| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,382.75 |
$3,177 |
1.9× |
| Abdomen 2 views (74019) |
$196.88 |
$262.50 |
2.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$746.25 |
$995 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$5,343.75 |
$7,125 |
1.9× |
| Angiography extremity unilateral rs&i (75710) |
$5,343.75 |
$7,125 |
1.9× |
| Angiography internal mammary rs&i (75756) |
$6,150 |
$8,200 |
2.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,861.25 |
$11,815 |
1.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,343.75 |
$7,125 |
1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,493.75 |
$7,325 |
1.9× |
| Angiography Spinal Selective Rs&I (75705) |
$9,153.75 |
$12,205 |
1.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$8,861.25 |
$11,815 |
1.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$18,238.50 |
$24,318 |
6.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$5,493.75 |
$7,325 |
1.9× |
| Ankle 2 views (73600) |
$161.25 |
$215 |
2.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$772.50 |
$1,030 |
2.4× |
| Aortogram thoracic (75605) |
$9,157.50 |
$12,210 |
1.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,663.25 |
$7,551 |
2.0× |
| Aortography abdominal serialography rs&i (75625) |
$5,663.25 |
$7,551 |
2.0× |
| Arthrogram elbow (73085) |
$772.50 |
$1,030 |
2.4× |
| Arthrogram hip (73525) |
$772.50 |
$1,030 |
2.4× |
| Arthrogram shoulder (73040) |
$772.50 |
$1,030 |
2.4× |
| Arthrogram wrist (73115) |
$772.50 |
$1,030 |
2.4× |
| Arthrography knee lt (73580) |
$772.50 |
$1,030 |
2.4× |
| Basic radiation dosimetry calculation (77300) |
$252 |
$336 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$746.25 |
$995 |
2.1× |
| Bone &/joint imaging whole body (78306) |
$746.25 |
$995 |
2.1× |
| Bone age studies (77072) |
$225 |
$300 |
2.4× |
| Bone Imaging 3 Phase (78315) |
$1,328.25 |
$1,771 |
3.6× |
| Bone survey complete (77075) |
$225 |
$300 |
2.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$810 |
$1,080 |
2.5× |
| Cervical spine 2 or 3 views (72040) |
$120.75 |
$161 |
1.5× |
| Chest 1 view (71045) |
$137.25 |
$183 |
1.7× |
| Chest 3 views (71047) |
$198.75 |
$265 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$371.25 |
$495 |
2.3× |
| Clavicle complete (73000) |
$161.25 |
$215 |
2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$177.75 |
$237 |
1.9× |
| Continuing medical physics consltj pr wk (77336) |
$252 |
$336 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$671.25 |
$895 |
2.1× |
| CT abdomen and pelvis without contrast (74176) |
$523.12 |
$697.50 |
2.4× |
| CT abdomen w contrast (74160) |
$360 |
$480 |
2.3× |
| CT abdomen w wo contrast (74170) |
$409.88 |
$546.50 |
2.6× |
| CT abdomen w/o contrast (74150) |
$250.88 |
$334.50 |
2.6× |
| CT angio hrt w/3d image (75574) |
$367.50 |
$490 |
1.2× |
| CT angiography upper extremity lt (73206) |
$405 |
$540 |
2.5× |
| CT c-spine w/o contrast (72125) |
$272.25 |
$363 |
2.9× |
| CT cervical spine w&w/o contrast (72127) |
$405 |
$540 |
2.5× |
| CT cervical spine with contrast (72126) |
$502.50 |
$670 |
1.6× |
| CT chest w/wo contrast (71270) |
$405 |
$540 |
2.5× |
| CT chest with contrast (71260) |
$375 |
$500 |
2.3× |
| CT head/brain with contrast (70460) |
$367.50 |
$490 |
2.3× |
| CT head/brain without and with contrast (70470) |
$375.38 |
$500.50 |
2.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$367.50 |
$490 |
1.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$161.25 |
$215 |
2.0× |
| CT iac w contrast (70481) |
$367.50 |
$490 |
2.3× |
| CT limited/localized follow up study (76380) |
$161.25 |
$215 |
2.0× |
| CT lower ext w/o (73700) |
$225 |
$300 |
2.4× |
| CT lower extremity w wo contrast (73702) |
$405 |
$540 |
2.5× |
| CT lower extremity with contrast (73701) |
$367.50 |
$490 |
2.3× |
| CT lumbar spine w & w/o contrast (72133) |
$347.62 |
$463.50 |
2.2× |
| CT lumbar spine w/o contrast (72131) |
$271.88 |
$362.50 |
2.9× |
| CT lumbar spine with contrast (72132) |
$523.12 |
$697.50 |
1.6× |
| CT maxillofacial w contrast (70487) |
$322.12 |
$429.50 |
2.0× |
| CT maxillofacial w/o contrast (70486) |
$228 |
$304 |
2.4× |
| CT maxillofacial w/wo contrast (70488) |
$393.75 |
$525 |
2.5× |
| CT neck soft tissue w contrast (70491) |
$337.50 |
$450 |
2.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$375.38 |
$500.50 |
2.4× |
| CT orbits w/o contrast (70480) |
$253.12 |
$337.50 |
2.7× |
| CT pelvis w & w/o contrast (72194) |
$397.50 |
$530 |
2.5× |
| CT pelvis w/o contrast (72192) |
$257.25 |
$343 |
2.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$393.75 |
$525 |
2.5× |
| CT soft tissue neck w/o contrast (70490) |
$228 |
$304 |
2.4× |
| CT thoracic spine w/contrast (72129) |
