| Abdominal CT scan without and with contrast
CPT 74170
CT ABDOMEN W/WO |
$1,654.50 |
$2,206.00 |
$153.73–$2,206.00 |
62% above |
25% |
| Abdominal X-ray, 2 views
CPT 74019
ABDOMEN COMPLETE 2V FLAT/ERECT |
$196.50 |
$262.00 |
$28.25–$262.00 |
7% above |
25% |
| Ankle X-ray, complete, 3 or more views one side
CPT 73610
ANKLE 3V LT |
$208.79 |
$278.38 |
$26.83–$278.38 |
75% above |
25% |
| Ankle X-ray, complete, 3 or more views one side
CPT 73610
ANKLE 3V RT |
$208.79 |
$278.38 |
$26.83–$278.38 |
75% above |
25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries
CPT 93922
US ANKLE-BRACHIAL INDEX LIMITED |
$231.00 |
$308.00 |
$46.26–$308.00 |
36% above |
25% |
| Arm CT scan without contrast (shoulder to hand, any part) one side
CPT 73200
CT UP EXT LT W/O |
$869.25 |
$1,159.00 |
$91.63–$1,159.00 |
34% above |
25% |
| Arm CT scan without contrast (shoulder to hand, any part) one side
CPT 73200
CT UP EXT RT W/O |
$869.25 |
$1,159.00 |
$91.63–$1,159.00 |
34% above |
25% |
| Barium swallow (esophagus X-ray with contrast)
CPT 74220
ESOPHOGRAM |
$489.00 |
$652.00 |
$64.21–$652.00 |
127% above |
25% |
| CT angiography (CTA) of the abdomen and pelvis
CPT 74174
CT ANGIOGRAPHY -PELVIS AND ABDOMEN |
$1,551.00 |
$2,068.00 |
$300.00–$2,068.00 |
74% above |
25% |
| CT angiography (CTA) of the head
CPT 70496
CT ANGIOGRAPHY - HEAD |
$1,359.75 |
$1,813.00 |
$153.73–$1,813.00 |
95% above |
25% |
| CT angiography (CTA) of the neck
CPT 70498
CT ANGIOGRAPHY -NECK |
$1,359.75 |
$1,813.00 |
$153.73–$1,813.00 |
95% above |
25% |
| CT angiography of the chest (CTA), for blood clots in the lungs
CPT 71275
CT ANGIOGRAPHY - CHEST |
$1,551.00 |
$2,068.00 |
$153.73–$2,068.00 |
77% above |
25% |
| CT scan of abdomen and pelvis, no contrast dye
CPT 74176
CT ABDOMEN AND PELVIS W/O |
$1,283.25 |
$1,711.00 |
$146.51–$1,711.00 |
14% above |
25% |
| CT scan of abdomen and pelvis, with contrast dye
CPT 74177
CT ABDOMEN AND PELVIS W/ |
$1,959.75 |
$2,613.00 |
$239.27–$2,613.00 |
48% above |
25% |
| CT scan of abdomen and pelvis, without and then with contrast dye
CPT 74178
CT ABDOMEN AND PELVIS W/WO |
$1,959.75 |
$2,613.00 |
$268.38–$2,613.00 |
35% above |
25% |
| CT scan of the abdomen with contrast
CPT 74160
CT ABDOMEN W/ |
$1,399.50 |
$1,866.00 |
$153.73–$1,866.00 |
58% above |
25% |
| CT scan of the abdomen without contrast
CPT 74150
CT ABDOMEN W/O |
$987.00 |
$1,316.00 |
$91.63–$1,316.00 |
29% above |
25% |
| CT scan of the face and sinuses, no contrast dye
CPT 70486
CT SINUSES/MAX/FACIAL BONES W/O |
$959.25 |
$1,279.00 |
$91.63–$1,279.00 |
44% above |
25% |
| CT scan of the face and sinuses, no contrast dye
CPT 70486
CT SINUS LIMITED W/O CONTRAST |
$959.25 |
$1,279.00 |
$91.63–$1,279.00 |
44% above |
25% |
| CT scan of the head or brain, no contrast dye
CPT 70450
CT HEAD W/O |
$865.50 |
$1,154.00 |
$91.63–$1,154.00 |
32% above |
25% |
| CT scan of the head with contrast
CPT 70460
CT HEAD W/ |
$1,133.25 |
$1,511.00 |
$153.73–$1,511.00 |
55% above |
25% |
