| Abdomen 2 views (74019) |
$361.76 |
$532 |
3.4× |
| Acute gi blood loss imaging (78278) |
$764.94 |
$1,124.90 |
1.9× |
| Ankle 2 views (73600) |
$102.88 |
$151.30 |
1.1× |
| Arthrogram hip (73525) |
$811.92 |
$1,194 |
2.3× |
| Arthrogram shoulder (73040) |
$436.38 |
$641.74 |
1.2× |
| Arthrogram wrist (73115) |
$679.32 |
$999 |
1.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$752.94 |
$1,107.27 |
1.8× |
| Bone &/joint imaging whole body (78306) |
$796.68 |
$1,171.59 |
1.9× |
| Bone age studies (77072) |
$313.48 |
$461 |
2.9× |
| Bone Imaging 3 Phase (78315) |
$959.76 |
$1,411.40 |
2.3× |
| Bone survey complete (77075) |
$276.30 |
$406.32 |
2.6× |
| Bone survey infant (77076) |
$670.48 |
$986 |
6.2× |
| Bowel imaging (78290) |
$773.46 |
$1,137.44 |
1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$790.58 |
$1,162.62 |
1.4× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$825.40 |
$1,213.82 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$207.52 |
$305.16 |
2.3× |
| Chest 1 view (71045) |
$76.74 |
$112.84 |
0.9× |
| Chest xray 3 views (71047) |
$290.36 |
$427 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$180.52 |
$265.48 |
1.0× |
| Clavicle complete (73000) |
$120.97 |
$177.89 |
1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$578 |
$850 |
5.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,109.16 |
$3,101.70 |
5.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,743.60 |
$2,564.12 |
7.1× |
| CT abdomen w contrast (74160) |
$1,159.93 |
$1,705.78 |
6.4× |
| CT abdomen w wo contrast (74170) |
$1,236.04 |
$1,817.70 |
6.8× |
| CT abdomen w/o contrast (74150) |
$883.40 |
$1,299.10 |
8.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,259.88 |
$1,852.76 |
7.0× |
| CT angiography upper extremity lt (73206) |
$1,252.04 |
$1,841.24 |
6.9× |
| CT c-spine w/contrast (72126) |
$1,159.80 |
$1,705.60 |
3.2× |
| CT c-spine w/o contrast (72125) |
$897.75 |
$1,320.22 |
8.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,241.11 |
$1,825.16 |
6.9× |
| CT chest w contrast (71260) |
$1,148.42 |
$1,688.86 |
6.3× |
| CT chest w/wo contrast (71270) |
$1,226.88 |
$1,804.23 |
6.8× |
| CT head/brain with contrast (70460) |
$908.80 |
$1,336.48 |
5.0× |
| CT head/brain without and with contrast (70470) |
$992.86 |
$1,460.08 |
5.5× |
| CT iac w contrast (70481) |
$943.82 |
$1,387.98 |
5.2× |
| CT limited/localized follow up study (76380) |
$608.52 |
$894.88 |
6.8× |
| CT lower ext w/o (73700) |
$791.85 |
$1,164.48 |
7.3× |
| CT lower extremity w wo contrast (73702) |
$1,180.56 |
$1,736.12 |
6.5× |
| CT lower extremity w/contrast material (73701) |
$1,054.32 |
$1,550.46 |
5.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,240.74 |
$1,824.61 |
6.9× |
| CT lumbar spine w/contrast (72132) |
$1,159.80 |
$1,705.60 |
3.2× |
| CT lumbar spine w/o contrast (72131) |
$897.25 |
$1,319.48 |
8.3× |
| CT maxillofacial w contrast (70487) |
$910.54 |
$1,339.02 |
5.0× |
| CT maxillofacial w/wo contrast (70488) |
$997.31 |
$1,466.63 |
5.5× |
| CT maxillofacial wo contrast (70486) |
$780.22 |
$1,147.38 |
7.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,027.80 |
$1,511.46 |
5.7× |
| CT orbits w/o contrast (70480) |
$805.59 |
$1,184.68 |
7.5× |
| CT pelvis w/o contrast (72192) |
$883.89 |
$1,299.84 |
8.2× |
| CT pelvis w/wo contrast (72194) |
$1,238.39 |
$1,821.16 |
6.8× |
| CT scan of arm combo (73202) |
$1,148.36 |
$1,688.76 |
6.3× |
| CT soft tissue neck w contrast (70491) |
$1,042.56 |
$1,533.17 |
5.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,158.69 |
$1,703.96 |
6.4× |
| CT soft tissue neck w/o contrast (70490) |
$782.82 |
$1,151.20 |
7.3× |
| CT thoracic spine w/contrast (72129) |
$1,160.18 |
$1,706.14 |
6.4× |
| CT thoracic spine w/o contrast (72128) |
$897.50 |
$1,319.85 |
8.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,241.60 |
$1,825.88 |
6.9× |
| CT thorax w/o contrast (71250) |
$888.46 |
$1,306.56 |
8.2× |
| CT upper ext wo (73200) |
$791.73 |
$1,164.30 |
7.3× |
| CT upper extremity with contrast (73201) |
$1,053.20 |
$1,548.82 |
2.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,615.28 |
$3,846 |
14.4× |
| Cta Abdomen (74175) |
$1,244.50 |
$1,830.14 |
6.9× |
| CTA abdomen pelvis (74174) |
$2,118.32 |
$3,115.16 |
5.9× |
| CTA chest (71275) |
$1,241.78 |
