| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,923 |
$3,923 |
3.1× |
| Abdomen 2 views (74019) |
$430 |
$430 |
4.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,137 |
$1,137 |
3.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,166 |
$6,166 |
1.2× |
| Arthrogram elbow (73085) |
$1,357 |
$1,357 |
4.3× |
| Arthrogram hip (73525) |
$1,112 |
$1,112 |
3.5× |
| Arthrogram shoulder (73040) |
$1,023 |
$1,023 |
3.2× |
| Arthrogram wrist (73115) |
$1,115 |
$1,115 |
3.5× |
| Arthrography knee lt (73580) |
$1,370 |
$1,370 |
4.3× |
| Basic radiation dosimetry calculation (77300) |
$598 |
$598 |
4.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,106 |
$1,106 |
3.1× |
| Bone &/joint imaging whole body (78306) |
$1,853 |
$1,853 |
5.1× |
| Bone age studies (77072) |
$340 |
$340 |
3.6× |
| Bone Imaging 3 Phase (78315) |
$1,110 |
$1,110 |
3.1× |
| Bone Marrow Imaging Limited Area (78102) |
$408 |
$408 |
1.1× |
| Brachytx isodose complex (77318) |
$883 |
$883 |
2.6× |
| Brachytx isodose intermed (77317) |
$883 |
$883 |
2.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$883 |
$883 |
2.6× |
| Brain image w/flow 4 + views (78606) |
$1,480 |
$1,480 |
3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,263 |
$4,263 |
3.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$962 |
$962 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$443 |
$443 |
5.6× |
| Chest 1 view (71045) |
$299 |
$299 |
3.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$611 |
$611 |
3.8× |
| Clavicle complete (73000) |
$536 |
$536 |
6.8× |
| Continuing medical physics consltj pr wk (77336) |
$414 |
$414 |
3.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,845 |
$4,845 |
15.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,467 |
$3,467 |
16.0× |
| CT abdomen w contrast (74160) |
$2,542 |
$2,542 |
16.0× |
| CT abdomen w wo contrast (74170) |
$2,938 |
$2,938 |
18.5× |
| CT abdomen w/o contrast (74150) |
$2,189 |
$2,189 |
23.1× |
| CT c-spine w/o contrast (72125) |
$2,251 |
$2,251 |
23.8× |
| CT cervical spine w&w/o contrast (72127) |
$2,295 |
$2,295 |
14.5× |
| CT cervical spine with contrast (72126) |
$2,259 |
$2,259 |
7.2× |
| CT chest w/wo contrast (71270) |
$2,917 |
$2,917 |
18.4× |
| CT chest with contrast (71260) |
$2,399 |
$2,399 |
15.1× |
| CT head/brain with contrast (70460) |
$2,068 |
$2,068 |
13.0× |
| CT head/brain without and with contrast (70470) |
$2,916 |
$2,916 |
18.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$99 |
$99 |
1.3× |
| CT iac w contrast (70481) |
$2,085 |
$2,085 |
13.1× |
| CT limited/localized follow up study (76380) |
$745 |
$745 |
9.5× |
| CT lower ext w/o (73700) |
$1,738.50 |
$1,738.50 |
18.4× |
| CT lower extremity w wo contrast (73702) |
$2,363 |
$2,363 |
14.9× |
| CT lower extremity with contrast (73701) |
$1,950 |
$1,950 |
12.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,373 |
$2,373 |
14.9× |
| CT lumbar spine w/o contrast (72131) |
$2,177 |
$2,177 |
23.0× |
| CT lumbar spine with contrast (72132) |
$2,306 |
$2,306 |
7.3× |
| CT maxillofacial w contrast (70487) |
$2,280 |
$2,280 |
14.4× |
| CT maxillofacial w/o contrast (70486) |
$1,813 |
$1,813 |
19.2× |
| CT maxillofacial w/wo contrast (70488) |
$2,435 |
$2,435 |
15.3× |
| CT neck soft tissue w contrast (70491) |
$2,277 |
$2,277 |
14.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,409 |
$2,409 |
15.2× |
| CT orbits w/o contrast (70480) |
$1,815 |
$1,815 |
19.2× |
| CT pelvis w & w/o contrast (72194) |
$2,779 |
$2,779 |
17.5× |
| CT pelvis w/o contrast (72192) |
$2,049 |
$2,049 |
21.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,786 |
$2,786 |
17.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,972 |
$1,972 |
20.8× |
| CT thoracic spine w/contrast (72129) |
$2,103 |
$2,103 |
13.2× |
| CT thoracic spine w/o contrast (72128) |
$2,067 |
$2,067 |
21.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,327 |
$2,327 |
14.7× |
| CT thorax w/o contrast (71250) |
$1,958 |
$1,958 |
20.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,396 |
$2,396 |
15.1× |
| CT upper extremity w/o contrast rt (73200) |
$2,893 |
$2,893 |
30.6× |
| CT upper extremity with contrast (73201) |
$2,118 |
$2,118 |
6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,710 |
$2,710 |
17.1× |
| Cta Abdomen (74175) |
$2,894 |
$2,894 |
18.2× |
| CTA abdomen pelvis (74174) |
$4,026 |
$4,026 |
12.7× |
| CTA chest (71275) |
$2,765 |
$2,765 |
17.4× |
| Cta Head (70496) |
$2,605 |
$2,605 |
16.4× |
| Cta Neck (70498) |
$2,412 |
$2,412 |
15.2× |