| CT scan of the head without and with contrast
CPT 70470
CT HEAD W/WO |
$1,451.25 |
$1,935.00 |
$153.73–$1,935.00 |
59% above |
25% |
| CT scan of the lower back (lumbar spine) without contrast
CPT 72131
CT L-SPINE W/O |
$987.00 |
$1,316.00 |
$91.63–$1,316.00 |
31% above |
25% |
| CT scan of the neck (cervical spine), no contrast dye
CPT 72125
CT C-SPINE W/O |
$865.50 |
$1,154.00 |
$91.63–$1,154.00 |
17% above |
25% |
| CT scan of the pelvis, with contrast dye
CPT 72193
CT PELVIS W/ |
$1,399.50 |
$1,866.00 |
$153.73–$1,866.00 |
75% above |
25% |
| Carotid artery ultrasound (duplex), both sides of the neck
CPT 93880
CVE/CAROTID ULTRASOUND |
$801.75 |
$1,069.00 |
$160.56–$1,069.00 |
72% above |
25% |
| Chest CT scan without and with contrast
CPT 71270
CT CHEST W/WO |
$1,655.25 |
$2,207.00 |
$153.73–$2,207.00 |
57% above |
25% |
| Chest X-ray, 2 views
CPT 71046
CHEST PA/LAT |
$196.50 |
$262.00 |
$25.98–$262.00 |
49% above |
25% |
| Chest X-ray, 2 views
CPT 71046
CHEST 2V AP/LAT W OBLIQ |
$196.50 |
$262.00 |
$25.98–$262.00 |
49% above |
25% |
| Chest X-ray, single view
CPT 71045
CHEST 1V |
$196.50 |
$262.00 |
$19.62–$262.00 |
79% above |
25% |
| Collarbone (clavicle) X-ray, complete one side
CPT 73000
CLAVICLE RT |
$167.25 |
$223.00 |
$25.02–$223.00 |
43% above |
25% |
| Collarbone (clavicle) X-ray, complete one side
CPT 73000
CLAVICLE LT |
$167.25 |
$223.00 |
$25.02–$223.00 |
43% above |
25% |
| Diagnostic CT scan of the chest, no contrast dye
CPT 71250
CT CHEST W/O |
$987.00 |
$1,316.00 |
$91.63–$1,316.00 |
29% above |
25% |
| Diagnostic CT scan of the chest, with contrast dye
CPT 71260
CT CHEST W/ |
$1,399.50 |
$1,866.00 |
$153.73–$1,866.00 |
64% above |
25% |
| Duplex ultrasound of the leg veins, both legs both sides
CPT 93970
VENOUS US -BILATERAL LOWER OR UPPER |
$947.25 |
$1,263.00 |
$189.70–$1,263.00 |
— |
25% |
| Elbow X-ray, 2 views one side
CPT 73070
ELBOW AP/LAT RT |
$261.00 |
$348.00 |
$22.53–$348.00 |
123% above |
25% |
| Elbow X-ray, 2 views one side
CPT 73070
ELBOW AP/LAT LT |
$261.00 |
$348.00 |
$22.53–$348.00 |
123% above |
25% |
| Elbow X-ray, complete, 3 or more views one side
CPT 73080
ELBOW COMPLETE LT |
$177.71 |
$236.94 |
$25.30–$236.94 |
36% above |
25% |
| Elbow X-ray, complete, 3 or more views one side
CPT 73080
ELBOW COMPLETE RT |
$177.71 |
$236.94 |
$25.30–$236.94 |
36% above |
25% |
| Eye socket (orbit) CT scan without contrast
CPT 70480
CT TEMP BONE/IACS W/O |
$865.50 |
$1,154.00 |
$91.63–$1,154.00 |
43% above |
25% |
| Facial bones X-ray, complete, 3 or more views
CPT 70150
FACIAL BONES COMPLETE |
$239.25 |
$319.00 |
$36.33–$319.00 |
53% above |
25% |
| Forearm X-ray (radius and ulna), 2 views one side
CPT 73090
XRAY FOREARM LEFT 2 VIEW |
$167.25 |
$223.00 |
$22.53–$223.00 |
47% above |
25% |
| Forearm X-ray (radius and ulna), 2 views one side
CPT 73090
FOREARM AP/LAT LT |
$167.25 |
$223.00 |
$22.53–$223.00 |
47% above |
25% |
| Forearm X-ray (radius and ulna), 2 views one side
CPT 73090
FOREARM AP/LAT RT |
$167.25 |
$223.00 |
$22.53–$223.00 |
