046.33 |
7.1× |
| CT abdomen w wo contrast (74170) |
$1,652.41 |
$13,770.09 |
8.8× |
| CT abdomen w/o contrast (74150) |
$1,160.18 |
$9,668.14 |
10.4× |
| CT angiography upper extremity lt (73206) |
$1,194.03 |
$9,950.27 |
6.4× |
| CT c-spine w/o contrast (72125) |
$1,194.03 |
$9,950.27 |
10.7× |
| CT cervical spine w&w/o contrast (72127) |
$1,436.97 |
$11,974.75 |
7.7× |
| CT cervical spine with contrast (72126) |
$1,388.87 |
$11,573.90 |
3.7× |
| CT chest w/wo contrast (71270) |
$1,702.47 |
$14,187.26 |
9.1× |
| CT chest with contrast (71260) |
$1,393.77 |
$11,614.78 |
7.4× |
| CT head/brain with contrast (70460) |
$1,147.41 |
$9,561.75 |
6.1× |
| CT head/brain without and with contrast (70470) |
$1,401.13 |
$11,676.10 |
7.5× |
| CT iac w contrast (70481) |
$1,199.92 |
$9,999.32 |
6.4× |
| CT lower ext w/o (73700) |
$1,367.02 |
$11,391.84 |
12.3× |
| CT lower extremity w wo contrast (73702) |
$1,443.84 |
$12,031.99 |
7.7× |
| CT lower extremity with contrast (73701) |
$1,194.03 |
$9,950.27 |
6.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,834 |
$15,283.28 |
9.8× |
| CT lumbar spine w/o contrast (72131) |
$1,194.03 |
$9,950.27 |
10.7× |
| CT lumbar spine with contrast (72132) |
$1,388.87 |
$11,573.90 |
3.7× |
| CT maxillofacial w contrast (70487) |
$1,182.75 |
$9,856.21 |
6.3× |
| CT maxillofacial w/o contrast (70486) |
$999.69 |
$8,330.72 |
9.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,434.52 |
$11,954.32 |
7.7× |
| CT neck soft tissue w contrast (70491) |
$1,199.92 |
$9,999.32 |
6.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,439.91 |
$11,999.28 |
7.7× |
| CT orbits w/o contrast (70480) |
$1,032.08 |
$8,600.67 |
9.3× |
| CT pelvis w & w/o contrast (72194) |
$1,612.66 |
$13,438.83 |
8.6× |
| CT pelvis w/o contrast (72192) |
$1,176.86 |
$9,807.17 |
10.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,438.93 |
$11,991.10 |
7.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,032.08 |
$8,600.67 |
9.3× |
| CT thoracic spine w/contrast (72129) |
$1,388.87 |
$11,573.90 |
7.4× |
| CT thoracic spine w/o contrast (72128) |
$1,194.03 |
$9,950.27 |
10.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,659.77 |
$13,831.43 |
8.9× |
| CT thorax w/o contrast (71250) |
$1,194.03 |
$9,950.27 |
10.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,443.84 |
$12,031.99 |
7.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,024.72 |
$8,539.32 |
9.2× |
| CT upper extremity with contrast (73201) |
$1,194.03 |
$9,950.27 |
3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,648.49 |
$13,737.38 |
8.8× |
| Cta Abdomen (74175) |
$1,364.33 |
$11,369.41 |
7.3× |
| CTA abdomen pelvis (74174) |
$2,705.71 |
$22,547.58 |
7.3× |
| CTA chest (71275) |
$1,394.26 |
$11,618.87 |
7.4× |
| Cta Head (70496) |
$1,147.41 |
$9,561.75 |
6.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,347.33 |
$19,561.07 |
6.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,194.03 |
$9,950.27 |
6.4× |
| Cta Neck (70498) |
$1,199.92 |
$9,999.32 |
6.4× |
| Cystography minimum 3 views rs&i (74430) |
$303.30 |
$2,527.51 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$54.92 |
$457.68 |
0.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$40.77 |
$339.75 |
0.4× |
| Esophagus (74220) |
$399 |
$3,324.96 |
2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$358.26 |
$2,985.51 |
3.2× |
| Fluoroscopy up to 1 hr (76000) |
$293.98 |
$2,449.81 |
1.2× |
| Foot 2 views (73620) |
$193.60 |
$1,613.38 |
2.1× |
| Forearm 2 views (73090) |
$195.58 |
$1,629.82 |
2.1× |
| Hand 2 views (73120) |
$193.60 |
$1,613.38 |
1.7× |
| Hand 3 views (73130) |
$202.93 |
$1,691.09 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,047.27 |
$8,727.29 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,047.27 |
$8,727.29 |
2.5× |
| Humerus Min 2 Views Left (73060) |
$214.71 |
$1,789.28 |
2.3× |
| Hysterosalpingogram (74740) |
$346.53 |
$2,887.79 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$903.50 |
$7,529.18 |
1.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$816.14 |
$6,801.17 |
1.4× |
| Knee 3 views (73562) |
$219.13 |
$1,826.06 |
2.4× |
| Liver & spleen imaging static only (78215) |
$488.97 |
$4,074.74 |
1.1× |
| Liver imaging w/vascular flow (78202) |
$866.58 |
$7,221.52 |
1.5× |
| Lung Ventilation Imaging (78579) |
$728.90 |
$6,074.17 |
1.7× |
| Lymphoscintigraphy (78195) |
$784.25 |
$6,535.38 |
1.4× |
| MRA head w/o contrast (70544) |
$1,939.51 |
$16,162.56 |
7.6× |
| MRA neck w contrast (70548) |
$1,939.51 |
$16,162.56 |
5.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,939.51 |
$16,162.56 |
5.2× |
| MRA neck w/o contrast (70547) |
$1,939.51 |
$16,162.56 |
7.6× |
| MRI abdomen w contrast (74182) |
$2,036.68 |
$16,972.34 |
5.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,205.99 |
$18,383.27 |
5.9× |
| MRI abdomen w/o contrast (74181) |
$2,080.36 |
$17,336.36 |
8.2× |
| MRI any jnt lwr ext with con lt (73722) |
$2,036.68 |
$16,972.34 |
2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,036.68 |
$16,972.34 |
2.4× |
| MRI c-spine with contrast (72142) |
$2,497.02 |
$20,808.49 |