| Cta Pelvis (72191) |
$3,172 |
$3,172 |
20.0× |
| Cystography minimum 3 views rs&i (74430) |
$712 |
$712 |
2.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$387 |
$387 |
4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$449.50 |
$449.50 |
4.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$490 |
$490 |
5.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$516 |
$516 |
5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$230 |
$230 |
2.9× |
| Dxa bone density study axial skeleton (77085) |
$613 |
$613 |
6.5× |
| Echo exam of fetal heart (76825) |
$1,264 |
$1,264 |
2.6× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,042 |
$1,042 |
4.8× |
| Echoencephalography real time imaging (76506) |
$643 |
$643 |
6.8× |
| Esophageal motility (78258) |
$561 |
$561 |
1.5× |
| Esophagus (74220) |
$606 |
$606 |
3.8× |
| Fetal biophysical profile non-stress testing (76818) |
$891 |
$891 |
9.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$617.50 |
$617.50 |
6.5× |
| Fluoroscopy up to 1 hr (76000) |
$586 |
$586 |
2.7× |
| Forearm 2 views (73090) |
$346 |
$346 |
4.4× |
| Gated Heart Planar Single (78472) |
$1,649 |
$1,649 |
4.6× |
| Hand 3 views (73130) |
$371 |
$371 |
4.7× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$2,468 |
$2,468 |
3.9× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$2,468 |
$2,468 |
3.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,951 |
$1,951 |
3.1× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$600 |
$600 |
1.7× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$600 |
$600 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,900 |
$1,900 |
3.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,079 |
$2,079 |
5.7× |
| Humerus Min 2 Views Left (73060) |
$458 |
$458 |
5.8× |
| Hysterosalpingogram (74740) |
$1,360 |
$1,360 |
6.3× |
| Image fusion (77399) |
$342 |
$342 |
2.8× |
| Interstitial radiation source applic complex (77778) |
$1,951 |
$1,951 |
3.1× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,951 |
$1,951 |
3.1× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,428 |
$1,428 |
2.9× |
| Intracavitary radiation source applic simple (77761) |
$1,428 |
$1,428 |
2.9× |
| Kidney imaging morphology (78700) |
$981 |
$981 |
2.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,799 |
$1,799 |
3.7× |
| Liver & spleen imaging static only (78215) |
$1,106 |
$1,106 |
3.1× |
| Lymphoscintigraphy (78195) |
$1,618 |
$1,618 |
3.3× |
| Mammary ductogram or galactogram single (77053) |
$681 |
$681 |
3.2× |
| Meckels Diverticulum (78290) |
$1,035 |
$1,035 |
2.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,068 |
$1,068 |
3.1× |
| MRA head w & w/o contrast (70546) |
$2,921 |
$2,921 |
9.2× |
| MRA head w/o contrast (70544) |
$2,946 |
$2,946 |
13.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,336 |
$3,336 |
10.6× |
| MRI abdomen w contrast (74182) |
$2,370 |
$2,370 |
7.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,971 |
$3,971 |
12.6× |
| MRI abdomen w/o contrast (74181) |
$2,608 |
$2,608 |
12.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,631 |
$2,631 |
3.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,908 |
$2,908 |
4.1× |
| MRI breast w/o contrast bilateral (77047) |
$3,660 |
$3,660 |
16.9× |
| MRI breast w/o contrast unilat (77046) |
$2,567 |
$2,567 |
11.9× |
| MRI c-spine with contrast (72142) |
$2,549 |
$2,549 |
8.1× |
| MRI cervical spine w/o contrast (72141) |
$2,879 |
$2,879 |
13.3× |
| MRI chest w/o & w/contrast material (71552) |
$3,684 |
$3,684 |
11.7× |
| MRI chest w/o contrast (71550) |
$3,163 |
$3,163 |
14.6× |
| MRI chest with contrast (71551) |
$3,025 |
$3,025 |
4.3× |
| MRI fetal sngl/1st gestation (74712) |
$2,820 |
$2,820 |
13.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,646 |
$1,646 |
5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,663 |
$2,663 |
8.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,751 |
$2,751 |
12.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,425 |
$2,425 |
11.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,503 |
$3,503 |
11.1× |
| MRI orbit/face/neck w/contrast (70542) |
$1,912 |
$1,912 |
6.1× |
| MRI pelvis w contrast (72196) |
$3,071 |
$3,071 |
9.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,788 |
$3,788 |
12.0× |
| MRI pelvis w/o contrast (72195) |
$2,582 |
$2,582 |
12.0× |
| MRI scan of arm joint before and after contrast (73223) |
$3,922 |
$3,922 |
12.4× |
| MRI scan of leg joint before and after contrast (73723) |
$3,635.50 |
$3,635.50 |