47% above |
25% |
| Forearm X-ray (radius and ulna), 2 views one side
CPT 73090
XRAY FOREARM RIGHT 2 VIEW |
$167.25 |
$223.00 |
$22.53–$223.00 |
47% above |
25% |
| Hand X-ray, 2 views one side
CPT 73120
HAND 2V RT |
$167.25 |
$223.00 |
$24.28–$223.00 |
59% above |
25% |
| Hand X-ray, 2 views one side
CPT 73120
HAND 2V LT |
$167.25 |
$223.00 |
$24.28–$223.00 |
59% above |
25% |
| Heel bone (calcaneus) X-ray, 2 or more views one side
CPT 73650
CALCANEUS LT |
$167.25 |
$223.00 |
$22.03–$223.00 |
53% above |
25% |
| Heel bone (calcaneus) X-ray, 2 or more views one side
CPT 73650
CALCANEUS RT |
$167.25 |
$223.00 |
$22.03–$223.00 |
53% above |
25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older
CPT 95811
POLYSOMNOGRAM W/ CPAP 6 YRS OR OLDER |
$3,349.50 |
$4,466.00 |
$631.38–$4,466.00 |
147% above |
25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older
CPT 95811
SPLIT NITE POLYSOMNOGRAM 6 YRS OR OLDER |
$3,349.50 |
$4,466.00 |
$631.38–$4,466.00 |
147% above |
25% |
| Knee X-ray, 3 views one side
CPT 73562
KNEE AP/LAT/OBLQ RT |
$167.25 |
$223.00 |
$29.31–$223.00 |
24% above |
25% |
| Knee X-ray, 3 views one side
CPT 73562
KNEE AP/LAT/OBLQ LT |
$167.25 |
$223.00 |
$29.31–$223.00 |
24% above |
25% |
| Knee X-ray, complete, 4 or more views one side
CPT 73564
KNEE COMPLETE LT |
$239.25 |
$319.00 |
$32.78–$319.00 |
57% above |
25% |
| Knee X-ray, complete, 4 or more views one side
CPT 73564
KNEE COMPLETE RT |
$239.25 |
$319.00 |
$32.78–$319.00 |
57% above |
25% |
| Leg CT scan without contrast (hip to foot, any part) one side
CPT 73700
CT LOW EXT RT W/O |
$869.25 |
$1,159.00 |
$91.63–$1,159.00 |
43% above |
25% |
| Leg CT scan without contrast (hip to foot, any part) one side
CPT 73700
CT LOW EXT LT W/O |
$869.25 |
$1,159.00 |
$91.63–$1,159.00 |
43% above |
25% |
| Lower leg X-ray (tibia and fibula), 2 views one side
CPT 73590
TIB/FIB AP/LAT LT |
$167.25 |
$223.00 |
$24.28–$223.00 |
42% above |
25% |
| Lower leg X-ray (tibia and fibula), 2 views one side
CPT 73590
TIB/FIB AP/LAT RT |
$167.25 |
$223.00 |
$24.28–$223.00 |
42% above |
25% |
| MR angiography (MRA) of the head without contrast
CPT 70544
MRA HEAD W/O |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
84% above |
25% |
| MR angiography (MRA) of the head without contrast
CPT 70544
MRA HEAD COW/VB W/O CONTRAST |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
84% above |
25% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
MRI LOW JT LT W/O |
$1,479.00 |
$1,972.00 |
$209.11–$1,972.00 |
36% above |
25% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
MRI LOW JT RT W/O |
$1,479.00 |
$1,972.00 |
$209.11–$1,972.00 |
36% above |
25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
MRI LOW JT LT W/WO |
$2,355.75 |
$3,141.00 |
$305.76–$3,141.00 |
85% above |
25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
MRI LOW JT RT W/WO |
$2,355.75 |
$3,141.00 |
$305.76–$3,141.00 |
85% above |
25% |
| MRI of the abdomen without contrast
CPT 74181
