| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,962 |
$3,962 |
3.1× |
| Abdomen 2 views (74019) |
$227.20 |
$227.20 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,160.60 |
$1,160.60 |
3.2× |
| Angiography extremity bilateral rs&i (75716) |
$3,335.10 |
$3,335.10 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$3,335.10 |
$3,335.10 |
1.1× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,251.85 |
$2,251.85 |
0.4× |
| Ankle 2 views (73600) |
$183.10 |
$183.10 |
2.3× |
| Aortogram thoracic (75605) |
$3,958.50 |
$3,958.50 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,216 |
$2,216 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,084.25 |
$2,084.25 |
0.7× |
| Arthrogram hip (73525) |
$525 |
$525 |
1.6× |
| Arthrogram shoulder (73040) |
$700.70 |
$700.70 |
2.2× |
| Arthrogram wrist (73115) |
$681.50 |
$681.50 |
2.1× |
| Arthrography knee lt (73580) |
$700.70 |
$700.70 |
2.2× |
| Basic radiation dosimetry calculation (77300) |
$679.30 |
$679.30 |
5.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$609.10 |
$609.10 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$802.30 |
$802.30 |
2.2× |
| Bone age studies (77072) |
$225.10 |
$225.10 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$946 |
$946 |
2.6× |
| Bone survey complete (77075) |
$736.40 |
$736.40 |
7.7× |
| Brachytx isodose complex (77318) |
$1,855.60 |
$1,855.60 |
5.4× |
| Brachytx isodose intermed (77317) |
$1,743.70 |
$1,743.70 |
5.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,109.80 |
$1,109.80 |
3.2× |
| Brain image w/flow 4 + views (78606) |
$559.40 |
$559.40 |
1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$671.30 |
$671.30 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$252 |
$252 |
3.1× |
| Chest 1 view (71045) |
$184.80 |
$184.80 |
2.3× |
| Chest 3 views (71047) |
$243 |
$243 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$568.50 |
$568.50 |
3.5× |
| Clavicle complete (73000) |
$184.30 |
$184.30 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$939.80 |
$939.80 |
9.8× |
| Continuing medical physics consltj pr wk (77336) |
$801.30 |
$801.30 |
6.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,446.60 |
$2,446.60 |
7.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,302 |
$2,302 |
10.5× |
| CT abdomen w contrast (74160) |
$1,169.70 |
$1,169.70 |
7.3× |
| CT abdomen w wo contrast (74170) |
$1,239.70 |
$1,239.70 |
7.7× |
| CT abdomen w/o contrast (74150) |
$1,148.20 |
$1,148.20 |
11.9× |
| CT angiography upper extremity lt (73206) |
$1,109.80 |
$1,109.80 |
6.9× |
| CT c-spine w/o contrast (72125) |
$1,548.20 |
$1,548.20 |
16.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,621.70 |
$1,621.70 |
10.1× |
| CT cervical spine with contrast (72126) |
$1,431.80 |
$1,431.80 |
4.5× |
| CT chest w/wo contrast (71270) |
$1,232.90 |
$1,232.90 |
7.6× |
| CT chest with contrast (71260) |
$1,179.80 |
$1,179.80 |
7.3× |
| CT head/brain with contrast (70460) |
$1,204.70 |
$1,204.70 |
7.5× |
| CT head/brain without and with contrast (70470) |
$1,239.70 |
$1,239.70 |
7.7× |
| CT iac w contrast (70481) |
$1,175.30 |
$1,175.30 |
7.3× |
| CT lower ext w/o (73700) |
$1,095.10 |
$1,095.10 |
11.4× |
| CT lower extremity w wo contrast (73702) |
$1,183.30 |
$1,183.30 |
7.3× |
| CT lower extremity with contrast (73701) |
$1,225 |
$1,225 |
7.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,487.20 |
$1,487.20 |
9.2× |
| CT lumbar spine w/o contrast (72131) |
$1,408.10 |
$1,408.10 |
14.6× |
| CT lumbar spine with contrast (72132) |
$1,491.15 |
$1,491.15 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,296.80 |
$1,296.80 |
8.0× |
| CT maxillofacial w/o contrast (70486) |
$1,243.10 |
$1,243.10 |
12.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,376.50 |
$1,376.50 |
8.5× |
| CT neck soft tissue w contrast (70491) |
$1,149.30 |
$1,149.30 |
7.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,190 |
$1,190 |
7.4× |
| CT orbits w/o contrast (70480) |
$1,147 |
$1,147 |
11.9× |
| CT pelvis w & w/o contrast (72194) |
$1,210.30 |
$1,210.30 |
7.5× |
| CT pelvis w/o contrast (72192) |
$1,158.40 |
$1,158.40 |
12.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,217.20 |
$1,217.20 |
7.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,121 |
$1,121 |
11.7× |
| CT thoracic spine w/contrast (72129) |
$1,447.60 |
$1,447.60 |
9.0× |
| CT thoracic spine w/o contrast (72128) |
$1,457.80 |
$1,457.80 |
15.2× |
| CT thorax w/o contrast (71250) |
$1,149.30 |
$1,149.30 |
12.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$962.90 |
$962.90 |
6.0× |
| CT upper extremity w/o contrast rt (73200) |
$826.10 |
$826.10 |
8.6× |
| CT upper extremity with contrast (73201) |
$1,074.70 |