6.7× |
| MRI cervical spine w/o contrast (72141) |
$2,080.36 |
$17,336.36 |
8.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,721.90 |
$22,682.52 |
7.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,036.68 |
$16,972.34 |
5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,036.68 |
$16,972.34 |
5.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,782.47 |
$14,853.94 |
7.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,056.32 |
$17,135.97 |
8.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,882.58 |
$15,688.20 |
5.1× |
| MRI orbit/face/neck w/contrast (70542) |
$1,882.58 |
$15,688.20 |
5.1× |
| MRI pelvis w contrast (72196) |
$1,953.39 |
$16,278.26 |
5.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,709.12 |
$22,576.04 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$1,906.14 |
$15,884.51 |
7.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,205.99 |
$18,383.27 |
5.9× |
| MRI scan of leg joint before and after contrast (73723) |
$2,205.99 |
$18,383.27 |
5.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,645.43 |
$22,045.23 |
7.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,466.10 |
$20,550.83 |
6.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,618.92 |
$21,824.37 |
7.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,497.02 |
$20,808.49 |
6.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,645.43 |
$22,045.23 |
7.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,271.75 |
$18,931.29 |
8.9× |
| MRI upper ext joint w/o contrast (73221) |
$2,037.66 |
$16,980.52 |
8.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,205.99 |
$18,383.27 |
5.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,782.47 |
$14,853.94 |
7.0× |
| Myocardial Spect Multiple Studies (78452) |
$2,152.99 |
$17,941.58 |
1.6× |
| Neck soft tissue (70360) |
$144.77 |
$1,206.43 |
1.6× |
| Nm cisternogram (78630) |
$840.53 |
$7,004.40 |
1.5× |
| Nm csf leak detection (78650) |
$778.27 |
$6,485.55 |
0.6× |
| Nm gastric emptying study (78264) |
$813.20 |
$6,776.64 |
1.9× |
| Nuclear medicine of heart pumping function (78473) |
$341.08 |
$2,842.34 |
0.8× |
| Nuclear Rx Oral Admin (79005) |
$231.13 |
$1,926.09 |
0.9× |
| Parathyrd planar w/wo subtrj (78071) |
$1,015.30 |
$8,460.81 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$164.90 |
$1,374.17 |
1.5× |
| PET image w/CT, skull-thigh (78815) |
$1,435.90 |
$11,965.82 |
0.9× |
| PET imaging for CT attenuation whole body (78816) |
$1,435.90 |
$11,965.82 |
0.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,787.87 |
$14,898.89 |
4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,071.84 |
$8,931.99 |
2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,111.59 |
$9,263.24 |
1.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$269.70 |
$2,247.51 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$269.70 |
$2,247.51 |
2.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$296.65 |
$2,472.07 |
2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$539.40 |
$4,495 |
4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$211.52 |
$1,762.67 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$167.84 |
$1,398.64 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$217.41 |
$1,811.77 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$202.19 |
$1,684.95 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$583.53 |
$4,862.73 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$560.46 |
$4,670.46 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$552.36 |
$4,603 |
3.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$222.32 |
$1,852.70 |
2.4× |
| Radiological examination surgical specimen (76098) |
$263.03 |
$2,191.88 |
0.5× |
| Ribs bilateral 3 views (71110) |
$293.98 |
$2,449.81 |
2.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$849.52 |
$7,079.31 |
1.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,139.65 |
$9,497.12 |
2.0× |
| Scanogram (77073) |
$296.42 |
$2,470.18 |
2.7× |
| Scapula complete (73010) |
$200.48 |
$1,670.68 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$43.86 |
$365.49 |
1.9× |
| Small bowel series (74250) |
$425.99 |
$3,549.91 |
2.3× |
| Spine thoracic 3 views (72072) |
$229.19 |
$1,909.94 |
2.1× |
| Therapeutic Enema (74283) |
$745.96 |
$6,216.36 |
4.0× |
| Thoracolumbar 2 views (72080) |
$213.97 |
$1,783.12 |
2.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$314.93 |
$2,624.40 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$509.34 |
$4,244.53 |
1.2× |
| Tmj unilateral (70328) |
$297.63 |
$2,480.28 |
3.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,140.54 |
$9,504.54 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$373.95 |
$3,116.29 |
3.4× |
| Unlisted fluoroscopic procedure (76496) |
$256.53 |
$2,137.73 |
2.8× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED (78199) |
$293.73 |
$2,447.76 |
0.7× |
| Unlisted Ultrasound Procedure (76999) |
$234.09 |
$1,950.77 |
2.5× |
| Upper Extremity Infant (73092) |
$180.60 |
$1,505.04 |
1.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$517.76 |
$4,314.69 |
2.8× |