MRI ABDOMEN W/O |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
70% above |
25% |
| MRI of the abdomen, without and then with contrast dye
CPT 74183
MRI ABDOMEN W/WO |
$2,352.00 |
$3,136.00 |
$305.76–$3,136.00 |
77% above |
25% |
| MRI of the brain, no contrast dye
CPT 70551
MRI BRAIN W/O |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
48% above |
25% |
| MRI of the brain, with and without contrast dye
CPT 70553
MRI BRAIN W/WO |
$2,352.00 |
$3,136.00 |
$305.76–$3,136.00 |
63% above |
25% |
| MRI of the lower back, no contrast dye
CPT 72148
MRI L-SPINE W/O |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
48% above |
25% |
| MRI of the lower back, without and then with contrast dye
CPT 72158
MRI L-SPINE W/WO |
$2,352.00 |
$3,136.00 |
$305.76–$3,136.00 |
69% above |
25% |
| MRI of the mid back (thoracic spine), no contrast dye
CPT 72146
MRI T-SPINE W/O |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
50% above |
25% |
| MRI of the neck (cervical spine) without and with contrast
CPT 72156
MRI C-SPINE W/WO |
$2,352.00 |
$3,136.00 |
$305.76–$3,136.00 |
47% above |
25% |
| MRI of the neck (cervical spine), no contrast dye
CPT 72141
MRI C-SPINE W/O |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
59% above |
25% |
| MRI of the pelvis without and with contrast
CPT 72197
MRI PELVIS W/WO |
$2,352.00 |
$3,136.00 |
$305.76–$3,136.00 |
111% above |
25% |
| MRI of the pelvis, no contrast dye
CPT 72195
MRI PELVIS W/O |
$1,672.50 |
$2,230.00 |
$209.11–$2,230.00 |
91% above |
25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side
CPT 73221
MRI UP JT LT W/O |
$1,479.00 |
$1,972.00 |
$209.11–$1,972.00 |
52% above |
25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side
CPT 73221
MRI UP JT RT W/O |
$1,479.00 |
$1,972.00 |
$209.11–$1,972.00 |
52% above |
25% |
| Neck (cervical spine) X-ray, 4 or 5 views
CPT 72050
C-SPINE 4-5 VIEWS |
$328.50 |
$438.00 |
$41.10–$438.00 |
61% above |
25% |
| Neck soft tissue CT scan with contrast
CPT 70491
CT SFT TIS NECK W/ |
$1,320.75 |
$1,761.00 |
$153.73–$1,761.00 |
92% above |
25% |
| Neck soft tissue CT scan without contrast
CPT 70490
CT SFT TIS NECK W/O |
$865.50 |
$1,154.00 |
$91.63–$1,154.00 |
28% above |
25% |
| Neck soft tissue X-ray
CPT 70360
NECK SOFT TISSUE |
$196.50 |
$262.00 |
$23.25–$262.00 |
72% above |
25% |
| Pelvic CT scan without contrast
CPT 72192
CT PELVIS W/O |
$987.00 |
$1,316.00 |
$91.63–$1,316.00 |
43% above |
25% |
| Pelvic ultrasound through the belly, complete (not pregnancy)
CPT 76856
ULTRASOUND PELVIC COMPLETE |
$428.25 |
$571.00 |
$81.21–$571.00 |
53% above |
25% |
| Rib X-ray, one side, with a chest view, 3 or more views one side
CPT 71101
RIBS UNI-RT W/AP CXR |
$239.25 |
$319.00 |
$32.62–$319.00 |
75% above |
25% |
| Rib X-ray, one side, with a chest view, 3 or more views one side
CPT 71101
RIBS UNI-LT W/AP CXR |
$239.25 |
$319.00 |
$32.62–$319.00 |
75% above |
25% |
| Shoulder X-ray, complete, 2 or more views one side
CPT 73030
SHOULDER COMPLETE RT |
$1,006.50 |
$1,342.00 |
