| Abdomen 2 views (74019) |
$549.44 |
$808 |
5.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$731 |
$1,075 |
1.8× |
| Angiography extremity bilateral rs&i (75716) |
$3,952.84 |
$5,813 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$3,242.24 |
$4,768 |
1.0× |
| Angiography internal mammary rs&i (75756) |
$1,979.48 |
$2,911 |
0.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,406.68 |
$7,951 |
1.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,158.60 |
$4,645 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$2,990.64 |
$4,398 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,623.16 |
$2,387 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,158.60 |
$4,645 |
1.0× |
| Ankle 2 views (73600) |
$365.16 |
$537 |
4.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$294.44 |
$433 |
0.8× |
| Aortogram thoracic (75605) |
$2,979.76 |
$4,382 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,384.36 |
$4,977 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$16,205.60 |
$23,831.76 |
5.1× |
| Arthrogram hip (73525) |
$379.44 |
$558 |
1.1× |
| Arthrogram shoulder (73040) |
$463.08 |
$681 |
1.3× |
| Arthrogram wrist (73115) |
$609.28 |
$896 |
1.7× |
| Arthrography knee lt (73580) |
$617.44 |
$908 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$771.12 |
$1,134 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$1,504.16 |
$2,212 |
3.7× |
| Bone age studies (77072) |
$410.72 |
$604 |
3.9× |
| Bone Imaging 3 Phase (78315) |
$1,939.36 |
$2,852 |
4.8× |
| Bone Marrow Imaging Limited Area (78102) |
$1,199.52 |
$1,764 |
3.0× |
| Bone survey complete (77075) |
$323 |
$475 |
3.1× |
| Brain imaging < 4 static views (78600) |
$760.24 |
$1,118 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$387.60 |
$570 |
4.4× |
| Chest 1 view (71045) |
$451.52 |
$664 |
5.2× |
| Chest 3 views (71047) |
$488.24 |
$718 |
5.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$535.84 |
$788 |
3.0× |
| Clavicle complete (73000) |
$314.84 |
$463 |
3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$289.24 |
$425.36 |
2.8× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$578.68 |
$851 |
3.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,404.92 |
$9,419 |
18.3× |
| CT abdomen and pelvis without contrast (74176) |
$5,303.32 |
$7,799 |
22.1× |
| CT abdomen w contrast (74160) |
$3,509.48 |
$5,161 |
19.9× |
| CT abdomen w wo contrast (74170) |
$4,329.56 |
$6,367 |
24.6× |
| CT abdomen w/o contrast (74150) |
$2,822 |
$4,150 |
26.9× |
| CT angio hrt w/3d image (75574) |
$941.80 |
$1,385 |
2.7× |
| CT angiography upper extremity lt (73206) |
$3,980.72 |
$5,854 |
22.6× |
| CT c-spine w/o contrast (72125) |
$4,022.88 |
$5,916 |
38.3× |
| CT cervical spine w&w/o contrast (72127) |
$484.21 |
$712.08 |
2.7× |
| CT cervical spine with contrast (72126) |
$4,380.56 |
$6,442 |
12.5× |
| CT chest w/wo contrast (71270) |
$4,192.20 |
$6,165 |
23.8× |
| CT chest with contrast (71260) |
$3,493.84 |
$5,138 |
19.8× |
| CT head/brain with contrast (70460) |
$4,135.76 |
$6,082 |
23.5× |
| CT head/brain without and with contrast (70470) |
$5,917.36 |
$8,702 |
33.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,186 |
$1,744.12 |
3.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$102.68 |
$151 |
1.2× |
| CT iac w contrast (70481) |
$2,945.76 |
$4,332 |
16.7× |
| CT limited/localized follow up study (76380) |
$756.84 |
$1,113 |
8.7× |
| CT lower ext w/o (73700) |
$2,220.88 |
$3,266 |
21.1× |
| CT lower extremity with contrast (73701) |
$2,581.96 |
$3,797 |
14.7× |
| CT lumbar spine w & w/o contrast (72133) |
$4,711.04 |
$6,928 |
26.7× |
| CT lumbar spine w/o contrast (72131) |
$3,481.60 |
$5,120 |
33.2× |
| CT lumbar spine with contrast (72132) |
$4,486.64 |
$6,598 |
12.8× |
| CT maxillofacial w contrast (70487) |
$2,774.40 |
$4,080 |
15.7× |
| CT maxillofacial w/o contrast (70486) |
$2,438.48 |
$3,586 |
23.2× |
| CT maxillofacial w/wo contrast (70488) |
$3,516.28 |
$5,171 |
20.0× |
| CT neck soft tissue w contrast (70491) |
$4,811.68 |
$7,076 |
27.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,695.80 |
$5,435 |
21.0× |
| CT orbits w/o contrast (70480) |
$2,225.64 |
$3,273 |
21.2× |
| CT pelvis w & w/o contrast (72194) |
$3,240.20 |
$4,765 |
18.4× |
| CT pelvis w/o contrast (72192) |
$2,569.04 |
$3,778 |
24.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,687.52 |
$8,364 |
32.3× |
| CT soft tissue neck w/o contrast (70490) |
$4,051.44 |
$5,958 |
38.6× |
| CT thoracic spine w/contrast (72129) |
$2,278 |
$3,350 |
12.9× |
| CT thoracic spine w/o contrast (72128) |
$1,633.36 |
$2,402 |
15.6× |