$1,826.14 |
6.9× |
| Cta Head (70496) |
$727.82 |
$1,070.32 |
4.0× |
| Cta Neck (70498) |
$1,240.29 |
$1,823.95 |
6.9× |
| Cta Pelvis (72191) |
$1,244.12 |
$1,829.59 |
6.9× |
| Cystography minimum 3 views rs&i (74430) |
$89.20 |
$131.16 |
0.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$335.42 |
$493.26 |
3.1× |
| Esophagus (74220) |
$260.35 |
$382.86 |
1.4× |
| Facial bones min 3 views (70150) |
$162.36 |
$238.76 |
1.5× |
| Fetal biophysical profile non-stress testing (76818) |
$575.28 |
$846 |
5.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$191.14 |
$281.09 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$302.88 |
$445.40 |
1.2× |
| Foot 2 views (73620) |
$101.90 |
$149.84 |
1.1× |
| Forearm 2 views (73090) |
$120.22 |
$176.80 |
1.3× |
| Hand 2 views (73120) |
$102.40 |
$150.58 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$728.82 |
$1,071.79 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,164.16 |
$1,712 |
2.8× |
| Hysterosalpingogram (74740) |
$113.87 |
$167.46 |
0.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$290.36 |
$427 |
2.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$552.20 |
$812.06 |
1.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,719.72 |
$2,529 |
3.1× |
| Knee 3 views (73562) |
$159.02 |
$233.85 |
1.8× |
| Liver & spleen imaging static only (78215) |
$636.02 |
$935.32 |
1.5× |
| Lung ventilation imaging (78579) |
$862.24 |
$1,268 |
2.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,329.86 |
$1,955.68 |
1.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,338.28 |
$1,968.05 |
3.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,421.72 |
$2,090.76 |
3.9× |
| MRA head w & w/o contrast (70546) |
$1,427.83 |
$2,099.74 |
4.0× |
| MRA head w/o contrast (70544) |
$1,319.22 |
$1,940.02 |
5.4× |
| MRA head with contrast (70545) |
$1,318.23 |
$1,938.57 |
3.7× |
| MRA neck w contrast (70548) |
$1,325.16 |
$1,948.76 |
3.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,428.82 |
$2,101.20 |
4.0× |
| MRA neck w/o contrast (70547) |
$1,319.71 |
$1,940.75 |
5.4× |
| MRI abdomen w contrast (74182) |
$1,329.24 |
$1,954.76 |
3.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,395.36 |
$2,052 |
3.9× |
| MRI abdomen w/o contrast (74181) |
$1,298.88 |
$1,910.12 |
5.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,330.73 |
$1,956.95 |
1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,411.32 |
$2,075.48 |
3.9× |
| MRI c-spine with contrast (72142) |
$1,308.45 |
$1,924.19 |
3.6× |
| MRI cervical spine w/o contrast (72141) |
$1,278.22 |
$1,879.72 |
5.2× |
| MRI chest w/o & w/contrast material (71552) |
$1,447.62 |
$2,128.86 |
4.0× |
| MRI chest w/o contrast (71550) |
$1,345.33 |
$1,978.42 |
5.5× |
| MRI chest with contrast (71551) |
$1,355.35 |
$1,993.16 |
1.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,316.86 |
$1,936.56 |
3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,396.08 |
$2,053.04 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,309.40 |
$1,925.58 |
5.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,296.90 |
$1,907.20 |
5.3× |
| MRI orbit face neck w contrast (70542) |
$1,309.69 |
$1,926.01 |
3.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,388.31 |
$2,041.63 |
3.9× |
| MRI pelvis w/contrast (72196) |
$1,316.86 |
$1,936.56 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,394.99 |
$2,051.46 |
3.9× |
| MRI pelvis w/o contrast (72195) |
$1,310.88 |
$1,927.76 |
5.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,725.58 |
$2,537.62 |
4.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,306.97 |
$1,922.01 |
3.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,377.05 |
$2,025.07 |
3.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,307.71 |
$1,923.10 |
3.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,377.67 |
$2,025.98 |
3.8× |
| MRI temporomandibular joint (70336) |
$1,312.54 |
$1,930.20 |
5.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,278.34 |
$1,879.90 |
5.2× |
| MRI up ext w/o contrast (73218) |
$1,330.23 |
$1,956.22 |
5.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,284.82 |
$1,889.44 |
5.2× |
| MRI, joint upper extrem combo (73223) |
$1,535.21 |
$2,257.66 |
4.3× |
| Myelogram Lumbar (72265) |
$876.52 |
$670.40 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,669.61 |