$1,074.70 |
3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,175.40 |
$2,175.40 |
13.5× |
| Cta Abdomen (74175) |
$1,373.10 |
$1,373.10 |
8.5× |
| CTA abdomen pelvis (74174) |
$1,373.10 |
$1,373.10 |
4.3× |
| CTA chest (71275) |
$1,373.10 |
$1,373.10 |
8.5× |
| Cta Head (70496) |
$698.95 |
$698.95 |
4.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,158.40 |
$1,158.40 |
7.2× |
| Cta Neck (70498) |
$1,364.10 |
$1,364.10 |
8.5× |
| Cta Pelvis (72191) |
$1,373.10 |
$1,373.10 |
8.5× |
| Cystography minimum 3 views rs&i (74430) |
$507.50 |
$507.50 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$431.70 |
$431.70 |
4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$431.70 |
$431.70 |
5.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$457.70 |
$457.70 |
4.8× |
| Fluoroscopy up to 1 hr (76000) |
$340.20 |
$340.20 |
1.6× |
| Foot 2 views (73620) |
$271.20 |
$271.20 |
3.4× |
| Forearm 2 views (73090) |
$187.60 |
$187.60 |
2.3× |
| Gated Heart Planar Single (78472) |
$829.05 |
$829.05 |
2.3× |
| Hand 2 views (73120) |
$178.60 |
$178.60 |
1.9× |
| Hand 3 views (73130) |
$180.80 |
$180.80 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$780.90 |
$780.90 |
1.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$780.90 |
$780.90 |
2.1× |
| Ht muscle image spect sing (78451) |
$790.65 |
$790.65 |
0.7× |
| Humerus Min 2 Views Left (73060) |
$187.60 |
$187.60 |
2.3× |
| Interstitial radiation source applic complex (77778) |
$3,612.80 |
$3,612.80 |
5.6× |
| Intracavitary Radiation Source Applic Complex (77763) |
$2,366.40 |
$2,366.40 |
3.7× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,690.60 |
$1,690.60 |
3.3× |
| Intracavitary radiation source applic simple (77761) |
$1,175.30 |
$1,175.30 |
2.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$245.30 |
$245.30 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$850.90 |
$850.90 |
1.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$850.90 |
$850.90 |
1.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,370.80 |
$1,370.80 |
2.7× |
| Knee 3 views (73562) |
$210.20 |
$210.20 |
2.6× |
| Liver & spleen imaging static only (78215) |
$508.50 |
$508.50 |
1.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$183.10 |
$183.10 |
2.3× |
| Meckels Diverticulum (78290) |
$569.50 |
$569.50 |
1.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,923.40 |
$1,923.40 |
5.6× |
| MRA head w & w/o contrast (70546) |
$3,347.30 |
$3,347.30 |
10.4× |
| MRA head w/o contrast (70544) |
$3,104.30 |
$3,104.30 |
14.1× |
| MRA head with contrast (70545) |
$3,315.60 |
$3,315.60 |
10.3× |
| MRA neck w contrast (70548) |
$2,629.70 |
$2,629.70 |
8.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,862.50 |
$2,862.50 |
8.9× |
| MRA neck w/o contrast (70547) |
$2,279.30 |
$2,279.30 |
10.4× |
| MRI abdomen w contrast (74182) |
$2,725.70 |
$2,725.70 |
8.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,781.10 |
$2,781.10 |
8.7× |
| MRI abdomen w/o contrast (74181) |
$2,682.20 |
$2,682.20 |
12.2× |
| MRI any jnt lwr ext with con lt (73722) |
$2,130.25 |
$2,130.25 |
3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,130.25 |
$2,130.25 |
3.0× |
| MRI c-spine with contrast (72142) |
$3,045.50 |
$3,045.50 |
9.5× |
| MRI cervical spine w/o contrast (72141) |
$2,583.30 |
$2,583.30 |
11.8× |
| MRI chest w/o & w/contrast material (71552) |
$2,940.40 |
$2,940.40 |
9.2× |
| MRI chest w/o contrast (71550) |
$2,583.30 |
$2,583.30 |
11.8× |
| MRI chest with contrast (71551) |
$2,725.70 |
$2,725.70 |
3.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,315.60 |
$2,315.60 |
7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,315.60 |
$2,315.60 |
7.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,944.90 |
$1,944.90 |
8.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,583.30 |
$2,583.30 |
11.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,045.50 |
$3,045.50 |
9.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,846.70 |
$2,846.70 |
8.9× |
| MRI pelvis w contrast (72196) |
$2,555.10 |
$2,555.10 |
8.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,686.20 |
$2,686.20 |
8.4× |
| MRI pelvis w/o contrast (72195) |
$2,337 |
$2,337 |
10.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,503.10 |
$2,503.10 |
7.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,503.10 |
$2,503.10 |
7.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,209.40 |
$3,209.40 |
10.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,045.50 |
$3,045.50 |
9.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,140.50 |
$3,140.50 |
9.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,209.40 |
$3,209.40 |
10.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,140.50 |