11.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,390 |
$4,390 |
13.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,820 |
$2,820 |
8.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,049 |
$4,049 |
12.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,413 |
$4,413 |
14.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,052 |
$4,052 |
12.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,776 |
$2,776 |
12.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,619 |
$2,619 |
12.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,461 |
$3,461 |
11.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,453.50 |
$2,453.50 |
11.4× |
| Neck soft tissue (70360) |
$327 |
$327 |
4.1× |
| Nm adrenal scan (78075) |
$594 |
$594 |
0.5× |
| Nm bone marrow multiple (78103) |
$325 |
$325 |
0.9× |
| Nm bone marrow wb (78104) |
$325 |
$325 |
0.9× |
| Nm cisternogram (78630) |
$1,147 |
$1,147 |
2.3× |
| Nm gastric emptying study (78264) |
$1,710 |
$1,710 |
4.7× |
| Nm gastroesophageal reflux study (78262) |
$979 |
$979 |
2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,923 |
$3,923 |
3.1× |
| Nuclear Rx Oral Admin (79005) |
$1,173 |
$1,173 |
5.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$368 |
$368 |
3.9× |
| Osseous survey infant (77076) |
$309 |
$309 |
3.3× |
| Osseous survey limited (77074) |
$548 |
$548 |
5.8× |
| Parathyroid imaging (78070) |
$1,395 |
$1,395 |
3.9× |
| Pelvis 1 or 2 views (72170) |
$339 |
$339 |
3.6× |
| PET image w/CT, skull-thigh (78815) |
$6,947 |
$6,947 |
5.4× |
| PET imaging CT for attenuation limited area (78814) |
$5,342 |
$5,342 |
4.1× |
| PET imaging for CT attenuation whole body (78816) |
$6,545 |
$6,545 |
5.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,508 |
$3,508 |
11.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$157 |
$157 |
0.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$638 |
$638 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$349 |
$349 |
4.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$424 |
$424 |
4.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$441 |
$441 |
4.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$727 |
$727 |
1.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$341 |
$341 |
3.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$341 |
$341 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$384 |
$384 |
4.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$331 |
$331 |
4.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$362 |
$362 |
4.6× |
| Radiologic exam colon single contrast study (74270) |
$836 |
$836 |
5.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$708 |
$708 |
4.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$497 |
$497 |
6.3× |
| Radiological examination surgical specimen (76098) |
$367 |
$367 |
0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,778 |
$1,778 |
4.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,690 |
$1,690 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,435 |
$1,435 |
2.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$658.50 |
$658.50 |
3.0× |
| Scanogram (77073) |
$334 |
$334 |
3.5× |
| Scapula complete (73010) |
$312 |
$312 |
3.3× |
| Screening digital breast tomosynthesis (77063) |
$69 |
$69 |
3.0× |
| Simulation intermediate (77285) |
$1,117 |
$1,117 |
3.3× |
| Small bowel series (74250) |
$677 |
$677 |
4.3× |
| Spec medical radj physics consltj (77370) |
$414 |
$414 |
3.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,391 |
$1,391 |
4.1× |
| Special dosimetry (77331) |
$342 |
$342 |
2.8× |
| Special treatment procedure (77470) |
$1,727 |
$1,727 |
3.5× |
| Stereotactic body radiation delivery (77373) |
$5,004 |
$5,004 |
3.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$341 |
$341 |
3.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,836 |
$1,836 |
5.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,765 |
$1,765 |
5.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,100 |
$1,100 |
3.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$414 |
$414 |
3.4× |
| Thoracolumbar 2 views (72080) |
$253 |
$253 |
3.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,745 |
$1,745 |
3.5× |
| Thyroid uptake measurement (78012) |
$892 |
$892 |
2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,411 |
$1,411 |
3.9× |
| Treatment device intermediate (77333) |
$342 |
$342 |
2.8× |
| Treatment devices simple (77332) |
$342 |
$342 |
2.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,020 |
$1,020 |
2.8× |
| Tx devices design & construction complex (77334) |