$2,455.30 |
1.2× |
| Myocardial spect single study at rest or stress (78451) |
$1,100.51 |
$1,618.39 |
0.8× |
| Neck soft tissue (70360) |
$93.56 |
$137.58 |
1.0× |
| Nm gastric emptying study (78264) |
$741.04 |
$1,089.76 |
1.8× |
| Noncardiac Vascular Flow Imaging (78445) |
$542.61 |
$797.96 |
1.3× |
| Osseous survey limited (77074) |
$199.70 |
$293.68 |
1.9× |
| Parathyrd planar w/spect&CT (78072) |
$555.63 |
$817.10 |
1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$865.64 |
$1,273 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$131.38 |
$193.21 |
1.2× |
| PET image w/CT, skull-thigh (78815) |
$4,760 |
$7,000 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$4,964 |
$7,300 |
3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$752.16 |
$1,106.11 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,141.44 |
$1,678.58 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$104.46 |
$153.62 |
0.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$122.08 |
$179.53 |
1.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$120.84 |
$177.71 |
1.3× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$122.08 |
$179.53 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$246.84 |
$363 |
2.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$550.12 |
$809 |
5.1× |
| Radex fingr minimum 2 views (73140) |
$71.95 |
$105.80 |
0.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$121.46 |
$178.62 |
1.4× |
| Radex Hand Minimum 3 Views (73130) |
$122.20 |
$179.71 |
1.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$246.84 |
$363 |
2.7× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$429.08 |
$631 |
4.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$295.80 |
$435 |
2.7× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$672.52 |
$989 |
6.2× |
| Radex Humerus Minimum 2 Views (73060) |
$121.34 |
$178.44 |
1.4× |
| Radex Kne 1/2 Views (73560) |
$131.26 |
$193.03 |
1.5× |
| Radex Kne Compl 4/More Views (73564) |
$176.08 |
$258.94 |
1.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$163.07 |
$239.80 |
1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$122.58 |
$180.26 |
1.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$360.40 |
$530 |
3.3× |
| Radex Sho Compl Minimum 2 Views (73030) |
$130.28 |
$191.58 |
1.5× |
| Radex Sinuses Paransl < 3 Views (70210) |
$58.90 |
$86.62 |
0.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$319.60 |
$470 |
3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$182.73 |
$268.72 |
2.0× |
| Radex Toe Minimum 2 Views (73660) |
$59.15 |
$86.98 |
0.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$102.14 |
$150.21 |
0.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$123.32 |
$181.35 |
1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$830.28 |
$1,221 |
7.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$143.60 |
$211.16 |
1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$447.44 |
$658 |
4.1× |
| Radiologic exam chest 2 views (71046) |
$242.76 |
$357 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$334.70 |
$492.21 |
1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$568.48 |
$836 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$356.34 |
$524.02 |
2.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$264.81 |
$389.42 |
1.5× |
| Radiologic examination femur 1 view (73551) |
$208.76 |
$307 |
2.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$130.40 |
$191.76 |
1.5× |
| Radiological examination surgical specimen (76098) |
$43.48 |
$63.94 |
0.1× |
| Ribs bilateral 3 views (71110) |
$251.47 |
$369.80 |
2.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$722.16 |
$1,061.99 |
1.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$652.12 |
$959 |
2.6× |
| Scapula (73010) |
$135.86 |
$199.80 |
1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$80.92 |
$119 |
3.5× |
| Shoulder 1 view (73020) |
$56.80 |
$83.52 |
0.6× |
| Small bowel series (74250) |
$114.46 |
$168.33 |
0.6× |
| Spine thoracic 3 views (72072) |
$158.16 |
$232.58 |
1.5× |
| Spleen imaging only (78185) |
$241.58 |
$355.27 |
0.6× |
| Thoracolumbar 2 views (72080) |
$131.14 |
$192.85 |
1.5× |
| Thyroid imaging w/blood flow (78013) |
$693.36 |
$1,019.64 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$729.13 |