$3,140.50 |
9.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,583.30 |
$2,583.30 |
11.8× |
| MRI tmj (70336) |
$2,305.40 |
$2,305.40 |
10.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,944.90 |
$1,944.90 |
8.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,503.10 |
$2,503.10 |
7.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,944.90 |
$1,944.90 |
8.9× |
| Myelogram Cervical (72240) |
$3,663.70 |
$3,663.70 |
5.1× |
| Myelogram Lumbar (72265) |
$3,663.70 |
$3,663.70 |
5.1× |
| Myelogram thoracic (72255) |
$3,663.70 |
$3,663.70 |
5.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,245.60 |
$2,245.60 |
1.9× |
| Neck soft tissue (70360) |
$187.60 |
$187.60 |
2.3× |
| Nm gastric emptying study (78264) |
$745.80 |
$745.80 |
2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,494.70 |
$8,494.70 |
6.7× |
| Nuclear Rx Oral Admin (79005) |
$1,856.70 |
$1,856.70 |
8.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$646.40 |
$646.40 |
6.7× |
| Osseous survey infant (77076) |
$321 |
$321 |
3.3× |
| Osseous survey limited (77074) |
$356.10 |
$356.10 |
3.7× |
| Parathyroid imaging (78070) |
$1,349.30 |
$1,349.30 |
3.7× |
| Pelvis 1 or 2 views (72170) |
$187.60 |
$187.60 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,503.10 |
$2,503.10 |
7.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$561.70 |
$561.70 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$647.50 |
$647.50 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$296.10 |
$296.10 |
3.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$331.20 |
$331.20 |
3.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$498.40 |
$498.40 |
5.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$289.30 |
$289.30 |
3.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$985.40 |
$985.40 |
1.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$575.20 |
$575.20 |
6.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$615.90 |
$615.90 |
1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$227.20 |
$227.20 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$194.40 |
$194.40 |
2.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$223.80 |
$223.80 |
2.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$187.60 |
$187.60 |
2.3× |
| Radiological examination surgical specimen (76098) |
$172.90 |
$172.90 |
0.3× |
| Ribs bilateral 3 views (71110) |
$437.30 |
$437.30 |
4.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,301.80 |
$1,301.80 |
2.6× |
| Sacroiliac Joints < 3 Views (72200) |
$235.10 |
$235.10 |
2.4× |
| Scapula complete (73010) |
$187.60 |
$187.60 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$72.40 |
$72.40 |
3.1× |
| Sella turcica (70240) |
$193.30 |
$193.30 |
2.4× |
| Simulation intermediate (77285) |
$1,301.80 |
$1,301.80 |
3.8× |
| Small bowel series (74250) |
$480.30 |
$480.30 |
3.0× |
| Spec medical radj physics consltj (77370) |
$1,330.10 |
$1,330.10 |
10.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,218.20 |
$1,218.20 |
3.5× |
| Special dosimetry (77331) |
$436.20 |
$436.20 |
3.5× |
| Special treatment procedure (77470) |
$1,278.20 |
$1,278.20 |
2.5× |
| Spine thoracic 3 views (72072) |
$283.70 |
$283.70 |
3.0× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$554.90 |
$554.90 |
5.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,792.30 |
$1,792.30 |
5.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$829.50 |
$829.50 |
2.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,129.10 |
$2,129.10 |
6.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,097.40 |
$1,097.40 |
8.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$491.60 |
$491.60 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$609.10 |
$609.10 |
1.7× |
| Tomogram (76100) |
$604.60 |
$604.60 |
6.3× |
| Treatment device intermediate (77333) |
$1,330.10 |
$1,330.10 |
10.8× |
| Treatment devices simple (77332) |
$877 |
$877 |
7.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,679.30 |
$1,679.30 |
4.6× |
| Tx devices design & construction complex (77334) |
$1,923.40 |
$1,923.40 |
5.6× |
| Ultrasound, abdomen limited (76705) |
$403.50 |
$403.50 |
4.2× |
| Unlisted Ultrasound Procedure (76999) |
$480.30 |
$480.30 |
6.0× |
| Upper Extremity Infant (73092) |
$223.80 |
$223.80 |
2.3× |
| Urethrocystography voiding (74455) |
$500.60 |
$500.60 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$700.70 |
$700.70 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$457.70 |
$457.70 |
4.8× |
| Us breast unilateral limited (76642) |
$409.70 |
$409.70 |
5.1× |
| Us chest (76604) |
$672.40 |
$672.40 |
7.0× |
| Us compl joint r-t w/image documentation (76881) |
$308.50 |
$308.50 |
3.2× |