$26.83–$1,342.00 |
669% above |
25% |
| Shoulder X-ray, complete, 2 or more views one side
CPT 73030
SHOULDER COMPLETE LT |
$1,006.50 |
$1,342.00 |
$26.83–$1,342.00 |
669% above |
25% |
| Sinus X-ray, complete, 3 or more views
CPT 70220
SINUSES COMPLETE |
$239.25 |
$319.00 |
$28.97–$319.00 |
52% above |
25% |
| Skull X-ray, fewer than 4 views
CPT 70250
SKULL LMTD <4V |
$196.50 |
$262.00 |
$27.58–$262.00 |
46% above |
25% |
| Sleep study in a lab (polysomnography)
CPT 95810
POLYSOMNOGRAM 6 YRS OR OLDER |
$3,272.25 |
$4,363.00 |
$600.97–$4,363.00 |
155% above |
25% |
| Thigh bone (femur) X-ray, 2 or more views
CPT 73552
FEMUR 2V |
$270.00 |
$360.00 |
$27.34–$360.00 |
135% above |
25% |
| Thoracic spine (mid back) CT scan without contrast
CPT 72128
CT T-SPINE W/O |
$987.00 |
$1,316.00 |
$91.63–$1,316.00 |
30% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE LT 5TH V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE LT GREAT V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE LT 2ND V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE RT 2ND V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE RT 3RD V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE RT 4TH V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE RT 5TH V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE RT GREAT V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE LT 3RD V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Toe X-ray, 2 or more views one side
CPT 73660
TOE LT 4TH V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
50% above |
25% |
| Transvaginal pelvic ultrasound
CPT 76830
US TRANSVAGINAL |
$408.75 |
$545.00 |
$88.26–$545.00 |
94% above |
25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast)
CPT 74240
UGI W/O F/U FILMS |
$477.75 |
$637.00 |
$85.51–$637.00 |
89% above |
25% |
| Upper arm X-ray (humerus), 2 views one side
CPT 73060
HUMERUS AP/LAT RT |
$167.25 |
$223.00 |
$24.52–$223.00 |
44% above |
25% |
| Upper arm X-ray (humerus), 2 views one side
CPT 73060
HUMERUS AP/LAT LT |
$167.25 |
$223.00 |
$24.52–$223.00 |
44% above |
25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side
CPT 93971
VENOUS US -UNILATERAL LOWER OR UPPER |
$505.50 |
$674.00 |
$91.63–$674.00 |
97% above |
25% |
| Wrist X-ray, 2 views one side
CPT 73100
WRIST AP/LAT LT |
$196.50 |
$262.00 |
$24.83–$262.00 |
80% above |
25% |
| Wrist X-ray, 2 views one side
CPT 73100
WRIST AP/LAT RT |
$196.50 |
$262.00 |
$24.83–$262.00 |
80% above |
25% |
| Wrist X-ray, complete, 3 or more views one side
CPT 73110
WRIST COMPLETE LT |
$177.71 |
$236.94 |
$26.83–$236.94 |
55% above |
25% |
| Wrist X-ray, complete, 3 or more views one side
CPT 73110
WRIST COMPLETE RT |
$177.71 |
$236.94 |
$26.83–$236.94 |
55% above |
25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included
CPT 73502
INFANT PELVIS/HIPS 2V |
$204.42 |
$272.56 |
$36.45–$272.56 |
63% above |
25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side
CPT 73502
HIP COMPLETE UNI LT 2/3 VIEW |
$204.42 |