| CT thoracic spine w/wo contrast (72130) |
$484.21 |
$712.08 |
2.7× |
| CT thorax w/o contrast (71250) |
$2,771 |
$4,075 |
26.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,276.64 |
$3,348 |
12.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,215.84 |
$1,788 |
11.6× |
| CT upper extremity with contrast (73201) |
$2,252.16 |
$3,312 |
6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,704.64 |
$5,448 |
21.0× |
| Cta Abdomen (74175) |
$4,459.44 |
$6,558 |
25.3× |
| CTA abdomen pelvis (74174) |
$8,774.04 |
$12,903 |
25.0× |
| CTA chest (71275) |
$4,998.68 |
$7,351 |
28.4× |
| Cta Head (70496) |
$4,727.36 |
$6,952 |
26.8× |
| CTA lwr ext w&w/o contrast (73706) |
$4,156.16 |
$6,112 |
23.6× |
| Cta Neck (70498) |
$5,971.76 |
$8,782 |
33.9× |
| Cta Pelvis (72191) |
$3,402.04 |
$5,003 |
19.3× |
| Cystography minimum 3 views rs&i (74430) |
$497.76 |
$732 |
1.4× |
| Diskography lumbar (72295) |
$6,097.25 |
$8,966.55 |
3.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$346.80 |
$510 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$186.32 |
$274 |
2.1× |
| Dxa bone density study axial skeleton (77085) |
$365.84 |
$538 |
3.5× |
| Echo exam of fetal heart (76825) |
$764.32 |
$1,124 |
1.4× |
| Echoencephalography real time imaging (76506) |
$422.96 |
$622 |
4.0× |
| Esophagus (74220) |
$429.08 |
$631 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$688.16 |
$1,012 |
6.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$369.24 |
$543 |
3.5× |
| Fluoroscopy up to 1 hr (76000) |
$326.40 |
$480 |
1.4× |
| Foot 2 views (73620) |
$365.16 |
$537 |
4.2× |
| Forearm 2 views (73090) |
$363.80 |
$535 |
4.2× |
| Gated Heart Planar Single (78472) |
$1,190.68 |
$1,751 |
3.0× |
| Hand 2 views (73120) |
$522.24 |
$768 |
5.0× |
| Hand 3 views (73130) |
$552.84 |
$813 |
6.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,338.52 |
$3,439 |
4.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,838.72 |
$2,704 |
4.6× |
| Ht muscle image spect sing (78451) |
$2,924.68 |
$4,301 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$361.76 |
$532 |
4.1× |
| Hysterosalpingogram (74740) |
$558.28 |
$821 |
2.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$815.32 |
$1,199 |
1.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,206.32 |
$1,774 |
2.2× |
| Knee 3 views (73562) |
$497.76 |
$732 |
5.7× |
| Liver & spleen imaging static only (78215) |
$1,559.24 |
$2,293 |
3.9× |
| Liver imaging static only (78201) |
$1,533.40 |
$2,255 |
2.8× |
| Liver imaging w/vascular flow (78202) |
$1,689.80 |
$2,485 |
3.1× |
| Lung Ventilation Imaging (78579) |
$1,429.36 |
$2,102 |
3.6× |
| Lymphoscintigraphy (78195) |
$1,437.52 |
$2,114 |
2.6× |
| Meckels Diverticulum (78290) |
$510 |
$750 |
1.3× |
| MRA head w/o contrast (70544) |
$3,901.16 |
$5,737 |
16.3× |
| MRA head with contrast (70545) |
$4,291.48 |
$6,311 |
12.2× |
| MRA neck w contrast (70548) |
$4,291.48 |
$6,311 |
12.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,506.36 |
$6,627 |
12.9× |
| MRA neck w/o contrast (70547) |
$3,901.16 |
$5,737 |
16.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,862.68 |
$7,151 |
13.9× |
| MRI abdomen w/o contrast (74181) |
$4,464.88 |
$6,566 |
18.6× |
| MRI any jnt lwr ext with con lt (73722) |
$3,009 |
$4,425 |
3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,530.96 |
$3,722 |
3.2× |
| MRI cervical spine w/o contrast (72141) |
$4,451.28 |
$6,546 |
18.6× |
| MRI chest w/o & w/contrast material (71552) |
$4,001.12 |
$5,884 |
11.4× |
| MRI chest w/o contrast (71550) |
$2,936.92 |
$4,319 |
12.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,691.44 |
$3,958 |
7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,471.80 |
$3,635 |
10.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,465 |
$3,625 |
10.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,141.48 |
$7,561 |
14.7× |
| MRI pelvis w contrast (72196) |
$3,923.60 |
$5,770 |
11.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,914.36 |
$7,227 |
14.0× |
| MRI pelvis w/o contrast (72195) |
$3,725.04 |
$5,478 |
15.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,657.44 |
$3,908 |
7.6× |
| MRI scan of leg joint before and after contrast (73723) |
$3,635.96 |
$5,347 |
10.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,215.48 |
$10,611 |
20.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,201.07 |
$1,766.28 |
3.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,876.84 |
$10,113 |
19.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,876.84 |
$10,113 |
19.6× |
| MRI thoracic spine w/o contrast (72146) |
$4,242.52 |
$6,239 |
17.7× |
| MRI tmj (70336) |