| Us ob transvaginal (76817) |
$540.20 |
$540.20 |
5.6× |
| Us pelvic non ob complete (76856) |
$540.20 |
$540.20 |
5.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$273.50 |
$273.50 |
2.8× |
| Us pregnancy ltd (76815) |
$398.90 |
$398.90 |
4.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$544.70 |
$544.70 |
5.7× |
| Us retroperitoneal complete (76770) |
$522.10 |
$522.10 |
5.4× |
| Us retroperitoneal limited (76775) |
$454.30 |
$454.30 |
4.7× |
| Us scrotum and contents (76870) |
$365.10 |
$365.10 |
3.8× |
| Us soft tissue head/neck (76536) |
$363.90 |
$363.90 |
3.8× |
| Us transrectal (76872) |
$398.90 |
$398.90 |
4.1× |
| Us xtr non-vasc lmtd (76882) |
$308.50 |
$308.50 |
3.2× |
| Venogram extremity bilateral (75822) |
$385.90 |
$385.90 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$2,226.05 |
$2,226.05 |
1.5× |
| Wrist 2 views (73100) |
$174 |
$174 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$298.30 |
$298.30 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$227.20 |
$227.20 |
2.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$189.80 |
$189.80 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$141.30 |
$141.30 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$189.80 |
$189.80 |
2.4× |
| X-ray exam hip uni 1 view (73501) |
$249.80 |
$249.80 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$281.40 |
$281.40 |
3.5× |
| X-ray exam hip uni 4/> views (73503) |
$299.50 |
$299.50 |
3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$524.40 |
$524.40 |
5.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$549.30 |
$549.30 |
5.7× |
| X-ray exam of femur 1 (73551) |
$162.80 |
$162.80 |
2.0× |
| X-ray eye for foreign body (70030) |
$194.40 |
$194.40 |
2.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$256.50 |
$256.50 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$165 |
$165 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$281.40 |
$281.40 |
3.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$187.60 |
$187.60 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$160.40 |
$160.40 |
2.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$223.80 |
$223.80 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$187.60 |
$187.60 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$223.80 |
$223.80 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$259.90 |
$259.90 |
2.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$314.20 |
$314.20 |
3.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$259.90 |
$259.90 |
2.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$187.60 |
$187.60 |
2.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$194.40 |
$194.40 |
2.4× |
| X-ray of voice box or throat (70370) |
$290.40 |
$290.40 |
3.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$157.10 |
$157.10 |
1.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$647.50 |
$647.50 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$235.10 |
$235.10 |
2.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$324.40 |
$324.40 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$460 |
$460 |
4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$235.10 |
$235.10 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$210.20 |
$210.20 |
2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$187.60 |
$187.60 |
2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$269 |
$269 |
3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$284.80 |
$284.80 |
3.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$223.80 |
$223.80 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$142.40 |
$142.40 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$204.50 |
$204.50 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$194.40 |
$194.40 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$259.90 |
$259.90 |
2.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$312 |
$312 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$184.30 |
$184.30 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$267.90 |
$267.90 |
3.3× |
| Xr arthrogram ankle (73615) |
$688.30 |
$688.30 |
2.1× |
| Xr c-spine 6 or more views (72052) |
$291.55 |
$291.55 |
3.0× |
| Xr chest 4+ views (71048) |
$446.50 |
$446.50 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$160.40 |
$160.40 |
2.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$289.30 |
$289.30 |
3.0× |
| Xr shoulder 1 view (73020) |
$160.40 |
$160.40 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$257.70 |
$257.70 |
2.7× |
| Xr tibia/fibula 2 views (73590) |
$189.80 |
$189.80 |
2.4× |
| Xr tmj bilateral (70330) |
$245.30 |
$245.30 |
3.1× |
| Xray knee 1 or 2 views rt (73560) |
$187.60 |
$187.60 |
2.3× |