| Us breast unilateral complete (76641) |
$262.31 |
$2,185.92 |
2.4× |
| Us chest (76604) |
$305.24 |
$2,543.60 |
2.7× |
| Us compl joint r-t w/image documentation (76881) |
$373.95 |
$3,116.29 |
3.4× |
| Us infant hips limited static (76886) |
$338.14 |
$2,817.83 |
3.6× |
| Us ob transvaginal (76817) |
$362.68 |
$3,022.36 |
3.3× |
| Us pelvic non ob complete (76856) |
$417.15 |
$3,476.28 |
3.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$263.05 |
$2,192.08 |
2.4× |
| Us pregnancy ltd (76815) |
$388.69 |
$3,239.12 |
3.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$448.56 |
$3,738.02 |
4.0× |
| Us retroperitoneal complete (76770) |
$500.10 |
$4,167.47 |
4.5× |
| Us retroperitoneal limited (76775) |
$372 |
$3,100.02 |
3.3× |
| Us scrotum and contents (76870) |
$402.43 |
$3,353.59 |
3.6× |
| Us soft tissue head/neck (76536) |
$366.11 |
$3,050.95 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$186.98 |
$1,558.18 |
1.7× |
| Vascular flow imaging (78445) |
$398.01 |
$3,316.76 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$2,679.04 |
$22,325.36 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$2,679.04 |
$22,325.36 |
1.6× |
| Venography extremity unilateral rs&i (75820) |
$624.35 |
$5,202.88 |
0.4× |
| Wrist 2 views (73100) |
$193.60 |
$1,613.38 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$259.62 |
$2,163.53 |
2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$190.91 |
$1,590.94 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$202.93 |
$1,691.09 |
2.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$788.17 |
$6,568.09 |
4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$191.89 |
$1,599.10 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$149.20 |
$1,243.31 |
1.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$539.40 |
$4,495 |
4.8× |
| X-ray exam hip uni 1 view (73501) |
$145.26 |
$1,210.54 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$166.93 |
$1,391.05 |
1.8× |
| X-ray exam hip uni 4/> views (73503) |
$250.38 |
$2,086.54 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$296.65 |
$2,472.07 |
2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$593.29 |
$4,944.09 |
5.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$250.29 |
$2,085.75 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$193.86 |
$1,615.46 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$202.93 |
$1,691.09 |
2.2× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,002 |
$8,350.02 |
0.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$187.23 |
$1,560.22 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$169.80 |
$1,415.04 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$245.38 |
$2,044.88 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$148.71 |
$1,239.28 |
1.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$193.60 |
$1,613.38 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$213.97 |
$1,783.12 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$370.53 |
$3,087.71 |
3.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$164.90 |
$1,374.17 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$167.84 |
$1,398.64 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$256.67 |
$2,138.95 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$247.12 |
$2,059.36 |
2.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$625.73 |
$5,214.42 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$228.21 |
$1,901.76 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$228.21 |
$1,901.76 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$270.90 |
$2,257.51 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$193.86 |
$1,615.46 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$177.17 |
$1,476.42 |
1.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$214.46 |
$1,787.19 |
2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$248.33 |
$2,069.41 |
2.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$188.46 |
$1,570.47 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$297.41 |
$2,478.39 |
2.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$209.56 |
$1,746.34 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$124.17 |
$1,034.76 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$204.16 |
$1,701.36 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$186.98 |
$1,558.19 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$209.07 |
$1,742.23 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$151.64 |
$1,263.71 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$209.31 |
$1,744.25 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$327.96 |
$2,733.03 |
2.9× |
| Xr Cholecystography Oral Contrast (74290) |
$259.62 |
$2,163.53 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$167.48 |
$1,395.63 |
1.8× |
| Xr shoulder 1 view (73020) |
$139.38 |
$1,161.50 |
1.5× |
| Xr spine cervical 4 or 5 views (72050) |
$267.60 |
$2,230.04 |
2.4× |
| Xr tibia/fibula 2 views (73590) |
$200.48 |
$1,670.68 |
2.2× |
| Xr tmj bilateral (70330) |
$258.63 |
$2,155.26 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$200.48 |
$1,670.68 |
2.2× |