$1,948.88 |
$2,866 |
8.1× |
| MRI upper ext joint w/o contrast (73221) |
$2,278 |
$3,350 |
9.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,133.44 |
$4,608 |
8.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,530.96 |
$3,722 |
10.6× |
| Myelogram Cervical (72240) |
$1,541.56 |
$2,267 |
2.0× |
| Myelogram Lumbar (72265) |
$1,505.52 |
$2,214 |
1.9× |
| Myelogram thoracic (72255) |
$1,570.12 |
$2,309 |
2.0× |
| Myelography 2 or more regions (72270) |
$2,169.20 |
$3,190 |
2.8× |
| Myocardial Spect Multiple Studies (78452) |
$5,013.64 |
$7,373 |
3.9× |
| Neck soft tissue (70360) |
$453.56 |
$667 |
5.2× |
| Nm bone marrow wb (78104) |
$1,345.04 |
$1,978 |
3.3× |
| Nm cisternogram (78630) |
$852.72 |
$1,254 |
1.6× |
| Nm gastric emptying study (78264) |
$1,521.16 |
$2,237 |
3.8× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,367.48 |
$2,011 |
3.4× |
| Nuclear Rx Oral Admin (79005) |
$1,196.80 |
$1,760 |
5.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$517.48 |
$761 |
4.9× |
| Osseous survey infant (77076) |
$339.32 |
$499 |
3.2× |
| Osseous survey limited (77074) |
$307.36 |
$452 |
2.9× |
| Parathyrd planar w/wo subtrj (78071) |
$1,392.64 |
$2,048 |
3.5× |
| Parathyroid imaging (78070) |
$1,238.96 |
$1,822 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$371.28 |
$546 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,106.24 |
$4,568 |
8.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,948.48 |
$4,336 |
0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,531.36 |
$2,252 |
3.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,595.28 |
$2,346 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$477.36 |
$702 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$207.40 |
$305 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$363.80 |
$535 |
3.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$504.56 |
$742 |
4.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$641.92 |
$944 |
6.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$231.88 |
$341 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$502.52 |
$739 |
5.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$556.92 |
$819 |
5.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$472.60 |
$695 |
5.4× |
| Radiologic exam colon single contrast study (74270) |
$529.72 |
$779 |
3.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$924.12 |
$1,359 |
5.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$667.08 |
$981 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$426.36 |
$627 |
4.9× |
| Radiological examination surgical specimen (76098) |
$226.44 |
$333 |
0.4× |
| Ribs bilateral 3 views (71110) |
$612 |
$900 |
5.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,395.36 |
$2,052 |
3.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,578.28 |
$2,321 |
2.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,163.48 |
$1,711 |
4.9× |
| Scapula complete (73010) |
$259.76 |
$382 |
2.5× |
| Screening digital breast tomosynthesis (77063) |
$44.88 |
$66 |
1.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$436.07 |
$641.28 |
4.2× |
| Small bowel series (74250) |
$465.80 |
$685 |
2.6× |
| Speech evaluation complex (70371) |
$488.92 |
$719 |
2.0× |
| Spine thoracic 3 views (72072) |
$574.60 |
$845 |
5.5× |
| Thoracolumbar 2 views (72080) |
$228.48 |
$336 |
2.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,504.16 |
$2,212 |
2.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$697.68 |
$1,026 |
1.7× |
| Thyroid uptake measurement (78012) |
$775.20 |
$1,140 |
1.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,746.52 |
$4,039 |
5.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,288.60 |
$1,895 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$840.48 |
$1,236 |
8.0× |
| Upper Extremity Infant (73092) |
$376.04 |
$553 |
3.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,215.16 |
$1,787 |
3.0× |
| Urethrocystography retrograde rs&i (74450) |
$718.76 |
$1,057 |
3.0× |
| Urethrocystography voiding (74455) |
$466.48 |
$686 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$707.88 |
$1,041 |
4.0× |
| Us breast unilateral complete (76641) |
$400.52 |
$589 |
3.8× |
| Us breast unilateral limited (76642) |
$352.92 |
$519 |
4.0× |
| Us chest (76604) |
$320.28 |
$471 |
3.0× |
| Us compl joint r-t w/image documentation (76881) |
$662.32 |
$974 |
6.3× |
| Us guided compression repair (76936) |
$743.92 |
$1,094 |
3.4× |
| Us ob detailed single fetus (76811) |
$938.40 |
$1,380 |
3.9× |
| Us ob transvaginal (76817) |
$206.04 |
$303 |
2.0× |
| Us pelvic non ob complete (76856) |
$1,008.44 |
$1,483 |
