|
X-ray exam entire spi 6/> vw
|
$278.24 |
$278.24 |
$278.24 |
$562.90
|
|
X-ray exam of arm infant
|
$130.66 |
$130.66 |
$130.66 |
$238.26
|
|
X-ray exam of eye sockets
|
$192.23 |
$192.23 |
$192.23 |
$321.48
|
|
X-ray exam of femur 1
|
$100.58 |
$100.58 |
$100.58 |
$194.40
|
|
X-ray exam of jaw joint
|
$108.10 |
$108.10 |
$108.10 |
$179.54
|
|
X-ray exam of mastoids
|
$151.34 |
$151.34 |
$151.34 |
$187.60
|
|
X-ray exam of middle ear
|
$78.49 |
$78.49 |
$78.49 |
$322.45
|
|
X-ray exam of sinuses
|
$90.71 |
$90.71 |
$90.71 |
$192.00
|
|
X-ray eye detection foreign body (both sides)
|
$135.83 |
$135.83 |
$135.83 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$222.78 |
$222.78 |
$222.78 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$149.93 |
$149.93 |
$149.93 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$159.33 |
$159.33 |
$159.33 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$162.15 |
$162.15 |
$162.15 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$260.38 |
$260.38 |
$260.38 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$161.68 |
$161.68 |
$161.68 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$150.87 |
$150.87 |
$150.87 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$81.31 |
$81.31 |
$81.31 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$147.11 |
$147.11 |
$147.11 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$157.92 |
$157.92 |
$157.92 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$169.20 |
$169.20 |
$169.20 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$100.58 |
$100.58 |
$100.58 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$231.24 |
$231.24 |
$231.24 |
$285.00
|
|
X-ray joint survey 1 view
|
$93.53 |
$93.53 |
$93.53 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$180.95 |
$180.95 |
$180.95 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$320.07 |
$320.07 |
$320.07 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$92.59 |
$92.59 |
$92.59 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$260.38 |
$260.38 |
$260.38 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$198.81 |
$198.81 |
$198.81 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$200.22 |
$200.22 |
$200.22 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$222.78 |
$222.78 |
$222.78 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$192.23 |
$192.23 |
$192.23 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$76.61 |
$76.61 |
$76.61 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$130.66 |
$130.66 |
$130.66 |
$260.52
|
|
X-ray neck soft tissue
|
$129.72 |
$129.72 |
$129.72 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$77.55 |
$77.55 |
$77.55 |
$201.00
|
|
X-ray pelvis 1-2 views
|
$92.59 |
$92.59 |
$92.59 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$192.23 |
$192.23 |
$192.23 |
$299.46
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$202.57 |
$202.57 |
$202.57 |
$663.18
|
|
X-ray ribs 2 views left
|
$134.42 |
$134.42 |
$134.42 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$192.23 |
$192.23 |
$192.23 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$155.10 |
$155.10 |
$155.10 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$209.15 |
$209.15 |
$209.15 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$121.73 |
$121.73 |
$121.73 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$109.04 |
$109.04 |
$109.04 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$193.64 |
$193.64 |
$193.64 |
$264.80
|
|
X-ray sella turcica
|
$46.06 |
$46.06 |
$46.06 |
$144.00
|
|
X-ray shoulder 1 view (both sides)
|
$146.17 |
$146.17 |
$146.17 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$159.80 |
$159.80 |
$159.80 |
$324.53
|
|
X-ray sinus tract/fistula/abscess
|
$188.00 |
$188.00 |
$188.00 |
$539.50
|
|
X-ray skull < 4 views
|
$118.44 |
$118.44 |
$118.44 |
$277.54
|
|
X-ray skull > 4 views complete
|
$184.71 |
$184.71 |
$184.71 |
$404.30
|
|
X-ray slg plne bdy sect without urogr
|
$260.85 |
$260.85 |
$260.85 |
$370.64
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$257.09 |
$257.09 |
$257.09 |
$511.38
|
|
X-ray small intestine follow-through study
|
$85.54 |
$85.54 |
$85.54 |
$470.16
|
|
X-ray spine single view
|
$94.47 |
$94.47 |
$94.47 |
$225.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$126.90 |
$126.90 |
$126.90 |
$236.88
|
|
X-ray sternum > 2 views
|
$116.09 |
$116.09 |
$116.09 |
$230.00
|
|
X-ray surgical specimen
|
$42.77 |
$42.77 |
$42.77 |
$457.47
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$291.40 |
$291.40 |
$291.40 |
$463.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$205.86 |
$205.86 |
$205.86 |
$276.00
|
|
X-ray thoracic spine 2 views
|
$134.42 |
$134.42 |
$134.42 |
$286.65
|
|
X-ray thoracic spine 3 views
|
$148.05 |
$148.05 |
$148.05 |
$343.00
|
|
X-ray thoracolumbar spine >=2 views
|
$108.10 |
$108.10 |
$108.10 |
$269.10
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$140.06 |
$140.06 |
$140.06 |
$211.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$195.05 |
$195.05 |
$195.05 |
$346.50
|
|
X-ray tibia/fibula 2 views (both sides)
|
$260.38 |
$260.38 |
$260.38 |
$306.47
|
|
X-ray toe(s) > 2 views (both sides)
|
$159.80 |
$159.80 |
$159.80 |
$225.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$317.25 |
$317.25 |
$317.25 |
$590.20
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$267.43 |
$267.43 |
$267.43 |
$497.93
|
|
X-ray wrist 2 views (both sides)
|
$180.95 |
$180.95 |
$180.95 |
$268.49
|
|
X-ray xm phrnx&/crv esoph c+
|
$150.40 |
$150.40 |
$150.40 |
$256.03
|
|
Zika virus dna/rna amp probe
|
$26.80 |
$26.80 |
$26.80 |
$197.25
|
|
Zika virus igm antibody
|
$8.93 |
$8.93 |
$8.93 |
$84.83
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$24.12 |
$24.12 |
$24.12 |
$83.13
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$39.13 |
$39.13 |
$39.13 |
$201.50
|