|
X-ray bone survey complete
|
$833.30 |
$833.30 |
$833.30 |
$569.03
|
|
X-ray bone survey infant
|
$349.70 |
$349.70 |
$349.70 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$193.70 |
$193.70 |
$193.70 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$241.80 |
$241.80 |
$241.80 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$469.95 |
$469.95 |
$469.95 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$321.75 |
$321.75 |
$321.75 |
$277.00
|
|
X-ray elbow 2 views (both sides)
|
$414.70 |
$414.70 |
$414.70 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$409.50 |
$409.50 |
$409.50 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$525.85 |
$525.85 |
$525.85 |
$434.76
|
|
X-ray exam entire spi 4/5 vw
|
$529.10 |
$529.10 |
$529.10 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$662.35 |
$662.35 |
$662.35 |
$562.90
|
|
X-ray exam of arm infant
|
$234.00 |
$234.00 |
$234.00 |
$238.26
|
|
X-ray exam of femur 1
|
$174.85 |
$174.85 |
$174.85 |
$194.40
|
|
X-ray exam of jaw joint
|
$206.05 |
$206.05 |
$206.05 |
$179.54
|
|
X-ray exam of sinuses
|
$214.50 |
$214.50 |
$214.50 |
$192.00
|
|
X-ray exam si joints
|
$226.20 |
$226.20 |
$226.20 |
$198.38
|
|
X-ray facial bones complete > 3 views
|
$300.30 |
$300.30 |
$300.30 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$414.05 |
$414.05 |
$414.05 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$174.85 |
$174.85 |
$174.85 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$445.90 |
$445.90 |
$445.90 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$436.15 |
$436.15 |
$436.15 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$512.85 |
$512.85 |
$512.85 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$297.05 |
$297.05 |
$297.05 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$302.25 |
$302.25 |
$302.25 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$411.45 |
$411.45 |
$411.45 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$523.25 |
$523.25 |
$523.25 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$577.85 |
$577.85 |
$577.85 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$175.50 |
$175.50 |
$175.50 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$193.70 |
$193.70 |
$193.70 |
$285.00
|
|
X-ray knee 1-2 views (both sides)
|
$414.05 |
$414.05 |
$414.05 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$561.60 |
$561.60 |
$561.60 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$222.30 |
$222.30 |
$222.30 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$302.90 |
$302.90 |
$302.90 |
$227.92
|
|
X-ray lumbosacral spine >= 4 views
|
$288.60 |
$288.60 |
$288.60 |
$475.04
|
|
X-ray mandible complete > 4 views
|
$357.50 |
$357.50 |
$357.50 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$274.30 |
$274.30 |
$274.30 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$271.70 |
$271.70 |
$271.70 |
$260.52
|
|
X-ray neck soft tissue
|
$221.00 |
$221.00 |
$221.00 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$222.30 |
$222.30 |
$222.30 |
$201.00
|
|
X-ray pelvis 1-2 views
|
$260.65 |
$260.65 |
$260.65 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$193.70 |
$193.70 |
$193.70 |
$299.46
|
|
X-ray ribs 2 views left
|
$174.85 |
$174.85 |
$174.85 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$391.30 |
$391.30 |
$391.30 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$181.35 |
$181.35 |
$181.35 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$442.65 |
$442.65 |
$442.65 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$266.50 |
$266.50 |
$266.50 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$174.85 |
$174.85 |
$174.85 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$174.85 |
$174.85 |
$174.85 |
$264.80
|
|
X-ray shoulder 1 view (both sides)
|
$174.85 |
$174.85 |
$174.85 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$337.35 |
$337.35 |
$337.35 |
$324.53
|
|
X-ray skull < 4 views
|
$315.90 |
$315.90 |
$315.90 |
$277.54
|
|
X-ray skull > 4 views complete
|
$382.20 |
$382.20 |
$382.20 |
$404.30
|
|
X-ray spine single view
|
$301.60 |
$301.60 |
$301.60 |
$225.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$215.15 |
$215.15 |
$215.15 |
$236.88
|
|
X-ray sternum > 2 views
|
$243.75 |
$243.75 |
$243.75 |
$230.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$532.35 |
$532.35 |
$532.35 |
$463.00
|
|
X-ray thoracic spine 2 views
|
$174.85 |
$174.85 |
$174.85 |
$286.65
|
|
X-ray thoracic spine 3 views
|
$193.70 |
$193.70 |
$193.70 |
$343.00
|
|
X-ray thoracolumbar spine >=2 views
|
$291.85 |
$291.85 |
$291.85 |
$269.10
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$307.45 |
$307.45 |
$307.45 |
$211.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$442.00 |
$442.00 |
$442.00 |
$346.50
|
|
X-ray tibia/fibula 2 views (both sides)
|
$377.00 |
$377.00 |
$377.00 |
$306.47
|
|
X-ray toe(s) > 2 views (both sides)
|
$208.00 |
$208.00 |
$208.00 |
$225.00
|
|
X-ray wrist 2 views (both sides)
|
$174.85 |
$174.85 |
$174.85 |
$268.49
|
|
Zika virus dna/rna amp probe
|
$296.40 |
$296.40 |
$296.40 |
$197.25
|
|
Zika virus igm antibody
|
$201.50 |
$201.50 |
$201.50 |
$84.83
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$205.60 |
$205.60 |
$205.60 |
$83.13
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$526.50 |
$526.50 |
$526.50 |
$201.50
|