$1,072.25 |
1.8× |
| Tmj unilateral (70328) |
$285.60 |
$420 |
3.2× |
| Tomogram (76100) |
$146.30 |
$215.14 |
1.4× |
| Ultrasound breast complete (76641) |
$686.12 |
$1,009 |
6.4× |
| Ultrasound Exam Aaa Screen (76706) |
$538.56 |
$792 |
5.0× |
| Ultrasound, abdomen limited (76705) |
$383.92 |
$564.60 |
3.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$830.96 |
$1,222 |
9.3× |
| Unlisted ultrasound procedure (76999) |
$612.68 |
$901 |
6.8× |
| Urethrocystogram voiding (74455) |
$123.92 |
$182.23 |
0.5× |
| Urethrocystography retrograde rs&i (74450) |
$100.12 |
$147.24 |
0.4× |
| Us breast unilateral limited (76642) |
$612.68 |
$901 |
6.8× |
| Us chest (76604) |
$414.86 |
$610.10 |
3.8× |
| Us compl joint r-t w/image documentation (76881) |
$417.58 |
$614.10 |
3.9× |
| Us infant hips w manipulation (76885) |
$170 |
$250 |
1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$412.08 |
$606 |
3.8× |
| Us ob detailed single fetus (76811) |
$372.97 |
$548.48 |
1.5× |
| Us ob limited (76815) |
$301.12 |
$442.82 |
2.8× |
| Us ob transvaginal (76817) |
$424.42 |
$624.14 |
3.9× |
| Us pelvic non ob complete (76856) |
$341.83 |
$502.69 |
3.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$217.66 |
$320.08 |
2.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$299.27 |
$440.10 |
2.8× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$193.25 |
$284.19 |
1.8× |
| Us retroperitoneal complete (76770) |
$434.90 |
$639.56 |
4.0× |
| Us retroperitoneal limited (76775) |
$347.13 |
$510.48 |
3.2× |
| Us scrotum and contents (76870) |
$329.08 |
$483.94 |
3.0× |
| Us soft tissue head/neck (76536) |
$391.16 |
$575.24 |
3.6× |
| Venogram Extremity Unilateral (75820) |
$122.66 |
$180.38 |
0.1× |
| Vertebral fracture assessment via dxa (77086) |
$648.72 |
$954 |
7.2× |
| Wrist 2 views (73100) |
$103.38 |
$152.03 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$197.84 |
$290.94 |
1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$122.61 |
$180.30 |
1.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$447.29 |
$657.78 |
2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$102.14 |
$150.21 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$147.12 |
$216.35 |
1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$537.20 |
$790 |
5.0× |
| X-ray exam of femur 2/> (73552) |
$131.51 |
$193.40 |
1.5× |
| X-ray eye for foreign body (70030) |
$159.73 |
$234.89 |
1.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$120.84 |
$177.71 |
1.3× |
| X-ray IV pyelogram (ivp) (74400) |
$387.30 |
$569.56 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$131.30 |
$193.08 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$132.75 |
$195.22 |
1.5× |
| X-ray leg, infant (73592) |
$102.14 |
$150.21 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$170.06 |
$250.08 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$281.52 |
$414 |
2.6× |
| X-ray nose-rectum child f.b. (76010) |
$278.12 |
$409 |
3.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$162.36 |
$238.76 |
1.5× |
| X-ray retrograde pyelogram (74420) |
$412.08 |
$606 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$167.40 |
$246.16 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$251.22 |
$369.44 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$279.16 |
$410.54 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$134.57 |
$197.90 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$133.21 |
$195.89 |
1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$182.66 |
$268.62 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$247.36 |
$363.76 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$131.64 |
$193.58 |
1.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$72.32 |
$106.34 |
0.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$122.82 |
$180.62 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$161.09 |
$236.89 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$131.26 |
$193.03 |
1.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$215.74 |
$317.26 |
2.0× |
| Xr bone length studies (77073) |
$346.80 |
$510 |
3.2× |
| Xr c-spine 4 or 5 views (72050) |
$252.95 |
$371.98 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$306.12 |
$450.18 |
2.8× |
| Xr chest 4+ views (71048) |
$339.32 |
$499 |
3.1× |