9.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$416.84 |
$613 |
4.0× |
| Us pregnancy ltd (76815) |
$405.28 |
$596 |
3.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,092.08 |
$1,606 |
10.4× |
| Us retroperitoneal complete (76770) |
$1,054.68 |
$1,551 |
10.0× |
| Us retroperitoneal limited (76775) |
$289.24 |
$425.36 |
2.8× |
| Us scrotum and contents (76870) |
$843.88 |
$1,241 |
8.0× |
| Us soft tissue head/neck (76536) |
$768.40 |
$1,130 |
7.3× |
| Us spinal canal and contents (76800) |
$478.72 |
$704 |
4.6× |
| Us transrectal (76872) |
$318.92 |
$469 |
3.0× |
| Us xtr non-vasc lmtd (76882) |
$573.92 |
$844 |
5.5× |
| Venogram extremity bilateral (75822) |
$1,224 |
$1,800 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,283.44 |
$3,358 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$1,719.72 |
$2,529 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$984.64 |
$1,448 |
0.6× |
| Wrist 2 views (73100) |
$316.20 |
$465 |
3.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$562.36 |
$827 |
5.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$476.68 |
$701 |
5.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$413.44 |
$608 |
4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$606.56 |
$892 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$403.92 |
$594 |
4.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$451.52 |
$664 |
5.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$458.32 |
$674 |
4.4× |
| X-ray exam hip uni 1 view (73501) |
$360.40 |
$530 |
4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$420.24 |
$618 |
4.8× |
| X-ray exam hip uni 4/> views (73503) |
$289.24 |
$425.36 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$539.92 |
$794 |
5.1× |
| X-ray exam of femur 1 (73551) |
$223.72 |
$329 |
2.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$606.56 |
$892 |
3.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$259.08 |
$381 |
2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$214.20 |
$315 |
2.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$413.44 |
$608 |
4.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$208.76 |
$307 |
2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$137.36 |
$202 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$555.56 |
$817 |
5.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$376.04 |
$553 |
4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$605.20 |
$890 |
5.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$769.08 |
$1,131 |
7.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$461.04 |
$678 |
4.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$263.16 |
$387 |
3.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$272.68 |
$401 |
3.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$237.32 |
$349 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$410.04 |
$603 |
3.9× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$778.60 |
$1,145 |
1.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$553.52 |
$814 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$494.36 |
$727 |
5.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$284.92 |
$419 |
2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$163.88 |
$241 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$233.92 |
$344 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$424.32 |
$624 |
4.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$294.44 |
$433 |
3.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$131.24 |
$193 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$433.16 |
$637 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$301.24 |
$443 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$247.52 |
$364 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$192.44 |
$283 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$574.60 |
$845 |
5.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$284.92 |
$419 |
2.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$344.08 |
$506 |
3.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$363.80 |
$535 |
4.2× |
| Xr c-spine 6 or more views (72052) |
$526.32 |
$774 |
5.0× |
| Xr chest 4+ views (71048) |
$521.56 |
$767 |
5.0× |
| Xr finger(s) 2+ views (73140) |
$330.48 |
$486 |
3.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$325.04 |
$478 |
3.1× |
| Xr shoulder 1 view (73020) |
$344.76 |
$507 |
3.9× |
| Xr spine cervical 4 or 5 views (72050) |
$465.80 |
$685 |
4.4× |
| Xr tibia/fibula 2 views (73590) |
$363.80 |
$535 |
4.2× |
| Xr tmj bilateral (70330) |
$413.44 |
$608 |
4.7× |
| Xray knee 1 or 2 views rt (73560) |
$484.16 |
$712 |
5.5× |