$367.50 |
$490 |
2.3× |
| CT thoracic spine w/o contrast (72128) |
$223.12 |
$297.50 |
2.3× |
| CT thoracic spine w/wo contrast (72130) |
$367.50 |
$490 |
2.3× |
| CT thorax w/o contrast (71250) |
$266.25 |
$355 |
2.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$405 |
$540 |
2.5× |
| CT upper extremity w/o contrast rt (73200) |
$225 |
$300 |
2.4× |
| CT upper extremity with contrast (73201) |
$772.50 |
$1,030 |
2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$559.12 |
$745.50 |
3.5× |
| Cta Abdomen (74175) |
$397.50 |
$530 |
2.5× |
| CTA abdomen pelvis (74174) |
$801 |
$1,068 |
2.5× |
| CTA chest (71275) |
$318.75 |
$425 |
2.0× |
| Cta Head (70496) |
$451.88 |
$602.50 |
2.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$722.25 |
$963 |
2.3× |
| CTA lwr ext w&w/o contrast (73706) |
$405 |
$540 |
2.5× |
| Cta Neck (70498) |
$451.88 |
$602.50 |
2.8× |
| Cta Pelvis (72191) |
$405 |
$540 |
2.5× |
| Cystography minimum 3 views rs&i (74430) |
$772.50 |
$1,030 |
2.4× |
| Diskogram cervical (72285) |
$3,480 |
$4,640 |
2.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$221.25 |
$295 |
2.3× |
| Echoencephalography real time imaging (76506) |
$217.50 |
$290 |
2.3× |
| Esophagus (74220) |
$371.25 |
$495 |
2.3× |
| Fetal biophysical profile non-stress testing (76818) |
$182.25 |
$243 |
1.9× |
| Fluoroscopy up to 1 hr (76000) |
$234.75 |
$313 |
1.1× |
| Foot 2 views (73620) |
$161.25 |
$215 |
2.0× |
| Forearm 2 views (73090) |
$141 |
$188 |
1.8× |
| Gated Heart Planar Single (78472) |
$746.25 |
$995 |
2.1× |
| Hand 2 views (73120) |
$225 |
$300 |
2.4× |
| Hand 3 views (73130) |
$182.25 |
$243 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$956.25 |
$1,275 |
1.9× |
| Humerus Min 2 Views Left (73060) |
$161.25 |
$215 |
2.0× |
| Hysterosalpingogram (74740) |
$472.50 |
$630 |
2.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$956.25 |
$1,275 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$968.25 |
$1,291 |
2.0× |
| Knee 3 views (73562) |
$180 |
$240 |
2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$746.25 |
$995 |
2.1× |
| Lung perf&ventilat diferentl (78598) |
$956.25 |
$1,275 |
1.9× |
| Lymphoscintigraphy (78195) |
$956.25 |
$1,275 |
1.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$648.75 |
$865 |
1.9× |
| MRA head w & w/o contrast (70546) |
$772.50 |
$1,030 |
2.4× |
| MRA head w/o contrast (70544) |
$472.50 |
$630 |
2.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$772.50 |
$1,030 |
2.4× |
| MRA neck w/o contrast (70547) |
$472.50 |
$630 |
2.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$810 |
$1,080 |
2.5× |
| MRI abdomen w/o contrast (74181) |
$472.50 |
$630 |
2.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,380 |
$1,840 |
1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,380 |
$1,840 |
1.9× |
| MRI breast w/o contrast bilateral (77047) |
$472.50 |
$630 |
2.2× |
| MRI breast w/o contrast unilat (77046) |
$472.50 |
$630 |
2.2× |
| MRI cardiac w/o contrast (75557) |
$472.50 |
$630 |
2.2× |
| MRI cervical spine w/o contrast (72141) |
$472.50 |
$630 |
2.2× |
| MRI chest w/o & w/contrast material (71552) |
$810 |
$1,080 |
2.5× |
| MRI chest w/o contrast (71550) |
$472.50 |
$630 |
2.2× |
| MRI chest with contrast (71551) |
$1,380 |
$1,840 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,105.25 |
$2,807 |
6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$772.50 |
$1,030 |
2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$472.50 |
$630 |
2.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$472.50 |
$630 |
2.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$772.50 |
$1,030 |
2.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$810 |
$1,080 |
2.5× |
| MRI pelvis w/o contrast (72195) |
$472.50 |
$630 |
2.2× |
| MRI scan of arm joint before and after contrast (73223) |
$810 |
$1,080 |
2.5× |
| MRI scan of leg joint before and after contrast (73723) |
$810 |
$1,080 |
2.5× |
| MRI spectroscopy (76390) |
$452.62 |
$603.50 |
5.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$810 |
$1,080 |
2.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$772.50 |
$1,030 |
2.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$810 |
$1,080 |
2.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$772.50 |
$1,030 |
2.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$772.50 |
$1,030 |
2.4× |
| MRI thoracic spine w/o contrast (72146) |
$472.50 |
$630 |
2.2× |
| MRI tmj (70336) |
$472.50 |
$630 |
2.2× |
| MRI upper ext joint w/o contrast (73221) |
$472.50 |
$630 |
2.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$810 |
$1,080 |
2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$472.50 |
$630 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,576.25 |