$272.56 |
$36.45–$272.56 |
63% above |
25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side
CPT 73502
HIP COMPLETE UNI RT 2/3 VIEW |
$204.42 |
$272.56 |
$36.45–$272.56 |
63% above |
25% |
| X-ray of the abdomen, 1 view
CPT 74018
ABDOMEN 1V AP |
$196.50 |
$262.00 |
$23.35–$262.00 |
53% above |
25% |
| X-ray of the ankle, 2 views one side
CPT 73600
ANKLE AP/LAT LT |
$196.50 |
$262.00 |
$24.78–$262.00 |
82% above |
25% |
| X-ray of the ankle, 2 views one side
CPT 73600
ANKLE AP/LAT RT |
$196.50 |
$262.00 |
$24.78–$262.00 |
82% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER LT 5TH V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER LT THUMB V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER RT THUMB V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER RT 5TH 2V |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER LT 4TH 2V |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER RT 3RD V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER RT 2ND V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER LT 2V |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER LT 3RD 2V |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the finger(s), 2 or more views one side
CPT 73140
FINGER RT 4TH V2 |
$167.25 |
$223.00 |
$21.09–$223.00 |
63% above |
25% |
| X-ray of the foot, complete, 3 or more views one side
CPT 73630
FOOT RT |
$167.25 |
$223.00 |
$26.31–$223.00 |
37% above |
25% |
| X-ray of the foot, complete, 3 or more views one side
CPT 73630
FOOT LT |
$167.25 |
$223.00 |
$26.31–$223.00 |
37% above |
25% |
| X-ray of the hand, 3 or more views one side
CPT 73130
HAND MIN 3V RT |
$167.25 |
$223.00 |
$26.83–$223.00 |
32% above |
25% |
| X-ray of the hand, 3 or more views one side
CPT 73130
HAND MIN 3V LT |
$167.25 |
$223.00 |
$26.83–$223.00 |
32% above |
25% |
| X-ray of the knee, 1 or 2 views one side
CPT 73560
KNEE AP/LAT LT |
$167.25 |
$223.00 |
$26.27–$223.00 |
47% above |
25% |
| X-ray of the knee, 1 or 2 views one side
CPT 73560
KNEE AP/LAT RT |
$167.25 |
$223.00 |
$26.27–$223.00 |
47% above |
25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views
CPT 72100
L-SPINE AP/LAT |
$196.50 |
$262.00 |
$30.71–$262.00 |
30% above |
25% |
| X-ray of the lower back, 4 or more views
CPT 72110
L-SPINE W/OBLIQUES |
$328.50 |
$438.00 |
$39.82–$438.00 |
51% above |
25% |
| X-ray of the mid back (thoracic spine), 2 views
CPT 72070
T-SPINE 2V |
$239.25 |
$319.00 |
$25.41–$319.00 |
52% above |
25% |
| X-ray of the nasal bones, 3 or more views
CPT 70160
NASAL BONES COMPLETE |
$196.50 |
$262.00 |
$26.50–$262.00 |
68% above |
25% |
| X-ray of the neck (cervical spine), 2 or 3 views
CPT 72040
C-SPINE 3 OR LESS VIEWS |
$196.50 |
$262.00 |
$30.46–$262.00 |
37% above |
25% |
| X-ray of the pelvis, 1 or 2 views
CPT 72170
PELVIS AP 1-2 VIEWS |
$196.50 |
$262.00 |
$21.56–$262.00 |
48% above |
25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views
CPT 72220
SACRUM/COCCYX MIN 2V |
$196.50 |
$262.00 |
$25.06–$262.00 |
43% above |
25% |