$1,251 |
$1,251 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$740 |
$740 |
7.8× |
| Umbilical-artery Doppler (OB) (76820) |
$400.50 |
$400.50 |
4.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$210 |
$210 |
2.7× |
| Upper Extremity Infant (73092) |
$312 |
$312 |
3.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,058 |
$1,058 |
2.9× |
| Urethrocystography retrograde rs&i (74450) |
$523 |
$523 |
2.4× |
| Urethrocystography voiding (74455) |
$948 |
$948 |
4.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,020 |
$1,020 |
6.4× |
| Us abdl aorta screen aaa (76706) |
$528 |
$528 |
5.6× |
| Us breast unilateral complete (76641) |
$488 |
$488 |
5.2× |
| Us breast unilateral limited (76642) |
$466 |
$466 |
5.9× |
| Us chest (76604) |
$530 |
$530 |
5.6× |
| Us infant hips dynamic (76885) |
$765 |
$765 |
9.7× |
| Us infant hips limited static (76886) |
$563 |
$563 |
7.1× |
| Us ob detailed single fetus (76811) |
$1,011 |
$1,011 |
4.7× |
| Us ob transvaginal (76817) |
$622.50 |
$622.50 |
6.6× |
| Us pelvic non ob complete (76856) |
$903 |
$903 |
9.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$628 |
$628 |
6.6× |
| Us pregnancy ltd (76815) |
$541 |
$541 |
5.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$704 |
$704 |
7.4× |
| Us retroperitoneal complete (76770) |
$836 |
$836 |
8.8× |
| Us retroperitoneal limited (76775) |
$324 |
$324 |
3.4× |
| Us scrotum and contents (76870) |
$719 |
$719 |
7.6× |
| Us soft tissue head/neck (76536) |
$730 |
$730 |
7.7× |
| Us spinal canal and contents (76800) |
$549 |
$549 |
5.8× |
| Us xtr non-vasc lmtd (76882) |
$534 |
$534 |
5.6× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less (77600) |
$600 |
$600 |
1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$276 |
$276 |
3.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$389 |
$389 |
4.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$872 |
$872 |
5.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$377 |
$377 |
4.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$661 |
$661 |
7.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$365 |
$365 |
4.6× |
| X-ray eye for foreign body (70030) |
$244 |
$244 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$505 |
$505 |
5.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$512 |
$512 |
6.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$287 |
$287 |
3.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$418 |
$418 |
4.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$249 |
$249 |
3.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$313 |
$313 |
4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$442 |
$442 |
4.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$590 |
$590 |
6.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$359 |
$359 |
4.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$182 |
$182 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$405 |
$405 |
4.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$384 |
$384 |
4.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$968 |
$968 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$431 |
$431 |
4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$619 |
$619 |
6.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$394 |
$394 |
4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$363 |
$363 |
4.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$631 |
$631 |
8.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$339 |
$339 |
4.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$224 |
$224 |
2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$591 |
$591 |
6.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$377 |
$377 |
4.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$307 |
$307 |
3.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$233 |
$233 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$377 |
$377 |
4.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$399 |
$399 |
4.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$297 |
$297 |
3.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$371 |
$371 |
4.7× |
| Xr c-spine 6 or more views (72052) |
$640 |
$640 |
6.8× |
| Xr chest 4+ views (71048) |
$373 |
$373 |
3.9× |
| Xr finger(s) 2+ views (73140) |
$291 |
$291 |
3.7× |
| Xr optic foramina (70190) |
$177 |
$177 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$574 |
$574 |
6.1× |
| Xr tibia/fibula 2 views (73590) |
$636 |
$636 |
8.1× |
| Xray knee 1 or 2 views rt (73560) |
$339 |
$339 |
4.3× |