$3,435 |
2.2× |
| Neck soft tissue (70360) |
$141 |
$188 |
1.8× |
| Nm bone marrow multiple (78103) |
$746.25 |
$995 |
2.1× |
| Nm gastric emptying study (78264) |
$746.25 |
$995 |
2.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,382.75 |
$3,177 |
1.9× |
| Nuclear medicine study of kidney and blood flow (78701) |
$746.25 |
$995 |
2.1× |
| Nuclear Rx Oral Admin (79005) |
$480 |
$640 |
2.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$294 |
$392 |
3.1× |
| Osseous survey infant (77076) |
$225 |
$300 |
2.4× |
| Osseous survey limited (77074) |
$196.88 |
$262.50 |
2.1× |
| Parathyroid imaging (78070) |
$746.25 |
$995 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$168.75 |
$225 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$2,921.25 |
$3,895 |
2.2× |
| PET imaging CT for attenuation limited area (78814) |
$2,921.25 |
$3,895 |
2.2× |
| PET imaging for CT attenuation whole body (78816) |
$2,921.25 |
$3,895 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$810 |
$1,080 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$746.25 |
$995 |
2.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$956.25 |
$1,275 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$930 |
$1,240 |
1.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$161.25 |
$215 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$225 |
$300 |
2.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$15,030 |
$20,040 |
2.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$464.25 |
$619 |
0.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$211.50 |
$282 |
2.3× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$798 |
$1,064 |
2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$225 |
$300 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$141 |
$188 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$157.50 |
$210 |
2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$390 |
$520 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$390 |
$520 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$371.25 |
$495 |
2.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$161.25 |
$215 |
2.0× |
| Radiological examination surgical specimen (76098) |
$975 |
$1,300 |
2.0× |
| Ribs bilateral 3 views (71110) |
$243.75 |
$325 |
2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$746.25 |
$995 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,572.50 |
$3,430 |
5.2× |
| Sacroiliac Joints < 3 Views (72200) |
$225 |
$300 |
2.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$450 |
$600 |
2.1× |
| Scanogram (77073) |
$225 |
$300 |
2.4× |
| Scapula complete (73010) |
$225 |
$300 |
2.4× |
| Screening digital breast tomosynthesis (77063) |
$60 |
$80 |
2.6× |
| Sella turcica (70240) |
$141 |
$188 |
1.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$204.75 |
$273 |
2.2× |
| Spec medical radj physics consltj (77370) |
$252 |
$336 |
2.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$648.75 |
$865 |
1.9× |
| Special dosimetry (77331) |
$252 |
$336 |
2.1× |
| Special treatment procedure (77470) |
$1,101 |
$1,468 |
2.2× |
| Spine thoracic 3 views (72072) |
$182.25 |
$243 |
1.9× |
| Spleen imaging only (78185) |
$746.25 |
$995 |
2.1× |
| Stereotactic body radiation delivery (77373) |
$3,346.50 |
$4,462 |
2.1× |
| Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction 2nd-5th Sessions (77438) |
$211.50 |
$282 |
2.3× |
| Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 2nd-5th… (77436) |
$78 |
$104 |
2.3× |
| Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) 2nd-5th… (77437) |
$211.50 |
$282 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$681.75 |
$909 |
2.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$648.75 |
$865 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$447.38 |
$596.50 |
1.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$252 |
$336 |
2.1× |
| Thoracolumbar 2 views (72080) |
$161.25 |
$215 |
2.0× |
| Thyroid carcinoma metastases img addl study (78016) |
$187.50 |
$250 |
0.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$956.25 |
$1,275 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$797.25 |
$1,063 |
2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$746.25 |
$995 |
2.1× |
| Tx devices design & construction complex (77334) |
$648.75 |
$865 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$217.50 |
$290 |
2.3× |
| Urethrocystography retrograde rs&i (74450) |
$450 |
$600 |
2.1× |
| Urethrocystography voiding (74455) |
$472.50 |
$630 |
2.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$371.25 |
$495 |
2.3× |
| Us abdl aorta screen aaa (76706) |
$217.50 |
$290 |
2.3× |
| Us breast unilateral limited (76642) |
$217.50 |
$290 |
2.7× |
| Us chest (76604) |
$217.50 |
$290 |
2.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$183.75 |
$245 |
1.9× |
| Us guided compression repair (76936) |
$510 |
$680 |
2.6× |
| Us infant hips dynamic (76885) |
$180 |
$240 |
2.3× |
| Us infant hips limited static (76886) |
$161.25 |
$215 |
2.0× |
| Us ob detailed single fetus (76811) |
$366.44 |
$488.58 |
1.7× |
| Us ob transvaginal (76817) |
$221.25 |
$295 |
2.3× |
| Us pelvic non ob complete (76856) |
$162 |
$216 |
1.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$73.50 |
$98 |
0.8× |
| Us pregnancy ltd (76815) |
$174.75 |
$233 |
1.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$193.54 |
$258.06 |
2.0× |
| Us retroperitoneal complete (76770) |
$144 |
$192 |
1.5× |
| Us retroperitoneal limited (76775) |
$285.75 |
$381 |
3.0× |
| Us scrotum and contents (76870) |
$144 |
$192 |
1.5× |
| Us soft tissue head/neck (76536) |
$217.50 |
$290 |
2.3× |
| Us transrectal (76872) |
$168.75 |
$225 |
1.8× |
| Us xtr non-vasc lmtd (76882) |
$225 |
$300 |
2.4× |
| Venogram extremity bilateral (75822) |
$3,146.25 |
$4,195 |
2.2× |
| Venography caval inferior serialography rs&i (75825) |
$4,378.50 |
$5,838 |
1.5× |
| Venography caval superior serialography rs&i (75827) |
$1,215 |
$1,620 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$2,846.25 |
$3,795 |
2.0× |
| Venography Renal Bilateral (75833) |
$4,303.50 |
$5,738 |
1.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,374.25 |
$8,499 |
2.2× |
| Wrist 2 views (73100) |
$141 |
$188 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$196.88 |
$262.50 |
2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$161.25 |
$215 |
2.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$180 |
$240 |
2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$161.25 |
$215 |
2.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$180 |
$240 |
2.3× |
| X-ray exam hip uni 1 view (73501) |
$161.25 |
$215 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$157.50 |
$210 |
2.0× |
| X-ray exam hip uni 4/> views (73503) |
$210 |
$280 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$196.88 |
$262.50 |
2.1× |
| X-ray eye for foreign body (70030) |
$161.25 |
$215 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$225 |
$300 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$161.25 |
$215 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$177.38 |
$236.50 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$161.25 |
$215 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$161.25 |
$215 |
2.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$196.88 |
$262.50 |
2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$120.75 |
$161 |
1.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$161.25 |
$215 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$168.75 |
$225 |
1.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$225 |
$300 |
2.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$161.25 |
$215 |
2.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$225 |
$300 |
2.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$243.75 |
$325 |
2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$161.25 |
$215 |
2.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$225 |
$300 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$243.75 |
$325 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$161.25 |
$215 |
2.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$157.50 |
$210 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$180 |
$240 |
2.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$161.25 |
$215 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$243.75 |
$325 |
2.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$180 |
$240 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$161.25 |
$215 |
2.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$161.25 |
$215 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$161.25 |
$215 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$168.75 |
$225 |
1.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$229.88 |
$306.50 |
2.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$161.25 |
$215 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$154.88 |
$206.50 |
2.0× |
| Xr arthrogram ankle (73615) |
$772.50 |
$1,030 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$243.75 |
$325 |
2.6× |
| Xr chest 4+ views (71048) |
$225 |
$300 |
2.4× |
| Xr finger(s) 2+ views (73140) |
$161.25 |
$215 |
2.0× |
| Xr shoulder 1 view (73020) |
$161.25 |
$215 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$168.75 |
$225 |
1.8× |
| Xr tibia/fibula 2 views (73590) |
$161.25 |
$215 |
2.0× |
| Xr tmj bilateral (70330) |
$486 |
$648 |
6.1× |
| Xray knee 1 or 2 views rt (73560) |
$141 |
$188 |
1.8× |